Search Results (16)

We sought to incorporate a community-based solution with a family health history (FHH) clinical support program (MeTree) integrated into well-patient appointments with the novel partnership of a public health state-level health information exchange (HIE). The Arkansas—Making History pilot project tested informatics compatibility among these systems and the patients’ electronic medical record (EPIC) in a rural clinic in the north central region of the state, having the state HIE as a means for patients to store and share their FHHs across multiple healthcare providers with updates in real time. We monitored for unexpected issues during the pilot and asked for the perspectives of patients and healthcare providers throughout the project to have a clear understanding of how to implement this project on a larger scale. The greatest barrier to project implementation was the inability of the state HIE to host or share the FHH data. We compensated for the lack of systems compatibility and documented valuable information about patient acceptability and usability of the MeTree platform, as well as gleaning important clinical outcome data from those who completed MeTree FHH accounts in an underserved area. Rural patients need additional technological support in the larger scaling of this project, both in available linkages to community clinics with patient-controlled options for how their data is stored and shared and in Internet connectivity and software options available for ease of use. Full article

While pandemics have long been a topic of discussion in public health, COVID-19 placed healthcare leaders in a completely new and challenging situation. This qualitative study sought to understand the personal experiences of healthcare professionals in leadership roles at the beginning of the COVID-19 pandemic. Sixteen in-depth interviews were conducted and recorded via Zoom. Most participants were men (n = 8, 57.1%) and had a doctorate or master’s degree (n = 8, 57.1%). The themes of mental health, dynamic infrastructure, and transformative experience emerged from our participants’ narratives. Most respondents reported heightened stress during that time and shared the institutional and personal mechanisms they used to deal with the situation. They were proud of their profession and their work. They discussed the “dynamic infrastructure” they experienced at the time that helped them lead. Feeling overworked was a common experience for them. Most considered leading during COVID-19 a “transformative experience” that taught them valuable lessons. They also witnessed acts of heroism as their colleagues continued to work during difficult times, even though some succumbed to COVID-19. Despite all the challenges and uncertainties healthcare professionals in leadership positions faced at the onset of COVID-19, their resilience, dedication, and commitment to their profession prevailed. In conclusion, the firsthand experiences recounted by healthcare leaders in this study shed light on the multifaceted nature of leadership during a global health crisis. Their unwavering resilience, dedication, and commitment stand as a testament to the fortitude required in such demanding circumstances. As the COVID-19 pandemic continues to evolve, the insights gleaned from this research bear significant implications for informing future strategies and support systems aimed at bolstering healthcare leadership worldwide. Full article

Early modern materials are not well represented in dye and mordant analyses despite extensive documentary evidence suggesting the enormous demand for coloured fabrics, even among those below the elite. Non-wovens likewise receive less attention than woven textiles despite their ubiquity in the early modern historical record. Knitted garments, in particular, have rarely been subjected to dye analysis. One garment is noteworthy for its colourfulness, despite not being visible in formal wear. Men throughout society wore knitted undergarments known as waistcoats from the late sixteenth century. The waistcoats under investigation here are from the collections at the London Museum and the Grimsthorpe and Drummond Castle Trust, Scotland. They are made of silk and are now a pale blue-green colour. Small samples were taken from each and subjected to a series of analytical techniques: micro-Raman spectroscopy, UV-Vis microspectrofluorimetry, and high-performance liquid chromatography (HPLC) coupled with a mass spectrometer. Using this protocol, it was possible to characterise the dyes in the waistcoats by ensuring that maximum information was gleaned from a sample before it was exhausted. Full article

This study delves into the realm of competitive sport fishing in Greece’s inland waters, where recent years have witnessed a notable surge in such activities. Despite the absence of official records, insights into the sport’s trend and the motivations and socio-demographic characteristics of anglers participating in fishing competitions were gleaned from digital data sourced from online platforms and interviews with anglers. Our findings illuminate the growing popularity of sport fishing in Greece, evident in the increasing number of fishing competitions and the burgeoning angling community. Predominantly male, anglers exhibit a strong dedication to catch-and-release practices, citing relaxation and socialization as primary motivations, with competitive aspirations also shaping their involvement. Moreover, the study highlights legislative gaps in inland water fisheries regulations, underscoring the need for updates to ensure sustainable management and to mitigate illegal activities. Additionally, there exists an opportunity to bolster anglers’ ecological awareness through targeted education initiatives. Ultimately, addressing these conclusions holds the potential to foster responsible fishing practices and contribute to the long-term sustainability of inland water fisheries. Full article

The story of Futijinhu 浮提金壺 (“Golden Pot of Futi”) in Shiyiji 拾遺記 (Record of Gleanings), whose authorship is traditionally attributed to Wang Jia (王嘉) from the Eastern Jin Dynasty, appears to be a Daoist rendition at first glance, reimagining the legend of Laozi’s Daodejing. However, upon closer examination of the depiction of “Golden Pot of Futi”, the characters with “Shentong Shanshu” (神通善書, supranormal cognition and exceptional writing ability) and the narrative of writing and its outcomes, it becomes evident that this tale harbors a multifaceted Buddhist essence. In the tale, one can observe the changes and diversity in the early methods of translating Buddhist scriptures into Chinese, the references and adaptations of Buddhist imagery and narratives by Daoists, the understanding and imagination of materials used for writing Buddhist scriptures and early iconographic forms, and even the author’s insights and responses to the evolving religious landscape of their era. When placed in a broader historical context, exploring the Buddhist elements in this tale further aids in understanding the dynamic interactions between Buddhism and Daoism during the Wei and Jin periods. Full article

In viral disease research, few diseases can compete with yellow fever for the volume of literature, historical significance, richness of the topics and the amount of strong interest among both scientists and laypersons. While the major foci of viral disease research shifted to other more pressing new diseases in recent decades, many critically important basic tasks still remain unfinished for yellow fever. Some of the examples include the mechanisms of transmission, the process leading to outbreak occurrence, environmental factors, dispersal, and viral persistence in nature. In this review, these subjects are analyzed in depth, based on information not only in old but in modern literatures, to fill in blanks and to update the current understanding on these topics. As a result, many valuable facts, ideas, and other types of information that complement the present knowledge were discovered. Very serious questions about the validity of the arbovirus concept and some research practices were also identified. The characteristics of YFV and its pattern of transmission that make this virus unique among viruses transmitted by Ae. aegypti were also explored. Another emphasis was identification of research questions. The discovery of a few historical surprises was an unexpected benefit. Full article

The Heilong-Amur river basin (HARB) is the largest transboundary river in Asia and is primarily located in its cold region. With global warming and geopolitical cooperation strengthening between Russia and China, the hydrology change and water security risks are receiving increasing attention. This study utilized the linear regression, Mann–Kendall, and cumulative anomaly methods to analyze changes observed in the upper HARB’s streamflow and water levels over 30 years. The collation of outcomes derived from the methods mentioned above, the indicators of the hydrological alterations process, and the range of variability approach method (IHA–RVA), coupled with results gleaned from the double cumulative curve method, facilitate a thorough evaluation of the perturbations in hydrologic indicators, as well as the impacts of anthropogenic activities. The results showed that the overall hydrological regimes of both streamflow and water levels at the Luoguhe (LGH), the Shangmachang (SMC), and the Kalunshan (KLS) displayed a mild decrease from 1988 to 2017. The streamflow decreased by 58%, 42%, and 38%, and water levels decreased by 48%, 53%, and 59%, respectively, at each station after the mutations. LGH station recorded the highest decrease rate in streamflow at 8.28 × 10⁸ m³/a, whereas the steepest rate of decline in water levels was observed at KLS station at 0.05 m/a. Despite the decreasing trend in the high pulse count of streamflow across the three stations, a slight increase in the high pulse duration of streamflow was noted at SMC and KLS. Precipitation changes were the primary driving force behind runoff alterations, contributing 62%, 84%, and 90% at LGH, SMC, and KLS, respectively, significantly higher than the contribution from anthropogenic activities (38%, 16%, and 10%, respectively). These findings also underscore the suitability of the methodologies employed in this study for application in cold regions. Full article

El Niño Southern Oscillation global coral bleaching events are increasing in frequency, yet the severity of mass coral bleaching is not geographically uniform. Based in Timor-Leste, the present project had two major objectives: (1) assess the baseline of reefs and coral health at four sites and (2) explore water quality and climate-related changes in ocean temperatures on these understudied reef systems. The impacts of climate change were surveyed on coral reefs before and after the 2016–2017 global underwater heatwave, (principally by following coral mortality). Temperature loggers were also deployed between surveys, which were compared to Coral Reef Watch (CRW) experimental virtual station sea surface temperature (SST). CRW is an important and widely used tool; however, we found that the remotely sensed SST was significantly warmer (>1 °C) than in situ temperature during the austral summer accruing 5.79-degree heating weeks. In situ temperature showed no accumulation. There were significant differences in coral cover, coral diversity, and nutrient concentrations between sites and depths, as well as a low prevalence of disease recorded in both years. Change in coral cover between surveys was attributed to reef heterogeneity from natural sources and localized anthropogenic impacts. Timor-Leste has both pristine and impacted reefs where coral cover and community composition varied significantly by site. Degradation was indicative of impacts from fishing and gleaning. The comparison of in situ temperature and remotely sensed SST indicated that bleaching stress in Timor-Leste is potentially mitigated by seasonal coastal upwelling during the Northwest monsoon season. As a climate refugium, the immediate conservation priority lies in the mitigation of localized anthropogenic impacts on coral reefs through increasing the management of expanding human-related sedimentation and fishing. Full article

Western Australia’s remote Kimberley coastline spans multiple Traditional Owner estates. Marine turtle nesting distribution and abundance in Indigenous Protected Areas and newly declared Marine Parks were assessed by aerial photogrammetry surveys for the Austral summer and winter nesting seasons. Images of nesting tracks were quantified in the lab and verified by ad hoc ground patrols. The rankings of log-scaled plots of track abundance and density give guidance to regional co-management planning. Spatial and temporal differences were detected in that remoter islands had higher nesting usage and few terrestrial predators. The surveys found year-round green turtle nesting peaking in summer, as well as spatial boundaries to the summer and winter flatback stocks. Summer surveys recorded 126.2 island activities per km and 17.7 mainland activities per km. Winter surveys recorded 65.3 island activities per km and quantified a known winter mainland rookery with 888 tracks/km. The three highest density rookeries were found to be winter flatback turtles at Cape Domett, summer green turtles at the Lacepede Islands and summer flatback turtles at Eighty Mile Beach. Moderate to lesser density nesting by summer green turtles and winter flatback turtles occurred in the North Kimberley offshore islands. Traditional Ecological Knowledge and ground-based surveys verified the harder-to-detect species (olive ridley or hawksbill turtles) with irregular nesting, low track persistence and non-aggregated nesting. Higher-density rookeries may provide locations for long-term monitoring using repeated aerial or ground surveys; however, the sparse or infrequently nesting species require insights gleaned by Tradition Ecological Knowledge. Common and conspicuous nesters are easily detected and ranked, but better-informed co-management requires additional ground surveys or surveys timed with the reproductive peaks of rarer species. Full article

The distribution of the Middle Spotted Woodpecker (Leiopicus medius) is restricted to mature deciduous forests with large trees, mainly oaks (Quercus spp.). Intensive forest management resulted in the loss of many suitable habitats, thus resulting in a decline in the population of this species. This study aimed to identify the parameters of foraging sites in the breeding season (April to June) and in the non-breeding season (other months). The research was conducted in the primeval oak-lime-hornbeam forest of the Białowieża National Park, where foraging woodpeckers were observed and detailed parameters of foraging sites were recorded. During the breeding season woodpeckers foraged primarily on European hornbeams (Carpinus betulus L.), but in non-breeding season the use of this tree species decreased by a factor of two, whereas the use of Norway spruces (Picea abies L.) increased more than twice. The most preferred tree species as a foraging site in both seasons was pedunculate oak (Quercus robur L.). In the non-breeding season, woodpeckers foraged at sites located higher, and the foraging session was longer compared with the breeding season. In both seasons, woodpeckers preferred dead and large trees and prey gleaning from the tree surface was their dominant foraging technique. Our results confirmed the key role of oaks and large trees, but also revealed the importance of European hornbeams and Norway spruces as foraging sites for the Middle Spotted Woodpecker. Full article

The use of cold spray deposition, coupled with diffusion-driven thermal postprocessing, is considered herein as a surface modification process such that near-surface microstructural, micromechanical, and microchemical property improvements can be procured for cost-effective and common aluminum alloy castings. Since the present work was an exploratory investigation into the realm of cold spray induced, high-pressure diecast aluminum subsurface property development and evolution, as well as surface modification, one significant aim was to formalize a set of fundamental observations for continued consideration of such an approach to achieving premium aluminum alloy properties from cost-effective alternatives. Nickel, copper, and titanium cold spray modified near-surface regions of the cost-effective high-pressure diecast A365 system was considered. Near-surface, subsurface, and surface evolution was documented across each of the three pure metal coatings. The analysis was continued across two postprocessing coating-substrate atomic diffusion inspired heat-treated conditions as well. Using energy-dispersive X-ray spectroscopy, field-emission scanning electron microscopy, optical microscopy, and various insights gleaned from an original contextualization of the relevant cold spray literature, noteworthy results were recorded and discussed herein. When copper feedstock was employed alongside thermal postprocessing, diverse surface-based intermetallic compounds formed alongside exotic diffusion zones and severely oxidized regions, thus eliminating thermally activated copper cold-sprayed consolidations from future work too. However, both nickel and titanium cold spray surface modification processing demonstrated potential and promise if correct processing stages were performed directly and chronologically. Consequently, a platform is presented for further research on cold sprayed surface microstructural and property modification of cost-effective alloyed aluminum castings. Full article

The biblical prophecy in Ezekiel 28:11–19 records a dirge against the king from Tyre. While the Hebrew Masoretic Text (MT) identifies the monarch as a cherub, the Greek Septuagint (LXX) distinguishes the royal from the cherub. Scholarly debates arise as to which edition represents the more original version of the prophecy. This article aims to contribute to the debates by adopting a text-critical approach to the two variant literary editions of the dirge, comparing and analyzing their differences, while incorporating insights gleaned from the extra-biblical literature originating from the ancient Near East, Second Temple Period, and Late Antiquity. The study reaches the conclusion that the current MT, with its presentation of a fluid boundary between the mortal and divine, likely builds on a more ancient interpretation of the Tyrian king. On the other hand, while the Hebrew Vorlage of LXX Ezekiel 28:12b–15 resembles the Hebrew text of the MT, the Greek translator modifies the text via literary allusions and syntactical rearrangement, so that the final result represents a later reception that suppresses any hints at the divinity of the Tyrian ruler. The result will contribute to our understanding of the historical development of the ancient Israelite religion. Full article

Background and objectives: Sialolithiasis is an inflammation of a salivary gland due to obstruction of salivary flow by a sialolith. We aim to assess potential factors that may predict lower morbidity following endoscopically assisted per-oral sialolith removal. Materials and Methods: Retrospective cohort study. Retrospective review of 100 records of patients with sialolithiasis, following surgical sialolith removal. A single medical center (Department of oral and maxillofacial surgery-Rabin Medical Center, Beilinson & Hasharon–Israel) survey. Data were gleaned from the patient files based on a structured questionnaire. Factors that may predict morbidity were evaluated using linear regression equation. Results: 59 of the subjects were men and 41 were women. The mean age of the patients in the study was 50 ± 17.5 years. Sialolith volume and past antibiotic treatment were positively associated while age was negatively associated with hospitalization duration. Conclusion: Early sialolith diagnosis and removal may lower postoperative morbidity. Full article

Mathematical models have played an essential role in interface design. This study focused on “mindsets”—people’s tacit beliefs about attributes—and investigated the extent to which: (1) mindsets can be extracted in a motion trajectory in target selection, and (2) a dynamic state-space model, such as the Kalman filter, helps quantify mindsets. Participants were experimentally manipulated to hold fixed or growth mindsets in a “mock” memory test, and later performed a concept-learning task in which the movement of the computer cursor was recorded in every trial. By inspecting motion trajectories of the cursor, we observed clear disparities in the impact of mindsets; participants who were induced with a fixed mindset moved the cursor faster as compared to those who were induced with a growth mindset. To examine further the mechanism of this influence, we fitted a Kalman filter model to the trajectory data; we found that system-level error-covariance in the Kalman filter model could effectively separate motion trajectories gleaned from the two mindset conditions. Taken together, results from the experiment suggest that people’s mindsets can be captured in motor trajectories in target selection and the Kalman filter helps quantify mindsets. It is argued that people’s personality, attitude, and mindset are embodied in motor behavior underlying target selection and these psychological variables can be studied mathematically with a feedback control system. Full article

The role of hedgerows in maintaining biodiversity in areas of intensive agriculture is well known, particularly for bats. However, few studies have addressed the importance of the intrinsic characteristics of hedgerows for bats and disentangled the relative effects of local and landscape characteristics of hedgerows on bat activity. In an acoustic survey, we assessed bat activity by recording bat calls using detectors and manually verified all calls using spectrogram analysis. The parameters used to determine local hedgerow structures were the length of the line of trees, of shrub hedgerows, of wooded hedgerows without shrubs and of hedgerows including the three strata (tree, shrub and herb) at a local scale. We assessed the influence of hedgerow structure and on bat activity with an approach considering both species and community, comparing two different scales, the local and the landscape. We highlighted the importance of hedgerow characteristics for bats on both the local and landscape scales even though responses differ between species and spatial scales. We found that the presence of trees in hedgerows exerts a generally positive influence on bat activity and that hedgerows with the three strata had lower bat activity than hedgerows with trees. In our study, some bats seemed to prefer agricultural landscapes dominated by wooded hedgerows and, on the local scale, hedgerows that include trees with little diversified among strata, except for gleaning species. Our study shows that in terms of hedgerow management, conservation efforts must be designed and undertaken on both the local and landscape scales. Full article