Search Results (10)

Neurodevelopmental outcomes for preschool-age children in the United States with in utero Zika virus (ZIKV) exposure have not yet been reported. We performed a case-control study to assess whether children exposed in utero to ZIKV have abnormal neurodevelopment at age 4–5 years compared to unexposed controls. Thirteen ZIKV-exposed cases that did not have microcephaly or other specific features of congenital Zika syndrome and 12 controls were evaluated between ages 4–5 years. Child neurodevelopment was assessed using the Pediatric Evaluation of Disability Inventory, Behavior Rating Inventory of Executive Function, Peabody Picture Vocabulary Test, Bracken School Readiness Assessment (BSRA), and Movement Assessment Battery for Children (MABC). Caregivers answered questions on the child’s medical history and family demographics. Cases and controls were evaluated at mean (SD) ages 4.9 (0.3) and 4.8 (0.4) years, respectively. Caregivers reported more behavior and mood problems in cases than controls. MABC scores showed more gross and fine motor coordination difficulties among cases than controls. Controls trended towards higher performance on concepts underlying school readiness on BSRA. Three cases had a diagnosis of autism spectrum disorder or global developmental delay. Continued follow-up through school age for children with prenatal ZIKV exposure is needed to understand the impact of in utero ZIKV exposure on motor coordination, cognition, executive function, and academic achievement. Full article

The long-term neurodevelopmental effects of antenatal Zika virus (ZIKV) exposure in children without congenital Zika syndrome (CZS) remain unclear, as few children have been examined to the age of school entry level. A total of 51 Colombian children with antenatal ZIKV exposure without CZS and 70 unexposed controls were evaluated at 4–5 years of age using the Behavior Rating Inventory of Executive Function (BRIEF), the Pediatric Evaluation of Disability Inventory (PEDI-CAT), the Bracken School Readiness Assessment (BSRA), and the Movement Assessment Battery for Children (MABC). The mean ages at evaluation were 5.3 and 5.2 years for cases and controls, respectively. Elevated BRIEF scores in Shift and Emotional Control may suggest lower emotional regulation in cases. A greater number of cases were reported by parents to have behavior and mood problems. BSRA and PEDI-CAT activity scores were unexpectedly higher in cases, most likely related to the COVID-19 pandemic and a delayed school entry among the controls. Although PEDI-CAT mobility scores were lower in cases, there were no differences in motor scores on the MABC. Of 40 cases with neonatal neuroimaging, neurodevelopment in 17 with mild non-specific findings was no different from 23 cases with normal neuroimaging. Normocephalic children with ZIKV exposure have positive developmental trajectories at 4–5 years of age but differ from controls in measures of emotional regulation and adaptive mobility, necessitating continued follow-up. Full article

The COVE trial randomized participants to receive two doses of mRNA-1273 vaccine or placebo on Days 1 and 29 (D1, D29). Anti-SARS-CoV-2 Spike IgG binding antibodies (bAbs), anti-receptor binding domain IgG bAbs, 50% inhibitory dilution neutralizing antibody (nAb) titers, and 80% inhibitory dilution nAb titers were measured at D29 and D57. We assessed these markers as correlates of protection (CoPs) against COVID-19 using stochastic interventional vaccine efficacy (SVE) analysis and principal surrogate (PS) analysis, frameworks not used in our previous COVE immune correlates analyses. By SVE analysis, hypothetical shifts of the D57 Spike IgG distribution from a geometric mean concentration (GMC) of 2737 binding antibody units (BAU)/mL (estimated vaccine efficacy (VE): 92.9% (95% CI: 91.7%, 93.9%)) to 274 BAU/mL or to 27,368 BAU/mL resulted in an overall estimated VE of 84.2% (79.0%, 88.1%) and 97.6% (97.4%, 97.7%), respectively. By binary marker PS analysis of Low and High subgroups (cut-point: 2094 BAU/mL), the ignorance interval (IGI) and estimated uncertainty interval (EUI) for VE were [85%, 90%] and (78%, 93%) for Low compared to [95%, 96%] and (92%, 97%) for High. By continuous marker PS analysis, the IGI and 95% EUI for VE at the 2.5th percentile (519.4 BAU/mL) vs. at the 97.5th percentile (9262.9 BAU/mL) of D57 Spike IgG concentration were [92.6%, 93.4%] and (89.2%, 95.7%) vs. [94.3%, 94.6%] and (89.7%, 97.0%). Results were similar for other D29 and D57 markers. Thus, the SVE and PS analyses additionally support all four markers at both time points as CoPs. Full article

The Mount Weld rare earth element (REE) deposit, Western Australia, is one of the largest of its type on Earth. Current mining exploits the high-grade weathered goethite-bearing resource that lies above, and which represents the weathering product of a subjacent carbonatite. The mineralogy, petrography, deportment of lanthanides among the different components, and variation in mineral speciation, textures, and chemistry are examined. Microanalysis, involving scanning electron microscope (SEM) imaging, electron probe microanalysis (EPMA) and laser ablation inductively coupled-plasma mass spectrometry (LA-ICP-MS), was conducted on sized fractions of three crushed and ground laterite ore samples from current and planned production, and a representative sample from the underlying carbonatite. High-magnification imaging of particles in laterite samples show that individual REE-bearing phases are fine-grained and extend in size well below the micron-scale. Nanoscale inclusions of REE-phosphates are observed in apatite, Fe-(Mn)-(hydr)oxides, and quartz, among others. These have the appearance, particularly in fluorapatite, of pervasive, ultrafine dusty domains. Apart from the discrete REE minerals and abundant nano- to micron-scale inclusions in gangue, all ore components analysed by LA-ICP-MS contain trace to minor levels of REEs within their structures. This includes apatite, where low levels of REE are confirmed in preserved igneous apatite, but also Fe- and Mn-(hydr)oxides in which concentrations of hundreds, even thousands of ppm are measured. This is significant given that Fe-(Mn)-(hydr)oxides are the most abundant component of the laterite and points to extensive mobility and redistribution of REEs, and especially HREE, during progressive lateritisation. Late-formed minerals, notably tiny grains of cerianite, reflect a shift to oxidising conditions. REE-fluorocarbonates are the main host for REEs in carbonatite and are systematically replaced by hydrated, Ca-bearing REE-phosphates (largely rhabdophane). The latter displays varied compositions but is characteristically enriched in HREE relative to monazite in the same sample. Fine-grained, compositionally heterogeneous rhabdophane is accompanied by minor amounts of other paragenetically late, hydrated phosphates with enhanced MREE/HREE relative to LREE (although still LREE-dominant). Minor, relict xenotime and zircon are significant HREE carriers. Ilmenite and pyrochlore group members contain REE but contribute only negligibly to the overall REE budget. Although the proportions of individual mineral species differ, the chemistry of key ore components are similar in different laterite samples from the current resource. Mineral signatures are, however, subtly different in the lower grade southeastern part of the deposit, including higher concentrations of HREE relative to LREE in monazite, rhabdophane, florencite and Fe-(Mn)-(hydr)oxides. Full article

The species listed as Extinct in the Wild (EW) in the IUCN Red List of Threatened Species consist of 84 plants and animals that have been lost from their indigenous range. EW species are therefore restricted to ex situ conservation facilities and often have populations founded with few individuals. Our analysis demonstrates that 60% of EW species are associated with ecoregions that have very low proportions of intact habitat. Furthermore, threats such as invasive species, pollution, and climate change affect just over half of EW species and compound the obstacles facing their reinstatement to the wild. Despite these bleak assessments, there are various options for EW recovery. We present five scenarios that encapsulate the circumstances facing EW species and suggest potential conservation action for each of these situations. We illustrate these scenarios using case studies of EW species that demonstrate how the various options of ex situ management, reintroduction, and assisted colonisation to new habitat can be used to address the very exacting requirements of EW species. Our aim is to present a broad review of the obstacles facing the recovery of EW species whilst inspiring action to prevent the extinction of the most imperilled species on the planet. Full article

Background and Objectives: Lumbar spinal stenosis is one of the most common causes of disability in the elderly and often necessitates surgical intervention in patients over the age of 65. Our study aimed to evaluate the clinical efficacy of interlaminar stabilization following decompressive laminectomy in patients with lumbar stenosis without instability. Materials and Methods: Twenty patients with lumbar stenosis underwent decompressive laminectomy and interlaminar stabilization at our academic institution. Clinical outcomes were measured using the visual analog scale (VAS) and Oswestry disability index (ODI) at the 2-month, 6-month, and 1-year postoperative visits, and these outcomes were compared to the preoperative scores. Results: The average VAS scores for low back pain significantly improved from 8.8 preoperatively to 4.0, 3.7, and 3.9 at 2 months, 6 months, and 1 year postoperatively, respectively (p < 0.001). The average VAS scores for lower extremity pain significantly improved from 9.0 preoperatively to 2.7, 2.5, and 2.5 at 2 months, 6 months, and 1 year postoperatively, respectively (p < 0.001). The average ODI scores significantly improved from 66.6 preoperatively to 23.8, 23.3, and 24.5 at 2 months, 6 months, and 1 year postoperatively, respectively (p < 0.001). There was no statistical significance for difference in VAS or ODI scores between 2 months, 6 months, and 1 year. One patient had an intraoperative durotomy that was successfully treated with local repair and lumbar drainage. Another patient had progression of stenosis and had to undergo bilateral facetectomy and fusion. Conclusions: Decompressive laminectomy and interlaminar stabilization in patients with spinal claudication and low back pain is a good surgical option in the absence of instability and may provide significant clinical improvement of pain and functional disability. Full article

Continental rifts have a significant role in supercontinent breakup and the development of sedimentary basins. The Australian Adelaide Superbasin is one of the largest and best-preserved rift systems that initiated during the breakup of Rodinia, yet substantial challenges still hinder our understanding of its early evolution and place within the Rodinian supercontinent. In the past decade, our understanding of rift and passive margin development, mantle plumes and their role in tectonics, geodynamics of supercontinent breakup, and sequence stratigraphy in tectonic settings has advanced significantly. However, literature on the early evolution of the Adelaide Superbasin has not been updated to reflect these advancements. Using new detrital zircon age data for provenance, combined with existing literature, we examine the earliest tectonic evolution of the Adelaide Superbasin in the context of our modern understanding of rift system development. A new maximum depositional age of 893 ± 9 Ma from the lowermost stratigraphic unit provides a revised limit on the initiation of sedimentation and rifting within the basin. Our model suggests that the basin evolved through an initial pulse of extension exploiting pre-existing crustal weakness to form half-grabens. Tectonic quiescence and stable subsidence followed, with deposition of a sourceward-shifting facies tract. Emplacement and extrusion of the Willouran Large Igneous Province occurred at c. 830 Ma, initiating a new phase of rifting. This rift renewal led to widespread extension and subsidence with the deposition of the Curdimurka Subgroup, which constitutes the main cyclic rift sequence in the Adelaide Superbasin. Our model suggests that the Adelaide Superbasin formed through rift propagation to an apparent triple junction, rather than apical extension outward from this point. In addition, we provide evidence suggesting a late Mesoproterozoic zircon source to the east of the basin, and show that the lowermost stratigraphy of the Centralian Superbasin, which is thought to be deposited coevally, had different primary detrital sources. Full article

In a drive to achieve net zero emissions, U.K. transport decarbonisation policies are predominantly focussed on measures to promote the uptake and use of electric vehicles (EVs). This is reflected in the COP26 Transport Declaration signed by 38 national governments, alongside city region governments, vehicle manufacturers and investors. However, emerging evidence suggests that EVs present multiple challenges for air quality, mobility and health, including risks from non-exhaust emissions (NEEs) and increasing reliance on vehicles for short trips. Understanding the interconnected links between electric mobility, human health and the environment, including synergies and trade-offs, requires a whole systems approach to transport policymaking. In the present paper, we describe the use of Participatory Systems Mapping (PSM) in which a diverse group of stakeholders collaboratively constructed a causal model of the U.K. surface transport system through a series of interactive online workshops. We present the map and its analysis, with our findings illustrating how unintended consequences of EV-focussed transport policies may have an impact on air quality, human health and important social functions of the transport system. We conclude by considering how online participatory causal modelling techniques could be effectively integrated with empirical metrics to facilitate effective policy design and appraisal in the transport sector. Full article

The Bukit Botol and Bukit Ketaya deposits are two examples of volcanic-hosted massive sulphide (VHMS) deposits that occur in the Tasik Chini area, Central Belt of Peninsular Malaysia. The mineralisation is divided into subzones distinguished by spatial, mineralogical, and textural characteristics. The primary sulphide minerals include pyrite, chalcopyrite, sphalerite, and galena, with lesser amounts of Sn- and Ag-bearing minerals, with Au. However, pyrrhotite is absent from both deposits. This study presents the results of sphalerite chemistry analysed by using an electron microprobe. Two types of sphalerite are recognised: sphalerite from the Bukit Botol deposit reveals a range of <DL to 24.0 mole% FeS, whereas sphalerite from the Bukit Ketaya deposit shows a range of <DL to 3 mole% FeS. Significant variations are shown in Zn, Cu, Cd, and Ag levels. Although the sphalerite has a wide variation in composition, a discernible decreasing Fe trend is exhibited from the stringer zone towards massive sulphide. This compositional variation in sphalerites may in part reflect variable temperature and activity of sulphur in the hydrothermal fluids during ore formation. Alternatively, the bimodal composition variations suggest that mineral chemistry relates to contrasting depositional processes. The Zn/Cd ratios for sphalerite from both these deposits are similar to those exhibited by volcano−sedimentary deposits with a volcanic origin. Therefore, the consistently low Cd concentrations and moderate to high Zn/Cd ratios suggest mixing of seawater and minor magmatic fluids controlling the chemistry of sphalerite at both deposits during their formation. Full article

Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in children, with prevalence rising alongside childhood obesity rates. This study aimed to characterise the habitual diet and activity behaviours of children with NAFLD compared to obese children without liver disease in the United Kingdom (UK). Twenty-four biopsy-proven paediatric NAFLD cases and eight obese controls without biochemical or radiological evidence of NAFLD completed a 24-h dietary recall, a Physical Activity Questionnaire (PAQ), a Dutch Eating Behavior Questionnaire (DEBQ) and a 7-day food and activity diary (FAD), in conjunction with wearing a pedometer. Groups were well matched for age and gender. Obese children had higher BMI z-scores (p = 0.006) and BMI centiles (p = 0.002) than participants with NAFLD. After adjusting for multiple hypotheses testing and controlling for differences in BMI, no differences in macro- or micronutrient intake were observed as assessed using either 24-h recall or 7-day FAD (p > 0.001). Under-reporting was prevalent (NAFLD 75%, Obese Control 87%: p = 0.15). Restrained eating behaviours were significantly higher in the NAFLD group (p = 0.005), who also recorded more steps per day than the obese controls (p = 0.01). In conclusion, this is the first study to assess dietary and activity patterns in a UK paediatric NAFLD population. Only a minority of cases and controls were meeting current dietary and physical activity recommendations. Our findings do not support development of specific dietary/ physical activity guidelines for children with NAFLD; promoting adherence with current general paediatric recommendations for health should remain the focus of clinical management. Full article