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This paper seeks to synthesize fifty years of academic historical publishing since 1974. It argues that the advent of democracy in Greece anticipated three waves of historiographic production: one immediately following the Junta's collapse in 1974 up to the 1990s; a second from the late 1990s to the 2010s; and one since then until the present.
To clarify incidence, progression and effect on quality of life of shoulder/neck disability, oral asymmetry, neuropathic pain and numbness following neck dissection.
Methods
This prospective telephone-interview study delivered the Neck Dissection Impairment Index, Neuropathic Pain Questionnaire, House–Brackmann Scale and questions assessing numbness to patients before and three times after neck dissection.
Results
Mean Neck Dissection Impairment Index (6.43 vs 22.17; p = 0.004) and Neuropathic Pain Questionnaire scores (0.76 vs 2.30; p = 0.004), proportions of patients with oral asymmetry (3 per cent vs 33.3 per cent; p = 0.016), ear (5.9 per cent vs 46.7 per cent; p = 0.002), jaw (5.9 per cent vs 53.3 per cent; p < 0.001) and neck numbness (5.9 per cent vs 53.3 per cent; p < 0.001) each increased significantly from pre-operation versus 12 weeks after. Neuropathic pain diagnoses did not reach significance. No outcome returned to baseline and progression of each was illustrated over time.
Conclusion
The findings demonstrated that these complications are common and persist throughout short-term recovery. Screening to identify and manage complications could improve post-operative care.
This article revisits Odysseus Elytis’ poem Alvaniada, first presented on the Greek National Radio Foundation (EIR) in 1956. I approach the Alvaniada as a radio poem, highlighting its role in the development of Elytis’ intermedial poetics, which aims at inventing, in his own words, ‘new fixed forms that facilitate the poem's transition from the domain of the book to the domain of the theatre or to music and song’. The case of the Alvaniada directs attention to the 1950s as a critical, yet understudied, decade for Elytis’ acquisition of canonical status: it was then that his works became widely disseminated via national cultural institutions such as the state theatre and radio.
In this paper, I identify a distinctive type of epistemic injustice which I call “identification-based injustice.” In paradigm cases, a prejudiced interlocutor responds to a trans speaker’s gender self-identification (e.g., “I am a woman”) with disbelief or dismissal. This is an everyday form of injustice experienced by trans individuals, and frequently has severe practical consequences. It involves testimony with a particular kind of content, namely self-identification. I argue that because the relevant self-IDs express substantial self-knowledge, the injustice harms the speaker both in their capacity as a knower and in their capacity to be known, by themself and by others. This illuminates a distinctively epistemic obligation on the part of hearers to take trans speakers’ self-identifications seriously.
This article aimed to evaluate the diagnostic accuracy of the contrast swallow study and its role in informing management decisions in patients following laryngectomy.
Methods
A five-year retrospective case note review on all patients who underwent laryngectomy between April 2018 and July 2023 at a tertiary head and neck cancer centre.
Results
A total of 82 patients met inclusion criteria; 22 had reported radiological evidence of a pharyngocutaneous fistula on contrast swallow study; of these only 1 developed a clinical pharyngocutaneous fistula. Of the 60 with no radiological evidence of a pharyngocutaneous fistula, 3 developed clinical pharyngocutaneous fistulas. This represents a positive predictive value of 5 per cent and a negative predictive value of 95 per cent.
Conclusion
In this cohort, the contrast swallow study was a sub-optimal investigation. The high NPV may support decision-making when there is little clinical suspicion, however the low PPV represents significant over-reporting and may cloud the clinical decision-making process.
Infinitival constructions (ICs) have received considerable attention from syntacticians and typologists, but less so from variationist linguistics. Based on new data from a comprehensive dialect survey, this study investigates the variation and change of ICs in Austrian dialects. The results reveal clear geographical patterns for different IC variants in Austria. Regarding linguistic factors, several constraints are identified, most importantly with respect to the IC’s syntactical function and governing element (e.g., phase verbs). Moreover, an apparent-time analysis shows that one variant (zum + infinitive) has been grammaticalized and spread at the expense of all other variants, presumably due to both dialect leveling and dialect-standard advergence.
This study revisits the V3 linearization AdvP>Subject>finite verb in Kiezdeutsch, comparing it to resumptive verb-third Left Dislocation and Hanging Topic Left Dislocation. Using corpus data, preverbal object DPs are shown to almost never occur across verb-third distributions, yet preverbal nominative subjects and spatio-temporal elements are unproblematic. This behavior is argued to involve a low C-domain position encoding a Subject of Predication requirement (see Cardinaletti 2004) tied to aboutness and nominative Case-assigning features, but not a strict D-related subject EPP. Based on comparison with other corpora and analysis of metadata, speakers from non-German-speaking homes, namely successive bilinguals, are argued to have innovated this property. A novel account is suggested for the emergence of V3 based on claims that it results from a natural informational order (Wiese et al. 2020), which is formalized as a Minimal Default Grammar (Roeper 1999) available to children before they fully acquire CP and TP. Children acquiring a V2 language must either reject V3 or incorporate it into a V2 syntax. Lacking adequate counterevidence in their input, Kiezdeutsch speakers do the latter.*
Entomophagy (eating edible insects) could potentially address human deficiencies of iron, zinc and vitamin B12. This article aims to summarise available evidence about the iron, zinc and vitamin B12 content of raw and processed edible insects and compare these with the nutritional needs of different human life stages. A systematic literature search using specific keywords (edible insects, iron content, zinc content, vitamin B12 content and nutritional composition) in Web of Science and Scopus databases was performed. Forty-six studies were reviewed. To ensure standardised comparisons, articles with nutrient-enriched edible insects were excluded. The quality of records was assessed using standardised protocols. Results indicate that edible insects are generally either ‘sources of’ or ‘rich in’ iron, zinc and vitamin B12 required for optimal nutrition and health of different human life stages. Moreover, iron, zinc and vitamin B12 contents of edible insect species were generally either comparable to or higher than that of (lean) beef, (lean) pork, poultry and kidney beans. Most insect species were oven processed with little/no species-specific data for other processing methods. Variations in micronutrient content existed between processing methods and among oven-processed edible insects. Data inaccuracies, poor data quality control and lack of insect-specific official analytical methods contributed to fairly high variations and made comparisons difficult. Based on available data, edible insects can potentially address human deficiencies of iron, zinc and vitamin B12 despite the observed variations, data gaps and lack of edible insect matrix-specific official methods, in addition to limited human bioavailability and efficacy studies.
Increase bleeding control knowledge and self-efficacy among middle school students and determine efficacy of health care student-led Stop the Bleed (STB) training.
Methods
An interprofessional group of health care students led STB trainings at 6 Texas middle schools. Trainings included a presentation plus hands-on skills training and were evaluated using pre- and post-training surveys focused on bleeding control knowledge, self-efficacy, and willingness to assist in emergencies. Paired pre- and post-training survey responses were compared using McNemar’s test for knowledge-based questions and paired t tests for Likert scale responses.
Results
Health care students (N = 103) trained 805 middle school students, aged 10-16 years, of which 447 (55.5%) completed pre- and post-surveys. There was significant improvement in all 7 knowledge-based questions from pre- to post-training. There were significant improvements in comfort using tourniquets (median [interquartile range]: 3 [2-4] vs. 4 [3-5]; P < 0.0001), confidence applying direct pressure (3 [2-4] vs. 4 [3-5]; P < 0.0001), and likeliness to assist someone bleeding (4 [3-5] vs. 4 [4-5]; P = 0.0096). Eighty-four percent of students found this training “useful.”
Conclusions
While previous studies have demonstrated STB training efficacy, this is among the first to provide evidence that health care student-led STB training significantly increased bleeding control knowledge and self-efficacy among middle school students.
Jubilees are good to think with, obviously. They provide a fitting opportunity to look back, to take stock, and to offer some thoughts about the future. As a scholar working on Byzantine history (and only slightly older than BMGS at that) I recognize that the state of the field has changed immensely in the last fifty years. First, there was a major expansion in departments and programmes dedicated to Byzantine studies, followed more recently by a contraction. And yet, even while Byzantine studies are offered in fewer academic institutions, there is an immense proliferation of academic research and publications on the Byzantine Empire – trend accelerating. Exact numbers may be hard to come by, but a quick search on WorldCat for books published in 2023 with the word ‘Byzantine’ in the title brought forth almost two hundred books – in English alone. If we add journal articles (there are over twenty major journals devoted solely to Byzantine studies), chapters in edited volumes, and, especially publications in languages other than English, we would probably reach the low thousands, all in one year. To survey, much less to read with care and absorb all this new knowledge, has become impossible. How handy would it be if someone else took over this task for us – processing research and synthesizing it in a clear, concise and readable volume. It is highly doubtful that such a book could be produced today, but there is a work that fulfilled these functions for a very long time, one of the most cited and recommended textbooks in Byzantine history, Georg Ostrogorsky's History of the Byzantine State.
Self-harm, self-poisoning or self-injury, irrespective of the motivation, is a central risk factor for suicide. Still, there is limited knowledge of self-harm among patients with substance use disorders (SUDs) who die by suicide.
Aims
We aimed to describe the prevalence of a history of self-harm and identify the factors associated with self-harm, comparing individuals who died by suicide with and without SUDs.
Method
We used data from the Norwegian Surveillance System for Suicide in Mental Health and Substance Use Services, which is based on a national linkage between the Norwegian Cause of Death Registry and the Norwegian Patient Registry, to identify individuals who died by suicide within 1 year after last contact with mental health or substance use services (n = 1140). A questionnaire was retrieved for 1041 (91.3%) of these individuals. We used least absolute shrinkage and selection operator (LASSO) regression to select variables and compared patients with and without SUDs. Conditional selective inference was used to improve 90% confidence intervals and p-values.
Results
The prevalence of self-harm was 55% in patients with SUDs and 52.6% in patients without SUDs. Suicidal ideation (odds ratio 2.98 (95% CI 1.74–5.10)) emerged as a factor shared with patients without SUDs, while personality disorders (odds ratio 1.96 (1.12–3.40)) and a history of violence (odds ratio 1.86 (1.20–2.87)) were unique factors for patients with SUDs.
Conclusions
A history of self-harm is prevalent in patients with SUDs who die by suicide and is associated with suicidal ideation, a history of violence and personality disorders in patients with SUDs.
The Brahman sage Gautama cursed Indra with emasculation, in some versions through the appearance of vulvas on his body, as a punishment for intercourse with Gautama's wife, Ahalyā; Ahalyā's punishment involved detraction from her visible or physical presence. I present an analysis of the version as told in Padmapurāṇa 1.54. The story, in addition to reflecting male suspicion of women and dread of feminisation, simultaneously functions as a cautionary tale about the dangers of succumbing to lust and reflects inter-varṇa tension: the weak-willed Indra, a divine kṣatriya, is humiliated by the continent Gautama, whose asceticism is the source of the devastating power that he unleashes against both Indra and Ahalyā. I also compare this myth to the Greek tales of Achilles, Herakles, and Teiresias's feminisations, and suggest that the association of heroic feminisation with sexuality (as seen in the stories in which Indra, Achilles, and Herakles are feminised) may be a shared inheritance from Proto-Indo-European times. However, the myths of Achilles and Herakles's feminisations, like that of Indra's, are shaped by their specific cultural context: the feminised Greek heroes’ penetration of women is confirmation of their continued masculinity, rather than the result of a reprehensible lack of self-control.
Many influential political science articles use close elections to study how important outcomes vary after a certain type of candidate wins, such as a Democrat or a Republican. This politician characteristic regression discontinuity (PCRD) design offers opportunities for inferential leverage but also the potential for confusion. In this article, we clarify what causal claims the PCRD licenses, offering a rigorous causal analysis that points to three principal lessons. First, PCRDs do nothing to isolate the effect of the politician characteristic of interest as apart from other politician characteristics. Second, selection processes (regarding both “who runs” and “which elections are close”) can generate and exacerbate such confounding, as noted in Marshall (2024). Third and more fortunately, this approach does make it possible to estimate the average effect of electing a leader of type “A” vs. “B” in the context of close elections, treating the units as districts, not leaders. We also suggest a set of tools that can aid in falsifying key assumptions, avoiding unwarranted claims, and surfacing mechanisms of interest. We illustrate these issues and tools through a reanalysis of an influential study about what happens when extremists win primaries (Hall 2015).
Levetiracetam (LEV) is an antiseizure medication (ASM) used as a second line after benzodiazepines for status epilepticus treatment. Current literature lacks direct head-to-head comparisons between different LEV loading dose strategies, leading to uncertainty about superior dosing methods and thus clinical practice variations.
Methods:
A retrospective cohort study was designed to compare efficacy and safety of low (<30 mg/kg) versus high (≥30 mg/kg) weight-based LEV loading doses in adults with benzodiazepine-refractory status epilepticus (BRSE). The primary outcome of this study was termination of BRSE. No requirement for additional ASM after LEV was a surrogate for BRSE termination. Secondary endpoints included endotracheal intubation, intensive care unit (ICU) admission, 30-day all-cause mortality and adverse drug reactions. Statistical analysis included discrete and inferential statistics, including logistic regression and win-ratio analysis, to control for potential confounding variables.
Results:
Of the 106 patients included in this study, 54 (51%) did not require additional ASM after LEV, thereby achieving seizure termination. There was a higher proportion of patients with seizure termination in the higher weight-based dosing group as compared to the lower weight-based group (66% vs 40%, respectively; aOR 3.07; 95% CI: 1.36–7.21). There were lower rates for endotracheal intubation, ICU admission and all-cause mortality in the higher dosing group. Adverse events were comparable between the both groups.
Conclusion:
LEV’s high weight-based loading dose strategy (≥30 mg/kg) is more effective in the termination of BRSE as compared to the lower weight-based loading dose strategy (<30 mg/kg).
We present a family of minimal modal logics (namely, modal logics based on minimal propositional logic) corresponding each to a different classical modal logic. The minimal modal logics are defined based on their classical counterparts in two distinct ways: (1) via embedding into fusions of classical modal logics through a natural extension of the Gödel–Johansson translation of minimal logic into modal logic S4; (2) via extension to modal logics of the multi- vs. single-succedent correspondence of sequent calculi for classical and minimal logic. We show that, despite being mutually independent, the two methods turn out to be equivalent for a wide class of modal systems. Moreover, we compare the resulting minimal version of K with the constructive modal logic CK studied in the literature, displaying tight relations among the two systems. Based on these relations, we also define a constructive correspondent for each minimal system, thus obtaining a family of constructive modal logics which includes CK as well as other constructive modal logics studied in the literature.