The Oxford Handbook of Zooarchaeology

Book Review. Reviewed by Ellen Hambleton - Umberto Albarella, Mauro Rizzetto, Hannah Russ, Kim Vickers and Sarah Viner-Daniels (eds), The Oxford Handbook of Zooarchaeology. Oxford University Press: Oxford, 2017; 864 pp.: ISBN 978019968647

History of rotavirus research in children in Malawi: the pursuit of a killer

Rotavirus gastroenteritis is a major health problem among Malawian children. Studies spanning 20 years have described the importance, epidemiology and viral characteristics of rotavirus infections in the country. Despite a wide diversity of circulating rotavirus strains causing severe disease inyoung infants, a clinical trial of a human rotavirus vaccine clearly demonstrated the potential for rotavirus vaccination to greatly reduce the morbidity and mortality due to rotavirus diarrhoea in Malawi. This new enteric vaccine initiative represents a major opportunity to improve the health andsurvival of Malawian children

Many roads can lead to Rome – Supervisors perspectives on successful supervision and its challenges

In the last 10 years the Qualification in Sport and Exercise Psychology (QSEP) has continued to grow and develop, with the number of enrolled candidates and subsequent successful completions increasing year on year. As these practitioners enter the world of sport and exercise as Chartered and HCPC Registered practitioner psychologists, with full Divisional membership, the qualification’s reputation with service users has continued to grow. We now see numerous organisations not only employing those who have successfully completed, but also offering, short term placements, in-service training opportunities and internships

Application of the Ceditest FMDV type O and FMDV-NS enzyme-linked immunosorbent assays for detection of antibodies against Foot-and-mouth disease virus in selected livestock and wildlife species in Uganda

Diagnosis and control of Foot-and-mouth disease virus (FMDV) requires rapid and sensitive diagnostic tests. Two antibody enzyme-linked immunosorbent assay (ELISA) kits, Ceditest® FMDV-NS for the detection of antibodies against the nonstructural proteins of all FMDV serotypes and Ceditest® FMDV type O for the detection of antibodies against serotype O, were evaluated under African endemic conditions where the presence of multiple serotypes and the use of nonpurified vaccines complicate serological diagnosis. Serum samples from 218 African buffalo, 758 cattle, 304 goats, and 88 sheep were tested using both kits, and selected samples were tested not only in serotype-specific ELISAs for antibodies against primarily FMDV serotype O, but also against other serotypes. The FMDV-NS assay detected far more positive samples (93%) than the FMDV type O assay (30%) in buffalo (P < 0.05), with predominant antibodies against the South African Territories (SAT) serotypes, while the seroprevalence was generally comparable in cattle with antibodies against serotype O elicited by infection and/or vaccination. However, some districts had higher seroprevalence using the FMDV type O assay indicating vaccination without infection, while 1 cattle herd with antibodies against the SAT serotypes had far more positive samples (85%) using the FMDV-NS versus the FMDV type O (10%), consistent with the latter test\u27s lower sensitivity for antibodies against SAT serotypes. Based on the current investigation, the FMDV type O ELISA may be limited by the presence of SAT serotypes. The FMD NS assay worked well as a screening test for antibodies against all FMDV serotypes present in Uganda; however, as long as nonpurified vaccines are applied in the region, this test cannot be used to differentiate between vaccinated and infected animals

Effect of human rotavirus vaccine on severe diarrhea in African infants.

BACKGROUND: Rotavirus is the most common cause of severe gastroenteritis among young children worldwide. Data are needed to assess the efficacy of the rotavirus vaccine in African children. METHODS: We conducted a randomized, placebo-controlled, multicenter trial in South Africa (3166 infants; 64.1% of the total) and Malawi (1773 infants; 35.9% of the total) to evaluate the efficacy of a live, oral rotavirus vaccine in preventing severe rotavirus gastroenteritis. Healthy infants were randomly assigned in a 1:1:1 ratio to receive two doses of vaccine (in addition to one dose of placebo) or three doses of vaccine--the pooled vaccine group--or three doses of placebo at 6, 10, and 14 weeks of age. Episodes of gastroenteritis caused by wild-type rotavirus during the first year of life were assessed through active follow-up surveillance and were graded with the use of the Vesikari scale. RESULTS: A total of 4939 infants were enrolled and randomly assigned to one of the three groups; 1647 infants received two doses of the vaccine, 1651 infants received three doses of the vaccine, and 1641 received placebo. Of the 4417 infants included in the per-protocol efficacy analysis, severe rotavirus gastroenteritis occurred in 4.9% of the infants in the placebo group and in 1.9% of those in the pooled vaccine group (vaccine efficacy, 61.2%; 95% confidence interval, 44.0 to 73.2). Vaccine efficacy was lower in Malawi than in South Africa (49.4% vs. 76.9%); however, the number of episodes of severe rotavirus gastroenteritis that were prevented was greater in Malawi than in South Africa (6.7 vs. 4.2 cases prevented per 100 infants vaccinated per year). Efficacy against all-cause severe gastroenteritis was 30.2%. At least one serious adverse event was reported in 9.7% of the infants in the pooled vaccine group and in 11.5% of the infants in the placebo group. CONCLUSIONS: Human rotavirus vaccine significantly reduced the incidence of severe rotavirus gastroenteritis among African infants during the first year of life. (ClinicalTrials.gov number, NCT00241644.

Quantification of Cellular Proliferation in Acne Using the Monoclonal Antibody Ki-67

The mechanism by which ductal hypercornification occurs in acne is uncertain. We investigated proliferation in normal and acne follicles and in the interfollicular epidermis using the monoclonal antibody Ki-67, which reacts with a nuclear antigen expressed by cells in the G1, S, M, and G2 phases of the cell cycle. Cryostat sections of biopsies from the interscapular region from acne patients and from normal volunteers were stained with Ki-67 antibody and counterstained with 2% methyl green. The number of Ki-67-positive nuclei in the basal layer were counted and expressed as a percentage of the total number of basal nuclei in the ductal or interfollicular epithelia. The data was expressed as mean percent ± SD. In normal follicles from acne-affected sites 17.40% ± 1.86% (n = 8) of the nuclei were Ki-67 positive. This was significantly higher (p <0.01) than follicles from an area of skin unaffected by acne (11.01% ± 6.16%, n = 8). In the follicular epithelia of non-inflamed lesions, the percentage of Ki-67 positive nuclei was 23.44% ± 8.36% (n = 15). It was impossible to count the nuclei of follicular epithelium of inflamed lesions because little of this remained intact. In normal interfollicular epidermis, Ki-67-positive nuclei represented 5.33% ± 3.36% (n = 8) of the total. This value was not significantly different from the value obtained for interfollicular epidermis near non-inflamed lesions (10.46% ± 4.45%, n = 15). However, the number of Ki- 67-positive nuclei in the interfollicular epidermis near inflamed lesions was significantly higher than either of these two values: 25.26% ± 6.83%, n = 13, p < 0.05. Our results with Ki-67 confirm that ductal hyperproliferation occurs in acne and shows that normal follicles from acne skin may be “acne-prone.

Bacterial communities associated with individual transparent exopolymer particles (TEP)

Transparent exopolymer particles (TEP) are polysaccharide-rich microgels that are prevalent in the marine environment and have important roles in the aggregation of organic matter and carbon export from the euphotic zone. TEP are readily colonized by bacteria and utilized by specialized taxa, such as Alteromonadaceae. However, bacterial community composition specifically attached to natural TEP remains largely unknown. In this study, we isolated individual TEP from Plymouth Sound (UK) and performed DNA sequencing of the TEP-attached bacterial communities. We also sampled the cognate bulk seawater total bacterial communities for comparison. The bacterial communities associated with individual TEP showed distinct differences compared to the total bulk bacterioplankton communities, with Alteromonadaceae significantly more abundant on TEP. The TEP-associated Alteromonadaceae consisted of two operational taxonomic units that were closely related to Marinobacter and Glaciecola, both previously associated with biogenic aggregates and microgel-rich habitats. This study provides novel insight into marine bacterial–microgel interactions

Eukaryotic community composition in the sea surface microlayer across an east–west transect in the Mediterranean Sea

The sea surface microlayer (SML) represents the boundary layer at the air–sea interface. Microbial eukaryotes in the SML potentially influence air–sea gas exchange directly by taking up and producing gases and indirectly by excreting and degrading organic matter, which may modify the viscoelastic properties of the SML. However, little is known about the distribution of microbial eukaryotes in the SML. We studied the composition of the microbial community, transparent exopolymer particles and polysaccharides in the SML during the PEACETIME cruise along a west–east transect in the Mediterranean Sea, covering the western basin, Tyrrhenian Sea and Ionian Sea. At the stations located in the Ionian Sea, fungi – likely of continental origin and delivered by atmospheric deposition – were found in high relative abundances, making up a significant proportion of the sequences recovered. Concomitantly, bacterial and picophytoplankton counts decreased from west to east, while transparent exopolymer particle (TEP) abundance and total carbohydrate (TCHO) concentrations remained constant in all basins. Our results suggest that the presence of substrates for fungi, such as Cladosporium, known to take up phytoplankton-derived polysaccharides, in combination with decreased substrate competition by bacteria, might favor fungal dominance in the neuston of the Ionian Sea and other low-nutrient, low-chlorophyll (LNLC) regions

The implausibility of ‘usual care’ in an open system: sedation and weaning practices in Paediatric Intensive Care Units (PICUs) in the United Kingdom (UK)

Background: The power of the randomised controlled trial depends upon its capacity to operate in a closed system whereby the intervention is the only causal force acting upon the experimental group and absent in the control group, permitting a valid assessment of intervention efficacy. Conversely, clinical arenas are open systems where factors relating to context, resources, interpretation and actions of individuals will affect implementation and effectiveness of interventions. Consequently, the comparator (usual care) can be difficult to define and variable in multi-centre trials. Hence outcomes cannot be understood without considering usual care and factors that may affect implementation and impact on the intervention. Methods: Using a fieldwork approach, we describe PICU context, ‘usual’ practice in sedation and weaning from mechanical ventilation, and factors affecting implementation prior to designing a trial involving a sedation and ventilation weaning intervention. We collected data from 23 UK PICUs between June and November 2014 using observation, individual and multi-disciplinary group interviews with staff. Results: Pain and sedation practices were broadly similar in terms of drug usage and assessment tools. Sedation protocols linking assessment to appropriate titration of sedatives and sedation holds were rarely used (9 % and 4 % of PICUs respectively). Ventilator weaning was primarily a medical-led process with 39 % of PICUs engaging senior nurses in the process: weaning protocols were rarely used (9 % of PICUs). Weaning methods were variably based on clinician preference. No formal criteria or use of spontaneous breathing trials were used to test weaning readiness. Seventeen PICUs (74 %) had prior engagement in multi-centre trials, but limited research nurse availability. Barriers to previous trial implementation were intervention complexity, lack of belief in the evidence and inadequate training. Facilitating factors were senior staff buy-in and dedicated research nurse provision. Conclusions: We examined and identified contextual and organisational factors that may impact on the implementation of our intervention. We found usual practice relating to sedation, analgesia and ventilator weaning broadly similar, yet distinctively different from our proposed intervention, providing assurance in our ability to evaluate intervention effects. The data will enable us to develop an implementation plan; considering these factors we can more fully understand their impact on study outcomes

Reduce, Reuse, Recycle in the Arctic Ocean With the Power of Microbes

Did you know that microbes, too small for the human eye to see, far outnumber and outweigh all animals? Microbes that live in the Arctic carry out a surprising variety of roles recycling food. Despite the cold temperatures, Arctic waters are nutrient rich, which allows a type of microbe called single-celled algae to grow in huge numbers. Only cold-adapted microbes can survive though in waters that sometimes reach temperatures even below freezing! Microscopic algae use carbon dioxide (CO2) and the sun’s energy to grow, helping to reduce levels of CO2 in the atmosphere. Microscopic animals called zooplankton eat smaller microbes. All microbes excrete waste and eventually die. The resulting products are not wasted, though. Other microbes called bacteria and fungi are expert recyclers and break down the dead organisms to more basic forms of chemical energy that are reused by single-celled algae and other microbes