26 research outputs found
Subfossil statoblasts of Lophopodella capensis (Sollas, 1908) (Bryozoa: Phylactolaemata: Lophopodidae) in the Upper Pleistocene and Holocene sediments of a montane wetland, Eastern Mau Forest, Kenya
Lophopodella capensis (Sollas, 1908) is only known from a limited number of palustrine and lacustrine sites in southern Africa and single sites in both Kenya and Israel. Statoblasts of L. capensis were found preserved in the Upper Pleistocene and Holocene aged sediments of Enapuiyapui wetland, Eastern Mau Forest, western Kenya. The wetland is a headwater microcatchment of tributaries that feed into the Mara River and the Lake Victoria Basin. Bryozoan taxa were not surveyed in a 2007 macroinvertebrate biodiversity assessment. The presence of L. capensis at this site marks the second observation of this taxon in Kenya, 65 km from Lake Naivasha, where observed prior, and in a location some 1000 meters higher. The results suggest Bryozoa should be included in aquatic biodiversity surveys that target these wetlands and that bryozoan remains should be incorporated into palaeoecological studies as useful palaeoenvironmental indicators
Results From Wales’ 2018 Report Card on Physical Activity for Children and Youth
This is the third Active Healthy Kids Wales (AHK-Wales) Report Card following the inaugural and second report card published in 2014 and 2016 respectively.1,2 The 2018 report card (Figure 1) consolidates and translates research related to physical activity among children and young people in Wales. The report card aimed to raise the awareness of children and young people’s engagement in physical activity behaviours and influences, and advocate for children’s right to be active and healthy
The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis.
peer reviewedMindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This is the first meta-analysis of objective cognitive outcomes across multiple domains from randomized MBP studies of adults. Seven databases were systematically searched to January 2020. Fifty-six unique studies (n = 2,931) were included, of which 45 (n = 2,238) were synthesized using robust variance estimation meta-analysis. Meta-regression and subgroup analyses evaluated moderators. Pooling data across cognitive domains, the summary effect size for all studies favored MBPs over comparators and was small in magnitude (g = 0.15; [0.05, 0.24]). Across subgroup analyses of individual cognitive domains/subdomains, MBPs outperformed comparators for executive function (g = 0.15; [0.02, 0.27]) and working memory outcomes (g = 0.23; [0.11, 0.36]) only. Subgroup analyses identified significant effects for studies of non-clinical samples, as well as for adults aged over 60. Across all studies, MBPs outperformed inactive, but not active comparators. Limitations include the primarily unclear within-study risk of bias (only a minority of studies were considered low risk), and that statistical constraints rendered some p-values unreliable. Together, results partially corroborate the hypothesized link between mindfulness practices and cognitive performance. This review was registered with PROSPERO [CRD42018100904]
Adding 6 months of androgen deprivation therapy to postoperative radiotherapy for prostate cancer: a comparison of short-course versus no androgen deprivation therapy in the RADICALS-HD randomised controlled trial
Background
Previous evidence indicates that adjuvant, short-course androgen deprivation therapy (ADT) improves metastasis-free survival when given with primary radiotherapy for intermediate-risk and high-risk localised prostate cancer. However, the value of ADT with postoperative radiotherapy after radical prostatectomy is unclear.
Methods
RADICALS-HD was an international randomised controlled trial to test the efficacy of ADT used in combination with postoperative radiotherapy for prostate cancer. Key eligibility criteria were indication for radiotherapy after radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to radiotherapy alone (no ADT) or radiotherapy with 6 months of ADT (short-course ADT), using monthly subcutaneous gonadotropin-releasing hormone analogue injections, daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as distant metastasis arising from prostate cancer or death from any cause. Standard survival analysis methods were used, accounting for randomisation stratification factors. The trial had 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 80% to 86% (hazard ratio [HR] 0·67). Analyses followed the intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov, NCT00541047.
Findings
Between Nov 22, 2007, and June 29, 2015, 1480 patients (median age 66 years [IQR 61–69]) were randomly assigned to receive no ADT (n=737) or short-course ADT (n=743) in addition to postoperative radiotherapy at 121 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 9·0 years (IQR 7·1–10·1), metastasis-free survival events were reported for 268 participants (142 in the no ADT group and 126 in the short-course ADT group; HR 0·886 [95% CI 0·688–1·140], p=0·35). 10-year metastasis-free survival was 79·2% (95% CI 75·4–82·5) in the no ADT group and 80·4% (76·6–83·6) in the short-course ADT group. Toxicity of grade 3 or higher was reported for 121 (17%) of 737 participants in the no ADT group and 100 (14%) of 743 in the short-course ADT group (p=0·15), with no treatment-related deaths.
Interpretation
Metastatic disease is uncommon following postoperative bed radiotherapy after radical prostatectomy. Adding 6 months of ADT to this radiotherapy did not improve metastasis-free survival compared with no ADT. These findings do not support the use of short-course ADT with postoperative radiotherapy in this patient population
Duration of androgen deprivation therapy with postoperative radiotherapy for prostate cancer: a comparison of long-course versus short-course androgen deprivation therapy in the RADICALS-HD randomised trial
Background
Previous evidence supports androgen deprivation therapy (ADT) with primary radiotherapy as initial treatment for intermediate-risk and high-risk localised prostate cancer. However, the use and optimal duration of ADT with postoperative radiotherapy after radical prostatectomy remains uncertain.
Methods
RADICALS-HD was a randomised controlled trial of ADT duration within the RADICALS protocol. Here, we report on the comparison of short-course versus long-course ADT. Key eligibility criteria were indication for radiotherapy after previous radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to add 6 months of ADT (short-course ADT) or 24 months of ADT (long-course ADT) to radiotherapy, using subcutaneous gonadotrophin-releasing hormone analogue (monthly in the short-course ADT group and 3-monthly in the long-course ADT group), daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as metastasis arising from prostate cancer or death from any cause. The comparison had more than 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 75% to 81% (hazard ratio [HR] 0·72). Standard time-to-event analyses were used. Analyses followed intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and
ClinicalTrials.gov
,
NCT00541047
.
Findings
Between Jan 30, 2008, and July 7, 2015, 1523 patients (median age 65 years, IQR 60–69) were randomly assigned to receive short-course ADT (n=761) or long-course ADT (n=762) in addition to postoperative radiotherapy at 138 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 8·9 years (7·0–10·0), 313 metastasis-free survival events were reported overall (174 in the short-course ADT group and 139 in the long-course ADT group; HR 0·773 [95% CI 0·612–0·975]; p=0·029). 10-year metastasis-free survival was 71·9% (95% CI 67·6–75·7) in the short-course ADT group and 78·1% (74·2–81·5) in the long-course ADT group. Toxicity of grade 3 or higher was reported for 105 (14%) of 753 participants in the short-course ADT group and 142 (19%) of 757 participants in the long-course ADT group (p=0·025), with no treatment-related deaths.
Interpretation
Compared with adding 6 months of ADT, adding 24 months of ADT improved metastasis-free survival in people receiving postoperative radiotherapy. For individuals who can accept the additional duration of adverse effects, long-course ADT should be offered with postoperative radiotherapy.
Funding
Cancer Research UK, UK Research and Innovation (formerly Medical Research Council), and Canadian Cancer Society
Unjust Timing Limitations in Genetic Malpractice
As genomic data are increasingly being collected and applied in clinical care, physicians, laboratories, and other health care providers are more frequently being sued for alleged medical malpractice or negligence. Because the genetic underpinnings of an existing or future health condition may not be immediately apparent, such cases sometimes raise unique timing issues involving the applicable statute of limitations, statute of repose, or statutory notification requirements. Although these timing limitations on when a lawsuit can be brought have important policy rationales and justifications, such as helping to protect providers from open-ended liability, their application to genetic liability cases may sometimes result in fundamental unfairness and unjust results because of the unavoidable delayed discovery of the potential negligence in detecting or addressing the genetic contribution of a patient\u27s condition
data_procb_trakin
This file contains the data ordered by figure from the main text. All sheets except "genetic distances" contain conjugation data ordered by figure, including identity of the donor and recipient strains, densities of donor, recipient and transconjugants (CFUs per mL) obtained by selective plating, and computed conjugation rates. "genetic distances" contains a matrix of pairwise genetic distances for E. coli isolates, obtained with 3 genes or 2 genes as described in the methods
The Effects of Personality on Chills and the Response to Live or Recorded Music
Our group is interested in conducting this study to look at the relationship between personality type and the physical sensation of getting chills while listening to music. We came across this topic by reading a study conducted by Emily C. Nusbaum et al. (2011) Shivers and Timbres: Personality and the Experience of Chills From Music. This study used the Big Five Index questionnaire to determine if there was a relationship between chills and a specific personality trait. They found a correlation between the trait of openness and chills. This was the only trait that had a significant correlation. In our study, we will be isolating this trait by utilizing the Big Five Index questions developed by Soto, and only asking the questions that are related to openness. As a group, we developed a second variable that we wanted to compare with the chills experience as well. We want to see if there is a relationship between chills received during live or recorded music. Due to the experience of being in the environment of live music, we believe that it could increase the likelihood of experiencing chills. We have hypothesized that individuals with higher levels of the openness trait and who experience live music will be the most likely to experience chills. Those who have lower levels of openness and watch a recorded performance will be the least likely to experience chills. Chills are operationally defined as the physical appearance of goosebumps on the skin in direct response to environmental stimuli
Radiocarbon dates, magnetic susceptibility and subfossil remains of Lophopodella capensis (Sollas, 1908) data from a sediment core collected from Enapuiyapui wetland, Eastern Mau Forest, Kenya
These data were created from an examination of a 537 cm long sediment core collected from centre of Enapuiyapui wetland, Kiptunga Forest Block, Eastern Mau Forest, western Kenya. The core was collected in 2014 and taken at 0° 26' 11.28" S, 35° 47' 58.74" E, 2920 m asl, using a 50 cm Russian corer with ~10 cm overlapped coring drives. The dataset includes radiocarbon dating results, the age-depth model, magnetic susceptibility core logging, and presence data of subfossil statoblast remains of the freshwater bryozoan Lophopodella capensis (Sollas, 1908) are represented in this dataset. This research was funded by Resilience in East African Landscapes (REAL), a European Commission Marie Curie Initial Training Network grant to Rob Marchant (FP7-PEOPLE-2013-ITN project number 606879)