Serious superficial incisional surgical site infections (SSISSIs) are a critical subset of SSIs that require surgical intervention or lead to hospital readmission. Analyzing 11,617 SSIs from 47 community hospitals, the inclusion of SSISSIs changed 30/47 hospital rankings (p = 0.02), highlighting the need for inclusion in standardized infection surveillance models.

Ancient writers, including philosophers such as Aristotle, often depict friendship as a source of pleasure; by contrast, in his Laelius de amicitia, Cicero describes such relationships as sweet and delightful, but never connects them with uoluptas, which for him is a largely negative term reserved for Epicurean doctrine. This paper argues that there is more to this pointed use of language than Cicero’s well-known dislike of Epicureanism. Considering first the Latin philosophical vocabulary of pleasure and then the vexed question of what exactly qualifies as pleasure according to the Epicurean system, the paper makes the case that Cicero believed (probably correctly) that the pleasures of friendship as conceived of by himself and many ordinary language-users would not in fact qualify as instances of Epicurean uoluptas. If, as Epicurus appears to have held, all pleasures are either bodily or mental, and all mental pleasures are derived from bodily ones, then many activities experienced as pleasurable in and of themselves—including many traditional elements of friendship—are not in fact Epicurean pleasures.

The rise of stress studies has led to the existence of multiple stress induction protocols. However, cultural differences in stress reactivity are often overlooked. Therefore, this study aims to validate the Maastricht Acute Stress Test (MAST) in the Spanish population. A sample of 96 young adult participants was divided into an experimental group and a control group based on whether they were exposed to the MAST or a non-stressful control task. State anxiety and positive and negative affects were measured before and immediately after the protocol, while physiological stress (blood pressure and heart rate) was monitored throughout the experiment. The experimental group exhibited an increase in state anxiety, negative affect, and systolic and diastolic blood pressures after the MAST protocol. Participants with higher psychopathological risk presented higher scores of psychological stress than those with lower risk. Finally, it was found that participants with higher mathematical performance exhibited lower anxious reactivity following stressor exposure. Our results confirm the efficacy of the MAST and its validation for use in the Spanish population.

Interpersonal Psychotherapy (IPT) is an evidence-based treatment for adolescent depression. However, since it does not work for all adolescents in all settings, more research on its heterogeneous effects is needed. Using a realist approach, we aimed to generate hypotheses about mechanisms and contextual contingencies in adolescent group IPT in Nepal. We analysed 26 transcripts from qualitative interviews with IPT participants aged 13–19, facilitators, supervisors and trainers. We analysed data using the Framework Method. The qualitative analytical framework was based on the VICTORE checklist, a realist tool to explore intervention complexity. Sharing, problem-solving, giving and receiving support, managing emotions and negotiating emerged as mechanisms through which adolescents improved their depression. Participants perceived that girls and older adolescents benefitted most from IPT. Girls had less family support than boys and therefore benefitted most from the group support. Older adolescents found it easier than younger ones to share problems and manage emotions. Adolescents exposed to violence and parental alcoholism struggled to overcome problems without family and school support. We formulated hypotheses on group IPT mechanisms and contextual interpersonal and school-level factors. Research is needed to test these hypotheses to better understand for whom IPT works and in what circumstances.

At the 13th Ministerial Conference, WTO members reaffirmed their commitment to restoring a fully functioning dispute settlement system by 2024. By the end of the year, some progress had been made, but an agreement remains elusive. The re-election of Donald Trump as US President adds further uncertainty to these efforts. Against this background, this article re-examines the proposal for the General Council to appoint Appellate Body members through majority voting. It argues that customary rules of interpretation applicable to the constituent instruments of international organizations justify the legality of a vote in the General Council to support the effective functioning of the WTO. To address WTO members' concerns about the negative impact on consensus-based decision-making and the loss of leverage for reforms, this article suggests a General Council decision to appoint fewer than seven Appellate Body members. While not addressing all challenges facing the dispute settlement system, the proposal would bring more certainty to the early recovery of the system.

We consider the system $\dot {x}=(A+ P(t,\epsilon )) x, x\in \mathbb {R}^{3}, $ where $A, P$ are both three-dimensional skew symmetric matrices, A is a constant matrix with eigenvalues $\pm i\unicode{x3bb} $ and 0, $P(t,\epsilon )$ is $C^{m}(m=0,1)$-smooth in $\epsilon $ and analytic quasi-periodic with respect to t with basic frequencies $\omega =(1,\alpha )$, with $\alpha $ being irrational, and $\epsilon $ is a small parameter. Under some non-resonant conditions about the basic frequencies and the eigenvalues of the constant matrix and without any non-degeneracy condition, it is proved that for many sufficiently small parameters, this system can be reduced to a rotation system. Furthermore, if the basic frequencies satisfy that $ 0\leq \beta (\alpha ) < r,$ where $\beta (\alpha )=\limsup \nolimits _{n\rightarrow \infty } {\ln q_{n+1}}/{q_{n}},$ $q_{n}$ is the sequence of denominations of the best rational approximations for $\alpha \in \mathbb {R} \setminus \mathbb {Q},$ r is the initial radius of analytic domain, it is proved that for many sufficiently small parameters, this system can be reduced to a constant system.

Effects of language switching in bilinguals have been extensively investigated, but the majority of studies have focused on switching in language production. Here we explored intrasentential switching between Chinese and English, employing a self-paced reading paradigm, with Chinese/English using radically different orthographic systems. In addition, we investigated whether L2 (English) proficiency influences switch costs. Results revealed that switch costs emerged only when switching into L1 (Chinese); by contrast, when switching into L2, a less reliable facilitatory effect was observed. L2 proficiency affected reading speed for English stimuli, but it did not directly modulate switch costs. Moreover, we have integrated various findings from previous research and identified that the use of different comparison patterns is a major contributing factor to the inconsistency in results among prior studies. We suggest that in cross-script language switching, switch costs stem from a general cognitive control mechanism rather than from activation within the bilingual mental lexicon.

This article explores the global political economy of paper—particularly newsprint—during the era of decolonisation. It shows how Third World countries, the United Nations Educational, Scientific, and Cultural Organisation (UNESCO), and the Food and Agricultural Organisation (FAO) understood newsprint as an infrastructural tool for accelerating development. However, a ‘paper famine’ in the mid-1970s exposed the major structural inequalities in the global newsprint trade, catalysing experiments to develop local paper manufacturing capacity in the Third World. The article demonstrates how debates about access to newsprint were tightly bound up with arguments about global information flows and the role of the press in the developing world. In so doing, the article argues that bringing global histories of commodities and communications into conversation enriches our understanding of the media by drawing attention to the material substance by which information circulates.

Presentamos avances en la exploración del abrigo rocoso Las Columnas situado en la Depresión Central de Chiapas, México. Un fechamiento obtenido por espectrometría de masas con aceleradores (AMS) muestra indicios de actividades humanas entre el 790 aC y 517 aC, período que corresponde con el desarrollo de sistemas políticos complejos mesoamericanos. Las excavaciones arrojaron también restos de talla, alisadores de piedra, caracoles, semillas y cerámica que indican actividades humanas recurrentes. Una muestra de artefactos líticos se analizó con microscopía para determinar su función. Los resultados preliminares indican que el abrigo Las Columnas fue utilizado para actividades domésticas y el procesamiento de huesos y pieles durante el Preclásico medio.