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Background: Pain in a common symptom in adult-onset idiopathic dystonia (AOID). An appropriate tool to understand this symptom is needed to improve AOID patients’ care. We developed a rating instrument for pain in AOID and validated it in cervical dystonia (CD). Methods: Development and validation of the Pain in Dystonia Scale (PIDS) in three phases: 1. International experts and participants generated and evaluated the preliminary items for content validity; 2. The PIDS was drafted and revised, followed by cognitive interviews to ensure suitability for self-administration; and 3. the clinimetric properties of the final PIDS were assessed in 85 participants. Results: PIDS evaluates pain severity (by body part), functional impact and external modulating factors. It showed high test-retest reliability the total score (0.9, p<0.001), intraclass correlation coefficients higher than 0.7 for all items and high internal consistency (Cronbach’s alpha 0.9). Convergent validity analysis revealed a strong correlation between the PIDS severity score and the TWSTRS pain subscale (0.8, p<0.001), the brief pain inventory short form (0.7, p<0.001) and impact of pain on daily functioning (0.7, p<0.001). Conclusions: The PIDS is the first specific questionnaire developed to evaluate pain in patients with AOID with high-level clinimetric properties in people with CD.
Political conservatives' opposition to COVID-19 restrictions is puzzling given the well-documented links between conservatism and conformity, threat sensitivity, and pathogen aversion. We propose a resolution based on the Dual Foundations Theory of ideology, which holds that ideology comprises two dimensions, one reflecting trade-offs between threat-driven conformity and individualism, and another reflecting trade-offs between empathy-driven cooperation and competition. We test predictions derived from this theory in a UK sample using individuals' responses to COVID-19 and widely-used measures of the two dimensions – ‘right-wing authoritarianism’ (RWA) and ‘social dominance orientation’ (SDO), respectively. Consistent with our predictions, we show that RWA, but not SDO, increased following the pandemic and that high-RWA conservatives do display more concerned, conformist, pro-lockdown attitudes, while high-SDO conservatives display less empathic, cooperative attitudes and are anti-lockdown. This helps explain paradoxical prior results and highlights how a focus on unidimensional ideology can mask divergent motives across the ideological landscape.
The diagnosis of neurodegenerative and psychiatric disorders (NPDs) in primary care can suffer from inefficiencies resulting in misdiagnoses and delayed diagnosis, limiting effective treatment options. The development of speech and language-based profiling biomarkers could aid in achieving earlier motor diagnosis for PD for instance, or more accurate diagnosis of clinically similar or late presenting NPDs.
Objectives
RHAPSODY aims to investigate the feasibility of the remote administration of a battery of speech tasks in eliciting continuous narrative speech across a range of NPDs. The project also aims to determine the feasibility of using acoustic and linguistic biomarkers from speech data to support the clinical assessment and disambiguation of common NPDs
Methods
All participants (n=250) will take part in a single virtual telemedicine video conference with a researcher in which they are screened and complete a battery of speech tasks, in addition to cohort-specific screening measures. Over the following month, participants will be asked to complete a series of short, self-administered speech assessments via a smartphone application.
Results
The speech tasks will be audio-recorded and analysed on Novoic’s technology platform. Objectives will be analysed using measures including average length of speech elicitation for speech tasks, intra- and inter-subject variance, differences in linguistic patterns, and response rates to speech assessments.
Conclusions
The analyses could help to identify and validate speech-derived clinical biomarkers to support clinicians in detecting and disambiguating between NPDs with heterogeneous presentations. This should further support earlier intervention, improved treatment options and improved quality of life.
Disclosure
In terms of significant financial interest and relationships, it is emphasised that the private organisation Novoic, who aim to develop speech algorithms for diagnostic use, is the study’s sponsor and employees or former employees of this company comprise
The impact of the coronavirus disease 2019 (COVID-19) pandemic on mental health is still being unravelled. It is important to identify which individuals are at greatest risk of worsening symptoms. This study aimed to examine changes in depression, anxiety and post-traumatic stress disorder (PTSD) symptoms using prospective and retrospective symptom change assessments, and to find and examine the effect of key risk factors.
Method
Online questionnaires were administered to 34 465 individuals (aged 16 years or above) in April/May 2020 in the UK, recruited from existing cohorts or via social media. Around one-third (n = 12 718) of included participants had prior diagnoses of depression or anxiety and had completed pre-pandemic mental health assessments (between September 2018 and February 2020), allowing prospective investigation of symptom change.
Results
Prospective symptom analyses showed small decreases in depression (PHQ-9: −0.43 points) and anxiety [generalised anxiety disorder scale – 7 items (GAD)-7: −0.33 points] and increases in PTSD (PCL-6: 0.22 points). Conversely, retrospective symptom analyses demonstrated significant large increases (PHQ-9: 2.40; GAD-7 = 1.97), with 55% reported worsening mental health since the beginning of the pandemic on a global change rating. Across both prospective and retrospective measures of symptom change, worsening depression, anxiety and PTSD symptoms were associated with prior mental health diagnoses, female gender, young age and unemployed/student status.
Conclusions
We highlight the effect of prior mental health diagnoses on worsening mental health during the pandemic and confirm previously reported sociodemographic risk factors. Discrepancies between prospective and retrospective measures of changes in mental health may be related to recall bias-related underestimation of prior symptom severity.
This chapter aims to synthesise recent research studying political ideology from an evolutionary perspective. We begin by outlining how evolutionary theory can be applied to human psychology. We then review recent lines of evolutionary research linking variation in political ideology to physical formidability, the behavioural immune system, threat sensitivity, and evolved moral foundations. We synthesise this research with a novel framework of political differences inspired by recent independent, convergent evidence for two key shifts in the evolution of human group living. This evolutionary framework explains economic and social conservatism as emerging from two fundamental human social drives: cooperation and group conformity. We conclude with some remaining questions and future directions for evolutionary approaches to political ideology.
There has been a drop in clinical research in India following stringent conditions put in place by the Indian Supreme Court in 2013. The Court's orders came in the wake of irregularities highlighted in the conduct of clinical trials in the country. This paper highlights the steps taken by the Indian regulator, the Central Drugs Standard Control Organisation to comply with these directions. These are of three kinds: strengthening regulatory institutions, protecting participant safety and creating regulatory certainty for sponsors and investigators. Examples include the large-scale training of Ethics Committees, framing detailed guidelines on compensation and audiovisual recording of the informed consent process, as well as reducing the time taken to process applications. It is expected that these measures will inspire confidence for the much-needed resumption of clinical research.
The aim of the present study was to report the survival outcomes and late toxicity of high-dose-rate brachytherapy (HDRBT) boost for dose escalation in patients with intermediate-to-high-risk prostate cancer.
Materials and methods
Retrospective data were collected from 137 patients who had undergone definitive radiotherapy for prostate cancer between 2006 and 2010. All patients had external-beam radiotherapy (median dose 46Gy) and HDRBT. Brachytherapy dose was 19Gy in two fractions (6 hours apart) with one implant using Ir-192.
Results
There were 94 high-risk and 43 intermediate-risk patients (NCCN classification). The median follow-up period was 60 months. The 5-year biochemical progression-free survival was 92 and 76% for intermediate- and high-risk groups, respectively. Prostate cancer-specific survival for the intermediate-risk group was 100% and for the high-risk group it was 92% at 5 years. For the entire cohort, the 5-year rate of urethral stricture formation was 13%, and the 5-year rate of late grade 2 and grade 3 gastrointestinal toxicity was 4·7 and 4·6%, respectively. There was no grade 3 or greater genitourinary toxicity.
Findings
Our data add to the growing body of literature supporting the use of HDRBT in prostate cancer. Late toxicity rates were marginally higher than that expected.
The present study describes the activity of a nanomaterial on protoscoleces of Echinococcus granulosus, which exhibited morphological changes and apoptosis. Apoptotic changes were deduced on the basis of effector caspase activation and nucleosomal laddering. Invaginated protoscoleces maintained in vitro became evaginated and had hooks, presumptive suckers and stalks. Degenerative changes of protoscoleces were evidenced after treatment with praziquantel and nano-combination. Protoscoleces treated with praziquantel had distinct attestation of necrosis and nano-combination-treated protoscoleces had signatures of apoptosis.
Various ketones and 1-octen-3-ol were used as odour attractants with biconical traps at Nguruman, south-western Kenya, to assess their effects on the catch size and composition of Glossina pallidipes Austen. Acetone, methyl ethyl ketone and 1-octen-3-ol were found to be effective in increasing catch size by up to 2–4×, but the two ketones differed in their dose-response curves. Acetone was more effective for males than females, as was 1-octen-3-ol. The age composition of samples from baited and unbaited traps differed only slightly. The level of variability between traps was reduced by the use of odour. Acetone with cow urine produced increases in catch of 9–25×, and significant differences were found between samples in sex ratio and age composition. The index of increase for cow urine plus acetone, when used with a biconical trap, was correlated with temperature changes during the day. This could only be partially accounted for by variability in dose rates. Cow urine with acetone is considered to be a potentially useful combination of baits for community participation tsetse control schemes.
We examined the responsivity, orientation selectivity, and direction selectivity of a sample of neurons in cortical area V1 of the macaque using visual stimuli consisting of drifting oriented contours defined by each of two very different figural cues: luminance contrast and temporal texture. Comparisons of orientation and direction tuning elicited by the different cues were made in order to test the hypothesis that the neuronal representations of these parameters are form-cue invariant. The majority of the sampled cells responded to both stimulus types, although responses to temporal texture stimuli were generally weaker than those elicited by luminance-defined stimuli. Of those units exhibiting orientation selectivity when tested with the luminance-defined stimuli, more than half were also selective for the orientation of the temporal texture stimuli. There was close correspondence between the preferred orientations and tuning bandwidths revealed with the two stimulus types. Of those units exhibiting directional selectivity when tested with the luminance-defined stimuli, about two-thirds were also selective for the direction of the temporal texture stimuli. There was close correspondence between the preferred directions revealed with the two stimulus types, although bidirectional responses were somewhat more common when temporal texture stimuli were used. These results indicate that many V1 neurons encode orientation and direction of motion of retinal image features in a manner that is largely independent of whether the feature is defined by luminance or temporal texture contrast. These neurons may contribute to perceptual phenomena in which figural cue identity is disregarded.
Current approaches to the problem of equating different colors for luminance (chromatic isoluminance) rely upon human reports of perceptual events that are reduced at some luminance ratio. In this report, a technique is described that evokes a vivid percept of motion of a textured pattern only at isoluminance. Furthermore, in both humans and monkeys, the moving stimulus produces a striking optokinetic response in the same direction as the perceived motion. If used in this manner, the technique can provide an estimate of chromatic isoluminance in a variety of species and be used to corroborate a human subjects's perceptual judgement.
A survey of ABO blood groups, secretor status and smoking habits among 389 students and staff of a school in which there was an outbreak of meningococcal disease found no difference in the distribution of the ABO blood groups but a significantly higher proportion of non-secretors (37·6%) in the population examined compared with that reported for previous surveys of the neighbouring population in Glasgow (26·2%) (P < 0·0005). There was also a significantly higher proportion of non-secretors among carriers of meningococci (47%) compared with non-carriers (32%). Increased carriage of meningococci among non-secretors might contribute to the increased susceptibility of individuals with this genetic characteristic to meningococcal disease observed in previous studies. Although passive exposure to cigarette smoke has been associated with meningococcal disease, there was no association between passive smoking and carriage. There was, however, a significant association between active smoking and carriage.
This paper deals with the combined bioeconomic harvesting of two competing fish species, each of which obeys the Gompertz law of growth. The catch-rate functions are chosen so as to reflect saturation effects with respect to stock abundance as well as harvesting effort. The stability of the dynamical system is discussed and the existence of a bionomic equilibrium is examined. The optimal harvest policy is studied with the help of Pontryagin's maimum principle. The results are illustrated with the help of a numerical example.
Four series of samples, prepared at 250° C by decomposition of a mixture of silane and argon in a radio frequency powered deposition systems (rf-PECVD), have been studied. The dilution rates were 1 %, 1.5 %, 5 % and 10 % of silane in argon and the total pressure was 0.5 Torr for the first series and 0.2 Torr for the others. Structural and transport properties of the materials have been studied as function of power density. Structural studies show the transition from purely amorphous material towards microcrystalline material with increasing rf power density. The transport parameters were measured in the as-deposited, light-soaked and annealed states and compared to those obtained on state of the art material. The best material obtained is clearly device grade material. This study shows that argon dilution allows to tailor the material for a given application.
Homogenous (Bi3Pb)Sr3Ca3 (Cu4−nCrn)Ox (n 4 0 to 0.20) type glassy precursors become high-Tc superconductors by annealing at 840 °C. The suppression of Tc with increase of Cr concentration supports the pair-breaking mechanism. The feeble semiconducting behavior shown by the doped samples above their respective Tc values followed Mott's variable range hopping conduction mechanism. Like Ti- and Fe-doped samples, studied earlier, the thermoelectric power (TEP) of the present Cr-containing sample showed small positive peak above Tc, which was considered to be associated with the phonon-drag effect. The linear part of the temperature-dependent TEP (above Tc) well fitted the two-band model.
A 56-year-old man presented with the difficulty of swallowing and respiratory distress due to a large tumour arising from the tongue and occupying the entire oral cavity. Histological examination revealed it to be an extraskeletal osteogenic sarcoma. The tumour was excised. After six weeks, he came back with massive local recurrence and bleeding from the tumour, but died despite chemotherapy. Review of the literature revealed only four other such cases of this rare tumour. A brief review of these four cases is also made.
Boron was incorporated into GaN in order to determine its limits of solubility, its ability of reducing the lattice constant mismatch with 6H-SiC, as well as its effects on the structural and optical properties of GaN epilayers. BxGa1−xN films were deposited on 6H-SiC (0001) substrates at 950 °C by low pressure MOVPE using diborane, trimethylgallium, and ammonia as precursors. A single phase alloy with x=0.015 was successfully produced at a gas reactant B/Ga ratio of 0.005. Phase separation into pure GaN and BxGa1−xN alloy with x=0.30 was deposited for a B/Ga reactant ratio of 0.01. This is the highest B fraction of the wurtzite structure alloy ever reported. For B/Ga ratio ≥ 0.02, no BxGa1−xN was formed, and the solid solution contained two phases: wurtzite GaN and BN based on the results of Auger and x-ray diffraction. The band edge emission of BxGa1−xN varied from 3.451 eV for x=0 with FWHM of 39.2 meV to 3.465 eV for x=0.015 with FWHM of 35.1 meV. The narrower FWHM indicated that the quality of GaN epilayer was improved with small amount of boron incorporation.
Semiconducting Bi1−xPbxBaO3−δ (or BPB) glasses with x = 0 to 0.8 have been prepared by fast quenching from the melt. Interesting anomalies in the temperature-dependent polaronic conductivity and dielectric constant have been observed in all these glass compositions at temperatures, Tp, varying from 310 to 330 K (depending on Pb concentration). This nonlinear behavior is considered to be associated with the local ordering or the displacements of the BiO3 type pyramidal structural units present in the glass matrix (observed from the infrared spectra of these glasses). This type of ordering/displacement gives rise to a local instability in the glass network structure which is also supported by the observed heat capacity anomaly around the same temperatures Tp.
Hoarseness of voice due to paralysis of the left recurrent laryngeal nerve caused by a dilated left atrium in mitral stenosis as discussed by Ortner, is a subject of controversy. Different authors have cited different mechanisms as explanation. A variety of cardiac problems such as primary pulmonary hypertension, ischaemic heart disease, various congenital heart disorders can all lead to paralysis of the left recurrent laryngeal nerve. Most authors believe that pressure in the pulmonary artery causes the nerve compression. In Papua New Guinea cor pulmonale and rheumatic heart disease are the commonest cardiac disorders seen. Ortner's syndrome is a rarity and has never been reported from here before. Here three different case reports are presented with mitral stenosis, primary pulmonary hypertension and combined mitral stenosis and regurgitation and the pathogenesis of hoarseness is discussed.
The immatures (larva and pupa) of Rheocricotopus (Psilocricotopus) valgus Chaudhuri & Sinharay are described for the firsttime. The species belongs to chalybeatus group. The larva is opportunistic, present in the fast-flowing streams to slow-flowingorganically enriched sewage drains. It lives in tunnels made of various particles glued together by silky secretions. There are twogenerations a year with peak emergence in April-May and September-November. The sex ratio of females to males is 2:1.