We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Comparison of recent maps of the distribution of drumlins in Great Britain reveals considerable discrepancies. Morphometric analysis and speculation regarding drumlin genesis require accurate maps.
We examined whether adolescents’ genetic sensitivity, measured by a polygenic index score, moderated the longitudinal associations between parenting and adolescents’ psychological adjustment. The sample included 323 mothers, fathers, and adolescents (177 female, 146 male; Time 1 [T1] average age = 12.61 years, SD = 0.54 years; Time 2 [T2] average age = 13.59 years, SD = 0.59 years). Parents’ warmth and hostility were rated by trained, independent observers using videotapes of family discussions. Adolescents reported their symptoms of anxiety, depressed mood, and hostility at T1 and T2. The results from autoregressive linear regression models showed that adolescents’ genetic sensitivity moderated associations between observations of both mothers’ and fathers’ T1 parenting and adolescents’ T2 composite maladjustment, depression, anxiety, and hostility. Compared to adolescents with low genetic sensitivity, adolescents with high genetic sensitivity had worse adjustment outcomes when parenting was low on warmth and high on hostility. When parenting was characterized by high warmth and low hostility, adolescents with high genetic sensitivity had better adjustment outcomes than their counterparts with low genetic sensitivity. The results support the differential susceptibility model and highlight the complex ways that genes and environment interact to influence development.
The Early Iron Age enclosures and associated sites on Sutton Common on the western edge of the Humberhead Levels contain an exceptional variety of archaeological data of importance not only to the region but for the study of later prehistory in the British Isles. Few other later prehistoric British sites outside the East Anglian fens and the Somerset Levels have thus far produced the quantity and quality of organically preserved archaeological materials that have been found, despite the small scale of the investigations to date. The excavations have provided an opportunity to integrate a variety of environmental analyses, of wood, pollen, beetles, waterlogged and carbonised plant remains, and of soil micromorphology, to address archaeological questions about the character, use, and environment of this Early Iron Age marsh fort. The site is comprised of a timber palisaded enclosure and a succeeding multivallate enclosure linked to a smaller enclosure by a timber alignment across a palaeochannel, with associated finds ranging in date from the Middle Bronze Age to the Roman and medieval periods. Among the four adjacent archaeological sites is an Early Mesolithic occupation site, also with organic preservation, and there is a Late Neolithic site beneath the large enclosure. Desiccation throughout the common is leading to the damage and loss of wooden and organic remains. It is hoped that the publication of these results, of investigations between 1987 and 1993, will lead to a fuller investigation taking place.
The excavations of the cemetery groups at Balneaves, Loanleven and Park of Tongland facilitate an examination of many aspects of Bronze Age burial practices in Scotland. They are notable as much for the differences in burial ritual they imply as for the very narrow chronological period in which they were used. The three sites produced a total of seventeen 14C dates, two of which are aberrant, with means of the remaining fifteen falling within a period of 250 years (3370–3610 bp in radiocarbon years). The excavations were sponsored by Historic Scotland (formerly Historic Buildings and Monuments, Scotland).
At Balneaves, a penannular ditch enclosed sixteen features, including a group of seven pits with cremation burials, four of which were associated with a distinctive assemblage of collared urns. The cremated bone was well preserved. At least one large standing stone had been erected on the site, and this was buried in the medieval period.
At Loanleven, only a segment of the enclosing ring-ditch survived, within which were four cists, two containing inhumations and two cremations, one of the latter (Cist 2) associated with a fragment of a food vessel. A decorated slab, in so-called ‘Passage Grave Style’, was recovered from Cist 1, and the same cist produced palynological evidence for grave furnishings in the form of a mat of plant material which probably underlay the body. 14C dates give a terminus ante quem of 3620±50 bp (GU–2543) for the re-use of the decorated slab, and a terminus post quem of 3410±50 bp (GU–2542) for the food vessel grave.
Park of Tongland, regarded as a Four-Poster stone circle, was excavated after the fall of a standing stone. It was shown to be of multi-period construction, consisting of a cairn which overlay seven pits containing fragmentary cremation burials, two associated with collared urns. The standing stones may not all have been erect at the same time. A series of 14C dates fell within the range of 1480–1530 bc.
Acute psychiatric wards have been the focus of widespread dissatisfaction. Residential alternatives have attracted much interest, but little research, over the past 50 years.
Aims
Our aims were to identify all in-patient and residential alternatives to standard acute psychiatric wards in England, to develop a typology of such services and to describe their distribution and clinical populations.
Method
National cross-sectional survey of alternatives to standard acute in-patient care.
Results
We found 131 services intended as alternatives. Most were hospital-based and situated in deprived areas, and about half were established after 2000. Several clusters with distinctive characteristics were identified, ranging from general acute wards applying innovative therapeutic models, through clinical crisis houses that are highly integrated with local health systems, to more radical voluntary sector alternatives. Most people using the alternatives had a previous history of admission, but only a few community-based services accepted compulsory admissions.
Conclusions
Alternatives to standard acute psychiatric wards represent an important, but previously undocumented and unevaluated, sector of the mental health economy. Further evidence is needed to assess whether they can improve the quality of acute in-patient care.
The
$H$
-space that represents Brown-Peterson cohomology
$\text{B}{{\text{P}}^{k}}\left( - \right)$
was split by the second author into indecomposable factors, which all have torsion-free homotopy and homology. Here, we do the same for the related spectrum
$P\left( n \right)$
, by constructing idempotent operations in
$P\left( n \right)$
-cohomology
$P{{(n)}^{k}}\left( - \right)$
in the style of Boardman-Johnson-Wilson; this relies heavily on the Ravenel-Wilson determination of the relevant Hopf ring. The resulting
$\left( i\,-\,1 \right)$
-connected
$H$
-spaces
${{Y}_{i}}$
have free connective Morava
$K$
-homology
$k{{(n)}_{*}}({{Y}_{i}})$
, and may be built from the spaces in the
$\Omega$
-spectrum for
$k\left( n \right)$
using only
${{v}_{n}}$
-torsion invariants.
We also extend Quillen's theorem on complex cobordism to show that for any space
$X$
, the
$P{{\left( n \right)}_{*}}$
-module
$P{{(n)}^{*}}\,(X)$
is generated by elements of
$P{{(n)}^{i}}(X)$
for
$i\,\ge \,0$
. This result is essential for the work of Ravenel-Wilson-Yagita, which in many cases allows one to compute BP-cohomology from Morava
$K$
-theory.
The advent of public reporting of hospital-acquired infection rates has sparked ongoing discussion about the most appropriate surveillance data to present. When we used different numerators to calculate rates of surgical site infection following coronary artery bypass graft surgery, we found that some hospitals' rates and their rankings were notably affected.
Reconsideration of the nature of zooids in trepostomate Bryozoa defines them as physically connected and asexually replicated colony members that housed systems of organs necessary to perform vital functions for the colonies. Zooids known to contain organs in trepostomes are limited to autozooids, the requisite feeding and sexual units, and polymorphs, including macrozooids and two rare zooids of unknown function. Other colony structures are extrazooidal and remain outside zooidal boundaries throughout colony life. They include the commonly occurring mesopores, exilapores, and styles. This two-part morphologic division of colonies reveals two correlated functions. The essential autozooids dominated the growth patterns and physiology of trepostome colonies; the extrazooidal parts grew concurrently and passively to connect autozooids and to support and strengthen colonies.
Uganda has a rich history of medical education (Odonga, 1989) that was severely harmed by the rise of Idi Amin and the years of internal strife. It is only over recent years that the country has begun to rebuild itself (Boardman & Ovuga, 1997).
William St. Clair's article in 8 International Journal of Cultural Property 391-521 (1999) raised questions about the cleaning of the Parthenon marbles in London in the 1930s and about Elgin's so-called bribery of Turkish officials. The latter is here dismissed as normal practice. An account is given of the building and purpose of the Parthenon, its history to the end of the eighteenth century, then of the marbles taken to London and of those left in Athens. The cleaning is judged to have been no more than the comparable treatment of marbles in other museums, though vigorous in places, the intention being to make them intelligible to the visiting public, but resulting in no serious loss of detail or academic value. Finally, a personal viewpoint is given of the purposes for which ancient art is conserved, along with criteria for the optimum place of display for collections of cultural property of more than local importance in human history.
A study of the influence of life-event stress on the onset and course of acute somatisation in primary care.
Method.
Forty-four somatisers were compared with 11 subjects who had psychiatric disorder but complained only of psychological symptoms, 39 patients who had ‘mixed’ conditions involving independent physical and psychiatric illness, 90 patients who had physical illness, and 123 healthy members of the general population.
Results.
Severely threatening life events were more common among all subjects with psychiatric disorder. A novel contextual rating of the potential of stressors to produce symptoms for ‘secondary gain’ was developed. In the 38 weeks before symptom onset, somatisers and psychologisers were more likely to have experienced at least one event which had this potential. Somatisers were also less likely to adopt neutralising coping efforts when faced with such a crisis.
Conclusions.
The likelihood of adopting neutralising efforts was closely related to the presence of a joint index of parental problems in care and exposure to physical illness in the subject's childhood. In a two-year follow-up, subsequent functional illnesses were also associated with experiences which had secondary-gain potential, and subjects with childhood risk factors continued to have higher rates of crises with secondary-gain potential and to fail to adopt neutralising coping strategies.
In a two-year longitudinal study, a two-stage screening procedure was used to identify subjects in primary care with emotional disorder presenting with a recent onset of physical symptoms and a comparison sample of patients presenting with physical symptoms only. Somatisers (n = 44) were defined as subjects who had an emotional disorder but who presented with physical symptoms that could not be attributed to organic disease. The course and outcome of these conditions were compared with those of pure emotional disorder (n = 11), pure physical disorder (n = 90) and ‘mixed’ conditions (n = 39). The physical symptoms of somatisers were less likely to improve and lagged behind those of the other groups, and 16 of these acute somatisers went on to develop chronic somatoform disorders. Among somatisers, changes in physical symptom levels throughout the follow-up closely mirrored changes in emotional arousal. Emotionally disordered subjects reported more instances of parental lack of care, but somatisers were also more likely than other groups to report parental physical illness and to have had more physical illness themselves in childhood. A logistic regression suggests that adult somatisation is best modelled by parental lack of care followed by childhood illness.
This volume is unlike any which has preceded it. Earlier volumes have covered the whole of the Mediterranean and Near East. We hardly stray beyond Greece, deferring developments elsewhere to Volume VI. We are thus stressing that this is a period when, for the first and last time before the Romans, great political and military power on the one hand and cultural importance on the other, including the presence of historians to describe that power, are located in the same place. By contrast, Persia and the empires which preceded it were powerful but not articulate; the Jews were articulate but not powerful. This gives the volume a coherence which its predecessors and immediate successors lack.
Some of the coherence arises from the nature of our sources, which make an Athenian standpoint hard to avoid. That point was noticed by Sallust in the first century B.C.:
As I reckon it, the actions of the Athenians were indeed vast and magnificent, but rather less substantial than report makes them. But because writers of genius grew up there, Athenian deeds are renowned as the greatest throughout the world. The talent of those who did them is judged by the powers of praise of these outstanding literary geniuses. (Bell. Cat. 8.2—4)