The existing literature provides conflicting evidence of whether a collectivistic value orientation is associated with ethical or unethical behavior. To address this confusion, we integrate collectivism theory and research with prior work on social identity, moral boundedness, group morality, and moral identity to develop a model of the double-edged effects of collectivism on employee conduct. We argue that collectivism is morally bounded depending on who the other is, and thus it inhibits employees’ motivation to engage in unethical pro-self behavior, yet strengthens their motivation to engage in unethical pro-organization behavior. We further predict that these effects are mediated by the psychological mechanism of organizational goal commitment and moderated by a person’s strength of moral identity. Results of three studies conducted in China and the United States and involving both field and experimental data offer strong support for our hypotheses. Theoretical and practical implications of the research are discussed.

Emergent bilinguals (EBs) who are exposed to societal language at school but use another language at home may experience difficulties in mastering the societal language, especially those at risk for language and reading disabilities. Learning phonologically specific new words that discriminate between phonemes may foster phonological awareness and word reading. This study examined the effectiveness of a lexical specificity intervention program that targeted phoneme discrimination in EBs at risk for reading disabilities. EBs who scored below the 25th percentile on the screening measures were selected and randomly assigned to one of two conditions: at-risk intervention or at-risk control. Of the 76 EBs in the at-risk group, 40 were randomly assigned to receive the intervention. A group of 51 typically developing EBs who did not meet the risk criteria were selected as typical controls. The pre- and post-tests include phoneme discrimination, phonological awareness, rapid automatized naming, fluency, and decoding. The at-risk intervention group showed improvement on the phoneme discrimination task after the intervention and outperformed the at-risk control group but not the typical control group. In addition, growth was observed during both the training and testing sessions of the intervention. The lexical specificity intervention could be a good resource to enhance a key precursor to literacy development for at-risk EBs.

Cancer is among the leading causes of death in the world, with about 10 million deaths, one in every six deaths, related to cancer in 2020. In Taiwan, cancer insurance is the most popular commercial health product. However, the loss ratio of cancer products increases with policy year and exceeds 100% in many insurance companies. In addition, almost all cancer benefits are significantly limited in order to avoid financial insolvency. In this study, we evaluate the risk of cancer insurance from the perspective of morbidity compression. We use the data from Taiwan's National Health Insurance Research Database. Also, we apply the standardized mortality ratio and the Lee-Carter model to estimate the trend of cancer-related values. We find that cancer incidence rates gradually increase with time, which indicates that the assumption of morbidity compression is violated. On the other hand, the mortality rates of cancer patients decrease significantly annually. Thus, length of life with cancer increases, and so does the cancer insurance premium. We suggest that cancer insurance covers only the first five years of medical expenditure after the insured is diagnosed with cancer.

The University of Kansas Cancer Center (KU Cancer Center) initiated an engagement program to leverage the lived experience of individuals and families with cancer. KU Cancer Center faculty, staff, and patient partners built an infrastructure to achieve a patient-designed, patient-led, and research-informed engagement program called Patient and Investigator Voices Organizing Together (PIVOT). This special communication offers an engagement roadmap that can be replicated, scaled, and adopted at other cancer centers and academic health systems. PIVOT demonstrates that collaboration among academic leaders, investigators, and people with a lived experience yields a patient-centered, vibrant environment that enriches the research enterprise.

We examined the effect of an antimicrobial stewardship program (ASP), procalcitonin testing and rapid blood-culture identification on hospital mortality in a prospective quality improvement project in critically ill septic adults. Secondarily, we have reported antimicrobial guideline concordance, acceptance of ASP interventions, and antimicrobial and health-resource utilization.

Background: Low-intensity transcranial ultrasound (TUS) is a non-invasive neuromodulation technique, which in theta burst mode (tbTUS) can increase cortical excitability. Parkinson’s disease (PD) has altered cortical excitability of motor cortex (M1). We evaluated the neurophysiological and clinical effects of M1 tbTUS in PD patients. Methods: Sixteen PD patients (4F, 59.5±9.7 years) in ON and OFF dopaminergic medication states, and 15 controls (5F, 61.9±8.7 years) were evaluated. tbTUS was applied for 80 seconds at M1 with 20W/cm2. Motor evoked potential (MEP) was recorded at baseline, at 5-minutes (T5), T30, and T60 after tbTUS. Motor (m)UPDRS was evaluated in PD at baseline and T60. Results: A linear mixed model on MEP amplitudes comparing PD-ON, PD-OFF and controls showed significant effect of time (F=4.83, p=0.003). Post-hoc analysis showed significant difference between baseline and T30 timepoints (p=0.0003). The MEP increase at T30 was higher in controls (66%), followed by PD-ON (41%) and PD-OFF (21%). PD-ON showed reduced mUPDRS at T60 when compared to PD-OFF, with significant effect of time (F=6.14, p=0.017) and group (F=5.39, p=0.025). Conclusions: tbTUS induced motor cortical plasticity is reduced in PD-OFF, that is partially restored by dopaminergic medications.Repeated sessions of tbTUS can be further investigated as a novel non-invasive treatment for PD.

Background: The late-onset cerebellar ataxias (LOCAs) have until recently resisted molecular diagnosis. Contributing to this diagnostic gap is that non-coding structural variations, such as repeat expansions, are not fully accessible to standard short-read sequencing analysis. Methods: We combined bioinformatics analysis of whole-genome sequencing and long-read sequencing to search for repeat expansions in patients with LOCA. We enrolled 66 French-Canadian, 228 German, 20 Australian and 31 Indian patients. Pathogenic mechanisms were studied in post-mortem cerebellum and induced pluripotent stem cell (iPSC)-derived motor neurons from 2 patients. Results: We identified 128 patients who carried an autosomal dominant GAA repeat expansion in the first intron of the FGF14 gene. The expansion was present in 61%, 18%, 15% and 10% of patients in the French-Canadian, German, Australian and Indian cohorts, respectively. The pathogenic threshold was determined to be (GAA)≥250, although incomplete penetrance was observed in the (GAA)250-300 range. Patients developed a slowly progressive cerebellar syndrome at an average age of 59 years. Patient-derived post-mortem cerebellum and induced motor neurons both showed reduction in FGF14 RNA and protein expression compared to controls. Conclusions: This intronic, dominantly inherited GAA repeat expansion in FGF14 represents one of the most common genetic causes of LOCA uncovered to date.

Background: This is a population-based retrospective study of neurologic and cardiac complications of COVID-19 among Chinese and South Asians in Ontario during waves 1-3. Methods: Chinese and South Asians with COVID-19 were identified using a validated surname algorithm and their outcomes of mortality, and cardiac and neurologic complications with those of the general population using multivariable logistic regression models. Results: Compared to the general population (n= 439,977), the Chinese population (n= 15,208) was older (mean age 44.2 vs 40.6 years, P < 0.001) and the South Asian population (n= 46,333) was younger (39.2 years, P < 0.001). The Chinese population had a higher 30-day mortality (odds ratio [OR] 1.44; 1.28-1.61) and more hospitalization or emergency department visits(OR 1.14; 1.09-1.28), with a trend toward a higher incidence of cardiac complications (OR 1.03; 0.87-1.12) and neurologiccomplications (OR 1.23; 0.96-1.58). South Asians had a lower 30-day mortality (OR 0.88; 0.78-0.98) but a higher incidence of hospitalization or emergency department visits (OR 1.17; 1.14-1.20) with a trend toward a lower incidence of cardiac complications(OR 0.76; 0.67-0.87) and neurologic complications (OR 0.89; 0.73-1.09). Conclusions: Ethnicity continues to be an important determinant of mortality, cardiac and neurologic outcomes, and healthcare use among Ontario patients with COVID-19.

Dormancy-breaking requirements and level of morphophysiological dormancy (MPD) were determined for seeds of Ilex formosana and I. uraiensis from the subtropical region, and seeds of I. rotunda from both the subtropical and tropical regions of Taiwan. We hypothesized that some Ilex species would have deep simple MPD broken by warm stratification. Germination of seeds and embryo growth was monitored at 30/20, 25/15, 20/10, 15/5°C and at 25°C. Seeds were cold-stratified and then incubated at 25/15°C, and seeds treated with GA3 and GA4 were incubated at 25/15°C. Fresh seeds reached 50% germination after 11–45 weeks of warm stratification. Pre-treatment with GA increased germination percentages of I. formosana and I. rotunda (tropical) but not I. uraiensis and I. rotunda (subtropical), while cold stratification did not promote germination of either species but increased the germination rate of I. rotunda (tropical). Embryo length in seeds of all species increased ≥710% prior to root emergence, and growth occurred during warm stratification. The positive response to GA and relatively short time for beginning of germination and to reach 50% germination indicate non-deep simple MPD in seeds of I. formosana and I. rotunda (tropical). The negative response to GA and long time for beginning of germination and to reach 50% germination indicate deep simple MPD in seeds of I. uraiensis and I. rotunda (subtropical). Thus, in both the subtropical and tropical regions of Taiwan, the seeds of Ilex species have non-deep simple and deep simple MPD that are broken by warm stratification. Furthermore, GA treatment increases the germination rate and percentage of Ilex seeds with non-deep simple MPD, and cold stratification promotes the seed germination rate of Ilex species with non-deep simple MPD in tropical region.

Recent findings on the Reynolds-number-dependent behaviour of near-wall turbulence in terms of the ‘foot-printing’ of outer large-scale structures call for a new modelling development. A two-scale framework was proposed to couple a local fine-mesh solution with a global coarse-mesh solution by He (Intl J. Numer. Meth. Fluids, vol. 86, 2018, pp. 655–677). The methodology was implemented and demonstrated by Chen & He (J. Fluid Mech, vol. 933, 2022, p. A47) for a canonical turbulent channel flow, where the mesh-count scaling with Reynolds number is potentially reduced from $O(R{e^2})$ for a conventional wall-resolved large-eddy simulation (WRLES) to $O(R{e^1})$. The present work extends the two-scale method to turbulent boundary layers. A two-dimensional roughness element is used to trip a turbulent boundary layer. It is observed that large-scale disturbances originating at the trip have a much shorter lifetime and weaker foot-printing signatures on near-wall flow compared to those long streaky coherent structures in well-developed wall-bounded turbulent flows. Modal analyses show that the impact of trip-induced large scales can be adequately captured by a locally embedded fine-mesh block. For the tripped turbulent boundary layer, a Chebyshev block-spectral mapping is adopted to propagate source terms from the local fine-mesh blocks to the global coarse-mesh domain, driving to a target solution for the upscaled equations. The computed mean statistics and energy spectra are in good agreement with corresponding experimental data, WRLES and direct numerical simulation (DNS) results. The overall mesh count–$Re$ scaling is estimated to reduce from $O(R{e^{1.8}})$ for the full wall-resolved LES to $O(R{e^{0.9}})$ for the present two-scale solution.

This systematic literature review aimed to provide an overview of the characteristics and methods used in studies applying the disability-adjusted life years (DALY) concept for infectious diseases within European Union (EU)/European Economic Area (EEA)/European Free Trade Association (EFTA) countries and the United Kingdom. Electronic databases and grey literature were searched for articles reporting the assessment of DALY and its components. We considered studies in which researchers performed DALY calculations using primary epidemiological data input sources. We screened 3053 studies of which 2948 were excluded and 105 studies met our inclusion criteria. Of these studies, 22 were multi-country and 83 were single-country studies, of which 46 were from the Netherlands. Food- and water-borne diseases were the most frequently studied infectious diseases. Between 2015 and 2022, the number of burden of infectious disease studies was 1.6 times higher compared to that published between 2000 and 2014. Almost all studies (97%) estimated DALYs based on the incidence- and pathogen-based approach and without social weighting functions; however, there was less methodological consensus with regards to the disability weights and life tables that were applied. The number of burden of infectious disease studies undertaken across Europe has increased over time. Development and use of guidelines will promote performing burden of infectious disease studies and facilitate comparability of the results.

Two new eurypterids, a pterygotid Pterygotus wanggaii n. sp. and an adelophthalmoid Parahughmilleria fuea n. sp., are described from the Early Devonian (Lochkovian) Xiaxishancun Formation of Yunnan province, southwest China. This discovery represents the first record of Parahughmilleria from Gondwana and the first Pterygotus from China. Pterygotus wanggaii n. sp. is characterized by the first primary denticles (d1,d1′) being located on the middle part of the cheliceral ramus and third primary denticles (d3,d3′) elongate, even longer than the first primary denticles. Parahughmilleria fuea n. sp. is differentiated by being a large Parahughmilleria with strongly developed lateral epimera from tergites T4 to T12. These discoveries not only extend the geographical extent of the genera Pterygotus and Parahughmilleria from Euramerica to SW China, but also give insight into the similarity of ecosystem structures across the Early Devonian world. In addition, based on previous studies, the new discoveries further support the hypothesis that eurypterids underwent a crisis during the Silurian–Devonian boundary interval.

Consumption of unpasteurised milk in the United States has presented a public health challenge for decades because of the increased risk of pathogen transmission causing illness outbreaks. We analysed Foodborne Disease Outbreak Surveillance System data to characterise unpasteurised milk outbreaks. Using Poisson and negative binomial regression, we compared the number of outbreaks and outbreak-associated illnesses between jurisdictions grouped by legal status of unpasteurised milk sale based on a May 2019 survey of state laws. During 2013–2018, 75 outbreaks with 675 illnesses occurred that were linked to unpasteurised milk; of these, 325 illnesses (48%) were among people aged 0–19 years. Of 74 single-state outbreaks, 58 (78%) occurred in states where the sale of unpasteurised milk was expressly allowed. Compared with jurisdictions where retail sales were prohibited (n = 24), those where sales were expressly allowed (n = 27) were estimated to have 3.2 (95% CI 1.4–7.6) times greater number of outbreaks; of these, jurisdictions where sale was allowed in retail stores (n = 14) had 3.6 (95% CI 1.3–9.6) times greater number of outbreaks compared with those where sale was allowed on-farm only (n = 13). This study supports findings of previously published reports indicating that state laws resulting in increased availability of unpasteurised milk are associated with more outbreak-associated illnesses and outbreaks.