Standards for CHERG reviews of intervention effects on child survival

Background The Lives Saved Tool (LiST) uses estimates of the effects of interventions on cause-specific child mortality as a basis for generating projections of child lives that could be saved by increasing coverage of effective interventions. Estimates of intervention effects are an essential element of LiST, and need to reflect the best available scientific evidence. This article describes the guidelines developed by the Child Health Epidemiology Reference Group (CHERG) that are applied by scientists conducting reviews of intervention effects for use in LiST. Methods The guidelines build on and extend those developed by the Cochrane Collaboration and the Working Group for Grading of Recommendations Assessment, Development and Evaluation (GRADE). They reflect the experience gained by the CHERG intervention review groups in conducting the reviews published in this volume, and will continue to be refined through future reviews. Presentation of the guidelines Expected products and guidelines are described for six steps in the CHERG intervention review process: (i) defining the scope of the review; (ii) conducting the literature search; (iii) extracting information from individual studies; (iv) assessing and summarizing the evidence; (v) translating the evidence into estimates of intervention effects and (vi) presenting the results. Conclusions The CHERG intervention reviews represent an ambitious effort to summarize existing evidence and use it as the basis for supporting sound public health decision making through LiST. These efforts will continue, and a similar process is now under way to assess intervention effects for reducing maternal mortalit

Photonic Band Tuning in 2D Photonic Crystals by Atomic Layer Deposition

Atomic layer deposition (ALD) has become a powerful tool for the fabrication of high quality 3-dimentional photonic crystals (PCs) from both inorganic (opal) and organic (holographically patterned polymer) templates [1,2]. With ALD, highly conformal films can be grown with a precision of 0.05 nm, which, when combined with the availability of a wide range of low temperature film growth protocols, enables a high degree of control over material and structural properties to precisely tune optical properties [3]. Two-dimensional photonic crystals have been developed extensively for applications in optical interconnects, beam steering, and sensor devices; and are predominantly fabricated by electron-beam lithography. The optical properties of 2D photonic crystal slab waveguides are determined by the precision of the lithography process, with limited post fabrication tunability

O VI Observations of the Onset of Convection Zones in Main-Sequence A Stars

If magnetic activity in outer stellar atmospheres is due to an interplay between rotation and subsurface convection, as is generally presumed, then one would not expect to observe indicators of activity in stars with T_eff > 8300 K. Any X-ray or ultraviolet line emission from hotter stars must be due either to a different mechanism or to an unresolved, active, binary companion. Due to their poor spatial resolution, X-ray instruments have been especially susceptible to source confusion. At wavelengths longward of 1216 Angstroms, the near ultraviolet spectra of stars hotter than this putative dividing line are dominated by photospheric continuum. We have used FUSE to obtain spectra of the subcoronal O VI emission lines, which lie at a wavelength where the photospheric continuum of the mid- and early-A stars is relatively weak. We observed 14 stars spanning a range in T_eff from 7720 to 10,000 K. Eleven of the 14 stars showed O VI emission lines, including 6 of the 8 targets with T_eff > 8300 K. At face value, this suggests that activity does not fall off with increasing temperature. However, the emission lines are narrower than expected from the projected rotational velocities of these rapidly-rotating stars, suggesting that the emission could come from unresolved late-type companions. Furthermore, the strength of the O VI emission is consistent with that expected from an unseen active K or M dwarf binary companinon, and the high x-ray to far uv luminosity ratios observed indicate that this must be the case. Our results are therefore consistent with earlier studies that have shown a rapid drop-off in activity at the radiative/convective boundary expected at T_eff about 8300 K, in agreement with conventional stellar structure models

No evidence of microplastic ingestion in emperor penguin chicks (Aptenodytes forsteri) from the Atka Bay colony (Dronning Maud Land, Antarctica)

Microplastic (500 μm using Attenuated Total Reflection Fourier-transform Infrared (ATR-FTIR) spectroscopy. A total of 85 putative particles, mostly in the shape of fibers (65.9 %), were sorted. However, none of the particles were identified as MP applying state-of-the-art methodology. Sorted fibers were further evidenced to originate from contamination during sample processing and analyses. We find that MP concentrations in the local food web of the Weddell Sea and Dronning Maud Land coastal and marginal sea-ice regions; the feeding grounds to chick-rearing emperor penguin adults, are currently at such low levels that no detectable biomagnification is occurring via trophic transfer. Being in contrast to MP studies on other Antarctic and sub-Antarctic penguin species, our comparative discussion including these studies, highlights the importance for standardized procedures for sampling, sample processing and analyses to obtain comparable results. We further discuss other stomach contents and their potential role for MP detection, as well as providing a baseline for the long-term monitoring of MP in apex predator species from this region

Corrigendum: Elena+ Care for COVID-19, a Pandemic Lifestyle Care Intervention: Intervention Design and Study Protocol (Front. Public Health, (2021), 9, (625640), 10.3389/fpubh.2021.625640)

In the published article, there were errors regarding the affiliations of several authors. For “Joseph Ollier”, instead of having affiliation “1,2”, they should have “1”. For “Olivia Clare Keller”, instead of having affiliations “1,2,15”, they should have “1,15”. For “Lorainne Tudor Car”, instead of having affiliations “3,27”, they should have “4,27”. For “Alicia Salamanca-Sanabria” instead of having affiliation “3”, they should have “4”. For “Jacqueline Louise Mair”, instead of having affiliation “3”, they should have “4”. For “Tobias Kowatsch”, instead of having affiliation(s) “1,2,15,28”, they should have “1,4,15”. In the published article, there was also an error in affiliation “29”. Instead of “Center for Digital Health, Berlin Institute of Health and Charité, Berlin, Germany”, it should be “Center for Digital Health, Berlin Institute of Health at Charité, Berlin, Germany”. There was also an error in affiliation “4”. Instead of “Future Health Technologies Programme, Singapore-Eidgenössische Technische Hochschule (ETH) Centre at Campus for Research Excellence and Technological Enterprise (CREATE), Singapore, Singapore”, it should be “Future Health Technologies, Singapore-ETH Centre, Campus for Research Excellence and Technological Enterprise (CREATE), Singapore”. Additionally, there was an error in affiliation “23” instead of “Swiss Research Institute for Public Health and Addiction, Zurich University, Zurich, Switzerland” it should be “Swiss Research Institute for Public Health and Addiction, University of Zurich, Zurich, Switzerland”. The authors apologize for these errors and state that this does not change the scientific conclusions of the article in any way. The original article has been updated

Elena+ Care for COVID-19, a Pandemic Lifestyle Care Intervention: Intervention Design and Study Protocol

Background: The current COVID-19 coronavirus pandemic is an emergency on a global scale, with huge swathes of the population required to remain indoors for prolonged periods to tackle the virus. In this new context, individuals\u27 health-promoting routines are under greater strain, contributing to poorer mental and physical health. Additionally, individuals are required to keep up to date with latest health guidelines about the virus, which may be confusing in an age of social-media disinformation and shifting guidelines. To tackle these factors, we developed Elena+, a smartphone-based and conversational agent (CA) delivered pandemic lifestyle care intervention. Methods: Elena+ utilizes varied intervention components to deliver a psychoeducation-focused coaching program on the topics of: COVID-19 information, physical activity, mental health (anxiety, loneliness, mental resources), sleep and diet and nutrition. Over 43 subtopics, a CA guides individuals through content and tracks progress over time, such as changes in health outcome assessments per topic, alongside user-set behavioral intentions and user-reported actual behaviors. Ratings of the usage experience, social demographics and the user profile are also captured. Elena+ is available for public download on iOS and Android devices in English, European Spanish and Latin American Spanish with future languages and launch countries planned, and no limits on planned recruitment. Panel data methods will be used to track user progress over time in subsequent analyses. The Elena+ intervention is open-source under the Apache 2 license (MobileCoach software) and the Creative Commons 4.0 license CC BY-NC-SA (intervention logic and content), allowing future collaborations; such as cultural adaptions, integration of new sensor-related features or the development of new topics. Discussion: Digital health applications offer a low-cost and scalable route to meet challenges to public health. As Elena+ was developed by an international and interdisciplinary team in a short time frame to meet the COVID-19 pandemic, empirical data are required to discern how effective such solutions can be in meeting real world, emergent health crises. Additionally, clustering Elena+ users based on characteristics and usage behaviors could help public health practitioners understand how population-level digital health interventions can reach at-risk and sub-populations

Corrigendum: Elena+ Care for COVID-19, a Pandemic Lifestyle Care Intervention: Intervention Design and Study Protocol

Background: The current COVID-19 coronavirus pandemic is an emergency on a global scale, with huge swathes of the population required to remain indoors for prolonged periods to tackle the virus. In this new context, individuals' health-promoting routines are under greater strain, contributing to poorer mental and physical health. Additionally, individuals are required to keep up to date with latest health guidelines about the virus, which may be confusing in an age of social-media disinformation and shifting guidelines. To tackle these factors, we developed Elena+, a smartphone-based and conversational agent (CA) delivered pandemic lifestyle care intervention. Methods: Elena+ utilizes varied intervention components to deliver a psychoeducation-focused coaching program on the topics of: COVID-19 information, physical activity, mental health (anxiety, loneliness, mental resources), sleep and diet and nutrition. Over 43 subtopics, a CA guides individuals through content and tracks progress over time, such as changes in health outcome assessments per topic, alongside user-set behavioral intentions and user-reported actual behaviors. Ratings of the usage experience, social demographics and the user profile are also captured. Elena+ is available for public download on iOS and Android devices in English, European Spanish and Latin American Spanish with future languages and launch countries planned, and no limits on planned recruitment. Panel data methods will be used to track user progress over time in subsequent analyses. The Elena+ intervention is open-source under the Apache 2 license (MobileCoach software) and the Creative Commons 4.0 license CC BY-NC-SA (intervention logic and content), allowing future collaborations; such as cultural adaptions, integration of new sensor-related features or the development of new topics. Discussion: Digital health applications offer a low-cost and scalable route to meet challenges to public health. As Elena+ was developed by an international and interdisciplinary team in a short time frame to meet the COVID-19 pandemic, empirical data are required to discern how effective such solutions can be in meeting real world, emergent health crises. Additionally, clustering Elena+ users based on characteristics and usage behaviors could help public health practitioners understand how population-level digital health interventions can reach at-risk and sub-populations. Keywords: chatbot; conversational agent (CA); coronavirus–COVID-19; digital coaching; digital health; gamification; mental health; pandemic lifestyle care

Focus on the Essential: Extracting the Decisive Energy Barrier of a Complex Process

Molecular processes at surfaces can be composed of a rather complex sequence of steps. The kinetics of even seemingly simple steps are demonstrated to depend on a multitude of factors, which prohibits applying a simple Arrhenius law. This complexity can make it challenging to experimentally determine the kinetic parameters of a single step. However, a molecular-level understanding of molecular processes such as structural transitions requires elucidating the atomistic details of the individual steps. Here, a strategy is presented to extract the energy barrier of a decisive step in a very complex structural transition by systematically addressing all factors that impact the transition kinetics. Only by eliminating these factors in the measurement the experimental data will follow an Arrhenius law and the barrier can be extracted for the single step. Using the system of 2,5-dihydroxybenzoic acid on calcite (10.4) as an example, the energy barrier is determined for the attachment-assisted dissociation of molecular dimers in the structural transition from a striped to a dense molecular surface structure. This disentanglement approach is mandatory for a direct comparison with theoretical results and provides molecular-level insights into the transition mechanism