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This commentary argues against the indictment of current experimental practices such as piecemeal testing, and the proposed integrated experiment design (IED) approach, which we see as yet another attempt at automating scientific thinking. We identify a number of undesirable features of IED that lead us to believe that its broad application will hinder scientific progress.
With contributions from an international team of experts, this collection provides a much-needed international, comparative approach to mental capacity law.
De Neys offers a welcome departure from the dual-process accounts that have dominated theorizing about reasoning. However, we see little justification for retaining the distinction between intuition and deliberation. Instead, reasoning can be treated as a case of multiple-cue decision making. Reasoning phenomena can then be explained by decision-making models that supply the processing details missing from De Neys's framework.
Since the start of the 21st century, policy developments and legal practice have increasingly sought to express and implement changes that recognise the equality and rights of persons with mental impairments, including persons with learning disabilities and mental disorders. A great deal of academic scholarship, legal commentary and policy recommendations have focused attention on internal analyses of specific jurisdictions – for example, academic and practice-based discussions of mental capacity law in England and Wales have flourished in the time leading up to and since the instantiation of the Mental Capacity Act 2005 (MCA). Equally, much scholarship has focused on the changing human rights landscape since the advent of the United Nations Convention on the Rights of Persons with Disabilities (CRPD), with particular attention on the meaning of its requirements and jurisdiction-specific adherence to human rights aspirations. Dialogue between these jurisdiction-specific and human rights analyses has become increasingly common. Less common – but no less important – is an international comparative perspective across different legal approaches to mental capacity law, to encourage learning and critical reflection based on a closer analysis of how different jurisdictions grapple with common issues and imperatives around assuring the empowerment and participation in decision-making by, with and for individuals with impairments.
The purpose of this edited collection is to advance this much-needed international comparative contribution to mental capacity law. Our particular focus in the volume is to spur on a comparative-oriented conversation around substantive commonalities and divergences in normative orientation and practical application embedded in different legal frameworks. Regarding normative orientation, we are particularly keen to critically identify how values and assumptions are built into laws (formally or by convention) about persons and personal decision-making, and what this is taken to mean for the roles of law, institutions, and legal and other professionals. Crucially, we are interested against that to understand what those laws mean for the place and voice of persons whose decisions are governed by such laws. Therefore, in practical application we are not only interested in the letter of different laws, but also how they function; including what they miss, or whether and how they may be inequitable in their application or generate outcomes that are opposed to their (apparent) rationales.
This volume has taken an international approach to learning about, and critically exploring, how legal systems may, or may fail to, assure the (meaningful) participation in decision-making by, with and for individuals who are subject to mental capacity laws (P). Equally, the contributors have explained how laws bring individuals’ values into personal decisionmaking, or present barriers to this, and how values beyond the person's may also feature in such decisions. We invited contributions based on a single template of contextual and law-focused questions across the book's authors, and yet we see significant distinctions in both the practical and the socioethical situations among the respective jurisdictions that the book examines. These are, unsurprisingly, in part explicable by reference to sociocultural, demographic, historical and institutional (including professional hegemonic) distinctions between the different places that the book looks at. They are also a consequence of the distinct critical perspectives and orientations across the book's authorship. And they are explicable given distinct legal framings and assumptions, which prove significant even among the common law systems and their shared traditions that form the focus of the majority of the contributions.
We may begin to collect our own reflections in this concluding chapter by noting that the book's inquiry is pitched as being about mental capacity law. Even among those jurisdictions who share their legal heritage with systems that have expressly enacted ‘mental (in)capacity’ laws, this already presents its own distinct vocabulary, as we see in Stavert's chapter (Chapter 3) on the AWIA in Scotland; likewise the language of guardianship, as discussions of Australia (Chapter 8), the US (Chapter 6) and Hong Kong (Chapter 10) indicate. Accordingly, part of the comparative exercise is in understanding the substance and practical import of technical language when making observations and evaluations. ‘P’ will have been a designation that is alien to readers in many legal systems, and even within legal systems that use the term this designation is not well known outside the realms of mental capacity law. The lack of explicit reference to guardianship laws in the book's title may seem surprising.
The present study investigates the effect of framing and legal role on the propensity to accept a settlement offer by litigants in a simulated legal dispute. Participants were given four different scenarios that factorially combined legal role (plaintiff vs. defendant) and frame (positive vs. negative). The results indicated that positively framed litigants were more willing to settle than negatively framed litigants independently of legal role. These results were replicated in a second experiment that also asked participants to state their subjective probability of winning. This revealed that the propensity to settle was a joint function of frame and the perceived chance of winning. In contrast to previous research, no systematic effect of legal role was found. It is concluded that the rate of negotiated settlements of legal disputes may be increased by manipulating both of these factors.
Infection by parasites or pathogens can have marked physiological impacts on individuals. In birds, infection may affect moult and feather growth, which is an energetically demanding time in the annual cycle. Previous work has suggested a potential link between clinically visible Trichomonas gallinae infection and wing length in turtle doves Streptopelia turtur arriving on breeding grounds. First, T. gallinae infection was characterized in 149 columbids from 5 species, sampled on turtle dove wintering grounds in Senegal during the moulting period, testing whether infection by T. gallinae is linked to moult. Trichomonas gallinae prevalence was 100%, so rather than testing for differences between infected and uninfected birds, we tested for differences in moult progression between birds infected by different T. gallinae strains. Twelve strains of T. gallinae were characterized at the internal transcribed spacer 1 (ITS1)/5.8S/ITS2 region, of which 6 were newly identified within this study. In turtle doves only, evidence for differences in wing length by strain was found, with birds infected by strain Tcl-1 having wings nearly 6 mm longer than those infected with strain GEO. No evidence was found for an effect of strain identity within species on moult progression, but comparisons between infected and uninfected birds should be further investigated in species where prevalence is lower.
Every artist has their last works, but not all are “late works,” as theorized by Edward Said. By revisiting George Oppen’s late poems, I challenge established preconceptions about late-life creativity that have typically emphasized social withdrawal, despair, and finality in his work. Emphasis placed on lateness, I argue, obscures material conditions of textual production, particularly coauthoring literary activities. The Oppens work together to shape a social poetics and model of authoring beyond the normative ideals of self-reliance, especially with Primitive, published when Alzheimer’s disease had all but prevented George from working. The poems and archival evidence of Mary Oppen's editorial work describe the couple's journey through illness and the work's posthumous reinvention as a stylistic artefact.
This work compares dose-volume constraints (DVCs) and tumour control predictions based on the average intensity projection (AVIP) to those on each phase of the four-dimensional computed tomography.
Materials and methods:
In this prospective study plans generated on an AVIP for nine patients with locally advanced non-small-cell lung cancer were recalculated on each phase. Dose-volume histogram (DVH) metrics extracted and tumour control probabilities (TCP) were calculated. These were evaluated by Bland–Altman analysis and Pearson Correlation.
Results:
The largest difference between clinical target volume (CTV) on the individual phases and the internal CTV (iCTV) on the AVIP was seen for the smallest volume. For the planning target volume, the mean of each metric across all phases is well represented by the AVIP value. For most patients, TCPs from individual phases are representative of that on the AVIP. Organ at risk metrics from the AVIP are similar to those seen across all phases.
Findings:
Utilising traditional DVH metrics on an AVIP is generally valid, however, additional investigation may be required for small target volumes in combination with large motion as the differences between the values on the AVIP and any given phase may be significant.
The Tennessee Department of Health (TDH) investigated a hepatitis A virus (HAV) outbreak to identify risk factors for infection and make prevention recommendations.
Design:
Case series.
Setting:
Community hospital.
Participants:
Healthcare workers (HCWs) or patients with laboratory-confirmed acute HAV infection during October 1, 2018–January 10, 2019.
Methods:
HCWs with suspected or confirmed hepatitis A infections were interviewed to assess their exposures and activities. Patient medical records and hospital administrative records were reviewed to identify common exposures. We conducted a site investigation to assess knowledge of infection control practices among HCWs. Serum specimens from ill persons were tested for HAV RNA by polymerase chain reaction (PCR) and genotyped.
Results:
We identified 6 HCWs and 2 patients with laboratory-confirmed HAV infection. All cases likely resulted from exposure to a homeless patient with a history of recreational substance use and undiagnosed HAV infection. Breaches in hand hygiene and use of standard precautions were identified. HAV RNA was detected in 7 serum specimens and all belonged to an identical strain of HAV genotype 1b.
Conclusions:
A hepatitis A outbreak among hospital patients and HCWs resulted from exposure to a single patient with undiagnosed HAV infection. Breakdowns in infection control practices contributed to the outbreak. The likelihood of nosocomial transmission can be reduced with proper hand hygiene, standard precautions, and routine disinfection. During community outbreaks, medical providers can better prevent ongoing transmission by including hepatitis A in the differential diagnosis among patients with a history of recreational substance use and homelessness.
OBJECTIVES/GOALS: Juvenile idiopathic arthritis (JIA) is the most common childhood rheumatologic disease childhood and a cause of pain and potential disability. JIA has a strong genetic component and no known cure. The goal of this study is to evaluate allele-dependent effects of a novel JIA risk variant at 1q24.3. METHODS/STUDY POPULATION: JIA patients meeting criteria for the two most common disease subtypes (oligoarticular and RF neg polyarthritis) were genotyped using the Immunochip, an Illumina array with dense coverage of the HLA region and 186 other loci previously reported in autoimmune diseases. Phase I association findings (Hinks, 2013) and Phase II analysis (unpublished) of an expanded cohort (4,271 JIA and 14,390 controls) identified new risk loci, including rs78037977 at 1q24.3. We prioritized rs78037977 and predicted possible impacted mechanisms based on Bayesian predictions of attributable risk, the surrounding chromatin landscape, and transcription factor binding data. A luciferase reporter assay was used to assess allele-dependent enhancer activity. RESULTS/ANTICIPATED RESULTS: rs78037977 is located between FASLG and TNFSF18 at chromosome 1q24.3 is associated with JIA (p = 6.3x10−09), and explains 94% of the posterior probability at this locus; no other SNPs in linkage disequilibrium (r2>0.6). The chromatin landscape around rs78037977 contains H3K4Me1 and H3K27Ac marks, which are indicative of enhancer activity. Further, >160 transcription factors have chromatin immunoprecipitation followed by sequencing (ChIP-seq) peaks overlapping rs78037977 in various cellular contexts. In luciferase reporter assays, the region around rs78037977 containing the reference A allele had ~2-fold increased enhancer activity compared to the non-reference allele. DISCUSSION/SIGNIFICANCE OF IMPACT: This work provides in vitro evidence to support allele-dependent enhancer activity of a novel JIA-risk variant at 1q24.3. Our ongoing work investigates the effect of the DNA-containing region of rs78037977 on gene expression and differential transcription factor binding at rs78037977.
Bastin et al. propose a dual-process model to understand memory deficits. However, results from state-trace analysis have suggested a single underlying variable in behavioral and neural data. We advocate the usage of unidimensional models that are supported by data and have been successful in understanding memory deficits and in linking to neural data.
Sakhaite from the Kombat Mine in Namibia is cubic, with a = 14.749(1)Å; the space group is a subgroup of Fd3m, the density is 2.88 g/cm3, and the index of refraction is n = 1.642(2). It is apparently more highly hydrated than previously described sakhaite, and has more aluminosilicate substitution. The idealized composition is Ca24Mg8(BO3)8[(BO3)y{AlSi4(O,OH)<16}x](CO3)8.< 8H2O with x = 0.73 and y = 5.0.
Chemical analyses for ganomalite from Franklin, New Jersey, and Jakobsberg, Nordmark, Sweden, imply that Mn is an essential element and that the formula is Pb9Ca5MnSi9O33, with Z = 1 for the hexagonal unit cell. Preliminary crystal structure data confirm that Mn and Ca are ordered, as implied by the chemical analyses. Ganomalite is hexagonal, space group P3, with a = 9.82 and c = 10.13 Å. Occurrences of samples from both localities are described, together with analytical data for macedonite from Jakobsberg.