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This chapter provides an up-to-date review of the literature on the phonetic and phonological patterns of Welsh and their development. While typically developing children’s acquisition constitutes a major component, it also discusses socio-phonetic variation and adult second language acquisition, thereby approaching Welsh speech development from a lifespan perspective. The chapter is structured in four major sections. The first section introduces the reader to the segmental and suprasegmental properties of the two main varieties of Welsh: Northern and Southern Welsh. Subsequently, the second section considers methodological aspects of studies on Welsh phonology, while the third section focuses on children’s development of Welsh speech patterns, starting with evidence from studies on early word productions before moving on to a discussion of consonant and consonant cluster acquisition in preschool and school-aged children. The section concludes with an account of developmental error patterns. The final major section then reviews the literature on the speech patterns of different groups of Welsh speakers and the role that extra-linguistic variables, such as sex/gender and language dominance, play in shaping these. Finally, studies on the Welsh accents of second language learners will be discussed. The chapter concludes with suggestions for future research.
This chapter provides a thorough, up-to-date review of the literature on the phonetics and phonology of early bilinguals. It pulls together studies from a range of bilingual settings, including bilingual societies and heritage language contexts. While the chapter mostly reviews evidence from adolescent and adult participants, it also makes reference to the child bilingualism literature, where appropriate. The chapter first reviews studies on the accents of early versus late bilinguals, followed by a discussion of the various explanatory accounts for the observed differences between these two groups. Subsequently, the critical significance of early linguistic experience on bilingual speech patterns is considered, with particular reference to the evidence from childhood overhearers and international adoptees. The following sections then review studies comparing simultaneous and early sequential bilinguals, and those exploring the role of language dominance, continued use, the language of the environment in bilinguals’ pronunciation patterns, and the role of sociolinguistic factors in early bilingual speech patterns. The chapter concludes with suggestions for future research.
There are no contemporary data on the burden of healthcare-associated infections (HAIs) in New Zealand.
Objectives:
To estimate the economic burden of HAIs in adults in New Zealand public hospitals by number and monetary value of bed days lost; number of deaths, number of life years lost, and the monetary value (in NZ dollars); Accident Compensation Commission (ACC) HAI treatment injury payments; and disability-adjusted life years (DALYs).
Methods:
The annual incidence rate was calculated from the observed prevalence of HAIs in New Zealand, and length of patient stays. Total HAIs for 2021 were estimated by multiplying adult admissions by incidence rates. The excess length of stay and mortality risk attributed to those with HAI was calculated using a multistate model. Payments for treatment injuries were obtained from the ACC. DALYs for HAIs were estimated from the literature.
Results:
The incidence rate of HAI was 4.74%, predicting 24,191 HAIs for 2021, resulting in 76,861 lost bed days, 699 deaths, with 9,371 years of life lost (YoLL). The annual economic burden was estimated to be $955m comprised of $121m for lost bed days, $792m for cost of YoLL, and $43m ACC claims. There were 24,165 DALY which is greater than many other measured injuries in New Zealand, eg motor vehicle traffic crashes with 20,328 DALY.
Conclusions:
HAIs are a significant burden for patients, their families, and the public health system. Preventive guidelines for many HAIs exist and a strategic plan is needed to reduce HAIs in New Zealand.
The European root-boring moth, Chamaesphecia empiformis (Lepidoptera: Sesiidae), was released in Ontario, Canada, in 1971 and 1989 as a biological control agent for the perennial invasive weed cypress spurge, Euphorbia cyparissias Linnaeus (Euphorbiaceae). Until recently, the moth was believed to have failed to establish. Beginning in 2015, images posted on citizen science platforms, including BugGuide, iNaturalist, and Facebook groups, indicated that C. empiformis was in fact established. We have confirmed its presence in eastern Ontario by morphological and molecular identification of field-collected adults and eggs. This may be the longest-known lapse between the release of a weed biological control agent and confirmation of its establishment. Citizen science may provide valuable records documenting the establishment and dispersal of biological control agents.
The Mongols facilitated a great deal of Sino-Islamic scientific exchange. Though scholars patronized by the Mongols learned a great deal about developments on the other side of the Mongol realms, science from China did not affect the theoretical foundations of science in Iran, nor vice versa. Rather, materia medica and co-operation in observational astronomy endured. The western Mongol realms also greeted scholars from Europe and from the Islamic west. The Mongols were principally interested in specific benefits accruing to them from scientific exchanges. Thus they welcomed information about medicine, mapmaking, astronomy, and astrology, and supported exchanges in these fields.
Avian endoparasites play important roles in conservation, biodiversity and host evolution. Currently, little is known about the epidemiology of intestinal helminths and protozoans infecting wild birds of Britain and Ireland. This study aimed to determine the rates of parasite prevalence, abundance and infection intensity in wild passerines. Fecal samples (n = 755) from 18 bird families were collected from 13 sites across England, Wales and Ireland from March 2020 to June 2021. A conventional sodium nitrate flotation method allowed morphological identification and abundance estimation of eggs/oocysts. Associations with host family and age were examined alongside spatiotemporal and ecological factors using Bayesian phylogenetically controlled models. Parasites were detected in 20.0% of samples, with corvids and finches having the highest prevalences and intensities, respectively. Syngamus (33%) and Isospora (32%) were the most prevalent genera observed. Parasite prevalence and abundance differed amongst avian families and seasons, while infection intensity varied between families and regions. Prevalence was affected by diet diversity, while abundance differed by host age and habitat diversity. Infection intensity was higher in birds using a wider range of habitats, and doubled in areas with feeders present. The elucidation of these patterns will increase the understanding of parasite fauna in British and Irish birds.
Neurological involvement associated with SARS-CoV-2 infection is increasingly recognized. However, the specific characteristics and prevalence in pediatric patients remain unclear. The objective of this study was to describe the neurological involvement in a multinational cohort of hospitalized pediatric patients with SARS-CoV-2.
Methods:
This was a multicenter observational study of children <18 years of age with confirmed SARS-CoV-2 infection or multisystemic inflammatory syndrome (MIS-C) and laboratory evidence of SARS-CoV-2 infection in children, admitted to 15 tertiary hospitals/healthcare centers in Canada, Costa Rica, and Iran February 2020–May 2021. Descriptive statistical analyses were performed and logistic regression was used to identify factors associated with neurological involvement.
Results:
One-hundred forty-seven (21%) of 697 hospitalized children with SARS-CoV-2 infection had neurological signs/symptoms. Headache (n = 103), encephalopathy (n = 28), and seizures (n = 30) were the most reported. Neurological signs/symptoms were significantly associated with ICU admission (OR: 1.71, 95% CI: 1.15–2.55; p = 0.008), satisfaction of MIS-C criteria (OR: 3.71, 95% CI: 2.46–5.59; p < 0.001), fever during hospitalization (OR: 2.15, 95% CI: 1.46–3.15; p < 0.001), and gastrointestinal involvement (OR: 2.31, 95% CI: 1.58–3.40; p < 0.001). Non-headache neurological manifestations were significantly associated with ICU admission (OR: 1.92, 95% CI: 1.08–3.42; p = 0.026), underlying neurological disorders (OR: 2.98, 95% CI: 1.49–5.97, p = 0.002), and a history of fever prior to hospital admission (OR: 2.76, 95% CI: 1.58–4.82; p < 0.001).
Discussion:
In this study, approximately 21% of hospitalized children with SARS-CoV-2 infection had neurological signs/symptoms. Future studies should focus on pathogenesis and long-term outcomes in these children.
The current study was conducted to examine the types of adjustments used to support students with special educational needs in mainstream classrooms and how schools monitored the effectiveness of the adjustments they use. A range of stakeholders were interviewed in 22 mainstream schools across New South Wales, Australia, and the interviews were analysed for key themes. Some schools had a narrow focus on a few key areas, with teaching assistants being the most commonly reported adjustment. Few schools used formal formative monitoring to evaluate the effectiveness of adjustments. Options for improvement schools could consider include examining the breadth of adjustments, establishing clear measurable goals, considering alternative strategies for use of teaching assistants, and ensuring adjustments are monitored.
This paper presents a physics-based macroscale model for the densification of dry snow which provides for a smooth transition between densification by grain-boundary sliding (stage 1) and densification by power-law creep (stage 2). The model uses established values of the stage 1 and 2 densification rates away from the transition zone and two transition parameters with a simple physical basis: the transition density and the half-width of the transition zone. It has been calibrated using density profiles from the SUMup database and physically based expressions for the transition parameters have been derived. The transition model produces better predictions of the depth of the nominal bubble close-off horizon than the Herron and Langway model, both in its classical form and in a recent version with re-optimised densification rates.
Sustainable development recognizes that the environment is the foundation for all human well-being.1 In the United States, environmental justice, environmental racism, and environmental equity are all terms that have been used to describe the social movement uniting low-income, African-American, Native American, Asian Pacific Islander, and Latino communities (environmental justice communities) in challenging the distribution of environmental burdens and benefits. Through the efforts of the environmental justice movement, the USA has been forced to address its history of racism and conquest – a history so toxic that it has left indelible marks on both the environment and people. That history is not over yet.
OBJECTIVES/GOALS: The goal of this project was to develop and evaluate a pilot mentor training program for clinical research professionals. This project presents an evidence- and theory-based mentoring program that has been developed, implemented, and evaluated for this group of translational research professions. METHODS/STUDY POPULATION: The curriculum for the program was designed for aspiring mentors and aligned with the topics of existing Entering Mentoring curriculum for translational workforce (Pfund, Branchaw & Handelsman, 2015). Eleven experienced CRPs participated in the pilot training program. The training was delivered in two-hour meetings over eight weeks. Qualitative e-mail interviews and a validated mentoring competency assessment (Fleming et al., 2013) and mentor role assessment (Dilmore, 2010) tool were used for process and outcome evaluation. Cases studies specific to the CRPs work environment were developed and used to facilitate discussions throughout the training. RESULTS/ANTICIPATED RESULTS: Pre- and post-training scores for mentoring competency assessment were compared across six sub-indexes. Paired t-tests showed a significant difference for the maintaining effective communication competency, p = 0.0202. Comparisons of individual items also showed positive changes in the promoting professional development competency, p = 0.0161). Qualitative assessment revealed that most mentor trainees recognized a distinction between a mentor and a supervisor or on-the-job-trainer. Furthermore, most have been informal mentors without a formal role assignment, the need for ongoing mentoring, and potential of mentoring networks. DISCUSSION/SIGNIFICANCE OF IMPACT: CRPs is a diverse group of research support professionals who may hold the roles of research study coordinators, research nurses, regulatory and compliance specialists. Tailored mentoring can provide essential infrastructure for ongoing professional development and support talent retention.
Little is known about the experiences of people living alone with dementia in the community and their non-resident relatives and friends who support them. In this paper, we explore their respective attitudes and approaches to the future, particularly regarding the future care and living arrangements of those living with dementia. The study is based on a qualitative secondary analysis of interviews with 24 people living alone with early-stage dementia in North Wales, United Kingdom, and one of their relatives or friends who supported them. All but four of the dyads were interviewed twice over 12 months (a total of 88 interviews). In the analysis, it was observed that several people with dementia expressed the desire to continue living at home for ‘as long as possible’. A framework approach was used to investigate this theme in more depth, drawing on concepts from the existing studies of people living with dementia and across disciplines. Similarities and differences in the future outlook and temporal orientation of the participants were identified. The results support previous research suggesting that the future outlook of people living with early-stage dementia can be interpreted in part as a response to their situation and a way of coping with the threats that it is perceived to present, and not just an impaired view of time. Priorities for future research are highlighted in the discussion.
Apolipoprotein E (APOE) E4 is the main genetic risk factor for Alzheimer’s disease (AD). Due to the consistent association, there is interest as to whether E4 influences the risk of other neurodegenerative diseases. Further, there is a constant search for other genetic biomarkers contributing to these phenotypes, such as microtubule-associated protein tau (MAPT) haplotypes. Here, participants from the Ontario Neurodegenerative Disease Research Initiative were genotyped to investigate whether the APOE E4 allele or MAPT H1 haplotype are associated with five neurodegenerative diseases: (1) AD and mild cognitive impairment (MCI), (2) amyotrophic lateral sclerosis, (3) frontotemporal dementia (FTD), (4) Parkinson’s disease, and (5) vascular cognitive impairment.
Methods:
Genotypes were defined for their respective APOE allele and MAPT haplotype calls for each participant, and logistic regression analyses were performed to identify the associations with the presentations of neurodegenerative diseases.
Results:
Our work confirmed the association of the E4 allele with a dose-dependent increased presentation of AD, and an association between the E4 allele alone and MCI; however, the other four diseases were not associated with E4. Further, the APOE E2 allele was associated with decreased presentation of both AD and MCI. No associations were identified between MAPT haplotype and the neurodegenerative disease cohorts; but following subtyping of the FTD cohort, the H1 haplotype was significantly associated with progressive supranuclear palsy.
Conclusion:
This is the first study to concurrently analyze the association of APOE isoforms and MAPT haplotypes with five neurodegenerative diseases using consistent enrollment criteria and broad phenotypic analysis.
In 2017, Public Health England South East Health Protection Team (HPT) were involved in the management of an outbreak of Mycobacterium bovis (the causative agent of bovine tuberculosis) in a pack of working foxhounds. This paper summarises the actions taken by the team in managing the public health aspects of the outbreak, and lessons learned to improve the management of future potential outbreaks. A literature search was conducted to identify relevant publications on M. bovis. Clinical notes from the Public Health England (PHE) health protection database were reviewed and key points extracted. Animal and public health stakeholders involved in the management of the situation provided further evidence through unstructured interviews and personal communications. The PHE South East team initially provided ‘inform and advise’ letters to human contacts whilst awaiting laboratory confirmation to identify the infectious agent. Once M. bovis had been confirmed in the hounds, an in-depth risk assessment was conducted, and contacts were stratified in to risk pools. Eleven out of 20 exposed persons with the greatest risk of exposure were recommended to attend TB screening and one tested positive, but had no evidence of active TB infection. The number of human contacts working with foxhound packs can be large and varied. HPTs should undertake a comprehensive risk assessment of all potential routes of exposure, involve all other relevant stakeholders from an early stage and undertake regular risk assessments. Current guidance should be revised to account for the unique risks to human health posed by exposure to infected working dogs.
Hill (Twin Research and Human Genetics, Vol. 21, 2018, 84–88) presented a critique of our recently published paper in Cell Reports entitled ‘Large-Scale Cognitive GWAS Meta-Analysis Reveals Tissue-Specific Neural Expression and Potential Nootropic Drug Targets’ (Lam et al., Cell Reports, Vol. 21, 2017, 2597–2613). Specifically, Hill offered several interrelated comments suggesting potential problems with our use of a new analytic method called Multi-Trait Analysis of GWAS (MTAG) (Turley et al., Nature Genetics, Vol. 50, 2018, 229–237). In this brief article, we respond to each of these concerns. Using empirical data, we conclude that our MTAG results do not suffer from ‘inflation in the FDR [false discovery rate]’, as suggested by Hill (Twin Research and Human Genetics, Vol. 21, 2018, 84–88), and are not ‘more relevant to the genetic contributions to education than they are to the genetic contributions to intelligence’.
Surgical site infections (SSIs) following colorectal surgery (CRS) are among the most common healthcare-associated infections (HAIs). Reduction in colorectal SSI rates is an important goal for surgical quality improvement.
OBJECTIVE
To examine rates of SSI in patients with and without cancer and to identify potential predictors of SSI risk following CRS
DESIGN
American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data files for 2011–2013 from a sample of 12 National Comprehensive Cancer Network (NCCN) member institutions were combined. Pooled SSI rates for colorectal procedures were calculated and risk was evaluated. The independent importance of potential risk factors was assessed using logistic regression.
SETTING
Multicenter study
PARTICIPANTS
Of 22 invited NCCN centers, 11 participated (50%). Colorectal procedures were selected by principal procedure current procedural technology (CPT) code. Cancer was defined by International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes.
MAIN OUTCOME
The primary outcome of interest was 30-day SSI rate.
RESULTS
A total of 652 SSIs (11.06%) were reported among 5,893 CRSs. Risk of SSI was similar for patients with and without cancer. Among CRS patients with underlying cancer, disseminated cancer (SSI rate, 17.5%; odds ratio [OR], 1.66; 95% confidence interval [CI], 1.23–2.26; P=.001), ASA score ≥3 (OR, 1.41; 95% CI, 1.09–1.83; P=.001), chronic obstructive pulmonary disease (COPD; OR, 1.6; 95% CI, 1.06–2.53; P=.02), and longer duration of procedure were associated with development of SSI.
CONCLUSIONS
Patients with disseminated cancer are at a higher risk for developing SSI. ASA score >3, COPD, and longer duration of surgery predict SSI risk. Disseminated cancer should be further evaluated by the Centers for Disease Control and Prevention (CDC) in generating risk-adjusted outcomes.
Uranium incorporation into magnetite and its behaviour during subsequent oxidation has been investigated at high pH to determine the uranium retention mechanism(s) on formation and oxidative perturbation of magnetite in systems relevant to radioactive waste disposal. Ferrihydrite wasexposed to U(VI)aq containing cement leachates (pH 10.5–13.1) and crystallization of magnetite was induced via addition of Fe(II)aq. A combination of XRD, chemical extraction and XAS techniques provided direct evidence that U(VI) was reduced and incorporated intothe magnetite structure, possibly as U(V), with a significant fraction recalcitrant to oxidative remobilization. Immobilization of U(VI) by reduction and incorporation into magnetite at high pH, and with significant stability upon reoxidation, has clear and important implications for limitinguranium migration in geological disposal of radioactive wastes.
We have determined accumulation histories by identifying annual-layer horizons in records obtained by three independent methods: (1) glaciochemical analysis on a core, (2) density profiling in the borehole from which the core was taken, using the neutron-probe (NP) technique, and (3) borehole optical stratigraphy (BOS), again in the same borehole. We also used three different techniques for determining density to convert annual-layer thickness to accumulation: (1) gravimetric measurements on core samples, (2) measurement of density using NP and (3) a simple empirical model based on regional climatology. The result is nine different accumulation time series, three of which are completely independent. The chemical-analysis- and NP-derived accumulation time series are correlated, and the ∼70 year means are in agreement. The BOS-derived accumulation ∼70 year mean is slightly lower, probably due to a combination of the empirical density model’s underestimate of the density profile and the misidentification of sub-annual events in the shallow part of the borehole as annual horizons.
Over the period 1972–98 the height of the snow surface at eight Antarctic sites in Palmer Land and on Alexander Island has been measured with respect to fixed points on local nunataks. From these data an empirical relation between height changes over a given period and three key variables has been derived. These variables are (i) the local mean annual surface air temperature, (ii) a regional estimate of energy available for melt over the period (derived from the nearby Rothera air-temperature record) and (iii) a regional estimate of accumulation over the period (derived from the nearby Gomez Nunatak ice-core accumulation record). Using this relation, the contribution of the Antarctic Peninsula to sea-level rise for warming from climatic conditions (averaged over the last 30 years) is estimated to be −0.006 ± 0.002 mm a−1 K−1. If recent warm conditions persist, however, and meltwater can run off to the sea, the contribution to sea-level rise from ablation is calculated to be 0.07 ± 0.02 mm a−1 K−1.