A self-help diet and physical activity intervention with dietetic support for weight management in men treated for prostate cancer:pilot study of the PRO-MAN randomised controlled trial

Acknowledgements: We thank the Urology consultants at Aberdeen Royal Infirmary and staff of the UCAN centre, especially Paul Mannion, for support with the conduct of the study and the CLAN centre staff for hosting intervention group meetings. Funding: HM carried out this work while in receipt of a PhD scholarship from the Government of Malaysia. We thank Cancer Research in Aberdeen and NE Scotland (CRANES) for financial support for the pedometers and weighing scales. LCAC and GMcN acknowledge support from the RESAS programme of the Scottish Government.Peer reviewedPublisher PD

Diagnostic Assessment of Autism in Children Using Telehealth in a Global Context: a Systematic Review

Reflecting the significant delays in autism assessments globally, studies have explored whether autism assessments conducted via telehealth are feasible and accurate. This systematic review investigated the psychometric properties of autism assessment tools for children administered via telehealth and examined the diagnostic accuracy of telehealth assessment procedures compared to care-as-usual in-person assessments. Relevant databases (MEDLINE, Embase and PsycInfo) were searched for eligible studies (PROSPERO: CRD42022332500). In total, 18 studies were included, collectively assessing 1593 children for autism. Telehealth assessments for autism were largely comparable to in-person assessments, with a diagnostic agreement of 80–88.2%. Individual behavioral observation tools, diagnostic interviews, and clinician-administered screening tools demonstrated acceptable validity. For many children, diagnostic decision-making can be expedited without loss of validity using telehealth

Linking pre- and post-adoption records for research in anonymised form in a data safe haven:

Introduction: The long-term health and wellbeing of adoptees is under-researched. One reason for this has been limited data accessibility regarding the adoption process, and another is a practice common in some UK jurisdictions of changing the NHS number (or equivalent) at adoption, as part of creating the new identity. The SAIL Databank holds data from the Wales Children and Family Court Advisory and Support Service (Cafcass Cymru), together with children’s social care data, and can link these with routine health and administrative data in anonymised form. However, because the linkage key at SAIL is based on an encryption of the NHS number, working with pre- and post-adoption records for longitudinal research remains a major challenge. We set out to explore the legal implications of, and social support for, linking these records for use in anonymised form for longitudinal research. Methods: We reviewed the main legislation and regulations governing the use of data about adoptees in England and Wales. We gauged support for a social licence in Wales by carrying out interviews with individuals who had been involved in the adoptions process, and by engaging with general public groups for their views. We drew out the main emerging themes and, in combination with the review, propose a way forward. Results: The legal review indicated that there are provisions in the Family Procedure Rules (England and Wales) and the General Data Protection Regulation that can be relied upon for the lawful processing of adoption data into anonymised form for research. The main points of concern about linking pre- and post-adoption records were privacy, data security, the need to limit the number of organisations involved in data sharing, and re-identification risk. The over-riding message was favourable with longitudinal research seen as strongly beneficial. Conclusion: This study has indicated that in Wales, there is no legal impediment, nor major objection from individuals involved in the adoptions process, as well as the general public for the use of adoption data in anonymised form, in a data safe haven. This includes the linkage of pre- and post‑adoption records to enable novel longitudinal research to take place. The provisos were that robust safeguards must be in place, and that the research should aim to benefit adoptees and to improve policy and practice. We conclude that it is reasonable to proceed with caution to develop practical ways to link pre- and post‑adoption records in a data safe haven

The use of data in resource limited settings to improve quality of care

Quality improvement is driven by benchmarking between and within institutions over time and the collaborative improvement efforts that stem from these comparisons. Benchmarking requires systematic collection and use of standardized data. Low- and middle-income countries (LMIC) have great potential for improvements in newborn outcomes but serious obstacles to data collection, analysis, and implementation of robust improvement methodologies exist. We review the importance of data collection, internationally recommended neonatal metrics, selected methods of data collection, and reporting. The transformation from data collection to data use is illustrated by several select data system examples from LMIC. Key features include aims and measures important to neonatal team members, co-development with local providers, immediate access to data for review, and multidisciplinary team involvement. The future of neonatal care, use of data, and the trajectory to reach global neonatal improvement targets in resource-limited settings will be dependent on initiatives led by LMIC clinicians and experts

Robotic Technologies for Surveying Habitats and Seeking Evidence of Life: Results from the 2004 Field Experiments of the "Life in the Atacama" Project

The Chilean Atacama Desert is the most arid region on Earth and in several ways analogous to Mars. Evidence suggests that the interior of the Atacama is lifeless, yet where the desert meets the Pacific coastal range dessication-tolerant microorganisms are known to exist. The gradient of biodiversity and habitats in the Atacama's subregions remain unexplored and are the focus of the Life in the Atacama project. Our field investigation attempts to bring further scientific understanding of the Atacama as a habitat for life through the creation of robotic astrobiology. This involves capabilities for autonomously traversing hundreds of kilometers while deploying sensors to survey the varying geologic and biologic properties of the environment, Fig. 1. Our goal is to make genuine discoveries about the limits of life on Earth and to generate knowledge about life in extreme environments that can be applied to future planetary missions. Through these experiments we also hope to develop and practice the methods by which a rover might best be employed to survey desert terrain in search of the habitats in which life can survive, or may have in the past

Searching for life with rovers: exploration methods and science results from the 2004 field campaign of the “Life in the Atacama” project and applications to future Mars Missions

LITA develops and field tests a long-range automated rover and a science payload to search for microbial life in the Atacama. The Atacama's evolution provides a unique training ground for designing and testing exploration strategies and life detection methods for the search for life on Mars

Improving health-care quality in resource-poor settings

Improvements in health-care quality can contribute to healthier populations. However, many global and national health strategies are not sufficiently considering the issues of measuring and improving health-care quality in low-resource settings.1 The barriers to delivering high-quality care are often similar across different health systems. However, the extent and mechanisms through which these barriers affect quality improvement interventions may be different in resource-poor settings.2 Investments in health systems strengthening without continuous quality improvement is thought to be a useless effort.3 Conversely, only focusing on quality improvement in a resource-poor context without engaging the broader health system for support is of limited value. Hence, both areas must be improved simultaneously

Indirect impacts of the COVID-19 pandemic at two tertiary neonatal units in Zimbabwe and Malawi: an interrupted time series analysis.

OBJECTIVES: To examine indirect impacts of the COVID-19 pandemic on neonatal care in low-income and middle-income countries. DESIGN: Interrupted time series analysis. SETTING: Two tertiary neonatal units in Harare, Zimbabwe and Lilongwe, Malawi. PARTICIPANTS: We included a total of 6800 neonates who were admitted to either neonatal unit from 1 June 2019 to 25 September 2020 (Zimbabwe: 3450; Malawi: 3350). We applied no specific exclusion criteria. INTERVENTIONS: The first cases of COVID-19 in each country (Zimbabwe: 20 March 2020; Malawi: 3 April 2020). PRIMARY OUTCOME MEASURES: Changes in the number of admissions, gestational age and birth weight, source of admission referrals, prevalence of neonatal encephalopathy, and overall mortality before and after the first cases of COVID-19. RESULTS: Admission numbers in Zimbabwe did not initially change after the first case of COVID-19 but fell by 48% during a nurses' strike (relative risk (RR) 0.52, 95% CI 0.41 to 0.66, p0.05). CONCLUSIONS: The indirect impacts of COVID-19 are context-specific. While our study provides vital evidence to inform health providers and policy-makers, national data are required to ascertain the true impacts of the pandemic on newborn health

Quantum Monte Carlo study of the one-dimensional Holstein model of spinless fermions

The Holstein model of spinless fermions interacting with dispersionless phonons in one dimension is studied by a Green's function Monte Carlo technique. The ground state energy, first fermionic excited state, density wave correlations, and mean lattice displacement are calculated for lattices of up to 16 sites, for one fermion per two sites, i.e., a half-filled band. Results are obtained for values of the fermion hopping parameter of $t=0.1 \omega$, $\omega$, and $10 \omega$ where $\omega$ is the phonon frequency. At a finite fermion-phonon coupling $g$ there is a transition from a metallic phase to an insulating phase in which there is charge-density-wave order. Finite size scaling is found to hold in the metallic phase and is used to extract the coupling dependence of the Luttinger liquid parameters, $u_\rho$ and $K_\rho$, the velocity of charge excitations and the correlation exponent, respectively. For free fermions ($g=0$) and for strong coupling ($g^2 \gg t \omega$) our results agree well with known analytic results. For $t=\omega$ and $t=10\omega$ our results are inconsistent with the metal-insulator transition being a Kosterlitz-Thouless transition.\\Comment: 16 pages of ReVTeX, 11 figures in uuencoded compressed tar file. Minor changes to text. Our results are inconsistent with the metal-insulator transition studied being a Kosterlitz-Thouless transition. The figures are now in the correct order. To appear in Physical Review B, April 15, 199