The importance of precipitation rate as an effective control on illite and kaolanite formation during diagenesis has been examined by measuring precipitation rates, from Al fluid concentration, in a Dickson fluid-sampling vessel at 160°-250° and 500 bars (50 MPa). These experiments are considered to be analogues of the precipitation of clays in sandstones from porewaters containing dissolved carboxylic acids, which have a transient stability and may influence aluminosilicate solubility. Precipitated illite had a lath-shaped morphology and its composition was consistent with authigenic illite in sandstones. Kaolinite formed tabular rather than vermicular shaped crystals. Kaolinite precipitation rate was two orders of magnitude faster than illite precipitation and was rate-limited by the decomposition of oxalate; kaolinite formation should be equilibrium-controlled at virtually all stages of burial. Extrapolation of illite precipitation rate to burial temperatures indicates that the first appearance of illite in a burial sequence may be kinetically controlled. A model of illite precipitation based on these experimental results has been used to predict the time required to precipitate illite during burial of a sandstone, taking into account temperature changes during burial. For northern North Sea examples, a predicted illitization threshold of -60°C occurring at 60–80 Ma corresponds to the observed initiation of authigenic illite precipitation. Times of around 2–5 Ma would be required to reach a 98% approach to equilibrium at this threshold. The main phase of illite precipitation in the northern North Sea basin is a later, hydrologically controlled event (30-50 Ma). Equilibrium would be approached in around 0.1 Ma during this phase, which is consistent with the narrow illite K/Ar age range (1-5 Ma) recorded for some sequences.

Specialty care is associated with improved outcomes for adults with adult CHD and must be extended to the underserved. A retrospective cohort study was performed to describe the provision of care to adult CHD patients in America’s largest municipal public health system including patient demographics, diagnostic and therapeutic procedures, and adherence to guideline-recommended surveillance. We identified 229 adult CHD patients aged >18 years through electronic medical records. The most common diagnoses were atrial septal defect, ventricular septal defect, patent ductus arteriosus, and valvular pulmonary stenosis. In total, 65% had moderate or greater anatomic complexity. A large number of patients were uninsured (45%), non-white (96%), and non-English speaking (44%). One hundred forty-six patients (64%) presented with unrepaired primary defects. Fifty eight patients underwent primary repair during the study period; 48 of those repairs were surgical and 10 were transcatheter. Collaboration with an affiliated Comprehensive Care Center was utilised for 28% of patients. A high proportion of patients received adult CHD speciality visits (78%), echocardiograms (66%), and electrocardiograms (56%) at the guideline-recommended frequency throughout the study period. There was no significant difference in the rate of adherence to guideline-recommended surveillance based on insurance status, race/ethnicity, or primary language status. The proportion of patients who had guideline-recommended adult CHD visits, echocardiograms, and electrocardiograms was significantly lower for those with more advanced physiological stages. These results can inform the provision of adult CHD care in other public health system settings.

The prevention of unnecessary suffering at slaughter is considered to be an imperative and, as such, the majority of animals slaughtered under industrial conditions are stunned prior to slaughter by mechanical, electrical or gas inhalation means. However, many Orthodox Jewish and Muslim communities do not accept pre-slaughter stunning. Those Jewish and Muslim communities that do accept pre-slaughter stunning require that any such stun is fully reversible in order to meet the requirements of their religious laws. Head-only electrical stunning is widely used in sheep, as it is a reversible method of stunning, but in cattle, the stun duration can be so short that the animal may regain consciousness during exsanguination. The concept of using electromagnetic radiation to induce insensibility has been proposed. Early attempts to induce insensibility and death in laboratory species were successful, but the technology to apply the technique to larger animals was not available at that time. More recently, however, technological advances have led to new work in the areas of transcranial magnetic stimulation and microwave irradiation, both of which are potential methods of inducing a recoverable stun in larger species.

Stunning prior to slaughter is commonly used to render the animal insensible to pain. However, for certain markets, stunning is disallowed, unless the animal can fully recover if not slaughtered. There are very few available methods of inducing a fully recoverable stun. This preliminary study investigates the potential for microwave energy application to be used to induce a recoverable stun in sheep. Cadaver heads were used to demonstrate that brain temperature could be raised to a point at which insensibility would be expected to occur (44°C). Trials on four anaesthetised sheep confirmed this finding in a live animal model where brain temperatures between 43 and 48°C were achieved with 20 s of microwave energy application. Although the applicator and process variables require some further development, this technology seems eminently suitable for use as an alternative method of inducing a recoverable stun.

Metabolic dysfunction and excess accumulation of adipose tissue are detrimental side effects from breast cancer treatment. Diet and physical activity are important treatments for metabolic abnormalities, yet patient compliance can be challenging during chemotherapy treatment. Time-restricted eating (TRE) is a feasible dietary pattern where eating is restricted to 8 h/d with water-only fasting for the remaining 16 h. The purpose of this study is to evaluate the effect of a multimodal intervention consisting of TRE, healthy eating, and reduced sedentary time during chemotherapy treatment for early-stage (I–III) breast cancer on accumulation of visceral fat (primary outcome), other fat deposition locations, metabolic syndrome and cardiovascular disease risk (secondary outcomes) compared with usual care. The study will be a two-site, two-arm, parallel-group superiority randomised control trial enrolling 130 women scheduled for chemotherapy for early-stage breast cancer. The intervention will be delivered by telephone, including 30–60-minute calls with a registered dietitian who will provide instructions on TRE, education and counselling on healthy eating, and goal setting for reducing sedentary time. The comparison group will receive usual cancer and supportive care including a single group-based nutrition class and healthy eating and physical activity guidelines. MRI, blood draws and assessment of blood pressure will be performed at baseline, after chemotherapy (primary end point), and 2-year follow-up. If our intervention is successful in attenuating the effect of chemotherapy on visceral fat accumulation and cardiometabolic dysfunction, it has the potential to reduce risk of cardiometabolic disease and related mortality among breast cancer survivors.

Background: A subset of patients experience poor outcomes following anterior cervical discectomy and fusion (ACDF). Our study aimed to identify postoperative trajectories of disability, neck/arm pain and determine baseline measures that predict subgroup membership. Methods: Patients with cervical spondylotic radiculopathy undergoing ACDF are presented. Prognostic factors comprised demographic, health and surgery-related variables. Study outcomes were trajectories of neck disability index scores, numeric rating scales for neck/arm pain modeled with latent-class growth analysis. Associations were explored using robust Poisson models and reported with risk ratios and 95% confidence intervals. Results: Patients (N = 352; mean (SD) age = 50.9(9.5) years, 43.8% female) identified trajectories for disability (excellent=45.3%,fair=39.2%,poor=15.5%),arm pain (excellent=24.5%,good=52.0%,poor=23.5%),and neck pain (excellent=13.7%,good=63.1%,poor=23.2%). Greater physical and mental health-related quality of life were associated with a reduced risk of poor outcome(per SD,0.40[0.30,0.53]-0.80[0.65,0.99]), while higher risk for depression (per SD, 1.36[1.12,1.65]-2.26[1.84,2.78]), longer wait time(per 90 days, 1.31[1.05,1.63]-1.64[1.20,2.24]), and longer procedure time (per 30 min,1.07[1.03,1.10]-1.08[1.05,1.12]) were associated with an increased risk of poor outcome for all outcomes. Poor disability was increased with self-reported depression(3.03[1.76,5.21]), greater neck-to-arm pain ratio (2.63 [1.28 to 5.40]), ASA score > 2(2.26[1.33,3.83]), and preoperative opiates (2.05[1.18,3.56]), while preoperative physiotherapy (0.51[0.30, 0.88]), spinal injections (0.48[0.23 to 0.98]), and regular exercise (0.44 [0.24, 0.79]) decreased risk. Receiving compensation and smoking were associated with poor outcome for neck pain. Remaining candidate prognostic factors were not associated with clinical outcome. Conclusions: Perioperative factors were shown to decrease risk of poor outcomes for pain and disability two years following ACDF.

We discuss some causal estimands that are used to study racial discrimination in policing. A central challenge is that not all police–civilian encounters are recorded in administrative datasets and available to researchers. One possible solution is to consider the average causal effect of race conditional on the civilian already being detained by the police. We find that such an estimand can be quite different from the more familiar ones in causal inference and needs to be interpreted with caution. We propose using an estimand that is new for this context—the causal risk ratio, which has more transparent interpretation and requires weaker identification assumptions. We demonstrate this through a reanalysis of the NYPD Stop-and-Frisk dataset. Our reanalysis shows that the naive estimator that ignores the posttreatment selection in administrative records may severely underestimate the disparity in police violence between minorities and whites in these and similar data.

We describe the glacial geomorphology and initial geochronology of two ice-free valley systems within the Neptune Range of the Pensacola Mountains, Antarctica. These valleys are characterized by landforms associated with formerly more expanded ice sheet(s) that were at least 200 m thicker than at present. The most conspicuous features are areas of supraglacial debris, discrete debris accumulations separated from modern-day ice and curvilinear ridges and mounds. The landsystem bears similarities to debris-rich cold-based glacial landsystems described elsewhere in Antarctica and the Arctic where buried ice is prevalent. Geochronological data demonstrate multiple phases of ice expansion. The oldest, occurring > 3 Ma, overtopped much of the landscape. Subsequent, less expansive advances into the valleys occurred > 2 Ma and > ~1 Ma. An expansion of some local glaciers occurred < 250 ka. This sequence of glacial stages is similar to that described from the northernmost massif of the Pensacola Mountains (Dufek Massif), suggesting that it represents a regional signal of ice-sheet evolution over the Plio-Pleistocene. The geomorphological record and its evolution over millions of years makes the Neptune Range valleys an area worthy of future research and we highlight potential avenues for this.

The picture superiority effect suggests that a single photograph can communicate a significant amount of political information to voters. Accordingly, politicians must make strategic choices in their self-presentation, particularly when considering how to respond to gender-based stereotypes. Strategic stereotype theory suggests that politicians will either emphasize or rescind gender-based stereotypes depending on whether they believe them to be advantageous to their political image. While the literature on gendered self-presentation is largely confined to television advertising, there is a growing literature focused on the online environment. In this research note, we develop a methodological framework to assess gender-based stereotypes in a purely visual environment. We test the framework using photographs from the Twitter feeds of the main party leaders in the 2018 Ontario election. The note concludes by reflecting on the methodological challenges of examining gender in visual political content online.

TwinsUK is the largest cohort of community-dwelling adult twins in the UK. The registry comprises over 14,000 volunteer twins (14,838 including mixed, single and triplets); it is predominantly female (82%) and middle-aged (mean age 59). In addition, over 1800 parents and siblings of twins are registered volunteers. During the last 27 years, TwinsUK has collected numerous questionnaire responses, physical/cognitive measures and biological measures on over 8500 subjects. Data were collected alongside four comprehensive phenotyping clinical visits to the Department of Twin Research and Genetic Epidemiology, King’s College London. Such collection methods have resulted in very detailed longitudinal clinical, biochemical, behavioral, dietary and socioeconomic cohort characterization; it provides a multidisciplinary platform for the study of complex disease during the adult life course, including the process of healthy aging. The major strength of TwinsUK is the availability of several ‘omic’ technologies for a range of sample types from participants, which includes genomewide scans of single-nucleotide variants, next-generation sequencing, metabolomic profiles, microbiomics, exome sequencing, epigenetic markers, gene expression arrays, RNA sequencing and telomere length measures. TwinsUK facilitates and actively encourages sharing the ‘TwinsUK’ resource with the scientific community — interested researchers may request data via the TwinsUK website (http://twinsuk.ac.uk/resources-for-researchers/access-our-data/) for their own use or future collaboration with the study team. In addition, further cohort data collection is planned via the Wellcome Open Research gateway (https://wellcomeopenresearch.org/gateways). The current article presents an up-to-date report on the application of technological advances, new study procedures in the cohort and future direction of TwinsUK.

The smectite-to-illite reaction (illitization) was examined in a dilute suspension of Wyoming bentonite in the presence of oxalate and acetate. Experiments were performed using fluidsampling apparatus at 200°C, 50 MPa, in which progressive changes in both clay mineralogy and fluid composition were monitored. The presence of K-oxalate and K-acetate under neutral-alkaline conditions produced significant reaction of smectite to either R1 or R2 ordered illite-smectite with 60–70% illite layers. Experiments at the same temperature with KCl, or oxalic acid plus KCl, produced no reaction. Fluid chemistry showed that K-oxalate and K-acetate resulted in the establishment of aK+/aH+ conditions within the muscovite stability field, favouring the formation of illite. The extent of dissolution and precipitation indicated by fluid data is insufficient to account for the amount of illitization evident in the mineralogy. This implies that a localized dissolution-precipitation process occurs, perhaps on the scale of a single clay particle. These experiments highlight the importance of pH as a control over illitization and show that organic anions can buffer fluid composition into the optimum aK+/aH+ condition for illitization. These findings are highly significant for the smectite-to-illite reaction occurring in organic bearing sediments where organic acid anions are generated during kerogen maturation.

Clay mineral abundances and illite-smectite (I/S) compositions have been determined by X-ray diffraction (XRD) in shales of Permo-Triassic to Quaternary age from seven wells in the Viking Graben and Moray Firth. Chemical analyses of size fractions provide evidence that diagenetic illitization of smectite has occurred during burial by uptake of Al and K, and release of Si. K-feldspar was probably the main source of K for illitization. The depth at which random I/S disappears occurs at similar temperatures (mean 93°C) in each well for which reliable measurements are available. Vitrinite reflectance measurements at this depth are also similar (mean 0·64% R0) and correspond to early oil generation. I/S diagenetic levels may have been imprinted by a Tertiary heating event.

Experiments to explore the dissolution behaviour of Pb-rich orthoclase (1% PbO) and quartz have been carried out in the presence of pH buffered and unbuffered potassium acetate and lithium acetate solutions at 150°C and 50 MPa (500 bars). In pH-unbuffered potassium acetate solutions Pb and Na solubilities (and pH) increase with increasing fluid acetate content, reflecting increased bulk dissolution of the feldspar; silica solubility decreases despite an increase in measured pH from 7.5 to 8.9. Similarly, in experiments at pH 6 using a potassium acetate pH buffer, quartz solubility decreases with increasing acetate content. The use of lithium acetate pH buffers (pH 6 at 25°C) in experiments with orthoclase plus quartz results in the precipitation of the lithium chlorite cookeite, complicating interpretation of the fluid chemistry. It is also apparent that in the presence of orthoclase plus quartz (but not albite alone) acetate decarboxylation takes place at much higher rates than expected for the experimental configuration used. The observed effects are unlikely to be due to the presence of acetate alone; the influence of species produced by acetate decay (especially carbonate) must also be considered. This study provides little support for models which call upon acetate to enhance the solubility of aluminosilicate minerals, and suggests that acetate decarboxylation in nature may limit its involvement in dissolution processes. It emphasises the potential of feldspars as sources of elements for mineralisation, such as Pb.

In this prospective study of upper middle class youth, we document frequency of alcohol and drug use, as well as diagnoses of abuse and dependence, during early adulthood. Two cohorts were assessed as high school seniors and then annually across 4 college years (New England Study of Suburban Youth younger cohort [NESSY-Y]), and across ages 23–27 (NESSY older cohort [NESSY-O]; ns = 152 and 183 at final assessments, respectively). Across gender and annual assessments, results showed substantial elevations, relative to norms, for frequency of drunkenness and using marijuana, stimulants, and cocaine. Of more concern were psychiatric diagnoses of alcohol/drug dependence: among women and men, respectively, lifetime rates ranged between 19%–24% and 23%–40% among NESSY-Os at age 26; and 11%–16% and 19%–27% among NESSY-Ys at 22. Relative to norms, these rates among NESSY-O women and men were three and two times as high, respectively, and among NESSY-Y, close to one among women but twice as high among men. Findings also showed the protective power of parents’ containment (anticipated stringency of repercussions for substance use) at age 18; this was inversely associated with frequency of drunkenness and marijuana and stimulant use in adulthood. Results emphasize the need to take seriously the elevated rates of substance documented among adolescents in affluent American school communities.