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The use of explosive weapons in populated areas (EWIPA) has a disproportionate impact on civilians. Many humanitarian organizations utilize varying sheltering guidelines to recommend safe positions for civilians affected by explosive threats. It is not known whether these recommendations are standardized or derived from evidence. This study aimed to identify existing recommendations and potential gaps in literature relevant to sheltering guidelines for civilians during explosive events.
Methods
A scoping review was conducted of the literature including indexed databases and grey literature to identify reports that described sheltering guidelines for civilians during explosive events. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) methodology was followed.
Results
The search identified 3582 peer-reviewed records. After title/abstract and full text screening, only 2 peer-reviewed reports remained eligible. These were combined with 13 gray literature reports obtained from humanitarian organizations and internet searches. The peer-reviewed reports included mine and unexploded ordnance guidelines, not guidelines for EWIPA or aerial bombardments. There is a substantial knowledge gap and heterogeneity in existing sheltering guidelines from explosive events, particularly those appropriate for protection from EWIPA.
Conclusions
Findings from this scoping review demonstrate a need for the creation and standardization of evidence-based civilian sheltering guidelines to mitigate the threat of explosive weapons to civilians in conflict.
Internal and external rotation of the shoulder is often challenging to quantify in the clinic. Existing technologies, such as motion capture, can be expensive or require significant time to setup, collect data, and process and analyze the data. Other methods may rely on surveys or analog tools, which are subject to interpretation. The current study evaluates a novel, engineered, wearable sensor system for improved internal and external shoulder rotation monitoring, and applies it in healthy individuals. Using the design principles of the Japanese art of kirigami (folding and cutting of paper to design 3D shapes), the sensor platform conforms to the shape of the shoulder with four on-board strain gauges to measure movement. Our objective was to examine how well this kirigami-inspired shoulder patch could identify differences in shoulder kinematics between internal and external rotation as individuals moved their humerus through movement patterns defined by Codman’s paradox. Seventeen participants donned the sensor while the strain gauges measured skin deformation patterns during the participants’ movement. One-dimensional statistical parametric mapping explored differences in strain voltage between the rotations. The sensor detected distinct differences between the internal and external shoulder rotation movements. Three of the four strain gauges detected significant temporal differences between internal and external rotation (all p < .047), particularly for the strain gauges placed distal or posterior to the acromion. These results are clinically significant, as they suggest a new class of wearable sensors conforming to the shoulder can measure differences in skin surface deformation corresponding to the underlying humerus rotation.
Helium or neopentane can be used as surrogate gas fill for deuterium (D2) or deuterium-tritium (DT) in laser-plasma interaction studies. Surrogates are convenient to avoid flammability hazards or the integration of cryogenics in an experiment. To test the degree of equivalency between deuterium and helium, experiments were conducted in the Pecos target chamber at Sandia National Laboratories. Observables such as laser propagation and signatures of laser-plasma instabilities (LPI) were recorded for multiple laser and target configurations. It was found that some observables can differ significantly despite the apparent similarity of the gases with respect to molecular charge and weight. While a qualitative behaviour of the interaction may very well be studied by finding a suitable compromise of laser absorption, electron density, and LPI cross sections, a quantitative investigation of expected values for deuterium fills at high laser intensities is not likely to succeed with surrogate gases.
This chapter illuminates the irreplaceable value of poetry in cultivating a cosmopolitan and democratic imagination. The authors contend that poetry evokes unanticipated or overlooked ideas, emotions, and possibilities; it provokes people to look beyond their settled views. Poetry uniquely fuels their ability to engage new thoughts, values, and practices. This ever-renewing quality of mind can, in turn, help people reimagine the nature and value of education continuously as circumstances and the needs they call out evolve. The authors suggest that these imaginative capacities are significant given the cosmopolitan and democratic challenges, and prospects, generated by an intensifying process of political, economic, and cultural globalization. The chapter features a reading of Walt Whitman’s well-known epic poem, “Song of Myself” (first published in 1855), which the authors show both articulates and enacts the most profound promise in a cosmopolitan and democratic imagination.
For several years the Círculos Bolivarianos were a key organized component of the movement supporting President Hugo Chávez in Venezuela and the question of their democratic qualities a source of considerable controversy, but until recently there was little data to test the competing claims of supporters and opponents. We report the results of a survey of 110 members of Círculos and several interviews carried out in four Venezuelan states during June and July 2004. After providing basic information on the Círculos, we analyze their tendency to contribute to a democratic civil society. We find that respondents had highly democratic goals and methods; however, their organizations embodied a charismatic mode of linkage to Chávez that undermined their ability to become institutionalized. In addition, although the Círculos performed valuable social work, they often reinforced clientelistic relations between Chávez and the voters, and they did not significantly enhance the level of pluralism in the broader civil society.
Kottwitz’s conjecture describes the contribution of a supercuspidal representation to the cohomology of a local Shimura variety in terms of the local Langlands correspondence. A natural extension of this conjecture concerns Scholze’s more general spaces of local shtukas. Using a new Lefschetz–Verdier trace formula for v-stacks, we prove the extended conjecture, disregarding the action of the Weil group, and modulo a virtual representation whose character vanishes on the locus of elliptic elements. As an application, we show that, for an irreducible smooth representation of an inner form of
$\operatorname {\mathrm {GL}}_n$
, the L-parameter constructed by Fargues–Scholze agrees with the usual semisimplified parameter arising from local Langlands.
We prove a generic smoothness result in rigid analytic geometry over a characteristic zero non-archimedean field. The proof relies on a novel notion of generic points in rigid analytic geometry which are well adapted to ‘spreading out’ arguments, in analogy with the use of generic points in scheme theory. As an application, we develop a six-functor formalism for Zariski-constructible étale sheaves on characteristic zero rigid spaces. Among other things, this implies that characteristic zero rigid spaces support a well-behaved theory of perverse sheaves.
In this study, we examined the relationship between polygenic liability for depression and number of stressful life events (SLEs) as risk factors for early-onset depression treated in inpatient, outpatient or emergency room settings at psychiatric hospitals in Denmark.
Methods
Data were drawn from the iPSYCH2012 case-cohort sample, a population-based sample of individuals born in Denmark between 1981 and 2005. The sample included 18 532 individuals who were diagnosed with depression by a psychiatrist by age 31 years, and a comparison group of 20 184 individuals. Information on SLEs was obtained from nationwide registers and operationalized as a time-varying count variable. Hazard ratios and cumulative incidence rates were estimated using Cox regressions.
Results
Risk for depression increased by 35% with each standard deviation increase in polygenic liability (p < 0.0001), and 36% (p < 0.0001) with each additional SLE. There was a small interaction between polygenic liability and SLEs (β = −0.04, p = 0.0009). The probability of being diagnosed with depression in a hospital-based setting between ages 15 and 31 years ranged from 1.5% among males in the lowest quartile of polygenic liability with 0 events by age 15, to 18.8% among females in the highest quartile of polygenic liability with 4+ events by age 15.
Conclusions
These findings suggest that although there is minimal interaction between polygenic liability and SLEs as risk factors for hospital-treated depression, combining information on these two important risk factors could potentially be useful for identifying high-risk individuals.
We completely classify the possible extensions between semistable vector bundles on the Fargues–Fontaine curve (over an algebraically closed perfectoid field), in terms of a simple condition on Harder–Narasimhan (HN) polygons. Our arguments rely on a careful study of various moduli spaces of bundle maps, which we define and analyze using Scholze’s language of diamonds. This analysis reduces our main results to a somewhat involved combinatorial problem, which we then solve via a reinterpretation in terms of the Euclidean geometry of HN polygons.
We designed, developed, and implemented a new hospital-based health technology assessment (HB-HTA) program called Smart Innovation. Smart Innovation is a decision framework that reviews and makes technology adoption decisions. Smart Innovation was meant to replace the fragmented and complex process of procurement and adoption decisions at our institution. Because use of new medical technologies accounts for approximately 50 percent of the growth in healthcare spending, hospitals and integrated delivery systems are working to develop better processes and methods to sharpen their approach to adoption and management of high cost medical innovations.
Methods
The program has streamlined the decision-making process and added a robust evidence review for new medical technologies, aiming to balance efficiency with rigorous evidence standards. To promote system-wide adoption, the program engaged a broad representation of leaders, physicians, and administrators to gain support.
Results
To date, Smart Innovation has conducted eleven HB-HTAs and made clinician-led adoption decisions that have resulted in over $5 million dollars in cost avoidance. These are comprised of five laboratory tests, three software-assisted systems, two surgical devices, and one capital purchase.
Conclusions
Smart Innovation has achieved cost savings, avoided uncertain or low-value technologies, and assisted in the implementation of new technologies that have strong evidence. The keys to its success have been the program's collaborative and efficient decision-making systems, partnerships with clinicians, executive support, and proactive role with vendors.
We prove a rigid analytic analogue of the Artin–Grothendieck vanishing theorem. Precisely, we prove (under mild hypotheses) that the geometric étale cohomology of any Zariski-constructible sheaf on any affinoid rigid space $X$ vanishes in all degrees above the dimension of $X$. Along the way, we show that branched covers of normal rigid spaces can often be extended across closed analytic subsets, in analogy with a classical result for complex analytic spaces. We also prove some new comparison theorems relating the étale cohomology of schemes and rigid analytic varieties, and give some applications of them. In particular, we prove a structure theorem for Zariski-constructible sheaves on characteristic-zero affinoid spaces.
It is commonplace in current legal scholarship that pay packages for executives that were not tied to the impact of these executives' policies on shareholder wealth maximization often caused harm to shareholder interests and their companies, especially in the long term. The no-pay-without-performance postulate is as old as the first global economic crisis of the 20th century – the deep depression. Since then, this postulate has been repeated and substantiated innumerous times by the majority of experts in corporate law and business economics, but without real success. There are, however, commentators who deny the existence of a link between skewed incentive pay, excessive risk-taking, and financial losses. They instead insist on the superiority of the traditional director-centric model of corporate governance, which would allegedly preserve the balance that has generally worked well between the limited role and limited liability of shareholders and the active role, fiduciary duties, and potential liability of managers, which allegedly renders additional executive pay regulation unnecessary.
This study examined the effectiveness of a formal postdoctoral education program designed to teach skills in clinical and translational science, using scholar publication rates as a measure of research productivity.
Method
Participants included 70 clinical fellows who were admitted to a master’s or certificate training program in clinical and translational science from 1999 to 2015 and 70 matched control peers. The primary outcomes were the number of publications 5 years post-fellowship matriculation and time to publishing 15 peer-reviewed manuscripts post-matriculation.
Results
Clinical and translational science program graduates published significantly more peer-reviewed manuscripts at 5 years post-matriculation (median 8 vs 5, p=0.041) and had a faster time to publication of 15 peer-reviewed manuscripts (matched hazard ratio = 2.91, p=0.002). Additionally, program graduates’ publications yielded a significantly higher average H-index (11 vs. 7, p=0.013).
Conclusion
These findings support the effectiveness of formal training programs in clinical and translational science by increasing academic productivity.
Dietary phosphoglycerides and n-3 long-chain PUFA (LC-PUFA) play important functions in the development of pikeperch (Sander lucioperca) larvae. This study aimed to determine optimal dietary levels of soyabean lecithin (SBL)-derived phospholipids (PL) in starter feeds for pikeperch larvae 10–30 d post-hatch (DPH) and examine performance and ontogeny by additional supplementation of n-3 LC-PUFA in the form of Algatrium DHA 70 (glyceride product; 660–700 mg/g DHA; EPA 60–75 mg/g). In total, six isoproteic and isoenergetic extruded diets were formulated with increasing levels of PL (3·7, 8·3 or 14·5 % wet weight (w.w.), respectively); however, three of the diets were supplemented with three levels of Algatrium DHA 70 (0·6, 2·0 or 3·4 %, respectively). Liver proteomic analyses of larvae at 30 DPH were included for effects of PL and primarily DHA on performance, physiological expression and interactions in larval proteins. In addition, bone anomalies, digestive enzymatic activity, candidate gene expression and skeleton morphogenesis were examined. Results confirmed the importance of dietary PL levels of at least 8·2 % w.w., and an additional beneficiary effect of supplementation with DHA plus EPA. Thus, combined supplementation of SBL (up to 14·51 % w.w. PL) and n-3 LC-PUFA (1·004 % DM DHA and 0·169 % DM EPA) in the form of TAG resulted in highest growth and lowest incidence of anomalies, improved digestive enzyme activity and had differential effect on liver proteomics. The results denote that essential fatty acids can be supplemented as TAG to have beneficial effects in pikeperch larvae development.
Global production networks are primarily an instrument designed to avoid the power of organized labour. Through the efficiency of the shipping container, the global transport chain has facilitated the movement of production to unprotected and often desperate workers. As conditions improve in these sites, through workers’ burgeoning ability to organize and make demands, trade treaties and the transport chain are once again restructured in order to retain power and capture the surplus value that can be extracted from another unprotected group. Under such conditions, established trade unionists are grappling with a difficult series of contradictions manifest at every level, from the individual to the global. The choices between an increasingly compromised effort to preserve hard-won ground and an increasingly risky requirement for global solidarity work are daunting. The Global Union Federations, some of which have been around for more than 100 years, are taking up a central role in this struggle, but, as products of a historical and democratic movement, they are also hampered by the same divisions that beset the shopfloor membership.
Eliminating Workers
Rose George's recent book on the shipping industry, Deep Sea and Foreign Going (2013), seems to have captured at least some of the public interest in what another writer aptly calls ‘the forgotten space’ (Sekkula and Burch, 2010). George juxtaposes the historical romance of the high seas with the sheer boredom and isolation experienced by the contemporary seafarer working on the icon of our global production networks, the container ship. Even the docks of the largest ports, which once mythically teemed with sailors and stevedores, are now depopulated spaces as automation reduces on- and offloading, and so cuts a ship's time in port, from days to a couple of hours.
Note that the crucial role of transport workers in industrial processes has made them a definitive force in the history of organized labour and note that stevedores and sailors are the historical backbone of international labour solidarity. Note that in 2013 the Danish global shipping giant, Maersk, launched its newest vessel, the triple E class container ship Maersk Mc-Kinney-Moller. For the moment, it is the largest container ship in the world, with capacity for more than 18,000 twenty-foot equivalent unit containers (TEUs). Reportedly, its ‘Safe Operating Certificate’ permits a thirteen-member crew. This includes bridge, deck, engineering and cabin crew. This is shift work.
An ∼8400 cal yr record of vegetation change from the northern Peten, Guatemala, provides new insights into the environmental history of the archaeological area known as the Mirador Basin. Pollen, loss on ignition, and magnetic susceptibility analyses indicate warm and humid conditions in the early to mid-Holocene. Evidence for a decrease in forest cover around 4600 cal yr B.P. coincides with the first appearance of Zea mays pollen, suggesting that human activity was responsible. The period between 3450 cal yr B.P. and 1000 cal yr B.P. is characterized by a further decline in forest pollen types, includes an abrupt increase in weedy taxa, and exhibits the highest magnetic susceptibility values since the early Holocene, all of which suggest further agricultural disturbance in the watershed. A brief drop in disturbance indicators around 1800 cal yr B.P. may represent the Preclassic abandonment of the area. Changing pollen frequencies around 1000 cal yr B.P. indicate a cessation of human disturbance, which represents the Late Classic collapse of the southern Maya lowlands.
Weed interference with crop growth is often attributed to water, nutrient, or light competition; however, specific physiological responses to these stresses are not well described. This study's objective was to compare growth, yield, and gene expression responses of corn to nitrogen (N), low light (40% shade), and weed stresses. Corn vegetative parameters from V2 to V12 stages, yield parameters, and gene expression using transcriptome (2008) and quantitative polymerase chain reaction (qPCR) (2008/09) analyses at V8 were compared among the stresses and with nonstressed corn. N stress did not affect vegetative parameters, although grain yield was reduced by 40% compared with nonstressed plants. Shade, present until V2, reduced biomass and leaf area > 50% at V2, and recovering plants remained smaller than nonstressed plants at V12. However, grain yields of shade-stressed and nonstressed plants were similar, unless shade remained until V8. Weed stress reduced corn growth and yield in 2008 when weeds remained until V6. In 2009, weed stress until V2 reduced corn vegetative growth, but yield reductions occurred only if weed stress remained until V6 or later. Principle component analysis of differentially expressed genes indicated that shade and weed stress had more similar gene expression patterns to each other than they did to nonstressed or N-stressed tissues. However, corn grown in N-stressed conditions shared 252 differentially expressed genes with weed-stressed plants. Ontologies associated with light/photosynthesis, energy conversion, and signaling were down-regulated in response to all three stresses. Shade and weed stress clustered most tightly together, based on gene expression, but shared only three ontologies, O-METHYLTRANSFERASE activity (lignification processes), POLY(U)-BINDING activity (posttranscriptional gene regulation), and stomatal movement. Based on morphologic and genomic observations, weed stress to corn was not explained by individual effects of N or light stress. Therefore, we hypothesize that these stresses share limited signaling mechanisms.
Pheasant hunting benefits of the Conservation Reserve Program (CRP) were approximately $80 million/year in 1991 in states where the CRP appears most critical to pheasant populations. To obtain this benefit measure, the demand for pheasant hunting was estimated using a recently developed multi-site demand model, a national survey on recreation, and environmental data processed through a geographic information system (GIS). Thus not only is the resulting evaluation of the CRP's environmental impacts more accurately assessed than through the use of the generalized, supply-demand equilibrium models of previous work, but, more importantly, the environmental benefits of program acreage can be compared across field locations allowing subtle changes in policy to be assessed and the design and operation of a program to be optimized.
Objectives: Prominent impairment of visuospatial processing is a feature of dementia with Lewy bodies (DLB), and diagnosis of this impairment may help clinically distinguish DLB from Alzheimer’s disease (AD). The current study compared autopsy-confirmed DLB and AD patients on the Hooper Visual Organization Test (VOT), a test that requires perceptual and mental reorganization of parts of an object into an identifiable whole. The VOT may be particularly sensitive to DLB since it involves integration of visual information processed in separate dorsal and ventral visual “streams”. Methods: Demographically similar DLB (n=28), AD (n=115), and normal control (NC; n=85) participants were compared on the VOT and additional neuropsychological tests. Patient groups did not differ in dementia severity at time of VOT testing. High and Low AD-Braak stage DLB subgroups were compared to examine the influence of concomitant AD pathology on VOT performance. Results: Both patient groups were impaired compared to NC participants. VOT scores of DLB patients were significantly lower than those of AD patients. The diagnostic sensitivity and specificity of the VOT for patients versus controls was good, but marginal for DLB versus AD. High-Braak and low-Braak DLB patients did not differ on the VOT, but High-Braak DLB performed worse than Low-Braak DLB on tests of episodic memory and language. Conclusions: Visual perceptual organization ability is more impaired in DLB than AD but not strongly diagnostic. The disproportionate severity of this visual perceptual deficit in DLB is not related to degree of concomitant AD pathology, which suggests that it might primarily reflect Lewy body pathology. (JINS, 2016, 22, 609–619)