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Traditional approaches for evaluating the impact of scientific research – mainly scholarship (i.e., publications, presentations) and grant funding – fail to capture the full extent of contributions that come from larger scientific initiatives. The Translational Science Benefits Model (TSBM) was developed to support more comprehensive evaluations of scientific endeavors, especially research designed to translate scientific discoveries into innovations in clinical or public health practice and policy-level changes. Here, we present the domains of the TSBM, including how it was expanded by researchers within the Implementation Science Centers in Cancer Control (ISC3) program supported by the National Cancer Institute. Next, we describe five studies supported by the Penn ISC3, each focused on testing implementation strategies informed by behavioral economics to reduce key practice gaps in the context of cancer care and identify how each study yields broader impacts consistent with TSBM domains. These indicators include Capacity Building, Methods Development (within the Implementation Field) and Rapid Cycle Approaches, implementing Software Technologies, and improving Health Care Delivery and Health Care Accessibility. The examples highlighted here can help guide other similar scientific initiatives to conceive and measure broader scientific impact to fully articulate the translation and effects of their work at the population level.
Asiatic cotton (Gossypium arboreum L.) has evolved in the Indian subcontinent and is known for its adaptability to low-input management conditions. In the present study, 300 diverse G. arboreum lines, including 100 Nandyal arboreum breeding lines (NAB), 132 Arboreum germplasm collections (AGC) and 68 long-linted arboreum genotypes (LLA), were evaluated for fibre quality to assess the diversity among them and to identify promising genotypes with desirable fibre traits. Significant variations were observed among the genotypes for the studied fibre-quality traits. Principal component analysis showed that the traits micronaire (Mic) and elongation percentage (E%) followed by upper half mean length (UHML) and bundle tenacity (tenacity) were the most significant contributors to variation. Cluster analysis based on the Euclidian distance method showed 16 clusters among 300 G. arboreum genotypes. The genotypes in cluster 4 have desirable UHML, tenacity and UI (uniformity index) traits, and cluster 12 has Mic and E% traits. Furthermore, the number of genotypes with desirable fibre-quality traits was found to be higher in the AGC group than in the LLA and NAB groups. The trait tenacity followed by the UHML showed relatively higher Shannon–Weiner diversity index values across different genotypic groups. Based on the superior performance, the genotypes PA 847, PA 809, PA 837, PA 863, NDLA 3147-2, NDLA 2974 and NDLA 3081 were found to be having desirable fibre traits. The identified promising genotypes are valuable genetic resources for improving fibre quality in G. arboreum cotton.
Twelve lacustrine sediment samples from a relict lake in the Kalla Glacier valley were co-dated using AMS radiocarbon (14C) and infrared stimulated luminescence (IRSL) dating methods. In general, the radiocarbon ages of bulk organic matter were older by a minimum of 1500 years compared to (age depth) modeled luminescence ages after fading corrections. This is observed for the first time in the lake sediments of High Himalayan Crystalline zone. A combination of lipid n-alkane data, Raman spectra and geochemical proxies suggested that this was due to ancient organic carbon (OCancient) that is a mixture of pre-aged (OCpre-aged) and petrogenic (OCpetro) organic carbon within older glacial moraine debris that served as sediment source to the lake. Raman spectra suggest the presence of moderate to highly graphitized OCpetro in all the profile samples. The OCpetro contributed 0.064 ± 0.032% to the sediment and the lake stored 2.5 ± 0.7 Gg OCpetro at variable rates during the last 16 kyr, with the mean burial flux 160 kg OCpetro yr−1. This study implies (1) employing another independent dating method in addition to radiocarbon method using bulk sediment organic matter, if the carbon content is low, to observe any discrepancy, and (2) a need to investigate on the fate of OCpetro as many such small lakes become relict in this region.
The nature of the first galaxies that reionised the universe during the Epoch of Reionisation (EoR) remains unclear. Attempts to directly determine spectral properties of these early galaxies are affected by both limited photometric constraints across the spectrum and by the opacity of the intergalactic medium to the Lyman Continuum (LyC) at high redshift. We approach this by analysing properties of analogous extreme emission line galaxies (EELGs, [OIII]+Hbeta EW $\gt 400$) at $2.5\lt z\lt 4$ from the ZFOURGE survey using the Multi-wavelength Analysis of Galaxy Physical Properties (MAGPHYS) SED fitting code. We compare these to galaxies at $z \gt 5.5$ observed with the James Webb Space Telesope with self-consistent spectral energy distribution fitting methodology. This work focuses on the comparison of their UV slopes (${\unicode{x03B2}}_P$), ionising photon production efficiencies $\xi_{ion}$, star formation rates and dust properties to determine the effectiveness of this analogue selection technique. We report the median ionising photon production efficiencies as log$_{10}(\xi_{ion}/(Hz\ {\rm erg}^{-1}))=$$25.14^{+0.06}_{-0.04}$, $25.16^{+0.06}_{-0.05}$, $25.16^{+0.04}_{-0.05}$, $25.18^{+0.06}_{-0.07}$ for our ZFOURGE control, ZFOURGE EELG, JADES, and CEERS samples, respectively. ZFOURGE EELGs are 0.57 dex lower in stellar mass and have half the dust extinction, compared to their ZFOURGE control counterparts. They also have a similar specific star formation rates and ${\unicode{x03B2}}_P$ to the $z\gt 5.5$ samples. We find that EELGs at low redshift ($2.5\lt z\lt 4$) are analogous to EoR galaxies in their dust attenuation and specific star formation rates. Their extensive photometric coverage and the accessibility of their LyC region opens pathways to infer stellar population properties in the EoR.
Uttar Pradesh (UP), with more than 220 million people, is the most populous state in India. Despite a high unmet need for modern family planning methods, the state has experienced a substantial decline in fertility. India has also seen a decline during this period which can be attributed to the increased prevalence of modern methods of family planning, particularly female sterilisation, but in UP, the corresponding increase was marginal. At the same time, Traditional Family Planning Methods (TMs) increased significantly in UP in contrast to India, where it was marginal. The trends in UP raise questions about the drivers in fertility decline and question the conventional wisdom that fertility declines are driven by modern methods, and the paper aims to understand this paradox. Fertility trends and family planning practices in UP were analysed using data from different rounds of National Family Health Surveys (NFHS) and the two UP Family Planning Surveys conducted by the UP Technical Support Unit to understand whether the use of TMs played a role in the fertility decline. As per NFHS-4, the prevalence of TM in India (6%) was less than half that of UP (13%). The UP Family Planning Survey in 25 High Priority Districts estimated that 22% of women used TMs. The analysis also suggested that availability and accessibiility of modern contraceptives might have played a role in the increased use of TMs in UP. If there are still couples who make a choice in favour of TMs, they should be well informed about the risks associated with the use of traditional methods as higher failure rate is observed among TMs users.
Few studies have utilized person-centered approaches to examine co-occurrence of risk factors among pregnant women in low-and middle-income settings. The objective of this study was to utilize latent class analysis (LCA) to identify sociodemographic patterns and assess the association of these patterns on preterm birth (PTB) and/or low birth weight (LBW) in rural Mysore District, India. Secondary data analysis of a prospective cohort study among 1540 pregnant women was conducted. Latent class analysis was performed to identify distinct group memberships based on a chosen set of sociodemographic factors. Binary logistic regression was conducted to estimate the association between latent classes and preterm birth and low birth weight. LCA yielded four latent classes. Women belonging to Class 1 “low socioeconomic status (SES)/early marriage/multigravida/1 child or more”, had higher odds of preterm birth (adjusted Odds Ratio (aOR): 95% Confidence Intervals (CI): 1.77, 95% CI: 1.05-2.97) compared to women in Class 4 “high SES/later marriage/primigravida/no children”. Women in Class 2 “low SES/later marriage/primigravida/no children” had higher odds of low birth weight (aOR: 2.52, 95% CI: 1.51-4.22) compared to women in Class 4. Women less than 20 years old were twice as likely to have PTB compared to women aged 25 years and older (aOR: 2.00, 95% CI: 1.08-3.71). Hypertension (>140/>90 mm/Hg) was a significant determinant of PTB (aOR: 2.28, 95% CI: 1.02-5.07). Furthermore, women with a previous LBW infant had higher odds of delivering a subsequent LBW infant (aOR: 2.15, 95% CI: 1.40-3.29). Overall study findings highlighted that woman belonging to low socioeconomic status, and multigravida women had increased odds of preterm birth and low birth weight infants. Targeted government programs are crucial in reducing inequalities in preterm births and low birth weight infants in rural Mysore, India.
To determine the demographic pattern of juvenile-onset parkinsonism (JP, <20 years), young-onset (YOPD, 20–40 years), and early onset (EOPD, 40–50 years) Parkinson’s disease (PD) in India.
Materials and Methods:
We conducted a 2-year, pan-India, multicenter collaborative study to analyze clinical patterns of JP, YOPD, and EOPD. All patients under follow-up of movement disorders specialists and meeting United Kingdom (UK) Brain Bank criteria for PD were included.
Results:
A total of 668 subjects (M:F 455:213) were recruited with a mean age at onset of 38.7 ± 8.1 years. The mean duration of symptoms at the time of study was 8 ± 6 years. Fifteen percent had a family history of PD and 13% had consanguinity. JP had the highest consanguinity rate (53%). YOPD and JP cases had a higher prevalence of consanguinity, dystonia, and gait and balance issues compared to those with EOPD. In relation to nonmotor symptoms, panic attacks and depression were more common in YOPD and sleep-related issues more common in EOPD subjects. Overall, dyskinesias were documented in 32.8%. YOPD subjects had a higher frequency of dyskinesia than EOPD subjects (39.9% vs. 25.5%), but they were first noted later in the disease course (5.7 vs. 4.4 years).
Conclusion:
This large cohort shows differing clinical patterns in JP, YOPD, and EOPD cases. We propose that cutoffs of <20, <40, and <50 years should preferably be used to define JP, YOPD, and EOPD.
Silicon electrodes with the columnar macroporous structure were investigated to determine the effect of variations in the columnar pore morphology on lithiation and energy storage capacity in Li-ion cells. Several variants of macroporous Si columnar electrodes were electrochemically cycled against the Li reference electrode. The changes in macro-pore size and Si wall thickness of the columnar architecture greatly affected the cyclic Li storage and discharge capacities. A strong correlation of the Li-storage capacity with the ratio of Si wall thickness to pore diameter is found to exist. Specifically, one columnar Si electrode with an optimum macroporous structure exhibited a very high reversible specific capacity of ~1250 mAh/g (total capacity 1.2 mAh/cm2) for over 200 cycles. Electron microscopy revealed that the high reversible Li-storage capacity is due to the macropores accommodating the change in volume of lithiation and providing nearly complete reconstruction of Si walls upon delithiation. The present observations can lead to practical, high-capacity, and damage-resistant Si electrodes for Li-ion batteries.
Marine reservoir age is an important component for correction in radiocarbon (14C) dating of marine and coastal samples. 14C concentration in pre-bomb marine samples of known age are used to derive marine reservoir age of a region. Annually banded coral from Landfall island in the northern Andaman has been analyzed for its 14C concentration during the pre-bomb period 1948–1951. 14C age and reservoir effect (∆R) are reported for these pre-bomb coral samples from the northern Andaman region. The mean 14C age of 331 ± 61 yr BP was obtained for the period 1948–1951 with an average reservoir age correction of –138 ± 61 yr. This reservoir age correction is lowest reported from the northern Indian Ocean. ∆R value of the northern Andaman and the Bay of Bengal appears lower than that of southern Andaman. The ∆R values obtained using mollusk shells and coral from the Andaman region shows large variability. The lower reservoir age correction for the Landfall Island situated in the northern part of the Andaman archipelago, could result due to freshwater flux and reduced upwelling in the region.
The radiocarbon (14C) calibration curve so far contains annually resolved data only for a short period of time. With accelerator mass spectrometry (AMS) matching the precision of decay counting, it is now possible to efficiently produce large datasets of annual resolution for calibration purposes using small amounts of wood. The radiocarbon intercomparison on single-year tree-ring samples presented here is the first to investigate specifically possible offsets between AMS laboratories at high precision. The results show that AMS laboratories are capable of measuring samples of Holocene age with an accuracy and precision that is comparable or even goes beyond what is possible with decay counting, even though they require a thousand times less wood. It also shows that not all AMS laboratories always produce results that are consistent with their stated uncertainties. The long-term benefits of studies of this kind are more accurate radiocarbon measurements with, in the future, better quantified uncertainties.
Injecting drug users experience higher rates of death and poorer health than their non-injecting peers.
Accurate assessment of drug users physical health needs forms an essential precursor to treatment.
Aims
To determine the completeness of documentation and accuracy of medical evaluation for a sample of injecting drug users.
To establish the detection rate of medical co morbidity in injecting drug using patients.
Methods
20 injecting drug users were randomly selected from the computer database The case notes of each of these patients were then checked for any physical health documentation and the quality of the documentation.
The medical databases of the acute hospital were then checked to identify if these patients have presented there and the medical conditions with which they have presented.
The patients were then asked during their outpatient appointment about their physical health condition and the last time they have been checked by the GP.
Results
80% of the patients had some health related information’s documented in the notes. However when these were compared with the history from the patients during the follow up OP appointments and medical notes, only 20% of the notes had good quality health documentation. 60% was found to meet standards.
50% of the patients had an acute hospital presentation with drug related complication. Of these 20% was in the previous 1 year. In terms of GP contact, 25% had seen the GP within the last 6 months and another 40% within the previous 1 year
Drug users have an increased rate of developing physical health problems, such as Hepatitis, HIV, skin infection, tuberculosis, lymphatic system, and tissue and vein damage. The nature of drug use makes it difficult to integrate IV drug users into a managed care system and monitoring of their physical health is difficult to achieve. An audit was conducted in a suburban population in the west midland region of the United Kingdom, where intravenous drug use is prevalent. The first part of the audit highlighted that despite increased morbidity in this population, physical health monitoring was incomplete, inaccurate and sometimes completely lacking. Recommendations were made, which included attaching a pro-forma to the assessment form, to enhance accurate and complete documentation of physical health monitoring.
Aims
To determine whether the recommendations are being followed. To re-establish the detection rate of medical co morbidity in IDUs.
Methods
30 injecting drug users have randomly been selected from the computer database. Case notes of these patients are being checked for quality of documentation, and whether the pro-forma for physical health monitoring is being completed. Drug workers will be contacted to verify the findings.
Results
Previous results have shown that 80% of patients had some documentation, 20% had good quality health documentation and 60% was found to meet standards. We will expect to see an improvement in these figures, and 100% completion of the pro-formas.
Conclusions
Physical health monitoring is vital in this patient population and means to improve this should be employed globally.
Prevalence and incidence rates of both Hepatitis B and C is on the rise in United Kingdom, and worldwide. Intravenous drug users (IVDU) are particularly at risk due to their chaotic lifestyle. Testing enables early treatment, and vaccination is an effective method of prevention.
Objectives
Assess awareness of screening and vaccination programmes (VP) amongst IVDUs, and willingness to engage in these if they were available and accessible.
Aims
Our sample population was IVDUs presenting to a Community Substance Misuse team, in central England and the criteria we assessed were: whether they admitted to needle-sharing, awareness of screening and VPs, previous screening and vaccination history, and willingness to engage in VPs.
Methods
Data was collected through a performa with related questions, after identifying and communicating to key workers; and presented in graphs. We looked at the first 100 responses.
Results
More than a third of IVDU in the population shared needles, one-third had not even been tested for Hep B/C, a half had been immunised. Most of them are aware of the risks, and would agree to the immunisation programme if available, at Lantern House.
Conclusions
Prevalence of IVDU presenting to a Substance Misuse clinic is quite high. Screening and vaccination against Hepatitis of IVDU is lacking, despite it being feasible, necessary and acceptable by patients. Screening for the disease will aid diagnosis and hence early treatment, and will create a gateway for prevention by using VPs.
Novel commercially available software has enabled registration of both CT and MRI images to rapidly fuse with X-ray fluoroscopic imaging. We describe our initial experience performing cardiac catheterisations with the guidance of 3D imaging overlay using the VesselNavigator system (Philips Healthcare, Best, NL). A total of 33 patients with CHD were included in our study. Demographic, advanced imaging, and catheterisation data were collected between 1 December, 2016 and 31 January, 2019. We report successful use of this technology in both diagnostic and interventional cases such as placing stents and percutaneous valves, performing angioplasties, occlusion of collaterals, and guidance for lymphatic interventions. In addition, radiation exposure was markedly decreased when comparing our 10–15-year-old coarctation of the aorta stent angioplasty cohort to cases without the use of overlay technology and the most recently published national radiation dose benchmarks. No complications were encountered due to the application of overlay technology. 3D CT or MRI overlay for CHD intervention with rapid registration is feasible and aids decisions regarding access and planned angiographic angles. Operators found intraprocedural overlay fusion registration using placed vessel guidewires to be more accurate than attempts using bony structures.
Cold-sprayed high-entropy alloy (HEA) coatings have been generated for the first time. Mechanically alloyed (MA) AlCoCrFeNi powder was chosen as feedstock, owing to the extensive literature on this alloy. Coatings were synthesized under various gas temperature and pressure conditions. Isothermal oxidation was conducted at 1100 °C for 25 h on the coating cold-sprayed at 400 °C and 10 bar on a Ni-base superalloy substrate. The as-sprayed coating retained the MA phases and formed a protective alumina layer upon oxidation. An interdiffusion zone at the interface and unanticipated Mo diffusion from the superalloy substrate into the coating were observed after oxidation. A comprehensive characterization at the coating–substrate interface suggests that diffusion in HEAs is not sluggish. The factors governing the coating’s oxidation are elucidated, and a plausible oxidation mechanism is discussed. These studies are aimed at developing oxidation-resistant HEA coatings for potential applications at high operating temperatures.
Following stage 1 palliation, delayed sternal closure may be used as a technique to enhance thoracic compliance but may also prolong the length of stay and increase the risk of infection.
Methods
We reviewed all neonates undergoing stage 1 palliation at our institution between 2010 and 2017 to describe the effects of delayed sternal closure.
Results
During the study period, 193 patients underwent stage 1 palliation, of whom 12 died before an attempt at sternal closure. Among the 25 patients who underwent primary sternal closure, 4 (16%) had sternal reopening within 24 hours. Among the 156 infants who underwent delayed sternal closure at 4 [3,6] days post-operatively, 11 (7.1%) had one or more failed attempts at sternal closure. Patients undergoing primary sternal closure had a shorter duration of mechanical ventilation and intensive care unit length of stay. Patients who failed delayed sternal closure had a longer aortic cross-clamp time (123±42 versus 99±35 minutes, p=0.029) and circulatory arrest time (39±28 versus 19±17 minutes, p=0.0009) than those who did not fail. Failure of delayed sternal closure was also closely associated with Technical Performance Score: 1.3% of patients with a score of 1 failed sternal closure compared with 18.9% of patients with a score of 3 (p=0.0028). Among the haemodynamic and ventilatory parameters studied, only superior caval vein saturation following sternal closure was different between patients who did and did not fail sternal closure (30±7 versus 42±10%, p=0.002). All patients who failed sternal closure did so within 24 hours owing to hypoxaemia, hypercarbia, or haemodynamic impairment.
Conclusion
When performed according to our current clinical practice, sternal closure causes transient and mild changes in haemodynamic and ventilatory parameters. Monitoring of SvO2 following sternal closure may permit early identification of patients at risk for failure.
The multiplication of dislocations determines the trajectories of microstructure evolution during plastic deformation. It has been recognized that the dislocation storage and the deformation-driven subgrain formation are correlated—the principle of similitude, where the dislocation density (ρi) scales self-similarly with the subgrain size (δ): $\delta \sqrt {{\rho _{\rm{i}}}}$ ∼ constant. Here, the robustness of this concept in Cu is probed utilizing large strain machining across a swathe of severe shear deformation conditions—strains in the range 1–10 and strain-rates 10–103/s. Deformation strain, strain-rate, and temperature characterizations are juxtaposed with electron microscopy, and dislocation densities are measured by quantification of broadening of X-ray diffraction peaks of crystallographic planes. We parameterize the variation of dislocation density as a function of strain and a rate parameter R, a function of strain-rate, temperature, and material constants. We confirm the preservation of similitude between dislocation density and the subgrain structure across orders-of-magnitude of thermomechanical conditions.
Simulations of homogeneously sheared turbulence (HST) are conducted until a universal self-similar state is established at the long non-dimensional time $\unicode[STIX]{x1D6E4}t=20$, where $\unicode[STIX]{x1D6E4}$ is the shear rate. The simulations are enabled by a new robust and discretely conservative algorithm. The method solves the governing equations in physical space using the so-called shear-periodic boundary conditions. Convection by the mean homogeneous shear flow is treated implicitly in a split step approach. An iterative Crank–Nicolson time integrator is chosen for robustness and stability. The numerical strategy captures without distortion the Kelvin modes, rotating waves that are fundamental to homogeneously sheared flows and are at the core of rapid distortion theory. Three direct numerical simulations of HST with the initial Taylor scale Reynolds number $Re_{\unicode[STIX]{x1D706}0}=29$ and shear numbers of $S_{0}^{\ast }=\unicode[STIX]{x1D6E4}q^{2}/\unicode[STIX]{x1D716}=3$, 15 and 27 are performed on a $2048\times 1024\times 1024$ grid. Here, $\unicode[STIX]{x1D716}$ is the dissipation rate and $1/2q^{2}$ is the turbulent kinetic energy. The long integration time considered allows the establishment of a self-similar state observed in experiments but often absent from simulations conducted over shorter times. The asymptotic state appears to be universal with a long time production to dissipation rate ${\mathcal{P}}/\unicode[STIX]{x1D716}\sim 1.5$ and shear number $S^{\ast }\sim 10$ in agreement with experiments. While the small scales exhibit strong anisotropy increasing with initial shear number, the skewness of the transverse velocity derivative decreases with increasing Reynolds number.
Most future industrial and organizational (I-O) psychology practitioners and researchers initially enroll in an introductory I-O psychology course during their junior or senior year of undergraduate studies, making introductory textbooks their first in-depth exposure to the field and an important knowledge base. We reviewed and analyzed the 6,654 unique items (e.g., journal articles, book chapters) published in 1,682 unique sources (e.g., scholarly journals, edited books, popular press publications) and authored by 8,603 unique individuals cited in six popular I-O psychology textbooks. Results showed that 39% of the top-cited sources are not traditional academic peer-reviewed journals, 77% of the top-cited articles were published in cross-disciplinary journals, and 58% of the top-cited authors are affiliated with business schools and not psychology departments. These results suggest that the science–practice divide in I-O psychology may develop later—perhaps after graduates obtain employment as either practitioners or researchers. Also, results suggest I-O psychology is closer to business and management than social psychology and psychology in general. We discuss additional implications for the science–practice divide, how to define and measure scholarly impact, and the future of I-O psychology as a field, including the movement of I-O psychologists to business schools and the sustainability of I-O psychology programs in psychology departments.
The Molonglo Observatory Synthesis Telescope (MOST) is an 18000 m2 radio telescope located 40 km from Canberra, Australia. Its operating band (820–851 MHz) is partly allocated to telecommunications, making radio astronomy challenging. We describe how the deployment of new digital receivers, Field Programmable Gate Array-based filterbanks, and server-class computers equipped with 43 Graphics Processing Units, has transformed the telescope into a versatile new instrument (UTMOST) for studying the radio sky on millisecond timescales. UTMOST has 10 times the bandwidth and double the field of view compared to the MOST, and voltage record and playback capability has facilitated rapid implementaton of many new observing modes, most of which operate commensally. UTMOST can simultaneously excise interference, make maps, coherently dedisperse pulsars, and perform real-time searches of coherent fan-beams for dispersed single pulses. UTMOST operates as a robotic facility, deciding how to efficiently target pulsars and how long to stay on source via real-time pulsar folding, while searching for single pulse events. Regular timing of over 300 pulsars has yielded seven pulsar glitches and three Fast Radio Bursts during commissioning. UTMOST demonstrates that if sufficient signal processing is applied to voltage streams, innovative science remains possible even in hostile radio frequency environments.