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Gravity currents are a ubiquitous density-driven flow occurring in both the natural environment and in industry. They include: seafloor turbidity currents, primary vectors of sediment, nutrient and pollutant transport; cold fronts; and hazardous gas spills. However, while the energetics are critical for their evolution and particle suspension, they are included in system-scale models only crudely, so we cannot yet predict and explain the dynamics and run-out of such real-world flows. Herein, a novel depth-averaged framework is developed to capture the evolution of volume, concentration, momentum and turbulent kinetic energy from direct integrals of the full governing equations. For the first time, we show the connection between the vertical profiles, the evolution of the depth-averaged flow and the energetics. The viscous dissipation of mean-flow energy near the bed makes a leading-order contribution, and an energetic approach to entrainment captures detrainment of fluid through particle settling. These observations allow a reconsideration of particle suspension, advancing over 50 years of research. We find that the new formulation can describe the full evolution of a shallow dilute current, with the accuracy depending primarily on closures for the profiles and source terms. Critically, this enables accurate and computationally efficient hazard risk analysis and earth surface modelling.
This article replicates and “stress tests” a recent finding by Eckel and Grossman (2003) that matching subsidies generate substantially higher Charity Receipts than theoretically comparable rebate subsidies. In a first replication treatment, we show that most choices are consist with a “constant (gross) contribution” rule, suggesting that inattention to the subsidies’ differing net consequences may explain the higher revenues elicited with matching subsidies. Results of additional treatments suggest that (a) the charity dimension of the decision problems has little to do with the result, and (b) extra information regarding the net consequences of decisions reduces but does not eliminate the result.
The emerging perspectives and implementation aspects presented in this review article outline infection prevention core components supported by recent research relevant to the mitigation of Hospital Onset Bacteremia and Fungemia in a surveillance setting that includes expanded efforts to all vascular access devices.
People simultaneously entangled in multiple state systems are often subject to contradictory legal mandates that can foster distrust and incentivize system avoidance. This study focuses on those indebted to both the child support system and the criminal legal system, a situation we describe as dual debt. We ask whether and how the imposition of legal debts with punitive surveillance and collections mechanisms fosters alienation in the form of legal cynicism and estrangement, which we refer to jointly as legal anomie. Drawing from interview data in Minnesota, we find that legal anomie and system avoidance are mutually reinforcing processes, as debts in these systems triggered consequences that pushed people out of the formal labor market and heightened their distrust of legal institutions. The case of dual debt demonstrates how alienating and contradictory policy systems can foster both legal anomie and system avoidance, particularly in the context of economic and social precarity.
This article challenges the view that canon law was insignificant in the development of tenth-century English administrative and judicial institutions through a new study of Oda of Canterbury's Constitutiones, an important but neglected episcopal capitulary. Particular attention is paid to Oda's sources, the text's place in the legislative programme of King Edmund and the influence of wider European approaches to episcopal justice. The article shows that Oda's statutes endorsed an emerging system of collaborative justice between secular and ecclesiastical elites, thus demonstrating that tenth-century English governance was informed by a wider range of normative legal traditions than usually thought.
Spray drying dilute suspensions of bentonitic montmorillonite produces a powder that shows totally random orientation of the crystallites within a sample large enough to diffract X-rays. The powder is collected by an electrostatic precipitator and can be handled in the normal mounting processes without introducing preferred orientation. Electron micrographs show this powder to be composed on a small scale of thin, crumpled, and rolled films. The extremely small montmorillonite crystallites that make up the film are oriented with [001] directions perpendicular to the film surface. Orientation within the plane of the film is random as shown by selected area electron diffraction. Crumpling and rolling of the film is sufficient to make the orientation of [001] directions random in three dimensions in a large sample when X-ray diffraction is registered.
The X-ray diffraction patterns all show diffraction maxima (both hk and 00l), and their relative intensities with respect to each other can be determined. The line broadening of the 06 and the 003 peaks was studied. The average crystallite size as calculated from the line broadening varied from six to eleven unit layers thick for four bentonitic montmorillonites. The average lateral dimension of crystallites varied from 140 Å to 250 Å. Ratios of lateral dimensions to thickness varied from 2.3 to 3.4.
The interaction of water with synthetically prepared goethite (α-FeOOH) and amorphous hyd-rated ferric oxide surfaces was studied using i.r. absorption and water vapor adsorption measurements. I.R. results show that the last traces of physically adsorbed water are removed from the amorphous material by outgassing at 25°C. In contrast, goethite retains approximately a monolayer of physically adsorbed water with similar outgassing. This monolayer of water on goethite, which is presumably hydrogen-bonded at least in part with structural hydroxyls, is readily exchangeable with D2O.
Integral entropies of adsorption were evaluated from water vapor adsorption isotherms at 15, 25 and 35°C and compared with values for mobile and immobile layers calculated through application of statistical mechanics (McCafferty and Zettlemoyer, 1970). Entropy values for both the first physically adsorbed monolayer of water on the amorphous material and the second monolayer on goethite were about the same as or greater than those calculated for an immobile layer, indicating strong hydrogen bonding of water by both surfaces. The larger deviation between the entropy values for goethite and those calculated for the immobile layer may be associated with changes in the structure of the first as well as the second physically adsorbed water layers. Surface areas, calculated using the BET method, were 320 and 32 m2 g-1 for the amorphous material and goethite respectively. Since the unit surface activity is probably about the same for the two materials, it follows that as the amorphous material crystallizes to form goethite, there would be a reduction in total surface activity in proportion to the reduction in surface area.
The sedimentary rocks of the Taconic Cow Head klippe contain three clay-mineral suites of progressively younger stratigraphic occurrence. An illite—14A chlorite suite is the oldest, occurring in the Middle Cambrian to early Lower Ordovician part of the 310-m Cow Head Breccia. These earliest clays were transported from the stable craton and shelf, slowly accumulating during 70 x 106 yr on the continental slope in limestone breccia, green and gray shale, and argillaceous limestone. The illite and 14A chlorite are judged to be largely detrital. An illite-expandable chlorite suite is in early to late Lower Ordovician limestone breccia, green and gray shale, and argillaceous limestone of the Cow Head Breccia. A corrensite-illite-smectite suite of late Lower to Middle Ordovician age occurs in the Cow Head Breccia and throughout the overlying 200-m ‘Red Shale’ and the more than 400-m ‘Green Sandstone’ flysch sequence of volcanogenic sandstone and gray shale. Beginning in the early Lower Ordovician, increasing amounts of Mg2+-rich volcanic detritus were rapidly transported westward from a developing volcanic island arc in central Newfoundland. During burial metamorphism, volcanic materials and their alteration products reacted to form the illite-smectite with 5–10% expandable layers plus corrensite or expandable chlorite found in the younger two clay-mineral suites.
The nature of freshly-precipitated and aged hydrated ferric oxides prepared by the addition of ferric chloride to KOH was investigated by the use of scanning and transmission electron microscopy, X-ray diffraction, i.r. absorption, and pH 3·0 ammonium oxalate extraction. The results show the fresh material to be essentially non-crystalline hydrated ferric oxide, which when aged at 60°C C and high pH rapidly crystallizes as goethite, without any indication of coexisting hematite. The various methods were evaluated as indices of crystallinity for aging materials. The acid ammonium oxalate method was shown to extract selectively only the non-crystalline portion of such mixtures. The use of X-ray diffraction analysis for estimating aging stage requires elimination of the preferred orientation of the goethite crystals. While both the oxalate and X-ray methods can detect as little as 2 per cent crystallinity, the oxalate method is probably superior for quantitative determinations as it depends directly on an inherent difference in the solubility of the crystalline and non-crystalline materials, rather than on a technique dependent intensity measurement. The use of the intensity of the O-H bending vibrations of the infrared absorption spectra can also potentially detect as little as 2 per cent crystallinity, but the procedure is probably less useful for quantitative determinations than the oxalate or X-ray methods because of the problem of evaluating the area under the peaks.
Naturally occurring ammonium illites have been discovered in black shales surrounding a stratiform base metal deposit in the DeLong Mountains, northern Alaska. Infrared spectra of the samples exhibit pronounced absorption at 1430 cm−1, the resonant-banding frequency for NH4+ coordinated in the illite interlayer. X-ray powder diffraction characteristics of the ammonium illites include an expanded d(001) spacing, with values as large as 10.16 Å, and ratios for I001/I003 and I002/I005 of about 2. Infrared analyses of physical mixtures of NH4Cl with a standard illite, and comparisons with synthetic ammonium micas indicate significant substitution (>50%) of NH4+ for K+ in the illite interlayer position. Nitrogen determinations on two ammonium illites after removal of carbonaceous matter gave values of 1.48 wt. % NH4+ and 1.44 wt. % NH4+. A survey of more than 150 different shale horizons indicates that the NH4+ content of the illites increases in proximity to the stratiform base metal mineralization.
End members and species defined with permissible ranges of composition are presented for the true micas, the brittle micas and the interlayer-cation-deficient micas. The determination of the crystallochemical formula for different available chemical data is outlined, and a system of modifiers and suffixes is given to allow the expression of unusual chemical substitutions or polytypic stacking arrangements. Tables of mica synonyms, varieties, ill-defined materials and a list of names formerly or erroneously used for micas are presented. The Mica Subcommittee was appointed by the Commission on New Minerals and Mineral Names (“Commission”) of the International Mineralogical Association (IMA). The definitions and recommendations presented were approved by the Commission.
Symptoms relating to the musculoskeletal system are among the most common complaints registered by pregnant women. The maternal axial skeleton is subjected to considerable gestational changes and stresses; congenital and acquired skeletal anomalies may impact both the process and outcome of gestation and labor. The most common anomaly is scoliosis, arising either in the idiopathic form or from an underlying neuromuscular disorder. Other less common conditions include symptomatic lumbar disc herniation, ankylosing spondylitis, spondylolysis, and spondylolisthesis. Most scoliotic patients will experience pregnancy, labor, and delivery with a similar incidence of complications as the general population. However, within the population of scoliotic parturients, there is a subpopulation at higher risk for morbidity and mortality. These patients include those with scoliosis resulting from neuromuscular disorders and severe restrictive pulmonary disease complicated by pulmonary hypertension. A multidisciplinary team approach best serves these patients. The obstetric and anesthetic management of patients with less common and less extreme vertebral syndromes is guided by individual case characteristics.
The focus on social determinants of health (SDOH) and their impact on health outcomes is evident in U.S. federal actions by Centers for Medicare & Medicaid Services and Office of National Coordinator for Health Information Technology. The disproportionate impact of COVID-19 on minorities and communities of color heightened awareness of health inequities and the need for more robust SDOH data collection. Four Clinical and Translational Science Award (CTSA) hubs comprising the Texas Regional CTSA Consortium (TRCC) undertook an inventory to understand what contextual-level SDOH datasets are offered centrally and which individual-level SDOH are collected in structured fields in each electronic health record (EHR) system potentially for all patients.
Methods:
Hub teams identified American Community Survey (ACS) datasets available via their enterprise data warehouses for research. Each hub’s EHR analyst team identified structured fields available in their EHR for SDOH using a collection instrument based on a 2021 PCORnet survey and conducted an SDOH field completion rate analysis.
Results:
One hub offered ACS datasets centrally. All hubs collected eleven SDOH elements in structured EHR fields. Two collected Homeless and Veteran statuses. Completeness at four hubs was 80%–98%: Ethnicity, Race; < 10%: Education, Financial Strain, Food Insecurity, Housing Security/Stability, Interpersonal Violence, Social Isolation, Stress, Transportation.
Conclusion:
Completeness levels for SDOH data in EHR at TRCC hubs varied and were low for most measures. Multiple system-level discussions may be necessary to increase standardized SDOH EHR-based data collection and harmonization to drive effective value-based care, health disparities research, translational interventions, and evidence-based policy.
A major consideration for maritime activity in the Southern Hemisphere is the northern limit of icebergs, or the Southern Ocean Limit Of Known Ice (SOLOKI). This analysis of historical reports of icebergs during Southern Hemisphere voyages from 1687 to 1933 provides a basis for examination of their geographical and chronological occurrence during ~250 years. The analyses use tabulated data from 742 voyages and other reports from many sources, some including first-person descriptions. While these data are dependent on icebergs being reported by mariners, as well as the variable frequency of voyages, they demonstrate distinct periods of exceptional frequency of icebergs occurring in certain localities, particularly the far South Atlantic. Based upon historical records the evidence suggests unprecedented numbers of icebergs were present in southern shipping channels in the 1890s. When these historical observations are combined with modern iceberg drift trajectories, their possible origin can be elucidated. Owing to the numbers of icebergs seen and their geographical spread, our results suggest that this was possibly the largest near-synchronous calvings in the last 300 years, and the northernmost extent of the SOLOKI.
Since the initial publication of A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals in 2008, the prevention of healthcare-associated infections (HAIs) has continued to be a national priority. Progress in healthcare epidemiology, infection prevention, antimicrobial stewardship, and implementation science research has led to improvements in our understanding of effective strategies for HAI prevention. Despite these advances, HAIs continue to affect ∼1 of every 31 hospitalized patients,1 leading to substantial morbidity, mortality, and excess healthcare expenditures,1 and persistent gaps remain between what is recommended and what is practiced.
The widespread impact of the coronavirus disease 2019 (COVID-19) pandemic on HAI outcomes2 in acute-care hospitals has further highlighted the essential role of infection prevention programs and the critical importance of prioritizing efforts that can be sustained even in the face of resource requirements from COVID-19 and future infectious diseases crises.3
The Compendium: 2022 Updates document provides acute-care hospitals with up-to-date, practical expert guidance to assist in prioritizing and implementing HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Disease Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, with major contributions from representatives of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Pediatric Infectious Disease Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), the Surgical Infection Society (SIS), and others.
Adverse effects are a common concern when prescribing and reviewing medication, particularly in vulnerable adults such as older people and those with intellectual disability. This paper describes the development of an app giving information on side-effects, called Medichec, and provides a description of the processes involved in its development and how drugs were rated for each side-effect. Medications with central anticholinergic action, dizziness, drowsiness, hyponatraemia, QTc prolongation, bleeding and constipation were identified using the British National Formulary (BNF) and frequency of occurrence of these effects was determined using the BNF, product information and electronic searches, including PubMed.
Results
Medications were rated using a traffic light system according to how commonly the adverse effect was known to occur or the severity of the effect.
Clinical implications
Medichec can facilitate access to side-effects information for multiple medications, aid clinical decision-making, optimise treatment and improve patient safety in vulnerable adults.
This article argues that the liturgical tradition of celebrating Christmas on 25 December travelled from the Latin West to the Greek East at the behest of Theodosius I upon his arrival in Constantinople in AD 380. From there it made its way to Cappadocia, Pontus and Syrian Antioch by means of travelling clerics who belonged to a pro-Nicene network. The essay also makes the larger methodological point that in late antiquity liturgical traditions did not travel of their own accord; rather, they were often carried by networks of travelling bishops and ‘radiated out’ from major sees to minor ones.
Schooling transforms child development yet fades into the background in research on prosocial behavior. Mass education, however, was central to the concerns of founding theorists such as Durkheim, Dewey, and Piaget. Putting on a sociological lens makes it easier to see how schools continue to play an active role in prosocial development, and how the concerns of these founding researchers resonate today. To situate the active role of school contexts in prosocial behavior, this chapter first examines schools as social systems, structuring children’s social networks, imposing roles and norms of behavior, and impacting the timing of development. The chapter then examines classroom, pedagogical, and peer prosocial behaviors, and their connection to classic theoretical work in the field. After reviewing these forms of prosocial behavior, the chapter closes by examining the links between prosocial behavior and student outcomes and implications and future directions for theory, research, and practice.