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To describe the cumulative seroprevalence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies during the coronavirus disease 2019 (COVID-19) pandemic among employees of a large pediatric healthcare system.
Design, setting, and participants:
Prospective observational cohort study open to adult employees at the Children’s Hospital of Philadelphia, conducted April 20–December 17, 2020.
Employees were recruited starting with high-risk exposure groups, utilizing e-mails, flyers, and announcements at virtual town hall meetings. At baseline, 1 month, 2 months, and 6 months, participants reported occupational and community exposures and gave a blood sample for SARS-CoV-2 antibody measurement by enzyme-linked immunosorbent assays (ELISAs). A post hoc Cox proportional hazards regression model was performed to identify factors associated with increased risk for seropositivity.
In total, 1,740 employees were enrolled. At 6 months, the cumulative seroprevalence was 5.3%, which was below estimated community point seroprevalence. Seroprevalence was 5.8% among employees who provided direct care and was 3.4% among employees who did not perform direct patient care. Most participants who were seropositive at baseline remained positive at follow-up assessments. In a post hoc analysis, direct patient care (hazard ratio [HR], 1.95; 95% confidence interval [CI], 1.03–3.68), Black race (HR, 2.70; 95% CI, 1.24–5.87), and exposure to a confirmed case in a nonhealthcare setting (HR, 4.32; 95% CI, 2.71–6.88) were associated with statistically significant increased risk for seropositivity.
Employee SARS-CoV-2 seroprevalence rates remained below the point-prevalence rates of the surrounding community. Provision of direct patient care, Black race, and exposure to a confirmed case in a nonhealthcare setting conferred increased risk. These data can inform occupational protection measures to maximize protection of employees within the workplace during future COVID-19 waves or other epidemics.
Field trials were conducted to determine the effects of glyphosate and/or dicamba simulated drift rates on chipping potatoes (Solanum tuberosum L.) ‘Atlantic’ and ‘Dakota Pearl.’ Sublethal herbicide rates were applied at the tuber initiation stage and consisted of dicamba at 99 g ae ha−1 or glyphosate at 197 g ae ha−1 applied alone or the combinations of dicamba at 20 or 99 g ae ha−1 and glyphosate at 40 or 197 g ae ha−1, respectively. At 7 days after treatment (DAT), the high spray combination of glyphosate plus dicamba resulted in the greatest plant damage (28%). Plant injury from plants treated with the low combination of glyphosate plus dicamba did not differ from the nontreated control. At 21 DAT, visible injury increased to 40% for plants treated with the high combination of glyphosate plus dicamba. Total yield suggested that dicamba and glyphosate caused similar yield reductions as plants that received glyphosate at 197 g ha−1 or dicamba at 99 g ha−1 had lower total yields compared to the nontreated and plants that received the combination of glyphosate (197 g ha−1) and dicamba (99 g ha−1) had lower total yields compared to plants that received either herbicide alone. However, ‘Dakota Pearl’ plants were more sensitive to glyphosate at 197 g ha−1 than were ‘Atlantic’ plants, causing the interaction for most tuber grades. Tuber specific gravity was lower for plants that received glyphosate at 197 g ha−1, dicamba at 99 g ha−1, or this combination, but this reduction would not prevent chip processing. Results reinforce the need for diligence when applying these herbicides in proximity to a susceptible crop, such as chipping potatoes, and the need to thoroughly clean sprayers before application to a sensitive crop.
Radiocarbon (14C) is an isotopic tracer used to address a wide range of scientific research questions. However, contamination by elevated levels of 14C is deleterious to natural-level laboratory workspaces and accelerator mass spectrometer facilities designed to precisely measure small amounts of 14C. The risk of contaminating materials and facilities intended for natural-level 14C with elevated-level 14C-labeled materials has dictated near complete separation of research groups practicing profoundly different measurements. Such separation can hinder transdisciplinary research initiatives, especially in remote and isolated field locations where both natural-level and elevated-level radiocarbon applications may be useful. This paper outlines the successful collaboration between researchers making natural-level 14C measurements and researchers using 14C-labeled materials during a subglacial drilling project in West Antarctica (SALSA 2018–2019). Our strict operating protocol allowed us to successfully carry out 14C labeling experiments within close quarters at our remote field camp without contaminating samples of sediment and water intended for natural level 14C measurements. Here we present our collaborative protocol for maintaining natural level 14C cleanliness as a framework for future transdisciplinary radiocarbon collaborations.
The first demonstration of laser action in ruby was made in 1960 by T. H. Maiman of Hughes Research Laboratories, USA. Many laboratories worldwide began the search for lasers using different materials, operating at different wavelengths. In the UK, academia, industry and the central laboratories took up the challenge from the earliest days to develop these systems for a broad range of applications. This historical review looks at the contribution the UK has made to the advancement of the technology, the development of systems and components and their exploitation over the last 60 years.
Infants born preterm miss out on the peak period of in utero DHA accretion to the brain during the last trimester of pregnancy which is hypothesised to contribute to the increased prevalence of neurodevelopmental deficits in this population. This study aimed to determine whether DHA supplementation in infants born preterm improves attention at 18 months’ corrected age. This is a follow-up of a subset of infants who participated in the N3RO randomised controlled trial. Infants were randomised to receive an enteral emulsion of high-dose DHA (60 mg/kg per d) or no DHA (soya oil – control) from within the first days of birth until 36 weeks’ post-menstrual age. The assessment of attention involved three tasks requiring the child to maintain attention on toy/s in either the presence or absence of competition or a distractor. The primary outcome was the child’s latency of distractibility when attention was focused on a toy. The primary outcome was available for seventy-three of the 120 infants that were eligible to participate. There was no evidence of a difference between groups in the latency of distractibility (adjusted mean difference: 0·08 s, 95 % CI –0·81, 0·97; P = 0·86). Enteral DHA supplementation did not result in improved attention in infants born preterm at 18 months’ corrected age.
Apocalypticism is a worldview that developed in ancient Judaism in the Hellenistic period. It draws heavily on ancient myths, and attempts to express a sense that the world is governed by transcendent powers and that human destiny transcends the present order.
Objectives: The aim of this study was to describe cognitive, academic, and psychosocial outcomes after an incident demyelinating event (acquired demyelinating syndromes, ADS) in childhood and to investigate the contribution of brain lesions and confirmed MS diagnosis on outcome. Methods: Thirty-six patients with ADS (mean age=12.2 years, SD=2.7, range: 7–16 years) underwent brain MRI scans at presentation and at 6-months follow-up. T2-weighted lesions on MRI were assessed using a binary classification. At 6-months follow-up, patients underwent neuropsychological evaluation and were compared with 42 healthy controls. Results: Cognitive, academic, and behavioral outcomes did not differ between the patients with ADS and controls. Three of 36 patients (8.3%) were identified with cognitive impairment, as determined by performance falling ≤1.5 SD below normative values on more than four independent tests in the battery. Poor performance on a visuomotor integration task was most common, observed among 6/32 patients, but this did not differ significantly from controls. Twelve of 36 patients received a diagnosis of MS within 3 years post-ADS. Patients with MS did not differ from children with monophasic ADS in terms of cognitive performance at the 6-months follow-up. Fatigue symptoms were reported in 50% of patients, irrespective of MS diagnosis. Presence of brain lesions at onset and 6 months post-incident demyelinating event did not associate with cognitive outcome. Conclusions: Children with ADS experience a favorable short-term neurocognitive outcome, even those confirmed to have MS. Longitudinal evaluations of children with monophasic ADS and MS are required to determine the possibility of late-emerging sequelae and their time course. (JINS, 2016, 22, 1050–1060)
“Historical criticism” is the name usually given to what may be termed “mainline” biblical criticism over the last three centuries or so, although it is increasingly in dispute in recent years. James Barr has rightly insisted that it is misleading to speak of “the historical-critical method”: “there are methods used by historical-criticism, but there is no such thing as the historical critical method.” Whether the adjective “historical” is always appropriate also may be questioned. For purposes of this chapter, historical-critical methods are those which take account of the fact that the biblical texts were written long ago, in a cultural matrix very different from our own, and that attempt to understand the texts first of all in the context of that ancient setting. Historical considerations are a necessary part of that discussion because it requires at least an approximate idea of the time, place, and circumstances of composition. The goal of this inquiry, however, is not necessarily historical in a narrow sense. It might just as well be the theology or rhetoric of the text, seen in light of its historical context.
To say that texts are written in specific times and places and that historical context is germane to interpretation may seem to be stating the obvious. One need only look, however, at an ancient interpreter such as Philo of Alexandria to see that the point has not always been appreciated. The historian Peter Burke has argued that “medieval men lacked a sense of the past being different in quality from the present.” In the case of the Bible, there was no point in differentiating the time when the different books were written because they were all supposed to come from God. The rise of biblical criticism is sometimes traced back to the recovery of classical antiquity and ancient manuscripts in the Renaissance. German Protestants have tended to see its origin rather in the Reformation, which set the authority of the sola scriptura over against that of the Church. There can be little doubt that the Reformation contributed to the importance attached to the biblical text in its original context, but it certainly did not lead immediately to a wholesale adoption of historical exegesis. Another impetus came from the Enlightenment and the writings of Spinoza and the English Deists.
Studies using acute tryptophan depletion (ATD) to examine the effects of a rapid reduction in serotonin function have shown a reduction in global cognitive status during ATD in Alzheimer's disease (AD) and Parkinson's disease (PD). Based on the severe cholinergic loss evident in dementia with Lewy bodies (DLB) and Parkinson's disease and dementia (PDD), we predicted that a reduction of global cognitive status during ATD would be greater in these conditions than in AD.
Patients having DLB or PDD underwent ATD in a double-blind, placebo-controlled, randomized, counterbalanced, crossover design.
While the study intended to test 20 patients, the protocol was poorly tolerated and terminated after six patients attempted, but only four patients – three with DLB and one with PDD – completed the protocol. The Modified Mini-Mental State Examination (3MSE) score was reduced in all three DLB patients and unchanged in the PDD and dementia patient during ATD compared with placebo.
This reduction in global cognitive function and the poor tolerability may fit with the hypothesis that people with dementia with Lewy bodies have sensitivity to the effects of reduced serotonin function.
The literature of the period around the turn of the era is usually classified in four corpora that reflect the manner of its transmission: the Apocrypha, Pseudepigrapha, Hellenistic Jewish writings and Dead Sea scrolls. The Hebrew and Aramaic writings found in the Dead Sea scrolls are undeniably Jewish, and can be dated with confidence to the period around the turn of the era. A classic example of the phenomenon of rewritten scriptures is provided by the book of Jubilees, a work that is preserved in full only in Ethiopic but whose antiquity is guaranteed by the discovery of Hebrew fragments among the Dead Sea scrolls. It is likely that the book of Jubilees was accepted as true revelation and therefore authoritative by some people, including the movement described in the Damascus Document from Qumran. Book of Jubilees and the Biblical Antiquities are extended paraphrases of biblical texts.
The length-scales at which thermal transport crosses from the diffusive to ballistic regime are of much interest particularly in the design and improvement of nano-structured materials. In this work, we demonstrate that the departure from diffusive transport has been observed in Si and GaAs using an optical transient thermal grating technique where an arbitrary, experimentally set length scale can be imposed on a material. In a transient thermal grating experiment, crossed laser pulses interfere creating a well-defined periodic absorption and temperature profile. A probe beam is diffracted from this transient grating and length-scale dependent thermal transport properties can be determined from the signal decay. As the length scale is decreased to lengths shorter than the mean free paths of heat carrying phonons, quasi-ballistic heat transport effects become apparent allowing us to map out length scales and mean free paths relevant to nondiffusive thermal transport in Si and GaAs.