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The aim of this chapter is to highlight the possibility of applying the mathematicalformalism and methodology of quantum theory to model behaviourof complex biosystems, from genomes and proteins to animals, humans, ecologicaland social systems. Such models are known as quantum-like and theyshould be distinguished from genuine quantum physical modeling of biologicalphenomena. One of the distinguishing features of quantum-like models istheir applicability to macroscopic biosystems, or to be more precise, to informationprocessing in them. Quantum-like modeling has the base in quantuminformation theory and it can be considered as one of the fruits of the quantuminformation revolution. Since any isolated biosystem is dead, modelingof biological as well as mental processes should be based on theory of opensystems in its most general form – theory of open quantum systems. In thischapter we advertise its applications to biology and cognition, especiallytheory of quantum instruments and quantum master equation. We mentionthe possible interpretations of the basic entities of quantum-like models withspecial interest to QBism as maybe the most useful interpretation.
The gut microbiome is impacted by certain types of dietary fibre. However, the type, duration and dose needed to elicit gut microbial changes and whether these changes also influence microbial metabolites remain unclear. This study investigated the effects of supplementing healthy participants with two types of non-digestible carbohydrates (resistant starch (RS) and polydextrose (PD)) on the stool microbiota and microbial metabolite concentrations in plasma, stool and urine, as secondary outcomes in the Dietary Intervention Stem Cells and Colorectal Cancer (DISC) Study. The DISC study was a double-blind, randomised controlled trial that supplemented healthy participants with RS and/or PD or placebo for 50 d in a 2 × 2 factorial design. DNA was extracted from stool samples collected pre- and post-intervention, and V4 16S rRNA gene sequencing was used to profile the gut microbiota. Metabolite concentrations were measured in stool, plasma and urine by high-performance liquid chromatography. A total of fifty-eight participants with paired samples available were included. After 50 d, no effects of RS or PD were detected on composition of the gut microbiota diversity (alpha- and beta-diversity), on genus relative abundance or on metabolite concentrations. However, Drichlet’s multinomial mixture clustering-based approach suggests that some participants changed microbial enterotype post-intervention. The gut microbiota and fecal, plasma and urinary microbial metabolites were stable in response to a 50-d fibre intervention in middle-aged adults. Larger and longer studies, including those which explore the effects of specific fibre sub-types, may be required to determine the relationships between fibre intake, the gut microbiome and host health.
The Scottish Small Isles – comprising Muck, Rùm, Eigg, Canna, and by extension, Coll – are geologically complex, with intersecting rock samples from the Archean (Lewisian Gneiss basements formed approximately 3 billion years ago), Proterozoic (Torridonian sandstone formed approximately 1 billion years ago), Mesozoic (sedimentation deposited approximately 200 million years ago) and Palaeocene (basalt formed approximately 55.8 million years ago as part of the Palaeocene–Eocene Thermal Maximum event). This practice research article – drawing on palaeontology, kinaesthetic learning and creative writing – takes the Small Isles as a case study for what geologist Marcia Bjornerud defines as a discernible “timefulness” that humans should seek to attain: “an acute consciousness of how the world is made by–indeed, made of–time” (2020, Timefulness: How Thinking Like a Geologist Can Help Save the World, 5). Through their lithic intrusions, and interruptive strata, the Small Isles offer an alternative form of pedagogy: where multiple epochs, tenses and tempos visibly converse with one another; where “polytemporality” can be witnessed and physically experienced; where the notion of linear time is destabilised.
Brucellosis, a global zoonosis, is endemic in Israel. We used a national database of culture-confirmed cases (2004–2022) to analyse the trends of brucellosis. Of 2,489 unique cases, 99.8% were bacteraemic, 64% involved males, and the mean age was 30.5 years. Brucella melitensis was the dominant species (99.6%). Most cases occurred among the Arab sector (84.9%) followed by the Jewish (8.5%) and Druze (5.5%) sectors. The average annual incidence rates overall and for the Arab, Druze, and Jewish sectors were 1.6/100,000, 6.6/100,000, 5.5/100,000, and 0.18/100,000, respectively. The annual incidence rates among the Arab (incidence rate ratio (IRR) = 36.4) and the Druze (IRR = 29.6) sectors were significantly higher than among the Jewish sector (p < 0.001). The highest incidence rates among the Arab sector occurred in the South District, peaking at 41.0/100,000 in 2012. The frequencies of B. melitensis isolated biotypes (biotype 1 – 69.1%, biotype 2 – 26.0%, and biotype 3 – 4.3%) differed from most Middle Eastern and European countries. A significant switch between the dominant biotypes was noted in the second half of the study period. Efforts for control and prevention should be sustained and guided by a One Health approach mindful of the differential trends and changing epidemiology.
This study serves as an exemplar to demonstrate the scalability of a research approach using survival analysis applied to general practice electronic health record data from multiple sites. Collection of these data, the subsequent analysis, and the preparation of practice-specific reports were performed using a bespoke distributed data collection and analysis software tool.
Background:
Statins are a very commonly prescribed medication, yet there is a paucity of evidence for their benefits in older patients. We examine the relationship between statin prescriptions for general practice patients over 75 and all-cause mortality.
Methods:
We carried out a retrospective cohort study using survival analysis applied to data extracted from the electronic health records of five Australian general practices.
Findings:
The data from 8025 patients were analysed. The median duration of follow-up was 6.48 years. Overall, 52 015 patient-years of data were examined, and the outcome of death from any cause was measured in 1657 patients (21%), with the remainder being censored. Adjusted all-cause mortality was similar for participants not prescribed statins versus those who were (HR 1.05, 95% CI 0.92–1.20, P = 0.46), except for patients with diabetes for whom all-cause mortality was increased (HR = 1.29, 95% CI: 1.00–1.68, P = 0.05). In contrast, adjusted all-cause mortality was significantly lower for patients deprescribed statins compared to those who were prescribed statins (HR 0.81, 95% CI 0.70–0.93, P < 0.001), including among females (HR = 0.75, 95% CI: 0.61–0.91, P < 0.001) and participants treated for secondary prevention (HR = 0.72, 95% CI: 0.60–0.86, P < 0.001). This study demonstrated the scalability of a research approach using survival analysis applied to general practice electronic health record data from multiple sites. We found no evidence of increased mortality due to statin-deprescribing decisions in primary care.
This chapter engages with the world of ghosts and spirits (guishen 鬼神) in the classical Chinese tradition. While there has been agreement about the existence of ghosts, their status and the duties of currently living humans to them is all but clear. We argue that a Confucian innovation consists in acknowledging the existence of the spirit world in an “as if” mode. In this conception, humans share obligations of respect while they are well advised to practice attentive distancing to these beings. The mechanisms governing a haunted cosmos are ultimately beyond human comprehension. Ghosts are stand-ins and correctives who reveal the limits of human control and comprehension. We conclude by discussing the potential contributions of this Confucian conception of ghosts and spirits to contemporary debates on intergenerational justice.
Bone conduction hearing implants are a well-established method of hearing rehabilitation in children and adults. This study aimed to review any changes in provision in England.
Methods
The total number of bone conduction hearing implantations performed was analysed from 2012 to 2021 utilising Hospital Episode Statistics data for England.
Results
The total number of procedures has increased by 58 per cent. One-stage bone conduction hearing implantations in adults accounts for the largest proportion of this increase (93 per cent of the total). The number performed in children has remained stable and accounts for 73 per cent (n = 433) of all two-stage procedures.
Conclusion
The data show that bone conduction hearing implant surgery is becoming increasingly popular, particularly in adults. This has correlated with the increase in availability, national recommendations and choice of devices.
Chapter 7 takes up themes developed throughout the book and summarizes how focusing on the logic of perspectivism, an Amerindian ontology, enables the archaeological record to be read differently. Perspectivism, or any other ontology taken seriously as a theory, can challenge our conceptions of objects, things and human agency. Finally, having argued that the principal challenge presented by Perspectivism in Archaeology is to find ways to understand and think about particular archaeological records in the light of a local ontology, the chapter explores how perspectivism as theory can ultimately be seen as an experiment in decolonizing archaeological thinking and situating its practices.
Perspectivism in Archaeology explores recurring features in Amerindian mythology and cosmology in the past, as well as distinctions and similarities between humans, non-humans and material culture. It offers a range of possibilities for the reconstruction of ancient ontological approaches, as well as new ways of thinking in archaeology, notably how ancient ontological approaches can be reconciled with current archaeological theories. In this volume, Andrés Laguens contributes a new set of approaches that incorporate Indigenous theories of reality into an understanding of the South American archaeological record. He analyses perspectivism as a step-by-step theory with clear explanations and examples and shows how it can be implemented in archaeological research and merged with ontological approaches. Exploring the foundations of Amerindian perspectivism and its theoretical and methodological possibilities, he also demonstrates applications of its precepts through case studies of ancient societies of the Andes and Patagonia.
To evaluate the outcomes of reinnervation techniques for the treatment of adult unilateral vocal fold paralysis and bilateral vocal fold paralysis.
Methods
A literature review was conducted in the Embase and Medline databases in English, with no limitations on the publication date. The outcome parameters of interest included visual, subjective perceptual, acoustic, aerodynamic analysis and electromyography. A meta-analysis with a random-effects model and inverse variance was calculated.
Results
The systematic Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach resulted in 27 studies, totalling 803 patients (747 unilateral cases and 56 bilateral cases). Thyroid cancer and/or surgery had caused unilateral vocal fold paralysis in 74.8 per cent of cases and bilateral vocal fold paralysis in 69.6 per cent of cases. Statistically significant improvements in patients were observed for voice, deglutition and decannulation (bilateral vocal fold paralysis). Meta-analysis of 10 reinnervation techniques was calculated for the maximum phonation time of 184 patients.
Conclusion
Reinnervation was shown to improve voice, swallowing and decannulation, but studies lacked control groups, limiting generalisability. Larger studies with controls are needed.
CHD refers to structural cardiac abnormalities which comprise the commonest group of congenital malformations. Malta is a small island in the central Mediterranean with excellent diagnostic and therapeutic facilities. It is unique in the European population as termination of pregnancy is illegal. This study was carried out to ascertain patterns in CHD prevalence in comparison with EUROCAT data (European Surveillance of Congenital Anomalies).
Methods:
Anonymised data were obtained from the EUROCAT website for 1993–2020.
Results:
There were a total of 22,833,032 births from all EUROCAT Registries, of which 121,697 were from Malta. The prevalence rate for Malta CHD was 32.38/10,000 births (at the higher end of the range). Malta had a significant excess of commoner, comparatively non-severe CHDs. For most of the severe lesions analysed rates reported were higher than EUROCAT average, however, apart from Ebstein’s anomaly, they all fell within the ranges reported from the different registries.
Discussion:
Wide variations in reported CHD prevalence are known, and the Malta rates may be higher for milder defects due to quicker pickup prior to spontaneous resolution. There may also be a higher pickup of milder forms of more severe conditions. For the more severe conditions, lack of termination may be the explanation. These factors may result in the higher neonatal mortality observed in Malta.
Cognitive dysfunction in schizophrenia may be assessed by measuring within-individual variability (WIV) in performance across a range of cognitive tests. Previous studies have found increased WIV in people with schizophrenia, but no studies have been conducted in low- to middle-income countries where the different sociocultural context may affect WIV. We sought to address this gap by exploring the relationship between WIV and a range of clinical and demographic variables in a large study of people with schizophrenia and matched controls in South Africa.
Methods:
544 people with schizophrenia and 861 matched controls completed an adapted version of The University of Pennsylvania Computerized Neurocognitive Battery (PennCNB). Demographic and clinical information was collected using the Structured Clinical Interview for DSM-IV Diagnoses. Across-task WIV for performance speed and accuracy on the PennCNB was calculated. Multivariate linear regression was used to assess the relationship between WIV and a diagnosis of schizophrenia in the whole sample, and WIV and selected demographic and clinical variables in people with schizophrenia.
Results:
Increased WIV of performance speed across cognitive tests was significantly associated with a diagnosis of schizophrenia. In people with schizophrenia, increased speed WIV was associated with older age, a lower level of education and a lower score on the Global Assessment of Functioning scale. Increased accuracy WIV was significantly associated with a younger age in people with schizophrenia.
Conclusions:
Measurements of WIV of performance speed can add to the knowledge gained from studies of cognitive dysfunction in schizophrenia in resource-limited settings.
Giardiasis, caused by Giardia duodenalis, is a leading cause of diarrhoea in resource-poor countries. To gain a better insight into the epidemiology of Giardia in Africa, we undertook a robust study to comprehend the distribution and prevalence of Giardia infection in humans, animals and their dispersal in the environment. Our protocol was registered with PROSPERO (registration number CRD42022317653). Deep literature search from 5 electronic databases, namely, AJOL, Google scholar, PubMed, ScienceDirect and Springer Link was performed using relevant keywords. Meta-analysis was performed using a random-effects model and heterogeneity among studies was evaluated using Cochran's Q and the I2-statistic. More than 500 eligible studies published from 1 January 1980 until 22 March 2022 were retrieved. In humans, exactly 48 124 Giardia spp. infection cases were registered from the 494 014 stool samples examined resulting in a pooled prevalence estimate (PPE) of 8.8% using microscopy. Whereas copro-antigen tests and molecular diagnostic methods generated PPE of 14.3 and 19.5%, respectively, with HIV+ subjects and those with diarrhoeatic stool having infection rates of 5.0 and 12.3%, respectively. The PPE of Giardia spp. infection in animals using molecular methods was 15.6%, which was most prevalent in pigs (25.2%) with Nigeria registering the highest prevalence at 20.1%. The PPE of Giardia spp. contamination from waterbodies was 11.9% from a total of 7950 samples which were detected using microscopy, with Tunisia documenting the highest infection rate of 37.3%. This meta-analysis highlights the necessity of ‘One Health’ approach for consolidated epidemiological studies and control of giardiasis in the African continent.
The presence of human visitors has been shown to affect the behaviour of several different mammalian species in a number of different zoos, but the behavioural changes observed are not always consistent with a simple ‘stressful influence’ explanation. Data for non-primate species are too sparse to draw meaningful conclusions; but for primates, the evidence reviewed in this paper allows several hypotheses to be tested. Neither a social facilitation nor an audience attraction hypothesis can be generally supported by the available studies. However, these studies are consistent with a general stressful influence hypothesis, although the extent of this influence is itself affected by other variables, notably species and housing differences. There is some evidence that chronic exposure to human audiences may lessen this stressful influence in some species; and in certain circumstances (notably where some members of the public throw food) the effect of the audience is almost an enriching one.
Laboratory studies of choice and decision making among real monetary rewards typically use smaller real rewards than those common in real life. When laboratory rewards are large, they are almost always hypothetical. In applying laboratory results meaningfully to real-life situations, it is important to know the extent to which choices among hypothetical rewards correspond to choices among real rewards and whether variation of the magnitude of hypothetical rewards affects behavior in meaningful ways. The present study compared real and hypothetical monetary rewards in two experiments. In Experiment 1, participants played a temporal discounting game that incorporates the logic of a repeated prisoner’s-dilemma (PD) game versus tit-for-tat; choice of one alternative (“defection” in PD terminology) resulted in a small-immediate reward; choice of the other alternative (“cooperation” in PD terminology) resulted in a larger reward delayed until the following trial. The larger-delayed reward was greater for half of the groups than for the other half. Rewards also differed in type across groups: multiples of real nickels, hypothetical nickels, or hypothetical hundred-dollar bills. All groups significantly increased choice of the larger delayed reward over the 40 trials of the experiment. Over the last 10 trials, cooperation was significantly higher when the difference between larger and smaller hypothetical rewards was greater. Reward type (real or hypothetical) made no significant difference in cooperation on most measures. In Experiment 2, real and hypothetical rewards were compared in social discounting—the decrease in value to the giver of a reward as social distance increases to the receiver of the reward. Social discount rates were well described by a hyperbolic function. Discounting rates for real and hypothetical rewards did not significantly differ. These results add to the evidence that results of experiments with hypothetical rewards validly apply in everyday life.
This is the introduction to the volume as a whole. It opens by considering Apuleius’ claims to dissection as evidence for a widespread interest in anatomy and dissection in the ancient world, particularly in the Roman period. It goes on to define the terms dissection and anatomy as used throughout the book and to lay out the overarching subject and aims of the project, while situating it within existing literature related to the topic. It particularly seeks to highlight the prevalence and importance of animal dissection, as opposed to the much rarer instances of human dissection, and to emphasize the pivotal role of the Roman period, which has often been underplayed in favor of the Hellenistic period. It concludes with an overview of the structure and contents of the book.
To assess hearing rehabilitation in patients with congenital aural atresia using an active middle-ear implant (Vibrant Soundbridge).
Methods
Of a cohort of 70 microtia and atresia patients, 10 underwent Vibrant Soundbridge implantation between 2008 and 2021. Two of the 10 patients had binaural implantation, resulting in 12 ears for analysis. Pre- and post-operative audiometry data were analysed, and patient satisfaction was evaluated. Surgical issues regarding coupling sites and outcomes were analysed.
Results
Pure tone average (0.5, 1, 2 and 4 kHz) improved from a pre-operative mean (standard deviation) of 65.3 (8.7) dB HL to a post-operative mean of 26.8 (4.9) dB HL. This resulted in a mean pure tone average gain of 38.5 dB HL. The results indicate no obvious difference between stapes (n = 8) and incus (n = 4) coupling. The mean effective gain for 0.5, 1, 2 and 4 kHz was −17.8 dB HL (standard deviation = 4.3). Concerning effective gain, Vibrant Soundbridge performed best at 2 kHz. Patients reported high overall satisfaction, good sound quality and strongly improved directional hearing.
Conclusion
An active middle-ear implant (Vibrant Soundbridge) allows hearing rehabilitation in selected atretic ears, and provides long-term hearing stability in children and adults.
Mental time travel involves remembering personal past events (i.e., episodic memory) and thinking about future ones (i.e., future thinking). Despite empirical evidence showing that animals might be capable of mental time travel, some still remain skeptical about this issue. The aim in this chapter will be to reflect on the concept of episodic memory and future thinking as well as on the experimental approaches used in comparative psychology to study these abilities. A critical analysis of both the conceptualization of mental time travel and the experimental paradigms will be provided. I will finish by questioning the extent to which the sense of past has been addressed in this type of research and by suggesting lines of future research.
The global human population has increased hugely since the mid-nineteenth century and stands at almost 8 billion at the time of writing. This trend is mirrored in Britain, especially in England, with a total UK population of almost 68 million in 2020. Predictions imply that global increases will slow down, perhaps peaking at around 10 billion by 2100. Three factors contribute to changes in population size. In Britain, the reproductive rate has been below the replacement level of around 2.1 children per couple for several decades. The ongoing increase in human numbers has been dictated primarily by the other two factors. Longevity has increased steadily; people are living longer. However, the most significant driver by far in recent decades has been the high level of net immigration into Britain. Wildlife declines are statistically related to human population density across Western Europe at least with respect to two well-studied taxonomic groups, amphibians and birds.