New technologies and disruptions related to Coronavirus disease-2019 have led to expansion of decentralized approaches to clinical trials. Remote tools and methods hold promise for increasing trial efficiency and reducing burdens and barriers by facilitating participation outside of traditional clinical settings and taking studies directly to participants. The Trial Innovation Network, established in 2016 by the National Center for Advancing Clinical and Translational Science to address critical roadblocks in clinical research and accelerate the translational research process, has consulted on over 400 research study proposals to date. Its recommendations for decentralized approaches have included eConsent, participant-informed study design, remote intervention, study task reminders, social media recruitment, and return of results for participants. Some clinical trial elements have worked well when decentralized, while others, including remote recruitment and patient monitoring, need further refinement and assessment to determine their value. Partially decentralized, or “hybrid” trials, offer a first step to optimizing remote methods. Decentralized processes demonstrate potential to improve urban-rural diversity, but their impact on inclusion of racially and ethnically marginalized populations requires further study. To optimize inclusive participation in decentralized clinical trials, efforts must be made to build trust among marginalized communities, and to ensure access to remote technology.

Deciding whether or not eradication of an invasive species has been successful is one of the main dilemmas facing managers of eradication programmes. When the species is no longer being detected, a decision must be made about when to stop the eradication programme and declare success. In practice, this decision is usually based on ad hoc rules, which may be inefficient. Since surveillance undertaken to confirm species absence is imperfect, any declaration of eradication success must consider the risk and the consequences of being wrong. If surveillance is insufficient, then eradication may be falsely declared (a Type I error), whereas continuation of surveillance when eradication has already occurred wastes resources (a Type II error). We review the various methods that have been developed for quantifying these errors and incorporating them into the decision-making process. We conclude with an overview of future developments likely to improve the practice of determining invasive species eradication success.

Microscopic examination of blood smears remains the gold standard for laboratory inspection and diagnosis of malaria. Smear inspection is, however, time-consuming and dependent on trained microscopists with results varying in accuracy. We sought to develop an automated image analysis method to improve accuracy and standardization of smear inspection that retains capacity for expert confirmation and image archiving. Here, we present a machine learning method that achieves red blood cell (RBC) detection, differentiation between infected/uninfected cells, and parasite life stage categorization from unprocessed, heterogeneous smear images. Based on a pretrained Faster Region-Based Convolutional Neural Networks (R-CNN) model for RBC detection, our model performs accurately, with an average precision of 0.99 at an intersection-over-union threshold of 0.5. Application of a residual neural network-50 model to infected cells also performs accurately, with an area under the receiver operating characteristic curve of 0.98. Finally, combining our method with a regression model successfully recapitulates intraerythrocytic developmental cycle with accurate lifecycle stage categorization. Combined with a mobile-friendly web-based interface, called PlasmoCount, our method permits rapid navigation through and review of results for quality assurance. By standardizing assessment of Giemsa smears, our method markedly improves inspection reproducibility and presents a realistic route to both routine lab and future field-based automated malaria diagnosis.

Advanced imaging techniques are enhancing research capacity focussed on the developmental origins of adult health and disease (DOHaD) hypothesis, and consequently increasing awareness of future health risks across various subareas of DOHaD research themes. Understanding how these advanced imaging techniques in animal models and human population studies can be both additively and synergistically used alongside traditional techniques in DOHaD-focussed laboratories is therefore of great interest. Global experts in advanced imaging techniques congregated at the advanced imaging workshop at the 2019 DOHaD World Congress in Melbourne, Australia. This review summarizes the presentations of new imaging modalities and novel applications to DOHaD research and discussions had by DOHaD researchers that are currently utilizing advanced imaging techniques including MRI, hyperpolarized MRI, ultrasound, and synchrotron-based techniques to aid their DOHaD research focus.

Perceptual dimensions underlying timbre and sound-source identification have received considerable scientific attention. While these scholarly insights help us in understanding the nature of sound within a multidimensional timbral space, they carry little meaning for the majority of musicians. To help address this, we conducted two experiments to establish listeners’ perceptual thresholds (PT) for changes in sound using a staircase-procedure. Unlike most timbre perception research, these changes were sonic manipulations that are common in synthesisers, audio processors and instruments familiar to musicians and producers, and occurred within continuous sounds (rather than between discrete pairs of sounds). In experiment 1, two sounds (variants of a sawtooth oscillation) both with the same fundamental frequency (F1: 80 Hz, 240 Hz or 600 Hz) were played with no intervening gap. In each trial, the two sounds’ partials differed in amplitudes or frequencies to produce a timbre change. The sonic manipulations were varied in size to detect thresholds for the perceived timbre change – listeners were instructed to indicate whether or not they perceived a change within the sound. In experiment 2, we modified stimulus presentation to introduce the factor of transition time (TT). Rather than occurring instantaneously (as in experiment 1), the timbre manipulations were introduced gradually over the course of a 100 ms or a 1000 ms TT. Results revealed that PTs were significantly affected by the manipulations in experiment 1, and additionally by TT in experiment 2. Importantly, the data revealed an interaction between the F1 and the timbre manipulations, such that there were differential effects of timbre changes on the perceptual system depending on pitch height. Musicians (n=11) showed significantly smaller PTs compared to non-musicians (n=10). However, PTs for musicians and non-musicians were highly correlated (r=.83) across different sonic manipulations, indicating similar perceptual patterns in both. We hope that by establishing PTs for commonly used timbre manipulations, we can provide musicians with a general perceptual unit, for each manipulation, that can guide music composition and assessment.

Background: It is recognized that a significant proportion of people with depression are prone to relapse, even after successful treatment, and that self-management interventions should be developed and provided. There is evidence that implementation intentions (IMPS) can be successfully applied to health-related behaviours but their application to self-management of mental health problems has been limited. Aims: This paper describes the design and initial evaluation of a Self-Management After Therapy (SMArT) intervention, which incorporated IMPS and followed psychological therapy for depression. We sought to assess the feasibility and acceptability of SMArT. Method: The SMArT intervention was designed with reference to the MRC guidance on developing and evaluating complex interventions and co-designed with and implemented in a UK Improving Access to Psychological Therapies (IAPT) service. Eleven patients who were in remission following treatment for depression received the SMArT intervention, provided by Psychological Wellbeing Practitioners (PWPs). The evaluation used routine IAPT outcome measures at each session, feedback from patients and PWPs, and analysis of the type of IMPS identified and their fidelity with the model. Six patients provided brief feedback about the intervention to an independent researcher. Results: Feedback from patients and PWPs suggested that the intervention was feasible, acceptable and could potentially help patients to stay well after therapy. Patients confirmed the value of setting their own goals in the form of IMPS, receiving support from PWPs and in some cases from partners, friends and family members. Conclusions: Implementation intentions are a promising approach to support the self-management of depression.

Morphology can play a critical role in determining function in organic photovoltaic (OPV) systems. Recently molecular acceptors have showed promise to replace fullerene derivatives as acceptor materials in bulk heterojunction solar cells and have achieved >10% efficiencies in single junction devices. The nearly identical mass/electron densities between the donor (polymer) and acceptor (molecule) materials results in poor material contrast compared to fullerene-based OPVs and therefore morphology characterization using techniques that rely on mass/electron density variations poses a challenge. This inhibits a fundamental understanding of the structure–property relationships for non-fullerene acceptor materials. We demonstrate that low angle annular dark field scanning transmission electron microscopy and resonant soft X-ray scattering form a set of complementary tools that can provide quantitative characterization of fullerene as well as non-fullerene based organic photovoltaic systems.

POST combinations of photosystem II (PSII) and the 4-hydroxyphenylpyruvate dioxygenase (HPPD) inhibitors are effective for control of broadleaf weeds in corn. Field studies were conducted during 2007 and 2008 in Urbana and Dekalb, IL, to determine the nature of interactions between two PSII inhibitors, atrazine and bromoxynil, and the HPPD inhibitor mesotrione, based on control of common waterhemp, common lambsquarters, and giant ragweed. Two rates of each herbicide were evaluated, with the highest representing a typical recommended rate, and the lowest a fraction of that rate. Synergistic interactions occurred for common waterhemp control from 10 to 30 d after treatment (DAT) regardless of herbicide rates, rainfall accumulation, or plant height. Synergism between mesotrione and bromoxynil was not observed for common lambsquarters control at Urbana in 2008 at the lower herbicide rates, possibly due to taller weed heights at the time of herbicide application relative to 2007. Giant ragweed control indicated that a synergistic interaction occurred for all herbicides and rates in 2008. However, synergism between bromoxynil and mesotrione did not occur in 2007, likely due to limited rainfall before herbicide application. Reduced herbicide rates and adverse environmental conditions have the potential to regulate the expression of synergism between mesotrione and PSII inhibitors, and therefore may limit their effectiveness for weed management in corn.

The joint activity of mesotrione and atrazine can display synergistic effects on the control of both triazine-sensitive and site-of-action-based triazine-resistant (TR) broadleaf weeds. The first objective of this study was to evaluate a PRE application of atrazine followed by a POST application of mesotrione for potential interactions in both site-of-action-based TR redroot pigweed and metabolism-based atrazine-resistant (AR) velvetleaf. Results from these sequential experiments demonstrated that synergism was detected in reducing biomass of the TR redroot pigweed but not in the AR velvetleaf with metabolism-based resistance. The second objective was to evaluate the joint activity of mesotrione and atrazine in a tank-mix application in the AR velvetleaf biotype. Greenhouse studies with the AR biotype indicated that synergism resulted from a tank mix with a constant mesotrione rate of 3.2 g ai ha−1 in mixture with atrazine ranging from 126 to 13,440 g ai ha−1. Chlorophyll fluorescence imaging also revealed a synergistic interaction on the AR biotype when 3.2 g ha−1 of mesotrione was applied with 126 g ha−1 of atrazine beginning 36 h after treatment and persisting through 72 h.

Fruit and vegetable consumption is associated with improved health outcomes,yet there is limited understanding of the impact of cost and accessibilityon fruit and vegetable intake in rural settings. This study examines therelationship between the consumption of fruits and vegetables and their costand accessibility among blacks and non-Hispanic whites in a rural area.Individual characteristics from a 2006 mail survey (n = 1,510) were combinedwith store locations and price information from a 2006 ground-truthed censusof retail outlets. The mail survey covered seven counties in central Texaswith 38 supermarkets/grocery stores. Blacks tended to live closer to asupermarket or grocery store, but they were only slightly more likely thanwhites to consume two or more servings of fruit daily and much less likelyto consume three or more servings of vegetables. Multivariate probitregression analysis revealed that neither access nor cost was related tofruit or vegetable consumption among white respondents. Among blacks, costwas also not associated with consumption. In contrast to whites, however,each additional mile was associated with a three percentage point decline inthe probability of consuming two or more servings of fruit daily and a 1.8percentage point decline in the probability of consuming three or morevegetable servings.

Frailty as a clinical syndrome is becoming more widely recognized and current evidence shows the importance of early detection of pre-frail states with a potential for reversibility of poor outcomes. The purpose of this review is to present the latest literature on frailty since the last review in this journal in 2007, with a particular focus on interventions aimed at reversing the processes of frailty.