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Do constituents know (or care) about the lawmaking effectiveness of their representatives?
- Daniel M. Butler, Adam G. Hughes, Craig Volden, Alan E. Wiseman
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- Journal:
- Political Science Research and Methods / Volume 11 / Issue 2 / April 2023
- Published online by Cambridge University Press:
- 15 December 2021, pp. 419-428
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Substantial evidence exists that members of the US Congress vary in their lawmaking effectiveness. Less known, however, is whether constituents are sufficiently informed and inclined to hold their representatives accountable, based on their effectiveness. We conduct two separate survey experiments, informing some constituents about lawmakers' effectiveness and comparing their responses to those with the baseline level of information. We find that voters demonstrate little knowledge of their elected officials' lawmaking effectiveness. When presented with objective and credible information about lawmaking effectiveness, however, respondents express greater approval of more effective lawmakers. Effects are strongest among ideological moderates, but are even pronounced among partisans, who approve of effective representatives of the opposing party, and disapprove of ineffective representatives from their own party.
MAINTAINING CONSISTENCY ACROSS DESIGN DESCRIPTIONS IN ENGINEERING PRODUCT DEVELOPMENT
- Alison McKay, Hugh P. Rice, Hau Hing Chau, Alan de Pennington
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- Journal:
- Proceedings of the Design Society / Volume 1 / August 2021
- Published online by Cambridge University Press:
- 27 July 2021, pp. 1987-1996
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The success of engineering product development depends on the effective communication of design descriptions in formats that suit the needs and capabilities of all stakeholders involved in the delivery to market and through-life support of products. Configuration management is a core design process to ensure the consistency of the technical data package, i.e., the collection of design descriptions needed to support the development, manufacture and operation of a given product. Bills of Materials (BoMs) are critical parts of the technical data package because they act as integrators: adapting detailed design descriptions to suit the needs of particular downstream processes. The ability to reconfigure BoMs while maintaining internal consistency of the technical data package (where all BoM configurations are complete and compatible with each other) is a major challenge. In this paper, we introduce research exploring computational tools that could support engineers in manipulating BoMs while also maintaining the internal consistency of the technical data package.
Compositional principal component analysis generates gut microbiota profiles that associate with children's diet and body composition
- Claudia Leong, Jillian J. Haszard, Anne-Louise M. Heath, Gerald W. Tannock, Blair Lawley, Sonya L. Cameron, Ewa A. Szymlek-Gay, Andrew R. Gray, Barry J. Taylor, Barbara C. Galland, Julie A. Lawrence, Anna Otal, Alan Hughes, Rachael W Taylor
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- Journal:
- Proceedings of the Nutrition Society / Volume 79 / Issue OCE2 / 2020
- Published online by Cambridge University Press:
- 10 June 2020, E284
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Gut microbiota data obtained by DNA sequencing are not only complex because of the number of taxa that may be detected within human cohorts, but also compositional because characteristics of the microbiota are described in relative terms (e.g., “relative abundance” of particular bacterial taxa expressed as a proportion of the total abundance of taxa). Nutrition researchers often use standard principal component analysis (PCA) to derive dietary patterns from complex food data, enabling each participant's diet to be described in terms of the extent to which it fits their cohort's dietary patterns. However, compositional PCA methods are not commonly used to describe patterns of microbiota in the way that dietary patterns are used to describe diets. This approach would be useful for identifying microbiota patterns that are associated with diet and body composition. The aim of this study is to use compositional PCA to describe gut microbiota profiles in 5 year old children and explore associations between microbiota profiles, diet, body mass index (BMI) z-score, and fat mass index (FMI) z-score. This study uses a cross-sectional data for 319 children who provided a faecal sample at 5 year of age. Their primary caregiver completed a 123-item quantitative food frequency questionnaire validated for foods of relevance to the gut microbiota. Body composition was determined using dual-energy x-ray absorptiometry, and BMI and FMI z-scores calculated. Compositional PCA identified and described gut microbiota profiles at the genus level, and profiles were examined in relation to diet and body size. Three gut microbiota profiles were found. Profile 1 (positive loadings on Blautia and Bifidobacterium; negative loadings on Bacteroides) was not related to diet or body size. Profile 2 (positive loadings on Bacteroides; negative loadings on uncultured Christensenellaceae and Ruminococcaceae) was associated with a lower BMI z-score (r = -0.16, P = 0.003). Profile 3 (positive loadings on Faecalibacterium, Eubacterium and Roseburia) was associated with higher intakes of fibre (r = 0.15, P = 0.007); total (r = 0.15, P = 0.009), and insoluble (r = 0.13, P = 0.021) non-starch polysaccharides; protein (r = 0.12, P = 0.036); meat (r = 0.15, P = 0.010); and nuts, seeds and legumes (r = 0.11, P = 0.047). Further regression analyses found that profile 2 and profile 3 were independently associated with BMI z-score and diet respectively. We encourage fellow researchers to use compositional PCA as a method for identifying further links between the gut, diet and obesity, and for developing the next generation of research in which the impact on body composition of dietary interventions that modify the gut microbiota is determined.
Clinical Features of Lewis–Sumner Syndrome: Can Trauma Precipitate Symptoms?
- Isaac Michael William Hughes, Alan Edward Goodridge
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- Journal:
- Canadian Journal of Neurological Sciences / Volume 46 / Issue 2 / March 2019
- Published online by Cambridge University Press:
- 06 February 2019, pp. 243-247
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Introduction: Lewis–Sumner syndrome (LSS) is a demyelinating peripheral neuropathy described in 1982. Methods: We reviewed the charts of nine LSS patients in neurological care for their symptoms, response to different treatment regimens, and pattern of nerve involvement. Results: One patient had an Adie’s pupil. Every patient studied had median nerve involvement. Seven of nine patients required intravenous immunoglobulin (IVIg) therapy and all showed improvement with IVIg. Four of nine patients received oral steroid therapy and had some improvement. Two of nine patients received azathioprine to little effect. Two of nine patients experienced significant trauma while receiving neurological follow-up and their symptoms worsened to a clinically significant degree afterward. Discussion: We noticed a possible association between trauma and symptom severity in cases of LSS with preexisting neurological follow-up. We hypothesize that physical trauma exacerbates LSS. To our knowledge, this is an unreported phenomenon.
The Last Interglacial Ocean
- Rose Marie L. Cline, James D. Hays, Warren L. Prell, William F. Ruddiman, Ted C. Moore, Nilva G. Kipp, Barbara E. Molfino, George H. Denton, Terence J. Hughes, William L. Balsam, Charlotte A. Brunner, Jean-Claude Duplessy, Ann G. Esmay, James L. Fastook, John Imbrie, Lloyd D. Keigwin, Thomas B. Kellogg, Andrew McIntyre, Robley K. Matthews, Alan C. Mix, Joseph J. Morley, Nicholas J. Shackleton, S. Stephen Streeter, Peter R. Thompson
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- Journal:
- Quaternary Research / Volume 21 / Issue 2 / February 1984
- Published online by Cambridge University Press:
- 20 January 2017, pp. 123-224
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The final effort of the CLIMAP project was a study of the last interglaciation, a time of minimum ice volume some 122,000 yr ago coincident with the Substage 5e oxygen isotopic minimum. Based on detailed oxygen isotope analyses and biotic census counts in 52 cores across the world ocean, last interglacial sea-surface temperatures (SST) were compared with those today. There are small SST departures in the mid-latitude North Atlantic (warmer) and the Gulf of Mexico (cooler). The eastern boundary currents of the South Atlantic and Pacific oceans are marked by large SST anomalies in individual cores, but their interpretations are precluded by no-analog problems and by discordancies among estimates from different biotic groups. In general, the last interglacial ocean was not significantly different from the modern ocean. The relative sequencing of ice decay versus oceanic warming on the Stage 6/5 oxygen isotopic transition and of ice growth versus oceanic cooling on the Stage 5e/5d transition was also studied. In most of the Southern Hemisphere, the oceanic response marked by the biotic census counts preceded (led) the global ice-volume response marked by the oxygen-isotope signal by several thousand years. The reverse pattern is evident in the North Atlantic Ocean and the Gulf of Mexico, where the oceanic response lagged that of global ice volume by several thousand years. As a result, the very warm temperatures associated with the last interglaciation were regionally diachronous by several thousand years. These regional lead-lag relationships agree with those observed on other transitions and in long-term phase relationships; they cannot be explained simply as artifacts of bioturbational translations of the original signals.
Patient and caregiver characteristics related to completion of advance directives in terminally ill patients
- Grace W.K. Ho, Lauren Skaggs, Gayane Yenokyan, Anela Kellogg, Julie A. Johnson, Mei Ching Lee, Katherine Heinze, Mark T. Hughes, Daniel P. Sulmasy, Joan Kub, Peter B. Terry, Alan B. Astrow, Jing Zheng, Lisa Soleymani Lehmann, Marie T. Nolan
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- Journal:
- Palliative & Supportive Care / Volume 15 / Issue 1 / February 2017
- Published online by Cambridge University Press:
- 30 May 2016, pp. 12-19
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Objective:
There is a growing body of literature describing the characteristics of patients who plan for the end of life, but little research has examined how caregivers influence patients' advance care planning (ACP). The purpose of this study was to examine how patient and caregiver characteristics are associated with advance directive (AD) completion among patients diagnosed with a terminal illness. We defined AD completion as having completed a living will and/or identified a healthcare power of attorney.
Method:A convenience sample of 206 caregiver–patient dyads was included in the study. All patients were diagnosed with an advanced life-limiting illness. Trained research nurses administered surveys to collect information on patient and caregiver demographics (i.e., age, sex, race, education, marital status, and individual annual income) and patients' diagnoses and completion of AD. Multivariate logistic regression was employed to model predictors for patients' AD completion.
Results:Over half of our patient sample (59%) completed an AD. Patients who were older, diagnosed with amyotrophic lateral sclerosis, and with a caregiver who was Caucasian or declined to report an income level were more likely to have an AD in place.
Significance of results:Our results suggest that both patient and caregiver characteristics may influence patients' decisions to complete an AD at the end of life. When possible, caregivers should be included in advance care planning for patients who are terminally ill.
218 - Titus Andronicus: Stage and Screen after 1955
- from Part XXII - Production History
- Edited by Bruce R. Smith, University of Southern California
- Edited in association with Katherine Rowe, Smith College, Massachusetts
- With Ton Hoenselaars, Universiteit Utrecht, The Netherlands, Akiko Kusunoki, Andrew Murphy, Trinity College Dublin, Aimara da Cunha Resende, Universidade Federal de Minas Gerais, Brazil
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- Book:
- The Cambridge Guide to the Worlds of Shakespeare
- Published online:
- 17 August 2019
- Print publication:
- 21 January 2016, pp 1584-1591
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Contributors
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- By Mitchell Aboulafia, Frederick Adams, Marilyn McCord Adams, Robert M. Adams, Laird Addis, James W. Allard, David Allison, William P. Alston, Karl Ameriks, C. Anthony Anderson, David Leech Anderson, Lanier Anderson, Roger Ariew, David Armstrong, Denis G. Arnold, E. J. Ashworth, Margaret Atherton, Robin Attfield, Bruce Aune, Edward Wilson Averill, Jody Azzouni, Kent Bach, Andrew Bailey, Lynne Rudder Baker, Thomas R. Baldwin, Jon Barwise, George Bealer, William Bechtel, Lawrence C. Becker, Mark A. Bedau, Ernst Behler, José A. Benardete, Ermanno Bencivenga, Jan Berg, Michael Bergmann, Robert L. Bernasconi, Sven Bernecker, Bernard Berofsky, Rod Bertolet, Charles J. Beyer, Christian Beyer, Joseph Bien, Joseph Bien, Peg Birmingham, Ivan Boh, James Bohman, Daniel Bonevac, Laurence BonJour, William J. Bouwsma, Raymond D. Bradley, Myles Brand, Richard B. Brandt, Michael E. Bratman, Stephen E. Braude, Daniel Breazeale, Angela Breitenbach, Jason Bridges, David O. Brink, Gordon G. Brittan, Justin Broackes, Dan W. Brock, Aaron Bronfman, Jeffrey E. Brower, Bartosz Brozek, Anthony Brueckner, Jeffrey Bub, Lara Buchak, Otavio Bueno, Ann E. Bumpus, Robert W. Burch, John Burgess, Arthur W. Burks, Panayot Butchvarov, Robert E. Butts, Marina Bykova, Patrick Byrne, David Carr, Noël Carroll, Edward S. Casey, Victor Caston, Victor Caston, Albert Casullo, Robert L. Causey, Alan K. L. Chan, Ruth Chang, Deen K. Chatterjee, Andrew Chignell, Roderick M. Chisholm, Kelly J. Clark, E. J. Coffman, Robin Collins, Brian P. Copenhaver, John Corcoran, John Cottingham, Roger Crisp, Frederick J. Crosson, Antonio S. Cua, Phillip D. Cummins, Martin Curd, Adam Cureton, Andrew Cutrofello, Stephen Darwall, Paul Sheldon Davies, Wayne A. Davis, Timothy Joseph Day, Claudio de Almeida, Mario De Caro, Mario De Caro, John Deigh, C. F. Delaney, Daniel C. Dennett, Michael R. DePaul, Michael Detlefsen, Daniel Trent Devereux, Philip E. Devine, John M. Dillon, Martin C. Dillon, Robert DiSalle, Mary Domski, Alan Donagan, Paul Draper, Fred Dretske, Mircea Dumitru, Wilhelm Dupré, Gerald Dworkin, John Earman, Ellery Eells, Catherine Z. Elgin, Berent Enç, Ronald P. Endicott, Edward Erwin, John Etchemendy, C. Stephen Evans, Susan L. Feagin, Solomon Feferman, Richard Feldman, Arthur Fine, Maurice A. Finocchiaro, William FitzPatrick, Richard E. Flathman, Gvozden Flego, Richard Foley, Graeme Forbes, Rainer Forst, Malcolm R. Forster, Daniel Fouke, Patrick Francken, Samuel Freeman, Elizabeth Fricker, Miranda Fricker, Michael Friedman, Michael Fuerstein, Richard A. Fumerton, Alan Gabbey, Pieranna Garavaso, Daniel Garber, Jorge L. A. Garcia, Robert K. Garcia, Don Garrett, Philip Gasper, Gerald Gaus, Berys Gaut, Bernard Gert, Roger F. Gibson, Cody Gilmore, Carl Ginet, Alan H. Goldman, Alvin I. Goldman, Alfonso Gömez-Lobo, Lenn E. Goodman, Robert M. Gordon, Stefan Gosepath, Jorge J. E. Gracia, Daniel W. Graham, George A. Graham, Peter J. Graham, Richard E. Grandy, I. Grattan-Guinness, John Greco, Philip T. Grier, Nicholas Griffin, Nicholas Griffin, David A. Griffiths, Paul J. Griffiths, Stephen R. Grimm, Charles L. Griswold, Charles B. Guignon, Pete A. Y. Gunter, Dimitri Gutas, Gary Gutting, Paul Guyer, Kwame Gyekye, Oscar A. Haac, Raul Hakli, Raul Hakli, Michael Hallett, Edward C. Halper, Jean Hampton, R. James Hankinson, K. R. Hanley, Russell Hardin, Robert M. Harnish, William Harper, David Harrah, Kevin Hart, Ali Hasan, William Hasker, John Haugeland, Roger Hausheer, William Heald, Peter Heath, Richard Heck, John F. Heil, Vincent F. Hendricks, Stephen Hetherington, Francis Heylighen, Kathleen Marie Higgins, Risto Hilpinen, Harold T. Hodes, Joshua Hoffman, Alan Holland, Robert L. Holmes, Richard Holton, Brad W. Hooker, Terence E. Horgan, Tamara Horowitz, Paul Horwich, Vittorio Hösle, Paul Hoβfeld, Daniel Howard-Snyder, Frances Howard-Snyder, Anne Hudson, Deal W. Hudson, Carl A. Huffman, David L. Hull, Patricia Huntington, Thomas Hurka, Paul Hurley, Rosalind Hursthouse, Guillermo Hurtado, Ronald E. Hustwit, Sarah Hutton, Jonathan Jenkins Ichikawa, Harry A. Ide, David Ingram, Philip J. Ivanhoe, Alfred L. Ivry, Frank Jackson, Dale Jacquette, Joseph Jedwab, Richard Jeffrey, David Alan Johnson, Edward Johnson, Mark D. Jordan, Richard Joyce, Hwa Yol Jung, Robert Hillary Kane, Tomis Kapitan, Jacquelyn Ann K. Kegley, James A. Keller, Ralph Kennedy, Sergei Khoruzhii, Jaegwon Kim, Yersu Kim, Nathan L. King, Patricia Kitcher, Peter D. Klein, E. D. Klemke, Virginia Klenk, George L. Kline, Christian Klotz, Simo Knuuttila, Joseph J. Kockelmans, Konstantin Kolenda, Sebastian Tomasz Kołodziejczyk, Isaac Kramnick, Richard Kraut, Fred Kroon, Manfred Kuehn, Steven T. Kuhn, Henry E. Kyburg, John Lachs, Jennifer Lackey, Stephen E. Lahey, Andrea Lavazza, Thomas H. Leahey, Joo Heung Lee, Keith Lehrer, Dorothy Leland, Noah M. Lemos, Ernest LePore, Sarah-Jane Leslie, Isaac Levi, Andrew Levine, Alan E. Lewis, Daniel E. Little, Shu-hsien Liu, Shu-hsien Liu, Alan K. L. Chan, Brian Loar, Lawrence B. Lombard, John Longeway, Dominic McIver Lopes, Michael J. Loux, E. J. Lowe, Steven Luper, Eugene C. Luschei, William G. Lycan, David Lyons, David Macarthur, Danielle Macbeth, Scott MacDonald, Jacob L. Mackey, Louis H. Mackey, Penelope Mackie, Edward H. Madden, Penelope Maddy, G. B. Madison, Bernd Magnus, Pekka Mäkelä, Rudolf A. Makkreel, David Manley, William E. Mann (W.E.M.), Vladimir Marchenkov, Peter Markie, Jean-Pierre Marquis, Ausonio Marras, Mike W. Martin, A. P. Martinich, William L. McBride, David McCabe, Storrs McCall, Hugh J. McCann, Robert N. McCauley, John J. McDermott, Sarah McGrath, Ralph McInerny, Daniel J. McKaughan, Thomas McKay, Michael McKinsey, Brian P. McLaughlin, Ernan McMullin, Anthonie Meijers, Jack W. Meiland, William Jason Melanson, Alfred R. Mele, Joseph R. Mendola, Christopher Menzel, Michael J. Meyer, Christian B. Miller, David W. Miller, Peter Millican, Robert N. Minor, Phillip Mitsis, James A. Montmarquet, Michael S. Moore, Tim Moore, Benjamin Morison, Donald R. Morrison, Stephen J. Morse, Paul K. Moser, Alexander P. D. Mourelatos, Ian Mueller, James Bernard Murphy, Mark C. Murphy, Steven Nadler, Jan Narveson, Alan Nelson, Jerome Neu, Samuel Newlands, Kai Nielsen, Ilkka Niiniluoto, Carlos G. Noreña, Calvin G. Normore, David Fate Norton, Nikolaj Nottelmann, Donald Nute, David S. Oderberg, Steve Odin, Michael O’Rourke, Willard G. Oxtoby, Heinz Paetzold, George S. Pappas, Anthony J. Parel, Lydia Patton, R. P. Peerenboom, Francis Jeffry Pelletier, Adriaan T. Peperzak, Derk Pereboom, Jaroslav Peregrin, Glen Pettigrove, Philip Pettit, Edmund L. Pincoffs, Andrew Pinsent, Robert B. Pippin, Alvin Plantinga, Louis P. Pojman, Richard H. Popkin, John F. Post, Carl J. Posy, William J. Prior, Richard Purtill, Michael Quante, Philip L. Quinn, Philip L. Quinn, Elizabeth S. Radcliffe, Diana Raffman, Gerard Raulet, Stephen L. Read, Andrews Reath, Andrew Reisner, Nicholas Rescher, Henry S. Richardson, Robert C. Richardson, Thomas Ricketts, Wayne D. Riggs, Mark Roberts, Robert C. Roberts, Luke Robinson, Alexander Rosenberg, Gary Rosenkranz, Bernice Glatzer Rosenthal, Adina L. Roskies, William L. Rowe, T. M. Rudavsky, Michael Ruse, Bruce Russell, Lilly-Marlene Russow, Dan Ryder, R. M. Sainsbury, Joseph Salerno, Nathan Salmon, Wesley C. Salmon, Constantine Sandis, David H. Sanford, Marco Santambrogio, David Sapire, Ruth A. Saunders, Geoffrey Sayre-McCord, Charles Sayward, James P. Scanlan, Richard Schacht, Tamar Schapiro, Frederick F. Schmitt, Jerome B. Schneewind, Calvin O. Schrag, Alan D. Schrift, George F. Schumm, Jean-Loup Seban, David N. Sedley, Kenneth Seeskin, Krister Segerberg, Charlene Haddock Seigfried, Dennis M. Senchuk, James F. Sennett, William Lad Sessions, Stewart Shapiro, Tommie Shelby, Donald W. Sherburne, Christopher Shields, Roger A. Shiner, Sydney Shoemaker, Robert K. Shope, Kwong-loi Shun, Wilfried Sieg, A. John Simmons, Robert L. Simon, Marcus G. Singer, Georgette Sinkler, Walter Sinnott-Armstrong, Matti T. Sintonen, Lawrence Sklar, Brian Skyrms, Robert C. Sleigh, Michael Anthony Slote, Hans Sluga, Barry Smith, Michael Smith, Robin Smith, Robert Sokolowski, Robert C. Solomon, Marta Soniewicka, Philip Soper, Ernest Sosa, Nicholas Southwood, Paul Vincent Spade, T. L. S. Sprigge, Eric O. Springsted, George J. Stack, Rebecca Stangl, Jason Stanley, Florian Steinberger, Sören Stenlund, Christopher Stephens, James P. Sterba, Josef Stern, Matthias Steup, M. A. Stewart, Leopold Stubenberg, Edith Dudley Sulla, Frederick Suppe, Jere Paul Surber, David George Sussman, Sigrún Svavarsdóttir, Zeno G. Swijtink, Richard Swinburne, Charles C. Taliaferro, Robert B. Talisse, John Tasioulas, Paul Teller, Larry S. Temkin, Mark Textor, H. S. Thayer, Peter Thielke, Alan Thomas, Amie L. Thomasson, Katherine Thomson-Jones, Joshua C. Thurow, Vzalerie Tiberius, Terrence N. Tice, Paul Tidman, Mark C. Timmons, William Tolhurst, James E. Tomberlin, Rosemarie Tong, Lawrence Torcello, Kelly Trogdon, J. D. Trout, Robert E. Tully, Raimo Tuomela, John Turri, Martin M. Tweedale, Thomas Uebel, Jennifer Uleman, James Van Cleve, Harry van der Linden, Peter van Inwagen, Bryan W. Van Norden, René van Woudenberg, Donald Phillip Verene, Samantha Vice, Thomas Vinci, Donald Wayne Viney, Barbara Von Eckardt, Peter B. M. Vranas, Steven J. Wagner, William J. Wainwright, Paul E. Walker, Robert E. Wall, Craig Walton, Douglas Walton, Eric Watkins, Richard A. Watson, Michael V. Wedin, Rudolph H. Weingartner, Paul Weirich, Paul J. Weithman, Carl Wellman, Howard Wettstein, Samuel C. Wheeler, Stephen A. White, Jennifer Whiting, Edward R. Wierenga, Michael Williams, Fred Wilson, W. Kent Wilson, Kenneth P. Winkler, John F. Wippel, Jan Woleński, Allan B. Wolter, Nicholas P. Wolterstorff, Rega Wood, W. Jay Wood, Paul Woodruff, Alison Wylie, Gideon Yaffe, Takashi Yagisawa, Yutaka Yamamoto, Keith E. Yandell, Xiaomei Yang, Dean Zimmerman, Günter Zoller, Catherine Zuckert, Michael Zuckert, Jack A. Zupko (J.A.Z.)
- Edited by Robert Audi, University of Notre Dame, Indiana
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- Book:
- The Cambridge Dictionary of Philosophy
- Published online:
- 05 August 2015
- Print publication:
- 27 April 2015, pp ix-xxx
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Delays in Initiation of Acyclovir Therapy in Herpes Simplex Encephalitis
- Peter S. Hughes, Alan C. Jackson
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- Journal:
- Canadian Journal of Neurological Sciences / Volume 39 / Issue 5 / September 2012
- Published online by Cambridge University Press:
- 02 December 2014, pp. 644-648
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Background:
Diagnosis of herpes simplex encephalitis (HSE) is based on clinical findings, MRI, and detection of herpes simplex virus (HSV) DNA in cerebrospinal fluid (CSF) using polymerase chain reaction amplification. Delays in starting treatment are associated with poorer clinical outcomes. We assessed the timing of initiation of acyclovir therapy in HSE.
Methods:Inpatient databases from seven hospitals in Winnipeg, Manitoba were used to identify individuals diagnosed with encephalitis and HSE from 2004 to 2009. The time taken to initiate therapy with acyclovir and the reasons for delays were determined.
Results:Seventy-seven patients were identified; 69 (90%) received acyclovir; in the others a non-HSV infection was strongly suspected. Thirteen patients were subsequently confirmed to have HSE. Acyclovir was initiated a median of 21 hours (3-407) after presentation in encephalitis cases, and a median of 11 hours (3-118) in HSE. The most common reason for delay was a failure to consider HSE in the differential diagnosis, despite suggestive clinical features. Where therapy was delayed in HSE patients, the decision to begin acyclovir was prompted by transfer of the patient to a different service (55%), recommendations by consultants (18%), imaging results (18%), and CSF pleocytosis (9%).
Conclusions:Delays in initiating acyclovir for HSE are common, and are most often due to a failure to consider HSE in a timely fashion on presentation. In order to improve patient outcomes, physicians should be more vigilant for HSE, and begin acyclovir therapy expeditiously on the basis of clinical suspicion rather than waiting for confirmatory tests.
Contributors
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- By Richard Badenhausen, James J. Berg, John R. Boly, Richard R. Bozorth, Adrian Caesar, David Collard, Patrick Deer, Rainer Emig, Chris Freeman, Susannah Young-ah Gottlieb, Hugh Haughton, Alan Jacobs, Chris Jones, Edward Mendelson, Janet Montefiore, Steve Nicholson, Sean O’Brien, Michael O’Neill, Seamus Perry, Justin Quinn, Gareth Reeves, Stephen Regan, Michael Symmons Roberts, Tony Sharpe, Stan Smith, Andrew Thacker, Aidan Wasley, Keith Williams, Michael Wood, Gregory Woods, Matthew Worley, Tim Youngs
- Edited by Tony Sharpe, Lancaster University
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- Book:
- W. H. Auden in Context
- Published online:
- 05 February 2013
- Print publication:
- 21 January 2013, pp xi-xvi
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Genetic, Epigenetic, and Environmental Influences on Dentofacial Structures and Oral Health: Ongoing Studies of Australian Twins and Their Families
- Toby Hughes, Michelle Bockmann, Suzanna Mihailidis, Corinna Bennett, Abbe Harris, W. Kim Seow, Dimitra Lekkas, Sarbin Ranjitkar, Loreta Rupinskas, Sandra Pinkerton, Alan Brook, Richard Smith, Grant C. Townsend
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- Journal:
- Twin Research and Human Genetics / Volume 16 / Issue 1 / February 2013
- Published online by Cambridge University Press:
- 12 October 2012, pp. 43-51
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The Craniofacial Biology Research Group in the School of Dentistry at The University of Adelaide is entering an exciting new phase of its studies of dental development and oral health in twins and their families. Studies of the teeth and faces of Australian twins have been continuing for nearly 30 years, with three major cohorts of twins recruited over that time, and currently we are working with twins aged 2 years old to adults. Cross-sectional data and records relating to teeth and faces of twins are available for around 300 pairs of teenage twins, as well as longitudinal data for 300 pairs of twins examined at three different stages of development, once with primary teeth, once at the mixed dentition stage, and then again when the permanent teeth had emerged. The third cohort of twins comprises over 600 pairs of twins recruited at around birth, together with other family members. The emphasis in this third group of twins has been to record the timing of emergence of the primary teeth and also to sample saliva and dental plaque to establish the timing of colonization of decay-forming bacteria in the mouth. Analyses have confirmed that genetic factors strongly influence variation in timing of primary tooth emergence. The research team is now beginning to carry out clinical examinations of the twins to see whether those who become colonized earlier with decay-forming bacteria develop dental decay at an earlier age. By making comparisons within and between monozygotic (MZ) and dizygotic (DZ) twin pairs and applying modern molecular approaches, we are now teasing out how genetic, epigenetic, and environmental factors interact to influence dental development and also oral health.
2 - New approaches to dental anthropology based on the study of twins
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- By Grant Townsend, The University of Adelaide, Australia, Michelle Bockmann, The University of Adelaide, Australia, Toby Hughes, The University of Adelaide, Australia, Suzanna Mihailidis, The University of Adelaide, Australia, W Kim Seow, The University of Queensland, Australia, Alan Brook, The University of Adelaide, Australia
- Edited by Grant Townsend, University of Adelaide, Eisaku Kanazawa, Nihon University, Japan, Hiroshi Takayama, Keio University, Japan
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- Book:
- New Directions in Dental Anthropology
- Published by:
- The University of Adelaide Press
- Published online:
- 05 May 2013
- Print publication:
- 01 June 2012, pp 10-21
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Summary
ABSTRACT
Studies of twins carried out over the past 25 years by the Craniofacial Biology Research Group at the University of Adelaide have provided insights into the roles of genetic, environmental and epigenetic influences on human dento-facial growth and development. The aim of this paper is to review some of the main findings of these studies and to highlight the value of using different twin models, including the monozygotic (MZ) co-twin design. We also introduce the concept of ‘dental phenomics’ whereby modern 2D and 3D imaging systems are now enabling biologically-meaningful, dental phenotypes to be quantified in order to provide detailed descriptions of the size and shape of teeth. We propose that developments in the field of ‘dental phenomics’, with linking of the data generated to large-scale genome sequencing approaches, should enable us to further unravel the mysteries of how genetic, environmental and epigenetic factors interact to produce the extensive range of morphological variations evident within the human dentition and face.
INTRODUCTION
The Craniofacial Biology Research Group at the University of Adelaide has been involved in studies of the teeth and faces of twins for over 25 years (Townsend et al., 2006). Our main aim is to clarify the roles of genetic, environmental and epigenetic influences on human dento-facial growth and development. Three cohorts of twins have been recruited to enable different objectives and specific hypotheses to be addressed.
5 - Sexual dimorphism in the primary and permanent dentitions of twins: an approach to clarifying the role of hormonal factors
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- By Daniela Ribeiro, The University of Adelaide, Australia, Wayne Sampson, The University of Adelaide, Australia, Toby Hughes, The University of Adelaide, Australia, Alan Brook, The University of Adelaide, Australia, Grant Townsend, The University of Adelaide, Australia
- Edited by Grant Townsend, University of Adelaide, Eisaku Kanazawa, Nihon University, Japan, Hiroshi Takayama, Keio University, Japan
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- Book:
- New Directions in Dental Anthropology
- Published by:
- The University of Adelaide Press
- Published online:
- 05 May 2013
- Print publication:
- 01 June 2012, pp 46-64
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Summary
ABSTRACT
This study aims to quantify the amount of sexual dimorphism in primary and permanent tooth crown size in a sample of Australian twins and to explore the role of hormonal factors in human dental development. We hypothesise that the magnitude and patterning of sexual dimorphism within and between the primary and permanent dentitions of the same individuals will reflect associations between the timing of initial stages in the process of odontogenesis and the timing of hormonal surges during pre-natal and peri-natal development. Serial dental models of the primary, mixed and permanent dentitions of 88 males and 91 females from monozygotic and dizygotic same-sex twin pairs were used. Mesiodistal crown diameters (MD), buccolingual crown diameters (BL), crown heights (CH), and intercuspal distances (IC) of all primary teeth and the permanent central incisors, lower lateral incisors, canines, second premolars, first and second molars were measured to an accuracy of 0.1mm using a 2D image analysis system. Mean values, standard deviations, coefficients of variation, percentages of sexual dimorphism, and correlation coefficients were calculated for all variables. Overall, males presented larger tooth crown dimensions than females, with the primary dentition displaying less sexual dimorphism compared with the permanent dentition. Intercuspal distances tended to show the least sexual dimorphism whereas crown heights showed the most, reflecting differences in the timing of formation of these dimensions during odontogenesis. These results are consistent with some hormonal influence during tooth development, but further studies of twins, including opposite-sex dizygotic pairs, are needed to clarify the nature of this hormonal effect.
MODELS OF PERIODIC INUNDATION OF PARASITOIDS FOR PEST CONTROL
- Hugh J. Barclay, Imre S. Otvos, Alan J. Thomson
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- Journal:
- The Canadian Entomologist / Volume 117 / Issue 6 / June 1985
- Published online by Cambridge University Press:
- 31 May 2012, pp. 705-716
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Several host–parasitoid models were examined to assess the feasibility of parasitoid inundation as a means of pest control or eradication. The approach is comparative, to assess independently the effects of various ecological factors on the ease of control by this means. For most of the models, there exists a critical inundation rate, I*, above which the host population is eradicated, provided inundative releases continue beyond the time of eradication. The existence of density-dependent mortality in the hosts reduces the time to eradication but does not affect I*. Density dependence in the parasitoids, however, usually increases I*. The existence of hyperparasitoids appears to have no effect on the ease of host eradication.
Contributors
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- By Yasir Abu-Omar, Matthew E. Atkins, Joseph E. Arrowsmith, Alan Ashworth, Rubia Baldassarri, Craig R. Bailey, David J. Barron, Christiana C. Burt, David Cardone, Coralie Carle, Jose Coddens, Alan M. Cohen, Simon Colah, Sarah Conolly, David J. Daly, Helen M. Daly, Stefan G. De Hert, Ravi J. De Silva, Mark Dougherty, John J. Dunning, Maros Elsik, Betsy Evans, Florian Falter, Nigel Farnum, Jens Fassl, Juliet E. Foweraker, Simon P. Fynn, Andrew I. Gardner, Margaret I. Gillham, Martin J. Goddard, Maximilien J. Gourdin, Jon Graham, Stephen J. Gray, Cameron Graydon, Fabio Guarracino, Roger M. O. Hall, Michael Haney, Charles W. Hogue, Ben W. Howes, Bevan Hughes, Siân I. Jaggar, David P. Jenkins, Jörn Karhausen, Todd Kiefer, Khalid Khan, Andrew A. Klein, John D. Kneeshaw, Andrew C. Knowles, Catherine V. Koffel, R. Clive Landis, Trevor W. R. Lee, Clive J. Lewis, Jonathan H. Mackay, Amod Manocha, Jonathan B. Mark, Sarah Marstin, William T. McBride, Kenneth H. McKinlay, Alan F. Merry, Berend Mets, Britta Millhoff, Kevin P. Morris, Samer A. M. Nashef, Andrew Neitzel, Stephane Noble, Rabi Panigrahi, Barbora Parizkova, J. M. Tom Pierce, Mihai V. Podgoreanu, Hans-Joachim Priebe, Paul Quinton, C. Ramaswamy Rajamohan, Doris M. Rassl, Tom Rawlings, Fiona E. Reynolds, Andrew J. Richardson, David Riddington, Andrew Roscoe, Paul H. M. Sadleir, Ving Yuen See Tho, Herve Schlotterbeck, Maura Screaton, Shitalkumar Shah, Harjot Singh, Jon H. Smith, M. L. Srikanth, Yeewei W. Teo, Kamen P. Valchanov, Jean-Pierre van Besouw, Isabeau A. Walker, Stephen T. Webb, Francis C. Wells, John Whitbread, Charles Willmott, Patrick Wouters
- Edited by Jonathan H. Mackay, Joseph E. Arrowsmith
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- Book:
- Core Topics in Cardiac Anesthesia
- Published online:
- 05 April 2012
- Print publication:
- 15 March 2012, pp x-xiii
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Chapter 9 - Costumes of Old and Middle Comedy
- Alan Hughes, University of Victoria, British Columbia
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- Book:
- Performing Greek Comedy
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- 05 February 2012
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- 27 October 2011, pp 178-200
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Summary
Articles of clothing are amongst the most frequently named objects in extant comedies and fragments. Stage costume serves as a narrative device, and a visual signifier of character and status. Because garments worn by actors were in many respects the same as everyday dress, Greek audiences read their subtle codes with ease, but a modern audience or costume designer may be baffled by terminology. ‘Where did you get that thoimation?’ asks an Informer. ‘Yesterday I saw you wearing a tribonion’ (Wealth 881–2). The Informer's words are a verbal stage direction, prescribing what the Honest Man must wear in an earlier scene as well as in this one. Evidently he has changed his clothes, but what sort of change is implied? Have overalls replaced his Sunday suit? If a gloss explains that he has exchanged a homespun cloak for a woollen one, we may understand that his fortunes have improved, but we may not be able to visualize both garments. When we turn to images the Greeks made of comedies in action, we are inevitably puzzled. Much of our evidence for comedy in the classical age is visual, designed to communicate within a specific culture, time and place. If we are to understand comedy, we must attempt to decode its visual language.
Old and Middle Comedy flourished longer than modern Greece has been a nation. Beginning as an amateur choral event on the fringe of an Athenian festival, it was gradually transformed into a narrative performed by transnational celebrities. It would be strange if costume conventions failed to evolve. Fortunately, visual evidence is now abundant enough to permit us to glimpse some of the earliest comic costumes, and to follow developments during much of the classical period.
Chapter 4 - The comic chorus
- Alan Hughes, University of Victoria, British Columbia
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- Book:
- Performing Greek Comedy
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- 05 February 2012
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- 27 October 2011, pp 81-94
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Summary
At the onset of one of those outbreaks of antiquarian enthusiasm with which western culture is periodically stricken, a friend confided to Thomas Gray his ambition to write a tragedy with a chorus. The poet's response was not encouraging:
A greater liberty in the choice of the fable, and the conduct of it, was the necessary consequence of retrenching the Chorus…The soft effusions of the soul, Mr. Mason, will not bear the presence of a gaping, singing, dancing, moralizing, uninteresting crowd. And not love alone, but every passion is checked and cooled by this fiddling crew…Could Hamlet have met the Ghost, or taken his mother to task in their company? If Othello had said a harsh word to his wife before them, would they not have danced to the window and called the watch?
Gray objected to the chorus because he found it unbelievable and, hence, preposterous. Ironically, realism is a significant legacy of Greek art. The development of sculpture from archaic kouroi to Praxitelean naturalism was a manifestation of the same aspiration to realism that led to the separation of the chorus from dramatic action in New Comedy. Western culture absorbed Greco-Roman realism with the Renaissance, applying it relentlessly to drama of all kinds, only countenancing a chorus within the surreal conventions of opera and ballet.
Glossary
- Alan Hughes, University of Victoria, British Columbia
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- Book:
- Performing Greek Comedy
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- 05 February 2012
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- 27 October 2011, pp 287-291
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Chapter 8 - The masks of comedy
- Alan Hughes, University of Victoria, British Columbia
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- Book:
- Performing Greek Comedy
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- 05 February 2012
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- 27 October 2011, pp 166-177
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Summary
In the 1950s, two plaster masks hung above the screen in my local cinema, the corners of their gaping, stylized mouths sweeping downwards for tragedy, and up for comedy. Every popcorn-eating kid at the Saturday matinee understood that these were symbols of theatre and film. They still are: a website dedicated to them offers 500 designs. Today, we use ‘mask’ as a verb, synonymous with ‘hide’ or ‘conceal’: cedar siding masks an ugly concrete wall, a villain is unmasked. A Greek actor's prosopeion concealed his face, but perhaps not his identity, which the judges must have been able to recognize in order to award a prize. Each time he donned a fresh mask, it instantly defined a dramatic character, showing the audience a new face (prosopon), a separate being who was more than an actor pulling faces. Recognizing its general characteristics, spectators could promptly identify each mask by type: hetaira or kore, slave or old citizen. Within a type, distinctions between Peisetairos and Euelpides, or the individuality of Lysistrata and the Sausage-seller, emerged with further acquaintance.
What masks were like
No Greek masks have survived, but thousands of images in painting, sculpture, terracotta models and bronze show that the actor's head was entirely enclosed. Masks were composed of a rigid, moulded face, with attached hair, in varying proportions according to type. Tragedy masks usually had abundant hair, which the actor could simply lift in order to enter from the rear. Since comedy masks were often bald on top, the crown must have been moulded in one piece with the face; hair at the back and sides completed the mask. The face surrounded the actor's head sufficiently to carry the ears, which were often large; for satyr plays they were inhuman, pointed and obviously artificial. Masks of men were brown, those of young women, white. The mouth of a mute ‘extra’ could be closed, but a speaking character's mouth was necessarily open, and often very large, but without visible teeth except in several Hellenistic replicas, where the actor's mouth may be seen inside.
Contents
- Alan Hughes, University of Victoria, British Columbia
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- Book:
- Performing Greek Comedy
- Published online:
- 05 February 2012
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- 27 October 2011, pp v-ix
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