Polymorphisms in the methylenetetrahydrofolate reductase (MTHFR) gene, intakes of folate and related B vitamins and colorectal cancer : a case-control study in a population with relatively low folate intake

Peer reviewedPublisher PD

Train-the-trainers in hand hygiene : a standardized approach to guide education in infection prevention and control

Background Harmonization in hand hygiene training for infection prevention and control (IPC) professionals is lacking. We describe a standardized approach to training, using a “Train-the-Trainers” (TTT) concept for IPC professionals and assess its impact on hand hygiene knowledge in six countries.Methods We developed a three-day simulation-based TTT course based on the World Health Organization (WHO) Multimodal Hand Hygiene Improvement Strategy. To evaluate its impact, we have performed a pre-and post-course knowledge questionnaire. The Wilcoxon signed-rank test was used to compare the results before and after training.Results Between June 2016 and January 2018 we conducted seven TTT courses in six countries: Iran, Malaysia, Mexico, South Africa, Spain and Thailand. A total of 305 IPC professionals completed the programme. Participants included nurses (n = 196; 64.2%), physicians (n = 53; 17.3%) and other health professionals (n = 56; 18.3%). In total, participants from more than 20 countries were trained. A significant (p < 0.05) improvement in knowledge between the pre- and post-TTT training phases was observed in all countries. Puebla (Mexico) had the highest improvement (22.3%; p < 0.001), followed by Malaysia (21.2%; p < 0.001), Jalisco (Mexico; 20.2%; p < 0.001), Thailand (18.8%; p < 0.001), South Africa (18.3%; p < 0.001), Iran (17.5%; p < 0.001) and Spain (9.7%; p = 0.047). Spain had the highest overall test scores, while Thailand had the lowest pre- and post-scores. Positive aspects reported included: unique learning environment, sharing experiences, hands-on practices on a secure environment and networking among IPC professionals. Sustainability was assessed through follow-up evaluations conducted in three original TTT course sites in Mexico (Jalisco and Puebla) and in Spain: improvement was sustained in the last follow-up phase when assessed 5 months, 1 year and 2 years after the first TTT course, respectively.Conclusions The TTT in hand hygiene model proved to be effective in enhancing participant’s knowledge, sharing experiences and networking. IPC professionals can use this reference training method worldwide to further disseminate knowledge to other health care workers.peer-reviewe

Pathways between soil moisture and precipitation in southeastern South America

Southeastern South America (SESA) is found to be the main hot spot of soil moisture?evapotranspiration coupling of South America during a dry summer. However, only its eastern part is a soil moisture?precipitation hot spot. Pathways between soil moisture and precipitation are evaluated through studying the coupling of soil moisture with surface and boundary layer variables. The outcome suggests that both the moist static energy and its vertical gradient are important for the development of precipitation, as a result of the total surface heat fluxes that are affected by soil moisture only in the eastern part of SESA.Fil: Ruscica, Romina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Sörensson, Anna A.. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Menendez, Claudio Guillermo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinacion Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Ciencias de la Atmósfera y los Océanos; Argentin

Local biases drive, but do not determine, the perception of illusory trajectories

When a dot moves horizontally across a set of tilted lines of alternating orientations, the dot appears to be moving up and down along its trajectory. This perceptual phenomenon, known as the slalom illusion, reveals a mismatch between the veridical motion signals and the subjective percept of the motion trajectory, which has not been comprehensively explained. In the present study, we investigated the empirical boundaries of the slalom illusion using psychophysical methods. The phenomenon was found to occur both under conditions of smooth pursuit eye movements and constant fixation, and to be consistently amplified by intermittently occluding the dot trajectory. When the motion direction of the dot was not constant, however, the stimulus display did not elicit the expected illusory percept. These findings confirm that a local bias towards perpendicularity at the intersection points between the dot trajectory and the tilted lines cause the illusion, but also highlight that higher-level cortical processes are involved in interpreting and amplifying the biased local motion signals into a global illusion of trajectory perception

Local biases drive, but do not determine, the perception of illusory trajectories

When a dot moves horizontally across a set of tilted lines of alternating orientations, the dot appears to be moving up and down along its trajectory. This perceptual phenomenon, known as the slalom illusion, reveals a mismatch between the veridical motion signals and the subjective percept of the motion trajectory, which has not been comprehensively explained. In the present study, we investigated the empirical boundaries of the slalom illusion using psychophysical methods. The phenomenon was found to occur both under conditions of smooth pursuit eye movements and constant fixation, and to be consistently amplified by intermittently occluding the dot trajectory. When the motion direction of the dot was not constant, however, the stimulus display did not elicit the expected illusory percept. These findings confirm that a local bias towards perpendicularity at the intersection points between the dot trajectory and the tilted lines cause the illusion, but also highlight that higher-level cortical processes are involved in interpreting and amplifying the biased local motion signals into a global illusion of trajectory perception

Postclassic Maya population recovery and rural resilience in the aftermath of collapse in northern Yucatan

This article addresses Postclassic Maya population recovery in the aftermath of the collapse of Terminal Classic period political centers by 1100 CE in northern Yucatan, Mexico. While much has been written about the collapse of northern lowland Classic period Maya civilization by the eleventh century CE, we focus here on longer-term outcomes from a demographic perspective, during the Postclassic period (1150-1500 CE). We analyze survey data from the adjacent and sequential archaeological sites of Tichac and Mayapán to support three arguments. First, rural zones were populous prior to the northern collapse. Second, inhabitants of rural zones persisted during the cycle of political collapse and recovery. Third the ubiquity of Postclassic Maya settlements after the twelfth century CE suggests resiliency in the region marked by a rapid rate of sociopolitical regeneration and substantial (if partial) demographic recovery. We frame findings from our study area with broader evidence from regional archaeological settlement studies and early Colonial documents attesting to robust northern Maya populations at the time of European contact. We consider the important role of rural localities in fostering recovery by storing cultural knowledge, providing destinations for outmigration, and serving as hubs for long-term, cyclical regeneration of state society

Five-Component Self-Assembly of Cucurbituril-Based Hetero-pseudorotaxanes

[5]Pseudorotaxanes can be obtained by self-sorting using heteroditopic guests and various cucurbituril homologues as hosts. The assembly and chemically induced disassembly of the pseudorotaxanes can be monitored by measuring the fluorescence of the anthracene guest in solution. Mass spectral evidence for the supramolecular assemblies is obtained in the gas phase. The disassembly in the gas phase can be achieved by collision-induced dissociation leading to the corresponding [2]- and [3]pseudorotaxanes.Ministerio de Economia y Competitividad, Madrid, Spain [CTQ2011-28390, CTQ2014-54729-C2-1-P, BES2015-074458]; Junta de Andalucia [P12-FQM2140]; Fundacao para a Ciencia e a Tecnologia, Lisbon, Portugal [SFRH/BD/81628/2011]; Egyptian Ministry of Higher Education, Cairoinfo:eu-repo/semantics/publishedVersio