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This study explored whether lifestyle therapy that promoted adherence to a Mediterranean-style diet as a treatment for depression led to environmental co-benefits. Participants (n 75 complete case) were Australian adults in the Curbing Anxiety and Depression using Lifestyle Medicine non-inferiority, randomised controlled trial, which showed that lifestyle therapy was non-inferior to psychotherapy in reducing depressive symptoms, when delivered in group format via video conferencing over an 8-week treatment period. In this secondary analysis, we hypothesised that the lifestyle arm would be superior to the psychotherapy arm in reducing the environmental impact of self-reported diet over time. Dietary intake derived from FFQ at baseline and 8 weeks was transformed into environmental impact scores by calculating global warming potential (GWP)*. GWP* was calculated for total dietary intake and distinct food groups (Australian Dietary Guidelines and NOVA classifications). Within-arm changes in GWP* over time were calculated using the median difference. Neither arm showed significant changes. Between-arm differences in percentage change in GWP* scores over time were analysed using generalised estimating equations models. No between-arm difference for total GWP* score was found (β = 11·06 (–7·04, 29·15)). When examining distinct food groups, results were mixed. These novel findings contribute to the sparse evidence base that has measured the environmental impact of diets in a clinical trial context. Whilst lifestyle therapy that reduced depressive symptoms did not have clear environmental benefits relative to psychotherapy, nutritional counselling that focuses on the environmental impact of food choices may drive more pronounced planetary co-benefits.
Global path planning using roadmap (RM) path-planning methods including Voronoi diagram (VD), rapidly exploring random trees (RRT), and probabilistic roadmap (PRM) has gained popularity over the years in robotics. These global path-planning methods are usually combined with other path-planning techniques to achieve collision-free robot control to a specified destination. However, it is unclear which of these methods is the best choice to compute the efficient path in terms of path length, computation time, path safety, and consistency of path computation. This article reviewed and adopted a comparative research methodology to perform a comparative analysis to determine the efficiency of these methods in terms of path optimality, safety, consistency, and computation time. A hundred maps of different complexities with obstacle occupancy rates ranging from 50.95% to 78.42% were used to evaluate the performance of the RM path-planning methods. Each method demonstrated unique strengths and limitations. The study provides critical insights into their relative performance, highlighting application-specific recommendations for selecting the most suitable RM method. These findings contribute to advancing robot path-planning techniques by offering a detailed evaluation of widely adopted methods.
The prenatal and early-life periods pose a crucial neurodevelopmental window whereby disruptions to the intestinal microbiota and the developing brain may have adverse impacts. As antibiotics affect the human intestinal microbiome, it follows that early-life antibiotic exposure may be associated with later-life psychiatric or neurocognitive outcomes.
Aims
To explore the association between early-life (in utero and early childhood (age 0–2 years)) antibiotic exposure and the subsequent risk of psychiatric and neurocognitive outcomes.
Method
A search was conducted using Medline, PsychINFO and Excerpta Medica databases on 20 November 2023. Risk of bias was assessed using the Newcastle-Ottawa scale, and certainty was assessed using the grading of recommendations, assessment, development and evaluation (GRADE) certainty assessment.
Results
Thirty studies were included (n = 7 047 853 participants). Associations were observed between in utero antibiotic exposure and later development of autism spectrum disorder (ASD) (odds ratio 1.09, 95% CI: 1.02–1.16) and attention-deficit hyperactivity disorder (ADHD) (odds ratio 1.19, 95% CI: 1.11–1.27) and early-childhood exposure and later development of ASD (odds ratio 1.19, 95% CI: 1.01–1.40), ADHD (odds ratio 1.33, 95% CI: 1.20–1.48) and major depressive disorder (MDD) (odds ratio 1.29, 95% CI: 1.04–1.60). However, studies that used sibling control groups showed no significant association between early-life exposure and ASD or ADHD. No studies in MDD used sibling controls. Using the GRADE certainty assessment, all meta-analyses but one were rated very low certainty, largely owing to methodological and statistical heterogeneity.
Conclusions
While there was weak evidence for associations between antibiotic use in early-life and later neurodevelopmental outcomes, these were attenuated in sibling-controlled subgroup analyses. Thus, associations may be explained by genetic and familial confounding, and studies failing to utilise sibling-control groups must be interpreted with caution. PROSPERO ID: CRD42022304128
The Magellanic Stream (MS), a tail of diffuse gas formed from tidal and ram pressure interactions between the Small and Large Magellanic Clouds (SMC and LMC) and the Halo of the Milky Way, is primarily composed of neutral atomic hydrogen (HI). The deficiency of dust and the diffuse nature of the present gas make molecular formation rare and difficult, but if present, could lead to regions potentially suitable for star formation, thereby allowing us to probe conditions of star formation similar to those at high redshifts. We search for $\text{HCO}^{+}$, HCN, HNC, and C$_2$H using the highest sensitivity observations of molecular absorption data from the Atacama Large Millimeter Array (ALMA) to trace these regions, comparing with HI archival data from the Galactic Arecibo L-Band Feed Array (GALFA) HI Survey and the Galactic All Sky Survey (GASS) to compare these environments in the MS to the HI column density threshold for molecular formation in the Milky Way. We also compare the line of sight locations with confirmed locations of stars, molecular hydrogen, and OI detections, though at higher sensitivities than the observations presented here.
We find no detections to a 3$\sigma$ significance, despite four sightlines having column densities surpassing the threshold for molecular formation in the diffuse regions of the Milky Way. Here we present our calculations for the upper limits of the column densities of each of these molecular absorption lines, ranging from $3 \times 10^{10}$ to $1 \times 10^{13}$ cm$^{-2}$. The non-detection of $\text{HCO}^{+}$ suggests that at least one of the following is true: (i) $X_{\text{HCO}^{+}{}, \mathrm{MS}}$ is significantly lower than the Milky Way value; (ii) that the widespread diffuse molecular gas observed by Rybarczyk (2022b, ApJ, 928, 79) in the Milky Way’s diffuse interstellar medium (ISM) does not have a direct analogue in the MS; (iii) the HI-to-$\text{H}_{2}$ transition occurs in the MS at a higher surface density in the MS than in the LMC or SMC; or (iv) molecular gas exists in the MS, but only in small, dense clumps.
Peer review is an essential quality assurance component of radiation therapy planning. A growing body of literature has demonstrated substantial rates of suggested plan changes resulting from peer review. There remains a paucity of data on the impact of peer review rounds for stereotactic body radiation therapy (SBRT). We therefore aim to evaluate the outcomes of peer review in this specific patient cohort.
Methods and materials:
We conducted a retrospective review of all SBRT cases that underwent peer review from July 2015 to June 2018 at a single institution. Weekly peer review rounds are grouped according to cancer subsite and attended by radiation oncologists, medical physicists and medical radiation technologists. We prospectively compiled ‘learning moments’, defined as cases with suggested changes or where an educational discussion occurred beyond routine management, and critical errors, defined as errors which could alter clinical outcomes, recorded prospectively during peer review. Plan changes implemented after peer review were documented.
Results:
Nine hundred thirty-four SBRT cases were included. The most common treatment sites were lung (518, 55%), liver (196, 21%) and spine (119, 13%). Learning moments were identified in 161 cases (17%) and translated into plan changes in 28 cases (3%). Two critical errors (0.2%) were identified: an inadequate planning target volume margin and an incorrect image set used for contouring. There was a statistically significantly higher rate of learning moments for lower-volume SBRT sites (defined as ≤30 cases/year) versus higher-volume SBRT sites (29% vs 16%, respectively; p = 0.001).
Conclusions:
Peer review for SBRT cases revealed a low rate of critical errors, but did result in implemented plan changes in 3% of cases, and either educational discussion or suggestions of plan changes in 17% of cases. All SBRT sites appear to benefit from peer review, though lower-volume sites may require particular attention.
This contribution concerns the status of the Treaty of Waitangi (‘the Treaty’) in New Zealand law. It is stimulated by reading Bruce Harris's excellent recent book, in which he analyses the New Zealand constitution ‘in terms of principles’. Bruce's analysis of the constitution in that book is as clear and comprehensive as I remember his classes to be, when I had the good fortune to have him as my teacher, of both contract law and administrative law, at the Otago law faculty, in the 1970s. Subsequently, Bruce has had a long and distinguished career – as teacher, scholar and dean – at both the Universities of Auckland and Otago. I salute his achievements. It was a pleasure to have him as my teacher and later as a colleague. I am delighted to have the chance to honour him in this book.
Chapter three of Bruce's recent book concerns ‘The Principle of Legislative, Executive and Judicial Respect for the Treaty of Waitangi’. I propose to consider how this principle relates to concepts of law. First, I discuss the traditional – positivist and dualist – account of the circumstances in which the Treaty is recognised by the courts as part of the law of New Zealand. Next, I canvass two, related, alternative concepts of law, drawn from the work of Ronald Dworkin and Mayo Moran respectively. I suggest that these alternative concepts of law provide a better foundation for an explanation of how the courts use the Treaty in their reasoning than that provided by a strictly positivist concept of law. I conclude, drawing on these alternative concepts of law, that – contrary to the traditional view – the Treaty ‘itself’ is part of New Zealand law.
THE LEGAL STATUS of THE TREATY
The traditional view (as I will call it) of the legal status of the Treaty in New Zealand is the one expounded by the Privy Council, in 1941, in Hoani Te Heu Heu Tukino's case. On that view, the Treaty is not part of New Zealand law unless ‘incorporated’ into the relevant field of domestic law by legislation. This view reflects, firstly, the notion that a proposition will only count as law when ‘positively’ incorporated into a source of law recognised and enforced in the courts. and, secondly, it reflects the dualist conception of the relationship between international and national (or domestic) sources of law.
Two introduced carnivores, the European red fox Vulpes vulpes and domestic cat Felis catus, have had extensive impacts on Australian biodiversity. In this study, we collate information on consumption of Australian birds by the fox, paralleling a recent study reporting on birds consumed by cats. We found records of consumption by foxes on 128 native bird species (18% of the non-vagrant bird fauna and 25% of those species within the fox’s range), a smaller tally than for cats (343 species, including 297 within the fox’s Australian range, a subset of that of the cat). Most (81%) bird species eaten by foxes are also eaten by cats, suggesting that predation impacts are compounded. As with consumption by cats, birds that nest or forage on the ground are most likely to be consumed by foxes. However, there is also some partitioning, with records of consumption by foxes but not cats for 25 bird species, indicating that impacts of the two predators may also be complementary. Bird species ≥3.4 kg were more likely to be eaten by foxes, and those <3.4 kg by cats. Our compilation provides an inventory and describes characteristics of Australian bird species known to be consumed by foxes, but we acknowledge that records of predation do not imply population-level impacts. Nonetheless, there is sufficient information from other studies to demonstrate that fox predation has significant impacts on the population viability of some Australian birds, especially larger birds, and those that nest or forage on the ground.
This chapter: (i) provides a succinct statement of our proposal for the ‘fusion’ of mental health and capacity legislation into a single legal regime governing the provision of all healthcare without consent, and the reasons behind this proposal; (ii) argues that a carefully designed scheme of this kind would be consistent with the Convention on the Rights of Persons with Disabilities (CRPD); (iii) responds to the contrary arguments about the CRPD’s interpretation made by the UN Committee on the Rights of Persons with Disabilities, in its General Comment No 1 (2014); and (iv) considers the extent to which the Mental Capacity Act (Northern Ireland) 2016 is consistent with the ‘fusion’ approach, and whether this Act ultimately complies with the CRPD.
Memorialisation practices involving public memory and history are usually located in public space. Such practices and their impact are therefore tied up with key public space dynamics and tend, as a result, to respond to a wider variety of imperatives than simply heritage preservation and representation. A crucial part of this is how memorialisation practices presume things about the nature and trajectory of the public or publics being planned for. Relatedly, the way public space shapes who counts as part of the public acquires further salience in heritage discourses. Those who are or feel excluded from intendedly publicly accessible heritage sites are thus excluded from spaces and discourses of public memory, culture and identity, which is ‘an explicit form of denial and assertion of power’. This itself is linked to how memorialisation practices are tied to political processes or motivations.
The histories of contestation over how to remember heritage sites display both arbitrariness and contingency in how we remember. These histories also remind us of the political importance of how memorialisation practices are carried out. These practices may thus obscure as much as they reveal. They can be devices of forgetting and obliteration as much as remembering and conservation, often intentional as part of nation-building projects, ‘an ongoing tension between collective memory and selective amnesia’ in the words of Martin J. Murray. While memory is certainly built into architecture, it also exists in many other places, practices and cultures. As such, this chapter seeks to explore current and historical contestation over two spaces in central Johannesburg, in the context of how the spaces are used in South Africa's largest city, itself located in Gauteng (place of gold), a province that was renamed in the democratic era. The two spaces are Constitution Hill, a former colonial and apartheid prison-complex since transformed into a museum and human-rights precinct, and Gandhi Square, the main central bus terminus in Johannesburg's Central Business District (CBD).
Constitution Hill and Gandhi Square represent two early transformations of public places in the post-apartheid era – important sites in the narratives of the downtown ‘regeneration’ of Johannesburg and the elaboration of a new national identity in South Africa. Thus, they are also bound up in discourses and representations of public memory and identity. Constitution Hill aims at confronting and situating colonial and apartheid history by juxtaposing it with a vision for the future.
ABSTRACT IMPACT: The knowledge acquired from my research can inform the development of early diagnostic methods for HIV-associated neurocognitive disorders. OBJECTIVES/GOALS: In the era of combination antiretroviral therapy (cART), the prevalence of HIV-associated neurocognitive disorders (HAND) remains high but the neural mechanisms are unclear. We examined whether older people with HIV (PWH) with minimal cognitive impairment have reduced functional connectivity in frontostriatal circuits compared to controls. METHODS/STUDY POPULATION: 99 PWH (mean age 56.6 years, 75% male, 62% Black, mean duration of HIV-infection 26.2 years ±9.3, 90% viral load <50 copies, 98% on stable cART) and 38 demographically-comparable controls (mean age 54.5 years, 71% male, 58% Black) participated in a cross-sectional study. A 7-domain neuropsychological battery and an Activities of Daily Living index were used to determine HAND diagnoses: 32 PWH met criteria for asymptomatic to mild HAND. Motor skill was assessed using the Grooved Pegboard Test by measuring performance speed. Structural MRI and resting-state functional MRI were collected. Seed-to-voxel analyses were conducted using 4 distinct regions in the striatum as seed regions. We used a voxel threshold of p<0.001 and cluster threshold of p<0.05 (FDR-corrected) after controlling for demographic variables. RESULTS/ANTICIPATED RESULTS: Compared to controls, PWH had lower resting state functional connectivity between the default mode region of the striatum (i.e., medial caudate) and bilateral superior frontal gyrus, supplementary motor cortex and paracingulate gyrus (p<0.05; cluster size: 567 voxels). Also, compared to controls, PWH had reduced resting state functional connectivity between the motor division of the striatum (i.e., posterior putamen) and anterior cingulate cortex and left supplementary motor cortex (p<0.05, cluster size: 405 voxels). Performance speed on the Grooved Pegboard motor test negatively correlated with functional connectivity between the motor region of the striatum and supplementary motor frontal regions in all participants (Spearman’s rho=-0.18, p=0.04). DISCUSSION/SIGNIFICANCE OF FINDINGS: Our results support the hypothesis that frontostriatal abnormalities are widely present in PWH and might play a key role in HAND development. Our data suggest that dysfunction within the frontostriatal circuits may be involved in motor impairment in PWH, and ongoing inflammation may contribute to motor impairment and frontostriatal injury.
A detailed assessment of the inter-scale energy budget of the turbulent flow in a von Kármán mixing tank has been performed based on two extensive experimental data sets. Measurements were performed at a Taylor microscale Reynolds number of $Re_{\unicode[STIX]{x1D706}}=199$ in the central region of the tank, using scanning particle image velocimetry (PIV) to fully resolve the velocity gradient tensor (VGT), and stereoscopic PIV for an expanded field of view. Following a basic flow characterisation, the Kármán–Howarth–Monin–Hill equation was used to investigate the inter-scale energy transfer. Access to the full VGT enabled the contribution of the different terms of the energy budget to be evaluated without any assumptions or approximations. The scale-space distribution of the dominant terms was also reported to assess the isotropy of the energy transfer. The results show a highly anisotropic distribution of energy transfer in scale space. Energy transfer was shown in a spherically averaged sense to be dominated at the small scales by the nonlinear inter-scale transfer term. However, in contrast to flows considered in previous studies, the local energy transfer is found to depend heavily on the linear contribution associated with the mean flow. Analysis of the scale-to-scale transfer of energy also allowed direct assessment of the classical picture of the energy cascade. It was found that while the inter-scale energy cascade driven by the turbulent fluctuations always proceeds in the forward direction, the total energy cascade driven by both the turbulent fluctuations and the mean flow exhibits significant inverse cascade regions, where energy is transferred from smaller to larger scales.
We describe an ultra-wide-bandwidth, low-frequency receiver recently installed on the Parkes radio telescope. The receiver system provides continuous frequency coverage from 704 to 4032 MHz. For much of the band (${\sim}60\%$), the system temperature is approximately 22 K and the receiver system remains in a linear regime even in the presence of strong mobile phone transmissions. We discuss the scientific and technical aspects of the new receiver, including its astronomical objectives, as well as the feed, receiver, digitiser, and signal processor design. We describe the pipeline routines that form the archive-ready data products and how those data files can be accessed from the archives. The system performance is quantified, including the system noise and linearity, beam shape, antenna efficiency, polarisation calibration, and timing stability.
Reconstructions of prehistoric vegetation composition help establish natural baselines, variability, and trajectories of forest dynamics before and during the emergence of intensive anthropogenic land use. Pollen–vegetation models (PVMs) enable such reconstructions from fossil pollen assemblages using process-based representations of taxon-specific pollen production and dispersal. However, several PVMs and variants now exist, and the sensitivity of vegetation inferences to PVM selection, variant, and calibration domain is poorly understood. Here, we compare the reconstructions, parameter estimates, and structure of a Bayesian hierarchical PVM, STEPPS, both to observations and to REVEALS, a widely used PVM, for the pre–Euro-American settlement-era vegetation in the northeastern United States (NEUS). We also compare NEUS-based STEPPS parameter estimates to those for the upper midwestern United States (UMW). Both PVMs predict the observed macroscale patterns of vegetation composition in the NEUS; however, reconstructions of minor taxa are less accurate and predictions for some taxa differ between PVMs. These differences can be attributed to intermodel differences in structure and parameter estimates. Estimates of pollen productivity from STEPPS broadly agree with estimates produced for use in REVEALS, while comparison between pollen dispersal parameter estimates shows no significant relationship. STEPPS parameter estimates are similar between the UMW and NEUS, suggesting that STEPPS parameter estimates are transferable between floristically similar regions and scales.
Impulse control disorders (ICDs) have become a widely recognized non-motor complication of Parkinson's disease (PD) in patients taking dopamine replacement therapy (DRT). There are no current evidence-based recommendations for their treatment, other than reducing their dopaminergic medication.
Methods:
This study reviews the current literature of the treatment of ICDs including pharmacological treatments, deep brain stimulation, and psychotherapeutic interventions.
Results:
Dopamine agonist withdrawal is the most common and effective treatment, but may lead to an aversive withdrawal syndrome or motor symptom degeneration in some individuals. There is insufficient evidence for all other pharmacological treatments in treating ICDs in PD, including amantadine, serotonin selective reuptake inhibitors, antipsychotics, anticonvulsants, and opioid antagonists (e.g. naltrexone). Large randomized control trials need to be performed before these drugs can be routinely used for the treatment of ICDs in PD. Deep brain stimulation remains equivocal because ICD symptoms resolve in some patients after surgery but may appear de novo in others. Cognitive behavioral therapy has been shown to improve ICD symptoms in the only published study, although further research is urgently needed.
Conclusions:
Further research will allow for the development of evidence-based guidelines for the management of ICDs in PD.
The reliability of any survey of biodiversity through geologic time depends on the rigor and consistency by which taxa are recognized and samples are identified. The main goal of the Neogene Marine Biota of Tropical America (‘NMITA’) project is to create an online biotic database (http://nmita.geology.uiowa.edu) containing images and synoptic taxonomic information that are essential to collecting and disseminating high-quality taxic data. The database consists of an inventory of taxa collected as part of several large multi-taxa fossil sampling programs designed to assess marine biodiversity in tropical America over the past 25 m.y. In the first phase of the project, data for ~1,300 taxa and ~3,800 images are currently being entered into a relational database management system on an IBM RS6000 at the University of Iowa. Eleven taxonomic groups are represented: bivalves, gastropods (muricids, marginellids, strombinids), bryozoans (cheilostome, cyclostome), corals (azooxanthellate, zooxanthellate), benthic foraminifers, ostracodes, fish. The lowest taxonomic rank is species (genera/subgenera in mollusks) and the highest is family. Data that are collected and displayed on taxon pages include: (1) taxonomic authorship, synonyms, type specimens, and diagnostic morphologic characters; (2) images of representative specimens and associated museum catalog and measurement data; (3) distributional information including geologic ages, stratigraphic units, and spatial locations; and (4) higher level classification (genera and families) and bibliographic information. Illustrated glossaries of morphologic terms, character matrices, and identification tools are being developed for corals and mollusks. Interactive geographic maps and stratigraphic columns have been designed to provide information about taxa collected at different locations.
During the last forty years, South-West England has been the focus of some of the most significant work on the early modern house and household in Britain. Its remarkable wealth of vernacular buildings has been the object of much attention, while the area has also seen productive excavations of early modern household goods, shedding new light on domestic history. This collection of papers, written by many of the leading specialists in these fields, presents a number of essays summarizing the overall understanding of particular themes and places, alongside case studies which publish some of the most remarkable discoveries. They include the extraordinary survival of wall-hangings in a South Devon farm, the discovery of painted rooms in an Elizabethan town house, and a study of a table-setting mirrored on its ceiling. Also considered are forms of decoration which seem specific to particular areas of the West Country houses. Taken together, the papers offer a holistic view of the household in the early modern period. John Allan is Consultant Archaeologist to the Dean & Chapter of Exeter Cathedral; Nat Alcock is Emeritus Reader in the Department of Chemistry, University of Warwick; David Dawson is an independent archaeologist and museum and heritage consultant. Contributors: Ann Adams, Nat Alcock, John Allan, James Ayres, Stuart Blaylock, Peter Brears, Tania Manuel Casimiro, Cynthia Cramp, Christopher Green, Oliver Kent, Kate Osborne, Richard Parker, Isabel Richardson, John Schofield, Eddie Sinclair, John R.L. Thorp, Hugh Wilmott.
Edited by
John Allan, Consultant Archaeologist to the Dean and Chapter of Exeter Cathedral,Nat Alcock, Emeritus Reader in the Department of Chemistry, University of Warwick,David Dawson, Independent archaeologist and museum and heritage consultant
Edited by
John Allan, Consultant Archaeologist to the Dean and Chapter of Exeter Cathedral,Nat Alcock, Emeritus Reader in the Department of Chemistry, University of Warwick,David Dawson, Independent archaeologist and museum and heritage consultant
Edited by
John Allan, Consultant Archaeologist to the Dean and Chapter of Exeter Cathedral,Nat Alcock, Emeritus Reader in the Department of Chemistry, University of Warwick,David Dawson, Independent archaeologist and museum and heritage consultant