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The discovery of Middle Bronze Age field systems at Fengate, to the east of Peterborough, Cambridgeshire (Pryor 1980), in the 1970s, was hugely significant for Bronze Age studies in eastern England. Since then, gravel quarry excavations along the western edge of the East Anglian Fens – several of which have become vast, long-running landscape projects – have shaped our understanding of the region’s prehistory. This paper will examine new evidence from the (comparatively) ‘upland’ region of East Anglia, to the south and east of the Fens – primarily through two case study landscapes: South Cambridgeshire (along the Cam Valley) and East Norfolk (the Bure and Yare/Wensum Valleys). Both areas have seen extensive archaeological investigation over the past 15 years and offer new perspectives on the region’s Bronze Age, where land division and settlement context appear different to that of the Fenland and where burial rites display a diversity that has until recently been largely unrecognised. Recent and upcoming publication of these landscapes highlights the need for up-to-date synthesis and review of the region’s Middle Bronze Age evidence, and accordingly, the wider East Anglian context is also briefly considered here, in the hope of providing stimulus for further research and analysis.
Wolff-Parkinson-White syndrome, characterised by accessory pathways, is rarely seen with dextrocardia. We present a case of situs inversus-dextrocardia with Wolff-Parkinson-White syndrome successfully treated via catheter ablation using 3D mapping (EnSite Precision®). Adjustments included reversed electrocardiogram (ECG) electrode placement, EnSite patch positioning, and fluoroscopic views. Coronary sinus access required counterclockwise manoeuvers. Mapping identified a left-sided accessory pathway, necessitating transseptal puncture with mirror-image adjustments. Ablation at the optimal site resulted in success. This case highlights the feasibility of catheter ablation in dextrocardia with tailored procedural modifications.
Children are uniquely vulnerable to chemical, biological, radiological, and nuclear (CBRN) events due to anatomical, physiological, and psychological differences. Current decontamination practices are adapted from adult protocols.
Objective
To evaluate current practices, challenges, and special considerations in pediatric decontamination during CBRN events.
Method
A scoping review was conducted using six databases in accordance with PRISMA-ScR framework. Studies were eligible if they evaluated decontamination methods involving children (0-18 years) in real or simulated CBRN scenarios. Fourteen studies met the inclusion criteria, and data were thematically analyzed into four domains.
Results
Disrobing is widely recognized as a critical first step in the decontamination process, and 43% of the studies reviewed identified it as such. When done immediately and appropriately, it can remove a significant amount of contaminants. Although its effectiveness varies based on how much of the body is covered and the nature of the exposure. Dry decontamination was discussed in 21% of studies, and wet decontamination was the most commonly reported approach, appearing in 93%. Key pediatric challenges included hypothermia, psychological distress, separation from caregivers, and difficulties managing non-ambulatory or special needs populations. Few studies addressed age-specific protocols or long-term psychological impacts. The results are presented in procedural order to reflect the typical sequence of decontamination in CBRN response.
Conclusions
Current decontamination guidelines inadequately address pediatric-specific needs. There is a critical need for standardized, age-appropriate guidelines that integrate caregiver support and psychosocial considerations. A pediatric decontamination algorithm was developed to consolidate current evidence into a practical framework for CBRN mass casualty incidents.
The aim of this research is to examine student motivation to participate in general music classes. The research involves students aged 10–14 from a general education primary school in Croatia (N = 186). The results indicate that these students were motivated to engage in general music classes; however, a nonlinear decline in motivation was evident as students progressed through the school years. Girls were more motivated to participate in general music classes compared to boys, and students involved in additional musical activities reported higher levels of motivation. Furthermore, listening to music influenced students’ perceptions of general music lessons and was associated with their motivation.
Many theologians and philosophers have ignored or dismissed the crucial distinction between theodicies and defenses. The distinction was and is of theological and philosophical importance not only to avoid conflating crucial issues in accounts dealing with the goodness and power of God and the reality of evil, but also to getting the challenges of evil to belief in God rightly located. This article revisits the distinction I discussed more than forty years ago in “The Use and Abuse of Theodicy.” The present article analyzes problems in the rhetoric and logic of recent works and their concerns with structural and cultural (social) evil. It focuses on major titles in philosophical theology: Marilyn McCord Adams, Christ and Horrors; Ross McCullough, Freedom and Sin; and Karen Kilby, God, Evil and the Limits of Theology. Along the way, it seeks to clarify some issues I have taken up, especially in The Evils of Theodicy.
After Dobbs v. Jackson Women’s Health Organization, the United States Supreme Court decision that overturned Roe v. Wade in 2022, OB/GYN residents’ access to abortion training, which is required in all accredited programs, has come under pressure. To receive the foundational training doctors in the field need, many residents in ban states travel to out-of-state programs where abortion is legal. But demand is high, travel for multiple weeks is expensive, and the capacity to train at host sites is limited.
Training by travel could have ripple effects for the quality of patient care. As the number of OB/GYNs continues to decrease, newly-trained providers will have different, and arguably diminished, skills in delivering not just elective but also medically necessary abortion care. And as exceptions for life and health become how legal, procedural terminations take place in one-third of the United States, there is no guarantee that the doctors in those states will feel comfortable providing that care.
This article explores the residency training provided today, providers’ and institutions’ navigation of abortion bans, and what changes in residency programs might mean for patient care in the coming years. Part I surveys the landscape of abortion law after Dobbs; even the strictest bans contemplate instances when abortion is medically required and legally permitted. Part II summarizes the pre- and post-Dobbs expectations for abortion training for OB/GYN residents, describing how graduate medical education has changed for residents in ban states. Part III assesses shorter and longer-term effects of a system that relies on travel and simulation (the use of models) or is out of compliance with national accreditation standards. Part IV concludes with potential paths forward that depend on state and national organizations supporting and funding the networks of health care professionals that facilitate training across the country.
In her Time and History in Hegelian Thought and Spirit, Sally Sedgwick sets out to:
specify the extent to which we can accurately attribute to Hegel the view that human reason and the freedom it affords us are indebted for their nature to this temporal order of nature and history. Hegel’s concern with our reason’s development conveys not just his fascination with the past but his interest in how reason responds to and is anchored in and shaped by the past. (TH: 4)
In the first part of the book Sedgwick is concerned with freedom being temporally conditioned. The second part consists of the last two chapters and is concerned with the claim that ‘all our thought is indebted to this actual realm as well’ (TH: 8). Hegel repeatedly asserts, Sedgwick notes, ‘that none of us can escape our time in thought’ (TH: 143).
I am grateful to the Reviews Editor for the Hegel Bulletin, Susanne Herrmann-Sinai, for arranging this discussion of my book, Time and History in Hegelian Thought and Spirit (2023). I appreciate this opportunity to clarify and expand on some of the main ideas of the book, including those that are the most challenging to defend. I also owe thanks, of course, to each of my four critics for giving their valuable time to this project. In the context of so few pages, it is not possible to respond to every criticism; I have had to pick and choose. In the process, I may have failed to do full justice to my critics’ concerns.
This essay investigates the meaning of “nominal prices” in Adam Smith’s the Wealth of Nations, its contraposition to “real prices,” and the impact of Smith’s nominal prices upon his assessment of the prices of wheat over the centuries. I also consider measure and value in the Wealth of Nations as well as Smith’s threefold standard of measure: labor, wheat, money. Smith chose an unusual measure to investigate prices over time, with nominal prices being referred to a specific quantity of silver. This raises questions about the possible impact of centuries-old debates over debasement and the value of money on Smith’s measurement of value across times.
The results of research on the human remains and artefacts recently discovered at Heaning Wood Bone Cave, Cumbria, UK are reported. A programme of radiocarbon dating has established that the human remains include the earliest so far discovered in northern Britain, the ‘Ossick Lass’, which date between 9290 and 8925 cal BC. The cave was used for burial during three phases in prehistory: one individual dating to the Early Mesolithic, four to the Early Neolithic and two to the Early Bronze Age and is thus an important addition to our developing knowledge about the deposition of human remains in caves in north-west Europe at these dates. Genomic analysis has established that all but one of the sampled individuals were biologically female. Osteological and taphonomic analysis shows that, in each phase, the burial practice seems to have been successive inhumation of the recently deceased body into the vertical entrance of the cave. Artefacts associated with the burials include perforated periwinkle shell beads radiocarbon dated to the Early Mesolithic, a small assemblage of worked stone, including diagnostically Early Neolithic pieces, and sherds of Early Bronze Age Collared Urn pottery.
In this paper, we introduce a new technique to study the distribution in residue classes of sets of integers with digit and sum-of-digits restrictions. From our main theorem, we derive a necessary and sufficient condition for integers with missing digits to be uniformly distributed in arithmetic progressions, extending previous results going back to the work of Erdős, Mauduit and Sárközy. Our approach uses Markov chains and does not rely on Fourier analysis as many results of this nature do. Our results apply more generally to the class of multiplicatively invariant sets of integers. This class, defined by Glasscock, Moreira and Richter using symbolic dynamics, is an integer analogue to fractal sets and includes all missing digits sets. We address uniform distribution in this setting, partially answering an open question posed by the same authors.