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.
Advances in medicine have led to an improvement in life expectancy, thus increasing the population of older individuals within the criminal justice system. This study investigates the determinants of risk formulation, care plan, and disposition among older adult forensic patients (OAFP) in Ontario, Canada.
Methods
This retrospective analysis utilized the Ontario Review Board database, focusing on 161 OAFP, aged 55 years and older. Hierarchical regression was used to analyze the relationship between changes in risk and six blocks of variables: sociodemographic characteristics (Block 1), circumstances during the index offense (Block 2), current clinical profile (Block 3), past psychiatric history and behavioral patterns (Block 4), criminal history and legal status (Block 5), and recent violent events (Block 6).
Results
The median age of patients was 61 years (IQR 58–67), with 83.4% being male. Schizophrenia was the most common diagnosis (68.3%), and 9.3% had neurocognitive disorders. The model with six blocks of factors explained 92% of the variability in risk change. Models 2 (blocks 1 and 2) and 4 (blocks 1–4) were statistically significant, explaining 34% (p = 0.010) and 22% (p = 0.018) of the variance in the change in risk of threat to public safety, respectively. OAFP with a significant risk to public safety were more likely to be inpatients and less likely intoxicated during their index offense.
Conclusion
Resources, policies, and a supervised model of care to curtail behavioral risks are relevant to the care of OAFP. Innovative risk management models for OAFP are indicated.
The relationship between psychosis and violence is often construed focusing on a narrow panel of factors; however, recent evidence suggests violence might be linked to a complex interplay of biopsychosocial factors among forensic psychiatric patients with psychosis (FPPP). This review describes violence incidents in FPPP, the factors associated with violence, and relevant implications.
Methods
This review was conducted following the preferred reporting items for systematic reviews and meta-analyses guideline. Databases, including CINAHL, EMBASE, Medline/PubMed, PsycINFO, and Web of Science, were searched for eligible studies that examined violence among adult FPPP. Screening of reports and data extraction were completed by at least two independent reviewers.
Results
Across the 29 included studies, violence was consistently related to prior contact with psychiatric services, active psychotic symptoms, impulsivity, adverse experiences, and low social support. However, FPPP who reported violence varied in most other biopsychosocial domains, suggesting the underlying combinatorial effects of multiple risk factors for violence rather than individual factors. Variability in violence was addressed by stratifying FPPP into subgroups using composite/aggregate of identifiable factors (including gender, onset/course of illness, system-related, and other biopsychosocial factors) to identify FPPP with similar risk profiles.
Conclusions
There are multiple explanatory pathways to violence in FPPP. Recent studies identify subgroups with underlying similarities or risk profiles for violence. There is a need for future prospective studies to replicate the clinical utility of stratifying FPPP into subgroups and integrate emerging evidence using recent advancements in technology and data mining to improve risk assessment, prediction, and management.
We present continuous estimates of snow and firn density, layer depth and accumulation from a multi-channel, multi-offset, ground-penetrating radar traverse. Our method uses the electromagnetic velocity, estimated from waveform travel-times measured at common-midpoints between sources and receivers. Previously, common-midpoint radar experiments on ice sheets have been limited to point observations. We completed radar velocity analysis in the upper ~2 m to estimate the surface and average snow density of the Greenland Ice Sheet. We parameterized the Herron and Langway (1980) firn density and age model using the radar-derived snow density, radar-derived surface mass balance (2015–2017) and reanalysis-derived temperature data. We applied structure-oriented filtering to the radar image along constant age horizons and increased the depth at which horizons could be reliably interpreted. We reconstructed the historical instantaneous surface mass balance, which we averaged into annual and multidecadal products along a 78 km traverse for the period 1984–2017. We found good agreement between our physically constrained parameterization and a firn core collected from the dry snow accumulation zone, and gained insights into the spatial correlation of surface snow density.
We conducted two-dimensional continuous multi-offset georadar surveys on Bench Glacier, south-central Alaska, USA, to measure the distribution of englacial water. We acquired data with a multichannel 25 MHz radar system using transmitter–receiver offsets ranging from 5 to 150 m. We towed the radar system at 5–10 kmh–1 with a snow machine with transmitter/receiver positions established by geodetic-grade kinematic differentially corrected GPS (nominal 0.5 m trace spacing). For radar velocity analyses, we employed reflection tomography in the pre-stack depth-migrated domain to attain an estimated 2% velocity uncertainty when averaged over three to five wavelengths. We estimated water content from the velocity structure using the complex refractive index method equation and use a three-phase model (ice, water, air) that accounts for compression of air bubbles as a function of depth. Our analysis produced laterally continuous profiles of glacier water content over several kilometers. These profiles show a laterally variable, stratified velocity structure with a low-water-content (~0–0.5%) shallow layer (~20–30 m) underlain by high-water-content (1–2.5%) ice.
Within the percolation and soaked facies of the Greenland ice sheet, the relationship between radar-derived internal reflection horizons and the layered structure of the firn column is unclear. We conducted two small-scale ground-penetrating radar (GPR) surveys in conjunction with 10 m firn cores that we collected within the percolation and soaked facies of the Greenland ice sheet. The two surveys were separated by a distance of ~50 km and ~340m of elevation leading to ~40 days of difference in the duration of average annual melt. At the higher site (~1997ma.s.l.), which receives less melt, we found that internal reflection horizons identified in GPR data were largely laterally continuous over the grid; however, stratigraphic layers identified in cores could not be traced between cores over any distance from 1.5 to 14.0 m. Thus, we found no correlation between firn core stratigraphy observed directly and radar-derived internal reflection horizons. At the lower site (~1660ma.s.l.), which receives more melt, we found massive ice layers >0.5m thick and stratigraphic boundaries that span >15m horizontally. Some ice layers and stratigraphic boundaries correlate well with internal reflection horizons that are laterally continuous over the area of the radar grid. Internal reflection horizons identified at ~1997ma.s.l. are likely annual isochrones, but the reflection horizons identified at ~1660ma.s.l. are likely multi-annual features. We find that mapping accumulation rates over long distances by tying core stratigraphy to radar horizons may lead to ambiguous results because: (1) there is no stratigraphic correlation between firn cores at the 1997 m location; and (2) the reflection horizons at the 1660m location are multi-annual features.
We have conducted a series of experiments designed to investigate elastic and electromagnetic (EM) velocity anisotropy associated with a preferentially aligned fracture system on a temperate valley glacier in south-central Alaska, USA. Measurements include a three-dimensional compressional wave (P-wave) seismic reflection survey conducted over a 300 m x 300 m survey patch, with uniform source grid and static checkerboard receiver pattern. Additionally, we acquired a multi-azimuth, multi-offset, polarimetric ground-penetrating radar (GPR) reflection experiment in a wagon-wheel geometry with 94° of azimuthal coverage. Results show azimuthal variation in the P-wave normal-moveout velocity of >3% (3765 and 3630 m s–1 in the fast and slow directions respectively) and difference of nearly 5% between the fast (0.164 m ns–1) and slow (0.156 m ns–1) EM velocities. Fracture orientations estimated from the GPR and seismic velocity data are consistent and indicate a preferred fracture orientation that is 30-45° oblique to glacier flow; these measurements agree with borehole observations. Anisotropic analysis of the polarimetric data gives a single volumetric water content estimate of 0.73 ±0.11%. We conclude that meaningful estimates of physical properties in glaciers based on EM or seismic velocity measurements require collecting data such that the presence of anisotropy can be evaluated and an anisotropic analysis employed when necessary.
Field experiments were conducted to examine the influence of spray volume on glyphosate efficacy in relation to glyphosate rate, formulation, ammonium sulfate addition, and type of sprayer nozzle. Using several grass species it was shown that glyphosate efficacy increased as spray volume decreased from 190 to 23 L/ha. To obtain equal efficacy, glyphosate rates can be reduced by at least one-third when glyphosate is applied in 23 or 47 L/ha spray volume compared with 94 or 190 L/ha. The amount of surfactant in formulated glyphosate at 35 to 140 g ae/ha rates was insufficient when glyphosate was applied in 94 or 190 L/ha spray volumes. Additional surfactant enhanced glyphosate efficacy at these rates when applied in 94 or 190 L/ha spray volume, but efficacy was still less than when applied in 23 or 47 L/ha without additional surfactant. Thus, low spray volumes maximized glyphosate efficacy primarily through high herbicide concentration in the spray deposit and reduced salts from the carrier to antagonize efficacy. Glyphosate applied in 23 L/ha spray volume with drift-reducing nozzles provided control equal to that provided by glyphosate applied with standard flat-fan nozzles. Grass control also was equal from several glyphosate formulations that contained surfactants, regardless of spray volume.
Several studies demonstrating that central line–associated bloodstream infections (CLABSIs) are preventable prompted a national initiative to reduce the incidence of these infections.
Methods.
We conducted a collaborative cohort study to evaluate the impact of the national “On the CUSP: Stop BSI” program on CLABSI rates among participating adult intensive care units (ICUs). The program goal was to achieve a unit-level mean CLABSI rate of less than 1 case per 1,000 catheter-days using standardized definitions from the National Healthcare Safety Network. Multilevel Poisson regression modeling compared infection rates before, during, and up to 18 months after the intervention was implemented.
Results.
A total of 1,071 ICUs from 44 states, the District of Columbia, and Puerto Rico, reporting 27,153 ICU-months and 4,454,324 catheter-days of data, were included in the analysis. The overall mean CLABSI rate significantly decreased from 1.96 cases per 1,000 catheter-days at baseline to 1.15 at 16–18 months after implementation. CLABSI rates decreased during all observation periods compared with baseline, with adjusted incidence rate ratios steadily decreasing to 0.57 (95% confidence intervals, 0.50–0.65) at 16–18 months after implementation.
Conclusion.
Coincident with the implementation of the national “On the CUSP: Stop BSI” program was a significant and sustained decrease in CLABSIs among a large and diverse cohort of ICUs, demonstrating an overall 43% decrease and suggesting the majority of ICUs in the United States can achieve additional reductions in CLABSI rates.
We determine the extent to which the collection of Γ-Euler–Satake characteristics classify closed 2-orbifolds. In particular, we show that the closed, connected, effective, orientable 2-orbifolds are classified by the Γ-Euler–Satake characteristics corresponding to free or free abelian Γ and are not classified by those corresponding to any finite set of finitely generated discrete groups. These results demonstrate that the Γ-Euler–Satake characteristics corresponding to free abelian Γ constitute new invariants of orbifolds. Similarly, we show that such a classification is neither possible for non-orientable 2-orbifolds nor for non-effective 2-orbifolds using any collection of groups Γ.
A family of 6 affectively ill siblings is described. Two suffered from bipolar illnesses, 2 from recurrent unipolar illness, and the remainder showed alcoholism, depression and schizo-affective disorder. HLA typing revealed that all the tested members shared the antigens A3 and B7. Because only ill members were available for testing, there was insufficient information in the family to draw any definite conclusion as to whether these antigens were linked to the illness. However, the observation is of some interest in the light of other recent reports which have suggested that these 2 antigens are associated with affective disorder.
Dehydrin and QP47, proteins present in mature pea seeds (Pisum sativum), have been proposed to play protective roles during desiccation. To identify possible relationships between these proteins and desiccation tolerance, their tissue locations and patterns of synthesis and degradation have been examined during germination. Tissue locations were determined by immunocytochemistry using polyclonal antibodies raised against a conserved dehydrin amino acid sequence and against purified QP47. In embryonic axis and cotyledon cells, QP47 and dehydrin were distributed uniformly with no apparent nuclear or organellar specificity. Both proteins were present in 24 h-imbibed axes that had not initiated radicle growth but were completely absent from 24 h-imbibed axes that had begun to grow. The amounts of QP47 and dehydrin in embryonic axes decreased with time after the start of imbibition and were undetectable by 48 h. When germination was prevented by polyethylene glycol (PEG) or abscisic acid (ABA), both proteins remained at their original amounts. Thus, both QP47 and dehydrin disappeared coincidently with the beginning of growth and not simply as a function of the time after imbibition. QP47 persisted in cotyledons until at least 31 days into seedling growth, whereas dehydrin was not detectable in cotyledons after 7 days. Dehydrin, but not QP47, could be re-induced in pea shoots and cotyledons by dehydration. The timing of degradation of both proteins was correlated with the loss of desiccation tolerance during germination of pea axes.
Nutrigenomics is the study of how constituents of the diet interact with genes, and their products, to alter phenotype and, conversely, how genes and their products metabolise these constituents into nutrients, antinutrients, and bioactive compounds. Results from molecular and genetic epidemiological studies indicate that dietary unbalance can alter gene–nutrient interactions in ways that increase the risk of developing chronic disease. The interplay of human genetic variation and environmental factors will make identifying causative genes and nutrients a formidable, but not intractable, challenge. We provide specific recommendations for how to best meet this challenge and discuss the need for new methodologies and the use of comprehensive analyses of nutrient–genotype interactions involving large and diverse populations. The objective of the present paper is to stimulate discourse and collaboration among nutrigenomic researchers and stakeholders, a process that will lead to an increase in global health and wellness by reducing health disparities in developed and developing countries.
We investigate the pricing of 4,989 equity IPOs with offer dates between 1981 and 2000. Approximately three-fourths of these IPOs have integer offer prices. Average initial returns for IPOs with integer offer prices are significantly higher (24.5%) than those priced on the fraction of the dollar (8.1%). This result is robust through time and after conditioning for other effects known to influence initial returns. We hypothesize that integer vs. fractional dollar IPOs are the result of negotiations between the issuing firm and underwriter. Under this negotiation hypothesis, the frequency of integer pricing should be an increasing function of the offer price and the degree of uncertainty surrounding the value of the firm. Empirical evidence, supportive of the negotiation hypothesis, is presented.
Sac7d unfolds at low pH in the absence of salt, with the greatest extent of unfolding obtained at pH 2. We have previously shown that the acid unfolded protein is induced to refold by decreasing the pH to 0 or by addition of salt (McCrary BS, Bedell J, Edmondson SP, Shriver JW, 1998, J Mol Biol 276:203–224). Both near-ultraviolet circular dichroism spectra and ANS fluorescence enhancements indicate that the acid- and salt-induced folded states have a native fold and are not molten globular. 1H,15N heteronuclear single quantum coherence NMR spectra confirm that the native, acid-, and salt-induced folded states are essentially identical. The most significant differences in amide 1H and 15N chemical shifts are attributed to hydrogen bonding to titrating carboxyl side chains and through-bond inductive effects. The 1H NMR chemical shifts of protons affected by ring currents in the hydrophobic core of the acid- and salt-induced folded states are identical to those observed in the native. The radius of gyration of the acid-induced folded state at pH 0 is shown to be identical to that of the native state at pH 7 by small angle X-ray scattering. We conclude that acid-induced collapse of Sac7d does not lead to a molten globule but proceeds directly to the native state. The folding of Sac7d as a function of pH and anion concentration is summarized with a phase diagram that is similar to those observed for other proteins that undergo acid-induced folding except that the A-state is encompassed by the native state. These results demonstrate that formation of a molten globule is not a general property of proteins that are refolded by acid.
The scene of my inquiries in Attica in 1955 was the coastal plain south of Athens, on the very doorstep of the city. The background was formed by the magnificent profile of Hymettos, with its long, impressive, but not forbidding skyline. The bare rounded mountain sides are steep but towards the foot they give place to gentler slopes composed of soil washed down from above; and even the narrow plain itself is tilted towards the sea. The soil of this zone is notably rich, terra rossa and rendzina—some of the best soil near Athens. The importance of this fact would have been as obvious to ancient farmers as it is to those who today are restoring large-scale cultivation to the zone.