Increasing incidence of zoonotic visceral leishmaniasis on Crete, Greece

To determine whether the incidence of canine leishmaniasis has increased on Crete, Greece, we fitted infection models to serodiagnostic records of 8,848 dog samples for 1990–2006. Models predicted that seroprevalence has increased 2.4% (95% confidence interval 1.61%–3.51%) per year and that incidence has increased 2.2- to 3.8-fold over this 17-year period

Criminal narrative experience: relating emotions to offence narrative roles during crime commission

A neglected area of research within criminality has been that of the experience of the offence for the offender. The present study investigates the emotions and narrative roles that are experienced by an offender while committing a broad range of crimes and proposes a model of Criminal Narrative Experience (CNE). Hypotheses were derived from the Circumplex of Emotions (Russell, 1997), Frye (1957), Narrative Theory (McAdams, 1988) and its link with Investigative Psychology (Canter, 1994). The analysis was based on 120 cases. Convicted for a variety of crimes, incarcerated criminals were interviewed and the data were subjected to Smallest Space Analysis (SSA). Four themes of Criminal Narrative Experience (CNE) were identified: Elated Hero, Calm Professional, Distressed Revenger and Depressed Victim in line with the recent theoretical framework posited for Narrative Offence Roles (Youngs & Canter, 2012). The theoretical implications for understanding crime on the basis of the Criminal Narrative Experience (CNE) as well as practical implications are discussed

Attention-deficit hyperactivity disorder-like traits and distractibility in the visual periphery

We examined the performance of non-clinical subjects with high and low levels of self-reported ADHD-like traits in a novel distractibility paradigm with far peripheral visual distractors, the likely origin of many distractors in everyday life. Subjects were tested on a Sustained Attention to Response Task with distractors appearing before some of the target/non-target stimuli. When the distractors appeared 80 ms before the targets/non-targets, participants with high levels of ADHD-like traits were less affected in their reaction times than those with lower levels. Reducing the distractor-target/non-target interval to 10 ms removed the reaction time advantage for the high group. We suggest that at 80 ms the distractors were cueing the arrival of the target/non-target and that those with high levels of ADHD-like traits were more sensitive to the cues. Increased sensitivity to stimuli in the visual periphery is consistent with hyper-responsiveness at the level of the superior colliculus

Pediatric epilepsy surgery from 2000 to 2018: Changes in referral and surgical volumes, patient characteristics, genetic testing, and postsurgical outcomes

OBJECTIVE: Neurosurgery is a safe and effective form of treatment for select children with drug-resistant epilepsy. Still, there is concern that it remains underutilized, and that seizure freedom rates have not improved over time. We investigated referral and surgical practices, patient characteristics, and postoperative outcomes over the past two decades. METHODS: We performed a retrospective cohort study of children referred for epilepsy surgery at a tertiary center between 2000 and 2018. We extracted information from medical records and analyzed temporal trends using regression analyses. RESULTS: A total of 1443 children were evaluated for surgery. Of these, 859 (402 females) underwent surgical resection or disconnection at a median age of 8.5 years (interquartile range [IQR] = 4.6-13.4). Excluding palliative procedures, 67% of patients were seizure-free and 15% were on no antiseizure medication (ASM) at 1-year follow-up. There was an annual increase in the number of referrals (7%, 95% confidence interval [CI] = 5.3-8.6; p < .001) and surgeries (4% [95% CI = 2.9-5.6], p < .001) over time. Duration of epilepsy and total number of different ASMs trialed from epilepsy onset to surgery were, however, unchanged, and continued to exceed guidelines. Seizure freedom rates were also unchanged overall but showed improvement (odds ratio [OR] 1.09, 95% CI = 1.01-1.18; p = .027) after adjustment for an observed increase in complex cases. Children who underwent surgery more recently were more likely to be off ASMs postoperatively (OR 1.04, 95% CI = 1.01-1.08; p = .013). There was a 17% annual increase (95% CI = 8.4-28.4, p < .001) in children identified to have a genetic cause of epilepsy, which was associated with poor outcome. SIGNIFICANCE: Children with drug-resistant epilepsy continue to be put forward for surgery late, despite national and international guidelines urging prompt referral. Seizure freedom rates have improved over the past decades, but only after adjustment for a concurrent increase in complex cases. Finally, genetic testing in epilepsy surgery patients has expanded considerably over time and shows promise in identifying patients in whom surgery is less likely to be successful

Developing a European longitudinal and interprofessional curriculum for clinical reasoning

Clinical reasoning is a complex and crucial ability health professions students need to acquire during their education. Despite its importance, explicit clinical reasoning teaching is not yet implemented in most health professions educational programs. Therefore, we carried out an international and interprofessional project to plan and develop a clinical reasoning curriculum with a train-the-trainer course to support educators in teaching this curriculum to students. We developed a framework and curricular blueprint. Then we created 25 student and 7 train-the-trainer learning units and we piloted 11 of these learning units at our institutions. Learners and faculty reported high satisfaction and they also provided helpful suggestions for improvements. One of the main challenges we faced was the heterogeneous understanding of clinical reasoning within and across professions. However, we learned from each other while discussing these different views and perspectives on clinical reasoning and were able to come to a shared understanding as the basis for developing the curriculum. Our curriculum fills an important gap in the availability of explicit clinical reasoning educational materials both for students and faculty and is unique with having specialists from different countries, schools, and professions. Faculty time and time for teaching clinical reasoning in existing curricula remain important barriers for implementation of clinical reasoning teaching

"Stick 'n' peel": Explaining unusual patterns of disarticulation and loss of completeness in fossil vertebrates

Few fossil vertebrate skeletons are complete and fully articulated. Various taphonomic processes reduce the skeletal fidelity of decaying carcasses, the effects of most of which are reasonably well understood. Some fossil vertebrates, however, exhibit patterns of disarticulation and loss of completeness that are difficult to explain. Such skeletons are one of two variants. They are incomplete, often markedly so, but the preserved parts are highly articulated. Alternatively, they are complete, or nearly so, but articulation varies markedly between parts of the body. A characteristic feature is the absence of skeletal elements that, on the basis of their larger size and/or greater density, would be predicted to be present. Here we erect a model, termed “stick ‘n’ peel”, that explains how these distinctive patterns originate. The model emphasizes the role of decay products, especially fluids released from the carcass while resting on the sediment surface. These fluids permeate the sediment below and around the carcass. As a result, skeletal elements on the downward facing side of the carcass become adhered to the sediment surface, and are less likely to be remobilized as a result of current activity than others. The pattern of articulation and, especially, completeness is thus not what would be predicted on the basis of the size, shape and density of the skeletal elements. The effects of stick ‘n’ peel are difficult to predict a priori. Stick ‘n’ peel has been identified in vertebrate fossils in lacustrine and marine settings and is likely to be a common feature of the taphonomic history of many vertebrate assemblages. Specimens becoming adhered to the substrate may also explain the preservation in situ of the multi-element skeletons of invertebrates such as echinoderms, and integumentary structures such as hair and feathers in exceptionally preserved fossils

On complexified mechanics and coquaternions

While real Hamiltonian mechanics and Hermitian quantum mechanics can both be cast in the framework of complex canonical equations, their complex generalisations have hitherto been remained tangential. In this paper quaternionic and coquaternionic (split-signature analogue of quaternions) extensions of Hamiltonian mechanics are introduced, and are shown to offer a unifying framework for complexified classical and quantum mechanics. In particular, quantum theories characterised by complex Hamiltonians invariant under space-time reflection are shown to be equivalent to certain coquaternionic extensions of Hermitian quantum theories. One of the interesting consequences is that the space-time dimension of these systems is six, not four, on account of the structures of coquaternionic quantum mechanics.Comment: 11 pages, version to appear in Journal of Physics

Van Gogh and Frizzled Act Redundantly in the Drosophila Sensory Organ Precursor Cell to Orient Its Asymmetric Division

Drosophila sensory organ precursor cells (SOPs) divide asymmetrically along the anterior-posterior (a-p) body axis to generate two different daughter cells. Planar Cell Polarity (PCP) regulates the a-p orientation of the SOP division. The localization of the PCP proteins Van Gogh (Vang) and Frizzled (Fz) define anterior and posterior apical membrane domains prior to SOP division. Here, we investigate the relative contributions of Vang, Fz and Dishevelled (Dsh), a membrane-associated protein acting downstream of Fz, in orienting SOP polarity. Genetic and live imaging analyses suggest that Dsh restricts the localization of a centrosome-attracting activity to the anterior cortex and that Vang is a target of Dsh in this process. Using a clone border assay, we provide evidence that the Vang and fz genes act redundantly in SOPs to orient its polarity axis in response to extrinsic local PCP cues. Additionally, we find that the activity of Vang is dispensable for the non-autonomous polarizing activity of fz. These observations indicate that both Vang and Fz act as cues for downstream effectors orienting the planar polarity axis of dividing SOPs