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We report on the first measurements of the structure of compressed liquid boron, as it crosses the melt line in dynamic shock-compression experiments at a pressure of 100 GPa. Temporally, spectrally and angularly resolving x-ray scattering provides an independent and accurate measurement of the compression factor 1.5 and the electron density of 4 × 10 ^23 cm ^−3 at moderate temperatures of 0.2–1 eV. At these conditions, the elastic scattering measurements provide the structure factor and indicate the liquid compressed phase with a coordination number of 8.3 in good agreement with predictions from first-principles molecular dynamic simulations.

Abstract Introduction First Nations, Inuit, and Métis (FNIM) peoples experience systemic health disparities within Ontario's healthcare system. Learning health systems (LHS) is a rapidly growing interdisciplinary area with the potential to address these inequitable health outcomes through a comprehensive health system that draws on science, informatics, incentives, and culture for ongoing innovation and improvement. However, global literature is in its infancy with grounding theories and principles still emerging. In addition, there is inadequate information on LHS within Ontario's health care context. Methods We conducted an environmental scan between January and April 2021 and again in June 2022 to identify existing frameworks, guidelines, and tools for designing, developing, implementing, and evaluating an LHS. Results We found 37 relevant sources. This paper maps the literature and identifies gaps in knowledge based on five key pillars: (a) data and evidence‐driven, (b) patient‐centeredness, (c) system‐supported, (d) cultural competencies enabled, and (e) the learning health system. Conclusion We provide recommendations for implementation accordingly. The literature on LHS provides a starting point to address the health disparities of FNIM peoples within the healthcare system but Indigenous community partnerships in LHS development and operation will be key to success.

This article presents a critical analysis of the use of biometrics in clinical practice and their inadequacies for Indigenous populations in Canada and globally. Misclassifications of health status based on biometrics have health implications across the lifespan, from gestation to older adulthood, which are also examined. The social determinants of health and of Indigenous health compound the impact of inaccurate biometrics on First Nations, Inuit and Métis populations. Moving forward, biometric use should be done in partnership with Indigenous peoples and with consideration of the surrounding context. Future research should consider bridging existing gaps in knowledge on this topic in culturally safe ways, to improve the quality and depth of information available and inform more equitable health care for Indigenous populations.

Abstract Objective: To identify preventable factors that contribute to the cross transmission of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) to patients in healthcare facilities. Design: A case–control study was conducted among inpatients on a coronavirus disease 2019 (COVID-19) outbreak unit. Setting: This study was conducted in a medical-surgical unit of a tertiary-care hospital in Nova Scotia in May 2021. Patients: Patients hospitalized on the unit for at least 12 hours and healthcare workers (HCW) working on the unit within 2 weeks of outbreak declaration were included. Methods: Risk factors for SARS-CoV-2 infection were analyzed using simple and multiple logistic regression. Whole-genome sequencing (WGS) was performed to identify SARS-CoV-2 strain relatedness. Network analysis was used to describe patient accommodation. Results: SARS-CoV-2 infections were identified in 21 patients (29.6%) and 11 HCWs (6.6%). WGS data revealed 4 distinct clades of related sequences. Several factors likely contributed to the outbreak, including failure to identify SARS-CoV-2, a largely incomplete or unvaccinated population, and patient wandering behaviors. The most significant risk factor for SARS-CoV-2 infection was room sharing with an infectious patient, which was the only factor that remained statistically significant following multivariate analysis (odds ratio [OR], 9.2l; 95% confidence interval [CI], 2.04–41.67; P = .004). Conclusions: This outbreak likely resulted from admission of 2 patients with COVID-19, with subsequent transmissions to 17 patients and 11 staff. WGS and bioinformatics analyses were critical to identifying previously unrecognized nosocomial transmissions of SARS-CoV-2. This study supports strategies to reduce nosocomial transmissions of SARS-CoV-2, such as single-patient rooms, promotion of COVID-19 vaccination, and infection prevention and control measures including management of wandering behaviors.

This article, written with parents as co-authors, has two aims: (1) to provide a critical view of the English child protection system based on parents’ views and to locate these views within contemporary child protection studies and (2) to present the transformative value of co-production in the context of child protection studies both as a form of critical scholarship and as a means to influence policy and practice. The current children’s social work system in England does not achieve good outcomes for families, and many children and parents frequently experience it as stigmatizing, inhumane, and harmful. The article presents the experience and recommendations for change produced by parents with a broad range of experience with child protection services in England. The Parents, Families and Allies Network worked with five allied organizations in which parents identified the extensive range of problems that the current system presents and ways forward to achieve more supportive, humane, and inclusive practice with families. Seven main themes emerged: a better definition of need and response to need; partnership, participation, and humane practice; improving legal representation and support in legal proceedings; better support in care proceedings; permanence that maintains links; a better response to domestic violence; and the lack of support for disabled children. The article discusses five features of the project that supported meaningful co-production: taking a political stance, choosing clear and feasible aims, incorporating a range of knowledge, the participation of parents with lived experience throughout all phases of the project, and not settling with just knowledge production.

Small landholders who grow sweet maize for the fresh produce market often also have cattle with little access to winter forage. Grazing cover crops with sweet maize stover can potentially increase the available nutritive value. A 3-year randomized complete block study with three replicates at New Mexico State University’s Alcalde Sustainable Agriculture Science Center compared sweet maize (Zea mays var. rugosa) with sweet maize relay intercropped at the V7–9 stage with cereal rye (rye: Secale cereale L.) or hairy vetch (vetch: Vicia villosa Roth) for early spring grazing. Intercropping the rye or hairy vetch into sweet maize did not influence the sweet maize stover biomass yield or nutritive value after the winter. The dry matter (DM) yield and crude protein (CP) concentration of hairy vetch biomass was greater (p < 0.01) than rye biomass (1.46 vs. 2.94 Mg DM ha−1 for rye and hairy vetch, respectively, and 145 vs. 193 g CP kg−1 for rye and hairy vetch, respectively). Average daily gains by yearling cattle were not different when grazing maize–rye or maize–vetch. Producers should consider the spring planting timing of the primary crop and the initiation of grazing in the winter or the spring to maximize the utilization of the previous crop’s residue (stover), as well as the cover crop itself.

Avibacterium paragallinarum (historically called Hemophilus paragallinarum) causes infectious coryza (IC), which is an acute respiratory disease of chickens. Recently, outbreaks of IC have been reported in Pennsylvania (PA) in broilers, layer pullets, and laying hens, causing significant respiratory disease and production losses. A tentative diagnosis of IC can be made based on history, clinical signs, and characteristic gross lesions. However, isolation and identification of the organism are required for a definitive diagnosis. Major challenges with the bacteriological diagnosis of A. paragallinarum include that the organism is difficult to isolate, slow-growing, and can only be successfully isolated during the acute stage of infection and secondary bacterial infections are also common. As there were very limited whole genomes of A. paragallinarum in the public databases, we carried out whole-genome sequencing (WGS) of PA isolates and based on the WGS data analysis; we designed a novel probe-based PCR assay targeting a highly conserved sequence in the recN, the DNA repair protein gene of A. paragallinarum. The assay includes an internal control, with a limit of detection (LOD) of 3.93 genomic copies. The PCR efficiency ranged between 90 and 97%, and diagnostic sensitivity of 98.5% compared with conventional gel-based PCR. The test was highly specific, and no cross-reactivity was observed with other species of Avibacterium and a range of other common poultry respiratory viral and bacterial pathogens. Real-time PCR testing on 419 clinical samples from suspected flocks yielded 94 positives and 365 negatives in agreement with diagnostic bacterial culture-based detection. We also compared the recN PCR assay with a previous HPG-2 based real-time PCR assay which showed a PCR efficiency of 79%.

A total of 163 S. aureus isolates; 113 from mastitic milk (MM) and 50 from bulk tank milk (BTM) (2008, 2013-2015) submitted for bacteriologic analysis at the Penn State Animal Diagnostic Laboratory were examined for their phenotypic and genotypic characteristics. Multi-locus sequence typing (MLST) analysis identified 16 unique sequence types (STs) which belonged to eight clonal complexes (CCs). Majority of the isolates were variants of CC97 (68.7%) and CC151 (25.1%). CC97 comprised of seven STs, of which two were new STs (ST3273, ST3274), while CC151 comprised of three STs of which ST3272 was identified for the first time. Several farms had more than one ST type that were either members of the same clonal complex or unrelated STs. On one farm, six different STs of both categories were seen over the years within the farm. It was observed that ST352 and ST151 were the two main clonal populations in cattle not only in Pennsylvania but also globally. Most isolates were susceptible to all the antibiotics evaluated. 6.7% of isolates showed resistance to vancomycin and penicillin. Two isolates of ST398 showed multidrug resistance (>3 antibiotics) against clindamycin, erythromycin, tetracycline, and penicillin. It was noted that 59 of 163 (36.2%) isolates encoded for enterotoxigenic genes. Enterotoxin genes seg/sei accounted for ~85% of enterotoxin positive isolates. Toxic shock syndrome gene tsst-1 alone was positive in two isolates (ST352, ST 2187). 97.5% of CC151 isolates were enterotoxin seg/sei positive. Most isolates were positive for lukED (95%) and lukAB (96.3%) leukotoxin genes. Bovine specific bi-component leucocidin lukMF' was present in 54% of isolates. A prominent observation of this study was the explicit association of lukMF' with lineages ST151 and ST352. In conclusion, the findings of the study, suggest that small number of S. aureus STs types (ST352, ST2187, ST3028, and ST151) are associated with majority of cases of bovine mastitis in Pennsylvania dairy farms. It was observed that one ST of S. aureus predominated in the herd and this ST can coexist with several other ST types of S. aureus strains. When STs were interpreted along with virulence, leucocidin genes and antimicrobial resistance, ST-variants allowed better interpretation of the S. aureus molecular epidemiologic findings specifically for tracing recurrence or persistence of infections in cow over time, among cows in the herd, and between herds in Pennsylvania.

Culture Change leaders in long term care have identified creative ways to implement a model of Person Directed Care to improve the client experience by providing choice, instilling dignity, and fostering deep relationships among its community members. One organization created an environment of care called ”The Small House” and educated its’ workforce using the Green House® Project Legacy Alignment program to redesign the organizational structure, experience and environment. Interviews were conducted with elders, staff, and family members (N=20) about their experiences living, working or visiting a Small House as compared to experiences in their previous dwelling, a traditional nursing home. They were asked to describe the biggest difference between the Small House and the traditional nursing home model, and the differences in the two models in terms of the food, personal care, and relationships. Study participants were also asked to rate on a likert scale satisfaction with their experiences in the traditional nursing home and the Small House. Results showed that satisfaction ratings were higher among all groups living, working, or visiting the Small House compared to the traditional nursing home setting. The themes that emerged most often in comparing the Small House homes to the traditional nursing home included choice, homelike atmosphere, positive sensory environment, and evidence of close relationships in the Small House. The Small House homes studied in this qualitative investigation appear to have captured the important elements that create real home and consistent care partners who know the elders deeply to keep them comfortable and engaged.

Sources and mechanisms of nutrient transport in lawn irrigation driven surface runoff are largely unknown. We investigated the transport of nitrogen (N) and phosphorus (P) in lawn irrigation driven surface runoff from a residential neighborhood (28 ha) of 56% impervious and 44% pervious areas. Pervious areas encompassing turfgrass (lawns) in the neighborhood were irrigated with the reclaimed water in common areas during the evening to late night and with the municipal water in homeowner's lawns during the morning. The stormwater outlet pipe draining the residential neighborhood was instrumented with a flow meter and Hach autosampler. Water samples were collected every 1-h and triple composite samples were obtained at 3-h intervals during an intensive sampling period of 1-week. Mean concentrations, over 56 sampling events, of total N (TN) and total P (TP) in surface runoff at the outlet pipe were 10.9±6.34 and 1.3±1.03 mg L-1, respectively. Of TN, the proportion of nitrate-N was 58% and other-N was 42%, whereas of TP, orthophosphate-P was 75% and other-P was 25%. Flow and nutrient (N and P) concentrations were lowest from 6:00 a.m. to noon, which corresponded with the use of municipal water and highest from 6:00 p.m. to midnight, which corresponded with the use of reclaimed water. This data suggests that N and P originating in lawn irrigation driven surface runoff from residential catchments is an important contributor of nutrients in surface waters.

Spirituality and religiosity are considered to be protective factors in the treatment of substance abuse. Little is known, however, about how adult attachment style may be associated with levels of spirituality and religiosity. This study explored adult at- tachment styles among individuals in inpatient treatment for substance abuse and dependence and determined if there were significant differences between spirituality and/or religiosity variables by adult attachment style within the sample. Results indicated that neither of the religiosity variables varied by attachment style, but that one of two subscales in the spirituality measure, existential purpose and meaning, did vary significantly. Specifically, differences between the Secure attachment group and the Fearful group were highly statistically significant, with the Secure group reporting higher levels ofexistential purpose and meaning. Differences between the Secure group and the Dismissing group approached significance, again with the Secure group’s scores being higher. This study has shown that social work and other mental health professionals serving individuals with substance related problems must understand that, in their efforts to increase spirituality in their clients as a protection against relapse, they should recognize the impact that attachment style may have on their clients’ spiritual lives.

Maize (Zea mays L.) stover is used globally as winter feed for livestock but the nutritive value is low, requiring supplementation. A 2-year randomized complete block study with three replicates at New Mexico State University’s Alcalde Sustainable Agriculture Science Center compared sweet maize (Zea mays var. rugosa; maize-alone) with sweet maize relay intercropped with oat (Avena sativa L.; maize-oat) or turnip (Brassica rapa L.; maize-turnip). Relay intercropping had no effect (p > 0.05) on sweet maize stover dry matter (DM) yield and there was no difference in aboveground biomass DM yield of the intercropped species. Turnip aboveground biomass had greater crude protein concentration and 48-h in vitro dry matter disappearance (IVDMD) than oat aboveground biomass. Relay intercropping with turnip improved sweet maize stover IVDMD (443, 439, and 515 g IVDMD kg−1 for maize-alone, maize-oat, and maize-turnip, respectively, p < 0.0001). Intercropping increased animal gains compared to maize-alone (0.36, 0.52, and 0.59 kg/day for maize-alone, maize-oat, and maize-turnip, respectively, p < 0.02), likely due to provision of additional crude protein. Relay intercropping oat or turnip into sweet maize is viable for improving sweet maize stover for fall forage. In addition turnip, specifically, had a positive effect on stover nutritive value.

Dendritic cells (DC) have been implicated in the defective function of the immune system during cancer progression. We have demonstrated that patients with cancer have fewer myeloid (CD11c+) and plasmacytoid (CD123hi) DC and a concurrent accumulation of CD11c−CD123− immature cells expressing HLA-DR (DR+IC). Notably, DR+IC from cancer patients have a reduced capacity to stimulate allogeneic T-cells. DR+IC are also present in healthy donors, albeit in smaller numbers. In this study, we assessed whether DR+IC could have an impact on the immune response by comparing their function with DC counterparts. For this purpose, DR+IC and DC were purified and tested in the presentation of antigens through major histocompatibility complex (MHC) II and MHC-I molecules. DR+IC were less efficient than DC at presenting antigens to T-cells. DR`IC induced a limited activation of T-cells, eliciting poor T-helper (Th) 1 and preferentially inducing Th2-biased responses. Importantly, despite DR+IC's poor responsiveness to inflammatory factors, in samples from healthy volunteers and breast cancer patients, CD40 ligation induced phenotypic maturation and interleukin 12 secretion, in turn generating more efficient T-cell responses. These data underscore the importance of inefficient antigen presentation as a mechanism for tumor evasion and suggest an approach to improve the efficacy of DC-based immunotherapy for cancer.

Dendritic cell (DC) defects are an important component of immunosuppression in cancer. Here, we assessed whether cancer could affect circulating DC populations and its correlation with tumor progression. The blood DC compartment was evaluated in 136 patients with breast cancer, prostate cancer, and malignant glioma. Phenotypic, quantitative, and functional analyses were performed at various stages of disease. Patients had significantly fewer circulating myeloid (CD11c+) and plasmacytoid (CD123+) DC, and a concurrent accumulation of CD11c−CD123− immature cells that expressed high levels of HLA-DR+ immature cells (DR+IC). Although DR+IC exhibited a limited expression of markers ascribed to mature hematopoietic lineages, expression of HLA-DR, CD40, and CD86 suggested a role as antigenpresenting cells. Nevertheless, DR+IC had reduced capacity to capture antigens and elicited poor proliferation and interferon-γ secretion by T-lymphocytes. Importantly, increased numbers of DR+IC correlated with disease status. Patients with metastatic breast cancer showed a larger number of DR+IC in the circulation than patients with local/nodal disease. Similarly, in patients with fully resected glioma, the proportion of DR+IC in the blood increased when evaluation indicated tumor recurrence. Reduction of blood DC correlating with accumulation of a population of immature cells with poor immunologic function may be associated with increased immunodeficiency observed in cancer.