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 firstname.lastname@example.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.
In September 2016, an imported case of measles in Edinburgh in a university student resulted in a further 17 confirmed cases during October and November 2016. All cases were genotype D8 and were associated with a virus strain most commonly seen in South East Asia. Twelve of the 18 cases were staff or students at a university in Edinburgh and 17 cases had incomplete or unknown measles mumps rubella (MMR) vaccination status. The public health response included mass follow-up of all identified contacts, widespread communications throughout universities in Edinburgh and prompt vaccination clinics at affected campuses. Imported cases of measles pose a significant risk to university student cohorts who may be undervaccinated, include a large number of international students and have a highly mobile population. Public health departments should work closely with universities to promote MMR uptake and put in place mass vaccination plans to prevent rapidly spreading measles outbreaks in higher educational settings in future.
Improvements in the detection of fetal and neonatal brain injuries, advances in our understanding of the pathophysiology, cellular and molecular bases of encephalopathy, and new treatment options have all combined to produce significant changes in the management of neonatal brain disorders in the past few years. This new edition of Fetal and Neonatal Brain Injury brings the reader fully up to date with all advances in clinical management and outcome assessment. Updated material includes inflammation focusing in particular on chorioamnionitis and fetal brain injury; genetic brain injury; and expanded sections on cholestasis, diabetes, and thyroid disease. An updated, highly illustrated chapter on structural and functional imaging of the fetal and neonatal brain is also included. An outstanding international team of highly experienced neonatologists and maternal-fetal medicine clinicians have produced a practical, authoritative clinical text that gives clear management advice to all clinicians involved in the treatment of these patients.
Efforts to prioritize wildlife for conservation benefit from an understanding of public preferences for particular species, yet no studies have integrated species preferences with key attributes of the conservation landscape such as whether species occur on islands (where invasive exotics are the primary extinction threat) or continents (where land use change is the primary extinction threat). In this paper, we compare wildlife species preferences among children from a continental location (North Carolina, USA, n = 433) and an island location (Andros Island, The Bahamas, n = 197). Children on the island preferred feral domesticated species and different types of taxa than mainland children, perhaps due to the strongly divergent species richness between the regions (e.g. island children showed greater preferences for invertebrates, lizards and aquatic species). Boys preferred fish, birds and lizards more than girls, whereas girls preferred mammals. The fact that island children showed strong preferences for invasive species suggests challenges for conservation efforts on islands, where controlling invasive exotic species is often of paramount importance, but can conflict with cultural preferences for these same species.
Untreated maternal depression during the postpartum period can have a profound impact on the short- and long-term psychological and physical well-being of children. There is, therefore, an imperative for increased understanding of the determinants of depression and depression-related healthcare access during this period.
Respondents were 11 089 mothers of 9-month-old infants recruited to the Growing Up in Ireland study. Of this sample, 10 827 had complete data on all relevant variables. Respondents provided sociodemographic, socioeconomic and household information, and completed the Center for Epidemiologic Studies Depression Scale (CESD).
11.1% of mothers scored above the CESD threshold for depression. 10.0% of depressed mothers and 25.4% of depressed fathers had depressed partners. Among depressed mothers, 73.1% had not attended a healthcare professional for a mental health problem since the birth of the cohort infant. In the adjusted model, the likelihood of depression was highest in mothers who: had lower educational levels (odds ratio (OR) 1.26; 95% confidence intervals (CIs) 1.08, 1.46); were unemployed (OR 1.27; 95% CIs 1.10, 1.47); reported previous mental health problems (OR 6.55; 95% CIs 5.68, 7.56); reported that the cohort child was the result of an unintended pregnancy (OR 1.43; 95% CIs 1.22, 1.68), was preterm (OR 1.35; 95% CIs 1.07, 1.70), or had health/developmental problems (OR 1.20; 95% CIs 1.04, 1.39); had no partner in the household (OR 1.33; 95% CIs 1.04, 1.70) or were living with a depressed partner (OR 2.66; 95% CIs 1.97, 3.60); reported no family living nearby (OR 1.33; 95% CIs 1.16, 1.54); were in the lowest income group (OR 1.60; 95% CIs 1.21, 2.12). The primary determinant of not seeking treatment for depression was being of non-white ethnicity (OR 2.21; 95% CIs 1.18, 4.13).
Results highlight the prevalence of maternal depression in the later postpartum period, particularly for lower socioeconomic groups, those with previous mental health problems, and those with limited social support. The large proportion of unmet need in depressed mothers, particularly among ethnic minority groups, emphasises the need for a greater awareness of postpartum mental health problems and increased efforts by healthcare professionals to ensure that mothers can access the required services.
Ultrasound (US) detects synovitis more accurately than clinical examination (CE) in people with rheumatoid arthritis (RA). This review aimed to investigate the use of US, compared to CE alone, in treatment strategies for RA, and to estimate its potential to be cost-effective in making treatment decisions.
A systematic review was conducted of studies: investigating RA treatment response or strategies that compared US with CE-assessed synovitis; and of tapering RA treatment (1). A model was constructed to investigate the potential cost-effectiveness of US in (i) selecting patients suitable for treatment tapering; and (ii) avoiding treatment escalation (2).
Seven prospective cohort studies suggested US-detected synovitis was significantly associated with a treatment response or tapering failure, whereas in most cases clinical examination alone was not. Two randomized controlled trials (RCTs) identified suggested that US added to the Disease Activity Index (DAS)-based treatment strategies but did not significantly improve primary outcomes, but was associated with improved rate of DAS remission. The evidence showed that some patients (proportions varied widely) who had achieved low disease activity could have treatment tapered, with no, or little, short-term harm to the patient.
The model estimated that an average reduction of 2.5 percent in the costs of biological disease-modifying anti-rheumatic drug (bDMARDs) was sufficient to cover the costs of performing US every three months. This value increased to 4 percent and 13 percent for the costs of conventional disease-modifying anti-rheumatic drug (cDMARDs) depending on the assumed regimen.
Use of US to monitor synovitis could potentially be a cost-effective approach, given that low proportions of patients for whom clinicians consider amending treatment, would need to taper treatment, or remain on therapy without escalation. US could provide clinicians with more confidence in reducing the drug burden. However, there is considerable uncertainty in this conclusion due to lack of robust data relating to key parameters.
The Cycadales are a group of significant global conservation concern and have the highest extinction risk of all seed plants. Understanding the synchronisation of reproductive phenology of Cycadales may be useful for conservation by enabling the targeting of pollen and seed collection from wild populations and identifying the window of fertilisation to aid in the cultivation of Cycadales. Phenological data for 11 species of Zamia were gathered from herbarium specimens. Four phenological characters were coded with monthly character states. DNA was isolated and sequenced for 26S, CAB, NEEDLY, matK and rbcL, and a simultaneous phylogenetic analysis of phenology and DNA sequence data was carried out. Three major clades were recovered: a Caribbean clade, a Central American clade and a South American clade. Eight species showed statistically significant synchronisation in microsporangiate and ovulate phenological phases, indicating the time of fertilisation. Close reproductive synchronisation was consistently observed throughout the Caribbean clade (statistically significant in four of five species) but was less consistent in the Central American clade (statistically significant in one of two species) and South American clade (statistically significant in three of four species). Ultimately, phenology is shown to be a potential driver of speciation in some clades of Zamia and in others to be a potential barrier to hybridisation.
In late 2011 the New Zealand Ministry for Primary Industries reported an increase in confirmed laboratory diagnoses of salmonellosis in dairy herds. To identify risk factors for herd-level outbreaks of salmonellosis we conducted a case-control study of New Zealand dairy herds in 2011–2012. In a multivariable analysis, use of continuous feed troughs [adjusted odds ratio (aOR) 6·2, 95% confidence interval (CI) 2·0–20], use of pelletized magnesium supplements (aOR 10, 95% CI 3·3–33) and use of palm kernel meal as a supplementary feed (aOR 8·7, 95% CI 2·5–30) were positively associated with a herd-level outbreak of salmonellosis between 1 July 2011 and 31 January 2012. We conclude that supplementary feeds used on dairy farms (regardless of type) need to be stored and handled appropriately to reduce the likelihood of bacterial contamination, particularly from birds and rodents. Magnesium supplementation in the pelletized form played a role in triggering outbreaks of acute salmonellosis in New Zealand dairy herds in 2011–2012.
A scalable approach for synthesis of ultra-thin (<10 nm) transition metal dichalcogenides (TMD) films on stretchable polymeric materials is presented. Specifically, magnetron sputtering from pure TMD targets, such as MoS2 and WS2, was used for growth of amorphous precursor films at room temperature on polydimethylsiloxane substrates. Stacks of different TMD films were grown upon each other and integrated with optically transparent insulating layers such as boron nitride. These precursor films were subsequently laser annealed to form high quality, few-layer crystalline TMDs. This combination of sputtering and laser annealing is commercially scalable and lends itself well to patterning. Analysis by Raman spectroscopy, scanning probe, optical, and transmission electron microscopy, and x-ray photoelectron spectroscopy confirm our assertions and illustrate annealing mechanisms. Electrical properties of simple devices built on flexible substrates are correlated to annealing processes. This new approach is a significant step toward commercial-scale stretchable 2D heterostructured nanoelectronic devices.
The Galway Granite Complex is unique among the British and Irish Caledonian granitoid terranes, as it records punctuated phases of magmatism from ∼425–380 Ma throughout the latest phase of the Caledonian Orogeny. Remapping of the Omey Pluton, the oldest member of this suite, has constrained the spatial distribution and contact relationships of the pluton's three main facies relative to the nature of the host rock structure. The external contacts of the pluton are mostly concordant to the limbs and hinge of the Connemara Antiform. New AMS data show that a subtle concentric outward dipping foliation is present, and this is interpreted to reflect pluton inflation during continued magma ingress. Combined field, petrographic and AMS data show that two sets of shear zones (NNW–SSE and ENE–WSW) cross-cut the concentric foliation, and that these structures were active during the construction of the pluton. We show that regional sinistral transpression at ∼420 Ma would have caused dilation along the intersection of these two fault sets, and suggest that this facilitated centralised magma ascent. Lateral emplacement was controlled by the symmetry of the Connemara Antiform to ultimately produce a discordant phacolith. We propose that regional sinistral transpression at ∼420 Ma influenced the siting of smaller intrusions over NNW–SSE faults, and that the later onset of regional transtension caused larger volumes of magma to intrude along the E–W Skird Rocks Fault at ∼400 Ma.
Insecticidal activities of five pesticidal plant species, Tephrosia vogelii, Dysphania (Syn: Chenopodium) ambrosioides, Lippia javanica, Tithonia diversifolia and Vernonia amygdalina, which have been reported to control storage pests, were evaluated as leaf powders against Callosobruchus maculatus (Fabricius 1775) in stored cowpea. Their efficacy was compared with the commercial pesticide Actellic dust (pirimiphos-methyl) at the recommended concentration (50 g/90 kg), and with untreated cowpea seeds as a negative control. The plant powders were applied at concentrations of 0.01, 0.1, 1 and 3 g/10 g of cowpea seeds in 250 ml plastic containers (to measure contact toxicity), or 0.005, 0.05, 0.5 and 5 g tied in small muslin cloth bags and hung in 500 ml plastic bottles containing 10 g of cowpea seeds (to measure fumigant toxicity). Mortality of adults, oviposition deterrence, adult emergence, and percent seed damage were recorded. Complete protection of seeds and inhibition of adult emergence were achieved in Actellic dust-treated seeds; contact toxicity using leaf powders of T. vogelii at all concentrations, D. ambrosioides at concentrations of 0.1, 1 and 3 g and L. javanica at concentrations of 1 and 3 g; and fumigant toxicity using D. ambrosioides at concentrations of 0.5 and 5 g and L. javanica at a concentration of 5 g. Head space analysis of D. ambrosioides and L. javanica identified ascaridole and camphor, respectively, as components that could be responsible for the bioactivity of these plant species. These plants may, therefore, serve as effective but less harmful biopesticide alternatives to Actellic. Conversely, V. amygdalina and T. diversifolia were not effective, indicating that they should not be promoted for controlling bruchids in cowpea.
Although seed dispersal plays a critical role for plant regeneration, the long-term benefits of frugivores for recruitment success have been poorly explored. We evaluated the relative importance of tree species abundance and of frugivore-related factors for successful plant recruitment on 18 tree species in a lowland Colombian rain forest. We combined census data from four 1-ha plots of trees (>10 cm dbh), saplings (1–5 cm dbh) and seedlings (<1.7 m) with a dataset describing tree–frugivore interactions. Seedling abundance was higher for large-seeded species dispersed by the spider monkey, while sapling abundance was higher for large-seeded species dispersed by birds. The identity of the dispersal agent and its interaction with seed size explained 20–30% of the total variance in seedling and sapling abundance across scales. Seed size consistently influenced the species abundance of seedlings and saplings across scales, but in opposite ways. These developmental changes suggest that what is beneficial to seedlings is not necessarily beneficial to saplings. Species identity explained 10–50% of the total variance in seedling and sapling abundance among and within 1-ha plots. Overall, our findings suggest that recruitment success is context-dependent as the relative importance of the different variables addressed may shift along spatial and temporal scales.