Research Priorities Research Articles

Stress in autism (STREAM): A study protocol on the role of circadian activity, sleep quality and sensory reactivity.

Mental health issues are markedly increased in individuals with autism, making it the number one research priority by stakeholders. There is a crucial need to use personalized approaches to understand the underpinnings of mental illness in autism and consequently, to address individual needs. Based on the risk factors identified in typical mental research, we propose the following themes central to mental health issues in autism: sleep difficulties and stress. Indeed, the prevalence of manifold circadian disruptions and sleep difficulties in autism, alongside stress related to sensory overload, forms an integral part of autistic symptomatology. This proof-of-concept study protocol outlines an innovative, individualised approach towards investigating the interrelationships between stress indices, sleep and circadian activation patterns, and sensory sensitivity in autism. Embracing an individualized methodology, we aim to collect 14 days of data per participant from 20 individuals with autism diagnoses and 20 without. Participants' sleep will be monitored using wearable EEG headbands and a sleep diary. Diurnal tracking of heart rate and electrodermal activity through wearables will serve as proxies of stress. Those objective data will be synchronized with subjective experience traces collected throughout the day using the Temporal Experience Tracing (TET) method. TET facilitates the quantification of relevant aspects of individual experience states, such as stress or sensory sensitivities, by providing a continuous multidimensional description of subjective experiences. Capturing the dynamics of subjective experiences phase-locked to neural and physiological proxies both between and within individuals, this approach has the potential to contribute to our understanding of critical issues in autism, including sleep problems, sensory reactivity and stress. The planned strives to provide a pathway towards developing a more nuanced and individualized approach to addressing mental health in autism.

Anthropogenic disturbance affects calling and collective behaviour in corvid roosts.

Acoustic communication plays an important role in coordinating group dynamics and collective movements across a range of taxa. However, anthropogenic disturbance can inhibit the production or reception of acoustic signals. Here, we investigate the effects of noise and light pollution on the calling and collective behaviour of wild jackdaws (Corvus monedula), a highly social corvid species that uses vocalizations to coordinate collective movements at winter roosting sites. Using audio and video monitoring of roosts in areas with differing degrees of urbanization, we evaluate the influence of anthropogenic disturbance on vocalizations and collective movements. We found that when levels of background noise were higher, jackdaws took longer to settle following arrival at the roost in the evening and also called more during the night, suggesting that human disturbance may cause sleep disruption. High levels of overnight calling were, in turn, linked to disruption of vocal consensus decision-making and less cohesive group departures in the morning. These results raise the possibility that, by affecting cognitive and perceptual processes, human activities may interfere with animals' ability to coordinate collective behaviour. Understanding links between anthropogenic disturbance, communication, cognition and collective behaviour must be an important research priority in our increasingly urbanized world. This article is part of the theme issue 'The power of sound: unravelling how acoustic communication shapes group dynamics'.

Organ Segmentation and Phenotypic Trait Extraction of Cotton Seedling Point Clouds Based on a 3D Lightweight Network

Cotton is an important economic crop; therefore, enhancing cotton yield and cultivating superior varieties are key research priorities. The seedling stage, a critical phase in cotton production, significantly influences the subsequent growth and yield of the crop. Therefore, breeding experts often choose to measure phenotypic parameters during this period to make breeding decisions. Traditional methods of phenotypic parameter measurement require manual processes, which are not only tedious and inefficient but can also damage the plants. To effectively, rapidly, and accurately extract three-dimensional phenotypic parameters of cotton seedlings, precise segmentation of phenotypic organs must first be achieved. This paper proposes a neural network-based segmentation algorithm for cotton seedling organs, which, compared to the average precision of 75.4% in traditional unsupervised learning, achieves an average precision of 96.67%, demonstrating excellent segmentation performance. The segmented leaf and stem point clouds are used for the calculation of phenotypic parameters such as stem length, leaf length, leaf width, and leaf area. Comparisons with actual measurements yield coefficients of determination R2 of 91.97%, 90.97%, 92.72%, and 95.44%, respectively. The results indicate that the algorithm proposed in this paper can achieve precise segmentation of stem and leaf organs, and can efficiently and accurately extract three-dimensional phenotypic structural information of cotton seedlings. In summary, this study not only made significant progress in the precise segmentation of cotton seedling organs and the extraction of three-dimensional phenotypic structural information, but the algorithm also demonstrates strong applicability to different varieties of cotton seedlings. This provides new perspectives and methods for plant researchers and breeding experts, contributing to the advancement of the plant phenotypic computation field and bringing new breakthroughs and opportunities to the field of plant science research.

Research on CC-SSBLS Model-Based Air Quality Index Prediction

Establishing reliable and effective prediction models is a major research priority for air quality parameter monitoring and prediction and is utilized extensively in numerous fields. The sample dataset of air quality metrics often established has missing data and outliers because of certain uncontrollable causes. A broad learning system based on a semi-supervised mechanism is built to address some of the dataset’s data-missing issues, hence reducing the air quality model prediction error. Several air parameter sample datasets in the experiment were discovered to have outlier issues, and the anomalous data directly impact the prediction model’s stability and accuracy. Furthermore, the correlation entropy criteria perform better when handling the sample data’s outliers. Therefore, the prediction model in this paper consists of a semi-supervised broad learning system based on the correlation entropy criterion (CC-SSBLS). This technique effectively solves the issue of unstable and inaccurate prediction results due to anomalies in the data by substituting the correlation entropy criterion for the mean square error criterion in the BLS algorithm. Experiments on the CC-SSBLS algorithm and comparative studies with models like Random Forest (RF), Support Vector Regression (V-SVR), BLS, SSBLS, and Categorical and Regression Tree-based Broad Learning System (CART-BLS) were conducted using sample datasets of air parameters in various regions. In this paper, the root mean square error (RMSE) and mean absolute percentage error (MAPE) are used to judge the advantages and disadvantages of the proposed model. Through the experimental analysis, RMSE and MAPE reached 8.68 μg·m−3 and 0.24% in the Nanjing dataset. It is possible to conclude that the CC-SSBLS algorithm has superior stability and prediction accuracy based on the experimental results.

Establishing the Top 10 Research Priorities for Adolescent and Young Adult (AYA) Cancer in Canada: A Protocol for a James Lind Alliance Priority Setting Partnership

Adolescents and young adults (AYAs; 15–39 years) diagnosed with cancer have unique medical and psychosocial needs. These needs could be better addressed through research that is focused on the topics that matter most to them. However, there is currently no patient-oriented research agenda for AYA cancer in Canada. This manuscript describes the early development and project protocol for a priority-setting partnership (PSP) for establishing the top 10 research priorities for AYA cancer in Canada. This project follows the PSP methodology outlined by the James Lind Alliance (JLA) to engage patients, caregivers, and clinicians in research prioritization. The steps of a JLA PSP include establishing a steering group and project partners, gathering uncertainties, data processing and verifying uncertainties, interim priority setting, and a final priority setting workshop. The AYA cancer PSP will result in a top 10 list of research priorities identified by Canadian AYA patients, caregivers, and clinicians that will be published and shared broadly with the research community. The first steering group meeting was held in April 2023, and the project is ongoing. The establishment of a patient-oriented research agenda for AYA cancer will catalyze a long-term and impactful research focus and ultimately improve outcomes for AYA patients with cancer in Canada.

Mindfulness-Based Stress Reduction Health Insurance Coverage: If, How, and When? An Integrated Knowledge Translation (iKT) Delphi Key Informant Analysis

Abstract Objectives Hundreds of trials have evaluated Mindfulness-Based Stress Reduction (MBSR), but in the United States, it is generally not covered by health insurance. Consequently, the aims were to identify the following: (1) key questions to make decisions about if, how, and when MBSR should be covered by health insurance; (2a) barriers and (2b) facilitators to understand and resolve for MBSR to be covered by health insurance; and (3) highest priority evidence needed to inform health insurance coverage decisions. Methods Key informants (n = 26) included health insurers, healthcare administrators, policymakers, clinicians, MBSR instructors, and MBSR students. An initial pool of items related to the study aims was generated through qualitative interviews. Through the Delphi process, participants rated, discussed, and re-rated each item’s relevance. Items were required to reach a consensus of ≥ 80% agreement to be retained for final inclusion. Results Of the original 149 items, 42 (28.2%) met the ≥ 80% agreement criterion and were retained for final inclusion. The most highly rated items informing whether MBSR should be covered by health insurance included research demonstrating that MBSR works and that it is not harmful. The most highly rated barriers to coverage were that MBSR is not a medical treatment and patient barriers to attendance. Highly rated facilitators included the potential of MBSR to address common mental health and psychosomatic problems. Finally, understanding what conditions are effectively treated with MBSR and the impact of MBSR on stress were rated as the highest priority evidence needed to inform health insurance coverage decisions. Conclusions Findings highlight priorities for future research and policy efforts to advance health insurance coverage of MBSR in the United States.

КОФЕЙНАЯ КИСЛОТА СТИМУЛИРУЕТ СВЕЧЕНИЕ МИЦЕЛИЯ ВЫСШИХ ГРИБОВ NEONOTHOPANUS NAMBI, ARMILLARIA BOREALIS IN VIVO

In vivo experiments have shown that the addition of caffeic acid to the luminous mycelia of the higher fungi Neonothopanus nambi and Armillaria borealis stimulates a rapid and significant (by an order of magnitude or more) increase in the intensity of their light emission. It has been suggested that the observed effect of fungal luminescence activation may be mediated by the oxidation of caffeic acid by enzymes of the ligninolytic complex of basidiomycetes (in particular, by peroxidases) with the emission of visible light quanta. Comparative in vivo experiments showed that the addition of hispidin (the precursor of luciferin in the light emission reaction of higher fungi) did not affect the intensity of bioluminescence of the mycelia. At the same time, in vitro studies found that caffeic acid significantly suppressed the NADPH-hispidin-activated emission reaction of luminescent systems isolated from the mycelia of N. nambi and A. borealis. The inhibitory effect of caffeic acid is considered and discussed in the work from the standpoint of the classical biochemistry concept on enzyme inhibition by the reaction product according to the negative feedback principle. In general, the results obtained develop and supplement the understanding of the mechanisms of light emission in higher fungi and testify in favor of the fact that the generation of visible light quanta in basidiomycetes can be carried out by different biochemical pathways involving different enzymes (or enzyme systems). Clarifying the mechanism of stimulation of in vivo bioluminescence of higher fungi by caffeic acid is a priority for further research.

Missing in action: A bibliometric analysis of military research in the medical literature since 1950.

Top-tier general and specialty scientific journals serve as a bellwether for national research priorities. We hypothesize that military-relevant publications are underrepresented in the scientific literature and that such publications decrease significantly during peacetime. We identified high impact journals in the fields of Medicine, Surgery and Critical Care and developed Boolean searches for military-focused topics using National Library of Medicine Subject Headings terms. A PubMed search from 1950 to 2020 returned the number of research publications in relevant journals and the rate of military-focused publications by year. Rates of military publications were compared between peacetime and wartime. Publication rate trends were modeled with a quadratic function controlling for the start of active conflict and total casualty numbers. Baseline proportions of military physicians relative to the civilian sector served to estimate expected publication rates. Comparisons were performed using Pearson's Chi Square and Mann-Whitney U test, with p < 0.05 considered a significant difference. From 1950 to 2020, a total of 716,340 manuscripts were published in the journals queried. Of these, military-relevant manuscripts totaled 4,052 (0.57%). We found a significant difference in the rate of publication during times of peace and times of war (0.40% vs. 0.69%, p < 0.001). Subgroup analysis found significantly reduced rates of publication in medical and critical care journals during peacetime. For each conflict, the percentage of military-focused publications peaked during periods of war but then receded below baseline levels within a median of 2.5 years (interquartile range 1.5-3.8 years) during peacetime. The proportion of military-focused publications never reached the current proportion of military physicians in the workforce. There is marked reduction in rates of publication for military-focused articles in high impact journals during peacetime. Military-focused articles are underrepresented in high-impact journals. Investigators of military-relevant topics and editors of high-impact journals should seek to close this gap.

Alcohol’s impact on the health and wellbeing of women in low- and middle-income countries: An integrative review

In this commentary we describe alcohol’s impact on the health of women in low- and middle-income countries [LMICs]. Adding to an earlier rapid review (Laslett &amp; Cook, 2019), we underline several ways in which alcohol adversely affects women’s health, wellbeing and safety in LMICs and highlight important research gaps across global regions. We recommend research and policy initiatives that will begin to address these deficits and seek to encourage discussion on whether different priorities for alcohol research, monitoring, policy and evaluation to those established for men (or the whole population, ignoring gender), and in higher income countries [HICs], should be established to ensure women’s wellbeing is maximised in LMIC.

Earthquake, flood and resilience management through spatial planning, decision and information system

Assessment and planning of crisis management with the natural disasters approach include many components. In this regard, floods and earthquakes are some of the fundamental pillars in this field. With this view, paying attention to the current and future planning and research priorities of the world shows that crisis management in flood-prone and earthquake-prone areas and increasing resilience are the most important priorities for sustainable development studies and planning in the world. The western region of Iran (Lorestan province) has a special place due to the prominent features of flood and seismicity. This study aims to investigate the current situation regarding floods and earthquakes and increase the resilience of settlements with emphasis on the study area. After studying the current structure of flood and earthquake zoning according to multi-factor criteria, zoning was performed based on the integration of GIS and AHP information systems, and at the output of the work, high-risk settlements were determined separately for rural and urban areas with geographical coordinates, and then areas with low, very low, medium, high, and very high resilience were presented separately for rural and urban settlements. Also, after analyzing the SWOT model, strategies to increase the resilience of settlements to floods and earthquakes were presented. The study method of this research and the results, strategies, and operational options presented while being used in the study area are also applicable in other areas.

Research priorities for the management of major trauma: an international priority setting partnership with the James Lind Alliance

ObjectiveThe objective of this study is to determine research priorities for the management of major trauma, representing the shared priorities of patients, their families, carers and healthcare professionals.Design/settingAn international research...

Palliative psychiatry: research, clinical, and educational priorities.

Palliative psychiatry has been proposed as a new clinical construct within mental health care and aims to improve quality of life (QoL) for individuals experiencing severe and persistent mental illness (SPMI). To date, explorations of palliative psychiatry have been largely theoretical, and more work is needed to develop its approaches into tangible clinical practice. In this paper, we synthesize existing literature with discussions held at a one-day knowledge user meeting titled "A Community of Practice for Palliative Psychiatry" to generate priorities for research, clinical practice, and education that will help advance the development of palliative psychiatry. Palliative psychiatry will benefit from research that is co-produced by people with lived experience (PWLE) of mental illness, that clarifies contested concepts within mental health care and wider medicine, and that adapts existing interventions that have the potential to improve the QoL of individuals experiencing SPMI into the mental health care context. Specific methods and tools might be developed for use in clinical spaces taking a palliative psychiatry approach. More work must be done to understand the populations that might benefit from palliative psychiatry, and to mitigate mental health care providers' (MHCPs') anxieties about using these approaches in their work. As palliative psychiatry is developed, current MHCPs, trainees, individuals experiencing SPMI, and their loved ones will all require education about and orientation to this novel approach within mental health care. There are several priorities in research, clinical practice, and education that can help advance the development of palliative psychiatry. All future work must be considered through a human rights-based, anti-oppressive lens. Research projects, clinical models, and educational initiatives should all be developed in co-production with PWLE to mitigate the epistemic injustices common in mental health care.

Unveiling the potential of biomarkers in the context of climate change: analysis of knowledge landscapes, trends, and research priorities

Unveiling the potential of biomarkers in the context of climate change: analysis of knowledge landscapes, trends, and research priorities

Global research progress of gut microbiota and epigenetics: bibliometrics and visualized analysis

BackgroundGut microbiota is an important factor affecting host health. With the further study of the mechanism of gut microbiota, significant progress has been made in the study of the link between gut microbiota and epigenetics. This study visualizes the body of knowledge and research priorities between the gut microbiota and epigenetics through bibliometrics.MethodsPublications related to gut microbiota and epigenetics were searched in the Web of Science Core Collection (WoSCC) database. Vosviewer 1.6.17 and CiteSpace 6.1.R2 were used for bibliometric analysis.ResultsWoSCC includes 460 articles from 71 countries. The number of publications on gut microbiota and epigenetics has increased each year since 2011. The USA, PEOPLES R CHINA, and ITALY are at the center of this field of research. The University of California System, Harvard University, and the University of London are the main research institutions. Li, X, Yu, Q, Zhang, S X are the top authors in this research field. We found that current research hotspots and frontiers include short-chain fatty acids (SCFA) play an important role in gut microbiota and epigenetic mechanisms, gut microbiota and epigenetics play an important role in host obesity, diet, and metabolism. Gut microbiota and epigenetics are closely related to colorectal cancer, breast cancer, and inflammatory bowel disease. At the same time, we found that gut microbiota regulates epigenetics through the gut-brain axis and has an impact on psychiatric diseases. Therefore, probiotics can regulate gut microbiota, improve lifestyle, and reduce the occurrence and development of diseases.ConclusionThis is the first comprehensive and in-depth bibliometric study of trends and developments in the field of gut microbiota and epigenetics research. This study helps to guide the direction of research scholars in their current field of study.

'We have so much to offer': Community members' perspectives on autism research.

Autism research is changing. Autistic activists and researchers want Autistic people in the community to have more of a say about what is researched and how. But we haven't asked people in the community what they think. This study used the information obtained from 55 community members, including Autistic people, their families, and professionals working with Autistic people, from an existing study on their priorities for autism research. We re-looked at what was said to see if we could understand community members' views and experiences of autism research. People agreed strongly that research can play a powerful role in shaping good Autistic lives. They also felt that big changes were needed for research to do this. Some of these changes were that researchers should stop thinking about autism narrowly and in a negative way, where Autistic people are seen as the problem. Researchers need to think more about how to improve systems, experiences and how other people respond to Autistic people. They also want the autism community to be more involved in what is researched and how it is researched. The findings from our study here highlight the potential for research to be positive when Autistic people and their families are listened to, approached with understanding, and are respected and valued as individuals in the research process.

Review of Crop Wild Relative Conservation and Use in West Asia and North Africa

Ensuring global food security in the face of climate change is critical to human survival. With a predicted human population of 9.6 billion in 2050 and the demand for food supplies expected to increase by 60% globally, but with a parallel potential reduction in crop production for wheat by 6.0%, rice by 3.2%, maize by 7.4%, and soybean by 3.1% by the end of the century, maintaining future food security will be a challenge. One potential solution is new climate-smart varieties created using the breadth of diversity inherent in crop wild relatives (CWRs). Yet CWRs are threatened, with 16–35% regarded as threatened and a significantly higher percentage suffering genetic erosion. Additionally, they are under-conserved, 95% requiring additional ex situ collections and less than 1% being actively conserved in situ; they also often grow naturally in disturbed habitats limiting standard conservation measures. The urgent requirement for active CWR conservation is widely recognized in the global policy context (Convention on Biological Diversity post-2020 Global Biodiversity Framework, UN Sustainable Development Goals, the FAO Second Global Plan of Action for PGRFA, and the FAO Framework for Action on Biodiversity for Food and Agriculture) and breeders highlight that the lack of CWR diversity is unnecessarily limiting crop improvement. CWRs are not spread evenly across the globe; they are focused in hotspots and the hottest region for CWR diversity is in West Asia and North Africa (WANA). The region has about 40% of global priority taxa and the top 17 countries with maximum numbers of CWR taxa per unit area are all in WANA. Therefore, improved CWR active conservation in WANA is not only a regional but a critical global priority. To assist in the achievement of this goal, we will review the following topics for CWRs in the WANA region: (1) conservation status, (2) community-based conservation, (3) threat status, (4) diversity use, (5) CURE—CWR hub: (ICARDA Centre of Excellence), and (6) recommendations for research priorities. The implementation of the recommendations is likely to significantly improve CWRs in situ and ex situ conservation and will potentially at least double the availability of the full breadth of CWR diversity found in WANA to breeders, and so enhance regional and global food and nutritional security.

Engineering strategies for high‐voltage LiCoO2 based high‐energy Li‐ion batteries

AbstractTo drive electronic devices for a long range, the energy density of Li‐ion batteries must be further enhanced, and high‐energy cathode materials are required. Among the cathode materials, LiCoO2 (LCO) is one of the most promising candidates when charged to higher voltages over 4.3 V. However, high‐voltage LCO materials are confronted with severe surface and bulk issues inducing poor cyclic stability. To completely unleash the potential of LCO cathodes, a more comprehensive theoretical understanding of the underlying issues is necessary, along with active exploration of previous modifications. This paper mainly presents the degradation mechanisms of LCO under high voltage, the formation and evolution mechanisms of the cathode electrolyte interface, and the surface engineering strategies employed to enhance the cell performance. By organizing and summarizing these modifications, this work aims to establish associations among common research issues and to suggest future research priorities, thus facilitating the rapid development of high‐voltage LCO.

Palliative Care Research and Clinical Practice Priorities in the United States as Identified by an Interdisciplinary Modified Delphi Approach.

Background: Palliative care demands in the United States are growing amid a comparatively small workforce of palliative care clinicians and researchers. Therefore, determining research and clinical practice priorities is essential for streamlining initiatives to advance palliative care science and practice. Objectives: To identify and rank palliative care research and clinical practice priority areas through expert consensus. Design: Using a modified Delphi method, U.S. palliative care experts identified and ranked priority areas in palliative care research and clinical practice. Priorities were thematically grouped and analyzed for topic content and frequency; univariate analysis used the median of each priority item ranking, with a cutoff median of ≤8 indicating >76% agreement for an item's ranking. Results: In total, 27 interdisciplinary pediatric and adult palliative care experts representing 19 different academic institutions and medical centers participated in the preliminary survey and the first Delphi round, and 22 participated in the second Delphi round. The preliminary survey generated 78 initial topics, which were developed into 22 priority areas during the consensus meeting. The top five priorities were (1) access to palliative care, (2) equity in palliative care, (3) adequate financing of palliative care, (4) provision of palliative care in primary care settings, and (5) palliative care workforce challenges. Conclusions: These expert-identified priority areas provide guidance for researchers and practitioners to develop innovative models, policies, and interventions, thereby enriching the quality of life for those requiring palliative care services.

Porous Organic Framework Materials (MOF, COF, and HOF) as the Multifunctional Separator for Rechargeable Lithium Metal Batteries.

The separator is an important component in batteries, with the primary function of separating the positive and negative electrodes and allowing the free passage of ions. Porous organic framework materials have a stable connection structure, large specific surface area, and ordered pores, which are natural places to store electrolytes. And these materials with specific functions can be designed according to the needs of researchers. The performance of porous organic framework-based separators used in rechargeable lithium metal batteries is much better than that of polyethylene/propylene separators. In this paper, thethree most classic organic framework materials (MOF, COF, and HOF) are analyzed and summarized. The applications of MOF, COF, and HOF separators in lithium-sulfur batteries, lithium metal anode, and solid electrolytes are reviewed. Meanwhile, the research progress of these three materials in different fields is discussed based on time. Finally, in the conclusion, the problems encountered by MOF, COF, and HOF in different fields as well as their future research priorities are presented. This review will provide theoretical guidance for the design of porous framework materials with specific functions and further stimulate researchers to conduct research on porous framework materials.

Practitioner Review: Assessment and treatment of body dysmorphic disorder in young people.

Body dysmorphic disorder (BDD) is a relatively common and highly impairing mental disorder that is strikingly underdiagnosed and undertreated in Child and Adolescent Mental Health Services (CAMHS). The only clinical guidelines for the management of BDD in youth were published nearly 20 years ago, when empirical knowledge was sparse. Fortunately, there has been a surge in research into BDD over the last 10 years, shedding important insights into the phenomenology, epidemiology, assessment and treatment of the disorder in young people. This review aimed to provide an overview of recent research developments of relevance to clinicians and healthcare policymakers. We summarise key findings regarding the epidemiology of BDD in youth, which indicate that the disorder usually develops during teenage years and affects approximately 2% of adolescents at any one point in time. We provide an overview of aetiological research, highlighting that BDD arises from an interplay between genetic and environmental influences. We then focus on screening and assessment strategies, arguing that these are crucial to promote detection and diagnosis of this under-recognised condition. Additionally, we summarise the recommended treatment approaches for BDD in youth, namely cognitive behaviour therapy with or without selective serotonin reuptake inhibitors. The review concludes by highlighting key knowledge gaps and priorities for future research including, but not limited to, better understanding aetiological factors, long-term consequences and treatment.