Exploratory studies to inform full-scale evaluations of complex public health interventions: the need for guidance

No abstract available

Understanding the exercise of agency within structural inequality: the case of personal debt

This article contributes to debates about agency (meaning the behaviour of individuals) and structure, by drawing on empirical research into personal debt. Consideration of debt allows for debate about agency and structure beyond the narrow confines of welfare, and for the examination of agency in relation to citizens at different points in the broader socio-economic structure, not solely poor people. Based on the research findings, themselves grounded in interviewees' experience, the question of why two people in the same material circumstances will have different experiences becomes reframed as why two people whose exercise of agency is the same, face very different outcomes? It is argued that while the research supports a ‘both-and’ rather than ‘either-or’ approach to understanding agency and structure, a ‘both-and’ approach still does not fully capture the experience of interviewees. The key point is that the exercise of agency is overlaid onto structural inequality, and it is understanding the exercise of ‘agency within structure’ that is critical

Exploratory studies to inform full-scale evaluations of complex public health interventions: the need for guidance

No abstract available

Exploratory studies to decide whether and how to proceed with full-scale evaluations of public health interventions: a systematic review of guidance

Background: Evaluations of complex interventions in public health are frequently undermined by problems that can be identified before the effectiveness study stage. Exploratory studies, often termed pilot and feasibility studies, are a key step in assessing the feasibility and value of progressing to an effectiveness study. Such studies can provide vital information to support more robust evaluations, thereby reducing costs and minimising potential harms of the intervention. This systematic review forms the first phase of a wider project to address the need for stand-alone guidance for public health researchers on designing and conducting exploratory studies. The review objectives were to identify and examine existing recommendations concerning when such studies should be undertaken, questions they should answer, suitable methods, criteria for deciding whether to progress to an effectiveness study and appropriate reporting. Methods: We searched for published and unpublished guidance reported between January 2000 and November 2016 via bibliographic databases, websites, citation tracking and expert recommendations. Included papers were thematically synthesized. Results: The search retrieved 4095 unique records. Thirty papers were included, representing 25 unique sources of guidance/recommendations. Eight themes were identified: pre-requisites for conducting an exploratory study, nomenclature, guidance for intervention assessment, guidance surrounding any future evaluation study design, flexible versus fixed design, progression criteria to a future evaluation study, stakeholder involvement and reporting of exploratory studies. Exploratory studies were described as being concerned with the intervention content, the future evaluation design or both. However, the nomenclature and endorsed methods underpinning these aims were inconsistent across papers. There was little guidance on what should precede or follow an exploratory study and decision-making surrounding this. Conclusions: Existing recommendations are inconsistent concerning the aims, designs and conduct of exploratory studies, and guidance is lacking on the evidence needed to inform when to proceed to an effectiveness study. Trial registration: PROSPERO 2016, CRD42016047843

Characterization of the domestic goat γδ T cell receptor gene loci and gene usage

Goats and cattle diverged 30 million years ago but retain similarities in immune system genes. Here, the caprine T cell receptor (TCR) gene loci and transcription of its genes were examined and compared to cattle. We annotated the TCR loci using an improved genome assembly (ARS1) of a highly homozygous San Clemente goat. This assembly has already proven useful for describing other immune system genes including antibody and leucocyte receptors. Both the TCRγ (TRG) and TCRδ (TRD) loci were similarly organized in goats as in cattle and the gene sequences were highly conserved. However, the number of genes varied slightly as a result of duplications and differences occurred in mutations resulting in pseudogenes. WC1+ γδ T cells in cattle have been shown to use TCRγ genes from only one of the six available cassettes. The structure of that Cγ gene product is unique and may be necessary to interact with WC1 for signal transduction following antigen ligation. Using RT-PCR and PacBio sequencing, we observed the same restriction for goat WC1+ γδ T cells. In contrast, caprine WC1+ and WC1− γδ T cell populations had a diverse TCRδ gene usage although the propensity for particular gene usage differed between the two cell populations. Noncanonical recombination signal sequences (RSS) largely correlated with restricted expression of TCRγ and δ genes. Finally, caprine γδ T cells were found to incorporate multiple TRD diversity gene sequences in a single transcript, an unusual feature among mammals but also previously observed in cattle

Local introduction and heterogeneous spatial spread of dengue-suppressing Wolbachia through an urban population of Aedes Aegypti

Dengue-suppressing Wolbachia strains are promising tools for arbovirus control, particularly as they have the potential to self-spread following local introductions. To test this, we followed the frequency of the transinfected Wolbachia strain wMel through Ae. aegypti in Cairns, Australia, following releases at 3 nonisolated locations within the city in early 2013. Spatial spread was analysed graphically using interpolation and by fitting a statistical model describing the position and width of the wave. For the larger 2 of the 3 releases (covering 0.97 km2 and 0.52 km2), we observed slow but steady spatial spread, at about 100–200 m per year, roughly consistent with theoretical predictions. In contrast, the smallest release (0.11 km2) produced erratic temporal and spatial dynamics, with little evidence of spread after 2 years. This is consistent with the prediction concerning fitness-decreasing Wolbachia transinfections that a minimum release area is needed to achieve stable local establishment and spread in continuous habitats. Our graphical and likelihood analyses produced broadly consistent estimates of wave speed and wave width. Spread at all sites was spatially heterogeneous, suggesting that environmental heterogeneity will affect large-scale Wolbachia transformations of urban mosquito populations. The persistence and spread of Wolbachia in release areas meeting minimum area requirements indicates the promise of successful large-scale population transf

Phosphor Thermometry of Gas Turbine Surfaces

This paper describes a nondestructive method for thermometry applicable to ceramic surfaces and coatings. To date our primary application has been to turbine engine and air vehicle surfaces. This method makes use of thermally sensitive phosphors many of which, as it turns out, are also ceramics. These materials fluoresce when suitably illuminated by ultraviolet light. The fluorescence intensity and decay time are well-behaved functions of temperature and therefore serve as reliable indicators of the temperature of the substrate to which the fluorescing material is attached. It is a non- contact method in that the light delivery and collection optics can be remotely located. A range of phosphor materials have been tested and any temperature ranging from 8 to 1900 K can be measured by selection of the appropriate phosphor. Turbine blades, vanes, thermal barrier coatings, and panels are examples of surfaces which have been diagnosed to date in either engine or engine-simulation facilities. A variety of coating methods are used, including electron-beam deposition, radio-frequency sputtering, and curing with inorganic binders. This paper summarizes the results to date and status of this technology