To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Diagnosis, treatment, and prevention of vector-borne disease (VBD) in pets is one cornerstone of companion animal practices. Veterinarians are facing new challenges associated with the emergence, reemergence, and rising incidence of VBD, including heartworm disease, Lyme disease, anaplasmosis, and ehrlichiosis. Increases in the observed prevalence of these diseases have been attributed to a multitude of factors, including diagnostic tests with improved sensitivity, expanded annual testing practices, climatologic and ecological changes enhancing vector survival and expansion, emergence or recognition of novel pathogens, and increased movement of pets as travel companions. Veterinarians have the additional responsibility of providing information about zoonotic pathogen transmission from pets, especially to vulnerable human populations: the immunocompromised, children, and the elderly. Hindering efforts to protect pets and people is the dynamic and ever-changing nature of VBD prevalence and distribution. To address this deficit in understanding, the Companion Animal Parasite Council (CAPC) began efforts to annually forecast VBD prevalence in 2011. These forecasts provide veterinarians and pet owners with expected disease prevalence in advance of potential changes. This review summarizes the fidelity of VBD forecasts and illustrates the practical use of CAPC pathogen prevalence maps and forecast data in the practice of veterinary medicine and client education.
Global inequity in access to and availability of essential mental health services is well recognized. The mental health treatment gap is approximately 50% in all countries, with up to 90% of people in the lowest-income countries lacking access to required mental health services. Increased investment in global mental health (GMH) has increased innovation in mental health service delivery in LMICs. Situational analyses in areas where mental health services and systems are poorly developed and resourced are essential when planning for research and implementation, however, little guidance is available to inform methodological approaches to conducting these types of studies. This scoping review provides an analysis of methodological approaches to situational analysis in GMH, including an assessment of the extent to which situational analyses include equity in study designs. It is intended as a resource that identifies current gaps and areas for future development in GMH. Formative research, including situational analysis, is an essential first step in conducting robust implementation research, an essential area of study in GMH that will help to promote improved availability of, access to and reach of mental health services for people living with mental illness in low- and middle-income countries (LMICs). While strong leadership in this field exists, there remain significant opportunities for enhanced research representing different LMICs and regions.
To examine the frequency of shopping at different food sources and the associations between shopping at different food sources and fruit and vegetable (FV) intake among upstate New York rural residents.
Cross-sectional study. Descriptive statistics and linear mixed models were used.
Eighty-two rural communities in upstate New York, USA.
Adults (n 465; 82·3 % female, mean age 51·5 years, mean BMI 31·7 kg/m2).
Within one’s community, the majority of participants reported often going to supermarkets (73·1 %). Many participants sometimes or occasionally shopped at superstores (48·0 %), convenience stores (57·9 %), small grocery stores or local markets (57·2 %), farmers’ markets or FV stores (66·6 %), dollar stores (51·5 %), pharmacies (46·0 %), or farm stands or community-supported agriculture (56·8 %). Most participants had never utilized food banks or food pantries (94·0 %), community gardens (92·7 %) or home food delivery (91·9 %). While frequent visits to farmers’ markets or farm stands were associated with higher fruit intake (P < 0·001), frequent visits to food co-ops or food hubs were associated with lower fruit intake (P = 0·004). Frequent visits to convenience stores (P = 0·002) and dollar stores (P = 0·004) were associated with lower vegetable intake. When FV intakes were combined, frequent visits to farmers’ markets or farm stands (P < 0·001) were associated with higher FV intake, and frequent visits to convenience stores (P = 0·005) were associated with lower FV intake.
Findings from the present study provide important insight for informing future food environment interventions related to helping rural residents consume adequate FV.
Pneumonia is one of the leading causes of hospitalisations among adults in the USA. Individuals with diabetes mellitus (DM) have been associated with increased risk for pneumonia and complications including death. The objectives of this study were to (1) compare the prevalence and healthcare utilisation patterns for pneumonia in individuals with and without DM, and (2) identify risk factors for pneumonia in those with DM. We performed a retrospective, cross-sectional analysis of the US adult population using Medical Expenditure Panel Surveys (MEPS) data from 2014. Overall, the data represented 24 million individuals with DM and 218 million without DM in the USA. The population-based rate for a pneumonia event was 34 per 1000 persons for individuals with DM and 19 per 1000 persons without DM. Compared to the non-DM group, individuals with DM were treated 1.8x, 2.6x and 1.4x more in the ED, hospital and outpatient, respectively. Furthermore, the average cost per pneumonia event was significantly higher among individuals with DM compared to non-DM in the inpatient setting ($11 931 vs. $7751; P < 0.001). Among individuals with DM, female sex, DM complications, smokers and administration of pneumococcal vaccines were significant factors associated with a pneumonia event.
The laser, with its coherent, monochromatic, and well collimated character, has been a most remarkable discovery of the twentieth century. Along with semiconductors, its multifaceted applications have broadly touched and greatly improved our lives – it has made an indelible mark in the field of sensing, printing, barcode scanning, surgery, communications, and so on. It has also become a major tool for scientific research. For example, Thomson scattering and laser induced fluorescence are important tools for plasma diagnostics. Lasers have been used successfully for cooling of atoms and heating of plasmas.
The laser peak power has increased about a 1000 fold every decade since its invention. Starting from hundred watts in the 1960s, table top terawatt Ti: sapphire lasers became available in the 1990s following the discovery of the chirped pulse amplification (CPA) by Mourou and Strickland in 1985. These lasers do not only have high power but also very short pulses of a few femtoseconds, opening a new field of ultra-short pulse lasers and their interactions with matter, such as electron dynamics in molecules. In the past few years, we have seen worldwide efforts to build high power laser infrastructures. The Extreme Light Infrastructure (ELI) has been approved to construct three petawat laser facilities in Eastern Europe. Similar efforts are being made in Korea, Japan and China.
With the rise in laser power, there has been a phenomenal growth in the field of high power laser-plasma interaction with diverse applications, ranging from laser driven fusion and laser acceleration of charged particles to laser ablation of materials. The field has revealed a rich variety of fascinating new phenomena. Parametric coupling between lasers and plasma eigenmodes and quasi-modes gives rise to stimulated Raman, Brillouin, and Compton scattering, two-plasmon decay, and four-wave processes of filamentation, modulational, and oscillating two-stream instabilities of the laser. Nonlinear refraction gives rise to selffocusing and self-guiding of lasers over long distances in plasma and air, offsetting diffraction divergence. Laser interaction with rough metallic surfaces reveals surface-enhanced Raman scattering (SERS) where Raman scattered power from adsorbed molecules rises a million times due to surface plasmon resonance. Laser mode conversion to surface plasma waves (SPWs) on metallic surfaces has been shown to enhance the ablation yield and thin film deposition rates by orders of magnitude, making pulsed laser deposition a very attractive scheme.