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In this article we present the results of two geophysical surveys conducted at Cahokia Mounds State Historic Site. The goal was to reveal neighborhood settlement patterns at two locales located on the periphery of “Downtown” Cahokia—the densely populated administrative core—and to further understand the type and chronological affiliation of these settlements. We compared structure length and width ratios from Rattlesnake West and the Rouch Mound Group with datasets from the Cahokia and East St. Louis precincts as a proxy for chronological affiliation to understand changes to neighborhood density over time. Using noninvasive techniques to illuminate population density and neighborhood configurations, we gained a more detailed understanding of how Cahokia's communities and neighborhoods chose to adopt the building style and infrastructure of Cahokia's Downtown Precinct.
Through the energetic work of the reformer John Calvin, the small city-state of Geneva became the so-called Protestant Rome in the sixteenth century. Calvin created a morals court, the Consistory, which worked in conjunction with the city council to attack a wide range of ‘sins’, including illicit sexuality, defined as all sexual activity outside of marriage. In Calvin’s time, authorities pursued male and female fornicators (including fiancés) with the same rigour and on rare occasions sentenced adulterers to death. After Calvin’s death a double standard appeared in the treatment of adultery, most blatant in the fact that sexual relations between female servants and their married masters resulted in more severe penalties for the former than the latter. Same-sex relations were considered crimes against nature, but authorities adjudged those involving men much more severely than those involving women, probably based on a belief that sexual relations between male partners degraded them to the level of women. Although a few men were prosecuted for rape, religious and political authorities largely enhanced patriarchy; given the persistent numbers of people who were summoned, they clearly were also less successful in nurturing self-control among Genevans in their sex lives than in other areas of behaviour.
Background: Although palliative care (PC) is recommended for patients with amyotrophic lateral sclerosis (ALS), many patients receive PC very late or not at all. Our study goals included 1) determing the feasibility of early PC 2) describing patient/caregiver satisfaction with early PC and 3) measuring the impact of early PC on quality of life (QOL) and mood. Methods: Patients followed at the multidisciplinary ALS clinic in Ottawa, Canada and their caregivers were eligible for the study irrespective of duration or severity of disease. All participants completed questionnaires tracking QOL and mood and all were offered a palliative care consultation. Participants completed a satisfaction survey post-PC consultation. Results: 32 patients and 20 caregivers received a PC consultation, conducted virtually. All of them found the consult beneficial and none of the patients reported preferring the consultation later in their illness. The PC consultations were most highly rated by patients with high levels of anxiety and worse bulbar function, and by caregivers of patients with low function. There was no statistically significant change in mood or QOL compared to the 7 participants who declined PC consultation. Conclusions: PC consultations are feasible and beneficial at all stages of illness. Patients with anxiety and bulbar dysfunction may benefit most.
A machine learning model was created to predict the electron spectrum generated by a GeV-class laser wakefield accelerator. The model was constructed from variational convolutional neural networks, which mapped the results of secondary laser and plasma diagnostics to the generated electron spectrum. An ensemble of trained networks was used to predict the electron spectrum and to provide an estimation of the uncertainty of that prediction. It is anticipated that this approach will be useful for inferring the electron spectrum prior to undergoing any process that can alter or destroy the beam. In addition, the model provides insight into the scaling of electron beam properties due to stochastic fluctuations in the laser energy and plasma electron density.
This study aimed to analyse whether referral for specialist balance testing influences diagnosis and management of patients with dizziness.
Method
This was a retrospective study examining patients referred for vestibular function testing between 1 January 2018 and 30 June 2018.
Results
A total of 101 patients were referred, with 69 patients (68.3 per cent) receiving a preliminary ‘pre-vestibular function testing balance diagnosis’, which included benign paroxysmal positional vertigo (32.7 per cent), Ménière's disease (13.8 per cent) and migraine (14.9 per cent). Following vestibular function testing, revised diagnoses were achieved for 54 patients (53.5 per cent), including benign paroxysmal positional vertigo (14.9 per cent), Ménière's disease (3.0 per cent) and migraine (10.9 per cent). Pre-vestibular function testing balance diagnoses were confirmed for 32.4 per cent of patients. If no pre-vestibular function testing suspected diagnosis was provided, vestibular function testing was significantly more likely to be inconclusive. Following vestibular function testing, 38.6 per cent were discharged, 21.7 per cent were referred to another specialty and treatment was commenced for 17.8 per cent of patients.
Conclusion
Referral for vestibular function testing has a role when attempting to answer a clear clinical question. Diagnosing the underlying aetiology of complex imbalance is challenging, but diagnosis can be assisted by judicious use of vestibular function testing.
Rapid whole genome sequencing (rapid WGS) is a powerful diagnostic tool that is becoming increasingly practical for widespread clinical use. However, protocols for its use are challenging to implement. A significant obstacle to clinical adoption is that laboratory certification requires an initial research development phase, which is constrained by regulations from returning results. Regulations preventing return of results have ethical implications in cases which might impact patient outcomes. Here, we describe our experience with the development of a rapid WGS research protocol, that balanced the requirements for laboratory-validated test development with the ethical needs of clinically relevant return of results.
John Calvin and other Reformed Protestants placed a great deal of emphasis on discipline, and one noted historian has even argued that Calvinist discipline contributed to “the making of the modern mind.”1 Some Reformed leaders, such as Martin Bucer, claimed that discipline was the third mark of the true church, the other two being the pure preaching of the Gospels and the proper administration of the sacraments. There were differences of opinion among Reformed thinkers, however, about how discipline was to be carried out. In Zurich, Ulrich Zwingli asserted that the Christian magistrates had the exclusive authority to discipline the faithful, including the right to excommunicate. By contrast, Bucer maintained that discipline should be under the purview of the pastors who were to be assisted by elders.2 John Calvin, who had gotten to know Bucer during his stay in Strasbourg (1538–1541), reflected the older reformer’s ideas on discipline. Although he never specifically recognized it as the third mark of the church, he placed enormous emphasis on discipline, describing it as the “sinews” of the church, and made the establishment of a new disciplinary institution, the consistory, a condition for his return to Geneva in 1541. Calvin composed the Geneva’s ecclesiastical ordinances that prescribed that the consistory be comprised of the city’s pastors and elders. Consistories became the prime instrument of discipline among the Reformed in sixteenth-century Europe.
The preconception, pregnancy and immediate postpartum and newborn periods are times for mothers and their offspring when they are especially vulnerable to major stressors – those that are sudden and unexpected and those that are chronic. Their adverse effects can transcend generations. Stressors can include natural disasters or political stressors such as conflict and/or migration. Considerable evidence has accumulated demonstrating the adverse effects of natural disasters on pregnancy outcomes and developmental trajectories. However, beyond tracking outcomes, the time has arrived for gathering more information related to identifying mechanisms, predicting risk and developing stress-reducing and resilience-building interventions to improve outcomes. Further, we need to learn how to encapsulate both the quantitative and qualitative information available and share it with communities and authorities to mitigate the adverse developmental effects of future disasters, conflicts and migrations. This article briefly reviews prenatal maternal stress and identifies three contemporary situations (wildfire in Fort McMurray, Alberta, Canada; hurricane Harvey in Houston, USA and transgenerational and migrant stress in Pforzheim, Germany) where current studies are being established by Canadian investigators to test an intervention. The experiences from these efforts are related along with attempts to involve communities in the studies and share the new knowledge to plan for future disasters or tragedies.
Lebanon has a need for innovative approaches to increase access to mental health care to meet the country's current high demand. E-mental health has been included in its national mental health strategy while in parallel the World Health Organization has produced an online intervention called ‘Step-by-Step’ to treat symptoms of depression that is being tested in Lebanon over the coming years.
Aim.
The primary aim of this study is to conduct bottom-up, community-driven qualitative cognitive interviewing from a multi-stakeholder perspective to inform the cultural adaptation of an Internet-delivered mental health intervention based on behavioural activation in Lebanon.
Methods.
National Mental Health Programme staff conducted a total of 11 key informant interviews with three mental health professionals, six front-line workers in primary health care centres (PHCCs) and two community members. Also, eight focus group discussions, one with seven front-line workers and seven others with a total of 66 community members (Lebanese, Syrians and Palestinians) were conducted in several PHCCs to inform the adaptation of Step-by-Step. Results were transcribed and analysed thematically by the project coordinator and two research assistants.
Results.
Feedback generated from the cognitive interviewing mainly revolved around amending the story, illustrations and the delivery methods to ensure relevance and sensitivity to the local context. The results obtained have informed major edits to the content of Step-by-Step and also to the model of provision. Notably, the intervention was made approximately 30% shorter; it includes additional videos of content alongside the originally proposed comic book-style delivery; there is less emphasis on total inactivity as a symptom of low mood and more focus on enjoyable activities to lift mood; the story and ways to contact participants to provide support were updated in line with local gender norms; and many of the suggested or featured activities have been revised in line with suggestions from community members.
Conclusions.
These findings promote and advocate the use of community-driven adaptation of evidence-based psychological interventions. Some of the phenomena recorded mirror findings from other research about barriers to care seeking in the region and so changes made to the intervention should be useful in improving utility and uptake of ‘Step-by-Step’.
Antibodies at gastrointestinal mucosal membranes play a vital role in immunological protection against a range of pathogens, including helminths. Gastrointestinal health is central to efficient livestock production, and such infections cause significant losses. Fecal samples were taken from 114 cattle, across three beef farms, with matched blood samples taken from 22 of those animals. To achieve fecal antibody detection, a novel fecal supernatant was extracted. Fecal supernatant and serum samples were then analysed, using adapted enzyme-linked immunosorbent assay protocols, for levels of total immunoglobulin (Ig)A, IgG, IgM, and Teladorsagia circumcincta-specific IgA, IgG, IgM and IgE (in the absence of reagents for cattle-specific nematode species). Fecal nematode egg counts were conducted on all fecal samples. Assays performed successfully and showed that IgA was the predominant antibody in fecal samples, whereas IgG was predominant in serum. Total IgA in feces and serum correlated within individuals (0.581, P = 0.005), but other Ig types did not. Results support the hypothesis that the tested protocols are an effective method for the non-invasive assessment of cattle immunology. The method could be used as part of animal health assessments, although further work is required to interpret the relationship between results and levels of infection and immunity.
Monazite is a light rare-earth element (LREE)-bearing accessory phase common in felsic granitic rocks, and strongly influences LREE concentrations in granites and the chemistry of melts and residues formed during partial melting. Cheralite-rich (high-Th) monazite-(Ce) has been recorded as rims on partially dissolved cores in a suite of granulite-facies migmatites generated by disequilibrium melting. High-Th monazite has previously been recorded only in granitic-pegmatite occurrences. Subidiomorphic monazite-(Ce) from leucosome, melanosome and mesosome consists of complexly zoned cores (up to 300 µm in diameter) containing 5.17–9.87 wt.% ThO2, overgrown by essentially unzoned rims (containing up to 21.4 wt.% ThO2). Uranium contents are average for Th-rich monazite-(Ce) (0.22–3.17 wt.% UO2). Th enrichment (relative to LREE) in monazite-(Ce) rims is ascribed to the presence of fluorine-bearing melts (formed during the incongruent breakdown of biotite to produce a water-undersaturated melt), allowing the formation of REE-fluoride complexes in the melt, coupled with the increased charge balanced substitutions Th4+ + Si4+ ⇌ REE3+ + P5+ and Th4+ + Ca2+ ⇌ 2REE3+ into monazite-(Ce). Fractionation of Th and U (reflected by an increased in Th/U in rims relative to cores) may have occurred due to the removal by a CO2-rich fluid phase in the melt. These interpretations are consistent with elevated CO2 and F contents of granitic liquids produced during the water-undersaturated breakdown of biotite under granulite-facies conditions. Evidence for restricted monazite-(Ce)-melt equilibration and rapid melt removal is provided by the ubiquitous presence of partially embayed cores and unzoned rims.
A new hydrated zinc aluminium phosphate mineral has the composition ZnAl2(PO4)2(OH)2.3H2O. It has been named kleemanite. It occurred rarely both as veinlets 1–2 mm thick, and as thin layers on surfaces of cracks and small cavities in one section of the iron ore deposit at Iron Knob, South Australia. Chemical, X-ray, thermal analysis, and optical data are given.
A new sodium aluminium sulphate phosphate has been named peisleyite. It has the ideal formula Na3Al16(SO4)2(PO4)10(OH)17 · 20H2O. It occurs as fine-grained, compact, brittle, white material on dumps at Tom's Phosphate Quarry, near Kapunda, South Australia. Strongest X-ray diffraction lines are 12.63 Å (100) 010, 7.82(35) 11, 5.41(35) 004, 7.59(30) 111. Unit cell parameters are a 13.31 ± 0.006, b 12.62 ± 0.006, c 23.15 ± 0.01 Å, β 110.0°±0.03°, Z = 2.
Sedimentary basins developed along the European margin during the earliest, Permian, stage of proto-Atlantic rifting, during a phase of high heat flow. The proximity of some basins to Caledonian thrusts has implied that rifts locally utilized the basement fabric. New mineralogical and palaeomagnetic data show that thrust planes in the Moine Thrust Zone channelled a pulse of hot fluid in Permian time. The fluids precipitated kaolin in fractures in the thrust zone, and with decreasing intensity away from the zone. The high-temperature polytype dickite is largely confined to major thrust planes. Stable H and O isotope analyses indicate that the parent fluid included meteoric water involved in a hydrothermal system. Coeval hydrothermal hematite has a chemical remanence that dates the fluid pulse as Permian. This is direct evidence for post-orogenic activity in the thrust zone, in which the thrusts vented excess heat during regional crustal extension. The example from the European margin exemplifies the importance of deep-seated structures in the release of heat, and the value of kaolinite polytype mapping as a tool to record anomalous palaeo-heat flow.
A new magnesium aluminium phosphate mineral with the ideal formula Mg5Al12(PO4)4(OH)22·nH2O (n ⋍ 32) has been named aldermanite. It occurs as minute talc-like flakes, partly as an alteration product of fluellite, thinly coating cracks and cavities in a brecciated metamorphosed rock phosphate at Moculta, South Australia. Strongest X-ray diffraction lines are 13.40 Å (100) 002, 7.98 Å (80) 011, 5.55 Å (60) 210; unit cell parameters a= 15.00±0.007, b=8.330±0.006, c= 26.60±0.01 Å, Z = 2.