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This paper gives a method for determining a sample size that will achieve a prespecified bound on confidence interval width for the interrater agreement measure, κ. The same results can be used when a prespecified power is desired for testing hypotheses about the value of kappa. An example from the literature is used to illustrate the methods proposed here.
This chapter explores the 2012 legal opinion (fatwā) issued by the Egyptian Dār al-Iftāʾ—the body officially tasked with providing Islamic legal advice by the Egyptian state—on women’s capacity to serve as heads of state. In the course of discussing the issue, the authors apologetically asserts that there is not and has never been a ‘woman question’ in Islam, i.e. that there has never been any restriction on women’s agency ‘in Islam’ per se and that women are not in the least bit excluded from acting in the public sphere. The authors present examples of Muslim women serving as heads of state, judges and in other executive and public order roles, as well as minority legal opinions, in order to demonstrate their contention.
This paper introduces a tri-band stacked elliptical patch antenna featuring a right-handed circular polarized, designed to operate at the L2, L5, and L1 Global Navigation Satellite System bands. Initially, an elliptic patch is constructed and fed by a probe feed to generate TM110 and TM210 modes at resonance frequencies calculated using Mathieu functions. The probe position is precisely adjusted to excite the quasi-orthogonal mode of TM110 to generate circularly polarized (CP) waves at the L2 and L5 bands. Subsequently, an eye-shaped aperture is engraved into the elliptical patch to enhance the axial ratio (AR) beamwidth in the L2 and L5 bands and stimulate the orthogonal mode of TM210 to produce CP waves at the L1 band. Lastly, a stacked partially elliptical parasitic element is placed beneath the upper slotted elliptical patch to enhance the orthogonality of TM210 surface current versions and thus improve the AR beamwidth at the L1 band. The proposed antenna shows low reflection coefficient values at 1.12–1.33 (L2/L5), and 1.5–1.66 GHz (L1). The AR beamwidths are 133/213∘, 167/163∘, and 36/103∘ at two orthogonal cutplanes at L5, L2, and L1 bands, respectively. The antenna also has decent gains of 6–6.9 dBic across the three bands.
Social cognitive theory provides a framework of human agency during environmental challenges, with coping self-efficacy (CSE) as an important construct underlying adaptation. We examined two alternative models involving CSE as a mediator of the association between posttraumatic stress symptoms (PTSS) and communal coping among parent-youth dyads after severe floods using Bayesian dyadic multilevel modeling. The first model included PTSS as the independent variable and communal coping as the dependent variable (disaster distress model). The independent and dependent variables were replaced for each other in the second model (communal coping model). We used data from 485 parent-youth dyads who experienced floods between 2015 and 2016 in Texas, USA. Parents of children (69% women) aged 10–19 years old, and their oldest child (53% male; Mean age = 13.75) in that age range were recruited. We assessed PTSS, CSE, and communal coping for parents and youths. Results favored the disaster distress model over the communal coping model. In the disaster distress model, results demonstrated that CSE declines as PTSS increases, predicting decreased communal coping. This mediation effect of CSE is stronger for youths compared to parents, indicating that children’s CSE is affected more by PTSS.
We raise two points about cues, which complicate Barzykowski and Moulin's attempt at a unified model of memory retrieval. First, cues operate differently in voluntary and involuntary contexts. Second, voluntary and involuntary memory can be interconnected, as in cases of chaining.
Although pulmonary artery banding remains a useful palliation in bi-ventricular shunting lesions, single-stage repair holds several advantages. We investigate outcomes of the former approach in high-risk patients.
Methods:
Retrospective cohort study including all pulmonary artery banding procedures over 9 years, excluding single ventricle physiology and left ventricular training.
Results:
Banding was performed in 125 patients at a median age of 41 days (2–294) and weight of 3.4 kg (1.8–7.32). Staged repair was undertaken for significant co-morbidity in 81 (64.8%) and anatomical complexity in 44 (35.2%). The median hospital stay was 14 days (interquartile range 8–33.5) and 14 patients (11.2%) required anatomical repair before discharge. Nine patients died during the initial admission (hospital mortality 7.2 %) and five following discharge (inter-stage mortality 4.8%). Of 105 banded patients who survived, 19 (18.1%) needed inter-stage re-admission and 18 (14.4%) required unplanned re-intervention. Full repair was performed in 93 (74.4%) at a median age of 13 months (3.1–49.9) and weight of 8.5 kg (3.08–16.8). Prior banding, 54% were below the 0.4th weight centile, but only 28% remained so at repair. Post-repair, 5/93 (5.4%) developed heart block requiring permanent pacemaker, and 11/93 (11.8%) required unplanned re-intervention. The post-repair mortality (including repairs during the initial admission) was 6/93 (6.5%), with overall mortality of the staged approach 13.6% (17/125).
Conclusions:
In a cohort with a high incidence of co-morbidity, pulmonary artery banding is associated with a significant risk of re-intervention and mortality. Weight gain improves after banding, but heart block, re-intervention, and mortality remain frequent following repair.
Epigenetic modifications have been well documented in autoimmune diseases. MicroRNAs (miRNAs), in particular, have long intrigued scientists in the field of autoimmunity. Owing to its central role in the development of the immune system, microRNA-155 (miR-155) is deeply involved in systemic lupus erythematosus (SLE). Despite the advancements made in treating SLE, the disease still remains incurable. Therefore, recent attention has been drawn to the manipulation of epigenetics in the development of curative treatments. In fact, it is a widely held view that miRNA-targeted therapy is a new glimmer of hope in the treatment of autoimmune diseases. However, the duplicity of miRNAs should not be overlooked. A single miRNA can target several mRNAs, and some mRNAs may possess opposing functions. In this review, we highlight the role of miR-155 as a biomarker and review its functions in SLE patients and animal models while discussing possible reasons behind inconsistencies across studies.
Brushite (CaHPO4.2H2O) is an important calcium phosphate encountered in bone tissue engineering and bone cement formulation. There are many studies on the synthesis and characterization of brushite, but full-scale substitution and replacement of Ca by Sr in brushite as a key element in medical and environmental applications has not yet been explored systematically. Therefore, this study aims to evaluate the effects of substitution of Ca by Sr on the microstructural and thermal properties of brushite, including the chemical phases present, crystallization, structural water and phase stability. The chemical phases were determined by means of powder X-ray diffraction. The thermal properties were studied by thermogravimetric analysis. Crystallization and surface morphology were analysed using scanning electron microscopy. Various properties were dependent on the incorporated Sr ions. The replacement percentage of Sr may be divided into two major stages: the first from 0% to 50%; and the second from 50% up to 100%. The (CaxSr1–x)HPO4.nH2O shows that micro-scale crystals of platy brushite formed in the first stage of Sr replacement, from 0% up to 50%. As Sr might inhibit the formation of crystals, crystal nucleation rates were reduced as the Sr percentage increased. An amorphous product formed as a result of 50% Sr replacement. The second stage of Sr replacement with Sr contents >50% yielded a new crystal morphology corresponding mainly to SrHPO4.nH2O. The complete replacement of Ca by Sr transforms the brushite with platy microcrystals into SrHPO4 nanosheets.
Coronavirus disease 2019 personal protective equipment has been reported to affect communication in healthcare settings. This study sought to identify those challenges experimentally.
Method
Bamford–Kowal–Bench speech discrimination in noise performance of healthcare workers was tested under simulated background noise conditions from a variety of hospital environments. Candidates were assessed for ability to interpret speech with and without personal protective equipment, with both normal speech and raised voice.
Results
There was a significant difference in speech discrimination scores between normal and personal protective equipment wearing subjects in operating theatre simulated background noise levels (70 dB).
Conclusion
Wearing personal protective equipment can impact communication in healthcare environments. Efforts should be made to remind staff about this burden and to seek alternative communication paradigms, particularly in operating theatre environments.
Maladaptive behaviors and cognitive impairment can be main problems in patients with Prader-Willi Syndrome. Understanding difficulties underlying the maladaptive behavior through early diagnosis and management allow tremendous improvement in the whole clinical picture.
Aim
To study the psychobehavioral deviations in a sample of Egyptian children with Prader-Willi syndrome and possible relation to genotype.
Methods
We included 15 out of 72 patients of both sexes, aged from 5–15 years old from the National Research Centre. All patient were fulfilling the diagnostic threshold of modified list of Prader-Willi criteria. Detailed cytogenetic analysis was done using: conventional cytogenetic analysis of peripheral blood lymphocytes and Fluorescent in Situ Hybridization. Cognitive and psychological profile of Patients were assessed using
(a) standard and semi structured psychiatric sheet and interview
(b) Wechsler Intelligence Scale for Children,
(c) Child Behavior Checklist for ages 4–18years,
(d) Conner’s’ Parent Rating Scale-Revised; long version,
(e) Childhood Autism Rating Scale.
Results
66.7 % of the patients were deletion positive and 33.3% were negative. 100% of the sample were mentally subnormal. 26.3% had autistic symptoms ranging from features to severe form, all were deletion negative. High prevalence of inattention, hyperactivity, anxiety, social, cognitive and behavioral problems were evident in the patients, manifested in more frequency and severity in non-deletion patients.
Conclusion
Cognitive and psychological challenges were evident in PWS patients’. There were some clinical differences according to different genotypes.
Neurotoxocariasis (NT) is a serious condition that has been linked to reduced cognitive function, behavioural alterations and neurodegenerative diseases. Unfortunately, the available drugs to treat toxocariasis are limited with unsatisfactory results, because of the initiation of treatment at late chronic stages after the occurrence of tissue damage and scars. Therefore, searching for a new therapy for this important disease is an urgent necessity. In this context, cytotherapy is a novel therapeutic approach for the treatment of many diseases and tissue damages through the introduction of new cells into the damaged sites. They exert therapeutic effects by their capability of renewal, differentiation into specialized cells, and being powerful immunomodulators. The most popular cell type utilized in cytotherapy is the mesenchymal stem cells (MSCs) type. In the current study, the efficacy of MSCs alone or combined with albendazole was evaluated against chronic brain insults induced by Toxocara canis infection in an experimental mouse model. Interestingly, MSCs combined with albendazole demonstrated a healing effect on brain inflammation, gliosis, apoptosis and significantly reduced brain damage biomarkers (S100B and GFAP) and T. canis DNA. Thus, MSCs would be protective against the development of subsequent neurodegenerative diseases with chronic NT.
In dairy herds, application of antimicrobials at drying-off is a common mastitis control measure. This article describes a protocol for systematic review and meta-analysis to address three crucial points regarding antimicrobial usage at drying-off: (1) comparative efficacy of antimicrobials used for preventing new and eliminating existing intramammary infections (IMI); (2) comparison of selective and blanket dry cow therapy approaches in preventing new and eliminating existing IMI; and (3) assessment of the extra prevention against new IMI that can be gained from using antimicrobial-teat sealant combinations versus antimicrobials alone. Five PICO (Population, Intervention, Comparator, Outcome) questions were formulated to cover the three objectives of the review. Medline, CAB Abstracts, Web of Science, and conference proceedings will be searched along with iterative screening of references. Articles will be eligible if: (1) published after 1966; (2) written in English or French; and (3) reporting field clinical trials and observational studies, conducted on dairy cows at drying-off, with at least one antimicrobial-treated group and one IMI-related outcome. Authors will independently assess the relevance of titles and abstracts, extract data, and assess bias and the overall quality of evidence. Results will be synthesized and analyzed using pairwise and network meta-analysis. The proposed study will significantly update previously conducted reviews.
OBJECTIVES/SPECIFIC AIMS: Psoriasis is one of the most common inflammatory diseases of the skin, affecting about 2%–3% of the US population. Despite its high prevalence, its pathogenesis remains poorly understood. The ability of the microbiome to modify host immunity and metabolism suggests that it may contribute to the development of psoriasis and its cardiometabolic comorbidities. This study aims to characterize the psoriatic skin microbiome and understand the functional role that these bacteria may play. METHODS/STUDY POPULATION: 16s rRNA sequencing of site-matched skin swabs from 8 psoriasis patients and 8 healthy controls was used to identify bacteria and determine their relative abundance and microbial community diversity in the sample. PICRUSt was used to infer the functional roles of the bacteria from 16s rRNA amplicon data. RESULTS/ANTICIPATED RESULTS: Lesional psoriasis skin had lower α diversity (p=0.04), less Actinobacteria (p=0.0001), but higher Firmicutes (p=0.009) compared with controls. At the genus level, lesional skin had more Alloiococcus (p=0.01) and Aerococcus (p=0.01) and demonstrated a trend towards lower Propionibacterium (p=0.08) and higher Gallicola (p=0.09) compared to controls. Interestingly, Alloiococcus (p=0.003) and Gallicola (p=0.04) were also higher in nonlesional skin compared with controls. Furthermore, lesional and nonlesional skin shared an increased abundance of Acinetobacter sp., Staphylococcus pettenkoferi, and Streptococcus sp., relative to controls. Lesional and nonlesional psoriasis skin did not differ significantly in microbiome composition. Predictive functional analysis revealed that both the healthy and psoriatic skin microbiome were enriched with bacteria capable of amino acid and carbohydrate metabolism suggest these functions might have a general role in host-microbe interaction. DISCUSSION/SIGNIFICANCE OF IMPACT: These data reveal intriguing differences in the cutaneous microbiome of psoriatic individuals and healthy controls and suggest that bacterial metabolism may play an important role in host-microbe interaction.
Despite the seriousness of schistosomiasis, its treatment depends only on praziquantel (PZQ), which has begun to lose its efficacy against the emergent Schistosoma mansoni-resistant strains. Therefore, the discovery of a novel schistosomicidal drug is an urgent priority. This study was designed to evaluate treatment with Cucurbita pepo L. (pumpkin) seed oil (PSO) alone and combined with PZQ against S. mansoni in experimentally infected mice. The study involved five groups: GI was the normal control; GII was the infected control; GIII was treated with an oral dose of PZQ of 500 mg/kg/day for two successive days, starting in the sixth week post infection; GIV was treated with an oral dose of PSO of 50 mg/kg/day for four weeks, starting in the fourth week post infection; and GV was treated with combined PSO–PZQ. Worm burden, tissue egg load and oogram pattern were estimated, and the ultrastructure alterations were examined. Histopathological examination of granuloma diameters, collagen deposition (Picro Sirius red stain), and angiogenesis (immunohistochemical expression of CD34+) was conducted and serum liver enzymes were measured to assess the liver condition. Moreover, the oxidative stress was evaluated by determining the amounts of malondialdehyde and superoxide dismutase in liver homogenates. The results revealed significant changes in all the assessed parameters with PSO administration. However, PZQ was significantly more effective as an antiparasitic agent, whereas PSO was better in terms of fibrosis and oxidative stress. The most significant results were obtained in group V, which may be attributed to a synergy between PZQ and PSO, with antiparasitic, antioxidant and antifibrotic properties.
Crop and weed competition studies rarely determine how plant-to-plantinteractions alter the structure and physiology of crop roots. Soybean hasthe ability to detect neighboring weeds and to alter growth patternsincluding the allocation of resources to root growth. In this study, wehypothesized that low red : far red light ratio (R : FR) reflected fromaboveground vegetative tissue of neighboring weeds would alter soybean rootmorphology and reduce root biomass and nodule number. All experiments wereconducted under controlled conditions in which resources of light, water,and nutrients were nonlimiting. Low R : FR reflected from abovegroundneighboring weeds reduced soybean seedling root length, surface area, andvolume, including the number of nodules per plant. An accumulation of H2O2, an increase in malondialdehyde (MDA) content,a reduction in flavonoid content, and a decrease in1,1-diphenyl-2-picrylhydrazyl (DPPH)–radicle scavenging activity wereobserved. The reduction in flavonoid content was accompanied by a decreasein the transcription of GmIFS and GmN93and an increase in transcript levels of several antioxidant genes. Thesemolecular and physiological changes may have a physiological cost to thesoybean plant, which may limit the plant's ability to respond to subsequentabiotic and biotic stresses that will occur under field conditions.
Early physiological mechanisms that occur in crop plants in response to neighboring weeds are not well understood. In this experiment, it was hypothesized that, in the absence of direct competition for resources, low red to far red ratio (R:FR) reflected from neighboring weeds will modulate the phenylpropanoid pathway, increase hydrogen peroxide (H2O2), and up-regulate the expression of ethylene biosynthesis and auxin transport genes. Laboratory experiments were conducted under conditions of nonlimiting resources using perennial ryegrass as a model weed species. We discovered that the detection by phytochrome (Phy) of low R:FR signals reflected from both biological and nonbiological sources triggered an up-regulation of ethylene biosynthesis genes and stimulated an auxin transport gene. The low R:FR also modulated the phenylpropanoid pathway resulting in a reduction in anthocyanin content and an enhancement of lignin synthesis. The presence of neighboring weeds also caused an accumulation of H2O2 in the first leaf and crown root tissues of the maize seedling. Stomata were observed to be closed as H2O2 accumulated in leaf tissue. This is the first study to report the modulation of phenylpropanoid pathway and the accumulation of H2O2 attributed to low R:FR. We further suggest that these physiological changes that occur in response to early weed competition result in a physiological cost to the crop plant, which contributes to the rapid loss in yield observed in weed competition studies conducted under field conditions.
Recent work on new anthracothere (Mammalia, Artiodactyla) specimens from the Jebel Qatrani Formation, early Oligocene, Fayum, Egypt, has revealed the presence of a new genus. Nabotherium new genus is described on the basis of a partial skull, several mandibular and maxillary specimens, and isolated teeth. The new genus exhibits a distinctive combination of features not seen in other Paleogene anthracotheres. The most noticeable characteristics of the new genus include the presence of large and well-developed upper and lower canines, caniniform third incisors, the presence of only a short diastema between the canine and first premolar, and broad, bunodont cheek teeth. This is in contrast to other contemporary anthracotheres, including other forms from the Fayum, which show a spatulate third incisor, a reduced canine, a much longer canine-premolar diastema, and more narrow, bunoselenodont cheek teeth. The presence of a relatively short rostrum with closely packed incisors, low-crowned and simple premolars, and low-crowned, bunodont molars indicates that members of the new genus would have been more efficient at crushing foods than slicing vegetation, and suggests a more varied herbivorous and frugivorous diet than was favored by other, more bunoselenodont Fayum anthracotheres.
Despite the advances in child maltreatment research, there is still the need for comprehensive information about how abuse affects a broad range of categories of young adult functioning, and the extent to which these vary by sex. We examined the associations between child physical abuse (PA) and sexual abuse (SA) and six areas of functioning (mental health, physical health, life satisfaction, illegal substance use, alcohol problems and daily smoking).
Methods.
Data were obtained from the 1983 Ontario Child Health Study and follow-up in 2000/2001 (n = 1893). Multilevel regression estimated the adjusted associations for PA (with severity) and SA with each of the outcomes. Estimates with an entire sample were presented with sex-by-abuse interactions to examine sex differences and then presented separately by sex.
Results.
In the adjusted model, severe PA and SA were associated with impairment in mental health, and both forms of PA (severe and non-severe) and SA were associated with low life satisfaction. In addition, severe PA was associated with illegal substance use. Child abuse variables were not associated with poor physical health, alcohol problems or smoking. Although sex-stratified analyses revealed different patterns, there was no significant sex difference in the integrated sample.
Conclusions.
This is among the first community-based studies to show a strong association between child PA and SA and low life satisfaction in young adults. The abuse effects were similar for both sexes.
Controversy exists regarding whether people in the community who meet criteria for a non-psychotic mental disorder diagnosis are necessarily in need of treatment. Some have argued that these individuals require treatment and that policy makers need to develop outreach programs for them, whereas others have argued that the current epidemiologic studies may be diagnosing symptoms of distress that in many cases are self-limiting and likely to remit without treatment. All prior studies that have addressed this issue have been cross-sectional. We examined the longitudinal outcomes of individuals with depressive, anxiety and substance use (DAS) disorder(s) who had not previously received any treatment.
Method
Data came from a nationally representative US sample. A total of 34 653 non-institutionalized adults (age ≥20 years) were interviewed at two time points, 3 years apart. DAS disorders, mental health service use and quality of life (QoL) were assessed at both time points.
Results
Individuals with a DAS disorder who had not previously received any treatment were significantly more likely than those who had been previously treated to have remission of their index disorder(s) without subsequent treatment, to be free of co-morbid disorder(s) and not to have attempted suicide during the 3-year follow-up period (50.7% v. 33.0% respectively, p < 0.05). At wave 2, multiple linear regression demonstrated that people with a remission of their baseline DAS disorder(s) had levels of functioning similar to those without a DAS disorder.
Conclusions
Individuals with an untreated DAS disorder at baseline have a substantial likelihood of remission without any subsequent intervention.