Correspondence to Dr Rebecca Williams, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; rebeccawilliams@unc.edu For the first few years ...of the vaping epidemic, to draw in smokers, the tobacco industry provided disposable ‘try it and throw it out’ cigalike electronic cigarettes (e-cigarettes), potentially driven by desire to convince people to try a new product that looked similar to cigarettes with a low initial cost—about the same as (or less than) a pack of cigarettes1; much less than a typical reusable e-cigarette starter kit. ...their availability from online vendors became more scarce and expensive, with the proportion of online vendors selling disposable e-cigarettes dropping from 55.2% in 20131 to 23.6% in 2016 (Williams R. Internet Tobacco Vendors Study, Unpublished Data, 2016), with only 6 of the 98 most popular online vendors selling disposable e-cigarettes in our 2014 purchase study.3 With this shift, vendors often grouped disposables in multipacks or priced them higher than starter kits in an apparent effort to start people with refillable instead of disposable products, encouraging them towards habitual use. Disclaimer The National Cancer Institute had no role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; nor decision to submit the manuscript for publication.
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CEKLJ, CMK, NUK, UL, UM, UPUK
Scientists and practitioners alike need reliable, valid measures of contextual factors that influence implementation. Yet, few existing measures demonstrate reliability or validity. To meet this ...need, we developed and assessed the psychometric properties of measures of several constructs within the Inner Setting domain of the Consolidated Framework for Implementation Research (CFIR).
We searched the literature for existing measures for the 7 Inner Setting domain constructs (Culture Overall, Culture Stress, Culture Effort, Implementation Climate, Learning Climate, Leadership Engagement, and Available Resources). We adapted items for the healthcare context, pilot-tested the adapted measures in 4 Federally Qualified Health Centers (FQHCs), and implemented the revised measures in 78 FQHCs in the 7 states (N = 327 respondents) with a focus on colorectal cancer (CRC) screening practices. To psychometrically assess our measures, we conducted confirmatory factor analysis models (CFA; structural validity), assessed inter-item consistency (reliability), computed scale correlations (discriminant validity), and calculated inter-rater reliability and agreement (organization-level construct reliability and validity).
CFAs for most constructs exhibited good model fit (CFI > 0.90, TLI > 0.90, SRMR < 0.08, RMSEA < 0.08), with almost all factor loadings exceeding 0.40. Scale reliabilities ranged from good (0.7 ≤ α < 0.9) to excellent (α ≥ 0.9). Scale correlations fell below 0.90, indicating discriminant validity. Inter-rater reliability and agreement were sufficiently high to justify measuring constructs at the clinic-level.
Our findings provide psychometric evidence in support of the CFIR Inner Setting measures. Our findings also suggest the Inner Setting measures from individuals can be aggregated to represent the clinic-level. Measurement of the Inner Setting constructs can be useful in better understanding and predicting implementation in FQHCs and can be used to identify targets of strategies to accelerate and enhance implementation efforts in FQHCs.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
We present spatially resolved Atacama Large Millimeter/submillimeter Array (ALMA) Cii observations of the z = 4.7555 submillimetre galaxy, ALESS 73.1. Our 0.̋5 FWHM map resolves the Cii emitting gas ...which is centred close to the active galactic nucleus (AGN). The gas kinematics are dominated by rotation but with high turbulence, vrot/σint ~ 3.1, and a Toomre Q parameter <1 throughout the disk. By fitting three independent thin rotating disk models to our data, we derive a total dynamical mass of 3 ± 2 × 1010 M⊙. This is close to the molecular gas mass derived from previous CO(2-1) observations, and implies a CO to H2 conversion factor αCO < 2.3 M⊙ (K km s-1 pc2)-1. The mass budget also constrains the stellar mass to <3.1 × 1010 M⊙, and entails a gas fraction of fgas ≳ 0.4. The diameter of the dust continuum emission is <2 kpc, while the star-formation rate is as high as 1000 M⊙ yr-1. Combined with our stellar mass constraint, this implies an extreme specific star formation rate >80 Gyr-1, especially since there are no clear indications of recent merger activity. Finally, our high signal-to-noise Cii measurement revises the observed Nii/Cii ratio, which suggests a close to solar metallicity, unless the Cii flux contains significant contributions from Hii regions. Our observations suggest that ALESS73.1 is a nascent galaxy undergoing its first major burst of star formation, embedded within an unstable but metal-rich gas disk.
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FMFMET, NUK, UL, UM, UPUK
Branching to sinuous ridges systems, hundreds of kilometers in length and comprising layered strata, are present across much of Arabia Terra, Mars. These ridges are interpreted as depositional ...fluvial channels, now preserved as inverted topography. Here we use high‐resolution image and topographic data sets to investigate the morphology of these depositional systems and show key examples of their relationships to associated fluvial landforms. The inverted channel systems likely comprise indurated conglomerate, sandstone, and mudstone bodies, which form a multistory channel stratigraphy. The channel systems intersect local basins and indurated sedimentary mounds, which we interpret as paleolake deposits. Some inverted channels are located within erosional valley networks, which have regional and local catchments. Inverted channels are typically found in downslope sections of valley networks, sometimes at the margins of basins, and numerous different transition morphologies are observed. These relationships indicate a complex history of erosion and deposition, possibly controlled by changes in water or sediment flux, or base‐level variation. Other inverted channel systems have no clear preserved catchment, likely lost due to regional resurfacing of upland areas. Sediment may have been transported through Arabia Terra toward the dichotomy and stored in local and regional‐scale basins. Regional stratigraphic relations suggest these systems were active between the mid‐Noachian and early Hesperian. The morphology of these systems is supportive of an early Mars climate, which was characterized by prolonged precipitation and runoff.
Plain Language Summary
Landscape features identified as former rivers and lakes are common across ancient Martian surfaces (>3.7 billion years ago), strong evidence for an ancient hydrologic cycle. However, the nature of the ancient climate and environment remains unclear and detailed investigations of Mars's geology are necessary to help constrain this. Using high‐resolution satellite images, we investigate a series of sinuous ridges preserved at the Martian surface throughout the ancient Arabia Terra region. These sinuous ridges often occur downslope of river valleys, commonly as the valleys enter topographic basins. The ridges are usually found on the oldest exposed geological surfaces. The morphology of the ridges and their relationship to river valleys suggests that they are sedimentary rocks, which form in or next to rivers. We interpret the basins as ancient lakes and their associated deposits as lake sediments. These rivers were active ~3.7 billion years ago and transported and deposited sediment through the Arabia Terra region. On Earth, rivers typically take between 50,000 and 1,000,000 years to develop such thick deposits. These river deposits are now exposed as ridges due to erosion. The formation of these rivers and lakes in Arabia Terra was likely due to prolonged and episodic precipitation‐driven erosion.
Key Points
Fluvial depositional systems, 50–100 m in stratigraphic thickness, are common across Arabia Terra, Mars
These deposits represent former rivers (at least 100–200 km long), floodplains, and lakes and are found filling fluvial valleys and basins
These systems are mid‐Noachian to early Hesperian in age and represent significant periods of geologic time
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK
Abstract Fibrillar collagen gels, which are used extensively in vitro to study tumor–microenvironment interactions, are composed of a cell-instructive network of interconnected fibers and pores whose ...organization is sensitive to polymerization conditions such as bulk concentration, pH, and temperature. Using confocal reflectance microscopy and image autocorrelation analysis to quantitatively assess gel microarchitecture, we show that additional polymerization parameters including culture media formulation and gel thickness significantly affect the dimensions and organization of fibers and pores in collagen gels. These findings enabled the development of a three-dimensional culture system in which cell-scale gel microarchitecture was decoupled from bulk gel collagen concentration. Interestingly, morphology and migration characteristics of embedded MDA-MB-231 cells were sensitive to gel microarchitecture independently of collagen gel concentration. Cells adopted a polarized, motile phenotype in gels with larger fibers and pores and a rounded or stellate, less motile phenotype in gels with small fibers and pores regardless of bulk gel density. Conversely, cell proliferation was sensitive to gel concentration but not microarchitecture. These results indicate that cell-scale gel microarchitecture may trump bulk-scale gel density in controlling specific cell behaviors, underscoring the biophysical role of gel microarchitecture in influencing cell behavior.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
To examine the effectiveness of interventions aimed at improving physical activity, diet, and/or weight-related behaviors amongst university/college students. Five online databases were searched ...(January 1970 to April 2014). Experimental study designs were eligible for inclusion. Data extraction was performed by one reviewer using a standardized form developed by the researchers and checked by a second reviewer. Data were described in a narrative synthesis and meta-analyses were conducted when appropriate. Study quality was also established. Forty-one studies were included; of these, 34 reported significant improvements in one of the key outcomes. Of the studies examining physical activity 18/29 yielded significant results, with meta-analysis demonstrating significant increases in moderate physical activity in intervention groups compared to control. Of the studies examining nutrition, 12/24 reported significantly improved outcomes; only 4/12 assessing weight loss outcomes found significant weight reduction. This appears to be the first systematic review of physical activity, diet and weight loss interventions targeting university and college students. Tertiary institutions are appropriate settings for implementing and evaluating lifestyle interventions, however more research is needed to improve such strategies.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
Youth violence is a growing challenge worldwide, particularly in countries that are experiencing extreme social disorganisation. This is exemplified in Honduras which has been one of the top five ...countries in the world for intentional homicides for over 20 years. While many studies have examined youth violence in urban cities, few have researched youth violence in rural zones. This study presents a case study using social disorganisation theory to investigate the perceptions of 40 youth in rural and peri-urban Santa Rosa de Copán, Honduras, regarding what drives violence and the potential solutions. Consistent with social disorganisation theory, our results demonstrate that youth view violence as an opportunity pathway resulting from economic deprivation, disruptions to the family and neighbourhood, lack of or poorly functioning external agencies and conflicting moral values. There are significant gender differences in the results, with young men pointing to several issues that challenge masculine hegemonic gender norms such as the desire for love and belonging, participation in education and the role of policing.
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BFBNIB, DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Purpose
The Cancer Prevention and Control Research Network (CPCRN) is a national network focused on accelerating the translation of cancer prevention and control research evidence into practice ...through collaborative, multicenter projects in partnership with diverse communities. From 2003 to 2022, the CPCRN included 613 members.
Methods
We: (1) characterize the extent and nature of collaborations through a bibliometric analysis of 20 years of Network publications; and (2) describe key features and functions of the CPCRN as related to organizational structure, productivity, impact, and focus on health equity, partnership development, and capacity building through analysis of 22 in-depth interviews and review of Network documentation.
Results
Searching Scopus for multicenter publications among the CPCRN members from their time of Network engagement yielded 1,074 collaborative publications involving two or more members. Both the overall number and content breadth of multicenter publications increased over time as the Network matured. Since 2004, members submitted 123 multicenter grant applications, of which 72 were funded (59%), totaling more than $77 million secured. Thematic analysis of interviews revealed that the CPCRN’s success—in terms of publication and grant productivity, as well as the breadth and depth of partnerships, subject matter expertise, and content area foci—is attributable to: (1) its people–the inclusion of members representing diverse content-area interests, multidisciplinary perspectives, and geographic contexts; (2) dedicated centralized structures and processes to enable and evaluate collaboration; and (3) focused attention to strategically adapting to change.
Conclusion
CPCRN’s history highlights organizational, strategic, and practical lessons learned over two decades to optimize Network collaboration for enhanced collective impact in cancer prevention and control. These insights may be useful to others seeking to leverage collaborative networks to address public health problems.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
The Cancer Prevention and Control Research Network (CPCRN) is a thematic network dedicated to accelerating the adoption of evidence-based cancer prevention and control practices in communities by ...advancing dissemination and implementation science. Funded by the Centers for Disease Control and Prevention and National Cancer Institute, CPCRN has operated at two levels: Each participating network center conducts research projects with primarily local partners as well as multicenter collaborative research projects with state and national partners. Through multicenter collaboration, thematic networks leverage the expertise, resources, and partnerships of participating centers to conduct research projects collectively that might not be feasible individually. Although multicenter collaboration is often advocated, it is challenging to promote and assess. Using bibliometric network analysis and other graphical methods, this paper describes CPCRN’s multicenter publication progression from 2004 to 2014. Searching PubMed, Scopus, and Web of Science in 2014 identified 249 peer-reviewed CPCRN publications involving two or more centers out of 6,534 total. The research and public health impact of these multicenter collaborative projects initiated by CPCRN during that 10-year period were then examined. CPCRN established numerous workgroups around topics such as: 2-1-1, training and technical assistance, colorectal cancer control, federally qualified health centers, cancer survivorship, and human papillomavirus. This paper discusses the challenges that arise in promoting multicenter collaboration and the strategies that CPCRN uses to address those challenges. The lessons learned should broadly interest those seeking to promote multisite collaboration to address public health problems, such as cancer prevention and control.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
The synthesis of cyclic amphiphilic graft copolymers with a hydrophobic polycarbonate backbone and hydrophilic poly(N-acryloylmorpholine) (PNAM) side arms via a combination of ring-opening ...polymerization (ROP), cyclization via copper-catalyzed azide–alkyne cycloaddition (CuAAC), and reversible addition–fragmentation chain transfer (RAFT) polymerization is reported. The ability of these cyclic graft copolymers to form unimolecular micelles in water is explored using a combination of light scattering, small-angle X-ray scattering (SAXS), and cryogenic transmission electron microscopy (cryoTEM) analyses, where particle size was found to increase with increasing PNAM arm length. Further analysis revealed differences in the solution conformations, loading capabilities, and morphologies of the cyclic graft copolymers in comparison to equivalent linear graft copolymer unimolecular micelle analogues. Furthermore, the cyclic and linear graft copolymers were found to exhibit significantly different cloud point temperatures. This study highlights how subtle changes in polymer architecture (linear graft copolymer versus cyclic graft copolymer) can dramatically influence a polymer’s nanostructure and its properties.
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IJS, KILJ, NUK, PNG, UL, UM