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.
The discipline of public health has begun to recognize the structural inequities of the carceral system as drivers of poor individual and population health. The number of people incarcerated and the length of their incarceration determine the scope and gravity of their exposure to these individual and public health effects. Plea bargains all but guarantee a period of incarceration, often for many years, because prosecutors have significant bargaining power against defendants who often do not fully understand their rights or the likelihood of receiving the sentences that prosecutors would be seeking in trial. I propose and analyze several pathways through which to eliminate or severely restrict the practice of plea bargaining to minimize the health effects associated with incarceration. I conclude that state legislation would be most feasible and effective at eliminating plea bargains but, without concurrent interventions addressing mandatory minima and/or bail, would not fundamentally address the primary concerns of sentence length and overcrowding.
This was a pilot study testing a cognitive enhancement program to improve rate of cognitive recovery in early substance abuse treatment. It is hypothesized that if patients were able to accelerate the rate of cognitive improvement, they may be able to better engage in substance abuse treatment and potentially have better long-term outcomes.
Participants and Methods:
Participants were 47 adults newly admitted to a residential substance abuse treatment facility (74.5% male, 76.6% white, mean age=34.5 years, education=12+ years). All were post-detox. All were being treated for opioid abuse, with the majority in treatment for polysubstance abuse. Participants were randomly assigned to either the intervention group (BrainHQ research cognitive training program) or active control group (inert computer games) and completed 34 training sessions per week for a minimum of 3 weeks. NIH Toolbox cognition battery was administered at baseline and endpoint.
Results:
Regardless of study group, most participants had a significant improvement in cognitive performance across most subtests and composite scores of the NIH Toolbox cognition battery. The RAVLT and Oral Symbol Digit subtests had the greatest change (p<.001) for both groups, as well as a significant improvement (p=.002) in Cognitive Function Composite Score for both groups. The only difference between the control and intervention group was on the Pattern Comparison subtest, with the intervention group scoring significantly higher at endpoint (p=.004).
Conclusions:
Although substance abuse is known to cause injury to the brain that may not be fully repaired by sobriety, cognitive recovery was significant in this group of patients during early inpatient treatment for opioid abuse. Although it has yielded significant effect in other patient populations, the BrainHQ program did not show a significant enhancement in cognitive recovery, compared to the active control group, in this pilot study of patients in treatment for opioid abuse. This study was limited by a small sample size and potential future variations should be considered, such as changes to intervention intensity and specific intervention exercises.
Gravitational waves from coalescing neutron stars encode information about nuclear matter at extreme densities, inaccessible by laboratory experiments. The late inspiral is influenced by the presence of tides, which depend on the neutron star equation of state. Neutron star mergers are expected to often produce rapidly rotating remnant neutron stars that emit gravitational waves. These will provide clues to the extremely hot post-merger environment. This signature of nuclear matter in gravitational waves contains most information in the 2–4 kHz frequency band, which is outside of the most sensitive band of current detectors. We present the design concept and science case for a Neutron Star Extreme Matter Observatory (NEMO): a gravitational-wave interferometer optimised to study nuclear physics with merging neutron stars. The concept uses high-circulating laser power, quantum squeezing, and a detector topology specifically designed to achieve the high-frequency sensitivity necessary to probe nuclear matter using gravitational waves. Above 1 kHz, the proposed strain sensitivity is comparable to full third-generation detectors at a fraction of the cost. Such sensitivity changes expected event rates for detection of post-merger remnants from approximately one per few decades with two A+ detectors to a few per year and potentially allow for the first gravitational-wave observations of supernovae, isolated neutron stars, and other exotica.
The interaction of short (1−2 ps) laser pulses with solid targets at irradiances of over 1016 Wcm−2, in the presence of a substantial prepulse has been investigated. High absorption of laser energy is found even at high angles of incidence, with evidence for a resonance absorption peak being found for S, P, and circular polarizations. It is considered that this may be a result of refraction and beam filamentation, which causes loss of distinct polarization. Measurements of hard X-ray emission (∼ 100 keV) confirm a resonance absorption type peak at 45−50°, again for all three cases. Typically, 5−15% of the incident light is back-reflected by stimulated Brillouin scatter, with spatially resolved spectra showing evidence of beam hot-spots at high intensity. The possibility that filamentation and refraction of the beam can explain the lack of polarization dependence in the absorption and hard X-ray emission data is discussed.
The autumn migration of the rice leaf roller moth, Cnaphalocrocis medinalis Guenée, in eastern China was studied at two sites (one in southern Jiangsu Province and one in northern Jiangxi Province), using radar and aerial netting. It was confirmed that C. medinalis is a high-altitude nocturnal windborne migrant, with large numbers of moths taking-off at dusk and flying continuously for several hours. Migration was post-teneral and the females had immature ovaries. Maximum densities of the moths typically occurred between 250 and 550 m above ground, and layering was intense on some nights. Moth layers often occurred at an altitude where there was a wind-speed maximum. In early September, migrant C. medinalis from southern Jiangsu Province were carried on the winds in an approximately westward direction. However, the winds prevailing in late September and October took migrants from both sites towards the south-west or south. Forward trajectories for C. medinalis and other insects emigrating from northern Jiangxi during October indicated that they were able to reach the tropical rice-growing areas near the south China coast, where year-round breeding would be possible. Incidental observations on the migratory flight of other lepidopteran pests, including Mythimna separata (Walker), Spodoptera litura (Fabricius), Ctenoplusia agnata (Staudinger) and Agrotis ipsilon (Hufnagel) (all Nocturidae), Spoladea recurvalis (Fabricius) and particularly Omiodes indicata (Fabricius) (both Pyralidae) are presented.
A range of techniques was used to quantify the nocturnal flight behaviour of Helicoverpa armigera (Hübner) in pigeon pea (Cajanus cajan) crops near Hyderabad, in central India. These included visual observations in the field, the use of field cages and a vehicle-mounted net, optical and video imaging in the infra-red, and radar. Moth emergence from the soil was observed to start at dusk and recruitment continued steadily throughout the first half of the night. Little activity was observed in moths on the night of emergence, except for weak flying or crawling to daytime refuges. Flight activity of one-day old moths started about 20 min after sunset, peaked 15 min later and within about an hour of sunset had declined to a low level which persisted for the rest of the night. Flight of reproductively mature moths was most frequent about 1 h after sunset and at this time mainly comprised females searching for oviposition sites and nectar sources. By about 2 h after sunset, flight had decreased markedly, but there was a slight increase in activity in the second half of the night caused by males undertaking mate-finding flights. Under the conditions studied, the majority of H. armigera dispersed below 10 m, and there were no mass ascents to higher altitudes like those observed at outbreak sites of the African armyworm, Spodoptera exempta (Walker) (Lepidoptera: Noctuidae). The contrasting migratory strategies of H. armigera and S. exempta are briefly discussed.
Radar, aerial netting and ground sampling were used to study the autumn migration of Nilaparvata lugens (Stål) in Jiangsu Province in east central China. Emigration of macropterous adults increased from late August until late September as the main rice crop matured and was harvested. In early and mid September, the resulting windborne migrations carried the planthoppers mainly towards the west, although the migration directions ranged (within the western sector) from south to north. By late September, however, displacements were predominantly to the south-west on the then prevailing north-east monsoon winds: migration was particularly rapid when the north-easterlies were reinforced by typhoons. Although in late September such movements to more southerly latitudes are essential for the survival of the planthoppers' progeny, we found no definite evidence for preferential emigration on winds blowing towards the south. There were, however, indications that when winds towards the north occurred, the duration of migratory flight was curtailed. Irrespective of any possible preference for migration on northerlies, a large proportion of the N. lugens population would normally be carried in an adaptive southwards direction, because the advent of the north-east monsoon occurs at a time when the number of flight-ready planthoppers approaches its peak.
Rates of acquisition and mean duration of nasal carriage of different serotypes of Streptococcus pneumoniae have been estimated by fitting a stochastic model to longitudinal carriage data in children from Papua New Guinea. Immunogenicity and two indices of relative invasiveness were determined for each serotype. Immunogenic serotypes were less frequently acquired and were carried for shorter periods, but no relationship between immunogenicity and invasiveness was apparent using either index of invasiveness. Frequent invasion was associated with a high acquisition rate and high frequency and prolonged duration of carriage. Carriage studies can provide a broad indication of which serotypes cause invasive disease but not the proportion of disease due to individual serotypes; some serotypes which cause invasive disease (e.g. serotype 46) are not found even in extensive carriage studies. The antibiotic resistance of carriage organisms, however, does approximate the resistance patterns of invasive organisms and thus may be used to monitor changing patterns of antimicrobial susceptibility in the community.
The fourth volume of The New Cambridge Medieval History covers the eleventh and twelfth centuries, which comprised perhaps the most dynamic period in the European middle ages. This is a history of Europe, but the continent is interpreted widely to include the Near East and North Africa. The volume is divided into two parts of which this, the second, deals with the course of events - ecclesiastical and secular - and major developments in an age marked by the transformation of the position of the papacy in a process fuelled by a radical reformation of the church, the decline of the western and eastern empires, the rise of western kingdoms and Italian elites, and the development of governmental structures, the beginnings of the recovery of Spain from the Moors and the establishment of western settlements in the eastern Mediterranean region in the wake of the crusades.