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Cognitive behavioural therapy for psychosis (CBTp) is a recommended treatment for psychotic experiences, but its effectiveness has been questioned. One way of addressing this may be to tailor therapy materials to the phenomenology of specific psychotic experiences.
In this study, we investigated the acceptability of a novel treatment manual for subtypes of ‘voice-hearing’ experiences (i.e. auditory verbal hallucinations). An uncontrolled, single-arm design was used to assess feasibility and acceptability of using the manual in routine care for people with frequent voice-hearing experiences.
The manual was delivered on a smart tablet and incorporated recent research evidence and theory into its psychoeducation materials. In total, 24 participants completed a baseline assessment; 19 started treatment, 15 completed treatment and 12 participants completed a follow-up assessment (after 10 sessions of using the manual).
Satisfaction with therapy scores and acceptability ratings were high, while completion rates suggested that the manual may be more appropriate for help with participants from Early Intervention in Psychosis services rather than Community Mental Health Teams.
Within-group changes in symptom scores suggested that overall symptom severity of hallucinations – but not other psychosis features, or beliefs about voices – are likely to be the most appropriate primary outcome for further evaluation in a full randomised controlled trial.
Ponds that form on sea ice can cause it to thin or break-up, which can promote calving from an adjacent ice shelf. Studies of sea ice ponds have predominantly focused on Arctic ponds formed by in situ melting/ponding. Our study documents another mechanism for the formation of sea ice ponds. Using Landsat 8 and Sentinel-2 images from the 2015–16 to 2018–19 austral summers, we analyze the evolution of sea ice ponds that form adjacent to the McMurdo Ice Shelf, Antarctica. We find that each summer, meltwater flows from the ice shelf onto the sea ice and forms large (up to 9 km2) ponds. These ponds decrease the sea ice's albedo, thinning it. We suggest the added mass of runoff causes the ice to flex, potentially promoting sea-ice instability by the ice-shelf front. As surface melting on ice shelves increases, we suggest that ice-shelf surface hydrology will have a greater effect on sea-ice stability.
The dominant conceptions of emotional intelligence can be categorized into “ability” models and “mixed” models. Ability models view emotional intelligence as a construct related to other intelligences and consisting of a set of mental abilities whereas mixed models view emotional intelligence as a blend of standard personality traits and various abilities. In this chapter, we review these models of emotional intelligence, including the measures associated with each, and provide a brief summary of the debate between ability models and mixed models. Narrowing in on the ability conception of emotional intelligence, we then discuss its behavioral and neural correlates, development, and malleability, as well as a school-based intervention designed to promote these skills. We conclude with an exploration of possibilities for the emotional intelligence research landscape in the next thirty years.
Mild cognitive impairment (MCI) often precedes Alzheimer’s Dementia (AD), and in a high proportion of individuals affected by MCI, there are already neuropathological processes ongoing that become more evident when patients progress to AD. Accordingly, there is a need for reliable biomarkers to distinguish between normal aging and incipient AD. Recent research suggests that, in addition to established biomarkers such as CSF Aß42, total tau and hyperphosphorylated tau, resting state connectivity established by functional magnetic resonance imaging might also be a feasible biomarker for prodromal stages of AD. In order to explore this possibility, we investigated resting state functional connectivity as well as cerebrospinal fluid (CSF) biomarker profiles in patients with MCI (n = 30; age 66.43 ± 7.06 years) and cognitively healthy controls (n = 38; age 66.89 ± 7.12 years). CSF Aß42, total tau and hyperphosphorylated tau concentrations were correlated with measures of cognitive performance (immediate and delayed recall, global cognition, processing speed). Moreover, MCI-related alterations in intrinsic functional connectivity within the default mode network were investigated using functional resting state MRI. As expected, MCI patients showed decreased CSF Aß42 and increased total tau concentrations. These alterations were associated with cognitive performance. However, there were no differences between MCI patients and cognitively healthy controls regarding intrinsic functional connectivity. In conclusion, our results indicate that CSF protein profiles seem to be more closely related to cognitive decline than alterations in resting state activity. Thus, resting state connectivity might not be a reliable biomarker for early stages of AD.
Dissemination of results to research participants is largely missing from the practices of most researchers. Few resources exist that describe best practices for disseminating information to this important stakeholder group.
Four focus groups were conducted with a diverse group of individuals. All participants were part of a Patient-Centered Outcomes Research Institute-funded survey study. Focus groups aimed to identify participants’ preferences about receiving research results and their reactions to three different dissemination platforms.
Four focus groups with 37 participants were conducted, including: (1) adults with one comorbidity, at least a college education, and high socioeconomic status (SES); (2) adults with one comorbidity, less than a college education, and lower SES; (3) adults with low health literacy and/or numeracy; and (4) Black or African American adults. Participants discussed their preferences for research results delivery and how each of the platforms met those preferences. This included information needs as they relate to content and scope, including a desire to receive both individual and aggregate results, and study summaries. Email, paper, and website were all popular avenues of presentation. Some desired a written summary, and others preferred videos or visual graphics. Importantly, participants emphasized the desire for having a choice in the timing, frequency, and types of results.
Research participants prefer to receive research results, including study impact and key findings, disseminated to them in an engaging format that allows choice of when and how the information is presented. The results encourage new standards whereby research participants are considered a critical stakeholder group.
Thanks to the remarkable ALMA capabilities and the unique configuration of the Cosmic Snake galaxy behind a massive galaxy cluster, we could resolve molecular clouds down to 30 pc linear physical scales in a typical Milky Way progenitor at z = 1.036, through CO(4–3) observations performed at the ∼ 0.2″ angular resolution. We identified 17 individual giant molecular clouds. These high-redshift molecular clouds are clearly different from their local analogues, with 10–100 times higher masses, densities, and internal turbulence. They are offset from the Larson scaling relations. We argue that the molecular cloud physical properties are dependent on the ambient interstellar conditions particular to the host galaxy. We find these high-redshift clouds in virial equilibrium, and derive, for the first time, the CO-to-H2 conversion factor from the kinematics of independent molecular clouds at z = 1. The measured large clouds gas masses demonstrate the existence of parent gas clouds with masses high enough to allow the in-situ formation of similarly massive stellar clumps seen in the Cosmic Snake galaxy in comparable numbers. Our results support the formation of molecular clouds by fragmentation of turbulent galactic gas disks, which then become the stellar clumps observed in distant galaxies.
Surface debris covers much of the western portion of the McMurdo Ice Shelf and has a strong influence on the local surface albedo and energy balance. Differential ablation between debris-covered and debris-free areas creates an unusual heterogeneous surface of topographically low, high-ablation, and topographically raised (‘pedestalled’), low-ablation areas. Analysis of Landsat and MODIS satellite imagery from 1999 to 2018, alongside field observations from the 2016/2017 austral summer, shows that pedestalled relict lakes (‘pedestals’) form when an active surface meltwater lake that develops in the summer, freezes-over in winter, resulting in the lake-bottom debris being masked by a high-albedo, superimposed, ice surface. If this ice surface fails to melt during a subsequent melt season, it experiences reduced surface ablation relative to the surrounding debris-covered areas of the ice shelf. We propose that this differential ablation, and resultant hydrostatic and flexural readjustments of the ice shelf, causes the former supraglacial lake surface to become increasingly pedestalled above the lower topography of the surrounding ice shelf. Consequently, meltwater streams cannot flow onto these pedestalled features, and instead divert around them. We suggest that the development of pedestals has a significant influence on the surface-energy balance, hydrology and flexure of the ice shelf.
We examine supervisor-subordinate (dis)agreement regarding perceptions of the supervisor’s ethical leadership and its relationship to organizational deviance. We find that, on average, supervisors rate themselves more favorably on ethical leadership compared to how followers rate them. In addition, polynomial regression results reveal that unit-level organizational deviance is higher when there is agreement about lower levels of ethical leadership, and disagreement when supervisors rate themselves higher on ethical leadership than subordinates’ ratings of the supervisors. Finally, drawing on social influence theories, we look at antecedents of (dis)agreement and find that supervisors’ beliefs about themselves (that they were “better-than-average” ethical leaders) and others (their assumptions about whether the morality of their subordinates is malleable or not) are associated with self-other (dis)agreement on ethical leadership.
The optimal approach to unifocalisation in pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (pulmonary artery/ventricular septal defect/major aortopulmonary collaterals) remains controversial. Moreover, the impact of collateral vessel disease burden on surgical decision-making and late outcomes remains poorly defined. We investigated our centre’s experience in the surgical management of pulmonary artery/ventricular septal defect/major aortopulmonary collaterals.
Materials and methods
Between 1996 and 2015, 84 consecutive patients with pulmonary artery/ventricular septal defect/major aortopulmonary collaterals underwent unifocalisation. In all, 41 patients received single-stage unifocalisation (Group 1) and 43 patients underwent multi-stage repair (Group 2). Preoperative collateral vessel anatomy, branch pulmonary artery reinterventions, ventricular septal defect status, and late right ventricle/left ventricle pressure ratio were evaluated.
Median follow-up was 4.8 compared with 5.7 years for Groups 1 and 2, respectively, p = 0.65. Median number of major aortopulmonary collaterals/patient was 3, ranging from 1 to 8, in Group 1 compared with 4, ranging from 1 to 8, in Group 2, p = 0.09. Group 2 had a higher number of lobar/segmental stenoses within collateral vessels (p = 0.02). Group 1 had fewer catheter-based branch pulmonary artery reinterventions, with 5 (inter-quartile range from 1 to 7) per patient, compared with 9 (inter-quartile range from 4 to 14) in Group 2, p = 0.009. Among patients who achieved ventricular septal defect closure, median right ventricle/left ventricle pressure was 0.48 in Group 1 compared with 0.78 in Group 2, p = 0.03. Overall mortality was 6 (17%) in Group 1 compared with 9 (21%) in Group 2.
Single-stage unifocalisation is a promising repair strategy in select patients, achieving low rates of reintervention for branch pulmonary artery restenosis and excellent mid-term haemodynamic outcomes. However, specific anatomic substrates of pulmonary artery/ventricular septal defect/major aortopulmonary collaterals may be better suited to multi-stage repair. Preoperative evaluation of collateral vessel calibre and function may help inform more patient-specific surgical management.
Objectives: To evaluate prospective and retrospective memory abilities in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans with and without a self-reported history of blast-related mild traumatic brain injury (mTBI). Methods: Sixty-one OEF/OIF/OND Veterans, including Veterans with a self-reported history of blast-related mTBI (mTBI group; n=42) and Veterans without a self-reported history of TBI (control group; n=19) completed the Memory for Intentions Test, a measure of prospective memory (PM), and two measures of retrospective memory (RM), the California Verbal Learning Test-II and the Brief Visuospatial Memory Test-Revised. Results: Veterans in the mTBI group exhibited significantly lower PM performance than the control group, but the groups did not differ in their performance on RM measures. Further analysis revealed that Veterans in the mTBI group with current PTSD (mTBI/PTSD+) demonstrated significantly lower performance on the PM measure than Veterans in the control group. PM performance by Veterans in the mTBI group without current PTSD (mTBI/PTSD-) was intermediate between the mTBI/PTSD+ and control groups, and results for the mTBI/PTSD- group were not significantly different from either of the other two groups. Conclusions: Results suggest that PM performance may be a sensitive marker of cognitive dysfunction among OEF/OIF/OND Veterans with a history of self-reported blast-related mTBI and comorbid PTSD. Reduced PM may account, in part, for complaints of cognitive difficulties in this Veteran cohort, even years post-injury. (JINS, 2018, 24, 324–334)
This article introduces the main topics and intellectual concerns behind this Special Issue about Brazilian labour history in global context. Over the last two decades, Brazilian labour history has become an important reference point for the international debate about a renewed labour and working-class history. It has greatly broadened its conceptual scope by integrating issues of gender, race, and ethnicity and has moved towards studying the whole gamut of labour relations in Brazil’s history. Furthermore it has taken new perspectives on the history of movements. As background to this Special Issue, this introduction embeds current Brazilian labour historiography in its development as a field and in the country’s broader political and social history. Presenting the contributions, we highlight their connections with current debates in Global Labour History.
We present the first dedicated study into the phenomenon of ice sails. These are clean ice structures that protrude from the surface of a small number of debris-covered glaciers and can grow to heights of over 25 m. We draw together what is known about them from the academic/exploration literature and then analyse imagery. We show here that ice sails can develop by one of two mechanisms, both of which require clean ice to become surrounded by debris-covered ice, where the debris layer is shallow enough for the ice beneath it to melt faster than the clean ice. Once formed, ice sails can persist for decades, in an apparently steady state, before debris layer thickening eventually causes a reversal in the relative melt rates and the ice sails decay to merge back with the surrounding glacier surface. We support our image-based analysis with a surface energy-balance model and show that it compares well with available observations from Baltoro Glacier in the Karakoram. A sensitivity analysis of the model is performed and confirms the results from our empirical study that ice sails require a relatively high evaporative heat flux and/or a relatively low sensible heat flux in order to exist.
The International Celestial Reference Frame suffers from significantly less observations in the southern hemisphere compared to the northern one. One reason for this is the historically low number of very long baseline interferometry radio telescopes in the south. The AuScope very long baseline interferometry array with three new telescopes on the Australian continent and an identical antenna in New Zealand were built to address this issue. While the overall number of observations in the south has greatly improved since then, a closer look reveals that this improvement is only true for strong radio sources (source flux densities >0.6 Jy). The new array of small very long baseline interferometry antennas has a relatively low baseline sensitivity so that only strong sources can be observed within a short integration time. A new observing strategy, the star scheduling mode, was developed to enable efficient observations of weak sources during geodetic sessions, through the addition of a single more sensitive antenna to the network. This scheduling mode was implemented in the Vienna very long baseline interferometry Software and applied in four 24-h sessions in 2016. These observations provide updated positions and source flux densities for 42 weak southern radio sources and significantly reduce the formal uncertainties for these sources. The star scheduling mode now allows the AuScope very long baseline interferometry array to undertake greater responsibility in monitoring sources in the southern sky, without significantly weakening the session for geodetic purposes.
On 2 March 2016, several small en échelon tabular icebergs calved from the seaward front of the McMurdo Ice Shelf, and a previously inactive rift widened and propagated by ~3 km, ~25% of its previous length, setting the stage for the future calving of a ~14 km2 iceberg. Within 24 h of these events, all remaining land-fast sea ice that had been stabilizing the ice shelf broke-up. The events were witnessed by time-lapse cameras at nearby Scott Base, and put into context using nearby seismic and automatic weather station data, satellite imagery and subsequent ground observation. Although the exact trigger of calving and rifting cannot be identified definitively, seismic records reveal superimposed sets of both long-period (>10 s) sea swell propagating into McMurdo Sound from storm sources beyond Antarctica, and high-energy, locally-sourced, short-period (<10 s) sea swell, in the 4 days before the fast ice break-up and associated ice-shelf calving and rifting. This suggests that sea swell should be studied further as a proximal cause of ice-shelf calving and rifting; if proven, it suggests that ice-shelf stability is tele-connected with far-field storm conditions at lower latitudes, adding a global dimension to the physics of ice-shelf break-up.
This introduction presents the main topics and analytical concerns of the contributions to this Special Issue about ethnicity and migration in coalfield history in a global perspective. From the nineteenth century the development of industrial and transport technologies required the supply of coal-based energy in every part of the world. Nineteenth- and early twentieth-century globalization, including colonialism, would not have been possible without coal. Coalmining operations were launched in all world regions, and to enable exploitation mine operators had to find, mobilize, and direct workers to the mining sites. This quest for labour triggered a series of migration processes (both from nearby and far away) and resulted in a broad array of labour relations (both free and unfree). This introduction points to the variety of constellations analysed in the different contributions to this Special Issue. These cover cases from Africa (Nigeria, Zimbabwe), Asia (China, Japan), the Americas (USA, Brazil), Turkey, the Soviet Union, and western Europe (France, Germany), and a broad range of topics, from segregation, forced labour, and subcontracting to labour struggles, discrimination, ethnic paternalism, and sport.
Influenza A (H1N1) pdm09 became the predominant circulating strain in the United States during the 2013–2014 influenza season. Little is known about the epidemiology of severe influenza during this season.
A retrospective cohort study of severely ill patients with influenza infection in intensive care units in 33 US hospitals from September 1, 2013, through April 1, 2014, was conducted to determine risk factors for mortality present on intensive care unit admission and to describe patient characteristics, spectrum of disease, management, and outcomes.
A total of 444 adults and 63 children were admitted to an intensive care unit in a study hospital; 93 adults (20.9%) and 4 children (6.3%) died. By logistic regression analysis, the following factors were significantly associated with mortality among adult patients: older age (>65 years, odds ratio, 3.1 [95% CI, 1.4–6.9], P=.006 and 50–64 years, 2.5 [1.3–4.9], P=.007; reference age 18–49 years), male sex (1.9 [1.1–3.3], P=.031), history of malignant tumor with chemotherapy administered within the prior 6 months (12.1 [3.9–37.0], P<.001), and a higher Sequential Organ Failure Assessment score (for each increase by 1 in score, 1.3 [1.2–1.4], P<.001).
Risk factors for death among US patients with severe influenza during the 2013–2014 season, when influenza A (H1N1) pdm09 was the predominant circulating strain type, shifted in the first postpandemic season in which it predominated toward those of a more typical epidemic influenza season.
Infect. Control Hosp. Epidemiol. 2015;36(11):1251–1260
In this paper we undertake a quantitative analysis of the dynamic process by which ice underneath a dry porous debris layer melts. We show that the incorporation of debris-layer airflow into a theoretical model of glacial melting can capture the empirically observed features of the so-called Østrem curve (a plot of the melt rate as a function of debris depth). Specifically, we show that the turning point in the Østrem curve can be caused by two distinct mechanisms: the increase in the proportion of ice that is debris-covered and/or a reduction in the evaporative heat flux as the debris layer thickens. This second effect causes an increased melt rate because the reduction in (latent) energy used for evaporation increases the amount of energy available for melting. Our model provides an explicit prediction for the melt rate and the temperature distribution within the debris layer, and provides insight into the relative importance of the two effects responsible for the maximum in the Østrem curve. We use the data of Nicholson and Benn (2006) to show that our model is consistent with existing empirical measurements.