A systematic review to determine the effect of strategies to sustain chronic disease prevention interventions in clinical and community settings.

This review assessed the effect of strategies designed to sustain the delivery of evidenced based interventions (EBIs) which target behavioural risk factors linked to leading causes of chronic disease in clinical and community settings. Seven electronic databases were searched for randomised controlled studies published from earliest record to November 2022. Studies were included if they tested a strategy to sustain the delivery of an EBI within clinical or community settings.

Multiple plastid losses within photosynthetic stramenopiles revealed by comprehensive phylogenomics.

Ochrophyta is a vast and morphologically diverse group of algae with complex plastids, including familiar taxa with fundamental ecological importance (diatoms or kelp) and a wealth of lesser-known and obscure organisms. The sheer diversity of ochrophytes poses a challenge for reconstructing their phylogeny, with major gaps in sampling and an unsettled placement of particular taxa yet to be tackled. We sequenced transcriptomes from 25 strategically selected representatives and used these data to build the most taxonomically comprehensive ochrophyte-centered phylogenomic supermatrix to date.

Aquatic nitrogen source elucidation using stable isotope analysis in the North Carolina Coastal Plain.

Eastern North Carolina has been subjected to widespread water quality degradation for decades, notably throughout the Cape Fear River Watershed, owing largely to the magnitude of concentrated animal feeding operations (CAFOs) in the region. Long-term nutrient monitoring data from numerous locations throughout southeastern North Carolina have shown significantly elevated organic nitrogen (Org-N) concentrations starting around the year 2000-a concerning development, as labile Org-N can stimulate algal blooms and subsequent bacterial production, thus enhancing eutrophication in freshwater systems. By measuring the stable isotope signatures (δC, δN) of particulate organic matter sampled from a range of southeastern North Carolina waters, the predominant sources to the observed Org-N loadings were elucidated.

Integrated Primary Care Mental Health Service: A Qualitative Exploration of an Integrated Approach to Supporting People with Significant Mental Health Problems in Primary Care.

Individuals with significant mental health problems (SMHP) have historically faced challenges accessing mental health care due to gaps between primary and secondary care services. The National Health Service (NHS) Long Term Plan aims to bridge this gap through the introduction of integrated primary care services that provide holistic, person-centred, multidisciplinary support for people with SMHP. This evaluation aimed to explore the experience of service users, carers and staff working within this new model of care.