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Objectives/Goals: Evaluate the impact of intrauterine growth restriction (IUGR) on neonatal brain development using magnetoencephalography (MEG) and correlate findings with NICU Network Neurobehavioral scale (NNNS) scores at 1 month Methods/Study Population: In this prospective cohort study, we will enroll 30 participants, consisting of 15 neonates diagnosed with IUGR and 15 healthy controls, matched by gestational age, from the University of Arkansas for Medical Sciences. We will perform MEG scans at three key developmental stages: during fetal life, at 1 month, and at 3 months of age and a Bayley IV exam at 12 months of age. The NNNS assessments will be conducted at the 1-month visit to evaluate neurobehavioral outcomes. All MEG data will be synchronized with clinical evaluations and maternal health records to ensure comprehensive analysis. Results/Anticipated Results: We anticipate that the study will reveal significant differences in brain maturation and neural activity patterns between IUGR-affected infants and healthy controls. Specifically, we expect to find altered neural connectivity and delayed maturation in the delta and theta frequency bands during the early neonatal period in the IUGR group. These anticipated neuroimaging findings will be correlated with NNNS scores to assess functional implications of the observed brain activity differences. If our hypotheses are confirmed, the study will provide robust biomarkers for early identification of neurodevelopmental delays in IUGR-affected infants, paving the way for targeted early interventions. Discussion/Significance of Impact: This study could significantly enhance early detection and intervention strategies for IUGR, potentially reducing long-term neurodevelopmental challenges and improving clinical outcomes
This chapter looks at how new forms of digital money – in particular stablecoins, digital banknotes (retail central bank digital currencies or CBDC), and crypto currencies (Bitcoin) – impact the ability of the central bank to effectively implement monetary policy. This chapter first illustrates how central banks typically steer market interest rates to the desired level. It then shows how these new forms of money change the balance sheets of the central bank, commercial banks, and households and firms. We find that impact of stablecoins, retail CBDC, and cryptocurrencies on the effectiveness of monetary policy appears to be modest. Since retail CBDC will reduce the deposits at commercial banks, the central bank may have to increase its lending to them to keep the credit provision to the economy at the previous level.
In December 2023, floods and landslides in Hanang District, Northern Tanzania, caused severe casualties, infrastructure damage, and community displacement. We describe the public health emergency response and lessons learnt during this disaster to guide future mitigations.
Methods
Retrospective data collection during the disaster was made through quantitative (description of casualties) and qualitative (interviews and focus groups) approaches to provide insights into psychosocial support, coordination, and other response pillars. Microsoft Excel (2019) was used for quantitative data analysis, and MAX Qualitative Data Analysis was used to manage qualitative data.
Results
Soft tissue injuries, bruises, and lacerations were the most common (60.43%), with 87.77% of casualties recovering and a notable fatality rate of 12.23%. Mental health and psychosocial support reached over 3300 individuals, offering depression assessments and family reconnections. Establishing a dual-level public health response team and implementing the Incident Management System demonstrated the country’s response efficiency.
Conclusions
The public health emergency response to the 2023 floods and landslides in Hanang District was largely effective. This demonstrated strong coordination, capacity, and resilience of Tanzania health system; however, the fatality rate highlighted a need for further investment to improve future disaster prevention, preparedness, and response.
The basic local independence model (BLIM) is a probabilistic model developed in knowledge space theory (KST). Recently, Stefanutti, de Chiusole, et al. (2020, Psychometrika 85, 684–715) proposed the polytomous local independence model (PoLIM), which is an extension of the BLIM to items with more than two response alternatives (polytomous items). In a Commentary to this paper, Chiu et al. (2023, Psychometrika 88, 656–671) claimed that (i) the BLIM is just a deterministic input noisy AND-gate (DINA) model where every item has a single skill and, as a consequence of this, (ii) the “PoLIM is simply a paraphrase of a DINA model in cognitive diagnosis (CD) for polytomous items” (p. 656). This rejoinder shows that such statements are invalid and totally misleading. Its aim is to clarify the nature of the relationship between the BLIM and the DINA, as well as that between the PoLIM and the Polytomous DINA. It builds upon formal results by Heller, et al. (2015, Psychometrika 80(4), 995–1019) on the intimate relation between KST and CD notions, and shows that the BLIM/PoLIM may be conceived as marginal models for whole classes of CD models.
Knowledge space theory (KST) structures are introduced within item response theory (IRT) as a possible way to model local dependence between items. The aim of this paper is threefold: firstly, to generalize the usual characterization of local independence without introducing new parameters; secondly, to merge the information provided by the IRT and KST perspectives; and thirdly, to contribute to the literature that bridges continuous and discrete theories of assessment. In detail, connections are established between the KST simple learning model (SLM) and the IRT General Graded Response Model, and between the KST Basic Local Independence Model and IRT models in general. As a consequence, local independence is generalized to account for the existence of prerequisite relations between the items, IRT models become a subset of KST models, IRT likelihood functions can be generalized to broader families, and the issues of local dependence and dimensionality are partially disentangled. Models are discussed for both dichotomous and polytomous items and conclusions are drawn on their interpretation. Considerations on possible consequences in terms of model identifiability and estimation procedures are also provided.
The present work explores the connections between cognitive diagnostic models (CDM) and knowledge space theory (KST) and shows that these two quite distinct approaches overlap. It is proved that in fact the Multiple Strategy DINA (Deterministic Input Noisy AND-gate) model and the CBLIM, a competence-based extension of the basic local independence model (BLIM), are equivalent. To demonstrate the benefits that arise from integrating the two theoretical perspectives, it is shown that a fairly complete picture on the identifiability of these models emerges by combining results from both camps. The impact of the results is illustrated by an empirical example, and topics for further research are pointed out.
This chapter offers a synthetic overview of the range of international law issues that arose during the course of the Vietnam War, especially as Americans took over from the French after Dien Bien Phu in 1954 and moved towards massive escalation between 1964 and 1973. The chapter begins with the debate about what law applied to the conflict, which turned on the legal status of South Vietnam. The chapter then asks what claims were possible and plausible when it came to the legality of American intervention in the war. Next, the chapter addresses the different kinds of warfare in which the United States engaged, from its bombing campaigns over North Vietnamese territory and waters to the changing forms of its counterinsurgency in the South and, later, across the Cambodian border. Finally, the chapter concludes by examining the legal legacy of Vietnam: not only how it led to the most significant substantive development of the laws of war since the Geneva Conventions, the First and Second Additional Protocols, but also, and equally importantly, how it ensured that international law would play (for good or ill) a central role in debate over and analysis of all future conflicts.
Hypertension and depression are increasingly common noncommunicable diseases in Ghana and worldwide, yet both are poorly controlled. We sought to understand how healthcare workers in rural Ghana conceptualize the interaction between hypertension and depression, and how care for these two conditions might best be integrated. We conducted a qualitative descriptive study involving in-depth interviews with 34 healthcare workers in the Kassena-Nankana districts of the Upper East Region of Ghana. We used conventional content analysis to systematically review interview transcripts, code the data content and analyze codes for salient themes. Respondents detailed three discrete conceptual models. Most emphasized depression as causing hypertension: through both emotional distress and unhealthy behavior. Others posited a bidirectional relationship, where cardiovascular morbidity worsened mood, or described a single set of underlying causes for both conditions. Nearly all proposed health interventions targeted their favored root cause of these disorders. In this representative rural Ghanaian community, healthcare workers widely agreed that cardiovascular disease and mental illness are physiologically linked and warrant an integrated care response, but held diverse views regarding precisely how and why. There was widespread support for a single primary care intervention to treat both conditions through counseling and medication.
Healthy food retail programmes (HFRP) in the USA generally aim to increase healthy foods access to improve diet quality and health, yet the impact is mixed. These programmes primarily target adults, even though adolescents frequently and independently visit stores to purchase snacks. This study’s aims are to explore successes and challenges of implementing HFRP (Aim 1) and examine how HFRP can be tailored to adolescents (Aim 2).
Design:
One-time, virtual, semi-structured interviews with individuals who were involved in a HFRP, followed by a socio-demographic characteristics survey. Interviews were designed based on the RE-AIM framework and the Hexagon Tool and analysed using Braun and Clark’s (2006) thematic analysis approach. Descriptive statistics were used to summarise participants’ socio-demographic characteristics.
Setting:
New York City (NYC).
Participants:
Adults (18 years or older) who have designed, implemented and/or evaluated an HFRP in NYC and speak/understand English (n 21).
Results:
Aim 1: For successes, strategies to build relationships with the community were most discussed. Regarding challenges, securing reliable funding was the hardest to overcome. Suggested solutions included designing profitable HFRP, targeting shortcomings in food distribution systems and increasing consumer demand. Aim 2: Most participants had not considered adolescents in previous HFRP but suggested involving youth in developing HFRP to encourage youth-driven solutions and promote youth advocacy.
Conclusions:
Future HFRP should focus on activities that help store owners purchase affordable healthy foods from distributors, which translates to affordability for customers. Federal and local policies can assist by funding complementary programmes. Additionally, adolescents should be considered in these efforts.
Stars with about 45 to 80% the mass of the Sun, so-called K dwarf stars, have previously been proposed as optimal host stars in the search for habitable extrasolar worlds. These stars are abundant, have stable luminosities over billions of years longer than Sun-like stars, and offer favourable space environmental conditions. So far, the theoretical and experimental focus on exoplanet habitability has been on even less massive, though potentially less hospitable red dwarf stars. Here we present the first experimental data on the responses of photosynthetic organisms to a simulated K dwarf spectrum. We find that garden cress Lepidium sativum under K-dwarf radiation exhibits comparable growth and photosynthetic efficiency as under Solar illumination on Earth. The cyanobacterium Chroococcidiopsis sp. CCMEE 029 exhibits significantly higher photosynthetic efficiency and culture growth under K dwarf radiation compared to Solar conditions. Our findings of the affirmative responses of these two photosynthetic organisms to K dwarf radiation suggest that exoplanets in the habitable zones around such stars deserve high priority in the search for extrasolar life.
Sorption of aniline and its derivatives by montmorillonite substituted by cations of widely different acidity depends upon the polarizing power of the interlayer cations. Infra-red spectra indicate that the anilines are mostly bound to the interlayer cations through water molecules, except in Cs montmorillonite, where bonding to the oxygen surfaces of the alumino-silicate sheets seems to predominate. Anilines are weak bases, which compete with the oxygen surfaces for protons of acidic interlayer water. Consequently, the tendency of anilines to act as proton donors in the clay interlayers increases with the polarizing power of the exchangeable cation. The concept of ‘basic’ water is introduced to account for some of the features of the spectra of Cs montmorillonite treated with the organic ligands.
Mössbauer spectroscopy of dioctahedral phyllosilicates showed that on dehydroxylation iron which originally occupied M(2) and M(l) sites became, respectively, 5- and 6-coordinated. The 6-coordinated sites are very distorted. No migration of cations occurs in the course of heating the specimens for 1–3 hr at 600°–700°C.
By using a combination of several physicochemical methods, different successive stages of the dehydroxylation process could be distinguished: (1) migration of protons; (2) localized dehydroxylation of individual associations without significant change in the overall configuration of the octahedral sheets; and (3) loss of most of the hydroxyl groups with concomitant changes in the cell dimensions. Penetration of Li into the octahedral sheets does not affect the course of the reaction, but reduces the dehydroxylation temperature and the stability of the products.
Dehydroxylation was preceded by or associated with the oxidation of any divalent iron present. Fe3+ derived from Fe2+ was indistinguishable by Mössbauer spectroscopy from iron initially present in the trivalent form. High concentrations of Fe lower the dehydroxylation temperature and reduce the stability of the dehydroxylate to the extent that partial disintegration may precede complete dehydroxylation.
The reaction products obtained when montmorillonites react with potassium halide at elevated temperatures, which were described in a previous publication, are further characterized. On the basis of their X-ray powder diffraction patterns, i.r. spectra, CEC and chemical composition they could be regarded as montmorillonite-illite interstratifications. Changes in morphology of various montmorillonites heated with and without K halide are related to the size, charge and position of interlayer cations. Scanning electron-micrographs of samples heated with KBr resemble those of well-crystallized illite. It is speculated that reactions of clay minerals with halides or other proton acceptors may account for some diagenetic processes in nature, e.g. the conversion of montmorillonite to illite on deep burial.
Fe3+ ions in palygorskite occupy sites at the edges and in the interior of the alumino-silicate chains. The Mössbauer parameters of the doublets associated with Fe3+ ions in edge sites indicate that the sites have a regular 6 coordination. Fe3+ ions in the interior of the chains occupy M(1) sites in three of the samples examined and M(2) sites in the fourth. Fe3+ ions in edge positions of palygorskite become 5-coordinated when water is lost on heating. They maintain this coordination on dehydroxylation, probably by cross-linking of the chains. The temperatures at which changes occur in the X-ray powder diffraction patterns and the Mössbauer and infrared (IR) spectra differ from sample to sample. The intermediate stages observed also vary, either due to different reaction paths or to different stabilities of the intermediate phases. The deduced distribution of cations in the octahedral sheets is in good qualitative agreement with the observed IR hydroxyl absorptions.
Two different types of interstratified illite-smectite are found in a section of Paleozoic sediments in the Negev, Israel. One of these is detectable only by a decrease in peak width and a concomitant increase in symmetry of the 10 Å peak on glycolation. This material is regarded as illite, randomly interstratified with about 20 per cent expanding layers.
Mössbauer spectra of 15 smectites were investigated. In these samples, ferric iron occupies both M(1) and M(2) octahedral sites, the distribution being partly determined by the relative covalency of the bonds formed.
The quadrupole splittings are linearly related to b−3. They show that Fe3+ octahedra are much more distorted in montmorillonite and beidellite than in nontronite and volkonskoite and that M(1) sites are more prone to change than M(2). Ferrous iron occurs in relatively undistorted octahedra in some otherwise distorted octahedral sheets and vice versa.
Hydrazine and dithionite, both of which are strong reducing agents, react differently with various dioctahedral smectites. Both the nature of the reducing agent and the structure of the clay affect the course of the reaction. Hydrazine reduces octahedral Fe3+ efficiently if the mineral has a low tetrahedral charge. The reducing action of dithionite does not depend upon the charge.
The results obtained by different physical methods of investigation suggest that reduction of iron is associated with protonation of an adjacent OH group. The Fe2+ formed is readily re-oxidised but the structural changes occurring on reduction are reversible only when Al-OH-Fe, but not when Fe-OH-Fe associations are involved. Reaction mechanisms are proposed and changes in the distribution of iron in the octahedral sites are discussed.