The increasing likelihood of temperatures above 30 to 40 °C in the United Kingdom

This is the final version. Available on open access from Nature Research via the DOI in this recordData availability: The HadUK-Grid temperature data and station temperature data from the Met Office Integrated Data Archive System (MIDAS) that support the findings of this study are available from the CEDA Archive, http://archive.ceda.ac.uk. The CMIP5 simulated temperature data that support the findings of this study are available from the Earth System Grid Federation (ESGF) Archive, https://esgf.llnl.gov/.Code availability: IDL code used for the analysis is available upon request.As European heatwaves become more severe, summers in the United Kingdom (UK) are also getting warmer. The UK record temperature of 38.7 °C set in Cambridge in July 2019 prompts the question of whether exceeding 40 °C is now within reach. Here, we show how human influence is increasing the likelihood of exceeding 30, 35 and 40 °C locally. We utilise observations to relate local to UK mean extremes and apply the resulting relationships to climate model data in a risk-based attribution methodology. We find that temperatures above 35 °C are becoming increasingly common in the southeast, while by 2100 many areas in the north are likely to exceed 30 °C at least once per decade. Summers which see days above 40 °C somewhere in the UK have a return time of 100-300 years at present, but, without mitigating greenhouse gas emissions, this can decrease to 3.5 years by 2100.Met Office Hadley Centre Climate Programm

"The California critical thinking instruments for benchmarking, program assessment, and directing curricular change"

Charles R. Phillips is an Associate Professor of Pharmacy Administration/Dept. Chair of Pharmacy Practice, Renae J. Chesnut is Associate Dean for Academic and Student Affairs. Raylene M. Rospond is Dean, Pharmacy and Health Sciences. All three are in the College of Pharmacy and Health Sciences at Drake University. They can be contacted at: [email protected], [email protected], and [email protected]. To assess pharmacy students’ critical thinking (CT) measures and identify areas for curricular reform. Methods. Pharmacy students were given the California Critical Thinking Skills Test and Disposition Index at various points in the PharmD program. Scores were compared with a national referent group and evaluated for changes across the curriculum and between classes. Results. Students were comparable to national norms. Pretest and posttest scores for total disposition showed improvement. Scores in all subcategories except for truth-seeking were consistently above 40. The CT skills of the pharmacy students varied compared with those of referent students, but the pharmacy students’ overall score of 18 was in the 73rd percentile. Pre- and post-skills scores showed improvement. Students scoring low on the pretest improved more than those scoring high. Conclusions. Students had a consistent disposition towards CT and compared favorably to national norms. Both disposition and skills improved across the curriculum. Dimensions of critical thinking on which students score low should be areas for curricular and other program changes

Removing Barriers to Tecovirimat for Mpox-infected Individuals via Novel Models of Care Delivery

Problem Statement During the 2022 mpox outbreak, the CDC’s expanded access Investigational New Drug (IND) protocol created a practical barrier to the outpatient provision of tecovirimat. We rapidly implemented a tecovirimat prescription program for individuals infected with mpox to improves access to care. Project AIM Primary aim: describe how we rapidly implemented a program for increasing tecovirimat distribution in a metropolitan area. Secondary aims: describe the patient population who received tecovirimat as treatment for mpox at our clinic and analyze several clinically relevant time intervals along the continuum of care delivery.https://jdc.jefferson.edu/didemposters/1004/thumbnail.jp

Understanding business models in the context of Irish credit union transformation

Credit unions in the Republic of Ireland (Ireland) are important community institutions. Over the last decade, however, Irish regulators and government have commented on a strategically critical financial problem for the sector and called for a change to the ‘business model’, but there is no statement of what this business model means. This paper understands a business model as the way an organisation creates and delivers value for its customers and itself, so whether articulated or not, it is plainly vital to organisational success. This paper reviews credit union financial performance, engages with the literature on business models, conceptually and as applied to banking, co-operatives and credit unions. It then considers how it could support the transformation needed for the sector’s successful development. The paper connects the credit unions’ enduring financial performance problem with the problem of value creation for their members, concluding that there are business model frameworks that could help credit unions restate their proposition, while incorporating their social purpose. However, there is no consensus among academics or practitioners about what the Irish credit union business model is and therefore what should change. A further knowledge gap is identified in relation to credit unions’ own perspectives on the relevance of business models and change

The relationship between the morphology and kinematics of galaxies and its dependence on dark matter halo structure in EAGLE

We investigate the connection between the morphology and internal kinematics of the stellar component of central galaxies with mass $M_\star > {10}^{9.5} {\rm M}_\odot$ in the EAGLE simulations. We compare several kinematic diagnostics commonly used to describe simulated galaxies, and find good consistency between them. We model the structure of galaxies as ellipsoids and quantify their morphology via the ratios of their principal axes, finding that kinematic diagnostics enable a superior differentiation of blue star-forming and red quiescent galaxies than morphological definitions. Flattened oblate galaxies exhibit greater rotational support than their spheroidal counterparts, but there is significant scatter in the relationship between morphological and kinematical diagnostics, such that kinematically-similar galaxies can exhibit a broad range of morphologies. The scatter in the relationship between the flattening and the ratio of the rotation and dispersion velocities ($v/\sigma$) correlates strongly with the anisotropy of the stellar velocity dispersion: at fixed $v/\sigma$, flatter galaxies exhibit greater dispersion in the plane defined by the intermediate and major axes than along the minor axis, indicating that the morphology of simulated galaxies is influenced significantly by the structure of their velocity dispersion. The simulations reveal that this anisotropy correlates with the intrinsic morphology of the galaxy's inner dark matter halo, i.e. the halo's morphology that emerges in the absence of dissipative baryonic physics. This implies the existence of a causal relationship between the morphologies of galaxies and that of their host dark matter haloes

Clear lens phacoemulsification in the anterior lenticonus due to Alport Syndrome: two case reports

<p>Abstract</p> <p>Introduction</p> <p>Alport Syndrome has a prevalence of 1 case per 5,000 people and 85% of patients have the X-linked form, where affected males develop renal failure and usually have high-tone sensorineural deafness by age 20. The main abnormality is deficient synthesis of type IV collagen, the main component of basement membranes. Common ocular abnormalities of this syndrome consist of dot-and-fleck retinopathy, posterior polymorphous corneal dystrophy, and anterior lenticonus, but other ocular defects such as cataracts, posterior lenticonus, and retinal detachments have also been reported.</p> <p>Case presentation</p> <p>We report two cases of anterior lenticonus due to Alport Syndrome and describe clear lens phacoemulsification and foldable intraocular lens implantation as an effective and safe refractive procedure in the four eyes of these two patients.</p> <p>Conclusion</p> <p>All four eyes of the two patients were in good condition after surgery and achieved satisfactory optical and visual results and had no remarkable complications at six-months follow-up. Clear lens phacoemulsification with foldable intraocular lens implantation can be used as an efficient and safe procedure for vision disorders in these patients.</p

Furanone loaded aerogels are effective antibiofilm therapeutics in a model of chronic Pseudomonas aeruginosa wound infection

Almost 80% of chronic wounds have a bacterial biofilm present. These wound biofilms are caused by a range of organisms and are often polymicrobial. Pseudomonas aeruginosa is one of the most common causative organisms in wound infections and readily forms biofilms in wounds. To coordinate this, P. aeruginosa uses a process known as quorum sensing. Structural homologues of the quorum sensing signalling molecules have been used to disrupt this communication and prevent biofilm formation by Pseudomonas. However, these compounds have not yet reached clinical use. Here, we report the production and characterisation of a lyophilised PVA aerogel for use in delivering furanones to wound biofilms. PVA aerogels successfully release a model antimicrobial and two naturally occurring furanones in an aqueous environment. Furanone loaded aerogels inhibited biofilm formation in P. aeruginosa by up to 98.80%. Further, furanone loaded aerogels successfully reduced total biomass of preformed biofilms. Treatment with a sotolon loaded aerogel yielded a 5.16 log reduction in viable biofilm bound cells in a novel model of chronic wound biofilm, equivalent to the current wound therapy Aquacel AG. These results highlight the potential utility of aerogels in drug delivery to infected wounds and supports the use of biofilm inhibitory compounds as wound therapeutics.Biotechnology and Biological Sciences Research Council New Investigator Award BB/V007823/1. RRMC and CP are supported by the Academy of Medical Sciences/the Wellcome Trust/the Government Department of Business, Energy and Industrial Strategy/the British Heart Foundation/Diabetes UK Springboard Award [SBF006\1040]

Carbon storage and DNA absorption in allophanic soils and paleosols

Andisols and andic paleosols dominated by the nanocrystalline mineral allophane sequester large amounts of carbon (C), attributable mainly to its chemical bonding with charged hydroxyl groups on the surface of allophane together with its physical protection in nanopores within and between allophane nanoaggregates. C near-edge X-ray absorption fine structure (NEXAFS) spectra for a New Zealand Andisol (Tirau series) showed that the organic matter (OM) mainly comprises quinonic, aromatic, aliphatic, and carboxylic C. In different buried horizons from several other Andisols, C contents varied but the C species were similar, attributable to pedogenic processes operating during developmental upbuilding, downward leaching, or both. The presence of OM in natural allophanic soils weakened the adsorption of DNA on clay; an adsorption isotherm experiment involving humic acid (HA) showed that HA-free synthetic allophane adsorbed seven times more DNA than HA-rich synthetic allophane. Phosphorus X-ray absorption near-edge structure (XANES) spectra for salmonsperm DNA and DNA-clay complexes indicated that DNA was bound to the allophane clay through the phosphate group, but it is not clear if DNA was chemically bound to the surface of the allophane or to OM, or both. We plan more experiments to investigate interactions among DNA, allophane (natural and synthetic), and OM. Because DNA shows a high affinity to allophane, we are studying the potential to reconstruct late Quaternary palaeoenvironments by attempting to extract and characterise ancient DNA from allophanic paleosol