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Global resource extraction raises concerns about environmental pressures and the security of mineral supply. Strategies to address these concerns depend on robust information on natural resource endowments, and on suitable methods to monitor and model their changes over time. However, current mineral resources and reserves reporting and accounting workflows are poorly suited for addressing mineral depletion or answering questions about the long-term sustainable supply. Our integrative review finds that the lack of a robust theoretical concept and framework for mass-balance (MB)-consistent geological stock accounting hinders systematic industry-government data integration, resource governance, and strategy development. We evaluate the existing literature on geological stock accounting, identify shortcomings of current monitoring of mine production, and outline a conceptual framework for MB-consistent system integration based on material flow analysis (MFA). Our synthesis shows that recent developments in Earth observation, geoinformation management, and sustainability reporting act as catalysts that make MB-consistent geological stock accounting increasingly feasible. We propose first steps for its implementation and anticipate that our perspective as “resource realists” will facilitate the integration of geological and anthropogenic material systems, help secure future mineral supply, and support the global sustainability transition., Validerad;2024;Nivå 2;2024-01-16 (hanlid);Funder: Norwegian University of Science and Technology;Full text license: CC BY

Under climatic warming many species shift their seasonal timing of life cycle events (phenology) and seasonal abundance distribution, but whether they maintain the same thermal niche is still poorly understood. Here, we studied multidecadal trends in abundance and phenology of seven major copepod species across three stations (Stonehaven (SH), Helgoland Roads (HR), and Plymouth L4) on the North–West European shelf, spanning ~ 6.5° of latitude. All seven species consistently occupied colder temperatures at the northern station compared to the southerly station, but they maintained the same realized thermal niche over years. Expected phenological shifts (i.e., earlier when warmer) in some stations were obscured possibly by the long-term drop of copepod density in spring–summer, which may be due to a variation in the food/predators abundance. The ongoing spring–summer declines in abundance (~ 50%) of many North Atlantic pelagic species over the last five decades, as found in recent studies, may have also influenced the metrics of seasonal timing. To separate the seasonal timing of life events from that of seasonal abundance distribution, we used a time series of egg production rate (EPR) of Calanus helgolandicus at L4, and found that this shifted later into the summer–autumn over the last 30 yr of warming, coincident with declining spring–summer food and increasing predator abundance. Overall, direct temperature effects do appear to influence the seasonal timing of the copepods, but to explain impacts at individual stations or long-term trends in population size or phenology, understanding the changing balance of food and predators appears to be critical.

Assessment literacy skills are increasingly recognized as being important for student success in higher education. However, as a field of study, it is not well-researched except in the context of language assessment. This paper delves into critical theoretical underpinnings and practical strategies that can be used to develop assessment literacy among university students. Based on a constructivist view, this paper discusses how social interactions and cultural practices interplay to shape students’ conceptual understanding of assessment. It argues that effective assessment literacy embodies understanding the purposes of assessment, interpreting criteria, and using feedback to improve constantly. This means integrating the development of assessment literacy into curriculum design using experiential learning and developing self-regulated learning strategies. The goal is to provide a primer for university educators and instigate reflection and debate on how best to support students when engaging with diverse assessment practices to enhance their academic achievement and skills for lifelong learning.

Antiretroviral therapy has been effective in suppressing HIV viral load and enabling people living with HIV to experience longer, more conventional lives. However, as people living with HIV are living longer, they are developing aging-related diseases prematurely and are more susceptible to comorbidities that have been linked to chronic inflammation. Coincident with HIV infection and aging, drug abuse has also been independently associated with gut dysbiosis, microbial translocation, and inflammation. Here, we hypothesized that injection drug use would exacerbate HIV-induced immune activation and inflammation, thereby intensifying immune dysfunction. We recruited 50 individuals not using injection drugs (36/50 HIV+) and 47 people who inject drugs (PWID, 12/47 HIV+). All but 3 of the HIV+ subjects were on antiretroviral therapy. Plasma immune profiles were characterized by immunoproteomics, and cellular immunophenotypes were assessed using mass cytometry. The immune profiles of HIV+/PWID−, HIV−/PWID+, and HIV+/PWID+ were each significantly different from controls; however, few differences between these groups were detected, and only 3 inflammatory mediators and 2 immune cell populations demonstrated a combinatorial effect of injection drug use and HIV infection. In conclusion, a comprehensive analysis of inflammatory mediators and cell immunophenotypes revealed remarkably similar patterns of immune dysfunction in HIV-infected individuals and in people who inject drugs with and without HIV-1 infection.

The Torres Strait Spanish mackerel fishery commenced in 1941. The fishery for Spanish mackerel is by line fishing only and managed as a single stock. Spanish mackerel are important to the Torres Strait people and fishing culture. They are an economic and traditional food source. The Australian Fisheries Management Authority commissioned annual updates to the Torres Strait Spanish mackerel stock assessment for three years 2021–2023. This was to support quota management and to monitor spawning biomass estimates. This stock assessment analysed data up to June 2023. The assessment was overseen by the Torres Strait Finfish Fishery Resource Assessment Group (TSFFRAG). Across analyses, the median estimated spawning biomass of Spanish mackerel in the 2022–2023 financial year (labelled the 2023 fishing year) was 41 percent of unfished estimates at the start of the fishery in 1941.

The overriding physicochemical controls in seawater discussed here are the chemical composition and the state of master variables including temperature, pressure, salinity, pH and redox status. Dissolved Organic Matter also plays a major role, but since its properties are not sufficiently well quantified it is described as an emergent master variable at this stage. The theoretical basis for the treatment of equilibrium chemistry and kinetics is presented, together with projections of the future development of seawater chemistry resulting from climate change. Key points • Composition of seawater • Master variables (temperature, pressure, pH, oxygen/redox state) • The role of Dissolved Organic Matter • Equilibrium chemistry • Kinetics • The consequences of ongoing global changes

The Antarctic seasonal sea-ice zone (SIZ) is one of the most extensive and dynamic habitats on Earth. In summer, increased insolation and ice melt cause primary production to peak, sustaining large populations of locally-breeding seabirds. Due to their hypermobility, large Procellariiformes, including albatrosses, breeding in the subantarctic also have the potential to access the SIZ and track macroscale resource waves over the Sothern Ocean but the extent to which they do this is poorly known. Here, we analysed the foraging movements of breeding albatrosses and large petrels (seven species, 1298 individuals) recorded using GPS loggers and satellite-transmitters to quantify their use of sea-ice habitats and test whether they tracked seasonal drivers of primary production. Foraging latitudes of white-chinned petrels Procellaria aequinoctialis and black-browed Thalassarche melanophris, grey-headed T. chrysostoma and wandering albatrosses Diomedea exulans varied sinusoidally over the breeding season, presumably in response to lagged effects of solar irradiance on primary production. Foraging latitudes of northern and southern giant petrels (Macronectes halli and M. giganteus), and light-mantled albatrosses Phoebetria palpebrata, exhibited no strong seasonal trend, but the latter two species spent ≥ 20 % of their time in the SIZ during incubation and post-brood, prior to or at the time of the spring ice breakup. Southern giant petrels travelled 100 s of km into the pack ice, encountering sea-ice concentrations up to 100 %, whereas light-mantled albatrosses remained almost exclusively in open water near the Marginal Ice Zone (MIZ). The remaining species spent up to 15 % of their time in the SIZ, typically from 5-7 weeks after breakup, and avoided the MIZ. This supports hypotheses that sea ice presents albatrosses but not giant petrels with physical barriers to flight or foraging, and that open-water-affiliated species use the SIZ only after primary production stimulated

The endorsement of irrational beliefs is detrimental to the psychological health of an athlete and hinders psychological resilience, that is, ability to respond to adversity in a functional and adaptive manner. In Rational Emotive Behaviour Therapy (REBT), there are some core irrational beliefs that underlie mental illness, and there are some core rational beliefs that underpin mental health. The application of clinical psychotherapeutic frameworks marks a shift in psychological interventions in sport. This chapter presents an approach that moves beyond typical psychological-skills training as would be found with the Canon of sport psychology, and expands the library of approaches from which sport psychologists are able to draw upon. It discusses intervention effects, professional competence, blurred boundaries between therapy and mental skills training, consultant’s experience, and professional practice guidelines. REBT practitioners are focused on exploring the breadth of adversities athletes may encounter, and whether their behaviours help or hinder goal achievement.

Metabolism underpins all life-sustaining processes and varies profoundly with body size, temperature and locomotor activity. A current theory explains some of the size-dependence of metabolic rate (its mass exponent, b) through changes in metabolic level (L). We propose two predictive advances that: (a) combine the above theory with the evolved avoidance of oxygen limitation in water-breathers experiencing warming, and (b) quantify the overall magnitude of combined temperatures and degrees of locomotion on metabolic scaling across air- and water-breathers. We use intraspecific metabolic scaling responses to temperature (523 regressions) and activity (281 regressions) in diverse ectothermic vertebrates (fish, reptiles and amphibians) to show that b decreases with temperature-increased L in water-breathers, supporting surface area-related avoidance of oxygen limitation, whereas b increases with activity-increased L in air-breathers, following volume-related influences. This new theoretical integration quantitatively incorporates different influences (warming, locomotion) and respiration modes (aquatic, terrestrial) on animal energetics.

The sub-Antarctic waters of South Georgia Island (Islas Georgias del Sur, SG/IG) are a regularly visited feeding ground for southern right whales (Eubalaena australis, SRW) in the southwest Atlantic. Satellite telemetry and photo-identification records were compared to better understand the role of SG/IG in the SRW migratory network. We present the first insights from SRW satellite-tracked from the SG/IG feeding ground, habitat use patterns in the Scotia Arc, and movements to Antarctic habitats. Photo-identification comparisons to calving and feeding areas across the South Atlantic and a review of sightings of cetaceans reported from Bird Island (west of SG/IG) since 1979 illuminate long-term habitat use patterns in SG/IG. We present the first recorded migratory movement between SG/IG and multiple countries: Argentina, Uruguay, and Brazil. Photo-identification (1) linked SG/IG to a female SRW with a long-term sighting history in Brazil, and (2) provided the first match between SG/IG and the western Antarctic Peninsula, suggesting the latter could extend the feeding area for southwest Atlantic SRW. Satellite tracking and opportunistic sightings suggest that shelf and coastal waters west of SG/IG represent an important multi-season SRW feeding habitat and add to our overall understanding of habitats and ranges occupied by recovering southwest Atlantic SRW.

Tactile discrimination has been extensively studied, but mechanical pain discrimination remains poorly characterized. Here, we measured the capacity for mechanical pain discrimination using a two-alternative forced choice paradigm, with force-calibrated indentation stimuli (Semmes-Weinstein monofilaments) applied to the hand and foot dorsa of healthy human volunteers. In order to characterize the relationship between peripheral nociceptor activity and pain perception, we recorded single-unit activity from myelinated (A) and unmyelinated (C) mechanosensitive nociceptors in the skin using microneurography. At the perceptual level, we found that the foot was better at discriminating noxious forces than the hand, which stands in contrast to that for innocuous force discrimination, where the hand performed better than the foot. This observation of superior mechanical pain discrimination on the foot compared to the hand could not be explained by the responsiveness of individual nociceptors. We found no significant difference in the discrimination performance of either the myelinated or unmyelinated class of nociceptors between skin regions. This suggests the possibility that other factors such as skin biophysics, receptor density or central mechanisms may underlie these regional differences., Funding Agencies|Swedish Research Council; Knut and Alice Wallenberg Foundation; ALF Grants, Region Ostergoetland; Pain Relief Foundation, Liverpool; Svenska Laekaresaellskapet

The ocean carbonate system is critical to monitor because it plays a major role in regulating Earth's climate and marine ecosystems. It is monitored using a variety of measurements, and it is commonly understood that all components of seawater carbonate chemistry can be calculated when at least two carbonate system variables are measured. However, several recent studies have highlighted systematic discrepancies between calculated and directly measured carbonate chemistry variables and these discrepancies have large implications for efforts to measure and quantify the changing ocean carbon cycle. Given this, the Ocean Carbonate System Intercomparison Forum (OCSIF) was formed as a working group through the Ocean Carbon and Biogeochemistry program to coordinate and recommend research to quantify and/or reduce uncertainties and disagreements in measurable seawater carbonate system measurements and calculations, identify unknown or overlooked sources of these uncertainties, and provide recommendations for making progress on community efforts despite these uncertainties. With this paper we aim to (1) summarize recent progress toward quantifying and reducing carbonate system uncertainties; (2) advocate for research to further reduce and better quantify carbonate system measurement uncertainties; (3) present a small amount of new data, metadata, and analysis related to uncertainties in carbonate system measurements; and (4) restate and explain the rationales behind several OCSIF recommendations. We focus on open ocean carbonate chemistry, and caution that the considerations we discuss become further complicated in coastal, estuarine, and sedimentary environments

Through diverse roles, zinc determines a greater number of critical life functions than any other single micronutrient. Beyond the well-recognized importance of zinc for child growth and resistance to infections, zinc has numerous specific roles covering the regulation of glucose metabolism, and growing evidence links zinc deficiency with increased risk of diabetes and cardiometabolic disorders. Zinc nutriture is thus vitally important to health across the life course. Zinc deficiency is also one of the most common forms of micronutrient malnutrition globally. A clearer estimate of the burden of health disparity attributable to zinc deficiency in adulthood and later life emerges when accounting for its contribution to global elevated fasting blood glucose and related non-communicable diseases (NCDs). Yet progress attenuating its prevalence has been limited due, in part, to the lack of sensitive and specific methods to assess human zinc status. This narrative review covers recent developments in our understanding of zinc's role in health; the impact of the changing climate and global context on zinc intake; novel functional biomarkers showing promise for monitoring population-level interventions; and solutions for improving population zinc intake. It aims to spur on implementation of evidence-based interventions for preventing and controlling zinc deficiency across the life course. Increasing zinc intake and combatting global zinc deficiency requires context-specific strategies and a combination of complementary, evidence-based interventions including supplementation, food fortification, and food and agricultural solutions such as biofortification, alongside efforts to improve zinc bioavailability. Enhancing dietary zinc content and bioavailability through zinc biofortification is an inclusive nutrition solution that can benefit the most vulnerable individuals and populations affected by inadequate diets to the greatest extent.

Gravitational-wave astronomy has developed enormously over the last decade with the first detections across different frequency bands, but has yet to access $0.1-10$ $\mathrm{Hz}$ gravitational waves. Gravitational waves in this band are emitted by some of the most enigmatic sources, including intermediate-mass binary black hole mergers, early inspiralling compact binaries, and possibly cosmic inflation. To tap this exciting band, we propose the construction of a detector based on pulsar timing principles, the Artificial Precision Timing Array (APTA). We envision APTA as a solar system array of artificial "pulsars"$-$precision-clock-carrying satellites that emit pulsing electromagnetic signals towards Earth or other centrum. In this fundamental study, we estimate the clock precision needed for APTA to successfully detect gravitational waves. Our results suggest that a clock relative uncertainty of $10^{-17}$, which is currently attainable, would be sufficient for APTA to surpass LISA's sensitivity in the decihertz band and observe $10^3-10^4$ $\mathrm{M}_\odot$ black hole mergers. Future atomic clock technology realistically expected in the next decade would enable the detection of an increasingly diverse set of astrophysical sources, including stellar-mass compact binaries that merge in the LIGO-Virgo-KAGRA band, extreme-mass-ratio inspirals, and Type Ia supernovae. This work opens up a new area of research into designing and constructing artificial gravitational-wave detectors relying on the successful principles of pulsar timing., Comment: 10 pages, 3 figures

Double lobe radio sources associated with active galactic nuclei represent one of the longest studied groups in radio astronomy. A particular sub-group of double radio sources comprises the compact symmetric objects (CSOs). CSOs are distinguished by their prominent double structure and sub-kpc total size. It has been argued that the vast majority of high-luminosity CSOs (CSO 2s) represent a distinct class of active galactic nuclei with its own morphological structure and life-cycle. In this work, we present theoretical considerations regarding CSO 2s. We develop a semi-analytic evolutionary model, inspired by the results of large-scale numerical simulations of relativistic jets, that reproduces the features of the radio source population. We show that CSO 2s may be generated by finite energy injections and propose stellar tidal disruption events as a possible cause. We find that tidal disruption events of giant branch stars with masses $\gtrsim1$ M$_\odot$ can fuel these sources and discuss possible approaches to confirming this hypothesis. We predict that if the tidal disruption scenario holds, CSO 2s with sizes less than 400 pc should outnumber larger sources by more than a factor of $10$. Our results motivate future numerical studies to determine whether the scenarios we consider for fueling and source evolution can explain the observed radio morphologies. Multiwavelength observational campaigns directed at these sources will also provide critical insight into the origins of these objects, their environments, and their lifespans., Comment: 9 pages, 4 figures; Accepted for publication in MNRAS

There is an urgent need to improve conventional cancer-treatments by preventing detrimental side effects, cancer recurrence and metastases. Recent studies have shown that presence of senescent cells in tissues treated with chemo- or radiotherapy can be used to predict the effectiveness of cancer treatment. However, although the accumulation of senescent cells is one of the hallmarks of cancer, surprisingly little progress has been made in development of strategies for their detection in vivo. To address a lack of detection tools, we developed a biocompatible, injectable organic nanoprobe (NanoJagg), which is selectively taken up by senescent cells and accumulates in the lysosomes. The NanoJagg probe is obtained by self-assembly of indocyanine green (ICG) dimers using a scalable manufacturing process and characterized by a unique spectral signature suitable for both photoacoustic tomography (PAT) and fluorescence imaging. In vitro, ex vivo and in vivo studies all indicate that NanoJaggs are a clinically translatable probe for detection of senescence and their PAT signal makes them suitable for longitudinal monitoring of the senescence burden in solid tumors after chemotherapy or radiotherapy.

The adiposity influence on colorectal cancer prognosis remains poorly characterised. We performed a systematic review and meta-analysis on post-diagnosis adiposity measures (body mass index [BMI], waist circumference, waist-to-hip ratio, weight) or their changes and colorectal cancer outcomes. PubMed and Embase were searched through 28 February 2022. Random-effects meta-analyses were conducted when at least three studies had sufficient information. The quality of evidence was interpreted and graded by the Global Cancer Update Programme (CUP Global) independent Expert Committee on Cancer Survivorship and Expert Panel. We reviewed 124 observational studies (85 publications). Meta-analyses were possible for BMI and all-cause mortality, colorectal cancer-specific mortality, and cancer recurrence/disease-free survival. Non-linear meta-analysis indicated a reverse J-shaped association between BMI and colorectal cancer outcomes (nadir at BMI 28 kg/m2). The highest risk, relative to the nadir, was observed at both ends of the BMI distribution (18 and 38 kg/m2), namely 60% and 23% higher risk for all-cause mortality; 95% and 26% for colorectal cancer-specific mortality; and 37% and 24% for cancer recurrence/disease-free survival, respectively. The higher risk with low BMI was attenuated in secondary analyses of RCTs (compared to cohort studies), among studies with longer follow-up, and in women suggesting potential methodological limitations and/or altered physiological state. Descriptively synthesised studies on other adiposity-outcome associations of interest were limited in number and methodological quality. All the associations were graded as limited (likelihood of causality: no conclusion) due to potential methodological limitations (reverse causation, confounding, selection bias). Additional well-designed observational studies and interventional trials are needed to provide further clarification., The adiposity influence on colorectal cancer prognosis remains poorly characterised. We performed a systematic review and meta-analysis on post-diagnosis adiposity measures (body mass index [BMI], waist circumference, waist-to-hip ratio, weight) or their changes and colorectal cancer outcomes. PubMed and Embase were searched through 28 February 2022. Random-effects meta-analyses were conducted when at least three studies had sufficient information. The quality of evidence was interpreted and graded by the Global Cancer Update Programme (CUP Global) independent Expert Committee on Cancer Survivorship and Expert Panel. We reviewed 124 observational studies (85 publications). Meta-analyses were possible for BMI and all-cause mortality, colorectal cancer-specific mortality, and cancer recurrence/disease-free survival. Non-linear meta-analysis indicated a reverse J-shaped association between BMI and colorectal cancer outcomes (nadir at BMI 28 kg/m2). The highest risk, relative to the nadir, was observed at both ends of the BMI distribution (18 and 38 kg/m2), namely 60% and 23% higher risk for all-cause mortality; 95% and 26% for colorectal cancer-specific mortality; and 37% and 24% for cancer recurrence/disease-free survival, respectively. The higher risk with low BMI was attenuated in secondary analyses of RCTs (compared to cohort studies), among studies with longer follow-up, and in women suggesting potential methodological limitations and/or altered physiological state. Descriptively synthesised studies on other adiposity-outcome associations of interest were limited in number and methodological quality. All the associations were graded as limited (likelihood of causality: no conclusion) due to potential methodological limitations (reverse causation, confounding, selection bias). Additional well-designed observational studies and interventional trials are needed to provide further clarification.

The role of diet in colorectal cancer prognosis is not well understood and specific lifestyle recommendations are lacking. We searched for randomised controlled trials (RCTs) and longitudinal observational studies on post-diagnosis dietary factors, supplement use and colorectal cancer survival outcomes in PubMed and Embase from inception until 28th February 2022. Random-effects dose–response meta-analyses were conducted when at least three studies had sufficient information. The evidence was interpreted and graded by the CUP Global independent Expert Committee on Cancer Survivorship and Expert Panel. Five RCTs and 35 observational studies were included (30,242 cases, over 8700 all-cause and 2100 colorectal cancer deaths, 3700 progression, recurrence, or disease-free events). Meta-analyses, including 3–10 observational studies each, were conducted for: whole grains, nuts/peanuts, red and processed meat, dairy products, sugary drinks, artificially sweetened beverages, coffee, alcohol, dietary glycaemic load/index, insulin load/index, marine omega-3 polyunsaturated fatty acids, supplemental calcium, circulating 25-hydroxyvitamin D (25[OH]D) and all-cause mortality; for alcohol, supplemental calcium, circulating 25(OH)D and colorectal cancer-specific mortality; and for circulating 25(OH)D and recurrence/disease-free survival. The overall evidence was graded as ‘limited’. The inverse associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant-based foods), whole grains, total, caffeinated, or decaffeinated coffee and all-cause mortality and the positive associations between unhealthy dietary patterns, sugary drinks and all-cause mortality provided ‘limited—suggestive’ evidence. All other exposure-outcome associations provided ‘limited—no conclusion’ evidence. Additional, well-conducted cohort studies and carefully designed RCTs are needed to develop specific lifestyle recommendations for colorectal cancer survivors., The role of diet in colorectal cancer prognosis is not well understood and specific lifestyle recommendations are lacking. We searched for randomised controlled trials (RCTs) and longitudinal observational studies on post-diagnosis dietary factors, supplement use and colorectal cancer survival outcomes in PubMed and Embase from inception until 28th February 2022. Random-effects dose–response meta-analyses were conducted when at least three studies had sufficient information. The evidence was interpreted and graded by the CUP Global independent Expert Committee on Cancer Survivorship and Expert Panel. Five RCTs and 35 observational studies were included (30,242 cases, over 8700 all-cause and 2100 colorectal cancer deaths, 3700 progression, recurrence, or disease-free events). Meta-analyses, including 3–10 observational studies each, were conducted for: whole grains, nuts/peanuts, red and processed meat, dairy products, sugary drinks, artificially sweetened beverages, coffee, alcohol, dietary glycaemic load/index, insulin load/index, marine omega-3 polyunsaturated fatty acids, supplemental calcium, circulating 25-hydroxyvitamin D (25[OH]D) and all-cause mortality; for alcohol, supplemental calcium, circulating 25(OH)D and colorectal cancer-specific mortality; and for circulating 25(OH)D and recurrence/disease-free survival. The overall evidence was graded as ‘limited’. The inverse associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant-based foods), whole grains, total, caffeinated, or decaffeinated coffee and all-cause mortality and the positive associations between unhealthy dietary patterns, sugary drinks and all-cause mortality provided ‘limited—suggestive’ evidence. All other exposure-outcome associations provided ‘limited—no conclusion’ evidence. Additional, well-conducted cohort studies and carefully designed RCTs are needed to develop specific lifestyle recommendations for colorectal cancer survivors.

Low physical activity and high sedentary behaviour have been clearly linked with colorectal cancer development, yet data on their potential role in colorectal cancer survival is limited. Better characterisation of these relationships is needed for the development of post-diagnosis physical activity and sedentary behaviour guidance for colorectal cancer survivors. We searched PubMed and Embase through 28 February 2022 for studies assessing post-diagnosis physical activity, and/or sedentary behaviour in relation to all-cause and cause-specific mortality and recurrence after colorectal cancer diagnosis. Total and recreational physical activity were assessed overall and by frequency, duration, intensity, and volume using categorical, linear, and non-linear dose–response random-effects meta-analyses. The Global Cancer Update Programme (CUP Global) independent Expert Committee on Cancer Survivorship and Expert Panel interpreted and graded the likelihood of causality. We identified 16 observational studies on 82,220 non-overlapping patients from six countries. Physical activity was consistently inversely associated with colorectal cancer morbidity and mortality outcomes, with 13%–60% estimated reductions in risk. Sedentary behaviour was positively associated with all-cause mortality. The evidence had methodological limitations including potential confounding, selection bias and reverse causation, coupled with a limited number of studies for most associations. The CUP Global Expert panel concluded limited-suggestive evidence for recreational physical activity with all-cause mortality and cancer recurrence. Total physical activity and its specific domains and dimensions, and sedentary behaviour were all graded as limited-no conclusion for all outcomes. Future research should focus on randomised trials, while observational studies should obtain objective and repeated physical activity measures and better adjustment for confounders., Low physical activity and high sedentary behaviour have been clearly linked with colorectal cancer development, yet data on their potential role in colorectal cancer survival is limited. Better characterisation of these relationships is needed for the development of post-diagnosis physical activity and sedentary behaviour guidance for colorectal cancer survivors. We searched PubMed and Embase through 28 February 2022 for studies assessing post-diagnosis physical activity, and/or sedentary behaviour in relation to all-cause and cause-specific mortality and recurrence after colorectal cancer diagnosis. Total and recreational physical activity were assessed overall and by frequency, duration, intensity, and volume using categorical, linear, and non-linear dose–response random-effects meta-analyses. The Global Cancer Update Programme (CUP Global) independent Expert Committee on Cancer Survivorship and Expert Panel interpreted and graded the likelihood of causality. We identified 16 observational studies on 82,220 non-overlapping patients from six countries. Physical activity was consistently inversely associated with colorectal cancer morbidity and mortality outcomes, with 13%–60% estimated reductions in risk. Sedentary behaviour was positively associated with all-cause mortality. The evidence had methodological limitations including potential confounding, selection bias and reverse causation, coupled with a limited number of studies for most associations. The CUP Global Expert panel concluded limited-suggestive evidence for recreational physical activity with all-cause mortality and cancer recurrence. Total physical activity and its specific domains and dimensions, and sedentary behaviour were all graded as limited-no conclusion for all outcomes. Future research should focus on randomised trials, while observational studies should obtain objective and repeated physical activity measures and better adjustment for confounders.

Based on the World Cancer Research Fund Global Cancer Update Programme, we performed systematic reviews and meta-analyses to investigate the association of post-diagnosis adiposity, physical activity, sedentary behaviour, and dietary factors with colorectal cancer prognosis. We searched PubMed and Embase until 28th February, 2022. An independent expert committee and expert panel graded the quality of evidence. A total of 167 unique publications were reviewed, and all but five were observational studies. The quality of the evidence was graded conservatively due to the high risk of several biases. There was evidence of non-linearity in the associations between body mass index and colorectal cancer prognosis. The associations appeared reverse J-shaped, and the quality of this evidence was graded as limited (likelihood of causality: limited-no conclusion). The evidence on recreational physical activity and lower risk of all-cause mortality (relative risk [RR] highest vs. lowest: 0.69, 95% confidence interval [CI]: 0.62–0.77) and recurrence/disease-free survival (RR: 0.80, 95% CI: 0.70–0.92) was graded as limited-suggestive. There was limited-suggestive evidence for the associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant-based foods), intake of whole grains and coffee with lower risk of all-cause mortality, and between unhealthy dietary patterns and intake of sugary drinks with higher risk of all-cause mortality. The evidence for other exposures on colorectal cancer outcomes was sparse and graded as limited-no conclusion. Analyses were conducted excluding cancer patients with metastases without substantial changes in the findings. Well-designed intervention and cohort studies are needed to support the development of lifestyle recommendations for colorectal cancer patients., Based on the World Cancer Research Fund Global Cancer Update Programme, we performed systematic reviews and meta-analyses to investigate the association of post-diagnosis adiposity, physical activity, sedentary behaviour, and dietary factors with colorectal cancer prognosis. We searched PubMed and Embase until 28th February, 2022. An independent expert committee and expert panel graded the quality of evidence. A total of 167 unique publications were reviewed, and all but five were observational studies. The quality of the evidence was graded conservatively due to the high risk of several biases. There was evidence of non-linearity in the associations between body mass index and colorectal cancer prognosis. The associations appeared reverse J-shaped, and the quality of this evidence was graded as limited (likelihood of causality: limited-no conclusion). The evidence on recreational physical activity and lower risk of all-cause mortality (relative risk [RR] highest vs. lowest: 0.69, 95% confidence interval [CI]: 0.62–0.77) and recurrence/disease-free survival (RR: 0.80, 95% CI: 0.70–0.92) was graded as limited-suggestive. There was limited-suggestive evidence for the associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant-based foods), intake of whole grains and coffee with lower risk of all-cause mortality, and between unhealthy dietary patterns and intake of sugary drinks with higher risk of all-cause mortality. The evidence for other exposures on colorectal cancer outcomes was sparse and graded as limited-no conclusion. Analyses were conducted excluding cancer patients with metastases without substantial changes in the findings. Well-designed intervention and cohort studies are needed to support the development of lifestyle recommendations for colorectal cancer patients.

Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.

Sexing bird species with monomorphic plumage is generally challenging, and sexual size dimorphism (SSD) is often used to develop morphometric-based sexing tools, e.g., using discriminant functions. Within species, local selection pressures, age-related and season-related growth may, however, induce geographical and temporal variations in body size and SSD. Such variations may complicate the development of reliable morphometric-based sexing methods at a broad scale. We first investigated body size variations in a migratory shorebird species with wide breeding and wintering ranges, the Sanderling Calidris alba, within the two breeding populations (Greenland and Russia) and three staging/wintering populations (United Kingdom, Iceland and Mauritania), which belong to the same flyway. Then, for samples from each region, we tested whether site-specific (i.e., “regional”) functions performed better than functions developed for birds from the other sites (i.e., “foreign” functions) or than an overall (“flyway”) function that combined all sampled individuals. We found minor variations in SSD between regions, but significant differences in body size between sexes and regions. Females were larger than males and, for instance, breeders had longer wings than staging and wintering birds. Regional functions had similar sexing efficiency as any other functions applied to sample from each region, except for Western Africa where the regional function performed slightly better than some of the other functions. Furthermore, the flyway function developed after merging all subsamples had a similar efficiency than the regional functions, i.e., from 75.4% to 90% of correct sex assignment depending on the region. Given the small or lack of benefit in using regional functions, we conclude that the flyway function can be used reliably to sex Sanderlings measured at different sites, years or seasons within the East Atlantic flyway. Our results may help to develop global sexing function for oth

Empty space myopia is a phenomenon that has been observed in pilots when flying in the open sky. Previous research has been conducted to develop training biofeedback devices to help pilot visual accommodation in empty skies. During future long-duration spaceflight, astronauts may also experience empty space myopia due to prolonged periods of time in vast space. Extended reality is a relatively novel technology that has emerged as a powerful tool for tracking ocular movements. Extended reality with auditory feedback may serve as a low-cost, easily applicable method to improve ciliary muscle control and vision during long-duration spaceflight to combat empty space myopia. In this paper, we review the effects of empty field myopia in space and report on the novel development of extended reality with auditory biofeedback as a potential astronaut training tool.

Communication and position sensing are among the most important capabilities for swarm robots to interact with their peers and perform tasks collaboratively. However, the hardware required to facilitate communication and position sensing is often too complicated, expensive, and bulky to be carried on swarm robots. Here we present Maneuverable Piccolissimo 3 (MP3), a minimalist, single motor drone capable of executing inter-robot communication via infrared light and triangulation-based sensing of relative bearing, distance, and elevation using message arrival time. Thanks to its novel design, MP3 can communicate with peers and localize itself using simple components, keeping its size and mass small and making it inherently safe for human interaction. We present the hardware and software design of MP3 and demonstrate its capability to localize itself, fly stably, and maneuver in the environment using peer-to-peer communication and sensing.

Low-precision quantization is recognized for its efficacy in neural network optimization. Our analysis reveals that non-quantized elementwise operations which are prevalent in layers such as parameterized activation functions, batch normalization, and quantization scaling dominate the inference cost of low-precision models. These non-quantized elementwise operations are commonly overlooked in SOTA efficiency metrics such as Arithmetic Computation Effort (ACE). In this paper, we propose ACEv2 - an extended version of ACE which offers a better alignment with the inference cost of quantized models and their energy consumption on ML hardware. Moreover, we introduce PikeLPN, a model that addresses these efficiency issues by applying quantization to both elementwise operations and multiply-accumulate operations. In particular, we present a novel quantization technique for batch normalization layers named QuantNorm which allows for quantizing the batch normalization parameters without compromising the model performance. Additionally, we propose applying Double Quantization where the quantization scaling parameters are quantized. Furthermore, we recognize and resolve the issue of distribution mismatch in Separable Convolution layers by introducing Distribution-Heterogeneous Quantization which enables quantizing them to low-precision. PikeLPN achieves Pareto-optimality in efficiency-accuracy trade-off with up to 3X efficiency improvement compared to SOTA low-precision models., Comment: Accepted in CVPR 2024. 10 Figures, 9 Tables

Despite their growing popularity, swarms of robots remain limited by the operating time of each individual. We present algorithms which allow a human to sculpt a swarm of robots into a shape that persists in space perpetually, independent of onboard energy constraints such as batteries. Robots generate a path through a shape such that robots cycle in and out of the shape. Robots inside the shape react to human initiated changes and adapt the path through the shape accordingly. Robots outside the shape recharge and return to the shape so that the shape can persist indefinitely. The presented algorithms communicate shape changes throughout the swarm using message passing and robot motion. These algorithms enable the swarm to persist through any arbitrary changes to the shape. We describe these algorithms in detail and present their performance in simulation and on a swarm of mobile robots. The result is a swarm behavior more suitable for extended duration, dynamic shape-based tasks in applications such as agriculture and emergency response., Comment: 20 pages, 17 figures

Academic researchers and social media entities grappling with the identification of hate speech face significant challenges, primarily due to the vast scale of data and the dynamic nature of hate speech. Given the ethical and practical limitations of large predictive models like ChatGPT in directly addressing such sensitive issues, our research has explored alternative advanced transformer-based and generative AI technologies since 2019. Specifically, we developed a new data labeling technique and established a proof of concept targeting anti-Semitic hate speech, utilizing a variety of transformer models such as BERT (arXiv:1810.04805), DistillBERT (arXiv:1910.01108), RoBERTa (arXiv:1907.11692), and LLaMA-2 (arXiv:2307.09288), complemented by the LoRA fine-tuning approach (arXiv:2106.09685). This paper delineates and evaluates the comparative efficacy of these cutting-edge methods in tackling the intricacies of hate speech detection, highlighting the need for responsible and carefully managed AI applications within sensitive contexts.

Zinc is an essential micronutrient, and its deficiency is perhaps the most prevalent and least understood worldwide. Recent advances have expanded the understanding of zinc's unique chemistry and molecular roles in a vast array of critical functions. However, beyond the concept of zinc absorption, few studies have explored the molecular basis of zinc bioavailability that determines the proportion of dietary zinc utilized in zinc-dependent processes in the body. The purpose of this review is to merge the concepts of zinc molecular biology and bioavailability with a focus on the molecular determinants of zinc luminal availability, absorption, transport, and utilization.