Friday, January 19, 2024

COVID

FIFA World Cup ends with win for Argentina and COVID-19, new research finds


Peer-Reviewed Publication

YORK UNIVERSITY

Distinguished Research Professor Jianhong Wu 

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YORK UNIVERSITY FACULTY OF SCIENCE DISTINGUISHED RESEARCH PROFESSOR Jianhong Wu,

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CREDIT: YORK UNIVERSITY





TORONTO, Jan. 18, 2024 – The 2022 FIFA World Cup ended with a tight win for Argentina over France on penalties, but it was also a triumph for SARS-CoV-2 with a significant jump in the number of cases, some of which York University researchers say could have been prevented.

New research published today and led by York used the 2022 FIFA World Cup as a case study to help determine the best ways to mitigate virus spread and hospitalizations at mass gatherings in the future. A technique was used to sample initial conditions stemming from possible matches held between visiting teams, which then formed the basis of independent simulations of each game.

The paper, Modelling disease mitigation at mass gatherings: A case study of COVID-19 at the 2022 FIFA World Cup, was published in the journal PLOS Computational Biology.

Lead author of the paper, York postdoctoral fellow Martin Grunnill, and an academic-industrial collaborative team, including Faculty of Science Distinguished Research Professor Jianhong Wu, found that pre-travel screenings did little to prevent infections and hospitalizations.

Pre-match screening of spectators and match staff, however, with either a rapid antigen test half a day before or with a reverse transcription polymerase chain reaction test one and a half days before a match, was more effective than pre-travel screening. The researchers found doing both pre-travel and pre-match testing had even better outcomes, but what worked best was ensuring all visitors had a COVID-19 vaccination, a second or booster dose, within a few months of departure to the tournament.

“That precaution reduced the rate of infection and particularly the rate of hospitalizations,” says Grunnill.

Prior to the FIFA World Cup, COVID-19 cases and hospitalizations were declining in Qatar but began to rise during the tournament peaking at the beginning of the quarter final.

“The ambitious goal of the partnership research includes developing modelling technologies that can be used to assist in the preparation of major mass gathering events, whether religious or sports related in nature or a major festival,” says Wu. “We hope these platforms can be used to provide input into how to help manage respiratory infection risk for the next FIFA World Cup, hosted by North America, and the Olympic Games in Paris this summer.”

Wu points out that even before COVID-19, large events attracting tens of thousands of people spurred the spread of communicable diseases, sometimes globally.

“In the case of international events like the FIFA World Cup where visitors come from all over the world and return home, there is a higher chance of infections spreading beyond the host country,” says Grunnill.

The work is part of an on-going York-Sanofi collaborative project, funded by the Natural Science and Engineering Research Council of Canada, that aims to developing a generic modelling framework tailored to specific events involving intensive social-economic activities to support preparing those events with minimal risk of disease outbreak and spreading. 

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York University is a modern, multi-campus, urban university located in Toronto, Ontario. Backed by a diverse group of students, faculty, staff, alumni and partners, we bring a uniquely global perspective to help solve societal challenges, drive positive change and prepare our students for success. York's fully bilingual Glendon Campus is home to Southern Ontario's Centre of Excellence for French Language and Bilingual Postsecondary Education. York’s campuses in Costa Rica and India offer students exceptional transnational learning opportunities and innovative programs. Together, we can make things right for our communities, our planet, and our future.


 

Independent dispute resolution of no surprises act financially unviable for radiology


The No Surprises Act’s (NSA) independent dispute resolution (IDR) process would be financially unfeasible for a large portion of out-of-network (OON) claims for hospital-based specialties—more so for radiologists than other specialists.


Peer-Reviewed Publication

AMERICAN ROENTGEN RAY SOCIETY

0:02 / 6:02   Financial Viability of the No Surprises Act Independent Dispute Resolution Process 

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ERIC W. CHRISTENSEN, PHD DISCUSSES HIS RESEARCH THAT ASSESSES THE FRACTION OF OUT-OF-NETWORK CLAIMS FOR WHICH RADIOLOGISTS AND OTHER HOSPITAL-BASED SPECIALISTS CAN EXPECT TO AT LEAST BREAK EVEN WHEN CHALLENGING PAYER-DETERMINED PAYMENTS THROUGH THE NO SURPRISES ACT INDEPENDENT DISPUTE RESOLUTION PROCESS, AS A MEASURE OF THE PROCESS'S FINANCIAL VIABILITY.

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CREDIT: ARRS/AJR




Leesburg, VA, January 17, 2024—According to the American Journal of Roentgenology (AJR), the No Surprises Act’s (NSA) independent dispute resolution (IDR) process would be financially unfeasible for a large portion of out-of-network (OON) claims for hospital-based specialties—more so for radiologists than other specialists.

“Although the NSA enacted important patient protections, IDR fees limit clinicians’ opportunities to dispute payer-determined payments and potentially undermine their bargaining power in contract negotiations,” wrote AJR first author Eric W. Christensen, PhD, of the Neiman Health Policy Institute in Reston, VA. “Therefore, IDR rulemaking may negatively impact patient access to in-network care.”

Christensen et al.’s accepted manuscript extracted claims from Optum’s de-identified Clinformatics Data Mart Database for hospital-based specialties occurring the same day as in-network emergency visits or inpatient stays (January 2017–December 2021). After identifying OON claims, claims were then batched via simulated IDR rules. Maximum potential recovered payments from the IDR process was estimated as the difference between charges and allowed amount. The percentage of claims for which the maximum potential payment, and one-quarter of this amount—a more realistic payment recovery estimate—would exceed IDR fees was determined, using $150 and $450 fee thresholds to approximate the range of final 2024 IDR fees. These values represented the percentage of OON claims that would be financially viable candidates for IDR submission.

Ultimately, the percentage of radiologists’ OON claims for which the maximum potential recovered payment exceeded fee thresholds of $150 and $450 (i.e., financial breakeven points for entering the NSA IDR process) was 55.0% and 32.1%, respectively; at payment of one-quarter of the maximum amount, these percentages were 26.9% and 10.6%, respectively.

Dr. Christensen discusses his research that assesses the fraction of out-of-network claims for which radiologists and other hospital-based specialists can expect to at least break even when challenging payer-determined payments through the No Surprises Act independent dispute resolution process, as a measure of the process's financial viability.


North America’s first radiological society, the American Roentgen Ray Society (ARRS) remains dedicated to the advancement of medicine through the profession of medical imaging and its allied sciences. An international forum for progress in radiology since the discovery of the x-ray, ARRS maintains its mission of improving health through a community committed to advancing knowledge and skills with the world’s longest continuously published radiology journal—American Journal of Roentgenology—the ARRS Annual Meeting, InPractice magazine, topical symposia, myriad multimedia educational materials, as well as awarding scholarships via The Roentgen Fund®.

 WHY THE UK IS NOT MULTICULTURAL

Fewer than 1% of schools in England have full policies on second languages, language learning and English


Survey of 998 schools found just six with whole-school language policies covering issues such as how to support the 20% of students who speak English as an additional language (EAL), and expectations concerning English.

Peer-Reviewed Publication

UNIVERSITY OF CAMBRIDGE





A tiny fraction of schools in England – about three in every 500 – have whole-school policies which address foreign languages, English usage, and integrating students who speak English as an additional language (EAL), new research indicates.

The study of almost 1,000 secondary schools, by researchers at the University of Cambridge, questions many schools’ claims to being ‘inclusive’ spaces that value the linguistic diversity of their communities. It also suggests that language learning, and an appreciation of different languages, is being deprioritised, conflicting with Government ambitions for 90% of students to study a language to GCSE by 2025.

Schools in England are increasingly multicultural. Around 20% of students qualify as EAL, meaning they typically speak a different language at home. The study examined how schools navigate various issues this raises relating to languages: including students’ use and acquisition of English; the status of modern languages in the curriculum; and schools’ attitudes towards home and community languages.

The researchers reviewed every publicly available policy document from the websites of 998 secondary schools (about 20% of all those in England). Only six published dedicated school-wide policies on languages. More schools had official policies on asbestos management, or whether dogs were allowed on school grounds.

While most schools did have some specific language-related policies, these were often isolated, unclear and inconsistent; particularly on key issues such as supporting EAL learners, or the status of community languages like Polish and Urdu. Over a third (37%) failed to mention English, other languages, or even the term ‘language’ in any public policy document.

Writing in the British Educational Research Journal, the authors suggest that the absence of joined-up language strategies could pose particular challenges for England’s 1.7 million EAL students. Only 6% of state schools, and 15% of schools overall, had explicit EAL policies.

They also encountered anecdotal evidence that some EAL students’ experiences are disjointed as a result. One student, who had recently moved to the UK from Poland, described being told off for speaking Polish in one lesson when asking a friend for help, before receiving learning resources translated into Polish in her next class.

Karen Forbes, Associate Professor in Second Language Education at the University of Cambridge, said: “It’s surprising that so few schools seem to have systematic policies concerning language education and language use.”

“A major reason is probably is that school leaders just don’t have time to devise a unified approach on linguistic diversity. But language is fundamental to how students learn, conceptualise ideas, and process information. The absence of clear policies is very worrying, especially for EAL students.”

Although one in 10 state schools in the sample had EAL student populations exceeding 40% of the total, most only mentioned languages in passing, and usually within broader policies. In 33 schools, EAL was explicitly categorised as a “special educational need”, contradicting the Government’s own code of practice on special educational needs and disabilities.

Most policies on English reinforced national guidance requiring students to learn ‘standard English’ across the curriculum. Surprisingly, however, some extended this beyond the classroom. One school expected parents to “explain when their child should use Standard English appropriately at home”; which, the study notes, non-English-speaking parents would find challenging. Seven schools banned other  languages completely, including at breaktimes, with one going so far as to state that: “students should be reprimanded for speaking other languages”.

These policies often appear to clash with schools’ public claims that they celebrate cultural and linguistic diversity. Forbes said that they could also hinder learning, especially in subjects that involve specialised language and terminology, which EAL students might grasp more quickly if they were allowed to translate them.

“Prohibiting students from even using their home language to talk to their friends at breaktime can seriously undermine a student’s sense of belonging and whether they feel valued,” she added.

The study also raises concerns about how far language learning and multilingualism are encouraged within the curriculum.

While modern foreign languages are mandatory to Key Stage 3 (age 14), the Government encourages their study to GCSE through the English Baccalaureate. About 65% of independent schools in the sample regarded language study to GCSE as compulsory, but just a quarter of state schools “required” or “encouraged” this.

Even at Key Stage 3, however, over 10% of schools had policies for “disapplying” students from supposedly compulsory language lessons, often to prioritise English and Maths. This disproportionately affected EAL students, who tend to have strong multilingual skills.

Dr Nicola Morea, a co-author of the study, now based at the University of Reading, said: “Lots of research indicates that learning other languages supports English literacy skills. The argument that students should do less French or Spanish because they need to improve their English is potentially counterproductive.”

The authors argue that language policy is best handled by schools – rather than nationally – because this allows them to tailor their approach to the needs and linguistic context of local communities. They hope the study will become the initial part of a larger project, leading to the development of a toolkit through which schools and school leaders can develop joined-up language policies.

“In some schools, even individual teachers seem to be unaware of how their colleagues are handling issues like expectations concerning English, or EAL student support,” Forbes said. “Much of that could be resolved by developing shared principles and practices. That will need to come from schools themselves, so that it is meaningful in their own settings.”

The findings are published in the British Educational Research Journal.

ARACHNOLOGY

Rain can spoil a wolf spider’s day, too


Wolf spiders change their mating strategy after it rains


Peer-Reviewed Publication

UNIVERSITY OF CINCINNATI

WOLF SPIDER 

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UNIVERSITY OF CINCINNATI BIOLOGISTS FOUND THAT WOLF SPIDERS CAN'T DETECT PREDATORS OR COMMUNICATE WITH POTENTIAL MATES AS EASILY AFTER IT RAINS. THEY MUST RELY MORE ON VISUAL COMMUNICATION THAN CHEMICAL OR VIBRATORY CUES.

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CREDIT: JOSEPH FUQUA II





If you hate the rain, you have something in common with wolf spiders.

Researchers at the University of Cincinnati found that wolf spiders can’t signal others or perceive danger from predators as easily on rain-soaked leaves compared to dry ones. Even communicating with would-be mates is harder after it rains.

The study was published in the Journal of Insect Behavior.

Biologists in UC’s College of Arts and Sciences studied Schizocosa ocreata, a wolf spider found across much of the United States. Males respond to chemical signals from females by using a combination of visual and vibratory signals for courtship.

Spiders don’t have ears, but sense sound in vibrations using specialized sense organs in their eight legs. The vibrations from sound carry much better in dry leaves.

Wolf spiders are especially attuned to the calls of predatory birds like blue jays that feast on spiders, particularly during nesting season when their offspring eat virtually nothing else, lead author and UC Professor George Uetz said.

“Birds preferentially feed spiders to their offspring because spiders have 50 times the amount of taurine than insects,” Uetz said. “And taurine is critical for the development of the hippocampus of nestlings’ brains. The hippocampus is associated with spatial memory, which is really important for birds.”

The spring nesting season coincides with the spiders’ mating season. Male wolf spiders are especially vulnerable to birds when they try to woo a mate with a flashy display, which involves drumming their exaggeratedly furry front legs on the leaves in front of them.

The UC study found that male spiders become motionless and “freeze” when a blue jay calls nearby. And they stay frozen longer on dry leaves than on wet ones, possibly because the dry leaves provide a better early warning than wet ones that dampen vibrations.

Uetz said the striped black and brown spiders have remarkable camouflage when they remain motionless.

“If they remain still, they just disappear,” he said.

“Like lots of predators, blue jays are visually oriented,” Uetz said. “They’re very visually acute. For them, movement really is the key.”

With climate change increasing the frequency and duration of spring rains, wolf spiders will face increasing ecological challenges, Uetz said.

“Spring is coming a little earlier. What we’re seeing is there’s a shift in the life cycle of the spiders,” Uetz said. “If global warming shifts the annual life cycle of the spiders, that will push them out of synchrony with the nesting season of the birds, which is more closely tied to daylight cues.”

Wet leaves didn’t discourage male spiders from courting females. Male spiders increased visual signaling to compensate for the inability to use vibrations. But spiders that could use dry leaves to communicate to females had more mating success. 

UC graduate Rachel Gilbert, a study co-author, said spiders can be important bellwethers of environmental change.

“Spiders are very important to local ecosystems, both as a predator of insects and as a major food source to larger animals like birds,” she said.

The study was funded by grants from the National Science Foundation.

WOLF SPIDERS SENSE SOUND BY DETECTING VIBRATIONS IN THEIR LEGS. THEY OFTEN FREEZE AT THE JARRING CALLS OF BLUE JAYS AND OTHER BIRDS.

BIOLOGISTS AT THE UNIVERSITY OF CINCINNATI FOUND THAT WOLF SPIDERS HAVE MORE DIFFICULTY DETECTING PREDATORS AND COMMUNICATING WITH EACH OTHER ON WET LEAVES FROM A RAIN.

CREDIT

JOSEPH FUQUA II