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Southern modernism, including later incarnations precipitously labeled postmodern, has been broadly characterized by two often contradictory streams: the pastoral, beginning with the plantation fiction of Joel Chandler Harris and Thomas Nelson Page, and the racial surreal, beginning with Charles Chesnutt’s sly ripostes in his conjure tales. Both respond to the region’s long history of racialized labor exploitation, running from the plantation through Walmart and FedEx, from Parchman through the nation’s current carceral system. As labor sociologists, the new historians of capitalism, and literary scholars such as Michael North have shown, these literary traditions and the history to which they respond do not constitute some quaint exception within ongoing American modernism and modernity but remain central to it, from the plantation house to the Westin Bonaventure and from Pound, Eliot, Faulkner, Du Bois, Hurston, and Welty to William Styron, Toni Morrison, Jesmyn Ward, Natasha Trethewey, and Jericho Brown.
Recently, the Health of the Nation Outcome Scales 65+ (HoNOS65+) were revised. Twenty-five experts from Australia and New Zealand completed an anonymous web-based survey about the content validity of the revised measure, the HoNOS Older Adults (HoNOS OA).
Results
All 12 HoNOS OA scales were rated by most (≥75%) experts as ‘important’ or ‘very important’ for determining overall clinical severity among older adults. Ratings of sensitivity to change, comprehensibility and comprehensiveness were more variable, but mostly positive. Experts’ comments provided possible explanations. For example, some experts suggested modifying or expanding the glossary examples for some scales (e.g. those measuring problems with relationships and problems with activities of daily living) to be more older adult-specific.
Clinical implications
Experts agreed that the HoNOS OA measures important constructs. Training may need to orient experienced raters to the rationale for some revisions. Further psychometric testing of the HoNOS OA is recommended.
The coronavirus disease 2019 (COVID-19) pandemic has challenged the ability of Emergency Medical Services (EMS) providers to maintain personal safety during the treatment and transport of patients potentially infected. Increased rates of COVID-19 infection in EMS providers after patient care exposure, and notably after performing aerosol-generating procedures (AGPs), have been reported. With an already strained workforce seeing rising call volumes and increased risk for AGP-requiring patient presentations, development of novel devices for the protection of EMS providers is of great importance.
Based on the concept of a negative pressure room, the AerosolVE BioDome is designed to encapsulate the patient and contain aerosolized infectious particles produced during AGPs, making the cabin of an EMS vehicle safer for providers. The objective of this study was to determine the efficacy and safety of the tent in mitigating simulated infectious particle spread in varied EMS transport platforms during AGP utilization.
Methods:
Fifteen healthy volunteers were enrolled and distributed amongst three EMS vehicles: a ground ambulance, an aeromedical-configured helicopter, and an aeromedical-configured jet. Sodium chloride particles were used to simulate infectious particles and particle counts were obtained in numerous locations close to the tent and around the patient compartment. Counts near the tent were compared to ambient air with and without use of AGPs (non-rebreather mask, continuous positive airway pressure [CPAP] mask, and high-flow nasal cannula [HFNC]).
Results:
For all transport platforms, with the tent fan off, the particle generator alone, and with all AGPs produced particle counts inside the tent significantly higher than ambient particle counts (P <.0001). With the tent fan powered on, particle counts near the tent, where EMS providers are expected to be located, showed no significant elevation compared to baseline ambient particle counts during the use of the particle generator alone or with use of any of the AGPs across all transport platforms.
Conclusion:
Development of devices to improve safety for EMS providers to allow for use of all available therapies to treat patients while reducing risk of communicable respiratory disease transmission is of paramount importance. The AerosolVE BioDome demonstrated efficacy in creating a negative pressure environment and workspace around the patient and provided significant filtration of simulated respiratory droplets, thus making the confined space of transport vehicles potentially safer for EMS personnel.
The coronavirus disease 2019 (COVID-19) pandemic has created challenges in maintaining the safety of prehospital providers caring for patients. Reports have shown increased rates of Emergency Medical Services (EMS) provider infection with COVID-19 after patient care exposure, especially while utilizing aerosol-generating procedures (AGPs). Given the increased risk and rising call volumes for AGP-necessitating complaints, development of novel devices for the protection of EMS clinicians is of great importance.
Drawn from the concept of the powered air purifying respirator (PAPR), the AerosolVE helmet creates a personal negative pressure space to contain aerosolized infectious particles produced by patients, making the cabin of an EMS vehicle safer for providers. The helmet was developed initially for use in hospitals and could be of significant use in the prehospital setting. The objective of this study was to determine the efficacy and safety of the helmet in mitigating simulated infectious particle spread in varied EMS transport platforms during AGP utilization.
Methods:
Fifteen healthy volunteers were enrolled and distributed amongst three EMS vehicles: a ground ambulance, a medical helicopter, and a medical jet. Sodium chloride particles were used to simulate infectious particles, and particle counts were obtained in numerous locations close to the helmet and around the patient compartment. Counts near the helmet were compared to ambient air with and without use of AGPs (non-rebreather mask [NRB], continuous positive airway pressure mask [CPAP], and high-flow nasal cannula [HFNC]).
Results:
Without the helmet fan on, the particle generator alone and with all AGPs produced particle counts inside the helmet significantly higher than ambient particle counts. With the fan on, there was no significant difference in particle counts around the helmet compared to baseline ambient particle counts. Particle counts at the filter exit averaged less than one despite markedly higher particle counts inside the helmet.
Conclusion:
Given the risk to EMS providers by communicable respiratory diseases, development of devices to improve safety while still enabling use of respiratory therapies is of paramount importance. The AerosolVE helmet demonstrated efficacy in creating a negative pressure environment and provided significant filtration of simulated respiratory droplets, thus making the confined space of transport vehicles potentially safer for EMS personnel.
While I’ll Take My Stand is a terrible book by any standard of argumentation, it belongs in a history of the literature of the U.S. South because virtually the entire history of mainstream southern studies, literary and otherwise, is based on a distorted and selective reading of that Agrarian manifesto. The past ninety years’ profoundly opposed receptions of I’ll Take My Stand inside and outside of southern studies are thus ultimately much more significant than the book that prompted the receptions. Virtually all the critiques of old southern studies offered by the so-called new southern studies have been regularly made by scholars and critics outside the field since the manifesto appeared; conversely, even today, much allegedly “progressive” southernist scholarship continues to promulgate Agrarian ideals that romanticize the land, tradition, and the rural.
There is growing evidence for human use of geophytes long before the advent of agriculture. Rich in carbohydrates, geophytes were important in many coastal areas where protein-rich marine foods are abundant. On California's Channel Islands, scholars have long questioned how maritime peoples sustained themselves for millennia with limited plant resources. Recent research demonstrates that geophytes were heavily used on the islands for 10,000 years, and here we describe geophyte and other archaeobotanical remains from an approximately 11,500-year-old site on Santa Rosa Island. Currently the earliest evidence for geophyte consumption in North America, our data extend geophyte use on the Channel Islands by roughly 1,500 years and document a diverse and balanced economy for early Paleocoastal peoples. Experimental return rates for a key island geophyte support archaeological evidence that the corms of blue dicks (Dipterostemon capitatus) were a high-ranked staple resource throughout the Holocene.
Public reporting of clinical performance is increasingly used in many countries to improve quality and enhance accountability of the health system. The assumption is that greater transparency will stimulate improvements by clinicians in response to peer pressure, patient choice or competition. The international diffusion of public reporting might suggest greater similarity between health systems. Alternatively, national and local contexts (including health system imperatives, professional power and organisational culture) might continue to shape its form and impact, implying continued divergence. The paper considers public reporting in the USA and England through the lens of Scott's ‘pillars’ institutional framework. The USA was arguably the first country to adopt public reporting systematically in the late 1980s. England is a more recent adopter; it is now being widely adopted through the National Health Service (NHS). Drawing on qualitative data from California and England, this paper compares the behavioural and policy responses to public reporting by health system stakeholders at micro, meso and macro levels and through the intersection of ideas, interests, institutions and individuals through. The interplay between the regulative, normative and cultural-cognitive pillars helps explain the observed patterns of on-going divergence.
The media and scientific literature are increasingly reporting an escalation of large carnivore attacks on humans, mainly in the so-called developed countries, such as Europe and North America. Although large carnivore populations have generally increased in developed countries, increased numbers are not solely responsible for the observed rise in the number of attacks. Of the eight bear species inhabiting the world, two (i.e. the Andean bear and the giant panda) have never been reported to attack humans, whereas the other six species have: sun bears Helarctos malayanus, sloth bears Melursus ursinus, Asiatic black bears Ursus thibetanus, American black bears Ursus americanus, brown bears Ursus arctos, and polar bears Ursus maritimus. This chapter provides insights into the causes, and as a result the prevention, of bear attacks on people. Prevention and information that can encourage appropriate human behavior when sharing the landscape with bears are of paramount importance to reduce both potentially fatal human–bear encounters and their consequences to bear conservation.
It is not clear to what extent associations between schizophrenia, cannabis use and cigarette use are due to a shared genetic etiology. We, therefore, examined whether schizophrenia genetic risk associates with longitudinal patterns of cigarette and cannabis use in adolescence and mediating pathways for any association to inform potential reduction strategies.
Methods
Associations between schizophrenia polygenic scores and longitudinal latent classes of cigarette and cannabis use from ages 14 to 19 years were investigated in up to 3925 individuals in the Avon Longitudinal Study of Parents and Children. Mediation models were estimated to assess the potential mediating effects of a range of cognitive, emotional, and behavioral phenotypes.
Results
The schizophrenia polygenic score, based on single nucleotide polymorphisms meeting a training-set p threshold of 0.05, was associated with late-onset cannabis use (OR = 1.23; 95% CI = 1.08,1.41), but not with cigarette or early-onset cannabis use classes. This association was not mediated through lower IQ, victimization, emotional difficulties, antisocial behavior, impulsivity, or poorer social relationships during childhood. Sensitivity analyses adjusting for genetic liability to cannabis or cigarette use, using polygenic scores excluding the CHRNA5-A3-B4 gene cluster, or basing scores on a 0.5 training-set p threshold, provided results consistent with our main analyses.
Conclusions
Our study provides evidence that genetic risk for schizophrenia is associated with patterns of cannabis use during adolescence. Investigation of pathways other than the cognitive, emotional, and behavioral phenotypes examined here is required to identify modifiable targets to reduce the public health burden of cannabis use in the population.
Congenital heart disease (CHD) occurs in approximately 8:1,000 live births and may be associated with recognizable syndromes or chromosomal abnormalities in 25% of cases. Abnormalities are often complex, affecting structure and function. Surgery may be corrective or palliative and can be staged. Over half of these operations occur in the first year of life. The timing of surgery is dictated by the severity of the lesion, the need to avoid the development of pulmonary vascular disease or the complications of cyanotic heart disease.
The concept of electoral competition plays a central role in many subfields of political science, but no consensus exists on how to measure it. One key challenge is how to conceptualize and measure electoral competitiveness at the district level across alternative electoral systems. Recent efforts to meet this challenge have introduced general measures of competitiveness which rest on explicit calculations about how votes translate into seats, but also implicit assumptions about how effort maps into votes (and how costly effort is). We investigate how assumptions about the effort-to-votes mapping affect the units in which competitiveness is best measured, arguing in favor of vote-share-denominated measures and against vote-share-per-seat measures. Whether elections under multimember proportional representation systems are judged more or less competitive than single-member plurality or runoff elections depends directly on the units in which competitiveness is assessed (and hence on assumptions about how effort maps into votes).
The north-west European population of Bewick’s Swan Cygnus columbianus bewickii declined by 38% between 1995 and 2010 and is listed as ‘Endangered’ on the European Red List of birds. Here, we combined information on food resources within the landscape with long-term data on swan numbers, habitat use, behaviour and two complementary measures of body condition, to examine whether changes in food type and availability have influenced the Bewick’s Swan’s use of their main wintering site in the UK, the Ouse Washes and surrounding fens. Maximum number of Bewick’s Swans rose from 620 in winter 1958/59 to a high of 7,491 in winter 2004/05, before falling to 1,073 birds in winter 2013/14. Between winters 1958/59 and 2014/15 the Ouse Washes supported between 0.5 and 37.9 % of the total population wintering in north-west Europe (mean ± 95 % CI = 18.1 ± 2.4 %). Swans fed on agricultural crops, shifting from post-harvest remains of root crops (e.g. sugar beet and potatoes) in November and December to winter-sown cereals (e.g. wheat) in January and February. Inter-annual variation in the area cultivated for these crops did not result in changes in the peak numbers of swans occurring on the Ouse Washes. Behavioural and body condition data indicated that food supplies on the Ouse Washes and surrounding fens remain adequate to allow the birds to gain and maintain good body condition throughout winter with no increase in foraging effort. Our findings suggest that the recent decline in numbers of Bewick’s Swans at this internationally important site was not linked to inadequate food resources.
A handful of recent studies have investigated the causal effect of incumbency on dynasty formation in candidate-centered electoral contexts. We use candidate-level data and a regression discontinuity design to estimate the incumbency advantage and its relation to dynasty formation in the party-centered, closed-list, proportional-representation setting of Norway. The results indicate that the incumbency advantage exists even in this party-centered environment; however, in contrast to recent findings for the United States and the Philippines, we find no evidence that incumbency is important to the formation of dynasties. This finding underscores the need for more research into the role of internal party organizational networks in the perpetuation of political dynasties.
The use of underground geological repositories, such as in radioactive waste disposal (RWD) and in carbon capture (widely known as Carbon Capture and Storage; CCS), constitutes a key environmental priority for the 21st century. Based on the identification of key scientificquestions relating to the geophysics, geochemistry and geobiology of geodisposal of wastes, this paper describes the possibility of technology transfer from high-technology areas of the space exploration sector, including astrobiology, planetary sciences, astronomy, and also particle and nuclearphysics, into geodisposal. Synergies exist between high technology used in the space sector and in the characterization of underground environments such as repositories, because of common objectives with respect to instrument miniaturization, low power requirements, durability under extremeconditions (in temperature and mechanical loads) and operation in remote or otherwise difficult to access environments.
Health inequalities between social classes and neighbourhoods have been a persistent feature of the health landscape of the UK for many decades, with more disadvantaged communities suffering greater and earlier morbidity and mortality. These unequal health experiences have remained in spite of multiple policy interventions implemented under the Labour governments in power from 1997 to 2010. The relationship between alcohol and health inequalities is, however, under-studied. In this context, this chapter starts by providing an overview of evidence and theories concerning health inequalities in morbidity and mortality before moving on to consider evidence and theories that specifically relate to the role of alcohol within these broader inequalities. The available evidence suggests that alcohol-related harms follow the expected social gradient, with more disadvantaged groups suffering greater harms, at least for men and for younger women. However, some statistics suggest that people living in deprived communities consume less alcohol than more advantaged communities. This apparent tension is often referred to as the ‘alcohol harm paradox’ and the chapter provides a brief overview of potential explanations for this paradox before considering evidence concerning the impact of alcohol-related interventions on inequalities. It concludes by setting out a range of relevant research and policy recommendations.
What are ‘health inequalities’?
The term ‘health inequalities’ refers to systematic differences in health between different social groups that are ‘socially produced’ and, therefore, ‘potentially avoidable and widely considered unacceptable in a civilised society’ (Whitehead, 2007, p 473). In the UK, research and policy tends to focus on health differences between people classed as being in different socio-economic classes or people living in different geographical areas. The 2010 government-commissioned Marmot Review of health inequalities in England (Marmot, 2010) provided a snapshot of the impact that health inequalities have across a wide range of health and social issues. It found, for example, that in the UK, infant mortality rates were 16% higher in children of routine and manual workers as compared to professional and managerial workers, and that alcohol-related hospital admissions were 2.6 times higher among men and 2.4 times higher among women in the 20% most deprived areas compared to the 20% least deprived areas (Marmot, 2010).
This study presents stratigraphic, geomorphic, and paleoenvironmental (δ13C) data that provide insight into the late Pleistocene landscape evolution of the Cimarron River valley in the High Plains of southwestern Kansas. Two distinct valley fills (T-1 and T-2) were investigated. Three soils occur in the T-2 fill and five in the T-1 fill, all indicating periods of landscape stability or slow sedimentation. Of particular interest are two cumulic soils dating to ca. 48–28 and 13–12.5 ka. δ13C values are consistent with regional paleoenvironmental proxy data that indicate the prevalence of warm, dry conditions at these times. The Cimarron River is interpreted to have responded to these climatic changes and to local base level control. Specifically, aggradation occurred during cool, wet periods and slow sedimentation with cumulic soil formation occurred under warmer, drier climates. Significant valley incision (~ 25 m) by ca. 28 ka likely resulted from a lowering of local base level caused by deep-seated dissolution of Permian evaporite deposits.
Because polarization encodes geometrical information about unresolved scattering regions, it provides a unique tool for analyzing the 3-D structures of supernovae (SNe) and their surroundings. SNe of all types exhibit time-dependent spectropolarimetric signatures produced primarily by electron scattering. These signatures reveal physical phenomena such as complex velocity structures, changing illumination patterns, and asymmetric morphologies within the ejecta and surrounding material. Interpreting changes in polarization over time yields unprecedentedly detailed information about supernovae, their progenitors, and their evolution.
Begun in 2012, the SNSPOL Project continues to amass the largest database of time-dependent spectropolarimetric data on SNe. I present an overview of the project and its recent results. In the future, combining such data with interpretive radiative transfer models will further constrain explosion mechanisms and processes that shape SN ejecta, uncover new relationships among SN types, and probe the properties of progenitor winds and circumstellar material.
Adhesive meniscate burrows (AMB) are common in alluvial paleosols of the Paleogene Willwood Formation, Bighorn Basin, Wyoming. AMB are sinuous, variably oriented burrows composed of a nested series of distinct, ellipsoidal packets containing thin, tightly spaced menisci subparallel to the bounding packet. Menisci are non-pelleted and texturally homogeneous with each other and the surrounding matrix. AMB were constructed most likely by burrower bugs (Hemiptera: Cydnidae), cicada nymphs (Hemiptera: Cicadae), and less likely by scarabaeid (Coleoptera: Scarabaeidae) or carabid beetles (Coleoptera: Carabidae), based on burrow morphology and comparison to similar structures produced by these organisms in modern soils. Extant burrowing insects excavate backfilled burrows in well-rooted A and upper B horizons of soils generally below field capacity depending on soil type. This study demonstrates that AMB are distinct morphologically from such previously described ichnofossils as Beaconites, Laminites, Scoyenia, Taenidium, and Ancorichnus. Naktodemasis bowni, a new ichnogenus and ichnospecies, represents burrows composed of nested ellipsoidal packets backfilled with thin, tightly spaced, menisci subparallel to the bounding packet. The presence of N. bowni indicate periods of subaerial exposure associated with pedogenic modification under moderately to well-drained soil conditions, or during periods of better drainage in imperfectly drained soils. N. bowni, therefore, can differentiate alluvial paleoenvironments from marine and lacustrine paleoenvironments, as well as periods of subaerial exposure of sediments deposited in aquatic settings.
For fifteen years, the New Southern Studies (NSS) has been doing battle on two very different fronts. To Americanists, we have tried to talk about what Houston Baker and Dana Nelson, in the essay that named the movement, called “the national formation of the United States and the dynamics of race, region, and citizenship entailed by, as it were, a putatively split and decidedly Manichean geography”; to southernists, we have talked about the need to get beyond what the same pair of writers called “our familiar notions of Good (or desperately bad) Old Southern White Men telling stories on the porch, protecting white women, and being friends to the Negro.” Although in both struggles we keep bumping up against putatively objective scholars’ unacknowledged and deeply self-serving fantasies about who “we” are (whether as “Americans” or “southerners,” “radical” Americanists or Atticus Finch-y liberal white southernists), the former arguments – as Baker and Nelson's diction suggests – have tended to be more abstract, theoretical, ambitious, interesting, and smart; the latter, in contrast, have always felt like a rearguard action.