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Impulsivity is a multidimensional trait associated with substance use disorders (SUDs), but the relationship between distinct impulsivity facets and stages of substance use involvement remains unclear.
Methods
We used genomic structural equation modeling and genome-wide association studies (N = 79,729–903,147) to examine the latent genetic architecture of nine impulsivity traits and seven substance use (SU) and SUD traits.
Results
We found that the SU and SUD factors were strongly genetically inter-correlated (rG=0.77) but their associations with impulsivity facets differed. Lack of premeditation, negative and positive urgency were equally positively genetically correlated with both the SU (rG=.0.30–0.50) and SUD (rG=0.38–0.46) factors; sensation seeking was more strongly genetically correlated with the SU factor (rG=0.27 versus rG=0.10); delay discounting was more strongly genetically correlated with the SUD factor (rG=0.31 versus rG=0.21); and lack of perseverance was only weakly genetically correlated with the SU factor (rG=0.10). After controlling for the genetic correlation between SU/SUD, we found that lack of premeditation was independently genetically associated with both the SU (β=0.42) and SUD factors (β=0.21); sensation seeking and positive urgency were independently genetically associated with the SU factor (β=0.48, β=0.33, respectively); and negative urgency and delay discounting were independently genetically associated with the SUD factor (β=0.33, β=0.36, respectively).
Conclusions
Our findings show that specific impulsivity facets confer risk for distinct stages of substance use involvement, with potential implications for SUDs prevention and treatment.
Coordination problems arise in many economic, political, and social situations. Many times, authorities and institutions are created to solve these coordination problems. However, the success of these institutions depends on whether people are willing to follow their prescriptions. Using a behavioral experiment on Amazon Mechanical Turk we analyze whether an authority can aid in solving hawk-dove coordination games and whether its success depends on a shared identity by the players. The authority is represented in our experiment by a randomizing device that recommends actions to players to implement a socially efficient correlated equilibrium. In the game, players are better off following the recommendations if they believe others will do as well. We investigate whether people are more likely to follow recommendations when they have a shared identity. We find that the device's success is not driven by group membership, but rather by the content of its recommendations.
Edited by
Rachel Thomasson, Manchester Centre for Clinical Neurosciences,Elspeth Guthrie, Leeds Institute of Health Sciences,Allan House, Leeds Institute of Health Sciences
Psychosis is a core area of practice across all psychiatric sub-specialties, each with its own challenges. This chapter illustrates some of the complexities involved in assessment and treatment of psychosis in general hospital settings. The intersection between schizophrenia and physical health risks is highlighted as a starting point before examining the approach to diagnosis and the range of presentations in different areas of the general hospital. Management of common queries is discussed, taking a bio-psycho-social approach. Finally, legal aspects of treating patients with psychosis are outlined using practical tips.
Infrared (Visible-Near Infrared-Shortwave Infrared (VNIR-SWIR)) spectroscopy is a cost-effective technique for mineral identification in the field. Modern hand-held spectrometers are equipped with on-board spectral libraries that enable rapid, qualitative analysis of most minerals and facilitate recognition of key alteration minerals for exploration. Spectral libraries can be general or customized for specific mineral deposit environments. To this end, careful collection of spectra in a controlled environment on pure specimens of key minerals was completed using the National Mineral Reference Collection (NMC) of the Geological Survey of Canada. The spectra collected from specimens in the ‘Kodama Clay Collection’ were processed using spectral plotting software and each new example was validated before being added to a group of spectra considered for incorporation into the on-board library of the handheld ASD-TerraSpec Halo near-infrared (NIR) mineral identification instrument. Spectra from an additional suite of mineral samples of the NMC containing REE, U, Th, and/or Nb are being prepared for a new, publicly available spectral library. These minerals commonly occur in carbonatite or alkali intrusive deposits, and as such will assist in the exploration for critical metals.
In this chapter, we discuss the logic and practice of quasi-experimentation. Specifically, we describe four quasi-experimental designs – one-group pretest–posttest designs, non-equivalent group designs, regression discontinuity designs, and interrupted time-series designs – and their statistical analyses in detail. Both simple quasi-experimental designs and embellishments of these simple designs are presented. Potential threats to internal validity are illustrated along with means of addressing their potentially biasing effects so that these effects can be minimized. In contrast to quasi-experiments, randomized experiments are often thought to be the gold standard when estimating the effects of treatment interventions. However, circumstances frequently arise where quasi-experiments can usefully supplement randomized experiments or when quasi-experiments can fruitfully be used in place of randomized experiments. Researchers need to appreciate the relative strengths and weaknesses of the various quasi-experiments so they can choose among pre-specified designs or craft their own unique quasi-experiments.
To examine differences in surgical practices between salaried and fee-for-service (FFS) surgeons for two common degenerative spine conditions. Surgeons may offer different treatments for similar conditions on the basis of their compensation mechanism.
Methods:
The study assessed the practices of 63 spine surgeons across eight Canadian provinces (39 FFS surgeons and 24 salaried) who performed surgery for two lumbar conditions: stable spinal stenosis and degenerative spondylolisthesis. The study included a multicenter, ambispective review of consecutive spine surgery patients enrolled in the Canadian Spine Outcomes and Research Network registry between October 2012 and July 2018. The primary outcome was the difference in type of procedures performed between the two groups. Secondary study variables included surgical characteristics, baseline patient factors, and patient-reported outcome.
Results:
For stable spinal stenosis (n = 2234), salaried surgeons performed statistically fewer uninstrumented fusion (p < 0.05) than FFS surgeons. For degenerative spondylolisthesis (n = 1292), salaried surgeons performed significantly more instrumentation plus interbody fusions (p < 0.05). There were no statistical differences in patient-reported outcomes between the two groups.
Conclusions:
Surgeon compensation was associated with different approaches to stable lumbar spinal stenosis and degenerative lumbar spondylolisthesis. Salaried surgeons chose a more conservative approach to spinal stenosis and a more aggressive approach to degenerative spondylolisthesis, which highlights that remuneration is likely a minor determinant in the differences in practice of spinal surgery in Canada. Further research is needed to further elucidate which variables, other than patient demographics and financial incentives, influence surgical decision-making.
There has recently been a focus on the question of statue removalism. This concerns what to do with public history statues that honor or otherwise celebrate ethically bad historical figures. The specific wrongs of these statues have been understood in terms of derogatory speech, inapt honors, or supporting bad ideologies. In this paper I understand these bad public history statues as history and identify a distinctive class of public history-specific wrongs. Specifically, public history plays an important identity-shaping role, and bad public history can commit specifically ontic injustice. Understanding bad public history in terms of ontic injustice helps understand not just how to address bad public history statues, but also the value of public history more broadly.
Philosophical accounts of humour standardly account for humour in terms of what happens within a person. On these internalist accounts, humour is to be understood in terms of cognition, perception, and sensation. These accounts, while valuable, are poorly situated to engage the social functions of humour. They have difficulty engaging why we value humour, why we use it define ourselves and our friendships, and why it may be essential to our self-esteem. In opposition to these internal accounts, I offer a social account of humour. This account approaches humour as a social practice. It foregrounds laughter and participation, and thereby gives an account of humour that helps to understand why we value humour, why we use it as we do, and why we use it to define our relationship to the world.
The COVID-19 pandemic and mitigation measures are likely to have a marked effect on mental health. It is important to use longitudinal data to improve inferences.
Aims
To quantify the prevalence of depression, anxiety and mental well-being before and during the COVID-19 pandemic. Also, to identify groups at risk of depression and/or anxiety during the pandemic.
Method
Data were from the Avon Longitudinal Study of Parents and Children (ALSPAC) index generation (n = 2850, mean age 28 years) and parent generation (n = 3720, mean age 59 years), and Generation Scotland (n = 4233, mean age 59 years). Depression was measured with the Short Mood and Feelings Questionnaire in ALSPAC and the Patient Health Questionnaire-9 in Generation Scotland. Anxiety and mental well-being were measured with the Generalised Anxiety Disorder Assessment-7 and the Short Warwick Edinburgh Mental Wellbeing Scale.
Results
Depression during the pandemic was similar to pre-pandemic levels in the ALSPAC index generation, but those experiencing anxiety had almost doubled, at 24% (95% CI 23–26%) compared with a pre-pandemic level of 13% (95% CI 12–14%). In both studies, anxiety and depression during the pandemic was greater in younger members, women, those with pre-existing mental/physical health conditions and individuals in socioeconomic adversity, even when controlling for pre-pandemic anxiety and depression.
Conclusions
These results provide evidence for increased anxiety in young people that is coincident with the pandemic. Specific groups are at elevated risk of depression and anxiety during the COVID-19 pandemic. This is important for planning current mental health provisions and for long-term impact beyond this pandemic.
Bold new essays demonstrate how Leonard Bernstein influenced American culture, society, and politics through his conducting, composing, political relationships, and activism.