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New Perspectives on English Word Stress explores the mechanism of word stress assignment in contemporary English from different methodological and theoretical perspectives. Comprising nine chapters, these approaches include a historical overview of the study of stress; the relationship between historic changes in stress and meaning; the relationship between spelling and stress; syllable weight and stress; the theoretical treatment of exceptions; stress mechanisms in Australian English; and stress in Singapore English. The book presents new data and provides the reader with access to various approaches to English word stress in phonology.
There is a high incidence of serious mental illness (SMI) and antipsychotic use in the respiratory high dependence unit (HDU) compared with the general population. However, there is a paucity of data in the extant literature evaluating the relationships between respiratory failure and antipsychotics.
Aims
To investigate the relationship between antipsychotics and respiratory failure in people admitted to a respiratory HDU, and to gain a better understanding of the potential impact of antipsychotic medications on respiratory outcomes.
Method
Medical, demographic and clinical outcome data were collected for a consecutive sample of 638 individuals admitted to a respiratory HDU between the dates 1 January 2018 and 29 May 2021 at a large quaternary hospital.
Results
Multivariate models controlling for confounders found that antipsychotic medications increased risk of admission for type 2 respiratory failure and chronic obstructive pulmonary disease exacerbation without hypercapnia by 3.7 and 11.45 times, respectively. For people admitted with type 2 respiratory failure, antipsychotic use increased the risk of requiring non-invasive ventilation by 4.9 times. Those prescribed an antipsychotic were more likely to be readmitted within 30 days. Over 30% of individuals were prescribed antipsychotics for an unlicensed indication.
Conclusions
Poor respiratory outcomes may be a previously unknown adverse drug reaction of antipsychotics. Modifications to clinical care and clinical pathways for those with SMI prescribed antipsychotic medications, including optimising their chronic health and deprescribing where appropriate, should be prioritised.
This work introduces a real-time intention decoding algorithm grounded in muscle synergies (Syn-ID). The algorithm detects the electromyographic (EMG) onset and infers the direction of the movement during reaching tasks to control a powered shoulder–elbow exoskeleton. Features related to muscle synergies are used in a Gaussian Mixture Model and probability accumulation-based logic to infer the user’s movement direction. The performance of the algorithm was verified by a feasibility study including eight healthy participants. The experiments comprised a transparent session, during which the exoskeleton did not provide any assistance, and an assistive session in which the Syn-ID strategy was employed. Participants were asked to reach eight targets equally spaced on a circumference of 25 cm radius (adjusted chance level: 18.1%). The results showed an average accuracy of 48.7% after 0.6 s from the EMG onset. Most of the confusion of the estimate was found along directions adjacent to the actual one (type 1 error: 33.4%). Effects of the assistance were observed in a statistically significant reduction in the activation of Posterior Deltoid and Triceps Brachii. The final positions of the movements during the assistive session were on average 1.42 cm far from the expected ones, both when the directions were estimated correctly and when type 1 errors occurred. Therefore, combining accurate estimates with type 1 errors, we computed a modified accuracy of 82.10±6.34%. Results were benchmarked with respect to a purely kinematics-based approach. The Syn-ID showed better performance in the first portion of the movement (0.14 s after EMG onset).
Prolonged grief is a chronic and debilitating condition that affects millions of persons worldwide. The aim of this study was to use a qualitative approach to better understand how relatives with prolonged grief disorder perceive what does or not help them and whether they were able to make recommendations.
Methods
Participants were all relatives of deceased patients admitted to 26 palliative care units involved in the FamiLife study; relatives were included if diagnosed with prolonged grief symptoms (i.e., Inventory Complicated Grief (ICG) questionnaire with a cut-off >25), and volunteered to participate. Semi-directed telephone interviews were conducted by psychologists between 6 and 12 months after the patient’s death. The interviews were open-ended, without a pre-established grid, then transcribed and analyzed using a thematic approach.
Results
Overall, 199/608 (32.7%) relatives were diagnosed with prolonged grief symptoms, i.e., with an ICG score >25, and 39/199 (20%) agreed to be interviewed. The analysis yielded 4 themes: (1) the experience of mourning: intense sadness and guilt (reported by 35/39 participants, 90%); (2) aggravating factors (38/39, 97%): feeling unprepared for death and loneliness, presence of interpersonal barriers to adjustment, external elements hindering the mourning progress; (3) facilitating factors (39/39, 100%): having inner strength or forcing oneself to get better, availability of social and emotional support; and (4) the suggestions grieving relatives had to alleviate the grief burden (36/39, 92%). The analysis enabled to identify 5 suggestions for relieving the grief burden: improving communication, developing education about death and grief, maintaining contact, offering psychological support, and choosing the right time for the palliative care team to contact the relatives.
Conclusions
This study revealed how bereaved relatives experienced the help provided by the healthcare teams, their representations, and what could be improved. These findings could be used to design intervention studies.
Resolving trauma may contribute to mental health and parenting in mother with histories of childhood maltreatment. The concept of trauma-specific reflective functioning (T-RF) was developed to assess the complexity of thought processes regarding trauma. The study aimed to validate the T-RF scale applied to the Trauma Meaning-Making Interview by examining its psychometric properties, associations with measures of trauma-processing strategies, maternal reflective functioning and mental health (depression and post-traumatic stress disorder [PTSD]), as well as evaluating whether T-RF offered a unique contribution to maternal insightfulness. Good construct validity of the T-RF scale was confirmed in a sample of 112 mothers with histories of childhood maltreatment using an independent coding system of trauma-processing. Better mentalization of trauma was prospectively associated with higher parental reflective functioning and mothers with high T-RF were much more likely to be insightful regarding the child’s mental states than non-reflective mothers and mothers with limited T-RF. The association between T-RF and insightfulness was observed even when controlling for maternal reflective functioning, trauma-processing strategies, maternal education and sociodemographic risk. T-RF was associated neither with depression, PTSD nor the characteristics of trauma. Findings suggest that mentalizing trauma would be an important protective factor in the intergenerational trajectories of trauma.
Declining labor force participation of older men throughout the 20th century and recent increases in participation have generated substantial interest in understanding the effect of public pensions on retirement. The National Bureau of Economic Research's International Social Security (ISS) Project, a long-term collaboration among researchers in a dozen developed countries, has explored this and related questions. The project employs a harmonized approach to conduct within-country analyses that are combined for meaningful cross-country comparisons. The key lesson is that the choices of policy makers affect the incentive to work at older ages and these incentives have important effects on retirement behavior.
Operative cancellations adversely affect patient health and impose resource strain on the healthcare system. Here, our objective was to describe neurosurgical cancellations at five Canadian academic institutions.
Methods:
The Canadian Neurosurgery Research Collaborative performed a retrospective cohort study capturing neurosurgical procedure cancellation data at five Canadian academic centres, during the period between January 1, 2014 and December 31, 2018. Demographics, procedure type, reason for cancellation, admission status and case acuity were collected. Cancellation rates were compared on the basis of demographic data, procedural data and between centres.
Results:
Overall, 7,734 cancellations were captured across five sites. Mean age of the aggregate cohort was 57.1 ± 17.2 years. The overall procedure cancellation rate was 18.2%. The five-year neurosurgical operative cancellation rate differed between Centre 1 and 2 (Centre 1: 25.9%; Centre 2: 13.0%, p = 0.008). Female patients less frequently experienced procedural cancellation. Elective, outpatient and spine procedures were more often cancelled. Reasons for cancellation included surgeon-related factors (28.2%), cancellation for a higher acuity case (23.9%), patient condition (17.2%), other factors (17.0%), resource availability (7.0%), operating room running late (6.4%) and anaesthesia-related (0.3%). When clustered, the reason for cancellation was patient-related in 17.2%, staffing-related in 28.5% and operational or resource-related in 54.3% of cases.
Conclusions:
Neurosurgical operative cancellations were common and most often related to operational or resource-related factors. Elective, outpatient and spine procedures were more often cancelled. These findings highlight areas for optimizing efficiency and targeted quality improvement initiatives.
Community-based psychosocial support (CB-PSS) interventions utilizing task sharing and varied (in-person, remote) modalities are essential strategies to meet mental health needs, including during the COVID-19 pandemic. However, knowledge gaps remain regarding feasibility and effectiveness.
Methods
This study assesses feasibility, acceptability and preliminary effectiveness of a CB-PSS intervention for conflict-affected adults in Colombia through parallel randomized controlled trials, one delivered in-person (n = 165) and the other remotely (n = 103), implemented during the COVID-19 pandemic and national protests. Interventions were facilitated by nonspecialist community members and consisted of eight problem-solving and expressive group sessions.
Findings
Attendance was moderate and fidelity was high in both modalities. Participants in both modalities reported high levels of satisfaction, with in-person participants reporting increased comfort expressing emotions and more positive experiences with research protocols. Symptoms of depression, anxiety and posttraumatic stress disorder improved among in-person participants, but there were no significant changes for remote participants in comparison to waitlist controls.
Implications
This CB-PSS intervention appears feasible and acceptable in both in-person and remote modalities and associated with reduction in some forms of distress when conducted in-person but not when conducted remotely. Methodological limitations and potential explanations and areas for future research are discussed, drawing from related studies.
This work presents a simple analytical model for the streamwise and radial variations of turbulent kinetic energy dissipation in an incompressible round turbulent jet. The key assumptions in the model are: similarity in the axial velocity profile with a Gaussian shape, axisymmetric flow and the dominance of radial derivatives of the mean velocity over axial direction derivatives (similar to boundary layer theory). Initially, a simplified eddy-viscosity relation for turbulent stresses is derived using the algebraic stress model by Gatski & Speziale (J. Fluid Mech., vol. 254, 1993, pp. 59–78). Subsequently, with this eddy-viscosity relation, the relation for variations of turbulent kinetic energy dissipation is formulated using the conservation of turbulent kinetic energy. To extract the necessary constants of the model, experimental velocity statistics for round jets are obtained through particle image velocimetry measurements. The experimental results of the mean entrainment coefficient for turbulent jets are also analysed. When comparing the radial variation of turbulent kinetic energy dissipation from the model with experimental results at Reynolds number $1.4\times 10^5$ and numerical results at Reynolds number $1200$ from the available literature, we observe a maximum error of $10\,\%$ and $15\,\%$, respectively. Finally, using the validated model, we analyse the impact of mean velocity evolution parameters on the behaviour of turbulent kinetic energy dissipation and discuss its potential significance in future studies.
The design of the repository for high-level nuclear waste (HLW) in France consists of a multiple-barrier system including steel canisters in a clay host rock. The system will undergo temperature variations in time and space, the heat source being the HLW within the canisters. The effect of a thermal gradient in space on the Fe-claystone interaction was investigated here by applying a thermal gradient (150–300°C and 80–150°C) to a mix of claystone, Fe, and an aqueous chloride solution over periods of 3 and 6 months. Following the reaction, the starting clay minerals (mostly illite and mixed-layer illite-smectite) evolved toward chlorite, Fe-serpentine, Fe-saponite, mixed-layer chlorite-smectite, or mixed-layer serpentine-smectite as a function of temperature. Iron corrosion made the medium basic and reductive. Magnesium enrichment of clay minerals was observed in the hottest part of the experiment due to Mg migration under the thermal gradient. Reaction progress was enhanced at the lowest temperatures, compared to batch experiments.
In deep geological repositories for high-level nuclear wastes, interactions between steel canisters and clay-rich materials may lead to mineralogical transformations with a loss of the confining properties of the clays. Experiments simulating the conversion of smectite to Fe-rich clay phases in contact with Fe metal have been carried out to evaluate such a possibility by taking into account the effects of a series of critical parameters, including temperature, pH, and Fe/clay (Fe/C) and liquid/clay (L/C) ratios. The mineralogical and chemical transformations observed in these experiments have been compared with data from the literature, and subsequently used to propose a conceptual model for the main mineralogical transformations which can be expected in clay formations surrounding high-level nuclear waste repositories. In the presence of Fe metal and under low oxygen fugacity (<-40) the main mineralogical sequences are as follows:
(1) up to 150°C, under neutral pH, and L/C > 5: dioctahedral smectite (di-sm) → 7 Å Fe-rich phase (berthierine, odinite-cronstedtite) for large Fe/C ratios (>0.5), or di-sm → Fe-rich di-sm + Fe-rich trioctahedral smectite (tri-sm) for small Fe/C ratios (0.1)
(2) up to 150°C, under alkaline pH (10–12), and L/C > 5: di-sm → Fe di-sm (±palygorskite) for a small Fe/C ratio (0.1)
Low temperatures (<150°C) and large L/C and Fe/C ratios seem to favor the crystallization of the serpentine group minerals instead of Fe-rich trioctahedral smectites or chlorites, the latter being favored by higher temperatures. The role of L/C and Fe/C ratios and the competition between them at different temperatures is a crucial point in understanding the transformation of smectite in contact with Fe metal.
Disposal facilities in deep geological formations are considered to be a possible solution for long-term management of high-level nuclear waste (HLW). The design of the repository generally consists of a multiple-barrier system including Fe-based canisters and a clay backfill material. The Fe-clay system will undergo a thermal gradient in time and space, the heat source being the HLW inside the canisters. In the present paper, the effect of a thermal gradient in space on Fe-smectite interactions was investigated. For this purpose, a tube-in-tube experimental device was developed and an 80–300ºC thermal gradient was applied to a mixture of MX80 bentonite, metallic Fe (powder and plate), magnetite, and fluid over periods of 1 to 10 months. Transformed and newly formed clay minerals were characterized by scanning electron microscopy, transmission electron microscopy, X-ray diffraction, and Mössbauer spectroscopy. The main mineralogical transformations were similar to those described for batch experiments: smectite was destabilized into an Fe-enriched trioctahedral smectite and Fe-serpentine or chlorite as a function of the experimental conditions. Newly formed clay was observed all along the walls of the gold tube. Their crystal chemistry was clearly different from the clays observed in the hot and cold part of the tubes. The thermal diffusion of elements was also observed, especially that of Mg, which migrated toward the hottest parts of the tubes. In the end, the thermal gradient affected the redox equilibria; more reduced conditions were observed in the hotter parts of the tubes.
The idea for this book emerged from conversations among participants at the 2015 conference in France entitled ‘PAC 2015: Variation, Change and Spoken Corpora – Advances in the Phonology and Phonetics of Contemporary English’. Jacques Durand made the initial call for the book, devised the plan for its implementation, and set it in motion. Anne Przewozny and Eiji Yamada then took over the editing of the book but, due to the busy schedule of the editors, the pace of progress was slow. Later, Nicolas Ballier and Jean-Michel Fournier joined us as editors. In the end, it took six years after the original plan to publish the book, which is an incredibly long incubation period. However, the significance of publishing this book has never wavered in spite of all the difficulties, including the COVID pandemic that began at the end of 2019 and is not yet under control as of this writing.
The reason our plan did not vanish is that we believe stress is an important subject. It has been one of the central issues in research since the early days of linguistics. Its study became more active in the twentieth century, especially with the work of Daniel Jones and Leonard Bloomfield, and was taken over by the generative phonology of Chomsky and Halle (1968) (hereafter SPE). Since then, no study of word stress in English has been possible without reference to this work, whether one accepts the SPE view or not. Despite the importance of the subject, although a number of papers have been written, in more than fifty years there have been (to the editors’ knowledge) only a few monographs in this tradition that have analysed word stress in English as a central issue. These include Fudge (1984), Burzio (1994), Hammond (1999), Wenszky (2004), Yamada (2010) and Zamma (2013).
Research on word stress in English since SPE can be roughly divided into ‘pre-Optimality Theory (pre-OT)’ and OT. Significant theories of ‘pre-OT’ include Segmental Phonology in SPE, Metrical Phonology in Liberman (1975), Liberman and Prince (1977), Hayes (1980, 1982), Prince (1983) and others, Lexical Phonology in Mohanan (1982) and Kiparsky (1982a, 1982b) and others, and later theory in Halle and Vergnaud (1987).