Prospectus, November 4, 1975

PC NEWS IN BRIEF: VETERAN, DID YOU KNOW?, CONCERT, X-COUNTRY NATIONALS; New road opens; FB team may bring fee increase; $50,000 in books missing; editorials; Letters To The Editor; Roots & Radicals; Committee to form; A Statement of Advertising Policy; Committee to form; ISSC Award Program Changes; Alice didn\u27t... on Wed.; Debate Team begins season; Play cast chosen; Distaff Side; Good News; Black Dance Presented; Speech Team Wins S.I.C.C.M. Tourey; New 3-Hour Course: Death and the Dying; Adult Diversion program; Champs are IM champs; Coach\u27s Corner; Basketball tryouts; Mudrock fires 170 at state golf meet; Sports Views; Burk resigns; Fast Freddy Winners; Fast Freddy\u27s football forecast; Let\u27s hear it for the Parkland Whatevers; PC women netters Spike Danville JC; Games Of November 8; The little old watchmaker at work in the space age; Dear Bonnie; PC News in brief Sign up for tourneys; College Representatives; Congratulations; Bonnie Raitt Plays; Vinyl Love; Country Bouquet; Kottke picks U of I; Foto-Funny\u27s; Reverse Discrimination?; 200 Years of navy; Classified; Club Notes: SNA meets..., Electronics Association; Far Out Planet; Skylines; Parkland Eventshttps://spark.parkland.edu/prospectus_1975/1003/thumbnail.jp

Prospectus, October 7, 1975

$10,000 FOUND; Special Election To Be Set; Custom Crunch; PC News in Brief, Nurse\u27s Course, Apologies, Dance; Club Notes: Lit. Magazine…, Veterans\u27 Affairs; editorials; Letters To The Editor; Roots & Radicals; Pia\u27s Promises Parkland Low Prices; The Kaleidoscope; Dear Bonnie; Good News; Distaff Side; Parkland Math Teachers Also Authors; A Tom Swift Story; Sports Views; Football: Yes of No?????; Parkland Cross Country, U of I clash; Intramurals: The People\u27s Sportl Football: Men\u27s I.M. Football Schedule; Coaches\u27 Corner; Football Results; Jocks; womensports; Baseball Team has last fall practice; Fast Freddy Winners Announced; Fast Freddy\u27s football forecast; Computers Reproduce; Stu-Go Fiscal Budget Approved; Images; Foto-Funny\u27s; Vinyl Love; Mini-Concert Series Opens; Country Bouquet; Living on Borrowed Sunlight; Energy and Automation; Classified; A Lease that lets you Sleep; Far Out Planet; Skylines; Back to Basics - Eng 100 Evaluatedhttps://spark.parkland.edu/prospectus_1975/1005/thumbnail.jp

Prospectus, October 21, 1975

PC NEWS IN BRIEF: FOOTBALL VOTE TODAY, HEALTH BROCHURES AVAILABLE, CANOE TRIP, BLOOD DRIVE, YOU CAN GRO; P.E. Building Ready by Christmas; New road to open; Faculty-Administration compromise: Midterm letter grades issued; editorials; Letters To The Editor; Roots & Radicals; McMullen vetoes jackets; Parkland Events; Career Room open to students; Tie-Rods named tug-of-war champs; Parkland Student directory; Football referendum set for October 22-23; LRC Suggestion Box; Distaff Side; Forum; Dear Bonnie; The Kaleidoscope; Zanies Here Today: Dinglefest Theatre; Football Results; Sports Views; Hendricks, Oliver to return: Cagers prepare for season; Fast Freddy\u27s football forecast; Games Of October 25; Coach\u27s Corner; Jocks; Intramurals: The People\u27s Sport; Lanphar to retire; P/C offers dog school; The Draft and YOU; Crosby and Nash Concert disappointing; Child development program starts; Vinyl Love; Foto-Funny\u27s; Country Bouquet; Bicentennial festivities announced: Celebration Week March 29-April 3; Bicent. Leadership Confab slated; Mini-concert; Local art for Bicentennial; Money still available from BEOG; folkorist October 23; Two plays to be presented in December; Classified; Club Notes: Vets Affairs..., I.O.C. Plans..., Rifle Club..., Lit Magazine...; Far Out Planet: Skylines; Scholarshp news from WIUhttps://spark.parkland.edu/prospectus_1975/1004/thumbnail.jp

Contribution of Heritability and Epigenetic Factors to Skeletal Muscle Mass Variation in United Kingdom Twins

Context: Skeletal muscle mass (SMM) is one of the major components of human body composition, with deviations from normal values often leading to sarcopenia.Objective: Our major aim was to conduct a genome-wide DNA methylation study in an attempt to identify potential genomic regions associated with SMM.Design: This was a mixed cross-sectional and longitudinal study.Setting: Community-based study.Participants: A total of 1550 middle-aged UK twin (monozygotic and dizygotic) twins, 297 of which were repeatedly measured participated in the study.Main Outcome Measure: Appendicular lean mass assessed using DXA technology, and MeDIP-seq DNA methylation profiling genome-wide were obtained from each individual.Results: Heritability estimate of SMM, with simultaneous adjustment for covariates obtained using variance decomposition analysis was h2=0.809±0.050. After quality control and analysis of longitudinal stability, the DNA methylation data comprised of 723,029 genomic sites, with positive correlations between repeated measurements (Rrepeated =0.114–0.905). Correlations between MZ and DZ twins were 0.51 and 0.38 at a genome-wide average, respectively and clearly increased with Rrepeated. Testing for DNA methylation association with SMM in 50 discordant MZ twins revealed 36,081 nominally significant results, of which the top-ranked 134 signals (P&lt;0.01 and Rrepeated&gt;0.40) were subjected to replication in the sample of 1,196 individuals. Seven SMM-methylation association signals replicated at a false discovery rate &lt;0.1, and these were located in or near genes DNAH12, CAND1, CYP4F29P, ZFP64 which have previously been highlighted in muscle-related studies. Adjusting for age, smoking and blood cell heterogeneity did not alter significance of these associations.Conclusion: This epigenome-wide study, testing longitudinally stable methylation sites discovered and replicated a number of associations between DNA methylation at CpG loci and skeletal muscle mass. Four replicated signals were related to genes with potential muscle functions, suggesting that the methylome of whole blood may be informative of SMM variation<br/

Trust in scientists and their role in society across 67 countries

Scientific information is crucial for evidence-based decision-making. Public trust in science can help decision-makers act based on the best available evidence, especially during crises such as climate change or the COVID-19 pandemic. However, in recent years the epistemic authority of science has been challenged, causing concerns about low public trust in scientists. Here we interrogated these concerns with a pre-registered 67-country survey of 71,417 respondents on all inhabited continents and find that in most countries, a majority of the public trust scientists and think that scientists should be more engaged in policymaking. We further show that there is a discrepancy between the public’s perceived and desired priorities of scientific research. Moreover, we find variations between and within countries, which we explain with individual-and country-level variables,including political orientation. While these results do not show widespread lack of trust in scientists, we cannot discount the concern that lack of trust in scientists by even a small minority may affect considerations of scientific evidence in policymaking. These findings have implications for scientists and policymakers seeking to maintain and increase trust in scientists

Trust in scientists and their role in society across 67 countries

Scientific information is crucial for evidence-based decision-making. Public trust in science can help decision-makers act based on the best available evidence, especially during crises such as climate change or the COVID-19 pandemic. However, in recent years the epistemic authority of science has been challenged, causing concerns about low public trust in scientists. Here we interrogated these concerns with a pre-registered 67-country survey of 71,417 respondents on all inhabited continents and find that in most countries, a majority of the public trust scientists and think that scientists should be more engaged in policymaking. We further show that there is a discrepancy between the public’s perceived and desired priorities of scientific research. Moreover, we find variations between and within countries, which we explain with individual-and country-level variables,including political orientation. While these results do not show widespread lack of trust in scientists, we cannot discount the concern that lack of trust in scientists by even a small minority may affect considerations of scientific evidence in policymaking. These findings have implications for scientists and policymakers seeking to maintain and increase trust in scientists

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

Epidemiology and outcomes of hospital-acquired bloodstream infections in intensive care unit patients: the EUROBACT-2 international cohort study

Purpose In the critically ill, hospital-acquired bloodstream infections (HA-BSI) are associated with significant mortality. Granular data are required for optimizing management, and developing guidelines and clinical trials. Methods We carried out a prospective international cohort study of adult patients (≥ 18 years of age) with HA-BSI treated in intensive care units (ICUs) between June 2019 and February 2021. Results 2600 patients from 333 ICUs in 52 countries were included. 78% HA-BSI were ICU-acquired. Median Sequential Organ Failure Assessment (SOFA) score was 8 [IQR 5; 11] at HA-BSI diagnosis. Most frequent sources of infection included pneumonia (26.7%) and intravascular catheters (26.4%). Most frequent pathogens were Gram-negative bacteria (59.0%), predominantly Klebsiella spp. (27.9%), Acinetobacter spp. (20.3%), Escherichia coli (15.8%), and Pseudomonas spp. (14.3%). Carbapenem resistance was present in 37.8%, 84.6%, 7.4%, and 33.2%, respectively. Difficult-to-treat resistance (DTR) was present in 23.5% and pan-drug resistance in 1.5%. Antimicrobial therapy was deemed adequate within 24 h for 51.5%. Antimicrobial resistance was associated with longer delays to adequate antimicrobial therapy. Source control was needed in 52.5% but not achieved in 18.2%. Mortality was 37.1%, and only 16.1% had been discharged alive from hospital by day-28. Conclusions HA-BSI was frequently caused by Gram-negative, carbapenem-resistant and DTR pathogens. Antimicrobial resistance led to delays in adequate antimicrobial therapy. Mortality was high, and at day-28 only a minority of the patients were discharged alive from the hospital. Prevention of antimicrobial resistance and focusing on adequate antimicrobial therapy and source control are important to optimize patient management and outcomes