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The study aimed to increase the understanding of the lived experience of patients during the acute phase of a coronavirus disease 2019 (COVID-19) infection.
Method:
A Web-based survey was distributed through established patient and public engagement and involvement groups and networks, social media, and by means of word of mouth. The survey covered questions relating to patient demographics, COVID-19 diagnosis, symptom profile, and patient experience during acute COVID-19.
Results:
The findings demonstrate the varying symptom profiles experienced by people in the acute stage of COVID-19 infection, with participants sharing how they managed care at home, and/or accessed medical advice. Findings also highlight themes that people were concerned with being unable to receive care and believed they needed to rely heavily on family, with extreme thoughts of death.
Conclusions:
Although the urgent threat to public health has been negated by efficacious vaccines and enhanced treatment strategies, there are key lessons from the lived experience of COVID-19 that should be used to prepare for future pandemics and public health emergencies.
The Oxford Cognitive Screen (OCS) is a screening tool to assess stroke patients for deficits in attention, executive functions, language, praxis, numeric cognition, and memory. In this study, the OCS was culturally and linguistically adapted to Tamil, for use in India (OCS TA), considering the differences between formal and spoken versions of Tamil and consideration of its phonetic complexity.
Method:
We adopted two-parallel form versions of the OCS and generated normative data for them. We recruited 181 healthy controls (Mean = 39.27 years, SD 16.52) (141 completed version A, 40 completed version B, 33 completed version A and B) and compared the data with the original UK normative sample. In addition, 28 native Tamil-speaking patients who had a stroke in the past three years (Mean = 62.76 years, SD 9.14) were assessed. Convergent validity was assessed with subtasks from Addenbrooke’s Cognitive Examination III (ACE-III).
Results:
We found significant differences between the UK normative group and the OCS TA normative group in age and education. Tamil-specific norms were used to adapt the cutoffs for the memory, gesture imitation, and executive function tasks. When domain-specific scores on the ACE-III were compared, OCS TA exhibited strong convergent validity.
Conclusions:
The OCS TA has shown the potential to be a useful screening tool for stroke survivors among Tamil speakers with the two-parallel forms demonstrating good equivalence. Further empirical evidence from larger studies is required to establish their psychometric performance and clinical validity.
The comparative analysis of three “contested truths” around COVID-19 in East Africa demonstrates that knowledge is a product of knotted, uneven, and disputed epistemological practices tied to structures of power. Lee, Meek, and Katumusiime examine: (1) the construction of a pan-African skepticism of COVID-19 that drew on anti-imperialist discourses; (2) social media posts through which Tanzanian digital publics critically evaluated steam inhalation as an alternative therapeutic for COVID-19; and (3) the resistance by many Ugandans to complying with public health measures such as lockdowns. “Contested truths” is used as an analytical framework to center the specificity and situatedness of truth-making in East Africa during the COVID-19 pandemic.
We present a model for the volume-averaged dissipation rate in linear unsteady flow through porous media. The model is derived by blending a new small-time asymptotic expression for the dissipation rate obtained from boundary layer theory with the known large-time asymptotic expression obtained from Darcy's law. The resulting model is a second-order Volterra functional of the volume-averaged acceleration. We validate the model with an analytical solution for transient flow through a porous medium composed of circular tubes and with numerical simulations of transient and oscillatory flow through a cylinder array and through a hexagonal sphere pack.
In 2017, archaeologists at Pompeii discovered by far the longest tomb inscription ever found at the city on a monumental tomb. This elogium provided insight into many aspects of the city's social, economic, and political world. One clause attests to the distribution of baked bread in the city. This note argues that the passage provides new evidence from Pompeii that answers two longstanding questions. The first is that of the subject of an often-reproduced Pompeian fresco. The identity of the main figure in the painting is debated: either a baker or a politician. The second is the status, political rank, and network of the owner of the property on which the fresco was discovered. Supported by the evidence of an electoral programma, the painting and inscription illuminate the mechanics of beneficence at Pompeii and serve to identify the residence of someone who operated in the political networks of the 1st-c. CE city at a sub-elite level.
We generalize bounds of Liu–Wan–Xiao for slopes in eigencurves for definite unitary groups of rank $2$ to slopes in eigenvarieties for definite unitary groups of any rank. We show that for a definite unitary group of rank $n$, the Newton polygon of the characteristic power series of the $U_p$ Hecke operator has exact growth rate $x^{1+2/{n(n-1)}}$, times a constant proportional to the distance of the weight from the boundary of weight space. The proof goes through the classification of forms associated to principal series representations. We also give a consequence for the geometry of these eigenvarieties over the boundary of weight space.
This study aimed to compare Greek Australian and English language normative data with regard to impairment rates yielded within a healthy Greek Australian older adult sample. We also examined whether optimal cut scores could be identified and capable of sensitively and specifically distinguishing between healthy Greek Australians from those with a diagnosis of Alzheimer’s disease (AD).
Method:
Ninety healthy Greek Australian older adults and 20 demographically matched individuals with a diagnosis of AD completed a range of neuropsychological measures, including the Wechsler Adult Intelligence Scale-Fourth Edition, Greek Adaptation (WAIS-IV GR), verbal and visual memory, language and naming, and executive functions. Impairment rates derived from the use of either Greek Australian or English language normative data were calculated and compared, using a 1.5 standard deviation criterion to denote impairment. Receiver operating characteristics curve analysis was used to investigate the sensitivity and specificity of alternate cut scores.
Results:
Impairment rates derived from the Greek Australian normative data showed that rates of impairment generally fell within the expected 7% range. In contrast, impairment rates for all tests derived using English language normative data were significantly higher and ranged from 11%–66%. Comparisons between healthy and AD participants with moderate dementia showed significant differences across all measures. Area under the curve results ranged from .721 to .999 across all measures, with most tests displaying excellent sensitivity and specificity.
Conclusions:
English language normative data were found to be inappropriate for use with Greek Australian elders, potentially leading to erroneous diagnostic outcomes. The use of minority group specific normative data and associated cut points appear to partially ameliorate this issue. Clinical implications are discussed alongside future research directions.
Theoretical investigation of the primary Mach reflection (MR) configuration on V-shaped blunt leading edges (VBLEs) forms the focus of this study. By ignoring the secondary interactions, a theoretical method based on a simplified form of the continuity relation is developed to predict the shock configurations, including the detached shock, the Mach stem, the transmitted shock and the triple point. The comparison of the theoretical results with both numerical and previous experimental results shows the reliability of the theoretical approach in predicting shock structures across a wide range of free stream and geometric parameters. The theoretical model provides a detailed comprehension of the occurrence mechanism of inverse MRs on VBLEs and the influence of the free stream and geometric parameters on primary MR configurations. Along with the primary MR configuration, the curved shock or compression waves generated by the crotch are solved and offer insight into the transition from the MR to the regular reflection from the same family (sRR). The increase of the ratio $R/r$ and the free stream Mach number $M_0$ appears to facilitate the transition, while the effect of the half-span angle $\beta$ is non-monotonic. The predicted shock positions allow for the identification of the transition boundary between the primary MR and sRR. It is found that $R/r$ below a threshold (for a set $M_0$ value) produces MR, irrespective of $\beta$. If this threshold is exceeded, the configuration can transition from the primary MR to sRR and then back to the primary MR as $\beta$ increases.
In a recent paper, motivated by the study of central extensions of associative algebras, George Janelidze introduces the notion of weakly action representable category. In this paper, we show that the category of Leibniz algebras is weakly action representable and we characterize the class of acting morphisms. Moreover, we study the representability of actions of the category of Poisson algebras and we prove that the subvariety of commutative Poisson algebras is not weakly action representable.
One of the major pillars of the African Union is the integration of peoples and the ability for them to move freely from one member country to another, with the right to reside and practise their trade or profession. This aspect of integration found full expression in the Protocol to the Treaty Establishing the African Economic Community Relating to the Free Movement of Persons, Right of Residence and Right of Establishment, adopted in 2018. Upon operationalization, it will remove obstacles to the movement of people, capital and resources in the region and give expression to aspiration 2 of the African Union Agenda 2063. However, significant challenges lie on the path of its implementation. This article doctrinally reviews the protocol, looking at its prospects for promoting African integration and development, and anticipates some of the problems that the protocol will face. It concludes with recommendations for achieving its lofty but desirable ends.
Sensory differences and anxiety disorders are highly prevalent in autistic individuals with and without ADHD. Studies have shown that sensory differences and anxiety are associated and that intolerance of uncertainty (IU) plays an important role in this relationship. However, it is unclear as to how different levels of the sensory processing pathway (i.e., perceptual, affective, or behavioral) contribute. Here, we used psychophysics to assess how alterations in tactile perception contribute to questionnaire measures of sensory reactivity, IU, and anxiety. Thirty-eight autistic children (aged 8-12 years; 27 with co-occurring ADHD) were included. Consistent with previous findings, mediation analyses showed that child-reported IU fully mediated an association between parent-reported sensory reactivity and parent-reported anxiety and that anxiety partially mediated an association between sensory reactivity and IU. Of the vibrotactile thresholds, only simultaneous frequency discrimination (SFD) thresholds correlated with sensory reactivity. Interestingly, we found that sensory reactivity fully mediated an association between SFD threshold and anxiety, and between SFD threshold and IU. Taken together, those findings suggest a mechanistic pathway whereby tactile perceptual alterations contribute to sensory reactivity at the affective level, leading in turn to increased IU and anxiety. This stepwise association can inform potential interventions for IU and anxiety in autism.
Shock-tube experiments on Richtmyer–Meshkov (RM) instability at a perturbed SF$_6$ layer surrounded by air, induced by a cylindrical divergent shock, are reported. To explore the effects of reverberating waves and interface coupling on instability growth, gas layers with various shapes are created: unperturbed inner interface and sinusoidal outer interface (case US); sinusoidal inner and outer interfaces that have identical phase (case IP); sinusoidal inner and outer interfaces that have opposite phase (case AP). For each case, three thicknesses are considered. Results show that reverberating waves inside the layer dominate the early-stage instability growth, while interface coupling dominates the late-stage growth. The influences of waves on divergent RM instability are more pronounced than the planar and convergent counterparts, which are estimated accurately based on gas dynamics theory. Both the wave influence and interface coupling depend heavily on the layer shape, leading to diverse growth rates: the quickest growth for case AP, medium growth for case US, the slowest growth for case IP. In particular, for the IP case, there exists a critical thickness below which the instability growth is suppressed by both the reverberating waves and interface coupling. This provides an efficient way to modulate the growth of divergent RM instability. It is found that divergent RM instability involves weak nonlinearity and strong interface coupling such that the linear theory of Mikaelian (Phys. Fluids, vol. 17, 2005, 094105) can well reproduce the instability growth at late stages for all cases. This constitutes the first experimental confirmation of the Mikaelian theory.
Tippins et al. (2023) challenge I-O psychologists to more actively – in Miller’s oft-quoted APA presidential address – “give psychology away.” Their article provides stirring examples of the impact several of our colleagues have made in giving psychology away. In thinking about how to encourage and facilitate more of us to volunteer, we’d like to share several thoughts on our roles as I-Os, both as individuals and as a community. In particular, we propose that volunteerism is an expression of our calling as I-Os; suggest five roles we can play as individuals; discuss three roles for the community at-large; and conclude with a call to action.