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To identify changes in emergency department (ED) use in Houston, TX during the mid-summer Hurricane Beryl-induced power outage to inform future targeted public health interventions.
Methods
Syndromic surveillance system ED visit daily counts for total visits, heat-related illness, carbon monoxide poisoning, acute cardiac condition, stroke, dialysis, and medication refills post-hurricane were statistically compared to the 2 weeks prior and plotted alongside the percentage of the population with power outage.
Results
Daily ED visits post-storm were statistically higher (P< 0.05) than the 2 weeks prior for total visits and acute cardiac events (Day 1, 2); heat-related illness (Day 1-3); dialysis (Day 0-3); and carbon monoxide poisoning and medication refill (Day 1-9).
Conclusions
While 50% of the city experienced power outages from high winds, total ED visits, acute cardiac events, and heat-related illness were statistically higher in the first 3 days after Beryl than expected. Houston developed targeted messaging to mitigate these events in future disasters.
The gastrointestinal microbiota of mammals plays a crucial role in host health, influencing nutrient absorption, lipid metabolism, and immune system regulation. This study examines the current state of research on gut microbiota in pinnipeds and cetaceans, significant indicators of ocean health. To this end, a bibliometric and an in-depth analysis was conducted using the Scopus database. A total of 83 articles published between 1994 and 2023 were found on this topic. In this period, publications showed a 6.9% annual increase, reflecting a growing interest in this field. The USA and China lead in research output, reflecting their high investment in research funding. Study topics were classified in characterization, characterization and comparison, bacterial isolation, and others. Regarding the origin of the samples, faecal samples predominated over gastrointestinal tissues and oral swabs. The most abundant bacterial phyla were Firmicutes, Proteobacteria, Fusobacteria, and Bacterioidetes. The research also highlights the presence of pathogenic bacteria underscoring the need to better understand the health implications for these species. The analysis also reveals that studies focus on a few species, such as Phoca vitulina (Harbor seal) and Tursiops truncatus (Bottlenose dolphin), reflecting a bias towards more accessible and studied species. To advance in this area, it is recommended to broaden the range of species and countries studied, improve sampling methodologies, and foster international collaborations. Research on marine mammal gut microbiota remains an expanding field, offering significant insights into the biology and ecology of these animals.
Micro-UAV systems used for metric purposes are highly capable of capturing relatively high-resolution, chromatically stable aerial images at low altitudes. In micro-UAV-based aerial imaging-based structure-from-motion (a-SfM) applications, the flight mission planning problem can be customised to achieve different objectives. The requirement for minimising the time spent in the air, which is crucial for energy conservation, can be achieved by designing the shortest possible flight path. Spatial resolution in the captured aerial images can be significantly preserved by maintaining the ground sampling distance (GSD) value within a 95${\rm{\% }}$ confidence interval throughout the flight path. Fuel efficiency can be improved by minimising the number of turning manoeuvers required to follow the flight path during the flying mission. In this paper, four distinct flight mission planning processes are delineated to enable the energy-efficient and effective implementation of aerial imaging missions, with their associated parameters optimised using the colony-based search algorithm (CSA). The obtained experimental results demonstrate that the proposed flight mission planning processes are highly successful in the energy-efficient and effective execution of aerial imaging missions.
This paper presents a novel machine learning framework for reconstructing low-order gust-encounter flow field and lift coefficients from sparse, noisy surface pressure measurements. Our study thoroughly investigates the time-varying response of sensors to gust–airfoil interactions, uncovering valuable insights into optimal sensor placement. To address uncertainties in deep learning predictions, we implement probabilistic regression strategies to model both epistemic and aleatoric uncertainties. Epistemic uncertainty, reflecting the model’s confidence in its predictions, is modelled using Monte Carlo dropout – as an approximation to the variational inference in the Bayesian framework – treating the neural network as a stochastic entity. On the other hand, aleatoric uncertainty, arising from noisy input measurements, is captured via learned statistical parameters, and propagate measurement noise through the network into the final predictions. Our results showcase the efficacy of this dual uncertainty quantification strategy in accurately predicting aerodynamic behaviour under extreme conditions while maintaining computational efficiency, underscoring its potential to improve online sensor-based flow estimation in real-world applications.
Nonnative earthworm species are invading the boreal forest in North America. Oribatid mites are key detritivores in boreal forest soils, initiating litter decomposition and maintaining forest floor structure. Earthworms are also detritivores and are considered ecosystem engineers. When introduced into nonendemic environments, earthworms may alter soil biogeochemical cycling and adversely affect oribatid mite communities. However, to our knowledge, no field studies in boreal forests have investigated invasive earthworms and their impacts on oribatid mites. The present study was conducted in a boreal trembling aspen, Populus tremuloides Michaux (Salicaceae), stand near Wolf Lake, Alberta, Canada. After assessing the current state of earthworm invasion, we identified an area with a lower density of earthworms that was invaded by one species, Dendrobaena octaedra Savigny (Crassiclitellata: Lumbricidae), and an area with a higher density of earthworms that was invaded by multiple species, D. octaedra (Crassiclitellata: Lumbricidae) and Aporrectodea spp. (Crassiclitellata: Lumbricidae). The higher-density area was associated with lower understorey vegetation species richness and with thinner forest floors characterised by higher bulk density but lower total organic carbon and nitrogen stocks. Oribatid mite community composition differed between the two areas, and their richness significantly decreased with higher earthworm density. Our findings suggest that earthworm invasion is substantially disrupting habitat for oribatid mites and might affect the overall boreal ecosystem equilibrium in the long term.
We show that the Hausdorff dimension of the attractor of an inhomogeneous self-similar iterated function system (or self-similar IFS) can be well approximated by the Hausdorff dimension of the attractor of another inhomogeneous self-similar IFS satisfying the strong separation condition. We also determine a formula for the Hausdorff dimension of the algebraic product and sum of the inhomogeneous attractor.
The antibiotic spectrum index (ASI) outcome quantifies antibiotic exposure based on spectrum of activity. Our objective was to examine ASI as an exploratory outcome in the context of a recent stewardship-focused, clinical trial in childhood pneumonia that originally used a binary guideline-concordant outcome.
Design:
Secondary analysis of a randomized clinical trial.
Setting:
Two tertiary pediatric hospitals.
Methods:
Encounters were randomly assigned to clinical decision support (CDS) or usual care treatment arm. The ASI was calculated by summing daily ASI scores for each unique antibiotic administered. It was evaluated as a continuous and ordinal measure: No Antibiotics (ASI = 0), Narrow (1-2), Intermediate (3-4), Broad (5-7), and Very Broad (≥8). Proportional odds regression modeled the ordinal ASI outcome in the first 24 hours by treatment arm and compared to the guideline-concordance outcome. Results were stratified by emergency department (ED) disposition. We also conducted a longitudinal, descriptive analysis of day-to-day ASI for those with in-hospital dispositions.
Results:
We included 1027 encounters, 549 (53%) were randomized to CDS and 478 (47%) usual care respectively. ASI Category did not differ by treatment arm overall (Odds Ratio: 0.88[95% Confidence Interval: 0.70,1.09]), which mirrored binary guideline-concordance. Mean ASI was lower for concordant encounters (2.1 vs 8.4, P < 0.001) and across all ED dispositions. In the longitudinal analysis, there were 1137 day-to-day ASI comparisons, with only 7% representing spectrum escalations.
Conclusions:
The ASI outcome yielded similar results to a dichotomous concordance outcome. However, ASI provided more granular insights into antibiotic prescribing, suggesting ASI may be a useful outcome measure in future stewardship-focused trials.
A wideband harmonic rejection (HR) voltage-domain mixer using resistive scaling is presented featuring excellent linearity and high intermediate frequency (IF) bandwidth. Thin-oxide devices with constant gate-to-source voltages (VGS) are utilized to maximize the switching linearity. A novel switching core topology providing low-impedance IF outputs is proposed to support wideband in-phase (I) and quadrature (Q) mixer outputs when capacitively loaded by an analog-to-digital converter (ADC). Eight LO clock phases, each with a 25% duty cycle, are on-chip generated for quadrature down-conversion and HR. By cleverly activating and organizing the mixer branches, the mixer's input impedance at radio frequency (RF) can be kept perfectly constant throughout all eight clock phases, enhancing the mixer’s linearity. The TSMC 40 nm-CMOS realized mixer reaches 20.9 dBm OIP3 at an IF of 50 MHz with a conversion loss of 22.5 dB. It offers an 800 MHz 3-dB IF bandwidth when connected to a differential capacitive loading of 0.15 pF, with a total power consumption of 40.7 mW drawn from a 1.1 V supply. The mixer targets linear wideband base station observation receiver applications.
We explored the dynamics of Taylor–Couette flows within square enclosures, focusing primarily on the turbulence regime and vortex behaviour at varying Reynolds numbers. Laboratory experiments were conducted using particle image velocimetry for Reynolds numbers $Re_{\varDelta }\in [0.23, 4.6]\times 10^3$ based on the minimum gap $\varDelta /d = 1/16$, $1/8$ and $1/4$, where $d$ is the cylinder diameter, or $Re\in [1.8, 9.8]\times 10^3$ based on $d/2$. At lower $Re$, the flow was dominated by well-defined Taylor and Görtler vortices, while higher $Re$ led to a turbulent state with distinct motions. Space–time radial velocity analysis revealed persistent Taylor vortices at lower $Re$, with larger gaps but increased turbulence, and irregular motions at higher $Re$, with smaller gaps. Velocity spectra reveal that the energy distribution is maintained at frequencies lower than the integral-type frequency $f_I$ across varying $\varDelta$ due to the dominance of large vortices. However, there is a monotonic increase in energy at higher frequencies beyond $f_I$. The reduced characteristic frequency $f_I\varDelta /\omega _ir_i \sim 1/10$ indicates that these motions scale linearly with angular velocity, and inversely with the gap. Proper orthogonal decomposition (POD) and spectral POD were used to distinguish between Taylor and Görtler vortices, showing the effects of gap size and the associated energy cascade. Linear stability analysis included as complementary support revealed primary instability of the Taylor vortex, which is similar to the circular enclosure, along with multiple corner modes that are unique to the geometry.
This study explores early domestic life at the historic Yoruba site of Orile-Owu. Excavations and ethnography reveal insights into diet and food processing, medicinal practices and the daily routines of occupants during the mid-fifteenth to mid-seventeenth centuries AD.
Cydalima perspectalis (Walker, 1859) (Lepidoptera: Crambidae) larvae feed on Buxus. It is considered to be the most critical pest of boxwood trees. This study investigated whether different strains of Trichoderma harzianum had an effect on the biocontrol of larvae feeding on boxwood leaves whose nitrogen content was varied by fertilisation. Larvae were collected while feeding on boxwood seedlings in Rize parks and gardens in June 2021. In addition, G1 (no fertilisation), G2 (1.55%), and G5 (1.67%) leaves with different nitrogen concentrations obtained by nitrogen fertilisation were also used as food. As biocontrol agents, ID11D and YP1A strains of T. harzianum were applied in three doses: 50, 100, and 200 μL per water. In total, 21 different groups were created. The nutritional indices of the larvae belonging to the different groups were calculated. In addition, the activities of phenoloxidase, superoxide dismutase, catalase, and glutathione peroxidase activities were measured by taking haemolymph samples. In both strains, the enzyme activities increased with the dose applied. However, it was found that the enzyme activities of the ID11D strain applied were higher than those of the YP1A strain. It can be said that the ID11D strain is effective in controlling C. perspectalis larvae feeding on fertilised boxwood and the YP1A strain is effective in controlling larvae feeding on unfertilised boxwood.
Recent investigations in north-west Arabia have revealed that many major oases in the region were enclosed by a network of monumental walls. Confirmation of four newly identified walled oases demonstrates that this Walled Oases Complex had a substantial impact on long-term socioeconomic development in the region.