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In recent years, an increasing number of online archival databases of primary sources related to the history of the African diaspora and slavery have become freely and readily accessible for scholarly and public consumption. This proliferation of digital projects and databases presents a number of challenges related to aggregating data geographically according to the movement of people in and out of Africa across time and space. As a requirement to linking data of open-source digital projects, it has become necessary to delimit the entire continent of precolonial Africa during the era of the slave trade into broad regions and sub-regions that can allow the grouping of data effectively and meaningfully.
Patients with Parkinson’s disease psychosis (PDP) are often treated with an atypical antipsychotic, especially quetiapine or clozapine, but side effects, lack of sufficient efficacy, or both may motivate a switch to pimavanserin, the first medication approved for management of PDP. How best to implement a switch to pimavanserin has not been clear, as there are no controlled trials or case series in the literature to provide guidance. An abrupt switch may interrupt partially effective treatment or potentially trigger rebound effects from antipsychotic withdrawal, whereas cross-taper involves potential drug interactions. A panel of experts drew from published data, their experience treating PDP, lessons from switching antipsychotic drugs in other populations, and the pharmacology of the relevant drugs, to establish consensus recommendations. The panel concluded that patients with PDP can be safely and effectively switched from atypical antipsychotics used off label in PDP to the recently approved pimavanserin by considering each agent’s pharmacokinetics and pharmacodynamics, receptor interactions, and the clinical reason for switching (efficacy or adverse events). Final recommendations are that such a switch should aim to maintain adequate 5-HT2A antagonism during the switch, thus providing a stable transition so that efficacy is maintained. Specifically, the consensus recommendation is to add pimavanserin at the full recommended daily dose (34 mg) for 2–6 weeks in most patients before beginning to taper and discontinue quetiapine or clozapine over several days to weeks. Further details are provided for this recommendation, as well as for special clinical circumstances where switching may need to proceed more rapidly.
Rather than model Hegel’s account of terrorism on the struggle for recognition and against domination, I maintain that his account is best understood according to Derrida’s notion of autoimmunity. The logic of autoimmunity models terrorism as a symbolic, suicidal act of violence that is created by and directed against the violence of hegemony. It is also continually stimulated by a messianic and nihilistic ideal. This article provides a historical account of Derrida’s elaboration of this concept through his continual dialogue with Hegel. That concept is then applied to Hegel’s account of religious and political terrorism. Ultimately, this analysis supports a reading of Hegel’s Phenomenology in which the confrontation with terrorism as autoimmunity is its lynchpin and which culminates in a moral community that is radically open to the other, to difference, and to the undecidable rather than being closed off and insulated by so-called absolute knowing.
Northern bobwhite quail (Colinus virginianus), a popular gamebird among hunters, have been declining over recent decades in the Rolling Plains ecoregion. Investigations in the past few years have revealed a high prevalence of eyeworms (Oxyspirura petrowi) and caecal worms (Aulonocephalus pennula) in this ecoregion, prompting a need to better understand their host–parasite interaction and other factors that influence infection. In this study, the efficiency of a mobile laboratory was tested by deploying it to three field sites in the Rolling Plains between July and August of 2017 and collecting cloacal swabs from bobwhites. The DNA was extracted from swabs for quantitative PCR and was run in the mobile and reference laboratory to specifically detect A. pennula and O. petrowi infection. When compared with the Wildlife Toxicology's reference laboratory, the mobile laboratory had a 97 and 99% agreement for A. pennula and O. petrowi, respectively. There were no significant differences in infection levels between field sites. Due to its efficiency, it is proposed that the mobile laboratory would be an effective way to monitor infection levels, in addition to factors that may affect infection such as climate, diapause, and intermediate host populations.
Oxyspirura petrowi is a heteroxenous nematode found in northern bobwhite (Colinus virginianus) of the Rolling Plains ecoregion of Texas. Despite its impact on this popular gamebird, genetic level studies on O. petrowi remain relatively unexplored. To accomplish this, we chose the previously studied nuclear rDNA 18S region as well as the mitochondrial COX1 gene region of O. petrowi to investigate phylogenetic relations between O. petrowi and other nematode species. In this study, we generate primers using multiple alignment and universal nematode primers to obtain a near-complete 18S and partial COX1 sequence of O. petrowi, respectively. Phylogenetic trees for O. petrowi’s 18S and COX1 gene regions were constructed using the Maximum Likelihood and Maximum Parsimony method. A comparative analysis was done based on the nuclear and mitochondrial region similarities between O. petrowi and other nematode species that infect both humans and animals. Results revealed a close relation to the zoonotic eyeworm Thelazia callipaeda as well as a close relation with filarial super family (Filarioidea) such as the human eyeworm Loa loa and Dirofilaria repens eyeworm of dog and carnivores.
Elemental, chemical, and structural analysis of polycrystalline materials at the micron scale is frequently carried out using microfocused synchrotron X-ray beams, sometimes on multiple instruments. The Maia pixelated energy-dispersive X-ray area detector enables the simultaneous collection of X-ray fluorescence (XRF) and diffraction because of the relatively large solid angle and number of pixels when compared with other systems. The large solid angle also permits extraction of surface topography because of changes in self-absorption. This work demonstrates the capability of the Maia detector for simultaneous measurement of XRF and diffraction for mapping the short- and long-range order across the grain structure in a Ni polycrystalline foil.
Functional modeling is an analytical approach to design problems that is widely taught in certain academic communities but not often used by practitioners. This approach can be applied in multiple ways to formalize the understanding of the systems, to support the synthesis of the design in the development of a new product, or to support the analysis and improvement of existing systems incrementally. The type of usage depends on the objectives that are targeted. The objectives can be categorized into two key groups: discovering a totally new solution, or improving an existing one. This article proposes to use the functional modeling approach to achieve three goals: to support the representation of physics-based reasoning, to use this physics-based reasoning to assess design options, and finally to support innovative ideation. The exemplification of the function-based approach is presented via a case study of a glue gun proposed for this Special Issue. A reverse engineering approach is applied, and the authors seek an incremental improvement of the solution. As the physics-based reasoning model presented in this article is heavily dependent on the quality of the functional model, the authors propose a general approach to limit the interpretability of the functional representations by mapping the functional vocabulary with elementary structural blocks derived from bond graph theory. The physics-based reasoning approach is supported by a mathematical framework that is summarized in the article. The physics-based reasoning model is used for discovering the limitations of solutions in the form of internal contradictions and guiding the design ideation effort.
To measure transmission frequencies and risk factors for household acquisition of community-associated and healthcare-associated (HA-) methicillin-resistant Staphylococcus aureus (MRSA).
Prospective cohort study from October 4, 2008, through December 3, 2012.
Seven acute care hospitals in or near Toronto, Canada.
Total of 99 MRSA-colonized or MRSA-infected case patients and 183 household contacts.
Baseline interviews were conducted, and surveillance cultures were collected monthly for 3 months from household members, pets, and 8 prespecified high-use environmental locations. Isolates underwent pulsed-field gel electrophoresis and staphylococcal cassette chromosome mec typing.
Overall, of 183 household contacts 89 (49%) were MRSA colonized, with 56 (31%) detected at baseline. MRSA transmission from index case to contacts negative at baseline occurred in 27 (40%) of 68 followed-up households. Strains were identical within households. The transmission risk for HA-MRSA was 39% compared with 40% (P=.95) for community-associated MRSA. HA-MRSA index cases were more likely to be older and not practice infection control measures (P=.002–.03). Household acquisition risk factors included requiring assistance and sharing bath towels (P=.001–.03). Environmental contamination was identified in 78 (79%) of 99 households and was more common in HA-MRSA households.
Household transmission of community-associated and HA-MRSA strains was common and the difference in transmission risk was not statistically significant.
Movement between host plants during the growing season is a common behaviour among insect herbivores, although the mechanisms promoting these movements are poorly understood for many systems. Two possible reasons why insect herbivores relocate include compensating for host plant quantity and/or quality changes and the avoidance of natural enemies. The Arctic caterpillar (Gynaephora groenlandica (Wocke); Lepidoptera: Lymantriidae) moves several metres each day, feeds on its patchily distributed host plant, Arctic willow (Salix arctica Pallas; Salicaceae), and has two main natural enemies, the parasitoids Exorista thula Wood (Diptera: Tachinidae) and Hyposoter diechmanni (Nielsen) (Hymenoptera: Ichneumonidae). We physically moved caterpillars between Arctic willows and restricted other caterpillar individuals each to a single willow throughout the active period of Arctic caterpillars. We found that growth rate, herbivory rate, and the proportion of available leaf fascicles eaten were higher for experimentally moved caterpillars. Parasitoid abundances were low and did not differ between experimentally moved and stationary caterpillars. Taken together, our study addresses the bottom–up and top–down controls on insect herbivore movement during the short duration of the growing season in the Arctic. Our results suggest that caterpillars are likely moving to new willow shrubs to access high quality resources.
No study systematically has investigated the supportive care needs of general head and neck cancer patients using validated measures. These needs include physical and daily living needs, health system and information needs, patient care and support needs, psychological needs, and sexuality needs. Identifying the unmet needs of head and neck cancer patients is a necessary first step to improving the care we provide to patients seen in our head and neck oncology clinics. It is recommended as the first step in intervention development in the Pan-Canadian Clinical Practice Guideline of the Canadian Partnership Against Cancer (see Howell, 2009). This study aimed to identify: (1) met and unmet supportive care needs of head and neck cancer patients, and (2) variability in needs according to demographics, disease variables, level of distress, and quality-of-life domains.
Participants were recruited from the otolaryngology–head and neck surgery clinics of two university teaching hospitals. Self-administered questionnaires included sociodemographic and medical questions, as well as validated measures such as the Supportive Care Needs Survey–Short Form (SCNS-SF34), the Hospital Anxiety and Depression Scale (HADS), and the Functional Assessment of Cancer Therapy–General (FACT-G) and Head and Neck Module (FACT-H&N) (quality of life measures).
One hundred and twenty-seven patients participated in the survey. 68% of them experienced unmet needs, and 25% revealed a clinically significant distress level on the HADS. The highest unmet needs were psychological (7 of top 10 needs). A multiple linear regression indicated a higher level of overall unmet needs when patients were divorced, had a high level of anxiety (HADS subscale), were in poor physical condition, or had a diminished emotional quality of life (FACT-G subscales).
Significance of results:
The results of this study highlight the overwhelming presence of unmet psychological needs in head and neck cancer patients and underline the importance of implementing interventions to address these areas perceived by patients as important. In line with hospital resource allocation and cost-effectiveness, one may also contemplate screening patients for high levels of anxiety, as well as target patients who are divorced and present low levels of physical well-being, as these patients may have more overall needs to be met.
We carried out an extensive photometric and spectroscopic investigation of the SPB binary, HD 25558 (see Fig. 1 for the time and geographic distribution of the observations). The ~2000 spectra obtained at 13 observatories during 5 observing seasons, the ground-based multi-colour light curves and the photometric data from the MOST satellite revealed that this object is a double-lined spectroscopic binary with a very long orbital period of about 9 years. We determined the physical parameters of the components, and have found that both lie within the SPB instability strip. Accordingly, both components show line-profile variations consistent with stellar pulsations. Altogether, 11 independent frequencies and one harmonic frequency were identified in the data. The observational data do not allow the inference of a reliable orbital solution, thus, disentangling cannot be performed on the spectra. Since the lines of the two components are never completely separated, the analysis is very complicated. Nevertheless, pixel-by-pixel variability analysis of the cross-correlated line profiles was successful, and we were able to attribute all the frequencies to the primary or secondary component. Spectroscopic and photometric mode-identification was also performed for several of these frequencies of both binary components. The spectroscopic mode-identification results suggest that the inclination and rotation of the two components are rather different. While the primary is a slow rotator with ~6 d rotation period, seen at ~60° inclination, the secondary rotates fast with ~1.2 d rotation period, and is seen at ~20° inclination. Our spectropolarimetric measurements revealed that the secondary component has a magnetic field with at least a few hundred Gauss strength, while no magnetic field was detected in the primary.
The detailed analysis and results of this study will be published elsewhere.