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In a crossover trial, a gown designed to increase skin coverage at the hands and wrists significantly reduced contamination of personnel during personal protective equipment (PPE) removal, and education on donning and doffing technique further reduced contamination. Simple modifications of PPE and education can reduce contamination during PPE removal.
In a randomized trial, a gown designed to allow easy removal at the neck and with increased skin coverage and snugness of fit at the wrist significantly reduced contamination of personnel during personal protective equipment (PPE) removal. Our results suggest that simple modifications of PPE can reduce contamination of personnel.
At weaning, piglets must adapt to considerable changes in their environmental, immunological, and nutritional status. This period of adaptation is accompanied by a reduction in piglet growth rate that has been associated with the shift from sow’s milk to a solid dry diet. Consequently, feeding management strategies that result in increased feed intake may increase piglet growth rate postweaning. This study evaluated the effects of providing feed as a gruel and feeding on floor mats on piglet performance for three weeks after weaning
When emptying finishing barns, it is common practice on U.S. operations to dispatch pigs over a two- to three-week period with the heaviest animals being selected first. However, there has been little research carried out under commercial conditions on the effect of removing pigs from a pen at slaughter weight on the performance of the remaining animals. This study was carried out to investigate the effect of removing the heaviest 30% of animals from a pen on the subsequent growth performance of the remaining pigs.
Wean-to-finish production, which involves taking pigs from weaning to slaughter in the same building, is becoming widely adopted in the US swine industry. This production system is being advocated largely because of claims of improved animal performance and a decrease in labor needed for animal movement compared to conventional multiple-stage systems. One of the potential disadvantages of this system is the considerable underutilization of floor space during the early growth period if pigs are penned in the group sizes that are appropriate for finishing pigs. However, increasing the stocking rate initially at weaning, with some of these pigs subsequently being moved to another finishing facility, may increase output from the system. Therefore, the objective of this research was to investigate effects of initial stocking rate and of feeder-trough space in commercial wean-to-finish facilities on pig performance from weaning to slaughter.
Three-dimensional (3D) printing has expanded beyond the mere patterned deposition of melted solids, moving into areas requiring spatially structured soft matter—typically materials composed of polymers, colloids, surfactants, or living cells. The tunable and dynamically variable rheological properties of soft matter enable the high-resolution manufacture of soft structures. These rheological properties are leveraged in 3D printing techniques that employ sacrificial inks and sacrificial support materials, which go through reversible solid–fluid transitions under modest forces or other small perturbations. Thus, a sacrificial material can be used to shape a second material into a complex 3D structure, and then discarded. Here, we review the sacrificial materials and related methods used to print soft structures. We analyze data from the literature to establish manufacturing principles of soft matter printing, and we explore printing performance within the context of instabilities controlled by the rheology of soft matter materials.
Binary, count, and duration data all code discrete events occurring at points in time. Although a single data generation process can produce all of these three data types, the statistical literature is not very helpful in providing methods to estimate parameters of the same process from each. In fact, only a single theoretical process exists for which known statistical methods can estimate the same parameters—and it is generally used only for count and duration data. The result is that seemingly trivial decisions about which level of data to use can have important consequences for substantive interpretations. We describe the theoretical event process for which results exist, based on time independence. We also derive a set of models for a time-dependent process and compare their predictions to those of a commonly used model. Any hope of understanding and avoiding the more serious problems of aggregation bias in events data is contingent on first deriving a much wider arsenal of statistical models and theoretical processes that are not constrained by the particular forms of data that happen to be available. We discuss these issues and suggest an agenda for political methodologists interested in this very large class of aggregation problems.
The nutrient choline is necessary for membrane synthesis and methyl donation, with increased requirements during lactation. The majority of immune development occurs postnatally, but the importance of choline supply for immune development during this critical period is unknown. The objective of this study was to determine the importance of maternal supply of choline during suckling on immune function in their offspring among rodents. At parturition, Sprague–Dawley dams were randomised to either a choline-devoid (ChD; n 7) or choline-sufficient (ChS, 1 g/kg choline; n 10) diet with their offspring euthanised at 3 weeks of age. In a second experiment, offspring were weaned to a ChS diet until 10 weeks of age (ChD-ChS, n 5 and ChS-ChS, n 9). Splenocytes were isolated, and parameters of immune function were measured. The ChD offspring received less choline in breast milk and had lower final body and organ weight compared with ChS offspring (P<0·05), but this effect disappeared by week 10 with choline supplementation from weaning. ChD offspring had a higher proportion of T cells expressing activation markers (CD71 or CD28) and a lower proportion of total B cells (CD45RA+) and responded less to T cell stimulation (lower stimulation index and less IFN-γ production) ex vivo (P<0·05). ChD-ChS offspring had a lower proportion of total and activated CD4+ T cells, and produced less IL-6 after mitogen stimulation compared with cells from ChS-ChS (P<0·05). Our study suggests that choline is required in the suckling diet to facilitate immune development, and choline deprivation during this critical period has lasting effects on T cell function later in life.
Decontamination of gloves before removal could reduce the risk for contamination of hands of personnel caring for patients with Clostridium difficile infection. We demonstrated that a novel sporicidal formulation of ethanol rapidly reduced C. difficile spores on gloved hands without adverse odor, respiratory irritation, or staining of clothing.
Infect. Control Hosp. Epidemiol. 2016;37(3):337–339
Placebo responses raise significant challenges for the design of clinical trials. We report changes in agitation outcomes in the placebo arm of a recent trial of citalopram for agitation in Alzheimer's disease (CitAD).
In the CitAD study, all participants and caregivers received a psychosocial intervention and 92 were assigned to placebo for nine weeks. Outcomes included Neurobehavioral Rating Scale agitation subscale (NBRS-A), modified AD Cooperative Study-Clinical Global Impression of Change (CGIC), Cohen-Mansfield Agitation Inventory (CMAI), the Neuropsychiatric Inventory (NPI) Agitation/Aggression domain (NPI A/A) and Total (NPI-Total) and ADLs. Continuous outcomes were analyzed with mixed-effects modeling and dichotomous outcomes with logistic regression.
Agitation outcomes improved over nine weeks: NBRS-A mean (SD) decreased from 7.8 (3.0) at baseline to 5.4 (3.2), CMAI from 28.7 (6.7) to 26.7 (7.4), NPI A/A from 8.0 (2.4) to 4.9 (3.8), and NPI-Total from 37.3 (17.7) to 28.4 (22.1). The proportion of CGI-C agitation responders ranged from 21 to 29% and was significantly different from zero. MMSE improved from 14.4 (6.9) to 15.7 (7.2) and ADLs similarly improved. Most of the improvement was observed by three weeks and was sustained through nine weeks. The major predictor of improvement in each agitation measure was a higher baseline score in that measure.
We observed significant placebo response which may be due to regression to the mean, response to a psychosocial intervention, natural course of symptoms, or nonspecific benefits of participation in a trial.
We present the first experimentally determined oscillator strengths for the Pb ii transitions at 1203.6 Å and 1433.9 Å, obtained from lifetime measurements made using beam-foil techniques. We also present new detections of these lines in the interstellar medium from an analysis of archival spectra acquired by the Space Telescope Imaging Spectrograph onboard the Hubble Space Telescope. Our observations of the Pb ii λ1203 line represent the first detection of this transition in interstellar gas. Our experimental f-values for the Pb ii λ1203 and λ1433 transitions are consistent with recent theoretical results, including our own relativistic calculations, but are significantly smaller than previous values based on older calculations. Our new f-value for Pb ii λ1433 (0.321 ± 0.034) yields an increase in the interstellar abundance of Pb of 0.43 dex over estimates based on the f-value listed by Morton. With our revised f-values, and with our new detections of Pb ii λ1203 and λ1433, we find that the depletion of Pb onto interstellar grains is not nearly as severe as previously thought, and is very similar to the depletions seen for elements such as Zn and Sn, which have similar condensation temperatures.
We explored caregiver perspectives on their children’s pain management in both a pediatric (PED) and general emergency department (GED). Study objectives were to: (1) measure caregiver estimates of children’s pain scores and treatment; (2) determine caregiver level of satisfaction; and (3) determine factors associated with caregiver satisfaction.
This prospective survey examined a convenience sample of 97 caregivers (n=51 PED, n=46 GED) with children aged <17 years. A paper-based survey was distributed by research assistants, from 2009–2011.
Most caregivers were female (n=77, 79%) and were the child’s mother (n=69, 71%). Children were treated primarily for musculoskeletal pain (n=41, 42%), headache (n=16, 16%) and abdominal pain (n=7, 7%). Using a 100 mm Visual Analog Scale, the maximum mean reported pain score was 75 mm (95% CI: 70–80) and mean score at discharge was 39 mm (95% CI: 32–46). Ninety percent of caregiver respondents were satisfied (80/89, 90%); three (3/50, 6%) were dissatisfied in the PED and six (6/39, 15%) in the GED. Caregivers who rated their child’s pain at ED discharge as severe were less likely to be satisfied than those who rated their child’s pain as mild or moderate (p=0.034).
Despite continued pain upon discharge, most caregivers report being satisfied with their child’s pain management. Caregiver satisfaction is likely multifactorial, and physicians should be careful not to interpret satisfaction as equivalent to adequate provision of analgesia. The relationship between satisfaction and pain merits further exploration.
Both PRSM and JEC would like to put on record their respect for and gratitude to Lady Mallowan and Professor Wiseman, on the occasion of their 80th and 70th birthdays respectively, both of whom have not only made significant contributions to Mesopotamian studies but have also done so much to further the work of the British School of Archaeology in Iraq. Their services to the School, over many years and sometimes in difficult circumstances, have earned them a lasting place in the history of the School and ensured the best thanks of all those interested in its welfare.
When the hoard of tools excavated by Loftus at Tell Sifr in Iraq, in 1854, was reassembled for publication some years ago (Moorey, 1971), a number of items mentioned by Loftus (1857, 268) could not be traced in the British Museum reserve collections nor was it then possible to arrange for the analysis of selected objects. In the intervening years the missing items have been located. The parts of two sheet-metal cauldrons (Figs. 1–3), with cast handle fittings, have now been identified whereas in 1970 only a single fragment was located (Moorey, 1971, no. 83). The “copper ingot” reported by Loftus has now also been traced (Fig. 4), as have a copper or bronze ferrule (Fig. 5) and the “dice-box” (Fig. 6). It has been possible to increase the significance of this still unique find by some investigation of the metals and alloys from which it was made (Table 1). The following notes are supplementary in every way to the original paper, whose substance is not repeated here. The numbering of objects in the previous paper is retained.
This paper describes some experiences of using fractal image compression as the subject of an assignment for a functional programming course using Haskell. The students were fascinated by the reproduction of images from their encodings and engaged well with the exercise which involved only elementary functional programming techniques.
Kochia is a troublesome weed throughout the western United States. Although
glyphosate effectively controls kochia, poor control was observed in several
no-till fields in Kansas. The objectives of this research were to evaluate
kochia populations response to glyphosate and examine the mechanism that
causes differential response to glyphosate. Glyphosate was applied at 0, 54,
109, 218, 435, 870, 1305, 1740, 3480, and 5220 g ae ha−1 on 10
kochia populations. In general, kochia populations differed in their
response to glyphosate. At 21 d after treatment, injury from glyphosate
applied at 870 g ha−1 range from 4 to 91%. In addition,
glyphosate rate required to cause 50% visible injury (GR50)
ranged from 470 to 2149 g ha−1. Differences in glyphosate
absorption and translocation and kochia mineral content were not sufficient
to explain differential kochia response to glyphosate.
Fisheries bycatch threatens populations of marine megafauna such as marine mammals, turtles, seabirds, sharks and rays, but fisheries impacts on non-target populations are often difficult to assess due to factors such as data limitation, poorly defined management objectives and lack of quantitative bycatch reduction targets. Limit reference points can be used to address these issues and thereby facilitate adoption and implementation of mitigation efforts. Reference points based on catch data and life history analysis can identify sustainability limits for bycatch with respect to defined population goals even when data are quite limited. This can expedite assessments for large numbers of species and enable prioritization of management actions based on mitigation urgency and efficacy. This paper reviews limit reference point estimators for marine megafauna bycatch, with the aim of highlighting their utility in fisheries management and promoting best practices for use. Different estimators share a common basic structure that can be flexibly applied to different contexts depending on species life history and available data types. Information on demographic vital rates and abundance is required; of these, abundance is the most data-dependent and thus most limiting factor for application. There are different approaches for handling management risk stemming from uncertainty in reference point and bycatch estimates. Risk tolerance can be incorporated explicitly into the reference point estimator itself, or probability distributions may be used to describe uncertainties in bycatch and reference point estimates, and risk tolerance may guide how those are factored into the management process. Either approach requires simulation-based performance testing such as management strategy evaluation to ensure that management objectives can be achieved. Factoring potential sources of bias into such evaluations is critical. This paper reviews the technical, operational, and political challenges to widespread application of reference points for management of marine megafauna bycatch, while emphasizing the importance of developing assessment frameworks that can facilitate sustainable fishing practices.
More than 50% of the global population already lives in urban settlements and urban areas are projected to absorb almost all the global population growth to 2050, amounting to some additional three billion people. Over the next decades the increase in rural population in many developing countries will be overshadowed by population flows to cities. Rural populations globally are expected to peak at a level of 3.5 billion people by around 2020 and decline thereafter, albeit with heterogeneous regional trends. This adds urgency in addressing rural energy access, but our common future will be predominantly urban. Most of urban growth will continue to occur in small-to medium-sized urban centers. Growth in these smaller cities poses serious policy challenges, especially in the developing world. In small cities, data and information to guide policy are largely absent, local resources to tackle development challenges are limited, and governance and institutional capacities are weak, requiring serious efforts in capacity building, novel applications of remote sensing, information, and decision support techniques, and new institutional partnerships. While ‘megacities’ with more than 10 million inhabitants have distinctive challenges, their contribution to global urban growth will remain comparatively small.
Energy-wise, the world is already predominantly urban. This assessment estimates that between 60–80% of final energy use globally is urban, with a central estimate of 75%. Applying national energy (or GHG inventory) reporting formats to the urban scale and to urban administrative boundaries is often referred to as a ‘production’ accounting approach and underlies the above GEA estimate.
The objectives of this work are to characterize thermite initiation processes and thresholds, and to develop thermite reactive trains, where a sensitive nanothermite ignites an insensitive micron thermite, which produces little gas. Nanothermites, including Al/AgIO3, Al/Bi2O3, Al/MoO3, Al/Fe3O4, and Ti/AgIO3, were characterized for their ignition behavior by spark and resistive heating. Energies for spark and thermal initiation were as low as 9 and 140 μJ, respectively. Thermal initiation results were consistent with local temperature as the main controlling factor. The propagation rate of the Al/Fe3O4 nanothermite was about 100X slower than that of the other nanothermites. This low reactivity is attributed to the high volatilization temperature and high melting point of the oxidizer. Mixing of 90% Al/Fe3O4 nanothermite with 10% of a more sensitive, high-gas-producing nanothermite gave materials with the same sensitivity as the sensitive nanothermite. Thus, the mixture provides a safer sensitive nanothermite. Thermites with micron-scale ingredients were pressed into pellets and ignited with small amounts of nanothermite. Gas production of micron thermite compositions was reduced by adding the intermetallic composite, Ti/2B, or excess iron. In both cases, a single hot mass was produced, while the pure micron Al/Fe2O3 produced a dispersion of particles.
Our team has been investigating the use of particle-based contacts in CdTe solar cell technologies. Toward this end, particles of Cu-doped HgTe (Hg-Cu-Te) and Sb-Te have been applied as contacts to CdTe/CdS/SnO2 heterostructures. These metal telluride materials were characterized by standard methods. Hg-Cu-Te particles in graphite electrodag contacts produced CdTe solar cells with efficiencies above 12% and series resistance (Rse) of 6 Ω or less. Metathesis preparation of Cu(I) and Cu(II) tellurides (i.e., Cu2Te and CuTe, respectively) were attempted as a means of characterizing the valence state of Cu in the Hg-Cu-Te ink. For Sb-Te contacts to CdTe, open circuit voltages (Vocs) in excess of 800 mV were observed, however, efficiencies were limited to 9%; perhaps a consequence of the marked increase in the Rse (i.e., >20 Ω) in these non-graphite containing contacts. Acetylene black was mixed into the methanolic Sb-Te colloid as a means of reducing Rse, however, no improvement in device properties was observed.