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Paleolithic Diet (PaleoDiet) is an allegedly healthy dietary pattern inspired on the consumption of wild foods and animals assumed to be consumed in the Paleolithic era. Despite gaining popularity in the media, different operational definitions of this Paleolithic nutritional intake have been used in research. Our hypothesis is that specific components used to define the PaleoDiet may modulate the association of this diet with several health outcomes. We comprehensively reviewed currently applied PaleoDiet scores and suggested a new score based on the food composition of current PaleoDiet definitions and the theoretical food content of a staple dietary pattern in the Paleolithic age. In a PubMed searched up to December 2019, 14 different PaleoDiet definitions were found. We observed some common components of the PaleoDiet among these definitions although we also found high heterogeneity in the list of specific foods that should be encouraged or banned within the PaleoDiet. Most studies suggest that the PaleoDiet may have beneficial effects in the prevention of cardiometabolic diseases (type 2 diabetes, overweight/obesity, cardiovascular diseases and hyperlipidemias) but the level of evidence is still weak because of the limited number of studies with large sample size, hard outcomes instead of surrogate outcomes and long-term follow-up. Finally, we propose a new PaleoDiet score composed of 11 food items, based on a high consumption of fruits, nuts, vegetables, fish, eggs and meats; and a minimum content of dairy products, grains and cereals, and legumes and practical absence of processed (or ultra−processed) foods or culinary ingredients.
The Centers for Disease Control and Prevention (CDC), Division of State and Local Readiness (DSLR), Public Health Emergency Preparedness(PHEP) program funds 62 recipients to strengthen capability standards to prepare for and respond to public health emergencies. Recipients use these PHEP resources in addition to CDC’s administrative and scientific guidance to support preparedness and response program planning and requirements. It is expected that public health agencies develop and maintain comprehensive emergency preparedness and response plans in preparation for disasters such as hurricanes. The 2017 historic hurricane season highlighted how emergency planning and collaborative operational execution is important for public health agencies to effectively prepare for and respond to both the immediate and long-term population health consequences of these disasters. In 2017, the southeastern United States (US) and US Caribbean territories experienced 3 Category 4 or higher Atlantic hurricanes (Harvey, Irma, and Maria) within a 5-week period. This paper highlights selected case studies that illustrate the contributions and impact of jurisdictional emergency management planning and operational capacity supported by capability standards during the 2017 hurricane season. Although the magnitude of the 2017 hurricanes required public health officials to seek additional assistance, the following case studies describe the use of public health preparedness systems and recovery resources supported by the PHEP program.
To utilise a community-based participatory approach in the design and implementation of an intervention targeting diet-related health problems on Navajo Nation.
A dual strategy approach of community needs/assets assessment and engagement of cross-sectorial partners in programme design with systematic cyclical feedback for programme modifications.
Navajo Nation, USA.
Navajo families with individuals meeting criteria for programme enrolment. Participant enrolment increased with iterative cycles.
The Navajo Fruit and Vegetable Prescription (FVRx) Programme.
A broad, community-driven and culturally relevant programme design has resulted in a programme able to maintain core programmatic principles, while also allowing for flexible adaptation to changing needs.
The use of altrenogest (ALT) supplementation for oestrous synchronization improves subsequent reproductive performance of gilts and sows. However, the causes of this improvement in reproductive performance after ALT treatment are not fully/clearly understood. The objective of this study was to evaluate the effects of ALT supplementation for oestrous synchronization in gilts on the endometrial glands and embryonic development characteristics at 28 days of pregnancy. Pregnant gilts were divided into two experimental treatments: Control (did not receive ALT; n = 9 gilts) and ALT (ALT feeding at 20 mg/day for 18 days; n = 9 gilts). At 28 days of pregnancy, six gilts from each treatment were slaughtered, and reproductive tracts were immediately evaluated. There was no statistical difference (P > 0.05) between treatments regarding ovulation rate, number of embryos, number of vital embryos and number of non-vital embryos. Embryo weight, length and embryonic vesicle weight were lower in ALT treatment compared with Control (P < 0.01), and it was lower in the cervical uterine region compared with apex uterine region, respectively (P < 0.05). Higher values of gland duct area, gland duct perimeter, percentage of the glandular area and total endometrial area were observed in ALT treatment compared with Control (P < 0.05). The use of ALT during 18 days for oestrous synchronization in gilts increased the gland duct area, perimeter and total endometrial area but did not increase the embryo number and embryo size at day 28 of pregnancy.
Cystic echinococcosis (CE) is a zoonotic disease caused by a complex of species known as Echinococcus granulosus sensu lato. CE is endemic in Argentina, Chile, Peru, Uruguay and the South part of Brazil. In contrast, little is known regarding the presence of CE in Bolivia. In this study, 35 cysts isolated from livestock (mostly from the Department of La Paz) and 3 from humans (La Paz, Oruro and Potosi) were genetically characterized analysing the sequence of the cox1 gene (1609 bp). In total, 30 cysts (from La Paz, Cochabamba and Beni) were characterized as E. granulosus sensu stricto (3 fertile and 4 non-fertile cysts from sheep, 8 fertile and 12 non-fertile cysts from cattle and 3 fertile cysts from humans). A detailed analysis of the cox1 haplotypes of E. granulosus s.s. is included. Echinococcus ortleppi (G5) was found in 5 fertile cysts from cattle (from La Paz and Cochabamba). Echinococcus intermedius (G7) was identified in 3 fertile cysts from pigs (from Santa Cruz). Additionally, E. granulosus s.s. was detected in 4 dog faecal samples, while E. ortleppi was present in other two dog faecal samples. The implications of these preliminary results in the future implementation of control measures are discussed.
Little is known about who would benefit from Internet-based personalised nutrition (PN) interventions. This study aimed to evaluate the characteristics of participants who achieved greatest improvements (i.e. benefit) in diet, adiposity and biomarkers following an Internet-based PN intervention. Adults (n 1607) from seven European countries were recruited into a 6-month, randomised controlled trial (Food4Me) and randomised to receive conventional dietary advice (control) or PN advice. Information on dietary intake, adiposity, physical activity (PA), blood biomarkers and participant characteristics was collected at baseline and month 6. Benefit from the intervention was defined as ≥5 % change in the primary outcome (Healthy Eating Index) and secondary outcomes (waist circumference and BMI, PA, sedentary time and plasma concentrations of cholesterol, carotenoids and omega-3 index) at month 6. For our primary outcome, benefit from the intervention was greater in older participants, women and participants with lower HEI scores at baseline. Benefit was greater for individuals reporting greater self-efficacy for ‘sticking to healthful foods’ and who ‘felt weird if [they] didn’t eat healthily’. Participants benefited more if they reported wanting to improve their health and well-being. The characteristics of individuals benefiting did not differ by other demographic, health-related, anthropometric or genotypic characteristics. Findings were similar for secondary outcomes. These findings have implications for the design of more effective future PN intervention studies and for tailored nutritional advice in public health and clinical settings.
Due to the growing interest in the role of dietary patterns (DPs) on chronic diseases, we assessed the association between a posteriori identified DPs in the Seguimiento Universidad de Navarra (SUN) Project – a prospective cohort study in a Mediterranean country – and breast cancer (BC) risk.
DPs were ascertained through a principal component analysis based on 31 predefined food groups. BC cases were initially identified through self-report or, if deceased, from death certificates or by notification by the next kin. Women reporting BC were asked to provide a copy of their medical report and diagnoses for confirmation purposes. We fitted Cox regression models to assess the association between adherence to the identified DPs and BC risk.
Spanish university graduates.
We included 10 713 young and middle-aged – mainly premenopausal – women.
After a median follow-up of 10·3 years, we identified 100 confirmed and 168 probable incident BC cases. We described two major DPs: ‘Western dietary pattern’ (WDP) and ‘Mediterranean dietary pattern’ (MDP). A higher adherence to a WDP was associated with an increased risk of overall BC (multivariable-adjusted HR for confirmed BC Q4 v. Q1 1·70; 95 % CI 0·93, 3·12; P for trend = 0·045). Contrarily, adherence to a MDP was inversely associated with premenopausal BC (multivariable-adjusted HR Q4 v. Q1 0·33; 95 % CI 0·12, 0·91). No significant associations were observed for postmenopausal BC.
Whereas a higher adherence to the WDP may increase the risk of BC, a higher adherence to the MDP may decrease the risk of premenopausal BC.
Using a combination of laser–plasma interactions and magnetic confinement configurations, a conceptual fusion reactor is proposed in this paper. Our reactor consists of the following: (1) A background plasma of boron11 and hydrogen ions, plus electrons, is generated and kept for a certain time, with densities of the order of a mg/cm3 and temperatures of tens of eV. Both the radiation level and the plasma thermal pressure are thus very low. (2) A plasma channel is induced in a solid target by irradiation with a high power laser that creates a very intense shock wave. This mechanism conveys the acceleration of protons in the laser direction. The mechanisms must be tuned for the protons to reach a kinetic energy of 300–1200 keV where the pB11 fusion cross section is significantly large (note that this value is not a temperature). (3) Those ultra-fast protons enter the background plasma and collide with boron11 to produce three alphas. Fusion born alphas collide with protons of the plasma and accelerate them causing a chain reaction. (4) A combination of an induction current and a magnetic bottle keeps the chain reaction process going on, for a pulse long enough to get a high energy gain. (5) Materials for the background plasma and the laser target must be replaced for starting a new chain reaction cycle.
In recent decades, concern about rabbit welfare and sustainability has increased. The housing system is a very important factor for animal welfare. However, information about how different available housing types for female rabbits affect their health status is scarce, but this is an important factor for their welfare. Hence, the objective of this study was to evaluate the health status of female rabbits in five common housing systems: three different single-housing systems with distinct available surfaces and heights; a single-housing system with a platform; a collective system. Female rabbits in the collective and platform cages had greater cortisol concentrations in hair than those in the single-housing system with no platform. Haptoglobin concentrations and kit mortality rates during lactation were greater for the collective-cage female rabbits. The collective group had more culled females and more lesions than in the other groups. The main reasons for culling in all the groups were reproduction problems and presence of abscesses, and the collective group of females was the most affected. In conclusion, it appears that keeping females together in collective systems negatively affects their health status and welfare, while single-housing systems imply lower kit mortality rates during lactation and cortisol concentrations, and fewer lesions in female rabbits.
The regrowth of a C3 forage Stylosanthes capitata in a rain-fed field provided the weekly data collection in the southeast of Brazil during a heat event in autumn. A system named Trop-T-FACE simulated the free-air carbon dioxide enrichment and the enhanced temperature in four climatic regimes: current atmospheric conditions (Control), CO2 enrichment (600 ppm, eC), warming (2 °C above ambient canopy temperature, eT), and a combination of eC + eT. The area and biomass of foliage per shoot decreased, and the number of flowers per shoot and flowered ramification increased under single eC treatment besides the increment in palisade parenchyma of leaves. Increased investment in flowering in eC occurred notably when the soil water content was higher than 0.30 m3 m–3. Single eT treatment also impaired the area or biomass of foliage production per shoot, raised the shoot mortality, and promoted the increment of the spongy leaf parenchyma. There was some mitigation of the adverse effects of foliage production of eT or eC in eC + eT, but under this combined treatment, the shoot mortality also increased. Changes in leaf tissues under eC or eT or some mitigation of adverse effects in eC + eT did not offset the constraints on leaf growth per shoot. The harmful impact on foliage production by eC, eT, or eC + eT under rain-fed conditions indicated no advantages for feeding the livestock with the C3 forage S. capitata in expected climate change under field conditions.
Progesterone (P4) plays a key role in pregnancy establishment and maintenance; during early pregnancy, P4 stimulates the production and release of uterine secretions necessary for conceptus growth prior to implantation; therefore, exogenous P4 supplementation may improve embryo development. This study evaluated the effects of supplementation during early pregnancy with long-acting injectable progesterone or altrenogest on embryonic characteristics of sows and gilts. Thus, a total of 32 sows and 16 gilts were used. On day 6 of pregnancy sows and gilts were allocated to one of the following groups: non-supplemented; supplemented with 20 mg of altrenogest, orally, from days 6 to 12 of pregnancy; supplemented with 2.15 mg/kg of long-acting injectable progesterone on day 6 of pregnancy. Animals were killed on day 28 of pregnancy, and ovulation rate, embryo survival, embryo weight, crown-to-rump length, uterine glandular epithelium and endometrial vascularization were assessed. Treatments had no effect on pregnancy rate, embryo survival or endometrial vascular density (P > 0.05). Non-supplemented gilts presented larger and heavier embryos compared to gilts from supplemented groups (P < 0.05). Sows in the altrenogest group presented larger and heavier embryos compared to non-supplemented sows and sows supplemented with long-acting injectable progesterone. In conclusion, supplementation of sows and gilts with progestagen from day 6 of pregnancy can be used as a means to improve embryo survival without deleterious effects.
This study explored the effect of the perceived social content of affective pictures on the subjective evaluation of affective valence and arousal. For this purpose, we established three categories of social content (pictures without people, with one person and with two or more people). A sample of 161 subjects rated 200 pictures varying in affective valence (unpleasant, neutral, and pleasant), arousal and social content. Results of two-factor analysis of variance, F(4, 157) = 71.7, p < .001, ηp2 = .31, showed that perceived social content influenced the ratings of affective valence, specially for unpleasant pictures, with the greatest social content (two or more people) leading subjects to rate unpleasant pictures with the lowest ratings (all pairwise comparisons’ p < .001). Regarding arousal, F(4, 157) = 64.0, p < .001, ηp2 = .29), the higher the social content, the higher the arousal ratings, but only for pleasant (all pairwise comparisons’ p < .007) and unpleasant (all pairwise comparisons’ p < .001) pictures. Overall, this study demonstrated an effect of the perceived social content on the subjective evaluation of affective valence and arousal of emotional stimuli.
A novel dual-polarization, single-layer reflectarray has been designed and manufactured to operate at receive (20 GHz) and transmit (30 GHz) frequencies for Ka-band terminal antennas. The reflectarray unit cell is composed of several types of resonant elements printed on the upper side of a conductor-backed substrate, which are designed to produce a collimated beam at 20 and 30 GHz in dual polarization. Cross-shaped loops are used to provide the required phases at 20 GHz, while crossed dipoles and modified truncated rings are used to control the phasing at 30 GHz. The resonant lengths of the proposed elements have been adjusted cell by cell by means of a two-dimensional interpolation method to achieve the required phase shift at each frequency. Two different feeds have been used to illuminate the reflectarray at 20 and 30 GHz. The measured gain is 28.02 dBi at 20 GHz and 32.14 dBi at 30 GHz. The measurement results show that the radiation patterns of the designed single-layer reflectarray antenna are in good agreement with those achieved from the simulations.
Large-eddy simulation (LES) of a wind- and wave-forced water column based on the Craik–Leibovich (C–L) vortex force is used to understand the structure of small-scale Langmuir circulation (LC) and associated Langmuir turbulence. The LES also serves to understand the role of the turbulence in determining molecular diffusive scalar flux from a scalar-saturated air side to the water side and the turbulent vertical scalar flux in the water side. Previous laboratory experiments have revealed that small-scale LC beneath an initially quiescent air–water interface appears shortly after the initiation of wind-driven gravity–capillary waves and provides the laminar–turbulent transition in wind speeds between 3 and
. The LES reveals Langmuir turbulence characterized by multiple scales ranging from small bursting eddies at the surface that coalesce to give rise to larger (centimetre-scale) LC over time. It is observed that the smaller scales account for the bulk of the near-surface turbulent vertical scalar flux. Although the contribution of the larger (centimetre-scale) LC to the near-surface turbulent flux increases over time as these scales emerge and become more coherent, the contribution of the smaller scales remains dominant. The growing LC scales lead to increased vertical scalar transport at depths below the interface and thus greater scalar transfer efficiency. Simulations were performed with a fixed wind stress corresponding to a
wind speed but with different wave parameters (wavelength and amplitude) in the C–L vortex force. It is observed that longer wavelengths lead to more coherent, larger centimetre-scale LC providing greater contribution to the turbulent vertical scalar flux away from the surface. In all cases, the molecular diffusive scalar flux at the water surface relaxes to the same statistically steady value after transition to Langmuir turbulence occurs, despite the different wave parameters in the C–L vortex force across the simulations. This implies that the small-scale turbulence intensity and the molecular diffusive scalar flux at the surface scale with the wind shear and not with the wave parameters. Furthermore, it is seen that the Langmuir (wave) forcing (provided by the C–L vortex force) is necessary to trigger the turbulence that induces elevated molecular diffusive scalar flux at the water surface relative to wind-driven flow without wave forcing.
This paper presents new descriptions of Anacardiaceae fossil woods from the Ituzaingó Formation (late Cenozoic) at the Toma Vieja, Curtiembre, and Arroyo El Espinillo localities, Argentina. We describe eight silicified woods assigned to four different species in three genera, one of which, Parametopioxylon crystalliferum n. gen. n. sp., is new. Similarities between these three genera and the six Anacardiaceae species previously recorded from the late Cenozoic in northeastern Argentina are investigated using multivariate analysis techniques (correspondence and cluster analysis). Our study is based on 33 characters scored for 17 fossil specimens (10 Astroniumxylon Brea, Aceñolaza, and Zucol 2001; five Schinopsixylon Lutz, 1979; and two Parametopioxylon n. gen.) and four extant species (Astronium balansae Engl., Astronium urundeuva Engl., Schinopsis balansae Engl., and Metopium sp.). Our main goal is to determine the wood anatomical features useful for distinguishing among these species. Results of the multivariate analyses support the previous classification where Schinopsixylon is distinguished from Astroniumxylon by having exclusively paratracheal axial parenchyma, ≥30% multiseriate rays, and multiseriate rays that are ≥5 cells wide and commonly 301–400 μm in height. Additionally, we propose that Schinopsixylon heckii Lutz, 1979 is synonymous with S. herbstii Lutz, 1979. A diagnostic key for the fossil species studied is given. Wood anatomy of Anacardiaceae fossil woods from Argentina (late Cenozoic) suggests a warm, dry to semi-humid climate for this region, supporting previous studies.
Wake modes of a three-dimensional blunt-based body near a wall are investigated at a Reynolds number
. The targeted modes are the static symmetry-breaking mode and two antisymmetric periodic modes. The static mode orientation is aligned with the horizontal major
-axis of the base and randomly switches between a positive
and a negative
state leading to long-time bistable dynamics of the turbulent wake. The modifications of these modes are studied when continuous blowing is applied at different locations through four slits along the base edges (denoted L for left, R for right, T for top and B for bottom) in either four single asymmetric configurations or two double symmetric configurations (denoted LR and TB). Two regimes, referred to as mass and momentum, are clearly identifiable for all configurations. The mass regime, which is fairly insensitive to blowing momentum and location, is characterized by the growth of the recirculating bubble as the total injected flow rate is increased, and is associated with a base drag reduction and interpreted as resulting from the equilibrium between mass fluxes feeding and emptying the recirculating region. A simple budget model is shown to be in agreement with entrainment velocities measured for isolated turbulent mixing layers. The strength of the static mode is reduced up to 20 % when the bubble length is maximum, whereas no change in the periodic mode frequencies is found. On the other hand, the momentum regime is characterized by the deflating of the recirculating bubble, leading to base drag increase, and it is interpreted by the free shear layer forcing, which increases the entrainment velocity, thus emptying the recirculating bubble. In this regime the static mode orientation is imposed by the blowing symmetry. Lateral L and R (respectively top/bottom T and B) blowing configurations select
states in the horizontal (respectively vertical) direction, while bistable dynamics persists for the symmetric LR and TB configurations. The shape of periodic modes follows the changes in wake static orientation. The transition between the two regimes is governed by both the total injected flow rate and the location of the injection.
A secular trend in body height has been experienced in many nations and populations, hypothesized to be the result of better living conditions. Educational level has been shown to be closely associated with body height. This study examined the changes in body height and popliteal height in a group of adult Chilean male workers by age cohort and the relationship of these with educational level. The body heights and popliteal heights of 1404 male workers from the Valparaíso and Metropolitan regions of Chile were measured in 2016. The sample was grouped by level of education (primary, secondary, technical and university) and age (21–30, 31–40 and 41–50 years). Robust ANOVA and post-hoc analyses using a one-step modified M-estimation of location were conducted based on bootstrap resampling. Both body height and popliteal height increased from the older to the younger age cohort. The largest increase was from the 41–50 to the 21–30 group, with a 1.1% increase in body height and 1.7% increase in popliteal height. When educational level was introduced into the analysis there was a marked increase in both body height and popliteal height for each cohort, but only in primary- and secondary-educated workers. Despite showing an overall increase in body height and popliteal height, younger workers with the highest levels of education showed fewer differences between them than did older workers with less education. The differences were larger in the older than in the younger cohorts. Similarly, this trend was less clear in workers with higher levels of education (technical and university), probably because of a dilution effect caused by increased access to higher education by workers in the lower income quintiles.
Adolescents have been largely neglected from tuberculosis control efforts. In low- to medium burden settings much of the tuberculosis burden in this age group occurs from school outbreaks. We report on a large tuberculosis outbreak in adolescents from a boarding high school in Jiangsu Province, China. From March to June 2018, a tuberculosis outbreak occurred in a boarding high school. We conducted an outbreak investigation involving clinical diagnostic tests and molecular analysis to determine the outbreak origin. Cases were detected through symptom screening, tuberculin skin testing (TST), chest radiography, sputum smear, solid sputum culture and GeneXpert MTB/RIF. Mycobacterial interspersed repetitive-unit-variable-number tandem-repeat (MIRU-VNTR) genotyping and spoligotyping methods were performed on Mycobacterium tuberculosis (M. tuberculosis) isolates to identify the outbreak origin. A total of 845 students and 131 teachers/staff attended a TST screening for tuberculosis infection. The prevalence of elevated tuberculin reactions at ≥5, ≥10 and ≥15 mm was 12.19% (119/976), 6.35% (62/976) and 3.28% (32/976), respectively. Radiographic abnormalities were present in 5.73% (56 of 976) individuals, 40 students and 16 teachers/staff. Of these, 12 students were diagnosed with confirmed tuberculosis. In total, 14 students (two index cases and 12 confirmed cases) were diagnosed and reported in the tuberculosis outbreak, an attack rate of 1.7% (14/847) among students (two index cases and 845 screened students). Results from MIRU-VNTR typing and spoligotyping analyses demonstrated that three M. tuberculosis strains belong to the Beijing family with corresponding MIRU-VNTR alleles. This school-based tuberculosis outbreak among adolescents demonstrates that transmission among individuals in this age group is common and must be prioritised. It suggests that identifying and timely diagnosis of smear-positive cases, especially in the early phase of outbreaks, is the key to preventing further spread among close contacts.
Parasites inflict many costs on their hosts. Understanding host–parasite relationship eco-evolutionary dynamics needs appreciation of how parasites affect individual fitness, survival and reproductive potential, and how they combine to influence population demography, dynamics and viability; also, how these processes drive microevolutionary processes that define natural and sexual selection. We synthesise work on the relationship between the red grouse and its main parasite, a gastrointestinal nematode. At individual level, we show how parasites impose a physiological cost, measured by immunosuppression and increased oxidative stress, and how their impact varies depending on contexts. We describe how parasite infection constrains expression of sexually selected traits and summarise how relationships between parasite, host and environment shape host population demography and dynamics. Genetic analyses in red grouse suggest nematode burden is moderately heritable, underpinned by a potentially large array of genes involved in the immune system, energy balance and broader homeostatic processes. There is no clear association between allele frequencies among populations and differences in nematode burdens. Possibly, beneficial alleles for parasite resistance cannot spread through the population due to the strong diversifying e?ects of gene ?ow and genetic drift.