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93 Acceptability and Usability of Tablet-Based Neuropsychological Tests among South African and Ugandan Adolescents With and Without HIV
- Christopher M Ferraris, Rebecca Dunayev, Nour Kanaan, Courtney E Kirsch, Corey Morrison, Nana Asiedu, Daphne Tsapalas, Anthony F Santoro, Nicole J Phillips, Jacqueline Hoare, Angel Nanteza, Joy L Gumikiriza-Onoria, Victor Musiime, Sahera Dirajlal-Fargo, Reuben N Robbins
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- Journal:
- Journal of the International Neuropsychological Society / Volume 29 / Issue s1 / November 2023
- Published online by Cambridge University Press:
- 21 December 2023, pp. 495-496
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Objective:
Neuropsychological (NP) tests are increasingly computerized, which automates testing, scoring, and administration. These innovations are well-suited for use in resource-limited settings, such as low- to middle- income countries (LMICs), which often lack specialized testing resources (e.g., trained staff, forms, norms, equipment). Despite this, there is a dearth of research on their acceptability and usability which could affect performance, particularly in LMICs with varying levels of access to computer technology. NeuroScreen is a tablet-based battery of tests assessing learning, memory, working memory, processing speed, executive functions, and motor speed. This study evaluated the acceptability and usability of NeuroScreen among two groups of LMIC adolescents with and without HIV from Cape Town, South Africa and Kampala, Uganda.
Participants and Methods:Adolescents in Cape Town (n=131) and Kampala (n=80) completed NeuroScreen and questions about their use and ownership of, as well as comfort with computer technology and their experiences completing NeuroScreen. Participants rated their technology use -comfort with and ease-of-use of computers, tablets, smartphones, and NeuroScreen on a Likert-type scale: (1) Very Easy/Very Comfortable to (6) Very Difficult/Very Uncomfortable. For analyses, responses of Somewhat Easy/Comfortable to Very Easy/Comfortable were collapsed to codify comfort and ease. Descriptive statistics assessed technology use and experiences of using the NeuroScreen tool. A qualitative question asked how participants would feel receiving NeuroScreen routinely in the future; responses were coded as positive, negative, or neutral (e.g., “I would enjoy it”). Chi-squares assessed for group differences.
Results:South African adolescents were 15.42 years on average, 50.3% male, and 49% were HIV-positive. Ugandan adolescents were 15.64 years on average, 50.6% male, and 54% HIVpositive. South African participants were more likely than Ugandan participants to have ever used a computer (71% vs. 49%; p<.005), or tablet (58% vs. 40%; p<.05), whereas smartphone use was similar (94% vs 87%). South African participants reported higher rates of comfort using a computer (86% vs. 46%; p<.001) and smartphone (96% vs. 88%; p<.05) compared to Ugandan participants. Ugandan adolescents rated using NeuroScreen as easier than South African adolescents (96% vs. 87%; p<.05).). Regarding within-sample differences by HIV status, Ugandan participants with HIV were less likely to have used a computer than participants without HIV (70% vs. 57%; p<.05, respectively).The Finger Tapping test was rated as the easiest by both South African (73%) and Ugandan (64%) participants. Trail Making was rated as the most difficult test among Ugandan participants (37%); 75% of South African participants reported no tasks as difficult followed by Finger Tapping as most difficult (8%). When asked about completing NeuroScreen at routine doctor’s visits, most South Africans (85%) and Ugandans (72%) responded positively.
Conclusions:This study found that even with low prior tablet use and varying levels of comfort in using technology, South African and Ugandan adolescents rated NeuroScreen with high acceptability and usability. These data suggest that scaling up NeuroScreen in LMICs, where technology use might be limited, may be appropriate for adolescent populations. Further research should examine prior experience and comfort with tablets as predictors NeuroScreen test performance.
Lagrangian and Dirac constraints for the ideal incompressible fluid and magnetohydrodynamics
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- P. J. Morrison, T. Andreussi, F. Pegoraro
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- Journal of Plasma Physics / Volume 86 / Issue 3 / June 2020
- Published online by Cambridge University Press:
- 13 May 2020, 835860301
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The incompressibility constraint for fluid flow was imposed by Lagrange in the so-called Lagrangian variable description using his method of multipliers in the Lagrangian (variational) formulation. An alternative is the imposition of incompressibility in the Eulerian variable description by a generalization of Dirac’s constraint method using noncanonical Poisson brackets. Here it is shown how to impose the incompressibility constraint using Dirac’s method in terms of both the canonical Poisson brackets in the Lagrangian variable description and the noncanonical Poisson brackets in the Eulerian description, allowing for the advection of density. Both cases give the dynamics of infinite-dimensional geodesic flow on the group of volume preserving diffeomorphisms and explicit expressions for this dynamics in terms of the constraints and original variables is given. Because Lagrangian and Eulerian conservation laws are not identical, comparison of the various methods is made.
EPA guidance on the early intervention in clinical high risk states of psychoses
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- S.J. Schmidt, F. Schultze-Lutter, B.G. Schimmelmann, N.P. Maric, R.K.R. Salokangas, A. Riecher-Rössler, M. van der Gaag, A. Meneghelli, M. Nordentoft, M. Marshall, A. Morrison, A. Raballo, J. Klosterkötter, S. Ruhrmann
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- European Psychiatry / Volume 30 / Issue 3 / March 2015
- Published online by Cambridge University Press:
- 16 April 2020, pp. 388-404
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This guidance paper from the European Psychiatric Association (EPA) aims to provide evidence-based recommendations on early intervention in clinical high risk (CHR) states of psychosis, assessed according to the EPA guidance on early detection. The recommendations were derived from a meta-analysis of current empirical evidence on the efficacy of psychological and pharmacological interventions in CHR samples. Eligible studies had to investigate conversion rate and/or functioning as a treatment outcome in CHR patients defined by the ultra-high risk and/or basic symptom criteria. Besides analyses on treatment effects on conversion rate and functional outcome, age and type of intervention were examined as potential moderators. Based on data from 15 studies (n = 1394), early intervention generally produced significantly reduced conversion rates at 6- to 48-month follow-up compared to control conditions. However, early intervention failed to achieve significantly greater functional improvements because both early intervention and control conditions produced similar positive effects. With regard to the type of intervention, both psychological and pharmacological interventions produced significant effects on conversion rates, but not on functional outcome relative to the control conditions. Early intervention in youth samples was generally less effective than in predominantly adult samples. Seven evidence-based recommendations for early intervention in CHR samples could have been formulated, although more studies are needed to investigate the specificity of treatment effects and potential age effects in order to tailor interventions to the individual treatment needs and risk status.
EPA guidance on the early detection of clinical high risk states of psychoses
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- F. Schultze-Lutter, C. Michel, S.J. Schmidt, B.G. Schimmelmann, N.P. Maric, R.K.R. Salokangas, A. Riecher-Rössler, M. van der Gaag, M. Nordentoft, A. Raballo, A. Meneghelli, M. Marshall, A. Morrison, S. Ruhrmann, J. Klosterkötter
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- European Psychiatry / Volume 30 / Issue 3 / March 2015
- Published online by Cambridge University Press:
- 16 April 2020, pp. 405-416
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The aim of this guidance paper of the European Psychiatric Association is to provide evidence-based recommendations on the early detection of a clinical high risk (CHR) for psychosis in patients with mental problems. To this aim, we conducted a meta-analysis of studies reporting on conversion rates to psychosis in non-overlapping samples meeting any at least any one of the main CHR criteria: ultra-high risk (UHR) and/or basic symptoms criteria. Further, effects of potential moderators (different UHR criteria definitions, single UHR criteria and age) on conversion rates were examined. Conversion rates in the identified 42 samples with altogether more than 4000 CHR patients who had mainly been identified by UHR criteria and/or the basic symptom criterion ‘cognitive disturbances’ (COGDIS) showed considerable heterogeneity. While UHR criteria and COGDIS were related to similar conversion rates until 2-year follow-up, conversion rates of COGDIS were significantly higher thereafter. Differences in onset and frequency requirements of symptomatic UHR criteria or in their different consideration of functional decline, substance use and co-morbidity did not seem to impact on conversion rates. The ‘genetic risk and functional decline’ UHR criterion was rarely met and only showed an insignificant pooled sample effect. However, age significantly affected UHR conversion rates with lower rates in children and adolescents. Although more research into potential sources of heterogeneity in conversion rates is needed to facilitate improvement of CHR criteria, six evidence-based recommendations for an early detection of psychosis were developed as a basis for the EPA guidance on early intervention in CHR states.
EPOS - sample characteristics, transition rates and psychopathological predictors
- S. Ruhrmann, R.K.R. Salokangas, D. Linzen, M. Birchwood, G. Juckel, F. Schultze-Lutter, H. Graf, V. Reventlow, A. Morrison, S. Lewis, J. Klosterkötter, On Behalf of the EPOS Group
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- European Psychiatry / Volume 22 / Issue S1 / March 2007
- Published online by Cambridge University Press:
- 16 April 2020, p. S64
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Background and Aims
A main objective of EPOS is to provide a valid multifactorial model for the prediction of psychosis. One major element of such a model should be the clinical state.
MethodsIn a European multicentre study, persons fulfilling clinical criteria thought to indicate an increased risk for psychosis (PAR) were assessed amongst others with different psychopathological instruments covering the whole spectrum from basic symptoms to frank psychotic symptoms. Inclusion criteria comprised attenuated positive symptoms (APS), brief limited intermittent psychotic symptoms (BLIPS), cognitive basic symptoms (CogDis) and a combination of family risk and reduced functioning (S&T).
Results246 PAR were included into the study, mostly by APS or CogDis. Analysis of demographical data showed a high amount of functional impairment, resulting e.g. in low mean GAF scores (51.0 ± 11.8 SD), and of non-psychotic axis-I disorders. In September 2006, the hazard rate for a conversion to psychosis was 15.3 at 12 and 20.0 at 18 months after baseline assessment. According to the inclusion criteria, the highest rate of conversion was observed among PAR with BLIPS. On a dimensional level, a low GAF score was among the best predictors of conversion.
ConclusionsThe transition rates of EPOS were in line with recent studies. A first analysis of clinical data supports the notion that the functional state should be an inherent part of any set of clinical risk criteria. Further analysis will consider the contribution of single symptoms or symptom combinations and the impact of symptom duration.
S55.01 - Course of psychopathology in putatively prodromal subjects in the EPOS study
- S. Ruhrmann, F. Schultze-Lutter, H. Graf von Reventlow, H. Picker, M. Neumann, R.K.R. Salokangas, M. Heinima, D. Linszen, P. Dingemans, M. Birchwood, P. Patterson, G. Juckel, A. Morrison, J. Klosterkoetter, the EPOS group
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- European Psychiatry / Volume 23 / Issue S2 / April 2008
- Published online by Cambridge University Press:
- 16 April 2020, pp. S67-S68
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Background:
One aim of the European prediction of psychosis study (EPOS) has been to evaluate the clinical course of putatively prodromal patients in terms of psychopathology.
Methods:245 patients at risk for psychosis defined by attenuated positive symptoms, brief limited psychotic symptoms, a state/ trait combination or cognitive-perceptive basic symptoms was recruited in six centres in four countries. The Structured Interview for Prodromal Syndromes (SIPS) and the Bonn Scale for the Assessment of Basic Symptoms – Prediction List (BSABS-P) were employed. Follow-up was scheduled after 9 months (t1) and 18 months.
Results:In total, 40 patients developed a psychosis (P). Compared to those without a transition (NP), P showed significantly higher SIPS scores at baseline. The same applied to the BSABS-P sub-scores 'cognitive perception disturbances' and 'cognitive motor disturbances'. The P sub-group developing psychosis after t1 showed no significant change of the SIPS positive (SIPS-P) sub-score or of any BSABS-P score from baseline to t1, whereas all scores improved in the NP group. At t1, SIPS-P and BSABS-P sub-score 'cognitive thought disturbances' were significantly lower in those later becoming psychotic.
Conclusion:Patients at risk showing a transition to psychosis during exhibited a pronounced psychopathology at baseline. Also, the positive symptom scores did not significantly improve during 1st follow-up, whereas those patients with no transition during the complete follow-up showed an improvement of all scores. As EPOS is a naturalistic study, different treatments have been performed in a considerable portion of the patients and association with course awaits further analysis.
Breastfeeding: a key modulator of gut microbiota characteristics in late infancy
- M. Matsuyama, L. F. Gomez-Arango, N. M. Fukuma, M. Morrison, P. S. W. Davies, R. J. Hill
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- Journal:
- Journal of Developmental Origins of Health and Disease / Volume 10 / Issue 2 / April 2019
- Published online by Cambridge University Press:
- 19 November 2018, pp. 206-213
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The objective of this study was to investigate the impact of the most commonly cited factors that may have influenced infants’ gut microbiota profiles at one year of age: mode of delivery, breastfeeding duration and antibiotic exposure. Barcoded V3/V4 amplicons of bacterial 16S-rRNA gene were prepared from the stool samples of 52 healthy 1-year-old Australian children and sequenced using the Illumina MiSeq platform. Following the quality checks, the data were processed using the Quantitative Insights Into Microbial Ecology pipeline and analysed using the Calypso package for microbiome data analysis. The stool microbiota profiles of children still breastfed were significantly different from that of children weaned earlier (P<0.05), independent of the age of solid food introduction. Among children still breastfed, Veillonella spp. abundance was higher. Children no longer breastfed possessed a more ‘mature’ microbiota, with notable increases of Firmicutes. The microbiota profiles of the children could not be differentiated by delivery mode or antibiotic exposure. Further analysis based on children’s feeding patterns found children who were breastfed alongside solid food had significantly different microbiota profiles compared to that of children who were receiving both breastmilk and formula milk alongside solid food. This study provided evidence that breastfeeding continues to influence gut microbial community even at late infancy when these children are also consuming table foods. At this age, any impacts from mode of delivery or antibiotic exposure did not appear to be discernible imprints on the microbial community profiles of these healthy children.
The effects of breed, month of parturition and sex of progeny on beef cow fertility using calving interval as a measure
- F. M. Titterington, F. O. Lively, S. Dawson, A. W. Gordon, S. J. Morrison
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- Journal:
- Advances in Animal Biosciences / Volume 8 / Issue s1 / October 2017
- Published online by Cambridge University Press:
- 03 October 2017, pp. s67-s71
- Print publication:
- October 2017
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This study aimed to evaluate levels of beef cow fertility using calving interval (CI; measured in days) as a measure, and investigate the effects of breed, season, year and progeny gender on CI. The CI data included 273 764 records collected between 1997 and 2012 and included the seven most common breeds (and their crosses) in Northern Ireland (Charolais, Limousin, Belgian Blue, Simmental, Blonde d’Aquitaine, Aberdeen Angus and Hereford), accounting for 94.1% of beef dams recorded. Mean CI for all cows was 395 days, 30 days longer than the optimum 365 days. Charolais and Belgian Blue dams had the longest CI (P<0.05). Cows older than 144 months had a longer CI (P<0.05) compared with cows younger than 144 months. Charolais sires had a shorter subsequent CI of 392 days (P<0.05) compared with the other breeds. Cows calving in June had the shortest subsequent CI (376 days; P<0.05), whereas cows calving in November had the longest subsequent CI (410 days). Progeny gender did not significantly affect CI. This study establishes the level of beef cow fertility using CI as a measure in Northern Ireland is sub optimal and there are opportunities for improvement. Factors identified as influencing CI included dam breed, sire breed and month of parturition. This knowledge can be used to direct breeding programmes and inform knowledge transfer protocol to improve sustainability of beef production.
An outbreak of mumps with genetic strain variation in a highly vaccinated student population in Scotland
- L. J. WILLOCKS, D. GUERENDIAIN, H. I. AUSTIN, K. E. MORRISON, R. L. CAMERON, K. E. TEMPLETON, V. R. F. DE LIMA, R. EWING, W. DONOVAN, K. G. J. POLLOCK
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- Journal:
- Epidemiology & Infection / Volume 145 / Issue 15 / November 2017
- Published online by Cambridge University Press:
- 14 September 2017, pp. 3219-3225
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An outbreak of mumps within a student population in Scotland was investigated to assess the effect of previous vaccination on infection and clinical presentation, and any genotypic variation. Of the 341 cases, 79% were aged 18–24. Vaccination status was available for 278 cases of whom 84% had received at least one dose of mumps containing vaccine and 62% had received two. The complication rate was 5·3% (mainly orchitis), and 1·2% were admitted to hospital. Genetic sequencing of mumps virus isolated from cases across Scotland classified 97% of the samples as genotype G. Two distinct clusters of genotype G were identified, one circulating before the outbreak and the other thereafter, suggesting the virus that caused this outbreak was genetically different from the previously circulating virus. Whilst the poor vaccine effectiveness we found may be due to waning immunity over time, a contributing factor may be that the current mumps vaccine is less effective against some genotypes. Although the general benefits of the measles–mumps–rubella (MMR) vaccine should continue to be promoted, there may be value in reassessing the UK vaccination schedule and the current mumps component of the MMR vaccine.
Rescue extracorporeal membrane oxygenation therapy in methamphetamine toxicity
- Laura K. Morrison, J Kromm, J Gaudet, D Zuege, B Button, F Warshawski, SN Lucyk
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- Canadian Journal of Emergency Medicine / Volume 20 / Issue S2 / October 2018
- Published online by Cambridge University Press:
- 31 July 2017, pp. S14-S19
- Print publication:
- October 2018
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Complications related to methamphetamine use and abuse are common presentations seen in the emergency department. Standard management focuses on addressing the central nervous system and cardiovascular effects with the use of sedation and hemodynamic support. We describe a case report of a patient with methamphetamine toxicity and subsequent severe cardiomyopathy refractory to conventional management that responded to cardiovascular support with extracorporeal membrane oxygenation therapy (ECMO). A 22-year-old female was admitted in severe cardiogenic shock following intravenous administration of methamphetamine and oral fentanyl use. Despite aggressive treatment with benzodiazepines, intravenous fluids, vasopressors, vasodilators, antibiotics and inotropes, the patient’s clinical status deteriorated, and she suffered a cardiac arrest. The patient was successfully resuscitated, and following the return of spontaneous circulation, ECMO was initiated. After 82 hours the patient was successfully weaned from ECMO with the recovery of her left ventricular function and no neurologic sequelae. The patient developed leg ischemia requiring embolectomy and open repair as a complication of ECMO cannulation. In our case, ECMO was used successfully in treating severe cardiac dysfunction from acute methamphetamine-induced cardiomyopathy and was used as a bridge to recovery. The complications seen in this patient emphasize the potential risks associated with this intervention and highlight the need for careful patient selection.
A Seed Bioassay to Identify Acetyl-CoA Carboxylase Inhibitor Resistant Wild Oat (Avena fatua) Populations
- Bruce G. Murray, Lyle F. Friesen, Kelly J. Beaulieu, Ian N. Morrison
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- Journal:
- Weed Technology / Volume 10 / Issue 1 / March 1996
- Published online by Cambridge University Press:
- 12 June 2017, pp. 85-89
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A seed bioassay was developed and tested for the rapid identification of aryloxyphenoxypropionate (APP) and cyclohexanedione (CHD) resistance in wild oat. Two susceptible (S) genotypes, UM5 and Dumont, were treated with fenoxaprop-P and sethoxydim over a range of dosages on filter paper and agar. The former is a wild oat line and the latter a tame oat cultivar. Within 5 d, shoot and root development of both genotypes were completely inhibited by 10 μM fenoxaprop-P and 5 μM sethoxydim. These dosages were then tested to determine if they were suitable for distinguishing between resistant (R) and susceptible (S) plants. Agar medium was preferred over filter paper because of the ease of preparation and maintenance. Four known R wild oat populations were included in the tests. Those with high levels of resistance produced significantly longer coleoptiles and roots than S genotypes, but those with moderate or low levels of resistance could not be separated statistically from S biotypes based on quantitative measurements. However, after exposing the germinating, treated seeds to light for 24 to 48 h, all the R populations produced green coleoptiles and initiated a first leaf, unlike the S genotypes which did not turn green or produce any new growth. This procedure proved useful in discriminating between R and S genotypes and in ranking populations in terms of relative levels of resistance.
A Rapid Bioassay to Detect Trifluralin-Resistant Green Foxtail (Setaria viridis)
- Hugh J. Beckie, Lyle F. Friesen, Ken M. Nawolsky, Ian N. Morrison
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- Journal:
- Weed Technology / Volume 4 / Issue 3 / September 1990
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- 12 June 2017, pp. 505-508
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In a petri dish assay, radicle growth of trifluralin-resistant (R) green foxtail exposed to trifluralin concentrations of up to 0.4 ppm (w/v) was not inhibited. Radicle growth of trifluralinsusceptible (S) biotypes was completely inhibited. Shoots were more sensitive to trifluralin than roots, with shoot growth being inhibited for both R and S biotypes at trifluralin concentrations of 0.2 ppm or more. Best discrimination between R and S green foxtail biotypes was achieved by measuring radicle length after incubation of pregerminated caryopses at 0.3 ppm trifluralin in the dark for 5 d at 22 C.
Growth and Seed Return of Auxin-Type Herbicide Resistant Wild Mustard (Brassica kaber) in Wheat
- Daniel J. Debreuil, Lyle F. Friesen, Ian N. Morrison
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- Journal:
- Weed Science / Volume 44 / Issue 4 / December 1996
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- 12 June 2017, pp. 871-878
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The growth and seed return of auxin herbicide resistant (R) wild mustard was compared to that of a susceptible (S) biotype in wheat in the field. In the absence of herbicide, the S biotype accumulated shoot dry matter more quickly than the R biotype throughout most of the growing season. However, in only one of the two years did the S biotype set substantially more seed than the R biotype (3120 versus 2520 seeds plant−1). The recommended dosage of 2,4-D for wild mustard control (420 g ai ha−1) killed all S plants in both years of the study, and severely inhibited growth and seed return of R plants. Shoot dry matter accumulation and seed return of treated R plants were reduced 75 to 90% compared to the untreated control. However, at a density of 20 plants m−2 R seed return was still very high; 9000 and 5700 seeds m−2 in 1992 and 1993, respectively. The recommended dosage of dicamba (300 g ha−1) did not inhibit the growth and seed return of either S or R wild mustard to the same extent as 2,4-D. Dicamba at 300 g ha−1 reduced S shoot dry matter and seed return 80 to 90%, while R shoot dry matter and seed return was reduced 60 to 65%. The results of this study indicate a very high selection pressure for R wild mustard at recommended dosages of 2,4-D. Despite a high selection pressure, and considering the long history of phenoxy herbicide usage on the Prairies, the relatively rare occurrence of phenoxy herbicide resistant weeds implies that the frequency of resistant individuals is very low. From a mathematical model it was determined that the frequency of R wild mustard in an unselected population may be in the order of 10−30.
Impacts of on farm management factors on herd fertility of commercial beef breeding herds in Northern Ireland
- F. M. TITTERINGTON, F. O. LIVELY, A. ASHFIELD, A. W. GORDON, D. E. LOWE, S. J. MORRISON
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- The Journal of Agricultural Science / Volume 155 / Issue 6 / August 2017
- Published online by Cambridge University Press:
- 17 April 2017, pp. 1005-1021
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To assess the impact of farm management on herd fertility, a survey of 105 beef farms in Northern Ireland was conducted to establish the relationship between management variables and fertility. Each herd's average calving interval (CI) and the proportion of cows with a CI > 450 days (extended calving interval, ECI) was calculated to establish herd fertility. The relationship between each response variable (CI and proportion ECI) and each explanatory variable (respondents’ answers to questionnaire) was examined using univariate linear regression analyses. All response variables found to be associated with the explanatory variables were modelled against each group in turn using a fully automated multivariate stepwise regression algorithm employing the method of forward selection with backward elimination. The optimum 365-day CI and a proportion of 0 cows per hundred calved ECI targets were not widely attained in the current study. The distribution of CI and proportion ECI in the current study suggests more realistic targets would be a 379-day CI and 5 cows per hundred calved with ECI in commercial beef breeding herds. Six management factors were found to be associated with herd fertility: herd vaccination, bull selection, fertility management, breeding female management, perception of extension service (rural education provided by the government) and record keeping. It was found that respondents who vaccinated cows had a reduction of 5 cows per hundred calved in the proportion of cows with ECI, and as the number of vaccines administered to a cow increased, the CI decreased. Regular vaccination of breeding bulls was associated with a 9-day reduction in CI. Bull selection strategy had several associations with herd fertility; most notable was that respondents who used visual selection rather than estimated breeding values (EBVs) to select bulls were found to have a 15-day longer CI and 7 cows per hundred calved higher proportion of cows with ECI. For each 0·01 increase in the proportion of cows served by artificial insemination, CI increased by 0·16 days. Respondents who rated their beef breeding herd fertility as ‘very good’ had lower ECI and CI than those who rated beef breeding herd fertility as poor or satisfactory. Condition scoring of cows at weaning lowered ECI by 5 cows per hundred calved. Those who perceived the extension service to be very useful had the lowest CI and lowest ECI. Respondents who did not keep a record of CI to assess herd fertility had an 11-day longer CI and 6 cows per hundred calved higher proportion ECI than those who did not. In conclusion, the survey found a number of important variables linked to improved fertility including selecting sires based on EBVs and using a robust vaccination programme.
The effect of sodium nitroprusside on psychotic symptoms and spatial working memory in patients with schizophrenia: a randomized, double-blind, placebo-controlled trial
- J. M. Stone, P. D. Morrison, I. Koychev, F. Gao, T. J. Reilly, M. Kolanko, A. Mohammadinasab, S. Kapur, P. K. McGuire
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- Journal:
- Psychological Medicine / Volume 46 / Issue 16 / December 2016
- Published online by Cambridge University Press:
- 22 September 2016, pp. 3443-3450
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Background
Sodium nitroprusside (SNP) has been reported to rapidly reduce psychotic symptoms in patients with schizophrenia. This has the potential to revolutionize treatment for schizophrenia. In this study, we tested the hypothesis that SNP leads to a reduction in psychotic symptoms and an improvement in spatial working memory (SWM) performance in patients with schizophrenia.
MethodThis was a single-centre, randomized, double-blind, placebo-controlled trial performed from 27 August 2014 to 10 February 2016 (clinicaltrials.gov identifier: NCT02176044). Twenty patients with schizophrenia aged 18–60 years with a diagnosis of schizophrenia or schizoaffective disorder were recruited from psychiatric outpatient clinics in the South London and Maudsley NHS Trust, London, UK. Baseline symptoms were measured using the Positive and Negative Syndrome Scale (PANSS) and the 18-item Brief Psychiatric Rating Scale (BPRS-18), and SWM was assessed using the CANTAB computerized test. Participants received either an infusion of SNP (0.5 μg/kg per min for 4 h) or placebo and were re-assessed for symptoms and SWM performance immediately after the infusion, and 4 weeks later.
ResultsSNP did not lead to any reduction in psychotic symptoms or improvement in SWM performance compared to placebo.
ConclusionsAlthough this study was negative, it is possible that the beneficial effects of SNP may occur in patients with a shorter history of illness, or with more acute exacerbation of symptoms.
Stochastic modelling and feedback control of bistability in a turbulent bluff body wake
- R. D. Brackston, J. M. García de la Cruz, A. Wynn, G. Rigas, J. F. Morrison
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- Journal:
- Journal of Fluid Mechanics / Volume 802 / 10 September 2016
- Published online by Cambridge University Press:
- 10 August 2016, pp. 726-749
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A specific feature of three-dimensional bluff body wakes, flow bistability, is a subject of particular recent interest. This feature consists of a random flipping of the wake between two asymmetric configurations and is believed to contribute to the pressure drag of many bluff bodies. In this study we apply the modelling approach recently suggested for axisymmetric bodies by Rigas et al. (J. Fluid Mech., vol. 778, 2015, R2) to the reflectional symmetry-breaking modes of a rectilinear bluff body wake. We demonstrate the validity of the model and its Reynolds number independence through time-resolved base pressure measurements of the natural wake. Further, oscillating flaps are used to investigate the dynamics and time scales of the instability associated with the flipping process, demonstrating that they are largely independent of Reynolds number. The modelling approach is then used to design a feedback controller that uses the flaps to suppress the symmetry-breaking modes. The controller is successful, leading to a suppression of the bistability of the wake, with concomitant reductions in both lateral and streamwise forces. Importantly, the controller is found to be efficient, the actuator requiring only 24 % of the aerodynamic power saving. The controller therefore provides a key demonstration of efficient feedback control used to reduce the drag of a high-Reynolds-number three-dimensional bluff body. Furthermore, the results suggest that suppression of large-scale structures is a fundamentally efficient approach for bluff body drag reduction.
Hole Size Effect on Hemisphere Pressure Distributions
- D. F. Morrison, L. M. Sheppard, M. J. Williams
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- Journal:
- The Aeronautical Journal / Volume 71 / Issue 676 / April 1967
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- 04 July 2016, pp. 317-319
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During 1961 preliminary consideration was given by the Weapons Research Establishment to the possibility of measuring the structure of the upper atmosphere by pressure probes on sounding rockets. A similar technique had been used with success in the USA. It was proposed that velocity be measured and that an incidence meter be used to measure pitot and static pressures, from which atmospheric pressure and density could be calculated. There was available at the time comprehensive calibration information on hemispherical-headed incidence meters at Mach numbers below 3. Since the sounding rocket would be flying within the Mach number range 3 to 6 there was a need to extend the existing calibrations to higher Mach numbers. At first it seemed that the results of Baer would do this, but a closer examination showed that his results did not agree with the incidence meter calibrations.
The inertial subrange in turbulent pipe flow: centreline
- J. F. Morrison, M. Vallikivi, A. J. Smits
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- Journal:
- Journal of Fluid Mechanics / Volume 788 / 10 February 2016
- Published online by Cambridge University Press:
- 11 January 2016, pp. 602-613
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The inertial-subrange scaling of the axial velocity component is examined for the centreline of turbulent pipe flow for Reynolds numbers in the range $249\leqslant Re_{{\it\lambda}}\leqslant 986$. Estimates of the dissipation rate are made by both integration of the one-dimensional dissipation spectrum and the third-order moment of the structure function. In neither case does the non-dimensional dissipation rate asymptote to a constant; rather than decreasing, it increases indefinitely with Reynolds number. Complete similarity of the inertial range spectra is not evident: there is little support for the hypotheses of Kolmogorov (Dokl. Akad. Nauk SSSR, vol. 32, 1941a, pp. 16–18; Dokl. Akad. Nauk SSSR, vol. 30, 1941b, pp. 301–305) and the effects of Reynolds number are not well represented by Kolmogorov’s ‘extended similarity hypothesis’ (J. Fluid Mech., vol. 13, 1962, pp. 82–85). The second-order moment of the structure function does not show a constant value, even when compensated by the extended similarity hypothesis. When corrected for the effects of finite Reynolds number, the third-order moments of the structure function accurately support the ‘four-fifths law’, but they do not show a clear plateau. In common with recent work in grid turbulence, non-equilibrium effects can be represented by a heuristic scaling that includes a global Reynolds number as well as a local one. It is likely that non-equilibrium effects appear to be particular to the nature of the boundary conditions. Here, the principal effects of the boundary conditions appear through finite turbulent transport at the pipe centreline, which constitutes a source or a sink at each wavenumber.
Diffusive dynamics and stochastic models of turbulent axisymmetric wakes
- G. Rigas, A. S. Morgans, R. D. Brackston, J. F. Morrison
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- Journal:
- Journal of Fluid Mechanics / Volume 778 / 10 September 2015
- Published online by Cambridge University Press:
- 31 July 2015, R2
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A modelling methodology to reproduce the experimental measurements of a turbulent flow in the presence of symmetry is presented. The flow is a three-dimensional wake generated by an axisymmetric body. We show that the dynamics of the turbulent wake flow can be assimilated by a nonlinear two-dimensional Langevin equation, the deterministic part of which accounts for the broken symmetries that occur in the laminar and transitional regimes at low Reynolds numbers and the stochastic part of which accounts for the turbulent fluctuations. Comparison between theoretical and experimental results allows the extraction of the model parameters.
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- By Mitchell Aboulafia, Frederick Adams, Marilyn McCord Adams, Robert M. Adams, Laird Addis, James W. Allard, David Allison, William P. Alston, Karl Ameriks, C. Anthony Anderson, David Leech Anderson, Lanier Anderson, Roger Ariew, David Armstrong, Denis G. Arnold, E. J. Ashworth, Margaret Atherton, Robin Attfield, Bruce Aune, Edward Wilson Averill, Jody Azzouni, Kent Bach, Andrew Bailey, Lynne Rudder Baker, Thomas R. Baldwin, Jon Barwise, George Bealer, William Bechtel, Lawrence C. Becker, Mark A. Bedau, Ernst Behler, José A. Benardete, Ermanno Bencivenga, Jan Berg, Michael Bergmann, Robert L. Bernasconi, Sven Bernecker, Bernard Berofsky, Rod Bertolet, Charles J. Beyer, Christian Beyer, Joseph Bien, Joseph Bien, Peg Birmingham, Ivan Boh, James Bohman, Daniel Bonevac, Laurence BonJour, William J. Bouwsma, Raymond D. Bradley, Myles Brand, Richard B. Brandt, Michael E. Bratman, Stephen E. Braude, Daniel Breazeale, Angela Breitenbach, Jason Bridges, David O. Brink, Gordon G. Brittan, Justin Broackes, Dan W. Brock, Aaron Bronfman, Jeffrey E. Brower, Bartosz Brozek, Anthony Brueckner, Jeffrey Bub, Lara Buchak, Otavio Bueno, Ann E. Bumpus, Robert W. Burch, John Burgess, Arthur W. Burks, Panayot Butchvarov, Robert E. Butts, Marina Bykova, Patrick Byrne, David Carr, Noël Carroll, Edward S. Casey, Victor Caston, Victor Caston, Albert Casullo, Robert L. Causey, Alan K. L. Chan, Ruth Chang, Deen K. Chatterjee, Andrew Chignell, Roderick M. Chisholm, Kelly J. Clark, E. J. Coffman, Robin Collins, Brian P. Copenhaver, John Corcoran, John Cottingham, Roger Crisp, Frederick J. Crosson, Antonio S. Cua, Phillip D. Cummins, Martin Curd, Adam Cureton, Andrew Cutrofello, Stephen Darwall, Paul Sheldon Davies, Wayne A. Davis, Timothy Joseph Day, Claudio de Almeida, Mario De Caro, Mario De Caro, John Deigh, C. F. Delaney, Daniel C. Dennett, Michael R. DePaul, Michael Detlefsen, Daniel Trent Devereux, Philip E. Devine, John M. Dillon, Martin C. Dillon, Robert DiSalle, Mary Domski, Alan Donagan, Paul Draper, Fred Dretske, Mircea Dumitru, Wilhelm Dupré, Gerald Dworkin, John Earman, Ellery Eells, Catherine Z. Elgin, Berent Enç, Ronald P. Endicott, Edward Erwin, John Etchemendy, C. Stephen Evans, Susan L. Feagin, Solomon Feferman, Richard Feldman, Arthur Fine, Maurice A. Finocchiaro, William FitzPatrick, Richard E. Flathman, Gvozden Flego, Richard Foley, Graeme Forbes, Rainer Forst, Malcolm R. Forster, Daniel Fouke, Patrick Francken, Samuel Freeman, Elizabeth Fricker, Miranda Fricker, Michael Friedman, Michael Fuerstein, Richard A. Fumerton, Alan Gabbey, Pieranna Garavaso, Daniel Garber, Jorge L. A. Garcia, Robert K. Garcia, Don Garrett, Philip Gasper, Gerald Gaus, Berys Gaut, Bernard Gert, Roger F. Gibson, Cody Gilmore, Carl Ginet, Alan H. Goldman, Alvin I. Goldman, Alfonso Gömez-Lobo, Lenn E. Goodman, Robert M. Gordon, Stefan Gosepath, Jorge J. E. Gracia, Daniel W. Graham, George A. Graham, Peter J. Graham, Richard E. Grandy, I. Grattan-Guinness, John Greco, Philip T. Grier, Nicholas Griffin, Nicholas Griffin, David A. Griffiths, Paul J. Griffiths, Stephen R. Grimm, Charles L. Griswold, Charles B. Guignon, Pete A. Y. Gunter, Dimitri Gutas, Gary Gutting, Paul Guyer, Kwame Gyekye, Oscar A. Haac, Raul Hakli, Raul Hakli, Michael Hallett, Edward C. Halper, Jean Hampton, R. James Hankinson, K. R. Hanley, Russell Hardin, Robert M. Harnish, William Harper, David Harrah, Kevin Hart, Ali Hasan, William Hasker, John Haugeland, Roger Hausheer, William Heald, Peter Heath, Richard Heck, John F. Heil, Vincent F. Hendricks, Stephen Hetherington, Francis Heylighen, Kathleen Marie Higgins, Risto Hilpinen, Harold T. Hodes, Joshua Hoffman, Alan Holland, Robert L. Holmes, Richard Holton, Brad W. Hooker, Terence E. Horgan, Tamara Horowitz, Paul Horwich, Vittorio Hösle, Paul Hoβfeld, Daniel Howard-Snyder, Frances Howard-Snyder, Anne Hudson, Deal W. Hudson, Carl A. Huffman, David L. Hull, Patricia Huntington, Thomas Hurka, Paul Hurley, Rosalind Hursthouse, Guillermo Hurtado, Ronald E. Hustwit, Sarah Hutton, Jonathan Jenkins Ichikawa, Harry A. Ide, David Ingram, Philip J. Ivanhoe, Alfred L. Ivry, Frank Jackson, Dale Jacquette, Joseph Jedwab, Richard Jeffrey, David Alan Johnson, Edward Johnson, Mark D. Jordan, Richard Joyce, Hwa Yol Jung, Robert Hillary Kane, Tomis Kapitan, Jacquelyn Ann K. Kegley, James A. Keller, Ralph Kennedy, Sergei Khoruzhii, Jaegwon Kim, Yersu Kim, Nathan L. King, Patricia Kitcher, Peter D. Klein, E. D. Klemke, Virginia Klenk, George L. Kline, Christian Klotz, Simo Knuuttila, Joseph J. Kockelmans, Konstantin Kolenda, Sebastian Tomasz Kołodziejczyk, Isaac Kramnick, Richard Kraut, Fred Kroon, Manfred Kuehn, Steven T. Kuhn, Henry E. Kyburg, John Lachs, Jennifer Lackey, Stephen E. Lahey, Andrea Lavazza, Thomas H. Leahey, Joo Heung Lee, Keith Lehrer, Dorothy Leland, Noah M. Lemos, Ernest LePore, Sarah-Jane Leslie, Isaac Levi, Andrew Levine, Alan E. Lewis, Daniel E. Little, Shu-hsien Liu, Shu-hsien Liu, Alan K. L. Chan, Brian Loar, Lawrence B. Lombard, John Longeway, Dominic McIver Lopes, Michael J. Loux, E. J. Lowe, Steven Luper, Eugene C. Luschei, William G. Lycan, David Lyons, David Macarthur, Danielle Macbeth, Scott MacDonald, Jacob L. Mackey, Louis H. Mackey, Penelope Mackie, Edward H. Madden, Penelope Maddy, G. B. Madison, Bernd Magnus, Pekka Mäkelä, Rudolf A. Makkreel, David Manley, William E. Mann (W.E.M.), Vladimir Marchenkov, Peter Markie, Jean-Pierre Marquis, Ausonio Marras, Mike W. Martin, A. P. Martinich, William L. McBride, David McCabe, Storrs McCall, Hugh J. McCann, Robert N. McCauley, John J. McDermott, Sarah McGrath, Ralph McInerny, Daniel J. McKaughan, Thomas McKay, Michael McKinsey, Brian P. McLaughlin, Ernan McMullin, Anthonie Meijers, Jack W. Meiland, William Jason Melanson, Alfred R. Mele, Joseph R. Mendola, Christopher Menzel, Michael J. Meyer, Christian B. Miller, David W. Miller, Peter Millican, Robert N. Minor, Phillip Mitsis, James A. Montmarquet, Michael S. Moore, Tim Moore, Benjamin Morison, Donald R. Morrison, Stephen J. Morse, Paul K. Moser, Alexander P. D. Mourelatos, Ian Mueller, James Bernard Murphy, Mark C. Murphy, Steven Nadler, Jan Narveson, Alan Nelson, Jerome Neu, Samuel Newlands, Kai Nielsen, Ilkka Niiniluoto, Carlos G. Noreña, Calvin G. Normore, David Fate Norton, Nikolaj Nottelmann, Donald Nute, David S. Oderberg, Steve Odin, Michael O’Rourke, Willard G. Oxtoby, Heinz Paetzold, George S. Pappas, Anthony J. Parel, Lydia Patton, R. P. Peerenboom, Francis Jeffry Pelletier, Adriaan T. Peperzak, Derk Pereboom, Jaroslav Peregrin, Glen Pettigrove, Philip Pettit, Edmund L. Pincoffs, Andrew Pinsent, Robert B. Pippin, Alvin Plantinga, Louis P. Pojman, Richard H. Popkin, John F. Post, Carl J. Posy, William J. Prior, Richard Purtill, Michael Quante, Philip L. Quinn, Philip L. Quinn, Elizabeth S. Radcliffe, Diana Raffman, Gerard Raulet, Stephen L. Read, Andrews Reath, Andrew Reisner, Nicholas Rescher, Henry S. Richardson, Robert C. Richardson, Thomas Ricketts, Wayne D. Riggs, Mark Roberts, Robert C. Roberts, Luke Robinson, Alexander Rosenberg, Gary Rosenkranz, Bernice Glatzer Rosenthal, Adina L. Roskies, William L. Rowe, T. M. Rudavsky, Michael Ruse, Bruce Russell, Lilly-Marlene Russow, Dan Ryder, R. M. Sainsbury, Joseph Salerno, Nathan Salmon, Wesley C. Salmon, Constantine Sandis, David H. Sanford, Marco Santambrogio, David Sapire, Ruth A. Saunders, Geoffrey Sayre-McCord, Charles Sayward, James P. Scanlan, Richard Schacht, Tamar Schapiro, Frederick F. Schmitt, Jerome B. Schneewind, Calvin O. Schrag, Alan D. Schrift, George F. Schumm, Jean-Loup Seban, David N. Sedley, Kenneth Seeskin, Krister Segerberg, Charlene Haddock Seigfried, Dennis M. Senchuk, James F. Sennett, William Lad Sessions, Stewart Shapiro, Tommie Shelby, Donald W. Sherburne, Christopher Shields, Roger A. Shiner, Sydney Shoemaker, Robert K. Shope, Kwong-loi Shun, Wilfried Sieg, A. John Simmons, Robert L. Simon, Marcus G. Singer, Georgette Sinkler, Walter Sinnott-Armstrong, Matti T. Sintonen, Lawrence Sklar, Brian Skyrms, Robert C. Sleigh, Michael Anthony Slote, Hans Sluga, Barry Smith, Michael Smith, Robin Smith, Robert Sokolowski, Robert C. Solomon, Marta Soniewicka, Philip Soper, Ernest Sosa, Nicholas Southwood, Paul Vincent Spade, T. L. S. Sprigge, Eric O. Springsted, George J. Stack, Rebecca Stangl, Jason Stanley, Florian Steinberger, Sören Stenlund, Christopher Stephens, James P. Sterba, Josef Stern, Matthias Steup, M. A. Stewart, Leopold Stubenberg, Edith Dudley Sulla, Frederick Suppe, Jere Paul Surber, David George Sussman, Sigrún Svavarsdóttir, Zeno G. Swijtink, Richard Swinburne, Charles C. Taliaferro, Robert B. Talisse, John Tasioulas, Paul Teller, Larry S. Temkin, Mark Textor, H. S. Thayer, Peter Thielke, Alan Thomas, Amie L. Thomasson, Katherine Thomson-Jones, Joshua C. Thurow, Vzalerie Tiberius, Terrence N. Tice, Paul Tidman, Mark C. Timmons, William Tolhurst, James E. Tomberlin, Rosemarie Tong, Lawrence Torcello, Kelly Trogdon, J. D. Trout, Robert E. Tully, Raimo Tuomela, John Turri, Martin M. Tweedale, Thomas Uebel, Jennifer Uleman, James Van Cleve, Harry van der Linden, Peter van Inwagen, Bryan W. Van Norden, René van Woudenberg, Donald Phillip Verene, Samantha Vice, Thomas Vinci, Donald Wayne Viney, Barbara Von Eckardt, Peter B. M. Vranas, Steven J. Wagner, William J. Wainwright, Paul E. Walker, Robert E. Wall, Craig Walton, Douglas Walton, Eric Watkins, Richard A. Watson, Michael V. Wedin, Rudolph H. Weingartner, Paul Weirich, Paul J. Weithman, Carl Wellman, Howard Wettstein, Samuel C. Wheeler, Stephen A. White, Jennifer Whiting, Edward R. Wierenga, Michael Williams, Fred Wilson, W. Kent Wilson, Kenneth P. Winkler, John F. Wippel, Jan Woleński, Allan B. Wolter, Nicholas P. Wolterstorff, Rega Wood, W. Jay Wood, Paul Woodruff, Alison Wylie, Gideon Yaffe, Takashi Yagisawa, Yutaka Yamamoto, Keith E. Yandell, Xiaomei Yang, Dean Zimmerman, Günter Zoller, Catherine Zuckert, Michael Zuckert, Jack A. Zupko (J.A.Z.)
- Edited by Robert Audi, University of Notre Dame, Indiana
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- Book:
- The Cambridge Dictionary of Philosophy
- Published online:
- 05 August 2015
- Print publication:
- 27 April 2015, pp ix-xxx
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