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In sub-Saharan Africa’s endemic areas for urogenital schistosomiasis, male genital schistosomiasis (MGS) can cause significant morbidity. As part of the Hybridization in UroGenital Schistosomiasis investigation, an MGS sub-study examined a cohort of adult men over a calendar year to better ascertain general infection dynamics and putative zoonotic schistosome transmission. During follow-up, demographic, health and socio-economic data were collected through individual questionnaire interviews. Collected urine and semen were analysed using urine filtration, urine and semen microscopy and molecular DNA analyses of semen. Ten participants with reported MGS-associated symptoms had Schistosoma eggs in their urine and semen at 6-month follow-up, with seven at 12 months. Ten out of 11 participants with Schistosoma haematobium eggs on semen microscopy at baseline had persistent infection at 6-month follow-up, together with 6 new participants, giving an MGS prevalence of 84·2% (n = 19). Two also had Schistosoma mattheei eggs co-infection. Four of the 13 participants at 12-month follow-up had S. haematobium eggs in their semen which were persistent at all the time points. Using semen PCR, 14 participants (73·7%) had Schistosoma infection at 6 months, with only 2 participants being infected for first time. Upon DNA analysis, three participants also had hybrid co-infection at this time point. At 12 months, only 6 participants had Schistosoma infection with no hybrids detected. In summary, like S. haematobium and despite praziquantel treatment, both zoonotic and hybrid schistosomes can continue to cause MGS, which pose a further tangible challenge in future management and control measures.
Urogenital schistosomiasis (UGS) caused by zoonotic or hybrid schistosome infection(s) is an emerging public health concern in Malawi, and we describe a 1-year clinical sub-study with 3 inspection time points for female genital schistosomiasis (FGS) upon selecting 86 women with proven UGS. This sub-study was set within a broader 2-year longitudinal ‘Hybridization in UroGenital Schistosomiasis (HUGS)’ investigation. A detailed cervicovaginal examination with a portable colposcope was conducted, examining cervicovaginal lavage (CVL), cervical swab, cervical biopsy and urine with traditional parasitological and molecular diagnostic methods. At baseline, overt FGS by colposcopy was 72.1%, 64.3% by CVL real-time PCR and 51.2% by both colposcopy and CVL-PCR, noting urine-microscopy could often be negative. Human papillomavirus was detected in 31.0% of the cervical swabs, with 8.3% women also FGS positive by colposcopy and real-time PCR. Over the year, FGS prevalence by colposcopy increased by 32.7% during the study to 84.6%, homogenous yellow and grainy sandy patches being very common in the youngest 18–25 age group, where 51.9% were positive. FGS appears widespread locally and we discuss difficulties in its detection without invasive sampling. In addition to the presence of S. haematobium, S. mattheei was noted alongside key concurrent sexually transmitted infections. From our findings, we point out that improved prevention and management of FGS is required, foremost, better availability and regular accessibility to praziquantel treatment is needed. Furthermore, targeted health education, raised community awareness and dovetailing synergistic public health activities within Sexual and Reproductive Health services and local HIV/AIDS programmes could develop an appropriate holistic health intervention package.
Blended, or hybrid, approaches to language learning continue to gain prominence. Resonant with established definitions of CALL, such approaches seek to promote ecological perspectives and embrace the ubiquity of technology. Questions of effectiveness and the justification of resources may result in a greater need for argument-based evaluation. Future research in blended language learning must take into account concepts inherent in multimodality, social semiotics, and computer mediated communication. Rather than revisit blended learning, however, porosity of environments may forge new metaphors of understanding and research.
In this paper, we propose a hybrid sparse array design utilizing Delaunay Triangulation algorithm for element positioning and Convex algorithm for element excitation optimization. This Delaunay Triangulation algorithm yields a radiation pattern devoid of grating lobes. Then Convex algorithm is used to optimize the element excitations to further decrease side-lobe-level. The minimum inter-element distance is as large as 8 times of wavelength. The peak-side-lobe-level can be −17.3 dB. Furthermore, beam steering can be achieved with good performance within 80° field-of-view range.
According to its “technology neutrality” principle, MiCA applies to all cryptoassets unless they qualify under other EU financial law, except for e-money tokens (EMTs) for which both MiCA and the E-money Directive (EMD) apply. Thus, Section 4.1 starts with the definition of ‘cryptoassets’, and Section 4.2 covers the exemptions from MiCA’s scope: exempted entities, the exemption for non-fungible tokens (NFTs), exemptions for assets covered by other EU financial law, and the exemption for fully decentralised services. Section 4.3 discusses MiCA’s geographical scope, and Section 4.4 provides an in-depth analysis of the difficult interface towards other EU financial law. Section 4.5 explains MiCA’s approach to addressing this difficult scope issue, and Section 4.6 concludes.
Edited by
James Ip, Great Ormond Street Hospital for Children, London,Grant Stuart, Great Ormond Street Hospital for Children, London,Isabeau Walker, Great Ormond Street Hospital for Children, London,Ian James, Great Ormond Street Hospital for Children, London
The catheterisation laboratory (cath lab) continues to advance with updated technology and novel devices, allowing catheter-based interventions on more complex cases of congenital and acquired heart disease with the added benefit of reduced radiation exposure. Today, a wider range of catheter-based interventions exist, replacing or postponing the need for a surgical approach. Even extremely preterm infants (some less than 800 g) can now be offered interventional procedures in the cardiac catheter laboratory. Conversely, there is a reduced need for cardiac catheterisation as a purely diagnostic tool, as non-invasive imaging modalities such as cardiac CT and MRI continue to increase in their application and sophistication. The anaesthetist will find themselves undertaking high-risk anaesthetics, with challenges inherent to the cath lab, with riskier and more complex children, in a location which may be remote from the theatre suite. Anaesthetists managing children with complex congenital cardiac disease have to understand the pathophysiology of these patients and, importantly, the effects that anaesthesia and any intervention will have on their underlying physiology.
Chapter 1 analyzes Palladio’s design for Villa Pisani in relation to ancient and Renaissance architectural theory, local building practice, and his own written and built works. Although Palladio’s approach to typology was more flexible than generally understood, the building is recognizably a hybrid of a villa and a palace, which can be linked to Alberti’s conception of the suburban residence (hortus suburbanus).
Vallisneria × pseudorosulata S. Fujii & M. Maki is an invasive aquatic weed that has recently become a major issue within the U.S. Southeast. Vallisneria × pseudorosulata is a hybrid between two nonnative eelgrass species (Vallisneria spiralis L. and Vallisneria denseserrulata Makino) and has rapidly overtaken water bodies in Tennessee, Alabama, and Florida. This hybrid can reproduce rapidly through offshoot formation and floating propagules capable of drifting large distances before establishing. Vallisneria × pseudorosulata has been previously found in Japan and is thought to have been introduced in the United States by the aquarium trade or through dumping.
Use of diverse germplasm for generating heterotic hybrids is the foremost requirement in maize. The present study was conducted by using a diverse set of inbred lines and the line × tester method was applied to identify best performing lines and to group QPM inbred lines into different heterotic groups. The test crosses, developed by following line (66) × tester (CML 161 and CML 165) mating design, were evaluated during winter 2013, rainy 2014 and 2015 seasons at Begusarai and Ludhiana, respectively. Based on the specific combining ability, the lines were categorized into two heterotic groups. Out of 66 novel inbreds, 18 lines with significant SCA with CML165 were classified in group A, 16 inbreds with significant SCA with CML161 were classified in group B and 20 inbreds with significant GCA were classified in group (AB). Nine inbred lines were selected based on their positive GCA values and pedigree crosses were developed in rainy season in 2017. Three crosses were made in heterotic group A and four crosses were in group B for synthesizing new inbred lines by using pedigree method. Heterotic grouping based inbred evaluation trial and biochemical analysis were carried out to estimate per se yield potential of developed lines and to estimate tryptophan content. QIL-4-2491 (Group-A) and QIL-4-2401 (Group-B) were the top yielders. A total of 25 crosses were made among the heterotic groups (A and B) by using 22 lines from groups A and B and three best performing hybrids were identified.
This paper details the design and development of a planar switched beam network using 4 × 4 Butler matrix (BM) over a thin and flexible type biocompatible substrate. Four mils thick liquid crystal polymer (LCP) is used as a substrate here (ϵr = 2.92, tanδ = 0.002). The proposed design is centered at 28 GHz, targeting commercial millimeter-wave applications. Floral-shaped antenna with defective ground structures has been implemented as basic radiating elements. The whole structure is based on microstrip line configuration. The architecture occupies an area of 23.85 × 19.20 mm2 over the LCP substrate. Individual components of the BM are detailed here, followed by a system analysis of the whole integrated structure. The present work also covers the electrical equivalent circuit modeling of the whole beam-forming network. The fabricated prototype offers better than 18 dB return losses at each input port for the desired frequency band with 6 dBi (max.) peak gain and 500 MHz bandwidth around the center frequency. Port-to-port isolation of better than 15 dB is achieved with this topology. Experimental and simulated results are in good agreement in all aspects. A comparative study is also chalked out to highlight the significance of the current research work with respect to alike earlier reported structures.
An alternative surgical approach for hypoplastic left heart syndrome is the Hybrid pathway, which delays the risk of acute kidney injury outside of the newborn period. We sought to determine the incidence, and associated morbidity, of acute kidney injury after the comprehensive stage 2 and the cumulative incidence after the first two operations in the Hybrid pathway.
Design:
A single centre, retrospective study was conducted of hypoplastic left heart patients completing the second-stage palliation in the Hybrid pathway from 2009 to 2018. Acute kidney injury was defined utilising Kidney Diseases Improving Global Outcomes criteria. Perioperative and post-operative characteristics were analysed.
Results:
Sixty-one patients were included in the study cohort. The incidence of acute kidney injury was 63.9%, with 36.1% developing severe injury. Cumulatively after the Hybrid Stage 1 and comprehensive stage 2 procedures, 69% developed acute kidney injury with 36% developing severe injury. The presence of post-operative acute kidney injury was not associated with an increase in 30-day mortality (acute kidney injury 7.7% versus none 9.1%; p = > 0.9). There was a significantly longer median duration of intubation among those with acute kidney injury (acute kidney injury 32 (8, 155) hours vs. no injury 9 (0, 94) hours; p = 0.018).
Conclusions:
Acute kidney injury after the comprehensive stage two procedure is common and accounts for most of the kidney injury in the first two operations of the Hybrid pathway. No difference in mortality was detected between those with acute kidney injury and those without, although there may be an increase in morbidity.
Nile × blue tilapia hybrid (Oreochromis niloticus × O. aureus) has become an important food fish in intensive freshwater aquaculture. Recently, the parasite Myxobolus bejeranoi (Cnidaria: Myxozoa) was found to infect hybrid tilapia gills at high prevalence, causing immune suppression and high mortality. Here, we explored additional characteristics of M. bejeranoi–tilapia interaction, which enable efficient proliferation of this parasite inside its specific host. Highly sensitive quantitative polymerase chain reaction (qPCR) and in situ hybridization analyses of fry collected from fertilization ponds provided evidence to an early-life infection of fish by a myxozoan parasite, occurring less than 3 weeks post-fertilization. Because Myxobolus species are highly host-specific, we next compared infection rates in hybrid tilapia and in both its parental species following a 1-week exposure to infectious pond water. Analysis by qPCR and histological sections showed that while blue tilapia was as susceptible to M. bejeranoi as the hybrid, Nile tilapia appeared to be resistant. This is the first report of differential susceptibility of a hybrid fish vs its parental purebreds to a myxozoan parasite. These findings advance our understanding of the relationship between M. bejeranoi and tilapia fish and raise important questions regarding the mechanisms that allow the parasite to distinguish between very closely related species and to infect a specific organ at very early-life stages.
This chapter traces multiple genealogies for the contemporary “lyric essay,” from the American memoir boom of the 1990s to the experimental writings of language poets, practitioners of postcolonial and Black diasporic thought such as Édouard Glissant and M. NourbeSe Philip, and writers who combine lyric and essayistic writing such as Claudia Rankine and Bhanu Khapil.
This chapter concludes by addressing how this book’s analysis reconsiders sovereign power in IR and speculates on a structural model of responsibility that takes hybrid sovereignty seriously.
This chapter introduces the main argument of this book that global sovereign power is constituted by public/private hybridity in Lived Sovereignty, while sovereign authority is recognized as indivisibly public in Idealized Sovereignty. Public/private hybridity takes on different characteristics of contractual, institutional, and shadow forms based on the formalization and publicization of relations. In relation to hybrid sovereignty, the lived realities of different types of public/private hybridity are in tension with the idealized imperatives of determining what is public versus private.
This chapter theorizes that sovereignty is the interplay of two contrasting modalities. In Idealized Sovereignty, sovereign authority is represented exclusively in “the state” per the doctrine of indivisibility developed by early modern theorists and reified in IR theory. In Lived Sovereignty, achieving sovereign competence involves divisible practices of state and nonstate actors in a variety of social relations. We would do a disservice to sovereignty’s complexity if only one of the two modes persevered in analyses of sovereignty. Instead, the chapter intervenes in major IR debates to argue that sovereignty should be hybridized. This overarching framework guides the ideal-types of public/private hybridity developed in the next chapter and the empirical analyses in the remainder of this book, where hybrid sovereignty is necessary to build a global empire, go to war, regulate global markets, and protect rights.
This chapter develops the analytical dynamics of public/private hybridity in Lived Sovereignty. It first situates public/private hybridity in the global governance literature and then introduces three ideal-types. Contractual hybridity features formal and publicized performances where sovereign power is negotiated in public/private contractual exchanges. Institutional hybridity features informal and partly publicized performances where sovereign power is negotiated through public/private institutional linkages. Shadow hybridity features nonformalized and nonpublicized performances where sovereign power is negotiated in public/private shadowy bargains. Finally, the chapter presents a Weberian-inspired research design to show off the three ideal-types in the empirics that follow.
The idea of 'hybrid sovereignty' describes overlapping relations between public and private actors in important areas of global power, such as contractors fighting international wars, corporations regulating global markets, or governments collaborating with nongovernmental entities to influence foreign elections. This innovative study shows that these connections – sometimes hidden and often poorly understood – underpin the global order, in which power flows without regard to public and private boundaries. Drawing on extensive original archival research, Swati Srivastava reveals the little-known stories of how this hybrid power operated at some of the most important turning points in world history: spreading the British empire, founding the United States, establishing free trade, realizing transnational human rights, and conducting twenty-first century wars. In order to sustain meaningful dialogues about the future of global power and political authority, it is crucial that we begin to understand how hybrid sovereignty emerged and continues to shape international relations.
What do frontline social service providers do during client interactions when they lack adequate formal organizational resources to respond to clients' needs? To answer this question, this Element presents two large-scale qualitative studies of Israeli frontline providers of social services. Drawing on interviews of public-sector workers (Study 1, N=214), it introduces a widespread phenomenon, where the vast majority of frontline workers regularly provide a large range of informal personal resources (IFRs) to clients. Study 2 (N=84) then compares IFR provision between workers from the public, nonprofit and private sectors. The comparative analysis demonstrates how workers' rationale for providing personal resources to clients is shaped by particular role perceptions embedded in values, norms and behavioral expectations that vary by employment sector. The Element concludes by presenting ramifications of the phenomenon of IFR provision in terms of citizens' wellbeing, social inequality, gender relations and the future of work in public administration.
The occurrence of felt earthquakes due to gas production in Groningen has initiated numerous studies and model attempts to understand and quantify induced seismicity in this region. The whole bandwidth of available models spans the range from fully deterministic models to purely empirical and stochastic models. In this article, we summarise the most important model approaches, describing their main achievements and limitations. In addition, we discuss remaining open questions and potential future directions of development.