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Childhood trauma and adversity are common across societies and have strong associations with physical and psychiatric morbidity throughout the life-course. One possible mechanism through which childhood trauma may predispose individuals to poor psychiatric outcomes is via associations with brain structure. This study aimed to elucidate the associations between childhood trauma and brain structure across two large, independent community cohorts.
Methods
The two samples comprised (i) a subsample of Generation Scotland (n=1,024); and (ii) individuals from UK Biobank (n=27,202). This comprised n=28,226 for mega-analysis. MRI scans were processed using Free Surfer, providing cortical, subcortical, and global brain metrics. Regression models were used to determine associations between childhood trauma measures and brain metrics and psychiatric phenotypes.
Results
Childhood trauma associated with lifetime depression across cohorts (OR 1.06 GS, 1.23 UKB), and related to early onset and recurrent course within both samples. There was evidence for associations between childhood trauma and structural brain metrics. This included reduced global brain volume, and reduced cortical surface area with highest effects in the frontal (β=−0.0385, SE=0.0048, p(FDR)=5.43x10−15) and parietal lobes (β=−0.0387, SE=0.005, p(FDR)=1.56x10−14). At a regional level the ventral diencephalon (VDc) displayed significant associations with childhood trauma measures across both cohorts and at mega-analysis (β=−0.0232, SE=0.0039, p(FDR)=2.91x10−8). There were also associations with reduced hippocampus, thalamus, and nucleus accumbens volumes.
Discussion
Associations between childhood trauma and reduced global and regional brain volumes were found, across two independent UK cohorts, and at mega-analysis. This provides robust evidence for a lasting effect of childhood adversity on brain structure.
Major depressive disorder (MDD) was previously associated with negative affective biases. Evidence from larger population-based studies, however, is lacking, including whether biases normalise with remission. We investigated associations between affective bias measures and depressive symptom severity across a large community-based sample, followed by examining differences between remitted individuals and controls.
Methods
Participants from Generation Scotland (N = 1109) completed the: (i) Bristol Emotion Recognition Task (BERT), (ii) Face Affective Go/No-go (FAGN), and (iii) Cambridge Gambling Task (CGT). Individuals were classified as MDD-current (n = 43), MDD-remitted (n = 282), or controls (n = 784). Analyses included using affective bias summary measures (primary analyses), followed by detailed emotion/condition analyses of BERT and FAGN (secondary analyses).
Results
For summary measures, the only significant finding was an association between greater symptoms and lower risk adjustment for CGT across the sample (individuals with greater symptoms were less likely to bet more, despite increasingly favourable conditions). This was no longer significant when controlling for non-affective cognition. No differences were found for remitted-MDD v. controls. Detailed analysis of BERT and FAGN indicated subtle negative biases across multiple measures of affective cognition with increasing symptom severity, that were independent of non-effective cognition [e.g. greater tendency to rate faces as angry (BERT), and lower accuracy for happy/neutral conditions (FAGN)]. Results for remitted-MDD were inconsistent.
Conclusions
This suggests the presence of subtle negative affective biases at the level of emotion/condition in association with depressive symptoms across the sample, over and above those accounted for by non-affective cognition, with no evidence for affective biases in remitted individuals.
The feasibility of non-pharmacological public health interventions (NPIs) such as physical distancing or isolation at home to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission in low-resource countries is unknown. Household survey data from 54 African countries were used to investigate the feasibility of SARS-CoV-2 NPIs in low-resource settings. Across the 54 countries, approximately 718 million people lived in households with ⩾6 individuals at home (median percentage of at-risk households 56% (95% confidence interval (CI), 51% to 60%)). Approximately 283 million people lived in households where ⩾3 people slept in a single room (median percentage of at-risk households 15% (95% CI, 13% to 19%)). An estimated 890 million Africans lack on-site water (71% (95% CI, 62% to 80%)), while 700 million people lacked in-home soap/washing facilities (56% (95% CI, 42% to 73%)). The median percentage of people without a refrigerator in the home was 79% (95% CI, 67% to 88%), while 45% (95% CI, 39% to 52%) shared toilet facilities with other households. Individuals in low-resource settings have substantial obstacles to implementing NPIs for mitigating SARS-CoV-2 transmission. These populations urgently need to be prioritised for coronavirus disease 2019 vaccination to prevent disease and to contain the global pandemic.
We present δ13C, δ15N, and δ34S measurements on archaeological human and animal bone collagen samples from a shell midden dating to the Neolithic ca. 4000–3500 cal BC, together with measurements on modern fish and shellfish. These data were used in conjunction with the Bayesian mixing model, Food Reconstruction Using Isotopic Transferred Signals (FRUITS), to reconstruct human diet at the site. We demonstrate the importance of using a geographically appropriate faunal baseline in stable isotope paleodietary studies, and suggest that Neolithic individuals at this site consumed up to ca. 21% of dietary protein from marine resources, despite stable isotope ratios that imply a wholly terrestrial diet. This marine resource consumption does not significantly shift the radiocarbon (14C) dates of these individuals, so although we must consider the use of marine resources at the site, the chronology that has previously been established is secure. The δ13C and δ15N measurements from the archaeological herbivore bone collagen indicate that it is unlikely they ate plants enriched with fertilisers such as manure or seaweed. The δ34S values reveal a sea-spray effect; therefore, in this instance, δ34S cannot be used as a dietary indicator but can be used to demonstrate the likely locality of the fauna.
Understanding the benefits and outcomes of Canada's public investment in Arctic science and associated community–researcher partnerships represents a significant challenge for government. This paper presents a capital assets-based approach to conceptualising northern research partnership development processes and assessing the potential outcomes. By more explicitly considering the pre- and post-partnership asset levels (that is, social, human, physical, financial and natural assets) for different collaborators, the potential benefits and challenges associated with community–researcher partnerships can be collaboratively assessed. In order to help refine this approach, we conducted a survey of those involved in developing and maintaining community–researcher partnerships across Arctic Canada. Results indicate that the proposed approach could be useful for research funding agencies seeking to better understand partnership outcomes and promote more effective community–researcher interactions. Challenges include adequately capturing the qualitative nature of different capital assets, pointing to future research and policy needs. Better understanding the role of research in northern development has the potential to improve northern research, policy and practice.
Some species-rich secondary forests in New Caledonia have a monodominant canopy. Here we investigate growth and biomass allocation traits that might explain single-species’ dominance of these post-disturbance stands, and their later decline in the absence of large-scale disturbance. Seedlings of 20 rain-forest trees were grown in two light treatments in a nursery house. In the sun treatment, monodominants grew faster (56.7 ± 1.4 mg g−1 wk−1) than subordinates (40.2 ± 2.6 mg g−1 wk−1). However, some episodically regenerating (ER) subordinates had high growth rates similar to those of monodominants. In the shade treatment, monodominants and subordinates had similar growth rates (33.7 ± 2.6 and 34.0 ± 1.9 mg g−1 wk−1 respectively). Notably, monodominants in both sun and shade treatments had lower root mass fraction (0.29 ± 0.02 and 0.27 ± 0.02 g g−1 respectively) than subordinates (0.39 ± 0.02 and 0.37 ± 0.02 g g−1). Fast growth in sunny conditions is probably imperative for these relatively shade-intolerant ER monodominants. In field conditions, high shoot mass fraction combined with efficient root performance may facilitate faster growth in monodominants competing with other ER species in sunlit sites. Slower growth in shade may contribute to loss of dominance over time in undisturbed forests.
We evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly.
An important component of northern research in Canada has been a strong emphasis on local participation. However, the policy and permit landscape for community participation therein is heterogeneous and presents specific challenges in promoting effective partnerships between researchers and local participants. We conducted a survey of northern research stakeholders across Canada in order better to understand the benefits and challenges associated with research partnerships with a view to informing northern research policy and practice. We found that local engagement at the proposal and research design phases, the hiring of community researchers and engagement of local persons at the results dissemination phase were important factors affecting success. Respondents also indicated a lack of social capital (trust and reciprocity) between researchers and communities as placing a negative impact on science partnerships. Overall, researchers were perceived to benefit more from research partnerships than their community counterparts. Partnerships in northern research will possibly require further decentralisation of power to achieve the policy objectives of local community participation. This could be achieved, in part, by allowing non-academic principal investigators to receive funding, or by involving communities in research priority-setting, proposal review and funding allocation processes.
The development of small-scale kingdoms in the post-Roman world of northwestern Europe is a key stage in the subsequent emergence of medieval states. Recent excavations at Rhynie in north-eastern Scotland have thrown important light on the emergence of one such kingdom, that of the Picts. Enclosures, sculptured ‘symbol stones’ and long-distance luxury imports identify Rhynie as a place of growing importance during the fifth to sixth centuries AD. Parallels can be drawn with similar processes in southern Scandinavia, where leadership combined roles of ritual and political authority. The excavations at Rhynie and the synthesis of dated Pictish enclosures illustrate the contribution that archaeology can make to the understanding of state formation processes in early medieval Europe.
We must build for this nation a big passion for innovation. We must make the development of the creative mind a national agenda. Unless we get really serious about cultivating creativity and promoting innovation, the transformation to an innovation economy will not really happen.
Viral respiratory pathogens cause outbreaks in pediatric long-term care facilities (LTCFs), but few studies have used viral diagnostic testing to identify the causative pathogens. We describe the use of such testing during a prolonged period of respiratory illness and elucidate the epidemiology of human metapneumovirus (hMPV) at our LTCF.
Design.
Retrospective study of influenza-like illness (ILI).
Setting.
A 136-bed pediatric LTCF from January 1 through April 30, 2010.
Methods.
The ILI case definition included fever, cough, change in oropharyngeal secretions, increase in oxygen requirement, and/or wheezing.
Results.
During the study period, 69 episodes of ILI occurred in 61 (41%) of 150 residents. A viral pathogen was detected in 27 (39%) of the episodes, including respiratory syncytial virus (RSV) (n = 3), influenza A virus (not typed; n = 2), parainfluenza virus (n = 2), adenovirus (n = 1), and hMPV (n = 19). Twenty-seven of the residents with ILI (44%) required transfer to acute care hospitals (mean length of hospitalization, 12 days; range, 3–47 days). Residents with tracheostomies were more likely to have ILI (adjusted odds ratio [OR], 3.99 [95% confidence interval {CI}, 1.87–8.53]; P = .0004). The mortality rate for residents with ILI was 1.6%. Residents with hMPV were younger (P = .03), more likely to be transferred to an acute care facility (OR, 3.73 [95% CI, 1.17–11.95]; P = .02), and less likely to have a tracheostomy (adjusted OR, 0.19 [95% CI, 0.047–0.757]; P = .02).
Discussion.
Diverse pathogens, most notably hMPV, caused ILI in our pediatric LTCF during a prolonged period of time. Viral testing was helpful in characterizing the epidemiology of ILI in this population.
A cattle-baited (C-B) trap and a Trueman–McIver (T-M) segregating CO2 trap provided information on seasonal abundance, host-seeking activity, and blood-feeding of biting-flies near St. John's, Newfoundland. A total of 19 682 biting-flies (26 species) were collected (C-B trap = 11 407; T-M trap = 8275) from 26 May to 16 September 1982. Black-flies (Simuliidae) comprised 94.1% of the total sample (C-B trap = 10 747; T-M trap = 7773). Mosquitoes (Culicidae), biting midges (Ceratopogonidae), and tabanids (Tabanidae) comprised the remainder. Blood-fed flies represented 54.7% of the total catch in the C-B trap, but the proportion varied considerably among species. Black-fly activity was concentrated in June and July, though flies were also collected in May, August, and September. Prosimulium mixtum was the predominant species in June and Simulium venustum/verecundum complex was the major pest in July. Prosimulium mixtum was most active from mid-morning to late-afternoon, with little evening activity. Simulium venustum/verecundum complex showed 2 peaks of activity, one in the morning and another in the early evening. A few P. mixtum and S. venustum/verecundum complex were active after dark. Captures from the T-M and C-B traps were compared to test the reliability of the T-M trap as an indicator of activity of biting-flies attracted to cattle. Significant correlations (P < 0.001) between the number of flies collected in the 2 traps were found for P. mixtum and S. venustum/verecundum complex. Remaining species were taken in numbers too low for analysis.
Case studies contribute more focused analyses which, in the context of human loss and damage, demonstrate the effectiveness of response strategies and prevention measures and identify lessons about success in disaster risk reduction and climate change adaptation. The case studies were chosen to complement and be consistent with the information in the preceding chapters, and to demonstrate aspects of the key messages in the Summary for Policymakers and the Hyogo Framework for Action Priorities.
The case studies were grouped to examine types of extreme events, vulnerable regions, and methodological approaches. For the extreme event examples, the first two case studies pertain to events of extreme temperature with moisture deficiencies in Europe and Australia and their impacts including on health. These are followed by case studies on drought in Syria and dzud, cold-dry conditions in Mongolia. Tropical cyclones in Bangladesh, Myanmar, and Mesoamerica, and then floods in Mozambique are discussed in the context of community actions. The last of the extreme events case studies is about disastrous epidemic disease, using the case of cholera in Zimbabwe, as the example.
The case studies chosen to reflect vulnerable regions demonstrate how a changing climate provides significant concerns for people, societies, and their infrastructure. These are: Mumbai as an example of a coastal megacity; the Republic of the Marshall Islands, as an example of small island developing states with special challenges for adaptation; and Canada's northern regions as an example of cold climate vulnerabilities focusing on infrastructures.
Houses are fascinating because they seem to occupy a pivotal position in the spectrum of human construction. They are, perhaps, located right on the watershed between what is generally understood as ‘architecture’ and what is considered as just ‘building’. They allow us to probe the very definition of what architecture is perceived to be. Using the typology of the dwelling - and three examples from three architectural practices - we examine differing responses to context, climate and the vernacular, documenting and evaluating commonalities and differentials in design approaches. The examples are a holiday home in Dungeness by NORD, an artists’ residence and studio on Loch Fyne by GMA and a house on the Isle of Lewis by studioKAP.
A leading figure in Romanticism and a political campaigner committed to social reform, Lord Byron (1788–1824) is regarded as one of the greatest of British poets. First published in 1922, this two-volume work is a compilation of letters Byron wrote between 1808 and 1824 to some of his close friends, including Lady Melbourne, John Cam Hobhouse, a fellow-student at Cambridge, and Percy Bysshe Shelley. The introduction and biographical notes by the publisher John Murray IV (1851–1928), grandson of Byron's own publisher John Murray II, supplement the letters and restore their narrative thread. Volume 1 covers the period 1808–15, from the trip Byron took across Europe with Hobhouse as a young man to his marriage to Anne Isabella Milbanke. A large portion of the volume is devoted to Byron's letters to Lady Melbourne, in which he reveals the many details of his tormented love life.
A leading figure in Romanticism and a political campaigner committed to social reform, Lord Byron (1788–1824) is regarded as one of the greatest of British poets. First published in 1922, this two-volume work is a compilation of letters Byron wrote between 1808 and 1824 to some of his close friends, including Lady Melbourne, John Cam Hobhouse, a fellow-student at Cambridge, and Percy Bysshe Shelley. The introduction and biographical notes by the publisher John Murray IV (1851–1928), grandson of Byron's own publisher John Murray II, supplement the letters and restore their narrative thread. Volume 2 features the letters Byron wrote from 1816 until his death. It focuses on Byron's exile in Italy and his involvement in the Greek independence movement. Three appendices provide additional perspectives, and include letters from Anne Isabella Milbanke (to whom Byron was briefly married), and his rejected lover Lady Caroline Lamb.