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Urogenital schistosomiasis has 2 gender-specific manifestations, male genital schistosomiasis (MGS) and female genital schistosomiasis (FGS). The burdens of MGS and FGS are multifaceted, encompassing financial hardship, emotional and mental health problems and sometimes social stigmatization. Given the pernicious nature of sequelae in the genitalia, managing these chronic health conditions is expensive, difficult and problematic in resource poor settings. Key challenges include lack of epidemiological data on the burden of MGS and FGS, inadequate knowledge among primary and auxiliary health care workers, leading to misdiagnosis, incorrect treatment administration, e.g. overuse of antibiotics, and a lack of appropriate point-of-care diagnostic equipment. Prevention of MGS and FGS is therefore more preferable, however, current preventive programmes and chemotherapy campaigns offering praziquantel are becoming more resource constrained and in most endemic areas are not reaching at-risk adults (and adolescents), sufficiently. Furthermore, there are limited prospects for adequate access to treatment in pre-school children where infections can be first acquired. Therefore, we propose 3 key recommendations guiding movement towards elimination of schistosomiasis as a public health problem: scaling-up praziquantel treatment for other at-risk groups; developing a targeted One Health approach to reduce environmental transmission in both humans and animals; Multi-stakeholder collaboration and community engagement for effective implementation of Water Sanitation and Hygiene components of disease control. Whilst maintaining a school-based approach is still foundational, targeted and sustainable expansion of preventive chemotherapy to other at-risk groups within communities is needed to secure real prospects in elimination of genital schistosomiasis as a public health problem in Africa.
When faced with the challenge of forming a portfolio containing a risky and a risk-free asset, investors tend to apply the same portfolio weights independently of the volatility of the risky asset. This “percentage heuristic” can lead to different levels of portfolio risk when the same investor is presented with a more or a less risky asset. Using four experiments, we show that asking investors to choose the return distribution for their portfolio while keeping the exact portfolio weights unknown leads to greater similarity in levels of portfolio volatility (across different levels of risk of the risky asset) than asking investors to choose this distribution while additionally facing the portfolio weights. Higher consistency in risk taking is obtained both between and within test subjects.
From early on, infants show a preference for infant-directed speech (IDS) over adult-directed speech (ADS), and exposure to IDS has been correlated with language outcome measures such as vocabulary. The present multi-laboratory study explores this issue by investigating whether there is a link between early preference for IDS and later vocabulary size. Infants’ preference for IDS was tested as part of the ManyBabies 1 project, and follow-up CDI data were collected from a subsample of this dataset at 18 and 24 months. A total of 341 (18 months) and 327 (24 months) infants were tested across 21 laboratories. In neither preregistered analyses with North American and UK English, nor exploratory analyses with a larger sample did we find evidence for a relation between IDS preference and later vocabulary. We discuss implications of this finding in light of recent work suggesting that IDS preference measured in the laboratory has low test-retest reliability.
More than half of Schubert’s chamber works from 1824 to 1828 feature his preferred instrument, the piano. Yet in none of them does it function as an instrumental accompaniment, being instead an equal participant in a duo or trio chamber format. Especially in solo chamber works written for performance in recitals by befriended virtuoso instrumentalists, Schubert was perfectly willing to adapt the style brillant that flourished between 1820 and 1830. Based on the assumption that Schubert applied the style brillant solely for reasons of economy, his virtuoso chamber music has previously been considered to be of lesser value, mentioned only in passing. More recently, however, his turn to extroverted forms of expression has been described as a deliberate counterfoil to the introverted sublimation of his other ‘late’ works. This chapter considers the Fantasy in C Major (D934) and Variations in E Minor on ‘Trockne Blumen’ (D802) to show how Schubert discovered the sophisticated and outgoing mannerisms of the style brillant; it also discusses the development of ornamented variation techniques as an alternative to thematic development, and how this shift of emphasis between musical substance and figuration seems to anticipate the aesthetics of the Romantic arabesque.
In diaries, letters and memoirs written by his friends and contemporaries, as well as in visual representations, Schubert is most frequently depicted at the piano encircled by friends. His association with this instrument spanned most of his life and covered a wide range of musical genres including fantasies, sonatas, dances, variations, marches and character pieces (such as those in the Hungarian style), in addition to his cultivation of the piano duet (music for piano four hands). In his Lieder – one of the genres with which Schubert is chiefly associated today – and his instrumental chamber music, the piano also takes on a significant role, almost always extending far beyond the function of an accompaniment to the voice or solo instruments. Given the predominant position of the piano in his output, it could be surmised that it was his instrument of choice. Yet despite Schubert’s diverse use of the piano, previous research on his music for the instrument has tended to focus almost exclusively on the sonatas (for two hands), analysing their musical form, harmonic disposition and Schubert’s approach to thematic development in contrast to the ‘classical’ piano sonata and to a certain extent in the shadow of Beethoven’s piano sonatas.
In 2015, a new accelerator mass spectrometry facility (AMS), the ECHoMICADAS (Environnement, Climat, Homme, MIni CArbon DAting System), was installed in the Laboratoire des Sciences du Climat et de l’Environnement (LSCE). Equipped with a hybrid source, it allows the analysis of solid or gas samples for 14C measurement. Here, we summarize the equipment surrounding the Gas Interface System (GIS), namely the elemental analyzer (EA), the carbonate handling system (CHS2) and the ampoule cracker. We describe our model of sample contamination, taking into account the cross and the constant contaminations, and then describe how these contaminations were handled in the data processing. Both contaminant corrections are applied before the phases of blank subtraction and standard normalization, making it possible to use the standard, blank and sample ratios without contaminant during these phases. We finally present our results on normalization standards (N=118), blanks (N=125) and reference materials (N=117) for different measurement protocols and for sample masses between 3 and 300 µgC.