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Under enrollment of participants in clinical research is costly and delays study completion to impact public health. Given that research personnel make decisions about which strategies to pursue and participants are the recipients of these efforts, we surveyed research staff (n = 52) and participants (n = 4,144) affiliated with SPARK (Simons Foundation Powering Autism for Knowledge) – the largest study of autism in the U.S. – to understand their perceptions of effective recruitment strategies.
Methods:
In Study 1, research personnel were asked to report recruitment strategies that they tried for SPARK and to indicate which ones they would and would not repeat/recommend. In Study 2, SPARK participants were asked to indicate all the ways they heard about the study prior to enrollment and which one was most influential in their decisions to enroll.
Results:
Staff rated speaking with a SPARK-study-team member (36.5%), speaking with a medical provider (19.2%), word of mouth (11.5%), and a live TV news story (11.5%) as the most successful strategies. Participants most often heard about SPARK via social media (47.0%), speaking with a medical provider (23.1%), and an online search (20.1%). Research personnel’s and participants’ views on effective recruitment strategies often differed, with the exception of speaking with a medical provider.
Conclusion:
Results suggest that a combination of strategies is likely to be most effective in reaching diverse audiences. Findings have implications for the selection of strategies that meet a study’s specific needs, as well as recruitment-strategy “combinations” that may enhance the influence of outreach efforts.
This article details the influence of Russian psychologist Sergei Chakhotin on the propaganda of the Iron Front, an antifascist organization that resisted the rise of the Nazis in the dying days of the Weimar Republic. Notably the creator of the Three Arrows symbol, Chakhotin espoused theories and methods that used Ivan Pavlov's notion of the conditioned reflex and Fredrick Taylor's theory of scientific management to transform socialist propaganda to better combat the rise of fascism. By scrutinizing Social Democratic Party of Germany (SPD) periodicals and Iron Front propaganda, I argue that Chakhotin's ideas played a crucial role in catalyzing changes in the form and content of street campaigning throughout 1932. Chakhotin provided a scientific lens through which his allies in the SPD could view and understand the mass appeal of the Nazis, as well as the necessary changes in party tactics that were required in the age of mass media, popular spectacle, and emotional struggle.
Kelps (Phaeophyceae, Laminariales) are ecosystem engineers along Arctic rocky shores. With ongoing climate change, the frequency and intensity of marine heatwaves are increasing. Further, extensive meltwater plumes darken Arctic fjords. Assessing the effect of a sudden temperature increase at the cold-distribution limit of cold-temperate kelp species, we compared the responses of two kelp species (Agarum clathratum, Saccharina latissima) to realistic Arctic summer heatwave scenarios (4–10°C) under low- and high-light conditions (3; 120 μmol photons m−2 s−1) for 12 days. We found high-light causing physiological stress in both species (e.g., lower photosynthetic efficiency of photosystem II), which was enhanced by cold and mitigated by warm temperatures. Under low-light conditions, we found no temperature response, probably due to light limitation. Both species acclimated to light variations by adjusting their chlorophyll a concentration, meeting cellular energy requirements. A. clathratum had ~150% higher phlorotannin concentrations than S. latissima, possibly acting as herbivore-deterrent. Our findings suggest competitive advantages of kelps on different Arctic coasts with ongoing warming: A. clathratum has advantages in future areas, with low-light intensities, and possibly high grazing pressure and S. latissima in areas with high-light intensities and low grazing pressure. Species composition changes might have cascading consequences on ecosystem functioning.
SPARK launched in 2016 to build a US cohort of autistic individuals and their family members. Enrollment includes online consent to share data and optional consent to provide saliva for genomic analysis. SPARK’s recruitment strategies include social media and support of a nation-wide network of clinical sites. This study evaluates SPARK’s recruitment strategies to enroll a core study population.
Methods:
Individuals who joined between January 31, 2018, and May 29, 2019 were included in the analysis. Data include sociodemographic characteristics, clinical site referral, the website URL used to join, how the participant heard about SPARK, enrollment completion (online registration, study consents, and returning saliva sample), and completion of the baseline questionnaire. Logistic regressions were performed to evaluate the odds of core participant status (completing enrollment and baseline questionnaire) by recruitment strategy.
Results:
In total, 31,715 individuals joined during the study period, including 40% through a clinical site. Overall, 88% completed online registration, 46% returned saliva, and 38% were core participants. Those referred by a clinical site were almost twice as likely to be core participants. Those who directly visited the SPARK website or performed a Google search were more likely to be core participants than those who joined through social media.
Discussion:
Being a core participant may be associated with the “personal” connection and support provided by a clinical site and/or site staff, as well as greater motivation to seek research opportunities. Findings from this study underscore the value of adopting a multimodal recruitment approach that combines social media and a physical presence.
Fjord systems are transition zones between land and sea, resulting in complex and dynamic environments. They are of particular interest in the Arctic as they harbour ecosystems inhabited by a rich range of species and provide many societal benefits. The key drivers of change in the European Arctic (i.e., Greenland, Svalbard, and Northern Norway) fjord socio-ecological systems are reviewed here, structured into five categories: cryosphere (sea ice, glacier mass balance, and glacial and riverine discharge), physics (seawater temperature, salinity, and light), chemistry (carbonate system, nutrients), biology (primary production, biomass, and species richness), and social (governance, tourism, and fisheries). The data available for the past and present state of these drivers, as well as future model projections, are analysed in a companion paper. Changes to the two drivers at the base of most interactions within fjords, seawater temperature and glacier mass balance, will have the most significant and profound consequences on the future of European Arctic fjords. This is because even though governance may be effective at mitigating/adapting to local disruptions caused by the changing climate, there is possibly nothing that can be done to halt the melting of glaciers, the warming of fjord waters, and all of the downstream consequences that these two changes will have. This review provides the first transdisciplinary synthesis of the interactions between the drivers of change within Arctic fjord socio-ecological systems. Knowledge of what these drivers of change are, and how they interact with one another, should provide more expedient focus for future research on the needs of adapting to the changing Arctic.
Diagnosis of soil-transmitted helminth (STH) and schistosome infections relies largely on conventional microscopy which has limited sensitivity, requires highly trained personnel and is error-prone. Rapid advances in miniaturization of optical systems, sensors and processors have enhanced research and development of digital and automated microscopes suitable for the detection of these diseases in resource-limited settings. While some studies have reported proof-of-principle results, others have evaluated the performance of working prototypes in field settings. The extensive commercialization of these innovative devices has, however, not yet been achieved. This review provides an overview of recent publications (2010–2022) on innovative field applicable optical devices which can be used for the diagnosis of STH and schistosome infections. Using an adapted technology readiness level (TRL) scale taking into account the WHO target product profile (TPP) for these diseases, the developmental stages of the devices were ranked to determine the readiness for practical applications in field settings. From the reviewed 18 articles, 19 innovative optical devices were identified and ranked. Almost all of the devices (85%) were ranked with a TRL score below 8 indicating that, most of the devices are not ready for commercialization and field use. The potential limitations of these innovative devices were discussed. We believe that the outcome of this review can guide the end-to-end development of automated digital microscopes aligned with the WHO TPP for the diagnosis of STH and schistosome infections in resource-limited settings.
Twin reversed arterial perfusion sequence (TRAP) is a rare complication of monochorionic twins consisting of complete retrograde blood perfusion with consequent developmental disruption and malformation of one twin (acardiac twin), blood bypass of the placenta and subsequent hemodynamic overload in the otherwise normally developed twin (pump twin). Recent studies have identified a higher incidence than historically reported and identification in early pregnancy is crucial to establish opportune diagnosis and management. If not detected, the survival rate of the pump twin is only 50 – 60%, as heart failure, fetal hydrops and intrauterine death may develop, as well as miscarriage or preterm delivery may occur. As a result of increasing awareness and early diagnosis, treatment options have shifted from the second to the first trimester in recent years, although optimal timing and mode of intervention is still controversial. In this chapter the incidence, pathophysiology and clinical presentation of TRAP sequence will be discussed, as well as different therapeutic options will be addressed.
The annual bluegrass weevil (ABW) is a pest of fine turfgrass, but recent research has found that withholding insecticides for ABW control can reduce annual bluegrass cover. The objective of this research was to evaluate threshold-based insecticide and paclobutrazol programs for annual bluegrass control. The effect of three insecticide programs (preventive, threshold, and no insecticide) and four rates of paclobutrazol (0, 70, 105, or 210 g ha−1 applied monthly) were evaluated. Replicate experiments were conducted from April to November in both 2018 and 2019 on a mixed creeping bentgrass and annual bluegrass fairway in North Brunswick, NJ. By the conclusion of both experiments, all paclobutrazol programs exhibited reduced annual bluegrass cover compared with the nontreated plots. In threshold and no-insecticide programs, reduction in annual bluegrass cover was enhanced by paclobutrazol applied at 105 g ha−1 in both years, and at 70 g ha−1 in the 2019 experiment. Paclobutrazol at 210 g ha−1 resulted in annual bluegrass cover of <20% regardless of insecticide program. In 2019, threshold-based ABW control without paclobutrazol provided similar annual bluegrass control as monthly applications of paclobutrazol at 70 and 105 g ha−1 with the preventive insecticide program. A reduction in turfgrass quality from threshold-based insecticide programs persisted for a shorter duration than the no-insecticide program, regardless of paclobutrazol treatment. Threshold-based ABW insecticide programs that allow ABW feeding damage to occur can result in reduced annual bluegrass cover. These reductions were further enhanced by paclobutrazol applications. The combination of threshold-level insecticide with moderate rates of paclobutrazol (70 to 105 g ha−1) provided reductions in annual bluegrass cover that were similar to the highest rate of paclobutrazol (210 g ha−1) without ABW damage. Turfgrass managers who integrate the threshold-level insecticide approach and monthly paclobutrazol applications may achieve greater annual bluegrass control than either strategy alone if temporary reductions in turf quality can be tolerated.
The cosmic evolution of the chemical elements from the Big Bang to the present time is driven by nuclear fusion reactions inside stars and stellar explosions. A cycle of matter recurrently re-processes metal-enriched stellar ejecta into the next generation of stars. The study of cosmic nucleosynthesis and this matter cycle requires the understanding of the physics of nuclear reactions, of the conditions at which the nuclear reactions are activated inside the stars and stellar explosions, of the stellar ejection mechanisms through winds and explosions, and of the transport of the ejecta towards the next cycle, from hot plasma to cold, star-forming gas. Due to the long timescales of stellar evolution, and because of the infrequent occurrence of stellar explosions, observational studies are challenging, as they have biases in time and space as well as different sensitivities related to the various astronomical methods. Here, we describe in detail the astrophysical and nuclear-physical processes involved in creating two radioactive isotopes useful in such studies,
$^{26}\mathrm{Al}$
and
$^{60}\mathrm{Fe}$
. Due to their radioactive lifetime of the order of a million years, these isotopes are suitable to characterise simultaneously the processes of nuclear fusion reactions and of interstellar transport. We describe and discuss the nuclear reactions involved in the production and destruction of
$^{26}\mathrm{Al}$
and
$^{60}\mathrm{Fe}$
, the key characteristics of the stellar sites of their nucleosynthesis and their interstellar journey after ejection from the nucleosynthesis sites. This allows us to connect the theoretical astrophysical aspects to the variety of astronomical messengers presented here, from stardust and cosmic-ray composition measurements, through observation of
$\gamma$
rays produced by radioactivity, to material deposited in deep-sea ocean crusts and to the inferred composition of the first solids that have formed in the Solar System. We show that considering measurements of the isotopic ratio of
$^{26}\mathrm{Al}$
to
$^{60}\mathrm{Fe}$
eliminate some of the unknowns when interpreting astronomical results, and discuss the lessons learned from these two isotopes on cosmic chemical evolution. This review paper has emerged from an ISSI-BJ Team project in 2017–2019, bringing together nuclear physicists, astronomers, and astrophysicists in this inter-disciplinary discussion.
Evidence linking subjective concerns about cognition with poorer objective cognitive performance is limited by reliance on unidimensional measures of self-perceptions of aging (SPA). We used the awareness of age-related change (AARC) construct to assess self-perception of both positive and negative age-related changes (AARC gains and losses). We tested whether AARC has greater utility in linking self-perceptions to objective cognition compared to well-established measures of self-perceptions of cognition and aging. We examined the associations of AARC with objective cognition, several psychological variables, and engagement in cognitive training.
Design:
Cross-sectional observational study.
Participants:
The sample comprised 6056 cognitively healthy participants (mean [SD] age = 66.0 [7.0] years); divided into subgroups representing middle, early old, and advanced old age.
Measurements:
We used an online cognitive battery and measures of global AARC, AARC specific to the cognitive domain, subjective cognitive change, attitudes toward own aging (ATOA), subjective age (SA), depression, anxiety, self-rated health (SRH).
Results:
Scores on the AARC measures showed stronger associations with objective cognition compared to other measures of self-perceptions of cognition and aging. Higher AARC gains were associated with poorer cognition in middle and early old age. Higher AARC losses and poorer cognition were associated across all subgroups. Higher AARC losses were associated with greater depression and anxiety, more negative SPA, poorer SRH, but not with engagement in cognitive training.
Conclusions:
Assessing both positive and negative self-perceptions of cognition and aging is important when linking self-perceptions to cognitive functioning. Objective cognition is one of the many variables – alongside psychological variables – related to perceived cognitive losses.
Since the nineteenth century, the Western realistic novel has persistently represented the addict as a morally toxic force bent on destroying the institutions, practices, and ideologies that historically have connoted reason, order, civilization. Addiction, Representation undertakes an investigation into an alternative literary tradition that unsettles this limited portrayal of the addict. The book analyzes the practices and politics of reading the experimental addiction novel, and outlines both a practice and an ethics of reading that advocates for a more compassionate response to both diegetic and extra-diegetic addicts—an approach that, at its core, is focused on understanding.
One can feel obliged to look at [representations] that record great cruelties and crimes. One should feel obliged to think about what it means to look at them.
— Susan Sontag, Regarding the Pain of Others
At least since the advent of Modernism, which Thomas B. Gilmore, in his book Equivocal Spirits: Alcoholism and Drinking in Twentieth-Century Literature (1987), regards as a period of widespread cultural addiction, the addict has densely populated the history of the Western novel, stumbling blindly through its pages often as an object of scorn and derision to be looked at and pitied, but rarely to be understood in her/ his/ their complexity and treated with compassion. Indeed, pity has long constituted the default emotion assigned to the addict by Western writers, a not unsurprising trend given the etymological origins of the term “addiction” in the Latin addictiō, which denotes “the binding of a person to another as a servant, adherent, or disciple.” Commonly regarded as a form of psycho-physical enslavement to a controlled or/ and an illicit substance, addiction persistently has been represented within the novel, and, more broadly, within myriad forms of Western cultural representation, not as a disease (despite the wealth of scientific evidence that insists it is precisely that), but as a self-imposed moral quandary that shackles a person to a drug by way of a weak will.
When viewed through the lens of pity, any suffering, but particularly suffering that is perceived as self-imposed, as addiction commonly is, always and only reads as a spectacle of degradation, whether emotional, financial, moral, physical or/ and psychological. Here, I employ the term “spectacle” in a manner similar to Emily Roxworthy, who, in The Spectacle of Japanese American Trauma: Racial Performativity and World War II (2008), defines the term as “the staging of an event and arrangement of an audience that rewards passive consumption and deters engaged witnessing, most often through what twenty-first-century Americans increasingly recognize as a strategy of ‘shock and awe.’ “ Stated differently, Roxworthy suggests that trauma, by default, is framed within Western modes of representation by extreme, albeit not necessarily exaggerated, pathos: for example, the presentation of a worst case outlier as representative of the whole.