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This exploratory study describes the design and implementation of a sound-based intervention in the initial training of specialist music teachers at a Spanish university. It aimed to create spaces geared towards more creative and contemporary approaches to musical learning in order to gauge the perceptions of trainee teachers regarding this kind of approach. The intervention (45 h of class time) was based on the creation of electroacoustic compositions following the SBM (Sound Based Music) approach using digital tools (Aglaya Play, AP). Qualitative process data were collected through self-reports, individual memories, and nine focus groups. The results suggest that the implementation of new intervention models that take into account the development of future teachers’ creativity with activities focused on exploration, experimentation, and creation with sound can generate new opportunities to enrich their teaching identities.
We study families of rational curves on irreducible holomorphic symplectic varieties. We give a necessary and sufficient condition for a sufficiently ample linear system on a holomorphic symplectic variety of $K3^{[n]}$-type to contain a uniruled divisor covered by rational curves of primitive class. In particular, for any fixed $n$, we show that there are only finitely many polarization types of holomorphic symplectic variety of $K3^{[n]}$-type that do not contain such a uniruled divisor. As an application, we provide a generalization of a result due to Beauville–Voisin on the Chow group of $0$-cycles on such varieties.
My role as a university-based, general classroom music teacher educator in England has become unclear, exacerbated by policies that have undermined the field of classroom music in schools and the role of universities in teacher education. Using self-critical inquiry enacted as critically reflexive autoethnography, I interrogated my professional practice to rethink my pedagogic identity. Theoretical perspectives, drawn from Bernstein and Bourdieu, were used to chart my shifting identity. This paper introduces a theorised model to illustrate a range of pedagogic identities for Key Stage 3 (KS3) general classroom music teacher education.
‘The collapse c. 1200 BC’ in the Aegean and eastern Mediterranean—which saw the end of the Mycenaean kingdoms, the Hittite state and its empire and the kingdom of Ugarit—has intrigued archaeologists for decades. As Jesse Millek points out in Destruction and its impact, the idea of a swathe of near-synchronous destructions across the eastern Mediterranean is central to the narrative of the Late Bronze Age collapse: “destruction stands as the physical manifestation of the end of the Bronze Age” (p.6). Yet whether there was a single collapse marked by a widespread destruction horizon is up for debate. The two books reviewed here successfully reassess the simplistic and catastrophist characterisation of the end of the Late Bronze Age in the eastern Mediterranean and help provide a more nuanced picture.
Hypoxia is a frequently reported complication during the intubation procedure in the emergency department (ED) and may cause bad outcomes. Therefore, oxygenation plays an important role in emergency airway management. The efficacy of oxygenation with high-flow nasal cannula (HFNC) in the ED has been studied, though the evidence is limited. The study aim was to compare two methods of preoxygenation in patients undergoing rapid sequence intubation (RSI) in the ED: (1) HFNC and (2) bag-valve mask (BVM) oxygenation.
Methods:
This is a single-center, prospective, randomized controlled trial (RCT) in adult ED patients requiring RSI. Patients were randomized to receive preoxygenation with either HFNC or BVM. While HFNC therapy was continued during the intubation procedure, BVM oxygenation was interrupted for laryngoscopy. The primary outcome was the lowest peripheral oxygen saturation (SpO2) level during intubation. Secondary outcomes were incidence of desaturation (SpO2<90%) and severe hypoxemia (SpO2<80%) throughout the procedure, intubation time, rate of failed intubation, and 30-day survival rates.
Results:
A total of 135 patients were randomized into two groups (HFNC n = 68; BVM n = 67). The median lowest SpO2 value measured during intubation was 96% (88.8%-99.0%) in the HFNC group and 92% (86.0%-97.5%) in the BVM group (P = .161). During the intubation procedure, severe hypoxemia occurred in 13.2% (n = 9) of patients in the HFNC group and 8.9% (n = 6) in the BVM group, while mild hypoxemia was observed in 35.8% (n = 24) of the BVM group and 26.5% (n = 18) of the HFNC group. However, there was no statistically significant difference between the groups in terms of hypoxemia development (P = .429 and P = .241, respectively). No significant difference was reported in the rate of failed intubation between the groups. Thirty-day mortality was observed in 73.1% of the BVM group and 57.4% of the HFNC group, with a borderline statistically significant difference (difference 15.7; 95% CI of the difference: −0.4 to 30.7; P = .054).
Conclusion:
The use of HFNC for preoxygenation, when compared to standard care with BVM oxygenation, did not improve the lowest SpO2 levels during intubation. Also, the use of HFNC during intubation did not provide benefits in reducing the incidence of severe hypoxemia. However, the 30-day survival rates were slightly better in the HFNC group compared to the BVM group.
Displaced populations face disproportionately high risk of communicable disease outbreaks given the strains of travel, health care circumstances in their country of origin, and limited access to health care in receiving countries.
Study Objective:
Understanding the role of demographic characteristics in outbreaks is important for timely and efficient control measures. Accordingly, this study assesses chickenpox outbreaks in three large refugee camps on mainland Greece from 2016 – 2017, using clinical line-list data from Médecins du Monde (MdM) clinics.
Methods:
Clinical line-list data from MdM clinics operating in Elliniko, Malakasa, and Raidestos camps in mainland Greece were used to characterize chickenpox outbreaks in these camps. Logistic regression was used to compare the odds of chickenpox by sex, camp, and yearly increase in age. Incidences were calculated for age categories and for sex for each camp outbreak.
Results:
Across camps, the median age was 19 years (IQR: 7.00 - 30.00 years) for all individuals and five years (IQR: 2.00 - 8.00 years) for cases. Males were 55.94% of the total population and 51.32% of all cases. There were four outbreaks of chickenpox across Elliniko (n = 1), Malakasa (n = 2), and Raidestos (n = 1) camps. The odds of chickenpox when controlling for age and sex was lower for Malakasa (OR = 0.46; 95% CI, 0.38 - 0.78) and Raidestos (OR = 0.36; 95% CI, 0.24 - 0.56) when compared Elliniko. Odds of chickenpox were comparable between Malakasa and Raidestos (OR = 1.49; 95% CI, 0.92 - 2.42). Across all camps, the highest incidence was among children zero-to-five years of age. The sex-specific incidence chickenpox was higher for males than females in Elliniko and Malakasa, while the incidence was higher among females in Raidestos.
Conclusion:
As expected, individuals five years of age and under made up the majority of chickenpox cases. However, 12% of cases were teenagers or older, highlighting the need to consider atypical age groups in vaccination strategies and control measures. To support both host and displaced populations, it is important to consider risk-reduction needs for both groups. Including host communities in vaccination campaigns and activities can help reduce the population burden of disease for both communities.
We show that the exposure to war-related violence increases the quantity of children temporarily, with permanent negative consequences for the quality of the current and previous cohorts. Our empirical evidence is based on Nepal, which experienced a 10 year long civil conflict of varying intensity. We exploit that villages affected by the conflict had the same trend in fertility as non-affected villages prior to the onset of conflict and employ a difference-in-differences estimator. We find that women in affected villages increased their fertility during the conflict by 19%, while child height-for-age declined by 10%. Supporting evidence suggests that the temporary fertility increase was the main pathway leading to reduced child height, as opposed to direct impacts of the conflict.
This article uses the example of Manoli Cigarettes and its product line, The Kaiser Cigarettes, to examine the concept of co-branding as applied to royal brand names in the German Empire. It reviews the broader networks of circulation that determined the production of royal brand names: commercial laws, business ties, advances in technology, advertising structures, tourism, and other sectors of the consumer economy. The article delves into how trademark law, the Imperial Patent Office's role in approving brand names, and case law contributed to the choice of royal brand names. The article also illuminates how manufacturers used royal brands to implement business strategies along a horizontal plane of market competition. The production of the monarchy as a cultural object was thus activated through a process of triangulation: not only through the bilateral relationship between monarch and subjects, but also lateral relations between producers who were concerned about their professional networks.
The combination of rigid policy rules with shifting political, economic, and social environments can produce drift: policy change without formal modification. We know much about the political origins and consequences of drift but little about the legal battles that accelerate or impede it. I identify two distinct forms of policy rigidity that generate drift: interval freezing and categorical freezing. Drawing from recent and historical cases encompassing voting rights, racial discrimination, religious conscience protections, and other hot-button issues, I argue that drifting policies possess several sources of legal resilience: injuries are difficult to identify; judges can be persuaded of the merits of restraint, textual formalism, and bright-line rules; and policy makers plausibly deny any intentional action in pursuit of controversial outcomes. Drift is not an automatic and unremarkable process of continual policy change but rather the outcome of high-stakes political and legal contestation over how rigid policy thresholds and categories should be adapted to meet shifting conditions.
The goal of this narrative review is to summarise the current knowledge and limitations related to the anti-inflammatory effects of tomato, tomato-derived products and lycopene in the context of metabolic inflammation associated to cardiometabolic diseases. The potential of tomato and tomato-derived product supplementation is supported by animal and in vitro studies. In addition, intervention studies provide arguments in favour of a limitation of metabolic inflammation. This is also the case for observational studies depicting inverse association between plasma lycopene levels and inflammation. Nevertheless, current data of intervention studies are mixed concerning the anti-inflammatory effect of tomato and tomato-derived products and are not in favour of an anti-inflammatory effect of pure lycopene in humans. From epidemiological to mechanistic studies, this review aims to identify limitations of the current knowledge and gaps that remain to be filled to improve our comprehension in contrasted anti-inflammatory effects of tomato, tomato-derived products and pure lycopene.
This article analyzes the methods and sources of writing a colonial legal history of Africa. The analysis is carried out with a case study of the dual legal system operative in colonial Northern Nigeria from 1900 to 1960, which saw the English common law coexist with Islamic law. I examine how three sources of colonial law – namely, legislations, case law, and legal writings – reveal the varied perspectives of European colonial officials and Africans on the workings of this legal system. I argue that while colonial legislations and legal writings are lopsided toward the perspectives of the British authority, case law in conjunction with African commentaries provide some prospect to engage in a narrative that foregrounds the voices of Africans.
Motivated by nuclear safety issues, we study the heat transfers in a thin cylindrical fluid layer with imposed fluxes at the bottom and top surfaces (not necessarily equal) and a fixed temperature on the sides. We combine direct numerical simulations and a theoretical approach to derive scaling laws for the mean temperature and for the temperature difference between the top and bottom of the system. We find two asymptotic scaling laws depending on the flux ratio between the upper and lower boundaries. The first one is controlled by heat transfer to the side, for which we recover scaling laws characteristic of natural convection (Batchelor, Q. Appl. Maths, vol. 12, 1954, pp. 209–233). The second one is driven by vertical heat transfers analogous to Rayleigh–Bénard convection (Grossmann & Lohse, J. Fluid Mech., vol. 407, 2000, pp. 27–56). We show that the system is inherently inhomogeneous, and that the heat transfer results from a superposition of both asymptotic regimes. Keeping in mind nuclear safety models, we also derive a one-dimensional model of the radial temperature profile based on a detailed analysis of the flow structure, hence providing a way to relate this profile to the imposed boundary conditions.
Let H be a complex separable Hilbert space with $\dim H \geq 2$. Let $\mathcal {N}$ be a nest on H such that $E_+ \neq E$ for any $E \neq H, E \in \mathcal {N}$. We prove that every 2-local isometry of $\operatorname {Alg}\mathcal {N}$ is a surjective linear isometry.