We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Action mechanisms of therapeutic alliance in stepped and digital interventions remain unclear.
Aims
(a) To compare the development of therapeutic alliance between psychosocial treatment as usual (PTAU) and a stepped digital intervention designed to prevent distress in cancer patients; (b) to analyse the level of agreement between patients’ and therapists’ therapeutic alliance ratings; and (c) to explore variables associated with therapeutic alliance in the digital intervention.
Method
A multicentre randomised controlled trial with 184 newly diagnosed breast cancer women was conducted. Patients were assigned to digital intervention or PTAU. Therapeutic alliance was assessed at 3, 6 and 12 months after inclusion using the working alliance inventory for patients and therapists. Age, usability (system usability scale), satisfaction (visual analogue scale), type and amount of patient–therapist communication were analysed as associated variables.
Results
Patients and therapists established high therapeutic alliance in the digital intervention, although significantly lower compared with PTAU. The development of patients’ therapeutic alliance did not differ between interventions, unlike that of the therapists. No agreement was found between patients’ and therapists’ therapeutic alliance ratings. Patients’ therapeutic alliance was associated with usability and satisfaction with app, whereas therapists’ therapeutic alliance was associated with satisfaction with monitoring platform.
Conclusions
A stepped digital intervention for cancer patients could develop and maintain strong therapeutic alliance. Neither the type nor amount of communication affected patients’ therapeutic alliance, suggesting that flexible and available digital communication fosters a sense of care and connection. The association between usability and satisfaction with digital tools highlights their importance as key therapeutic alliance components in digital settings.
In this work, we focus on the period-luminosity relation (PLR) of δ Sct stars, in which mode excitation and selection mechanisms are still poorly constrained, and whose structure and oscillations are affected by rotation. We review the PLRs in the recent literature, and add a new inference from a large sample of δ Sct. We highlight the difficulty in identifying the fundamental mode and show that rotation-induced surface effects can impact the measured luminosities, explaining the broadening of the PLR. We derive a tight relation between the low-order large separation and the fundamental radial mode frequency (F0) that holds for rotating stars, thus paving the way towards mode identification. We show that the PLRs we obtain for different samples are compatible with each other and with the recent literature, and with most observed δ Sct stars when taking rotation effects into account. We also find that the highest-amplitude peak in the frequency spectrum corresponds to the fundamental modein most δ Sct, thus shedding some light on their elusive mode selection mechanism.
João Pedro Rodrigues and João Rui Guerra da Mata's “Asian Trilogy” comprises the films they co-directed in and about Macao, the former Portuguese enclave in southeast China. The films are relative oddities in the directors’ filmography, especially when contrasted with the flamboyant melodramas that preceded them (Odete [Two Drifters, 2005] and Morrer Como um Homem [To Die Like a Man, 2009]) and the oneiric, spiritual odyssey that followed them (O Ornitólogo [The Ornithologist, 2016]). While Rodrigues is the exclusive director of these better-known feature films, the “Asian films” are joint directorial efforts with Guerra da Mata, Rodrigues's art designer and occasional co-writer. The collaboration is based in part on Guerra da Mata's biographical connection to Macao, where he spent his childhood. The “Asian films” are the first ones that Rodrigues produced on digital video rather than in his preferred format of celluloid, and he made them with a small crew, rather than with the larger ensembles that he used in the narrative features. Beyond such particularities of production, other traits differentiate the Asian Trilogy from the rest of his films. While Rodrigues's single-author titles emphasize the protagonists’ corporeality, the jointly-made “Asian films” tend to elide it. The characters in A Última Vez Que Vi Macau (The Last Time I Saw Macao, 2012) remain off-screen, or are replaced with animals. The individual protagonists of the feature films are replaced in the Macao films by unseen or vague collective subjects, such as the market vendors and customers of Alvorada Vermelha (Red Dawn, 2011), or the factory workers and anonymous Macanese crowds of Iec Long (2015). The fictional orientation of earlier and subsequent features is abandoned in the Asian titles in favor of documentary (in Red Dawn) or of a combination of essay film, fiction, and actuality (in Iec Long and The Last Time I Saw Macao). The documentary gestures hark back to Rodrigues's early career, and in particular to his diptych Esta É a Minha Casa (This Is My Home, 1997) and Viagem à Expo (Journey to Expo, 1998), about a migrant Portuguese family living in Paris and their holiday trips to their country of origin. At the same time, the nocturnal ambience of the “Asian films”, their focus on marginal characters or little-noticed corners of social life, and their cinephiliac allusiveness—especially prominent in The Last Time I Saw Macao—align them with the rest of the directors’ titles.
El estudio de las atribuciones de pobreza y riqueza ha tenido un rol central en la literatura sobre la justificación de las desigualdades sociales. La investigación en esta área ha explorado en qué medida se usan razones individualistas versus estructuralistas para explicar por qué ciertas personas logran posiciones más precarias o aventajadas que el resto. En esa línea, este artículo busca dar cuenta de cómo cambian en el tiempo estas razones, en el contexto de una sociedad que ha tenido grandes transformaciones estructurales en las últimas décadas, donde además se mantiene una alta desigualdad de ingresos, como es el caso de la sociedad chilena. Tomando dos encuestas con representatividad nacional de los años 1996 y 2015, los resultados indican en un primer nivel descriptivo que han aumentado las atribuciones individualistas sobre el origen de la pobreza y la riqueza —tales como la falta de esfuerzo y la iniciativa personal— y que han bajado las razones de carácter estructural —como el desempleo o las políticas económicas—. No obstante, a través de un análisis de clases latentes (LCA), se ofrece una segunda aproximación más matizada a este fenómeno, mostrando que la baja de atribuciones estructurales se asocia al aumento de personas que atribuyen tanto razones individualistas como estructurales a la pobreza y riqueza, predominando una combinación de ambas a la hora de significar estos hechos. Estos cambios en los patrones de atribución se discuten en el marco de las transformaciones económicas y culturales de la sociedad chilena.
Sloths were among the most diverse groups of land vertebrates that inhabited the Greater Antilles until their extinction in the middle-late Holocene following the arrival of humans to the islands. Although the fossil record of the group is well known from Quaternary deposits in Cuba, Hispaniola, and Puerto Rico, remains from older units are scarce, limiting our understanding of their evolution and biogeographic history. Here we report the oldest known fossil ground sloth from Hispaniola, represented by an unassociated partial tibia and scapula that are recognized as a single taxon from the late Miocene-early Pliocene of the Dominican Republic. The combination of characters observed on the tibia suggests a close relationship with Megalocnus, otherwise only known from the Pleistocene–Holocene of Cuba. These fossils fill a temporal gap between those previously known from the early Miocene of Cuba and those from Pleistocene–Holocene deposits in the region and provide additional support for a continuous presence of the group in the Greater Antilles since the Oligocene.
Este trabajo está centrado en el estudio de una de las primeras formas de manejo ganadero de la época colonial en la Banda Oriental. Aborda específicamente el análisis de un conjunto de corrales de palmas ubicados en el sureste del Uruguay, en la frontera con Brasil. Está basado en un enfoque interdisciplinar en el que se combinó el trabajo con la población local, el análisis historiográfico, la prospección remota y sobre el terreno, el análisis morfométrico de la totalidad de los corrales y las palmas que los componen, y el análisis fisicoquímico del sedimento (análisis de fosfatos y partículas biosilíceas). El artículo propone que estas estructuras son uno de los cerramientos ganaderos más antiguos (siglos diecisiete y dieciocho) de la Banda Oriental, vinculados a formas indígenas de manejo vegetal y animal que se fueron reajustando durante la colonización europea de este sector fronterizo del Cono Sur de América.
Pulses such as peas, beans or lentils are one of the most complete foods at the nutritional level; however, they are one of the most often neglected foods in the diets of university students. Entrance to university translates into a major lifestyle change for many young people, and the habits acquired or cemented at this time will remain into adulthood. The objective of this study is to analyse the association between personal/sociodemographic factors, dietary intake of other food groups and the consumption of pulses in first-year university students. This cross-sectional study is part of the UniHcos project, a multicentre study of multipurpose prospective cohorts in eleven Spanish universities. Data from 9862 university students were collected through an online self-questionnaire completed by all students who met the selection criteria and agreed to participate in the project during the 2011–2018 academic years. Of students, 75·8 % presented an inadequate (≤2 times/week) consumption of pulses. Living outside the family home in either a student residence (OR 0·76; 95 % CI 0·69, 0·84) or rental (OR 0·81; 95 % CI 0·70, 0·95) decreased the compliance with recommendations on the consumption of pulses. Low consumption of pulses is seemingly not restricted to a specific profile or dietary pattern among university students, and no specific focus group for intervention can be identified. Policies promoting the consumption of pulses among the university population as a whole are necessary to increase compliance rates with the dietary recommendations.
The Olrog’s Gull Larus atlanticus is an endemic and threatened species of the south-western Atlantic. Little is known about its movements during the non-breeding period. The objective of this study was to analyse the migration of the species by tracking adults from Bahía San Blas (Buenos Aires province, Argentina) with geolocators and using information of sightings of ringed gulls. Differences between males and females were evaluated using tracking data and ringed data were used to determine age differences. A single core area (kernel 50%) from 21 tracked birds was identified. This area included the study colony and also other breeding colonies located up to 300 km to the north. The range area (kernel 95%) included coastal areas up to 1,000 km from the colony. All sightings of ringed gulls (n = 41) occurred north of the breeding colony, however 12 adult individuals were sighted during the winter in its breeding grounds. Our results suggest the occurrence of partial migration behavior in Olrog’s Gull. The migration pattern reported here implies than during the non-breeding season, breeding and wintering areas away from the nesting grounds should be considered as one system in the design of conservation strategies for this regionally threatened gull.
Tactile sense provides us with the necessary information and feedback to determined tasks. Within this context, haptic devices represent a growing and highly interesting field to be included in biomedical devices, teleoperation applications, and video games. These devices are usually developed with rigid materials, motors, and mechanisms to provide tactile feedback to individuals that corresponds to a defined task, producing pressure, tangential force or vibrations as stimuli on the skin. Here, we present a prototype of a soft pneumatic haptic device based on an inflatable hyperelastic membrane, that can provide two stimuli over skin such as pression and traction with only one input of energy. The device was fabricated using different types of silicone materials and membrane shapes. This exhibits experimentally a maximum vertical deformation of 13 mm and a tangential displacement of 10 mm at 7 kPa. These two mechanically programmed movements open the possibility of using this technology in mechano-tactile feedback for wearable devices, with low-cost hardware, soft interaction between devices and skin, and lightweight.
The Florida Department of Health in Miami-Dade County (DOH-Miami-Dade) investigated 106 reported carbon monoxide (CO) exposures over a 9-day timeframe after Hurricane Irma. This report evaluates risk factors for CO poisoning and the importance of heightened surveillance following natural disasters.
Methods
Data on CO poisoning cases from September 9 to 18, 2017 were extracted from Merlin, the Florida Department of Health Surveillance System. Medical records were obtained and follow-up interviews were conducted to collect data on the confirmed CO poisoning cases. Data were analyzed using SAS v9.4.
Results
Ninety-one of the 106 people exposed to CO met the case definition for CO poisoning: 64 confirmed, 7 probable, and 20 suspect cases. Eighty-eight percent of the affected individuals were evaluated in emergency departments and 11.7% received hyperbaric oxygen treatment. The most frequently reported symptoms included headache (53.3%), dizziness (50.7%), and nausea (46.7%). Three patients expired due to their exposure to CO.
Conclusions
Post Hurricane Irma, the DOH-Miami-Dade investigated numerous cases for CO exposure. By understanding who is most likely to be impacted by CO and the impact of generators’ location on people’s health, education efforts can be tailored to the population most at risk and further CO exposures and related mortalities following natural disasters can be reduced. (Disaster Med Public Health Preparedness. 2019;13:94–96)
The Automatic Thoughts Questionnaire (ATQ) is a widely used, 30-item, 5-point Likert-type scale that measures the frequency of negative automatic thoughts as experienced by individuals suffering from depression. However, there is some controversy about the factor structure of the ATQ, and its application can be too time-consuming for survey research. Accordingly, an abbreviated, 8-item version of the ATQ has been proposed. The aim of this study was to analyze the validity evidence of the Spanish version of the ATQ-8 in Colombia. The ATQ-8 was administered to a total of 1587 participants, including a sample of undergraduates, one of general population, and a clinical sample. The internal consistency across the different samples was good (α = .89). The one-factor model found in the original scale showed a good fit to the data (RMSEA = .083, 90% CI [.074, .092]; CFI = .96; NNFI = .95). The clinical sample’s mean score on the ATQ-8 was significantly higher than the scores of the nonclinical samples. The ATQ-8 was sensitive to the effects of a 1-session acceptance and commitment therapy focused on disrupting negative repetitive thinking. ATQ-8 scores were significantly related to dysfunctional schemas, emotional symptoms, mindfulness, experiential avoidance, satisfaction with life, and dysfunctional attitudes. In conclusion, the Spanish version of the ATQ-8 showed good psychometric properties in Colombia.
Discerning dementia with Lewy bodies (DLB) from Alzheimer's disease (AD) is one of the most common and challenging differential diagnoses at the memory clinic. Although the neuropsychiatric manifestations have been widely reported as one of the main key points in the differential diagnosis between these two diseases, to date no neuropsychiatric questionnaire has been specifically devised for this purpose.
Methods:
We administered the Neuropsychiatric Inventory (NPI) and the Columbia University Scale for Psychopathology in Alzheimer's Disease (CUSPAD) to a memory clinic sample of 80 patients with probable DLB and 85 age- and severity-matched patients with probable AD. Diagnosis of probable DLB was supported with a positive dopamine transporter SPECT scan. We examined the usefulness of these two neuropsychiatric tools designed for AD in the differential diagnosis between DLB and AD. We also investigated the correlations between psychotic symptoms and measures of cognitive and functional decline.
Results:
Auditory hallucinations were very specific of DLB and were usually preceded by visual hallucinations. Misinterpretation of real visual stimuli (illusions) was more frequent in DLB. Delusions were both quantitatively and qualitatively different between DLB and AD: delusional misidentifications were significantly more characteristic of DLB, while paranoid delusions did not show specificity for DLB.
Conclusions:
Neuropsychiatric tools are useful to discriminate DLB from AD. Hallucinations and delusions are not only more frequent in DLB than in AD but also have distinct qualitative characteristics and patterns of progression that can help clinicians to make a more accurate differential diagnosis.
We study the theoretical properties of the regular spacings found in the oscillation spectra of δ Scuti stars. A linear relation between the large separation and the mean density is predicted to be found in the low-frequency domain (i.e. radial orders spanning from 1 to 8, approximately) of the main-sequence δ Scuti stars' oscillation spectrum. This implies an independent direct measure of the average density of δ Scuti stars, analogous to that of the Sun, and places tight constraints on the mode identification and hence on the stellar internal structure and dynamics, and allows a determination the radii of planets orbiting around δ Scuti stars with unprecedented precision. This opens the way for studying the evolution of regular patterns in pulsating stars, and its relation to stellar structure and evolution.
We investigate non-radial pulsations of the CoRoT IR1 Be Star 102761769, with a projected stellar rotation estimated to be 120±15 km/s. If the star is a typical galactic Be star it rotates near the critical velocity. We propose an alternative scenario, where the star could be seen nearly equator-on rotating at a relatively moderate velocity say, ≈ 120 km/s and therefore the nonradial oscillations could be modeled. In order to identify the pulsation modes of the observed frequencies, we computed a set of models representative of CoRoT 102761769 by means of the adiabatic pulsation package FILOU. Results indicate that the two frequencies are compatible with a high-g mode as predicted by pulsation models of Be stars.
In this project, we study the effects of stellar rotation on the pulsation predictions for stars in the Main Sequence following the series δ Scu, γ Dor, SPB, Be and β Cep. The objects' rotation in this series span from a few km/s to a few hundreds of km/s. We will compare theoretical predictions yielded by the codes CESAM/FILOU with published data from the MOST and CoRoT satellites. A better diagnostic of the rotation effects on stellar pulsations will help to improve the oscillatory models.
Dupont's lark Chersophilus duponti was categorized globally as Near Threatened on the IUCN Red List in 2005, largely because of reported declines in Spain and an estimated population of 2,000–3,000 breeding pairs in Morocco. However, the range and size of the species' North African populations were still unknown, despite being critical for assessment of the species' global conservation status. Here we report on the breeding distribution of Dupont's lark in Morocco, probably the largest population in its North African range, as well as on its preferred habitat, population density and size. Fieldwork and analysis of satellite images were combined to locate suitable habitat for the species, assess its presence (eliciting territorial calls by broadcasting the males’ songs and calls), and estimate densities using 83 km of linear censuses. Total number of birds located was 461 (305 from song playback and 156 from transects) across an extent of occurrence of c. 11,000 km2, comprising 2,067 km2 of suitable habitat and an effective area of occupancy of 1,645 km2. Mean density was 0.60 ± SD 0.52 birds per 10 ha and was highest in dense stands of Stipa tennacissima. Our estimate of Dupont's lark breeding population in Morocco is c. 15,400 singing males (lower and upper limits 11,220–20,167, respectively). Evidence of habitat loss and degradation was found in one of the main areas of the species' distribution in Morocco, although this does not seem to be a general pattern in the lark's Moroccan range. Further studies are required of the dynamics of suitable habitat for the species to prevent long-term consequences for the conservation of Dupont's lark and other bird species of the steppe.
Mammalian herbivores can play a role in the endozoochorous dispersal of Prosopis seeds in the arid zones of Argentina, and the introduction of exotic mammals can change relevant parameters of the plant's reproductive ecology. Our specific goals were to quantify the seeds of Prosopis flexuosa, P. chilensis and P. torquata contained in the faeces of native [mara (Dolichotis patagonum), guanaco (Lama guanicoe)] and exotic [donkey (Equus asinus) and hare (Lepus europaeus)] mammals, and to determine the mortality, germination percentage and germination speed of seeds borne in faeces, compared with those collected from trees. In 2006, seeds were collected directly from trees or removed from mammal faeces. Seeds were counted and classified as apparently healthy or damaged. P. torquata and P. flexuosa seeds were found in the dung of guanaco, hare and mara, whereas only P. flexuosa seeds appeared in donkey faeces. P. chilensis seeds were only found in guanaco faeces. There was a notable relative abundance of seeds contained in small herbivore faeces in comparison to the large herbivores. The passage through the digestive tract of animals modified seed germination capacity and speed, with great variability between animal species. Guanacos had greater effects than donkeys on mortality, germination percentage and germination speed. Differences between the effects of both smaller-sized herbivores on seeds were much smaller.
Reputedly, painter Charles Sheeler and photographer Paul Strand's Manhatta is the first significant title in the history of American avant-garde cinema. It is a seven-minute portrait of New York City and focuses on those features which make the city a modern megalopolis – the traffic, the crowds, the high-rise buildings, the engineering wonders, and the speed and dynamism of street life. The film strives to capture rhythmic and graphic patterns in the movements and shapes of cranes, trains, automobiles, boats, steam shovels, suspension bridges, and skyscrapers. Due to the dominance of technology, the entire urban landscape appears in the film as a machine-like aggregate of static and moving parts independent from human intention.