This letter explores language politics as it concerns gender, and investigates the adoption of amendments that introduce gender-neutral language to subnational constitutions via popular initiative. Embracing theories of female empowerment based on resource acquisition and shrinking gender differentials in economic resources, the authors argue that popular support for these initiatives will be higher in contexts where female and male incomes are closer to parity. The study tests this expectation using city-level historical administrative data in California on Proposition 11 in 1974 – the first American state to hold a popular vote on amending its constitution to include only gender-neutral language. It finds that greater parity in income between women and men is associated with greater voter support for the initiative. This result holds after controlling for conceivable confounders, fails to emerge when analyzing gender-irrelevant ballot measures, and replicates when analyzing similar measures held in three jurisdictions in other states.

Major surgery carried out in low- and middle-income countries is associated with a high risk of surgical site infections (SSI), but knowledge is limited regarding contributory factors to such infections. This study explores factors related to patients developing an SSI in a teaching hospital in Ghana. A prospective cohort study of patients undergoing abdominal surgical procedures was conducted at Korle Bu Teaching Hospital. Patient characteristics, procedures and environmental characteristics were recorded. A 30-day daily surveillance was used to diagnose SSI, and Poisson regression analysis was used to test for association of SSI and risk factors; survival was determined by proportional hazard regression methods. We included 358 patients of which 58 (16.2%; 95% CI 12.7–20.4%) developed an SSI. The median number of door openings during an operation was 79, with 81% being unnecessary. Door openings greater than 100 during an operation (P = 0.028) significantly increased a patient's risk of developing an SSI. Such patients tended to have an elevated mortality risk (hazard ratio 2.67; 95% CI 0.75–9.45, P = 0.128). We conclude that changing behaviour and practices in operating rooms is a key strategy to reduce SSI risk.

Four placoderm fishes are described from the Lepel Beds of the Vitebsk Regional Stage of the Lower Devonian (upper Emsian) of Belarus. Two forms are new (Stipatosteus svidunovitchi new genus, new species and Actinolepis zaikai new species) and the other two taxa are left in open nomenclature (Coccosteidae gen. indet. sp. indet.; Placodermi indet. 1). Specimens of all four forms consist of disarticulated, mostly well-preserved plates (some are worn at the edges) originating from the cores of six boreholes. Additionally, the paper presents data on organic remains with the placoderms. A detailed lithological description of the enclosing rocks and a taphonomic description of the ichthyofauna are also provided. The 2010 Stratigraphic Chart of the Devonian deposits of Belarus was used as the stratigraphic basis. The presence of the genus Actinolepis Agassiz, 1844 in these deposits as well as in the Emsian of the Baltic region and Spitsbergen suggests a regional paleogeographic connection at this time.

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The mechanism through which developmental programming of offspring overweight/obesity following in utero exposure to maternal overweight/obesity operates is unknown but may operate through biologic pathways involving offspring anthropometry at birth. Thus, we sought to examine to what extent the association between in utero exposure to maternal overweight/obesity and childhood overweight/obesity is mediated by birth anthropometry. Analyses were conducted on a retrospective cohort with data obtained from one hospital system. A natural effects model framework was used to estimate the natural direct effect and natural indirect effect of birth anthropometry (weight, length, head circumference, ponderal index, and small-for-gestational age [SGA] or large-for-gestational age [LGA]) for the association between pre-pregnancy maternal body mass index (BMI) category (overweight/obese vs normal weight) and offspring overweight/obesity in childhood. Models were adjusted for maternal and child socio-demographics. Three thousand nine hundred and fifty mother–child dyads were included in analyses (1467 [57.8%] of mothers and 913 [34.4%] of children were overweight/obese). Results suggest that a small percentage of the effect of maternal pre-pregnancy BMI overweight/obesity on offspring overweight/obesity operated through offspring anthropometry at birth (weight: 15.5%, length: 5.2%, head circumference: 8.5%, ponderal index: 2.2%, SGA: 2.9%, and LGA: 4.2%). There was a small increase in the percentage mediated when gestational diabetes or hypertensive disorders were added to the models. Our study suggests that some measures of birth anthropometry mediate the association between maternal pre-pregnancy overweight/obesity and offspring overweight/obesity in childhood and that the size of this mediated effect is small.

Globba sect. Nudae subsect. Mediocalcaratae (K.Schum.) K.J.Williams is revised. Nineteen species are recognised. Eight names are lectotypified, three names are newly placed in synonymy, and two names are neotypified. A key to the species and descriptions are provided. Nine new species are described and illustrated: Globba argyrocycnos Sangvir. & M.F.Newman, G. cataractarum Sangvir. & M.F.Newman, G. chrysochila Sangvir. & M.F.Newman, G. decora Sangvir. & M.F.Newman, G. lilacina Sangvir. & M.F.Newman, G. newmanii Sangvir., G. nitens Sangvir. & M.F.Newman, G. pycnostachys Sangvir. & M.F.Newman and G. pyrrhopoikila Sangvir. & M.F.Newman. Six names based on five types from Thailand and the Philippines remain doubtful. Andromonoecy in this subsection is defined. Provisional IUCN conservation assessments of all species are supplied.