Investigating the impact of multidisciplinary prehabilitation on deconditioning in patients eligible for haematopoietic allogenic stem cell transplantation: protocol for a feasibility trial.

Background: Assessing multidisciplinary prehabilitation strategies becomes crucial to pre-emptively counter the physical, psychological and social negative impacts experienced during an allogenic haematopoietic stem cell transplant (allo-HSCT) among acute myeloid leukaemia (AML) and myelodysplastic syndrome (MDS) patients. Current evidence is restricted to studies during induction chemotherapy, omitting rehabilitation interventions and predominantly using exercise-only approaches without a multidisciplinary framework. The aim of this study is to investigate the feasibility, safety and preliminary efficacy of multidisciplinary prehabilitation in adults offered allo-HSCT.

Warming drives dissolved organic carbon export from pristine alpine soils.

Despite decades of research, the influence of climate on the export of dissolved organic carbon (DOC) from soil remains poorly constrained, adding uncertainty to global carbon models. The limited temporal range of contemporary monitoring data, ongoing climate reorganisation and confounding anthropogenic activities muddy the waters further. Here, we reconstruct DOC leaching over the last ~14,000 years using alpine environmental archives (two speleothems and one lake sediment core) across 4° of latitude from Te Waipounamu/South Island of Aotearoa New Zealand.

Elucidating phosphorus removal dynamics in a denitrifying woodchip bioreactor.

Denitrifying woodchip bioreactors (DBRs) are an established nitrate mitigation technology, but uncertainty remains on their viability for phosphorus (P) removal due to inconsistent source-sink behaviour in field trials. We investigated whether iron (Fe) redox cycling could be the missing link needed to explain P dynamics in these systems. A pilot-scale DBR (Aotearoa New Zealand) was monitored for the first two drainage seasons (2017-2018), with supplemental in-field measurements of reduced solutes (Fe, HS/HS) and their conjugate oxidised species (Fe/SO) made in 2021 to constrain within-reactor redox gradients.

Groundwater is a hidden global keystone ecosystem.

Groundwater is a vital ecosystem of the global water cycle, hosting unique biodiversity and providing essential services to societies. Despite being the largest unfrozen freshwater resource, in a period of depletion by extraction and pollution, groundwater environments have been repeatedly overlooked in global biodiversity conservation agendas. Disregarding the importance of groundwater as an ecosystem ignores its critical role in preserving surface biomes.

Clinical effectiveness of tenotomy versus tenodesis for long head of biceps pathology: a systematic review and meta-analysis.

Objectives: The comparative clinical effectiveness of common surgical techniques to address long head of biceps (LHB) pathology is unclear. We synthesised the evidence to compare the clinical effectiveness of tenotomy versus tenodesis.

Design: A systematic review and meta-analysis using the Grading of Recommendations Assessment, Development and Evaluation approach.

Topical Treatments in Reducing Infection in Shoulder Surgery: Protocol for a Systematic Review and Meta-analysis.

Introduction: is a gram-positive anaerobe that is found on the dermis and epidermis of the shoulder and is the most commonly identifiable cause of periprosthetic shoulder joint infection. Various topical strategies have been investigated to reduce the prevalence of , with several demonstrating efficacy in reducing the positive culture. The aim of this systematic review and meta-analysis is to review the literature to assess the effectiveness of topical preparations in reducing the prevalence of in shoulder surgery.

Toward In-Field Determination of Nitrate Concentrations Via Diffusive Gradients in Thin Films-Incorporation of Reductants and Color Reagents.

Diffusive gradients in thin films (DGTs) have been established as useful tools for the determination of nitrate, phosphate, trace metals, and organic concentrations. General use of DGTs, however, is limited by the subsequent requirement for laboratory analysis. To increase the uptake of DGT as a tool for routine monitoring by nonspecialists, not researchers alone, methods for in-field analysis are required.

Clinical Effectiveness of Various Surgical Reconstruction Modalities for Acute ACJ Separation: Protocol for a Systematic Review and Meta-Analysis.

Introduction: Acute acromioclavicular joint separation is a common injury to the shoulder. Various surgical reconstruction methods exist when operative management is required, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical reconstruction modalities used for acute ACJ separation.

Perspective of a Teaching Fellow: Innovation in Medical Education: The Changing Face of Clinical Placements During COVID-19.

The Mid Essex teaching team have adapted and innovated to ensure delivery of the curriculum to over 150 students from two medical schools during COVID-19. A fully immersive education experience was created through protected teaching time, the introduction of a simulation package (virtual reality simulation, ward simulation and bleep simulation), the proactive recruitment of fourteen dedicated teaching fellows, and the procurement of technology-based platforms. The blended learning approach we designed supplemented student-patient interaction on the ward with virtual and face-to-face teaching sessions where appropriate.

Sampling rate-corrected analysis of irregularly sampled time series.

The analysis of irregularly sampled time series remains a challenging task requiring methods that account for continuous and abrupt changes of sampling resolution without introducing additional biases. The edit distance is an effective metric to quantitatively compare time series segments of unequal length by computing the cost of transforming one segment into the other. We show that transformation costs generally exhibit a nontrivial relationship with local sampling rate.

The impact of seasonal and event-based infiltration on transition metals (Cu, Ni, Co) in tropical cave drip water.

Rationale: The first-row transition metals Cu, Ni, and Co show a strong binding affinity to natural organic matter. Compared to dissolved elements and stable water isotopes, they may be transported rapidly through the soil and host rock into caves in response to infiltration events. This study aims to assess the potential of transition metal ratios as indicators for infiltration changes in response to the seasonal and/or event-based rainfall variation.

The temperature and flow dependence of nitrate concentration and load estimates based on diffusive gradients in thin films.

Concentrations determined using diffusive gradients in thin films (DGT) have been used to derive time-averaged loads in streams and rivers. However, DGT provide time-weighted average concentrations that assume the independence of concentration and flow. Additionally, dynamic and coordinated changes in temperature, flow, and concentration are potential sources of bias in concentration and load calculations.

Reinventing Undergraduate Clinical Placements with a Switch to Delivery by Clinical Teaching Fellows.

Purpose: Undergraduate clinical placements have the potential for significant improvement. Previous research has shown the growing value of clinical teaching fellows (CTFs) within medical education. Changing traditional placements to a model whereby CTFs have defined roles and lead the majority of teaching can positively reinvent undergraduate clinical teaching.

Biogeochemical feedbacks to ocean acidification in a cohesive photosynthetic sediment.

Ecosystem feedbacks in response to ocean acidification can amplify or diminish diel pH oscillations in productive coastal waters. Benthic microalgae generate such oscillations in sediment porewater and here we ask how CO enrichment (acidification) of the overlying seawater alters these in the absence and presence of biogenic calcite. We placed a 1-mm layer of ground oyster shells, mimicking the arrival of dead calcifying biota (+Calcite), or sand (Control) onto intact silt sediment cores, and then gradually increased the pCO in the seawater above half of +Calcite and Control cores from 472 to 1216 μatm (pH 8.

Development of bromide-selective Diffusive Gradients in Thin-Films for the measurement of average flow rate of streams.

Diffusive Gradients in Thin-Films (DGT) have traditionally been used to measure time-weighted average concentration in water. We tested whether Br-DGT in combination with the trace-dilution flow rate method, could be used as a new approach for measuring water flow rate. A novel bromide selective DGT based on the Purolite Bromide Plus anion exchange resin (Br-DGT) was developed, which provided environmental bromide concentrations comparable to grab samples.

Clinical Effectiveness of Various Surgical Procedures Addressing Long Head of Biceps Pathology: Protocol for a Systematic Review and Meta-Analysis.

Introduction: The long head of biceps tendon is a common source of anterior shoulder pain and impaired function. Multiple surgical procedures are available as treatment options, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical procedures to treat pain arising from the long head of biceps.

Detectable respiratory SARS-CoV-2 RNA is associated with low vitamin D levels and high social deprivation.

Background: Accumulating evidence links COVID-19 incidence and outcomes with vitamin D status. We investigated if an interaction existed between vitamin D levels and social deprivation in those with and without COVID-19 infection.

Methods: Upper or lower respiratory tract samples from 104 patients were tested for SARS-CoV-2 RNA in accordance with Public Health England criteria (January-May 2020) using RT-PCR.

Accurate dating of stalagmites from low seasonal contrast tropical Pacific climate using Sr 2D maps, fabrics and annual hydrological cycles.

Tropical Pacific stalagmites are commonly affected by dating uncertainties because of their low U concentration and/or elevated initial Th content. This poses problems in establishing reliable trends and periodicities for droughts and pluvial episodes in a region vulnerable to climate change. Here we constrain the chronology of a Cook Islands stalagmite using synchrotron µXRF two-dimensional mapping of Sr concentrations coupled with growth laminae optical imaging constrained by in situ monitoring.

Clinical Effectiveness of Intraoperative Tranexamic Acid Use in Shoulder Surgery: A Systematic Review and Meta-analysis.

Background: Tranexamic acid (TXA) is widely used across surgical specialties to reduce perioperative bleeding. It has been shown to be effective in spinal surgery and lower limb arthroplasty. Among all languages, there are no systematic reviews or meta-analyses investigating its clinical effectiveness for all types of shoulder surgery.

Soil cadmium mobilisation by dissolved organic matter from soil amendments.

Dissolved organic matter (DOM) release from Cd contaminated soils been linked to mobilisation of the metal as Cd-DOM complexes and this may be exacerbated by organic matter-rich soil amendments. The quantity and quality of the DOM can determine the proportion of dissolved Cd that partitions to mobile complexes and their stability and, thus, the potential for Cd transport from contaminated soils. The aim of this work was to examine differences in Cd mobilisation from soils to which different types of soil amendments/conditioners have been applied and the importance of DOM characteristics in determining the extent to which this can happen.

The use of intra-operative tranexamic acid in shoulder surgery: Protocol for a systematic review and meta-analysis.

Introduction: Blood loss is an important consideration in all types of shoulder surgery. Excessive bleeding is associated with increased morbidity. Tranexamic acid (TXA) is an antifibrinolytic agent.

Speleothem growth intervals reflect New Zealand montane vegetation response to temperature change over the last glacial cycle.

Flowstone speleothem growth beneath Mount Arthur, New Zealand shows a clear relationship to vegetation density and soil development on the surface above. Flowstone does not currently form beneath sub-alpine Nothofagus forest above ca. 1000-1100 m altitude but U-Th dating shows it has formed there during past intervals of warmer-than-present conditions including an early-mid Holocene optimum and the last interglacial from ca.

Utility of 'Diffusive Gradients in Thin-Films' for the measurement of nitrate removal performance of denitrifying bioreactors.

The increase in environmental nutrient availability as a result of human activities has necessitated the development of mitigation strategies for nutrient removal, such as nitrate. Current methods for determining the efficiency of different mitigation strategies required measurement of changes in nitrate concentrations, however, these methods can be expensive or do not account fully for the temporal variability of nitrate concentration. This study evaluated the utility of Diffusive Gradients in Thins-Films (DGT) for determining nitrate removal in two denitrifying bioreactors, and compared DGT performance to traditional approaches for determining performance, including high and low frequency water grab sampling.