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The purpose of this study was to enrich parrot enclosures by creating foraging opportunities appropriate for the species and to investigate the possible preference for a variable versus a constant food supply. The foraging device comprised of a length of wood (2×0.08×0.08m) with 50 holes (0.02m diameter x 0,02m depth) drilled into one face. Food was placed in the holes of the foraging device in one of two distributions: ‘constant’, one food item in every hole (total = 50 food items) or ‘variable’, 5 food items in 10 of the holes (total = 50 food items). The holes were then covered with starch paper. During the enrichment period the parrots spent significantly more time allopreening than in the baseline or post-enrichment periods. The results also provide some evidence of contrafreeloading in parrots, but no preference for a variable over a constant food source. The study shows that providing extra foraging opportunities for parrots is a useful form of enrichment.
Objectives: To assess the cost-effectiveness of brief physiotherapy intervention versus usual physiotherapy management in patients with neck pain of musculoskeletal origin in the community setting.
Methods: A cost-effectiveness analysis was conducted alongside a multicenter pragmatic randomized controlled clinical trial. Individuals 18 years of age and older with neck pain of more than 2 weeks were recruited from physiotherapy departments with referrals from general practitioners (GPs) in the East Yorkshire and North Lincolnshire regions in the United Kingdom. A total of 139 patients were allocated to the brief intervention, and 129 to the usual physiotherapy. Resource use data were prospectively collected on the number of physiotherapy sessions, hospital stay, specialist, and GP visits. Quality-adjusted life years (QALYs) were estimated using EQ-5D data collected at baseline, 3 and 12 months from the start of the treatment. The economic evaluation was conducted from the U.K. National Health System perspective.
Results: On average, brief intervention produced lower costs (£−68; 95 percent confidence interval [CI], £−103 to £−35) and marginally lower QALYs (−0.001; 95 percent CI, −0.030 to 0.028) compared with usual physiotherapy, resulting in an incremental cost per QALY of £68,000 for usual physiotherapy. These results are sensitive to patients' treatment preferences.
Conclusions: Usual physiotherapy may not be good value for money for the average individual in this trial but could be a cost-effective strategy for those who are indifferent toward which treatment they receive.
Although it is well documented that child maltreatment exertsa deleterious impact on child adaptation, much less is known about the precise etiologicalpathways that eventuate in child abuse and neglect. This paper reports on a multimethodecological study of the relationship between neighborhood structural factors and childmaltreatment reports in African American and European American census tracts. The study hadtwo major components. First, in an aggregate analysis, the effects of four measures ofcommunity structure (impoverishment, child care burden, instability, and geographic isolation)on child maltreatment report rates were examined separately for predominantly AfricanAmerican (n = 94) and predominantly European American (n = 189)census tracts. Impoverishment in particular had a significantly weaker effect on maltreatmentrates in African American than in European American neighborhoods. Second, focusedethnographies were conducted in four selected census tracts with child maltreatment report ratesin the highest and lowest quartiles. Ethnographic data point to the importance of the social fabricin accounting for differences in child maltreatment report rates by predominant neighborhoodethnicity.
Among the many tombs still to be seen in the necropolis surrounding the site of Oinoanda, in northern Lycia, the mausoleum built by Licinnia Flavilla for her parents and ancestors enjoys a special distinction, which it owes both to its size and to the vast genealogical inscription, comprising twelve generations of the ancestors and connexions of Licinnia Flavilla and her younger kinsman Flavianus Diogenes, which once covered its eastern façade. The aim of this paper is to present new epigraphic evidence which indicates a second major genealogical inscription on the west end of the mausoleum, and to consider the relation of the inscriptions to the underlying building, to each other, and to the aims of Licinnia Flavilla and her kinsman Diogenes.
The mausoleum of the Licinnii lies in rubble (Pl. XV (a)) amid a group of smaller tombs at the southern end of the site, in square Lr of the B.I.A.A.'s site-plan (AnSt XLV (1995) 74, Fig. 1) about 40 m. below an isolated stretch of the Hellenistic southern wall overlooking the saddle at the southern end of the ridge on which stand the main buildings of the city. There is an easy ascent to this point from both the western and eastern sides of the ridge, and thence to the city; the mausoleum will have been conspicuous to visitors and travellers. Since antiquity all the tombs in this area have been plundered or overthrown, especially close to the wall. Three types of tomb are visible: rock-cut tombs, some with lion covers; large, free-standing sarcophagi of various designs; and sarcophagi on high, stepped platforms. An example of this last type (Pl. XV (b)) stands close by the east end of the mausoleum, a few metres to the north.
In April 1995 a three week season of excavation was conducted at the ancient city of Euesperides by the Society for Libyan Studies and the Department of Archaeology, Gar Younis University, Benghazi, in collaboration with the Libyan Department of Antiquities. This note provides a brief account of the main findings.
The background to the new work at the site is as follows: in the early 1990s unauthorised excavations for a shopping precinct took place immediately to the north of the known archaeological zone of Sidi Abeid, bringing to light huge quantities of pottery and other artefacts of the Greek period. Eye-witnesses report also the removal of large quantities of ancient building stone during these operations. Following initiatives by the Department of Antiquities and Gar Younis University a legal judgement was obtained suspending further construction (the court case is continuing) and archaeological investigations were set in train.
The condition of the site was brought to the attention of Drs Susan Walker and Joyce Reynolds during their visit to Benghazi in September 1993. A year later, following further visits by the first-named author of this note (in December 1993) and by the Libya Society's Chairwoman, Dr Walker, and Head of Mission, Professor Graeme Barker (in Spring 1994), a joint programme of research was agreed and a two-year contract with the Department of Antiquities was signed in Tripoli. The Society was able to divert resources immediately to the site, and the results of the ensuing investigation, which benefited greatly from the participation of the Department of Archaeology, are reported elsewhere in this volume. The field directors, Drs Peter Hayes and David Mattingly, very kindly made available the full records of this work in advance of the excavations.
To the north east of Balboura, on the far side of the stream-bed, lie the ruins of an imposing tomb (see Fig. 1), the largest and most elaborate so far discovered in the area. Built directly on and partly into the hillside, the building was oriented to look straight across the valley towards the city (orientation: 27° E of true north—see Fig. 2; i.e. the tomb faces approx. SSW); and apparently it stood in splendid isolation, at some distance from the other tombs of the northern necropolis, and on somewhat higher ground. The remains of another tomb of similar type, but of smaller dimensions, can be seen across the valley in the neighbouring cemetery; and a third faces the city from the slopes to the south.
Although at first sight there seems to be little of the building left in place Pl. 1 (a, b); Fig. 2), enough remains for us to be fairly sure of its original form. It was built on two levels: above, standing on a stepped podium, a monumental building designed to house large stone sarcophagi—a structure most often described in inscriptions throughout Asia. Minor as a heroön (and for convenience so designated here); and below, within the podium, a lower chamber or crypt, often referred to in inscriptions as a hyposorion, normally intended for the various dependants of those entombed above. The building was constructed from the local white limestone; and while certainly the most ambitious sepulchral monument yet known from Balboura, it shows a relatively simple design, and the same rather rough-and-ready workmanship as the other buildings of the site.
A puzzling feature of a number of Lycian bath buildings is the array of holes cut in their walls at intervals of about 0·5 × 0·5 m. In size they are often about 0·12 × 0·12 m. × 0·06 m. deep, and so too large for the normal iron spikes which hold marble veneers or other wall facings in place. A chance find made during the course of the survey of Balboura in 1986 provides an explanation for these holes; they were to take spool-headed terracotta spacer pins which in turn held a series of large flat tiles with a space behind for the circulation of hot air from the hypocaust (Fig. 4), so providing the same effect as the better known tubuli and tegulae mammatae.
The study of three small buildings at Balboura, set up by the city slave Onesimos and the wealthy Meleager near the southwest corner of the agora, is here concluded. Part I (AS XXXVIII (1988), 121–45) treated the exedra of Onesimos and his temple of Nemesis; here the exedra of Meleager and the associated inscriptions are presented. The numbering of the footnotes and figures, and the lettering of the sections continue on from Part I, and the same bibliographical abbreviations (ibid., 144–5) are used. It will also be necessary to refer to the city plan, state plans, restored plans, and restored elevations published there (Figs. 1–4).
In the course of the survey of the surface remains of the North Lycian city of Balboura, our attention was drawn to three small buildings near the southwest corner of the agora (Fig. 1), because their association with a series of inscriptions casts an interesting light on the society of the city. Most of these inscriptions have long been known, although three are unpublished, but their significance cannot be fully appreciated without some knowledge of the buildings and statue bases with which they are associated. Our aim, therefore, is to consider the architectural and epigraphic evidence together.
The buildings concerned (Figs. 2–4) are, from west to east, an exedra set up by Onesimos the city slave (demosios), with statues of the Demos and Boule of Balboura; a temple of Nemesis, also built by Onesimos; and a second exedra, set up by the wealthy Meleager, son of Castor. All three buildings face southward onto a paved street, and turn their backs to the agora, which was set at a lower level to the north.
Opramoas of Rhodiapolis in Eastern Lycia is one of the best known benefactors in the Greek half of the Roman Empire because the decrees and other documents inscribed on his tomb allow us to trace the extent and sequence of his benefactions and the honours he received. Two inscriptions from the Letoon near Xanthos, recently published by A. Balland, seem to extend this picture of generosity, one of them virtually doubling the previous total of Opramoas' benefactions. The first, Balland no. 66, is a statue base recording that Opramoas gave to the Lycian League land to finance a distribution to the koinobouloi of the league; the second, Balland no. 67, is a stele listing a much longer series of benefactions, to the league, to Xanthos and to other Lycian cities, but it does not, and never did, include the benefactor's name. Balland argues that the second inscription also refers to Opramoas, and this has been generally accepted; but it is argued here that its subject is not Opramoas but an anonymous contemporary, so that Opramoas loses his unique position among Lycian benefactors, and we can compare the nature, extent and distribution of his gifts with those of the Anonymous Benefactor and others.
This study of the agora at Oinoanda is based on fieldwork done in 1975, 1977, 1981 and 1983 in the course of the survey of Oinoanda conducted by the British Institute of Archaeology at Ankara under the direction of A. S. Hall, and with the cooperation and assistance of the Directorate of Antiquities at Ankara. The topographical survey of the site, which underlies Figures 1 and 2, was undertaken by students of the Northeast London Polytechnic. Since our survey permit allowed no excavation, what follows is based on the visible remains, and some important points remain uncertain. Nevertheless, the extent of the remains and the absence of later interference with the site allow for a substantial reconstruction of the buildings concerned and their chronology.
The agora of Oinoanda occupies an open space c. 87 m. by 27 m. in a depression between three low hills near the middle of the city area. To the north a spur runs out from the Acropolis hill, to the east is a small hill on the summit of which are rock cuttings for a small temple, and to the southwest is a hill which now carries a late antique fort. Between these three hills run the main streets of the city; to the south a road which skirts the hollow containing the Early Christian church Mm 3 to link up with the southern colonnaded street; to the west a much shorter road to the West Gate; and to the northeast another colonnaded street which leads between the two bath-buildings Mk 1 and Ml 1 in the direction of the Esplanade.
The city of Oinoanda is situated on a lofty ridge rising some 300 m. above the surrounding plain, at a point of obvious strategic value. It is a naturally strong site, but it lacks a generous natural water supply. The following investigation of the various water supply arrangements formed part of the survey at Oinoanda conducted by the British Institute of Archaeology at Ankara under the direction of Mr. A. S. Hall, and with the cooperation and assistance of the Directorate of Antiquities of Turkey.
There is a number of small springs on the slopes below the city, and there may have been more, or at least different ones, in antiquity (Fig. 1). There were probably springs at the Leto sanctuary on the west slope of the acropolis and more certainly at the sanctuary of the Nymphs on the east slope, although these do not now function, in summer at least, and perhaps never produced a great deal of water. A third sanctuary, much further down the east slope, also has a small spring, and was apparently devoted to Apollo. However, the only spring which nowadays produces water enough to contribute significantly to the supply of a substantial community lies some 500 m. west of the west gate and over 130 m. lower down, where it would be exposed to any attacking force.
There is a growing concern in our society about the proper application of life-sustaining medical treatments. This concern has been stimulated by both the explosion in medical technology and the increasing emphasis on patients’ rights and autonomy in clinical decisionmaking. Technological progress enables us to prolong or sustain life, even when its “value” or “quality” is questionable. There is also increased concern, both within and outside the medical community, about the optimal process for making decisions to withhold or withdraw treatment.
Hospital ethics committees have been suggested as a possible solution to this problem. Although few hospitals have actually adopted ethics committees, and little is known about the way that they function or their effectiveness, there have been some recent efforts to study these issues. Despite the increasing recognition of patients’ wishes to know more about and to influence their medical care, there have been no reports about patients’ attitudes toward the role of ethics committees in decisionmaking.