While tension-type headache (TTH) is the most common primary headache disorder, its effect according to sex, race and ethnicity remains unclear. We investigated disparities in sex, racial and ethnic representation in TTH clinical trials with comparison to global disease burdens. In this cross-sectional analysis, TTH clinical trials had female overrepresentation and racial and ethnic minority underrepresentation, which may affect understanding of the impact of TTH on different populations and personalized treatment development. Trial enrollment that is diverse and reflective of global disease burdens is crucial for improving study generalizability, understanding of diverse clinical presentations, and ensuring healthcare equity.

To inform programmes and policies that promote health equity, it is essential to monitor the distribution of nutritional problems among young individuals. Common nutritional problems include overall low diet quality, the underconsumption and overconsumption of certain dietary components, unhealthy meal and snack patterns, problematic feeding practices and disordered eating. The objective of the present narrative review was to summarise recent evidence of disparities among US children (2–19 years) according to age, sex, socio-economic status, ethnicity/race and rural–urban location. Searches in PubMed® and MEDLINE® were completed to identify peer-reviewed research studies published between January 2009 and January 2019. Findings from the ninety-nine reviewed studies indicate adolescent females, young individuals from lower socio-economic households and individuals who identify as non-Hispanic Black race are particularly vulnerable populations for whom targeted strategies should be developed to address evidence of increased risk with regards to multiple aspects of nutritional wellbeing. Limitations of the existing evidence relate to the accuracy of self-reported dietary data; the need for consistent definitions of disordered eating; the focus on individual dietary components v. patterns; the complexities of categorising socio-economic status, ethnicity/race, and rural and urban areas; and the cross-sectional, observational nature of most research designs. There is an urgent need for research to address these limitations and fill a large gap in evidence on rural–urban differences in nutritional problems. It will further be important for future studies to build greater understanding of how nutritional problems cluster among population groups.

The incidence of tuberculosis (TB) in native ethnic minorities remains high in developed countries. Arabs, the major ethnic minority in Israel, comprise 21% of its population. This retrospective study compared TB incidence, demographic, clinical, laboratory, genotyping characteristics and treatment outcomes in all Israeli-born citizens diagnosed with TB between 1999 and 2011 by ethnicity, i.e. Israeli-born Arabs (IA) and Jews (IJ). A total of 831 Israeli-born TB patients were reported. Of those, there were 530 (64%) IJ and 301 (36%) IA, with an average annual TB rate of 1·1 and 1·6 cases/100 000 population, respectively, lower than the national average (7·0 cases/100 000 population). TB rates in IA and IJ declined and converged to 1 case/100 000 residents. IA TB patients were more likely to be older, have more pulmonary TB and have lower treatment success rates than IJ. Older age and HIV co-infection, but not ethnicity, were predictive of non-success in TB treatment. Ten mixed IA–IJ clades were detected by spoligotyping and three mixed IA–IJ clusters were identified by MIRU-VNTR typing. Only one IA–IJ couple recalled mutual contact. In conclusion, TB rate in IA was higher than in IJ, but declined and converged in both to 1 case/100 000. Treatment success was high in both groups, and was unrelated to ethnicity.

In this commentary on the research note by Wang Xiaobing, Chengfang Liu, Linxiu Zhang, Yaojiang Shi and Scott Rozelle, “College is a rich, Han, urban, male club: research notes from a census survey of four tier one colleges in China,” I address several caveats in using the relative disparity index in assessing the extent of inequality in access to higher education. Based on these discussions, I point out the potential limitations existing in the empirical study of Wang and colleagues, and reassess the extent of disparity in college education opportunities in contemporary China using data from the 2010 Chinese General Social Survey. Although the descriptive patterns consolidate the study of Wang and colleagues, only household registration status is significantly associated with the likelihood of attending college. These findings indicate that disparities per gender, economic status, and ethnicity based on a limited number of colleges are likely to be subject to sampling errors. Finally, no interaction effects between socio-demographic factors are detected. I offer some reflections on the disproportionality approach in the research of education inequality.

Medicare is the most important publicly financed insurance programme in the US, with an annual budget at $500 billion or higher. It covers the majority of the inpatient, outpatient and prescription drugs expenditures of the seniors from age sixty-five until death. Using nationally representative data of current Medicare beneficiaries, this study estimated the dynamic relationship among gender, race, body weight, height, longevity, and lifetime Medicare expenditure. Next, we projected the trajectories of the total financial influence of demographic and biological changes in retirees on Medicare in the future. We found the increasing proportion of African Americans will lead to disproportionately lower lifetime Medicare expenditures per capita, due to racial disparities in longevity and access to outpatient care, but expect such disparities to decrease in the future. We also found the financial burden of obesity could be magnified by the increasing obesity rates among the white population.

The rise of archosaurs during the Triassic and Early Jurassic has been treated as a classic example of an evolutionary radiation in the fossil record. This paper reviews published studies and provides new data on archosaur lineage origination, diversity and lineage evolution, morphological disparity, rates of morphological character change, and faunal abundance during the Triassic–Early Jurassic. The fundamental archosaur lineages originated early in the Triassic, in concert with the highest rates of character change. Disparity and diversity peaked later, during the Norian, but the most significant increase in disparity occurred before maximum diversity. Archosaurs were rare components of Early–Middle Triassic faunas, but were more abundant in the Late Triassic and pre-eminent globally by the Early Jurassic. The archosaur radiation was a drawn-out event and major components such as diversity and abundance were discordant from each other. Crurotarsans (crocodile-line archosaurs) were more disparate, diverse, and abundant than avemetatarsalians (bird-line archosaurs, including dinosaurs) during the Late Triassic, but these roles were reversed in the Early Jurassic. There is no strong evidence that dinosaurs outcompeted or gradually eclipsed crurotarsans during the Late Triassic. Instead, crurotarsan diversity decreased precipitously by the end-Triassic extinction, which helped usher in the age of dinosaurian dominance.

Ocular following responses induced by brief movements of the visual scene were examined in monkeys for their dependence on disparity in the peripheral field. A random dot pattern was projected onto a tangent screen and partitioned into central and peripheral regions. Test stimuli were velocity steps applied in the central region, while stimuli in the periphery were stationary. The visual images in the central region were seen always in the plane of the screen, while stimuli in the periphery could be seen in front, behind, or in the plane of the screen (achieved by a system of polarizing filters). Initial ocular following responses were larger when the peripheral stimuli were presented with an uncrossed disparity than without disparity. On the other hand, responses were smaller when the peripheral stimuli were presented with crossed disparity (<5.0 deg) than without disparity. The result is consistent with the idea that ocular following responses are dependent on the perceived viewing distance.

Traditionally, it has been thought that the processing of binocular disparity for the perception of stereoscopic depth is accomplished via three types of disparity-selective channels – “near,” “far,” and “tuned.” More recent evidence challenges this notion. We have derived disparity-tuning functions psychophysically using a subthreshold summation (i.e. low-level masking) technique. We measured correlation-detection thresholds for dynamic random-element stereograms containing either one or two surfaces in depth. The resulting disparity-tuning functions show an opponent-type profile, indicating the presence of inhibition between disparity-tuned units in the visual system. Moreover, there is clear inhibition between disparities of the same sign, obviating a strict adherence to near-far opponency. These results compare favorably with tuning functions derived psychophysically using an adaptation technique, and with the tuning profiles from published single-unit recordings. Our results suggests a continuum of overlapping disparity-tuned channels, which is consistent with recent physiological evidence as well as models based on other psychophysical data.

The perception of dynamic random-dot stereograms (RDS) depends on the physiological fusion of horizontally disparate binocular visual input. Thus, the use of RDS offers the possibility to study selectively cortical processing of visual information in man. We investigated the influence of horizontal disparity on the scalp topography of RDS evoked brain activity in 33 healthy subjects. Stereoscopic checkerboard patterns were presented in the center or lateralized in the left or right visual field with horizontal disparities changing at temporal frequencies of six or eight depth reversals/s using different disparity values ranging from 3.5 to 28 min of arc. In 11 subjects evoked potential fields were recorded from 16 electrodes, and 21 subjects participated in 30-channel recordings with electrodes located over the parietal and occipital brain areas. Stimulation frequency-related brain activity was obtained with all disparity values; however, with large or small disparities the potential field strength decreased significantly while largest responses were obtained with intermediate disparities. Significant differences were observed in RDS evoked brain activity when central and lateralized stimulus locations were compared. With lateral stimuli (extending from the fovea to 17.1-deg eccentricity) maximal amplitudes were obtained at larger disparities than with central stimuli. In addition there were pronounced differences between brain activity evoked with stimuli presented in the left or right visual field; however, there were very similar evoked potential signals recorded from electrodes located over the left and right hemispheres. Our findings indicate that the processing of disparity information with lateralized stimuli is different from the processing in the center of the visual field. In addition, lateralized stimulation yields a significant disparity tuning mainly with stereoscopic targets occurring to the right from the fixation point (but not with stimuli to the left) suggesting a functional difference between the visual half-fields.

Demographic and clinical risk factors are important in guiding vaccination policy for pneumococcal pneumonia. We present data on these variables from a population-based surveillance network covering adult bacteraemic pneumococcal pneumonia (BPP) in the Delaware Valley region from 2002 to 2004. Surveillance data were used with U.S. Census data and a community health survey to calculate stratified incidence rates. Missing data were handled using multiple imputation. Overall rates of adult BPP were 10·6 cases/100 000 person-years. Elevated rates were seen in the elderly (>65 years), Native Americans, African Americans, the less-educated (less than high-school education), the poor, smokers, and individuals with histories of asthma, cancer, or diabetes. Multivariable modelling suggested that income was more robustly associated with risk than African American race. Of methodological interest, this association was not apparent if census block-group median income was used as a proxy for self-reported income. Further research on socioeconomic risk factors for BPP is needed.

The receptive-field positions and orientation preferences of neurons occupying the same tangential location in visual cortex are thought to be similar but to have an associated random scatter. However, previous estimates of this scatter may have been inflated by the use of subjective plotting methods, sequential recording of single units, and residual eye movements. Here we report measurements of receptive-field position and orientation scatter in cat area 17 made with tetrodes, which were able to simultaneously isolate and record up to 11 nearby neurons (ensembles). We studied 355 units at 72 sites with moving light and dark bars. Receptive-field sizes and positions were estimated by least-squares fitting of Gaussians to response profiles. We found that receptive-field position scatter was about half of the ensemble average receptive-field size. We confirmed previous estimates of orientation scatter, but calculations suggested that much of it may be accounted for by anatomical scatter in the positions of recorded neurons relative to the tetrode in a smooth map. Orientation tuning width was positively correlated with the degree of orientation scatter. Scatter was not independent in the two eyes: deviations from the local mean for both preferred orientation and receptive-field position were correlated although a significant amount of residual inter-ocular orientation and receptive-field position scatter was present. We conclude that cortical maps of orientation and receptive-field position are more ordered than was previously thought, and that random scatter in receptive-field positions makes a relatively small contribution to cortical point image size.