Body Mass Index and Cognitive Decline in Mild Cognitive Impairment

This is the author's accepted manuscript.Objective To examine the relationship between body mass index (BMI) and cognitive decline in subjects diagnosed with mild cognitive impairment (MCI). Methods Neuropsychologic and clinical evaluations were conducted at baseline, 6-months, and 1-year on 286 MCI subjects enrolled in the Alzheimer’s Disease Neuroimaging Initiative. A global cognitive composite score was derived (mean Z-score) from performance on 9 neuropsychologic subtests. Height and weight were assessed at baseline and used to calculate BMI. Generalized estimating equations (linear and logistic) assessed the relationships of baseline BMI with cognitive outcomes, clinician judgment of “clinically significant decline” over 1-year, and diagnostic progression from MCI to Alzheimer disease. Results Lower baseline BMI was associated with significant declines in cognitive performance in individuals with MCI over 1 year (Mini-Mental State Examination, Alzheimer Disease Assessment Scale-Cognitive subscale, and a global cognitive composite; all P<0.05). We observed a significant protective effect of baseline BMI in reducing the risk of a clinically significant decline in Alzheimer Disease Assessment Scale-Cognitive subscale and mini-mental state examination (P<0.05). No association was found between BMI and changes in the clinical dementia rating sum of boxes or conversion to Alzheimer disease. Conclusions Lower baseline BMI is associated with more rapid cognitive decline in MCI. This relationship suggests either body composition may influence the rate of cognitive decline in MCI or factors related to MCI influence body composition

Adapting Translational Research Methods to Water, Sanitation, and Hygiene

Translational research applies scientific techniques to achieve practical outcomes, connecting pure research and pure practice. Many translational research types have arisen since the mid-1900s, reflecting the need to better integrate scientific advancement with policy and practice. Water, sanitation, and hygiene (WaSH) development efforts have aimed to reduce morbidity and mortality and improve service delivery; thus, associated research has a strong orientation toward applied studies that use diverse methods to support decision-making. Drawing from knowledge that emerged to support other professional fields, such as manufacturing and clinical healthcare, we characterize different types of translational research and clarify nomenclature and principles. We describe study approaches relevant to translational research questions, and offer overarching recommendations, specific examples, and resources for further study as practical advice to professionals who seek to apply translational methods to WaSH problems. To enhance collective outcomes, professionals should mindfully align projects within the translational spectrum. We further recommend overarching good practices such as documenting intervention adaptations, overtly considering contextual factors, and better distinguishing efficacy from effectiveness research by replicating studies in different contexts. By consciously improving the compatibility and linkages between WaSH science and practice, this guide can accelerate urgently needed progress toward global development goals

Age and structure of the Shyok Suture in the Ladakh region of Northwestern India: Implications for slip on the Karakoram Fault System

A precise age for the collision of the Kohistan-Ladakh block with Eurasia along the Shyok suture zone (SSZ) is one key to understanding the accretionary history of Tibet and the tectonics of Eurasia during the India-Eurasia collision. Knowing the age of the SSZ also allows the suture to be used as a piercing line for calculating total offset along the Karakoram Fault, which effectively represents the SE border of the Tibetan Plateau and has played a major role in plateau evolution. We present a combined structural, geochemical, and geochronologic study of the SSZ as it is exposed in the Nubra region of India to test two competing hypotheses: that the SSZ is of Late Cretaceous or, alternatively, of Eocene age. Coarse-continental strata of the Saltoro Molasse, mapped in this area, contain detrital zircon populations suggestive of derivation from Eurasia despite the fact that the molasse itself is deposited unconformably onto Kohistan-Ladakh rocks, indicating that the molasse is postcollisional. The youngest population of detrital zircons in these rocks (approximately 92 Ma) and a U/Pb zircon date for a dike that cuts basal molasse outcrops (approximately 85 Ma) imply that deposition of the succession began in the Late Cretaceous. This establishes a minimum age for the SSZ and rules out the possibility of an Eocene collision between Kohistan-Ladakh and Eurasia. Our results support correlation of the SSZ with the Bangong suture zone in Tibet, which implies a total offset across the Karakoram Fault of approximately 130–190 km

The immune cell infiltrate populating meningiomas is composed of mature, antigen-experienced T and B cells

BACKGROUND: Meningiomas often harbor an immune cell infiltrate that can include substantial numbers of T and B cells. However, their phenotype and characteristics remain undefined. To gain a deeper understanding of the T and B cell repertoire in this tumor, we characterized the immune infiltrate of 28 resected meningiomas representing all grades. METHODS: Immunohistochemistry was used to grossly characterize and enumerate infiltrating lymphocytes. A molecular analysis of the immunoglobulin variable region of tumor-infiltrating B cells was used to characterize their antigen experience. Flow cytometry of fresh tissue homogenate and paired peripheral blood lymphocytes was used to identify T cell phenotypes and characterize the T cell repertoire. RESULTS: A conspicuous B and T cell infiltrate, primarily clustered in perivascular spaces, was present in the microenvironment of most tumors examined. Characterization of 294 tumor-infiltrating B cells revealed clear evidence of antigen experience, in that the cardinal features of an antigen-driven B cell response were present. Meningiomas harbored populations of antigen-experienced CD4+ and CD8+ memory/effector T cells, regulatory T cells, and T cells expressing the immune checkpoint molecules PD-1 and Tim-3, indicative of exhaustion. All of these phenotypes were considerably enriched relative to their frequency in the circulation. The T cell repertoire in the tumor microenvironment included populations that were not reflected in paired peripheral blood. CONCLUSION: The tumor microenvironment of meningiomas often includes postgerminal center B cell populations. These tumors invariably include a selected, antigen-experienced, effector T cell population enriched by those that express markers of an exhausted phenotype

Community management does not equate to participation: fostering community participation in rural water supplies

Community management has remained the dominant paradigm for managing rural water supplies in sub-Saharan Africa. There is a widespread perception that community participation principles are inherently embedded in the community management model. In this paper, we analyze how an international nongovernmental organization engages rural communities in their rural water projects, and the ways in which community members are able to participate in the management and governance of their water supplies. Qualitative data were collected in 18 study communities – six each in Ghana, Kenya, and Zambia – through interviews, focus group discussions, and participatory mapping with community and water committee members. We argue that community management does not inherently lead to broader community participation, but rather that fostering community participation requires intentionality. We recommend implementers use collaborative planning processes and explicitly engage with intra-community diversity and inequalities in order to facilitate the opportunity for all community members to meaningfully participate in decision-making. Collaborative planning with diverse groups will also allow community members to realize their rights to transparency and accountability once community management structures are in place

Analysis of 3D cloud effects in OCO-2 XCO2 retrievals

The presence of 3D cloud radiative effects in OCO-2 retrievals is demonstrated from an analysis of 2014&ndash;2019 OCO-2 XCO2 raw retrievals, bias-corrected XCO2bc data, ground-based Total Carbon Column Observation Network (TCCON) XCO2, and Moderate Resolution Imaging Spectroradiometer (MODIS) cloud and radiance fields. In approximate terms, 40&thinsp;% (quality flag &ndash; QF&thinsp;=&thinsp;0, land or ocean) and 73&thinsp;% (QF&thinsp;=&thinsp;1, land or ocean) of the observations are within 4&thinsp;km of clouds. 3D radiative transfer calculations indicate that 3D cloud radiative perturbations at this cloud distance, for an isolated low-altitude cloud, are larger in absolute value than those due to a 1&thinsp;ppm increase in CO2. OCO-2 measurements are therefore susceptible to 3D cloud effects. Four 3D cloud metrics, based upon MODIS radiance and cloud fields as well as stand-alone OCO-2 measurements, relate XCO2bc&ndash;TCCON averages to 3D cloud effects. This analysis indicates that the operational bias correction has a nonzero residual 3D cloud bias for both QF&thinsp;=&thinsp;0 and QF&thinsp;=&thinsp;1 data. XCO2bc&ndash;TCCON averages at small cloud distances differ from those at large cloud distances by &minus;0.4 and &minus;2.2&thinsp;ppm for the QF&thinsp;=&thinsp;0 and QF&thinsp;=&thinsp;1 data over the ocean. Mitigation of 3D cloud biases with a table lookup technique, which utilizes the nearest cloud distance (Distkm) and spatial radiance heterogeneity (CSNoiseRatio) 3D metrics, reduces QF&thinsp;=&thinsp;1 ocean and land XCO2bc&ndash;TCCON averages from &minus;1&thinsp;ppm to near &plusmn;0.2&thinsp;ppm. The ocean QF&thinsp;=&thinsp;1 XCO2bc&ndash;TCCON averages can be reduced to the 0.5&thinsp;ppm level if 60&thinsp;% (70&thinsp;%) of the QF&thinsp;=&thinsp;1 data points are utilized by applying Distkm (CSNoiseRatio) metrics in a data screening process. Over land the QF&thinsp;=&thinsp;1 XCO2bc&ndash;TCCON averages are reduced to the 0.5 (0.8)&thinsp;ppm level if 65&thinsp;% (63&thinsp;%) of the data points are utilized by applying Diastkm (CSNoiseRatio) data screening. The addition of more terms to the linear regression equations used in the current bias correction processing without data screening, however, did not introduce an appreciable improvement in the standard deviations of the XCO2bc&ndash;TCCON statistics. </div

Ecological and socioeconomic impacts of invasive alien species in island ecosystems

Minimizing the impact of invasive alien species (IAS) on islands and elsewhere requires researchers to provide cogent information on the environmental and socioeconomic consequences of IAS to the public and policy makers. Unfortunately, this information has not been readily available owing to a paucity of scientific research and the failure of the scientific community to make their findings readily available to decision makers. This review explores the vulnerability of islands to biological invasion, reports on environmental and socioeconomic impacts of IAS on islands and provides guidance and information on technical resources that can help minimize the effects of IAS in island ecosystems. This assessment is intended to provide a holistic perspective on island-IAS dynamics, enable biologists and social scientists to identify information gaps that warrant further research and serve as a primer for policy makers seeking to minimize the impact of IAS on island systems. Case studies have been selected to reflect the most scientifically-reliable information on the impacts of IAS on islands. Sufficient evidence has emerged to conclude that IAS are the most significant drivers of population declines and species extinctions in island ecosystems worldwide. Clearly, IAS can also have significant socioeconomic impacts directly (for example human health) and indirectly through their effects on ecosystem goods and services.These impacts are manifest at all ecological levels and affect the poorest, as well as richest, island nations. The measures needed to prevent and minimize the impacts of IAS on island ecosystems are generally known. However, many island nations and territories lack the scientific and technical information, infrastructure and human and financial resources necessary to adequately address the problems caused by IAS. Because every nation is an exporter and importer of goods and services, every nation is also a facilitator and victim of the invasion of alien species.Wealthy nations therefore need to help raise the capacity of island nations and territories to minimize the spread and impact of IAS

Assessment of fetal presentation: Exploring a woman-centred approach

This article explores the core midwifery skill of fetal presentation assessment from the perspective of women’s meanings and experiences, including the social and relational aspects of antenatal palpation. Brief background information is provided, explaining the clinical purpose of determining presentation antenatally, and the key debates surrounding the available interventions applied when babies present breech, eg. external cephalic version and caesarean section. In order to make the screening process transparent, women need to know the accuracy (or rather, inaccuracy) of abdominal palpation, and what her options will be if her baby is found to be presenting breech, either before or during labour. Specialist midwifery care may help meet women’s increased needs for counselling and reassurance, and provide continuity throughout the breech care pathway, which for low-risk women begins with palpation

Cross-cultural invariances in the architecture of shame

This set of experiments shows that in 15 traditional small-scale societies there is an extraordinarily close correspondence between (i) the intensity of shame felt if one exhibited specific acts or traits and (ii) the magnitude of devaluation expressed in response to those acts or traits by local audiences, and even foreign audiences. Three important and widely acknowledged sources of cultural variation between communities—}geographic proximity, linguistic similarity, and religious similarity{—}all failed to account for the strength of between-community correlations in the shame{–}devaluation link. This supplies a parallel line of evidence that shame is a universal system, part of our species{’} cooperative biology, rather than a product of cultural evolution.Human foragers are obligately group-living, and their high dependence on mutual aid is believed to have characterized our species{’} social evolution. It was therefore a central adaptive problem for our ancestors to avoid damaging the willingness of other group members to render them assistance. Cognitively, this requires a predictive map of the degree to which others would devalue the individual based on each of various possible acts. With such a map, an individual can avoid socially costly behaviors by anticipating how much audience devaluation a potential action (e.g., stealing) would cause and weigh this against the action{’}s direct payoff (e.g., acquiring). The shame system manifests all of the functional properties required to solve this adaptive problem, with the aversive intensity of shame encoding the social cost. Previous data from three Western(ized) societies indicated that the shame evoked when the individual anticipates committing various acts closely tracks the magnitude of devaluation expressed by audiences in response to those acts. Here we report data supporting the broader claim that shame is a basic part of human biology. We conducted an experiment among 899 participants in 15 small-scale communities scattered around the world. Despite widely varying languages, cultures, and subsistence modes, shame in each community closely tracked the devaluation of local audiences (mean r = +0.84). The fact that the same pattern is encountered in such mutually remote communities suggests that shame{’s match to audience devaluation is a design feature crafted by selection and not a product of cultural contact or convergent cultural evolution

Taxonomic surrogacy in biodiversity assessments, and the meaning of Linnaean ranks

Copyright © 2006 The Natural History MuseumThe majority of biodiversity assessments use species as the base unit. Recently, a series of studies have suggested replacing numbers of species with higher ranked taxa (genera, families, etc.); a method known as taxonomic surrogacy that has an important potential to save time and resources in assesments of biological diversity. We examine the relationships between taxa and ranks, and suggest that species/higher taxon exchanges are founded on misconceptions about the properties of Linnaean classification. Rank allocations in current classifications constitute a heterogeneous mixture of various historical and contemporary views. Even if all taxa were monophyletic, those referred to the same rank would simply denote separate clades without further equivalence. We conclude that they are no more comparable than any other, non-nested taxa, such as, for example, the genus Rattus and the phylum Arthropoda, and that taxonomic surrogacy lacks justification. These problems are also illustrated with data of polychaetous annelid worms from a broad-scale study of benthic biodiversity and species distributions in the Irish Sea. A recent consensus phylogeny for polychaetes is used to provide three different family-level classifications of polychaetes. We use families as a surrogate for species, and present Shannon–Wiener diversity indices for the different sites and the three different classifications, showing how the diversity measures rely on subjective rank allocations.Y. Bertrand, F. Pleijel and G. W. Rous