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Motor weaknesses are frequently observed in very preterm children (VPT; gestational age [GA] < 30 weeks) prior to school entry and may serve as markers of risk for school-age cognitive and behavioral deficits. The aims of the present study were to: (1) determine if weaknesses in preschool motor skills in children born VPT and a full-term comparison group (FT; GA > 37 weeks) are associated with lower scores on tests of cognition and caregiver ratings of behavior in early elementary school; (2) explore the possibility that weaknesses in preschool motor abilities predict less positive changes in cognition and behavior across follow-up; and (3) determine if associations between preschool motor skills and later cognitive and behavioral functioning differed for the two groups.
Participants and Methods:
Thirty-eight children born VPT and thirty born FT completed measures of motor skills, global cognitive ability, and executive function and caregivers completed questionnaires assessing children's behavior at age 4 (T1; M = 4.71 years) and at ages 7 or 8 (T2; M = 7.87 years). ANCOVAs were used to examine group differences in cognitive and behavioral outcomes. Hierarchical regressions were conducted to examine the Movement Assessment Battery for Children, 2nd Ed. (MABC-2) total score at T1 as a predictor of T2 scores on cognitive tests and behavior ratings (step 1). Covariates included sex and socioeconomic status (step 1). Outcomes included the Differential Ability Scales-II (DAS-II), NIH Toolbox Dimensional Change Card Sort (DCCS), Behavior Rating Inventory of Executive Function Global Executive Composite (BRIEF GEC), Emotion Regulation Checklist, and Social Communications Questionnaire at T2. T1 status on the T2 cognitive and behavioral outcomes was included as a predictor to determine if T1 MABC-2 predicted change in these outcomes from T1 to T2 (step 2). In separate analyses, T1 MABC-2 x group interactions were included to determine if associations of the T1 MABC-2 with T2 outcomes differed by group.
Results:
The VPT group had significantly lower scores than the FT group on the DAS-II at T2. Lower scores on the T1 MABC-2 were significantly associated (p < .05) with lower scores on the DAS-II and DCCS and more executive dysfunction on the BRIEF-GEC. These associations were stronger for the VPT group than for the FT group for the T2 DAS-II Global Cognitive Ability and Verbal composites but not for the other outcomes. Lower scores on the T1 MABC-2 were associated with less positive change on the DAS-II Nonverbal composite and the DCCS and increased executive dysfunction on the BRIEF-GEC.
Conclusions:
Weaknesses in motor abilities at 4 years of age were associated with cognitive and behavioral difficulties at early school age, both for children born VPT and those born FT. These weaknesses were also associated with less favorable changes in cognition and behavior across the transition from preschool to early school age. Findings suggest that early motor abilities provide a marker of generalized developmental impairment or that early motor impairments have cascading effects on development. These results support the need for early screening and intervention for motor deficits in preschoolers born either VPT or FT.
Understanding local taxation requires consideration of considerable technical and even obscure detail, but it is a subject with significant ramifications.1 Local taxation, in the form of the poll tax in the 1990s, was the cause of the downfall of a politician of the stature of Margaret Thatcher amid widespread protest, an extensive campaign of non-payment and violence between police and protestors. Earlier in the 20th century, a revolt in the London borough of Poplar against the failure of local taxation to balance between richer and poorer areas led to the imprisonment of councillors including the future leader of the Labour Party, George Lansbury. More recently, 2022 saw part of the government's highly publicised Energy Bills Rebate scheme in response to the contemporary cost-of-living crisis delivered as a local tax rebate. In Wales, also in 2022, changes to local tax were announced as a means of tackling problems created by large numbers of second homes.
For individuals and households, local taxation has a double impact. The amount of tax that has to be paid directly affects people's disposable income, and changes in local tax have immediate consequences for household budgets. The second impact is on the provision of local services. The Local Government Association (a membership organisation of councils in England and Wales) describes local authority functions as affecting everybody every day. It is the breadth of services provided by councils that touches on quality of life from the day to day to the far more profound. Examples range from street lighting to social care, and libraries to child protection. The level of local tax contributes to the extent of services provided. A broken streetlight may not seem of great consequence, but a darkened pavement or road can turn a safe environment into a more dangerous one. The consequences of lack of funding for services such as home care for older people or safeguarding of children can be life threatening.
The focus of this chapter is on England, Scotland and Wales. This is because there is a separate system of local tax in Northern Ireland (see McCluskey et al, 2007). To explain, in England, Scotland and Wales local taxation for most of the 20th century was general rates, briefly replaced by the poll tax and then since 1993, council tax.
As the Çatalhöyük West Mound has been the subject of much new research during and after the completion of the Çatalhöyük Research Project, this chapter will provide a summary of the research conducted by the West Mound Project. This interdisciplinary project brought together many specialist scholars to address the variety of data created during the excavation of the West Mound. In this chapter we will review the research into the material culture of the West Mound, with attention to the importance of new architectural forms and painted pottery in the changing social and economic life of the period. In addition, plant and animal remains and the stone tool industries see some general trends that may signal changes the environment and the way domestic activities respond. We will conclude the chapter with a look at current discussions on topics that have been highlighted by this new research.
This paper reports findings of a pilot survey of adolescent sexual and reproductive health (ASRH) knowledge and behaviour in Homabay County of western Kenya. The study was based on a cross-sectional survey of 523 male and female adolescents aged 10–19 years from 32 Community Health Units (CHUs). Bivariate analysis of gender differences and associations between ASRH knowledge and behaviour was followed with two-level logistic regression analysis of predictors of ASRH behaviour (sexual activity, unprotected sex, HIV testing), taking individual adolescents as level-1 and CHUs as level-2. The findings reveal important gender differences in ASRH knowledge and behaviour. While male adolescents reported higher sexual activity (ever had sex, unprotected last sex), female adolescents reported higher HIV testing. Despite having lower HIV/AIDS knowledge, female adolescents were more likely to translate their SRH knowledge into appropriate behaviour. Education emerged as an important predictor of ASRH behaviour. Out-of-school adolescents had significantly higher odds of having ever had sex (aOR=3.3) or unprotected last sex (aOR=3.2) than their in-school counterparts of the same age, gender and ASRH knowledge, while those with at least secondary education had lower odds of unprotected sex (aOR=0.52) and higher odds of HIV testing (aOR=5.49) than their counterparts of the same age, gender and SRH knowledge who had primary education or lower. However, being out of school was associated with higher HIV testing (aOR=2.3); and there was no evidence of significant differences between younger (aged 10–14) and older (aged 15–19) adolescents in SRH knowledge and behaviour. Besides individual-level predictors, there were significant community variations in ASRH knowledge and behaviour, with relatively more-deprived CHUs being associated with poorer indicators. The overall findings have important policy/programme implications. There is a need for a comprehensive approach that engages schools, health providers, peers, parents/adults and the wider community in developing age-appropriate ASRH interventions for both in-school and out-of-school adolescents in western Kenya.
We performed a retrospective analysis of the changes in accuracy of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis codes for colectomy and hysterectomy surgical site infection surveillance. After the transition from ICD-CM ninth edition to tenth edition codes, there was no significant change in the accuracy of these codes for SSI surveillance.
To explore the experiences of older adults participating in strength and balance exercise programmes and understand participants’ rationale for programme uptake and completion.
Background:
Regular physical activity, specifically strength and balance exercises, has been shown to improve health and well-being and reduce the risk of falling in older adults. With the number of people living into older age increasing, understanding older people’s experiences of strength and balance programmes and what encourages their take-up and completion is extremely important. This paper reports on the qualitative experiences of older adults that previously participated in ProAct65+, a randomised controlled trial of Falls Management Exercise (FaME) programme and Otago Exercise Programme (OEP) versus usual care.
Methods:
Ten general practices in Nottinghamshire and Derbyshire, England, who participated in the ProAct65+ trial were approached to take part. Using maximum variation sampling (age, gender, falls history, fear of falling and trial arm) we recruited, via the practices, 30 people that had participated in the FaME (n = 15) or OEP (n = 15) trial arms. Participants were interviewed in their own homes. Interviews were audio-recorded, transcribed verbatim and thematically analysed.
Findings:
We identified five themes: choice of exercise programme; commitment, discipline and motivation; benchmarking, feedback and monitoring; benefits of the exercise programmes and reactions to the end of the programmes. There were four sub-themes within the benefits theme: pleasure and boredom, social interaction and isolation, physical benefits, and knowledge and understanding.
This study has outlined the experiences and identified specific barriers and facilitators to uptake and completion of falls-prevention exercises by older adults. The perspective and experiences of these participants is important if programmes are to be designed to meet the needs of the target population. Insights from this study will enable commissioners to develop and provide appropriate falls-prevention exercise programmes that encourage high uptake and programme completion.
Ernst Curtius, in his most well-known work, European Literature and the Latin Middle Ages, writes that ‘the great scholastics of the thirteenth century are not interested in poetry. You will look in vain for a scholastic vindication of it’. It is not until the end of the century, and within the humanist coteries of northern Italy, that we first discover the applied desire to promote the status and function of poetry and defend its appointment as an essential category of study. However, this enduring assessment of the period has more recently been challenged by an increasing critical awareness of the poetic and humanistic interests of the early university men.
In particular, the work of Roger Bacon OFM (d. 1292) represents perhaps the most substantial and egregious exception to this broad historical narrative. Compelled by his ambitions for pedagogic reform, Bacon argued for the privileged utility of poetry, claiming it as an important mode of moral persuasion and insisting on the recovery and re-evaluation of antique texts. Writing in the mid-thirteenth century in Paris and Oxford, Bacon not only offers us a unique response to the category of the poetic, but also serves as an important marker in charting the development of literary humanism in the period.
Central to Bacon's high estimation of poetic discourse is his assertion that moral science was the most noble part of philosophy and the final purpose of all knowledge. Bacon had recognized that the procedures of speculative logic were unable to adequately influence right action. The abstract complexities and linearity of dialectic and demonstration, which relied on the imperfect and fallen mechanisms of human perception, had only a limited impact on the will, and were considered unfit for the practical rigours of moral philosophy. Thus, while the speculative sciences culminated in naked truth, the practical sciences – moral philosophy and theology – pursued behavioural reform by stirring the individual to good works. The immediacy of poetic discourse, then, which appealed directly and suddenly to the mind, worked to circumvent the defective systems of logical analysis, and to configure the moral habits of the individual in a revelatory process of forceful induction.
Despite the lack of another Flagship-class mission such as Cassini–Huygens, prospects for the future exploration of Saturn are nevertheless encouraging. Both NASA and the European Space Agency (ESA) are exploring the possibilities of focused interplanetary missions (1) to drop one or more in situ atmospheric entry probes into Saturn and (2) to explore the satellites Titan and Enceladus, which would provide opportunities for both in situ investigations of Saturn’s magnetosphere and detailed remote-sensing observations of Saturn’s atmosphere. Additionally, a new generation of powerful Earth-based and near-Earth telescopes with advanced instrumentation spanning the ultraviolet to the far-infrared promise to provide systematic observations of Saturn’s seasonally changing composition and thermal structure, cloud structures and wind fields. Finally, new advances in amateur telescopic observations brought on largely by the availability of low-cost, powerful computers, low-noise, large-format cameras, and attendant sophisticated software promise to provide regular, longterm observations of Saturn in remarkable detail.
Non-motor features of Parkinson's disease (PD) and dementia with Lewy bodies (DLB), such as auditory hallucinations (AH), contribute to disease burden but are not well understood.
Methods
Systematic review and random-effects meta-analyses of studies reporting AH associated with PD or DLB. Prevalence of visual hallucinations (VH) in identified studies meeting eligibility criteria were included in meta-analyses, facilitating comparison with AH. Synthesis of qualitative descriptions of AH was performed. PubMed, Web of Science and Scopus databases were searched for primary journal articles, written in English, published from 1970 to 2017. Studies reporting AH prevalence in PD or DLB were screened using PRISMA methods.
Results
Searches identified 4542 unique studies for consideration, of which, 26 met inclusion criteria. AH pooled prevalence in PD was estimated to be 8.9% [95% confidence interval (CI) 5.3–14.5], while in DLB was estimated to be 30.8% (±23.4 to 39.3). Verbal hallucinations, perceived as originating outside the head, were the most common form of AH. Non-verbal AH were also common while musical AH were rare. VH were more prevalent, with an estimated pooled prevalence in PD of 28.2% (±19.1 to 39.5), while in DLB they were estimated to be 61.8% (±49.1 to 73.0). Meta-regression determined that the use of validated methodologies to identify hallucinations produced higher prevalence estimates.
Conclusions
AH and VH present in a substantial proportion of PD and DLB cases, with VH reported more frequently in both conditions. Both AH and VH are more prevalent in DLB than PD. There is a need for standardised use of validated methods to detect and monitor hallucinations.
Active labour market policy (ALMP) is a well-established strategy but one aspect is greatly neglected – employer participation – about which there is a lack of systematic evidence. The question of why and how employers participate in ALMP, and whether there may be some shift from employers solely being passive recipients of job-ready candidates to having a more proactive and strategic role, is addressed by drawing on new research into Talent Match, a contemporary UK employability programme which places particular emphasis on employer involvement. The research findings point to a conceptual distinction between employers’ roles as being reactive gatekeepers to jobs and/or being proactive strategic partners, with both evident. It is argued that the Talent Match programme demonstrates potential to benefit employers, jobseekers and programme providers, with devolution of policy to the local level a possible way forward. The conclusion, however, is that the barrier to wider replication is not necessarily a problem of practice but of centralised control of policy and, in particular, commitment to a supply-side approach. Empirical, conceptual and policy contributions are made to this under-researched topic.
Çatalhöyük is one of the most well-known and important Neolithic/Chalcolithic sites in the Middle East. Settlement at the site encompasses two separate tell mounds known as Çatalhöyük East and West, with the focus of attention having traditionally been upon what is often regarded as the main site, the earlier East Mound. Limitations of dating evidence have, however, rendered the nature of the relationship between the settlements on these mounds unclear. Traditional models favoured a hiatus between their occupation, or, alternatively, a rapid shift from one site to the other, often invoking changes in natural conditions by way of an explanation. New dates challenge these theories, and indicate a potentially significant overlap between the occupation of the mounds, starting in the late seventh millennium BC.
Bats (Order: Chiroptera) have been widely studied as reservoir hosts for viruses of concern for human and animal health. However, whether bats are equally competent hosts of non-viral pathogens such as bacteria remains an important open question. Here, we surveyed blood and saliva samples of vampire bats from Peru and Belize for hemotropic Mycoplasma spp. (hemoplasmas), bacteria that can cause inapparent infection or anemia in hosts. 16S rRNA gene amplification of blood showed 67% (150/223) of common vampire bats (Desmodus rotundus) were infected by hemoplasmas. Sequencing of the 16S rRNA gene amplicons revealed three novel genotypes that were phylogenetically related but not identical to hemoplasmas described from other (non-vampire) bat species, rodents, humans, and non-human primates. Hemoplasma prevalence in vampire bats was highest in non-reproductive and young individuals, did not differ by country, and was relatively stable over time (i.e., endemic). Metagenomics from pooled D. rotundus saliva from Peru detected non-hemotropic Mycoplasma species and hemoplasma genotypes phylogenetically similar to those identified in blood, providing indirect evidence for potential direct transmission of hemoplasmas through biting or social contacts. This study demonstrates vampire bats host several novel hemoplasmas and sheds light on risk factors for infection and basic transmission routes. Given the high frequency of direct contacts that arise when vampire bats feed on humans, domestic animals, and wildlife, the potential of these bacteria to be transmitted between species should be investigated in future work.
This chapter reflects on a possible vision of a more progressive future, doing so by focusing on a widely acknowledged contemporary problem – socioeconomic insecurity – and concrete, practical policy steps to seek its redress. Put more positively, it is about building a social and economic framework grounded in security, and it is from that starting point that a better future can be imagined.
The chapter is in four parts. First, the extent and effects of insecurity are considered, both in terms of insecurity as a tangible experience in relation to issues such as employment, household finances and housing, but also speaking to worry, anxiety and the sense that things are just not right. Second, the approach to identifying solutions to insecurity is discussed, with particular emphasis on pragmatism and drawing on ideas from across the political spectrum. Third, policy steps for redressing insecurity are presented under three headings: housing, children and income. Fourth, the concluding discussion reflects on a vision of a more progressive future that flows from the redress of insecurity.
The extent and effects of insecurity
Insecurity is a hallmark of our times. For example, being in paid employment and on an average income is no longer a guarantee of being financially secure – three-quarters of middle and lower-income families are unable to afford the mortgage on a local three-bedroom home; stress and anxiety have become a cultural condition with mental health problems costing the economy a staggering £105 billion per year; and zero hours contracts are the tip of the insecure employment iceberg, with middle-class employment becoming more like that long endured by the working class. The recession may perhaps be over, but we are experiencing what The Economist calls a ‘joyless recovery’; despite improvements in economic indicators, the benefits of growth are only being enjoyed by some, not all. The UK has been described as a 5–75–20 society – a 5 per cent elite, 75 per cent who are the new insecure, and 20 per cent who are poor and marginalised.
The causes of insecurity lie within neoliberalism which, as has been discussed in previous chapters, has been the dominant political economy of the last 30 to 40 years.
The Neolithic in the central Balkans saw dramatic changes in settlement forms, architecture, and material culture, with substantial, often long-lived settlements that can reasonably be called villages emerging in the later part of the period. This paper examines the role of herding practices in the development of these large, more-or-less settled communities. Radiocarbon results (including twenty-seven new AMS dates from Gomolava, Opovo, and Petnica) are used to place the available zooarchaeological data into a chronological framework, allowing comparison of inter- and intra-site changes across the region. The data point to the development of large-scale cattle herding in the later Neolithic, the implications of which for mobility and community cohesion are discussed. This trend is seen clearly over time at certain sites but, like the settlement evidence, is neither universal nor synchronous across the region, emphasizing that change occurred, and should be understood, on the level of individual communities.
Model scale tests of modern ‘open rotor’ propulsor concepts that have potential for significant fuel burn reduction for aircraft applications were completed at NASA Glenn Research Center. The recent test campaign was a collaboration between NASA, FAA, and General Electric (GE). GE was the primary industrial partner, but other organisations were involved such as Boeing and Airbus who provided additional hardware for fuselage simulations. The open rotor is a modern version of the UnDucted Fan (UDF®) that was flight tested in the late 1980s through a partnership between NASA and GE. The UDF® was memorable for its scimitar shaped propeller blades and its unique noise signature. Design methods of the time were not able to optimise for both high aerodynamic efficiency and low noise simultaneously. Contemporary CFD/CAA based design methods can produce open rotor blade designs that maintain efficiency with acceptable acoustic signatures. Tests of two generations of new open rotor designs were conducted in the 9’ × 15’ Low Speed Wind Tunnel and the 8’ × 6’ Supersonic Wind Tunnel starting in late 2009 and completed in early 2012. Aerodynamic performance and acoustic data were obtained for take-off, approach and cruise conditions in isolated and semi-installed configurations. Additional detailed flow diagnostic measurements and acoustic measurements, including canonical shielding configurations, were obtained by NASA. NASA and GE conducted joint systems analysis to evaluate the performance of the new blade designs on a Boeing 737 class aircraft. The program demonstrated a 2-3% improvement in overall net efficiency relative to the best efficiency designs of the 1980s while nominally achieving 15-17 EPNdB noise margin to Chapter 4 (at a Technology Readiness Level of 5) for a notional aircraft system defined by NASA.
The Exeter Book Riddles are anonymous, and the generally formulaic character of all Old English verse discourages attempts to establish unity or diversity of authorship for them; but correlations between the sequence of Riddles in the manuscript and the recurrence from poem to poem of aspects of form, content (including solutions), presentation and style sometimes suggest common authorship for particular runs of texts, or reveal shaping episodes in the collection's transmission. Investigation along these lines throws up clear differences between the two main blocks of Riddles (1–59 and 61–95), and evidence emerges that the composition of many (at least) of Riddles 61–95 was influenced by a reading of Riddles 1–59.