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Objectives To summarise and synthesise existing literature on the implementation of decarbonisation actions in general practice, to outline the actions being implemented, factors influencing decarbonisation, identify evidence gaps and questions for future research.Design A systematic review and narrative synthesis.Data sources MEDLINE, Embase, CINAHL, Web of Science and ProQuest (grey literature) were searched for literature published up to 29 March 2024.Eligibility criteria for selecting studies Studies of any design investigating the implementation of decarbonisation actions in general practice.Data extraction and synthesis Two reviewers extracted data and conducted quality assessments using a mixed methods appraisal tool. Narrative synthesis was used to analyse findings.Results Fifteen studies were included. Studies were primarily from the UK (n=5), followed by Australia (n=3), USA (n=2), Germany (n=2) and one each from France, Switzerland and Israel. Study designs were qualitative (n=7), quantitative (n=7) and one mixed methods. Participants included healthcare staff (n=7), patients (n=5), health stakeholders (n=2) and the general public (n=1). There was evidence of general practices adopting decarbonisation actions such as resource reuse, improved waste management, energy-efficient systems and preventive care to reduce overmedication, with strong leadership and institutional support being crucial for their success. However, barriers such as high costs, resource constraints and limited awareness among clinicians and patients highlighted the need for enhanced communication, education and the structured promotion of initiatives to improve patient and community engagement.Conclusions There is limited evidence on the implementation of decarbonisation actions in general practice. A range of factors may impact on the extent to which implementation occurs. Addressing these will be crucial for effectively promoting and scaling decarbonisation actions in general practice. Future research should focus on understanding the role of institutional context, evaluating the real-world impact of interventions on greenhouse gas emissions and exploring patient and community involvement.PROSPERO registration number CRD42023470889.

This article is a rejoinder to Annie Te One and Maria Bargh’s article published in The Australian Journal of Indigenous Education in 2023, “Towards a Fairer and More Tika Political Science and Politics: Are Political Science Programs Equipping Students Adequately for Aotearoa Realities?” (vol. 52, no. 2).

Abstract Plant invasions drive biodiversity loss, transform ecosystems, and promote positive‐feedback cycles between invasion and fire. However, the long‐term impacts of invasive grasses across landscapes with diverse plant communities and interactions with fire are poorly known. Our objectives were to examine whether buffel grass (Cenchrus ciliaris), a globally significant plant invader, altered the abundance of understory and overstory plants, homogenized plant composition, and shifted ecosystems from woodlands to grassland and to explore interrelationships between invasion and fire. We combined two methodological approaches to assess invasion spread and impacts of buffel grass in the Aṉangu Pitjantjatjara Yankunytjatjara (APY) Lands of arid central Australia: a before‐after‐control‐impact (BACI) experiment over 25 years at 15 sites and a paired‐plot (randomized‐block) experiment at 18 sites. Both experiments spanned two geographic regions and multiple vegetation communities situated on flat plains and rocky hills. We used generalized linear mixed models to analyze predictions about plant abundance and permutational multivariate ANOVA (PERMANOVA) and permutational multivariate analysis of dispersion (PERMDISP) to examine changes in community composition. Fire and invasion interactions were explored using fire history or the relative fire tolerance of plant species as covariates, predictors, or responses. Fire interacted with the invasion process in multiple ways. Invaded sites had burnt more frequently and recently than native sites in one region, and where propagules were present in 1995, buffel grass abundance increased most when fires ensued. Abundance of understory plant functional groups (native grasses, ferns, and vines) decreased with invasion, and understory shrubs decreased due to frequent fires in invaded sites. Overstory composition shifted from fire‐sensitive species toward fire‐tolerant species, but this was not directly attributable to invasion. Partial evidence for ecosystem regime shifts included homogenization of understory communities in invaded rocky hills, and an increase in woody shrub cover at native but not invaded sites over 25 years, resulting in a 5% cover difference by 2019. Impacts were detected across heterogeneous ecological communities at a scale not previously tested amongst high background community variability. Although invasion is not dependent on fire, the acceleration of invasion spread and impacts with fire is a critical consideration for future research and management of grass invaders.

Abstract Substrate composition has been widely recognised as a primary variable shaping lotic macroinvertebrate communities at the habitat unit level. However, fundamental understanding of how communities inhabiting mineralogical habitats (i.e., gravel, sand and silt) are structured across differing rivers is lacking. Moreover, research largely focusses on gravel beds and fine sediment in general (

We have previously reported that nanoparticles (NPs) loaded with IL-2 and TGF-β and targeted to T cells induced polyclonal T regulatory cells (Tregs) that protected mice from graft-versus-host disease (GvHD). Here, we evaluated whether administration of these NPs during alloantigen immunization could prevent allograft rejection by converting immunogenic responses to tolerogenic ones. Using C57BL/6 mice and BALB/c mice as either donors or recipients of allogeneic splenocytes, we found that treatment with the tolerogenic NPs in both strains of mice resulted in a marked inhibition of mixed lymphocyte reaction (MLR) to donor cell alloantigen but not to third-party control mouse cells after transfer of the allogeneic cells. The decreased alloreactivity associated with a four- to fivefold increase in the number of CD4+ and CD8+ T regulatory cells (Tregs) and the acquisition of a tolerogenic phenotype by recipient dendritic cells (DCs) in NP-treated mice. As allogeneic cells persisted in NP-treated mice, these findings suggest that tolerogenic NPs can induce alloantigen-specific Tregs and tolerogenic DCs promoting tolerogenic responses to alloantigen. By inhibiting reactivity to allotransplant, this approach could help reduce the need for immune suppression for the maintenance of allografts.

A morning discussing death can be surprisingly upbeat, if the discussion is with Sophie Calle. I am meeting her in late July at the Musee Picasso in Paris, where she [...]

We recently reported that poly lactic-co-glycolic acid (PLGA) nanoparticles (NPs) loaded with interleukin (IL)-2 and targeted to T cells inhibited the development of lupus-like disease in BDF1 mice by inducing functional T regulatory cells (Tregs). Here we show that the protection from disease and the extended survival of BDF1 mice provided by IL-2-loaded NPs targeted to T cells is not only due to an induction of Tregs but also contributed by an inhibition of T follicular helper (TFH) cells. These results identify a dual protective activity of IL-2 in the control of lupus autoimmunity, namely the inhibition of effector TFH cells, in addition to the previously known induction of Tregs. This newly recognized activity of IL-2 delivered by NPs can help better explain the beneficial effects of low-dose IL-2 immunotherapy in systemic lupus erythematosus (SLE), and might be considered as a new strategy to slow disease progression and improve outcomes in lupus patients.

Synthetic anion transporters show much promise as potential anti-cancer agents and therapeutics for diseases associated with mis-regulation of protein anion channels. In such applications high activity and anion selectivity are crucial to overcome competing proton or hydroxide transport which dissipates cellular pH gradients. Here, highly active bidentate halogen bonding and chalcogen bonding anion carriers based on electron deficient iodo- and telluromethyl-triazole derivatives are reported. Anion transport experiments in lipid bilayer vesicles reveal record nanomolar chloride transport activity for the bidentate halogen bonding anion carrier, and remarkably high chloride over proton/hydroxide selectivity for the chalcogen bonding anionophore. Computational studies provide further insight into the role of sigma-hole mediated anion recognition and desolvation at the membrane interface. Comparison with hydrogen bonding analogues demonstrates the importance of employing sigma-hole donor motifs in synthetic anionophores for achieving both high transport activity and selectivity.

Permeability measurement of engineering textiles is a key step in preparing composite manufacturing processes. A radial flow experimental setup was used in this work to measure the unsaturated and saturated in-plane permeabilities of five different types of E-glass textiles and their ratios. In parallel, delayed tow saturation during the oil injection stage was visually observed to identify fabrics that exhibited a significant dual-scale effect. A numerical approach to determine the saturated permeability of a given fabric geometry at the mesoscale was tested and validated against analytical models found in the literature. It was then applied to a realistic geometry acquired from an E-glass plain weave textile using an X-ray microtomography scanner (μCT). Two numerical methods were adopted: the single-scale method, where the tows are considered impermeable, and the dual-scale method, where the permeability of the tows is taken into account. The numerical results from both methods were then compared with the experimental values and showed good agreement, especially with the second method.

Avian infectious bronchitis is an acute respiratory disease of poultry of particular concern for global food security. Investigation of infectious bronchitis virus (IBV), the causative agent of avian infectious bronchitis, via reverse genetics enables deeper understanding of virus biology and a rapid response to emerging variants. Classic methods of reverse genetics for IBV can be time consuming, rely on recombination for the introduction of mutations, and, depending on the system, can be subject to genome instability and unreliable success rates. In this study, we have applied data-optimized Golden Gate Assembly design to create a rapidly executable, flexible, and faithful reverse genetics system for IBV. The IBV genome was divided into 12 fragments at high-fidelity fusion site breakpoints. All fragments were synthetically produced and propagated in E. coli plasmids, amenable to standard molecular biology techniques for DNA manipulation. The assembly can be carried out in a single reaction, with the products used directly in subsequent viral rescue steps. We demonstrate the use of this system for generation of point mutants and gene replacements. This Golden Gate Assembly-based reverse genetics system will enable rapid response to emerging variants of IBV, particularly important to vaccine development for controlling spread within poultry populations.

Artificial antigen-presenting cells (aAPCs) are synthetic versions of naturally occurring antigen-presenting cells (APCs) that, similar to natural APCs, promote efficient T effector cell responses in vitro. This report describes a method to produce acellular tolerogenic aAPCs made of biodegradable poly lactic-co-glycolic acid (PLGA) nanoparticles (NPs) and encapsulating IL-2 and TGF-β for a paracrine release to T cells. We document that these aAPCs can induce both human CD4+ and CD8+ T cells to become FoxP3+ T regulatory cells (Tregs). The aAPC NP-expanded human Tregs are functional in vitro and can modulate systemic autoimmunity in vivo in humanized NSG mice. These findings establish a proof-of-concept to use PLGA NPs as aAPCs for the induction of human Tregs in vitro and in vivo, highlighting the immunotherapeutic potential of this targeted approach to repair IL-2 and/or TGF-β defects documented in certain autoimmune diseases such as systemic lupus erythematosus.

Transmembrane ion transport by synthetic anionophores is typically achieved using polar hydrogen bonding anion receptors. Here we show that readily accessible halogen and hydrogen bonding 1,2,3-triazole derivatives can efficiently mediate anion transport across lipid bilayer membranes with unusual anti-Hofmeister selectivity. Importantly, the results demonstrate that the iodo-triazole systems exhibit the highest reported activity to date for halogen bonding anionophores, and enhanced transport efficiency relative to the hydrogen bonding analogues. In contrast, the analogous fluoro-triazole systems, which are unable to form intermolecular interactions with anions, are inactive. The halogen bonding anionophores also exhibit a remarkable intrinsic chloride over hydroxide selectivity, which is usually observed only in more complex anionophore designs, in contrast to the readily accessible acyclic systems reported here. This highlights the potential of iodo-triazoles as synthetically accessible and versatile motifs for developing more efficient anion transport systems. Computational studies provide further insight into the nature of the anion-triazole intermolecular interactions, examining the origins of the observed transport activity and selectivity of the systems, and revealing the role of enhanced charge delocalisation in the halogen bonding anion complexes.

We discuss a practical method for assessing mathematical proof online. We examine the use of faded worked examples and reading comprehension questions to understand proof. By breaking down a given proof, we formulate a checklist that can be used to generate comprehension questions which can be assessed automatically online. We then provide some preliminary results of deploying such questions.