NobleBlocks

UK Research and Innovation

governmentSwindon, England, United Kingdom

Research output, citation impact, and the most-cited recent papers from UK Research and Innovation (United Kingdom). Aggregated across the NobleBlocks index of 300M+ scholarly works.

Total works
1.3K
Citations
246.5K
h-index
152
i10-index
492
Also known as
UK Research and InnovationUnited Kingdom Resarch and Innovation

Top-cited papers from UK Research and Innovation

Food waste within food supply chains: quantification and potential for change to 2050
Julian Parfitt, Mark Barthel, Sarah J. Macnaughton
2010· Philosophical Transactions of the Royal Society B Biological Sciences3.1Kdoi:10.1098/rstb.2010.0126

Food waste in the global food supply chain is reviewed in relation to the prospects for feeding a population of nine billion by 2050. Different definitions of food waste with respect to the complexities of food supply chains (FSCs)are discussed. An international literature review found a dearth of data on food waste and estimates varied widely; those for post-harvest losses of grain in developing countries might be overestimated. As much of the post-harvest loss data for developing countries was collected over 30 years ago, current global losses cannot be quantified. A significant gap exists in the understanding of the food waste implications of the rapid development of 'BRIC' economies. The limited data suggest that losses are much higher at the immediate post-harvest stages in developing countries and higher for perishable foods across industrialized and developing economies alike. For affluent economies, post-consumer food waste accounts for the greatest overall losses. To supplement the fragmentary picture and to gain a forward view, interviews were conducted with international FSC experts. The analyses highlighted the scale of the problem, the scope for improved system efficiencies and the challenges of affecting behavioural change to reduce post-consumer waste in affluent populations.

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults
Nowell H Phelps, Rosie Singleton, Bin Zhou, Rachel A Heap +4 more
2024· The Lancet1.9Kdoi:10.1016/s0140-6736(23)02750-2

BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). FINDINGS: From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. INTERPRETATION: The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesity. FUNDING: UK Medical Research Council, UK Research and Innovation (Research England), UK Research and Innovation (Innovate UK), and European Union.

Long-term thermal sensitivity of Earth’s tropical forests
Martin J. P. Sullivan, Simon L. Lewis, Kofi Affum‐Baffoe, Carolina V. Castilho +4 more
2020· Science358doi:10.1126/science.aaw7578

The sensitivity of tropical forest carbon to climate is a key uncertainty in predicting global climate change. Although short-term drying and warming are known to affect forests, it is unknown if such effects translate into long-term responses. Here, we analyze 590 permanent plots measured across the tropics to derive the equilibrium climate controls on forest carbon. Maximum temperature is the most important predictor of aboveground biomass (-9.1 megagrams of carbon per hectare per degree Celsius), primarily by reducing woody productivity, and has a greater impact per °C in the hottest forests (>32.2°C). Our results nevertheless reveal greater thermal resilience than observations of short-term variation imply. To realize the long-term climate adaptation potential of tropical forests requires both protecting them and stabilizing Earth's climate.

Finding the 'right' GP: a qualitative study of the experiences of people with long-COVID
Tom Kingstone, Anna Taylor, Catherine O’Donnell, Helen Atherton +2 more
2020· BJGP Open349doi:10.3399/bjgpopen20x101143

BACKGROUND: An unknown proportion of people who had an apparently mild COVID-19 infection continue to suffer with persistent symptoms, including chest pain, shortness of breath, muscle and joint pains, headaches, cognitive impairment ('brain fog'), and fatigue. Post-acute COVID-19 ('long-COVID') seems to be a multisystem disease, sometimes occurring after a mild acute illness; people struggling with these persistent symptoms refer to themselves as 'long haulers'. AIM: To explore experiences of people with persisting symptoms following COVID-19 infection, and their views on primary care support received. DESIGN & SETTING: Qualitative methodology, with semi-structured interviews to explore perspectives of people with persisting symptoms following suspected or confirmed COVID-19 infection. Participants were recruited via social media between July-August 2020. METHOD: Interviews were conducted by telephone or video call, digitally recorded, and transcribed with consent. Thematic analysis was conducted applying constant comparison techniques. People with experience of persisting symptoms contributed to study design and data analysis. RESULTS: of enduring and managing symptoms and accessing care; living with uncertainty, helplessness and fear, particularly over whether recovery is possible; the importance of finding the 'right' GP (understanding, empathy, and support needed); and recovery and rehabilitation: what would help? CONCLUSION: This study will raise awareness among primary care professionals, and commissioners, of long-COVID and the range of symptoms people are experiencing. Patients require their GP to believe their symptoms and to demonstrate empathy and understanding. Ongoing support by primary care professionals during recovery and rehabilitation is crucial.

High‐accuracy protein structure prediction in <scp>CASP14</scp>
Joana Pereira, Adam J. Simpkin, Marcus D. Hartmann, Daniel J. Rigden +2 more
2021· Proteins Structure Function and Bioinformatics337doi:10.1002/prot.26171

The application of state-of-the-art deep-learning approaches to the protein modeling problem has expanded the "high-accuracy" category in CASP14 to encompass all targets. Building on the metrics used for high-accuracy assessment in previous CASPs, we evaluated the performance of all groups that submitted models for at least 10 targets across all difficulty classes, and judged the usefulness of those produced by AlphaFold2 (AF2) as molecular replacement search models with AMPLE. Driven by the qualitative diversity of the targets submitted to CASP, we also introduce DipDiff as a new measure for the improvement in backbone geometry provided by a model versus available templates. Although a large leap in high-accuracy is seen due to AF2, the second-best method in CASP14 out-performed the best in CASP13, illustrating the role of community-based benchmarking in the development and evolution of the protein structure prediction field.

Azithromycin for community treatment of suspected COVID-19 in people at increased risk of an adverse clinical course in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial
Christopher Butler, Jienchi Dorward, Ly‐Mee Yu, Oghenekome Gbinigie +4 more
2021· The Lancet315doi:10.1016/s0140-6736(21)00461-x

BACKGROUND: Azithromycin, an antibiotic with potential antiviral and anti-inflammatory properties, has been used to treat COVID-19, but evidence from community randomised trials is lacking. We aimed to assess the effectiveness of azithromycin to treat suspected COVID-19 among people in the community who had an increased risk of complications. METHODS: In this UK-based, primary care, open-label, multi-arm, adaptive platform randomised trial of interventions against COVID-19 in people at increased risk of an adverse clinical course (PRINCIPLE), we randomly assigned people aged 65 years and older, or 50 years and older with at least one comorbidity, who had been unwell for 14 days or less with suspected COVID-19, to usual care plus azithromycin 500 mg daily for three days, usual care plus other interventions, or usual care alone. The trial had two coprimary endpoints measured within 28 days from randomisation: time to first self-reported recovery, analysed using a Bayesian piecewise exponential, and hospital admission or death related to COVID-19, analysed using a Bayesian logistic regression model. Eligible participants with outcome data were included in the primary analysis, and those who received the allocated treatment were included in the safety analysis. The trial is registered with ISRCTN, ISRCTN86534580. FINDINGS: The first participant was recruited to PRINCIPLE on April 2, 2020. The azithromycin group enrolled participants between May 22 and Nov 30, 2020, by which time 2265 participants had been randomly assigned, 540 to azithromycin plus usual care, 875 to usual care alone, and 850 to other interventions. 2120 (94%) of 2265 participants provided follow-up data and were included in the Bayesian primary analysis, 500 participants in the azithromycin plus usual care group, 823 in the usual care alone group, and 797 in other intervention groups. 402 (80%) of 500 participants in the azithromycin plus usual care group and 631 (77%) of 823 participants in the usual care alone group reported feeling recovered within 28 days. We found little evidence of a meaningful benefit in the azithromycin plus usual care group in time to first reported recovery versus usual care alone (hazard ratio 1·08, 95% Bayesian credibility interval [BCI] 0·95 to 1·23), equating to an estimated benefit in median time to first recovery of 0·94 days (95% BCI -0·56 to 2·43). The probability that there was a clinically meaningful benefit of at least 1·5 days in time to recovery was 0·23. 16 (3%) of 500 participants in the azithromycin plus usual care group and 28 (3%) of 823 participants in the usual care alone group were hospitalised (absolute benefit in percentage 0·3%, 95% BCI -1·7 to 2·2). There were no deaths in either study group. Safety outcomes were similar in both groups. Two (1%) of 455 participants in the azothromycin plus usual care group and four (1%) of 668 participants in the usual care alone group reported admission to hospital during the trial, not related to COVID-19. INTERPRETATION: Our findings do not justify the routine use of azithromycin for reducing time to recovery or risk of hospitalisation for people with suspected COVID-19 in the community. These findings have important antibiotic stewardship implications during this pandemic, as inappropriate use of antibiotics leads to increased antimicrobial resistance, and there is evidence that azithromycin use increased during the pandemic in the UK. FUNDING: UK Research and Innovation and UK Department of Health and Social Care.

Implementation of U.K. Earth System Models for CMIP6
Alistair Sellar, Jeremy Walton, Colin Jones, Richard Wood +4 more
2020· Journal of Advances in Modeling Earth Systems303doi:10.1029/2019ms001946

Abstract We describe the scientific and technical implementation of two models for a core set of experiments contributing to the sixth phase of the Coupled Model Intercomparison Project (CMIP6). The models used are the physical atmosphere‐land‐ocean‐sea ice model HadGEM3‐GC3.1 and the Earth system model UKESM1 which adds a carbon‐nitrogen cycle and atmospheric chemistry to HadGEM3‐GC3.1. The model results are constrained by the external boundary conditions (forcing data) and initial conditions. We outline the scientific rationale and assumptions made in specifying these. Notable details of the implementation include an ozone redistribution scheme for prescribed ozone simulations (HadGEM3‐GC3.1) to avoid inconsistencies with the model's thermal tropopause, and land use change in dynamic vegetation simulations (UKESM1) whose influence will be subject to potential biases in the simulation of background natural vegetation. We discuss the implications of these decisions for interpretation of the simulation results. These simulations are expensive in terms of human and CPU resources and will underpin many further experiments; we describe some of the technical steps taken to ensure their scientific robustness and reproducibility.

The importance of antimicrobial resistance in medical mycology
Neil A. R. Gow, Carolyn Johnson, Judith Berman, Alix T. Coste +4 more
2022· Nature Communications211doi:10.1038/s41467-022-32249-5

Prior to the SARS-CoV-2 pandemic, antibiotic resistance was listed as the major global health care priority. Some analyses, including the O'Neill report, have predicted that deaths due to drug-resistant bacterial infections may eclipse the total number of cancer deaths by 2050. Although fungal infections remain in the shadow of public awareness, total attributable annual deaths are similar to, or exceeds, global mortalities due to malaria, tuberculosis or HIV. The impact of fungal infections has been exacerbated by the steady rise of antifungal drug resistant strains and species which reflects the widespread use of antifungals for prophylaxis and therapy, and in the case of azole resistance in Aspergillus, has been linked to the widespread agricultural use of antifungals. This review, based on a workshop hosted by the Medical Research Council and the University of Exeter, illuminates the problem of antifungal resistance and suggests how this growing threat might be mitigated.

COVID-19 as a global challenge: towards an inclusive and sustainable future
Helen Lambert, Jaideep Gupte, Helen A. Fletcher, Laura Hammond +4 more
2020· The Lancet Planetary Health196doi:10.1016/s2542-5196(20)30168-6

COVID-19 is a global challenge that demands researchers, policy makers, and governments address multiple dimensions which go far beyond the implications of this pandemic for health and wellbeing. Just as the UN Sustainable Development Goals call for focus on the connections between development policy sectors, the pandemic has exposed the complex global interdependencies that underpin economies and highlighted fault lines in societal structures that perpetuate ethnic, economic, social, and gender inequalities. Here, we highlight the pandemic's emerging potential consequences for achieving sustainable development with respect to the six global challenge areas we collectively address at the UK Research and Innovation's Global Challenges Research Fund:1UK Research and InnovationGlobal Challenges Research Fund.https://www.ukri.org/research/global-challenges-research-fund/Date accessed: June 17, 2020Google Scholar food systems; education; cities and sustainable infrastructure; security, protracted conflict, refugee crises, and forced displacement; environmental resilience; and global health. As the immediate health consequences of the pandemic unfold and begin to be superseded by the impact of public health containment measures, we call for a refocusing of research and action not only to mitigate these impacts but to build sustainability and strengthened resilience into future recovery. In 2018, 820 million people worldwide were experiencing chronic hunger; by 2019, those living with acute, crisis-level food insecurity had increased from 113 million to 135 million. COVID-19 could almost double this number to 265 million by the end of 2020.2Anthem P Yemen, DRC, South Sudan, Venezuela, and Afghanistan are the worst affected. World Food Programme Insight.https://insight.wfp.org/covid-19-will-almost-double-people-in-acute-hunger-by-end-of-2020-59df0c4a8072Date: April 16, 2020Date accessed: June 8, 2020Google Scholar The poorest of the poor are the most vulnerable to the compounding impact of COVID-19 on the global food system, including its effects on food production (planting and harvest), transport, processing, and safe distribution to and from local markets. Without international collaboration, protectionist measures by national governments and disrupted supply chains could cause food shortages, increasing food prices worldwide. On top of the pandemic, agricultural and natural disasters such as extreme weather events (requiring years of recovery), plagues of locusts, and armyworms sweeping across continents are hurting food production and creating further stress on local, national, and regional food systems across the world. COVID-19 is also creating an education crisis. Most governments around the world have temporarily shut schools in an effort to enforce social distancing and slow viral transmission. The UN Educational, Scientific and Cultural Organisation (UNESCO) estimates that 60% of the world's student population has been affected, with 1·19 billion learners out of school across 150 countries.3UNESCOEducation: from disruption to recovery.https://en.unesco.org/covid19/educationresponseDate accessed: May 29, 2020Google Scholar Loss of access to education not only diminishes learning in the short term but also increases long-term dropout rates and reduces future socioeconomic opportunities. The consequences of COVID-19 school closures are predicted to have a disproportionately negative impact on the most vulnerable and risk exacerbating existing global inequalities. Vulnerable children will have fewer opportunities to learn at home, face greater risk of exploitation, and may lack adequate food in the absence of access to free or subsidised school meals. The responses of education systems to COVID-19 need to be particularly cognisant of cultural and contextual factors, including gendered, socioeconomic, and geographical differences, in order to ensure that they do not exacerbate inequalities. Even without a pandemic, conflict is often the ultimate social determinant of health, producing a wide variety of health challenges ranging from constraints on health systems to difficulties in delivering and accessing health services. COVID-19 amplifies governments' potential to exercise unlimited executive powers that might exacerbate conflicts and have a devastating impact on conflict-affected populations. The UN Security Council's call for a global ceasefire to allow access to vulnerable populations for prevention of and response to COVID-19 has not been heeded, and there is increasing exchange of artillery and shelling across some of the oldest conflict fault lines. International agreements, treaties, and peace agreements have been disregarded as the world focuses on COVID-19. Furthermore, as noted by the UN High Commissioner for Human Rights, there has been an alarming rise in police brutality and civil rights violations under the guise of exceptional or emergency measures. One of the first manifestations of efforts to control the spread of COVID-19 has been to try to restrict people's movements; yet staying at home is a luxury only some can afford. Restrictions on mobility could have devastating effects on the world's 79·5 million displaced persons, many of whom live in crowded conditions with limited access to employment or services. COVID-19 might be the first major challenge to the Global Compact on Refugees and the Global Compact on Safe, Orderly and Regular Migration, both of which promise a “whole of society approach”. The pandemic brings a real danger that displaced populations will be excluded from access to health care, economic safety nets, and recovery efforts, and that their very status as migratory or displaced persons will lead to their being scapegoated as a threat to settled populations, reinforcing their isolation and exclusion. The common pathogen exchange pathways and mechanisms of COVID-19 transmission are intensified in dense urban environments, so it is no surprise that 95% of all COVID-19 cases globally have occurred in urban areas.4UN-HabitatUN-Habitat COVID-19 response plan.https://unhabitat.org/sites/default/files/2020/04/final_un-habitat_covid-19_response_plan.pdfDate: April, 2020Date accessed: June 16, 2020Google Scholar Epidemic control is therefore also a key consideration in urban planning. Nearly one billion people live and work in informal, under-serviced, and precarious urban conditions worldwide, while billions more rely on patchy and unreliable piped water, electricity, and health-care access in cities with deteriorating infrastructures. Limitations of the precarious spaces in which people live and work mean it is virtually impossible to isolate those with symptoms, while reliance on informal providers of medicines and health-care services means there is limited evidence of disease burdens. High-risk essential work, such as cleaning and waste processing, constitutes some of the lowest paid work. Furthermore, urban lockdowns have led to substantial job losses and economic hardship for both domestic and international migrant workers and their families. Globally, there have been sharp falls in the remittances that support millions in low-income countries; in sub-saharan Africa, inward remittances in 2018 amounted to US$46 billion, dwarfing foreign direct investment at $32 billion for that year.5A cash cow dries up: Covid stops many migrants sending money home.https://www.economist.com/middle-east-and-africa/2020/04/16/covid-stops-many-migrants-sending-money-homeDate: April 16, 2020Date accessed: May 14, 2020Google Scholar Up to 16% of GDP across Africa is from remittances, much of which comes from European countries currently in lockdown. Rapid imposition of movement restrictions has also left migrant labourers stranded while facing sudden unemployment. COVID-19 brings a short-term climate dividend with benefits including cleaner urban air, but a post-pandemic economic recession could divert attention from the underlying climate crisis. Renewal packages might miss opportunities for restructuring towards greener technologies; many countries are planning big investments in fossil fuel industries. In Europe and the USA, governments have agreed financial aid to the aviation sector with no binding environmental conditions.6Gokkon B Green groups target South Korea's bailout of coal power plant builder.https://news.mongabay.com/2020/04/south-korea-doosan-heavy-coal-power-bailout-covid19-indonesia/Date: April 10, 2020Date accessed: May 20, 2020Google Scholar Equally, countries already at risk from humanitarian crises and natural disasters could face a threefold greater risk of exposure to COVID-19, while having six times less access to health care, than the countries at lowest risk.7CARECARE Analysis: vulnerable countries face 3 rtimes the risk of COVID-19 exposure, yet have 6 times lower access to healthcare services.https://www.care.org/newsroom/press/press-releases/care-analysis-vulnerable-countries-face-3-times-risk-covid-19-exposureDate: March 26, 2020Date accessed: May 19, 2020Google Scholar Simultaneously, the pandemic elevates the likelihood of compound disaster events, especially for the nearly one billion people exposed to flooding.8EU Science HubAtlas of the human planet 2017—how exposed are we to natural hazards?.https://ec.europa.eu/jrc/en/news/atlas-human-planet-2017-how-exposed-are-we-natural-hazardsDate: May 24, 2017Date accessed: May 20, 2020Google Scholar June is the start of the hurricane season in the Caribbean and the monsoon in south Asia; summer heat in North America and Europe will also disproportionately affect the elderly and those with underlying health conditions. Health, social, and humanitarian sectors will be stretched to cope with overlapping events, especially under the global economic recession. Beyond COVID-19 itself, public health measures to contain the pandemic have produced alarming increases in domestic violence and mental health problems. Further adverse effects are likely to include rising childhood malnutrition and potentially rickets and, in the longer term, increased incidence of chronic conditions due to reductions in physical activity and income. Reorientation of health facilities to deal with COVID-19 in already overstretched and underfunded health systems has reduced capacity to manage existing disease burdens; cessation of routine surgeries, health checks, and immunisation programmes might produce outbreaks of preventable communicable diseases, rising cancer rates, and increasing numbers of late-stage complex medical conditions. The global economic recession will produce increases in suicide rates among those hit hardest.9Haw C Horton K Gunnell D Platt S Economic recession and suicidal behaviour: possible mechanisms and ameliorating factors.Int J Soc Psych. 2015; 61: 73-81Crossref PubMed Scopus (132) Google Scholar Antimicrobial resistance could increase following extensive antibiotic use for patients with COVID-19 and interrupted treatment of existing conditions.10Medecins Sans FrontiersCOVID-19: avoiding a ‘second tragedy’ for those with TB.https://www.msf.org/covid-19-how-avoid-second-tragedy-those-tuberculosisDate: March 23, 2020Date accessed: June 17, 2020Google Scholar However, previous experiences with tuberculosis, HIV, Ebola virus, and severe acute respiratory syndrome coronavirus (SARS) are producing more rapid and effective responses to COVID-19 in some countries than elsewhere. Temporary gains include fewer road accident injuries and respiratory problems from air pollution, and reductions in diarrhoeal and other communicable diseases during social distancing. Agile and urgent responses to specific needs arising from the complex emergency of the current pandemic are clearly crucial. Mitigation measures that are affordable and appropriate for diverse resource-poor environments are urgently required. Yet as the multiple impacts of both the pandemic and public health responses to it continue to unfold, the complex interlinkages between these impacts challenge the global community to move beyond sector-specific crisis reactions. Reconceiving the scenarios presented above in terms of risks, consequences, and opportunities provides new ways to consider responses that cut across specific domains. Thus pandemic-induced lockdowns leading to economic crises, or reorientation of health services to COVID-19 care producing subsequent rises in morbidity and mortality from other conditions, can be understood as cascading risks associated with dynamic vulnerability, whereas disruption to food supply chains compounded by the coming monsoon, or refugee camps having heightened vulnerability to COVID-19 mortality, exemplify overlapping risks. This reframing enables identification of potential responses to best address different intersecting risk scenarios and to consider their consequences for resilience, such as what COVID-19 means for future urban planning or food supply chains. Finally, it invites us to identify transformative opportunities, such as the impetus provided by temporary shifts in working practices and transport patterns for longer-term changes to mitigate future crises of planetary health and personal wellbeing. The pandemic has offered us a collective glimpse of alternative possible futures and opportunities. Tackling the persistent root causes of risk that are reproduced through inequitable development processes and persistent poverty will allow the Sustainable Development Goal of equitable and sustainable development to be realised for all. All authors are seconded part-time to the UKRI International Development team. HL is GCRF Challenge Leader for Global Health; JG for Cities; LH and NR for Conflict and Forced Displacement; NL and TS for Food Systems; MP for Environmental Resilience; and KS for Education. HF is Director of International Development. We declare no other competing interests.

Amniotic fluid stem cells improve survival and enhance repair of damaged intestine in necrotising enterocolitis via a COX-2 dependent mechanism
Augusto Zani, Mara Cananzi, Francesco Fascetti Leon, Giuseppe Lauriti +4 more
2013· Gut183doi:10.1136/gutjnl-2012-303735

OBJECTIVE: Necrotising enterocolitis (NEC) remains one of the primary causes of morbidity and mortality in neonates and alternative strategies are needed. Stem cells have become a therapeutic option for other intestinal diseases, which share some features with NEC. We tested the hypothesis that amniotic fluid stem (AFS) cells exerted a beneficial effect in a neonatal rat model of NEC. DESIGN: Rats intraperitoneally injected with AFS cells and their controls (bone marrow mesenchymal stem cells, myoblast) were analysed for survival, behaviour, bowel imaging (MRI scan), histology, bowel absorption and motility, immunofluorescence for AFS cell detection, degree of gut inflammation (myeloperoxidase and malondialdehyde), and enterocyte apoptosis and proliferation. RESULTS: AFS cells integrated in the bowel wall and improved rat survival and clinical conditions, decreased NEC incidence and macroscopic gut damage, improved intestinal function, decreased bowel inflammation, increased enterocyte proliferation and reduced apoptosis. The beneficial effect was achieved via modulation of stromal cells expressing cyclooxygenase 2 in the lamina propria, as shown by survival studies using selective and non-selective cyclooxygenase 2 inhibitors. Interestingly, AFS cells differentially expressed genes of the Wnt/β-catenin pathway, which regulate intestinal epithelial stem cell function and cell migration and growth factors known to maintain gut epithelial integrity and reduce mucosal injury. CONCLUSIONS: We demonstrated here for the first time that AFS cells injected in an established model of NEC improve survival, clinical status, gut structure and function. Understanding the mechanism of this effect may help us to develop new cellular or pharmacological therapies for infants with NEC.

Spatially offset Raman spectroscopy for biomedical applications
Fay Nicolson, Moritz F. Kircher, Nicholas Stone, Pavel Matousek
2020· Chemical Society Reviews160doi:10.1039/d0cs00855a

In recent years, Raman spectroscopy has undergone major advancements in its ability to probe deeply through turbid media such as biological tissues. This progress has been facilitated by the advent of a range of specialist techniques based around spatially offset Raman spectroscopy (SORS) to enable non-invasive probing of living tissue through depths of up to 5 cm. This represents an improvement in depth penetration of up to two orders of magnitude compared to what can be achieved with conventional Raman methods. In combination with the inherently high molecular specificity of Raman spectroscopy, this has therefore opened up entirely new prospects for a range of new analytical applications across multiple fields including medical diagnosis and disease monitoring. This article discusses SORS and related variants of deep Raman spectroscopy such as transmission Raman spectroscopy (TRS), micro-SORS and surface enhanced spatially offset Raman spectroscopy (SESORS), and reviews the progress made in this field during the past 5 years including advances in non-invasive cancer diagnosis, monitoring of neurotransmitters, and assessment of bone disease.

Four principles to make evidence synthesis more useful for policy
Christl A. Donnelly, Ian L. Boyd, Philip Campbell, Claire Craig +4 more
2018· Nature158doi:10.1038/d41586-018-05414-4

Reward the creation of analyses for policymakers that are inclusive, rigorous, transparent and accessible, urge Christl A. Donnelly and colleagues. Reward the creation of analyses for policymakers that are inclusive, rigorous, transparent and accessible.

Exploring the rise of blockchain technology: Towards distributed collaborative organizations
Brett Scott, John Loonam, Vikas Kumar
2017· Strategic Change155doi:10.1002/jsc.2142

Abstract Cryptocurrencies and blockchain technology are playing an increasingly important role for organizations that seek to build social and solidarity‐based finance. Blockchain technology has emerged as a potential disruptor for the financial industry. However, cryptocurrencies and blockchain technology may help develop organizations that seek to build social and solidarity‐based finance.

The unexpected radiative impact of the Hunga Tonga eruption of 15th January 2022
Pasquale Sellitto, Aurélien Podglajen, Redha Belhadji, Marie Boichu +4 more
2022· Communications Earth & Environment152doi:10.1038/s43247-022-00618-z

Abstract The underwater Hunga Tonga-Hunga Ha-apai volcano erupted in the early hours of 15th January 2022, and injected volcanic gases and aerosols to over 50 km altitude. Here we synthesise satellite, ground-based, in situ and radiosonde observations of the eruption to investigate the strength of the stratospheric aerosol and water vapour perturbations in the initial weeks after the eruption and we quantify the net radiative impact across the two species using offline radiative transfer modelling. We find that the Hunga Tonga-Hunga Ha-apai eruption produced the largest global perturbation of stratospheric aerosols since the Pinatubo eruption in 1991 and the largest perturbation of stratospheric water vapour observed in the satellite era. Immediately after the eruption, water vapour radiative cooling dominated the local stratospheric heating/cooling rates, while at the top-of-the-atmosphere and surface, volcanic aerosol cooling dominated the radiative forcing. However, after two weeks, due to dispersion/dilution, water vapour heating started to dominate the top-of-the-atmosphere radiative forcing, leading to a net warming of the climate system.

The right to the city and beyond
Andy Merrifield
2011· City133doi:10.1080/13604813.2011.595116

One of Henri Lefebvre's last essays, “Quand la ville se perd dans une métamorphose planétaire”, published in Le monde diplomatique in 1989, is by far one of his most enigmatic. The title alone says bundles; an atypically downbeat Lefebvre is on show, two-years before death, dying like his cherished traditional city: when the city loses its way, he says, when it goes astray, in a planetary metamorphosis. This article mobilizes Lefebvre's valedictory lament. It does so to problematize his very own thesis on “the right to the city”, especially in the light of recent bourgeois re-appropriation. The discussion tries to rework and reframe Lefebvre's celebrated late-60s' radical ideal, propelling it into the contemporary neo-liberal global context, negating it by moving beyond it, affirming in its stead a “politics of the encounter”. If a concept didn't fit, somehow didn't work, Lefebvre insists that we should always ditch that concept, abandon it, give it up to the enemy. So, too, perhaps, with the right to the city. The political utility of a concept, Lefebvre says, isn't that it should tally with reality, but that it enables us to experiment with reality, that it helps us glimpse another reality, a virtual reality that's there, somewhere, waiting to be born, inside us. A politics of encounter, I suggest, forces us to encounter ourselves, concretely, alongside others; it doesn't make facile, abstract rights claims for something that's now redundant in an age when planetary urbanization has become another circuit of capital.

Computational modelling for decision-making: where, why, what, who and how
Muffy Calder, Claire Craig, Dave Culley, Richard de Cani +4 more
2018· Royal Society Open Science128doi:10.1098/rsos.172096

In order to deal with an increasingly complex world, we need ever more sophisticated computational models that can help us make decisions wisely and understand the potential consequences of choices. But creating a model requires far more than just raw data and technical skills: it requires a close collaboration between model commissioners, developers, users and reviewers. Good modelling requires its users and commissioners to understand more about the whole process, including the different kinds of purpose a model can have and the different technical bases. This paper offers a guide to the process of commissioning, developing and deploying models across a wide range of domains from public policy to science and engineering. It provides two checklists to help potential modellers, commissioners and users ensure they have considered the most significant factors that will determine success. We conclude there is a need to reinforce modelling as a discipline, so that misconstruction is less likely; to increase understanding of modelling in all domains, so that the misuse of models is reduced; and to bring commissioners closer to modelling, so that the results are more useful.

Bio-Based Sustainable Polymers and Materials: From Processing to Biodegradation
Obinna Okolie, Anuj Kumar, Christine Edwards, Linda A. Lawton +4 more
2023· Journal of Composites Science120doi:10.3390/jcs7060213

In the life cycle of a material, there will be either chemical or physical change due to varying environmental factors such as biological activity, light, heat, moisture, and chemical conditions. This process leads to polymer property change as pertains to functional deterioration because of the physical, biological, and chemical reactions that result in chemical transformations and bond scission and thus can be regarded as polymer degradation. Due to the present demand for sustainable polymers, bio-based polymers have been identified as a solution. There is therefore a need to compare the sustainability impacts of bio-based polymers, to maximize their use in functional use stage and still withhold the bio-degradation capability. This study focuses are poly (lactic acid) (PLA), Poly (ε-caprolactone) (PCL), polyhydroxyalkanoates (PHA), and polyamides (PA) as biopolymers of interest due to their potential in technological applications, stability, and biodegradability. For preparing bio-based value-added products, an appropriate selection of the fabrication or functional modification process is a very important factor for particular industrial or biomedical applications. The literature review indicates that in vivo is preferred to in vitro because it suits an overall study of the experiment’s effects on a living subject. This study will explore these features in detail. In particular, the review will cover processing and biodegradation pathways for each of the biopolymers. In addition, thermal degredation and photodegradation are covered, and future trends and conclusions are drawn.

Laser-matter interactions in additive manufacturing of stainless steel SS316L and 13-93 bioactive glass revealed by in situ X-ray imaging
Chu Lun Alex Leung, Sebastian Marussi, Michael Towrie, J. del Val +4 more
2018· Additive manufacturing111doi:10.1016/j.addma.2018.08.025

Laser-matter interactions in laser additive manufacturing (LAM) occur on short time scales (10−6–10−3 s) and have traditionally proven difficult to characterise. We investigate these interactions during LAM of stainless steel SS316L and 13-93 bioactive glass powders using a custom built LAM process replicator (LAMPR) with in situ and operando synchrotron X-ray real-time radiography. This reveals a wide range of melt track solidification phenomena as well as spatter and porosity formation. We hypothesise that the SS316L powder absorbs the laser energy at its surface while the trace elements in the 13-93 bioactive glass powder absorb and remit the infra-red radiation. Our results show that a low viscosity melt, e.g. 8 mPa s for SS316L, tends to generate spatter (diameter up to 250 μm and an average spatter velocity of 0.26 m s−1) and form a melt track by molten pool wetting. In contrast, a high viscosity melt, e.g. 2 Pa s for 13-93 bioactive glass, inhibits spatter formation by damping the Marangoni convection, forming a melt track via viscous flow. The viscous flow in 13-93 bioactive glass resists pore transport; combined with the reboil effect, this promotes pore growth during LAM, resulting in a pore size up to 600 times larger than that exhibited in the SS316L sample.

Coordinating an operational data distribution network for CMIP6 data
Ruth Petrie, Sébastien Denvil, Sasha Ames, Guillaume Levavasseur +4 more
2021· Geoscientific model development105doi:10.5194/gmd-14-629-2021

Abstract. The distribution of data contributed to the Coupled Model Intercomparison Project Phase 6 (CMIP6) is via the Earth System Grid Federation (ESGF). The ESGF is a network of internationally distributed sites that together work as a federated data archive. Data records from climate modelling institutes are published to the ESGF and then shared around the world. It is anticipated that CMIP6 will produce approximately 20 PB of data to be published and distributed via the ESGF. In addition to this large volume of data a number of value-added CMIP6 services are required to interact with the ESGF; for example the citation and errata services both interact with the ESGF but are not a core part of its infrastructure. With a number of interacting services and a large volume of data anticipated for CMIP6, the CMIP Data Node Operations Team (CDNOT) was formed. The CDNOT coordinated and implemented a series of CMIP6 preparation data challenges to test all the interacting components in the ESGF CMIP6 software ecosystem. This ensured that when CMIP6 data were released they could be reliably distributed.

Changes in COVID-19-related mortality across key demographic and clinical subgroups in England from 2020 to 2022: a retrospective cohort study using the OpenSAFELY platform
Linda Nab, Edward P K Parker, Colm Andrews, William Hulme +4 more
2023· The Lancet Public Health97doi:10.1016/s2468-2667(23)00079-8

BACKGROUND: COVID-19 has been shown to differently affect various demographic and clinical population subgroups. We aimed to describe trends in absolute and relative COVID-19-related mortality risks across clinical and demographic population subgroups during successive SARS-CoV-2 pandemic waves. METHODS: We did a retrospective cohort study in England using the OpenSAFELY platform with the approval of National Health Service England, covering the first five SARS-CoV-2 pandemic waves (wave one [wild-type] from March 23 to May 30, 2020; wave two [alpha (B.1.1.7)] from Sept 7, 2020, to April 24, 2021; wave three [delta (B.1.617.2)] from May 28 to Dec 14, 2021; wave four [omicron (B.1.1.529)] from Dec 15, 2021, to April 29, 2022; and wave five [omicron] from June 24 to Aug 3, 2022). In each wave, we included people aged 18-110 years who were registered with a general practice on the first day of the wave and who had at least 3 months of continuous general practice registration up to this date. We estimated crude and sex-standardised and age-standardised wave-specific COVID-19-related death rates and relative risks of COVID-19-related death in population subgroups. FINDINGS: 18 895 870 adults were included in wave one, 19 014 720 in wave two, 18 932 050 in wave three, 19 097 970 in wave four, and 19 226 475 in wave five. Crude COVID-19-related death rates per 1000 person-years decreased from 4·48 deaths (95% CI 4·41-4·55) in wave one to 2·69 (2·66-2·72) in wave two, 0·64 (0·63-0·66) in wave three, 1·01 (0·99-1·03) in wave four, and 0·67 (0·64-0·71) in wave five. In wave one, the standardised COVID-19-related death rates were highest in people aged 80 years or older, people with chronic kidney disease stage 5 or 4, people receiving dialysis, people with dementia or learning disability, and people who had received a kidney transplant (ranging from 19·85 deaths per 1000 person-years to 44·41 deaths per 1000 person-years, compared with from 0·05 deaths per 1000 person-years to 15·93 deaths per 1000 person-years in other subgroups). In wave two compared with wave one, in a largely unvaccinated population, the decrease in COVID-19-related mortality was evenly distributed across population subgroups. In wave three compared with wave one, larger decreases in COVID-19-related death rates were seen in groups prioritised for primary SARS-CoV-2 vaccination, including people aged 80 years or older and people with neurological disease, learning disability, or severe mental illness (90-91% decrease). Conversely, smaller decreases in COVID-19-related death rates were observed in younger age groups, people who had received organ transplants, and people with chronic kidney disease, haematological malignancies, or immunosuppressive conditions (0-25% decrease). In wave four compared with wave one, the decrease in COVID-19-related death rates was smaller in groups with lower vaccination coverage (including younger age groups) and conditions associated with impaired vaccine response, including people who had received organ transplants and people with immunosuppressive conditions (26-61% decrease). INTERPRETATION: There was a substantial decrease in absolute COVID-19-related death rates over time in the overall population, but demographic and clinical relative risk profiles persisted and worsened for people with lower vaccination coverage or impaired immune response. Our findings provide an evidence base to inform UK public health policy for protecting these vulnerable population subgroups. FUNDING: UK Research and Innovation, Wellcome Trust, UK Medical Research Council, National Institute for Health and Care Research, and Health Data Research UK.