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The nature of head movement has been debated since its discovery (see Dékány 2018 for discussion). While it is generally agreed that head movement (the sort that results in the formation of complex heads) is subject to more stringent locality restrictions than phrasal movement, little else is uncontested. In this article, I will argue that a flexible (but literal) interpretation of Harizanov and Gribanova's (2019) definition of head movement (more specifically, their "amalgamation") is needed to account for the movement of suffixal adjectives (As) in Aleut. These As typically suffix to nominals, but under certain conditions surface in verbs between the root and agreement morphology. I show that these As base-generate as adjuncts of NPs and undergo head movement into the verbal complex. I then explore two theories of word-building which would require only phrasal movement on the part of suffixal As—based on ideas put forth in Julien (2002) and Compton and Pittman (2010)—and conclude that phrasal movement alone is too unrestricted to account for the phenomenon, overgenerating As in unacceptable sites. In contrast, previous theories of head movement are too restrictive, only permitting a head and the head of its complement to form a complex head (e.g., Travis 1984; Embick and Noyer 2001); this excludes heads in adjunct positions, like suffixal As, from participating. However, Harizanov and Gribanova's definition of amalgamation, whereby heads Raise or Lower into the nearest c-commanding or c-commanded head, uniquely allows head movement to occur out of specifier positions and even adjunct positions. This comparative flexibility correctly permits Aleut suffixal As to form a complex head with verbal morphology, explaining their incorporation deep within the structure of the verbal complex. [ABSTRACT FROM AUTHOR]

Background Results Conclusion To remain competitive, brewers must innovate by incorporating novel elements beyond traditional styles. Thus, exploring triticale as a modern substitute for barley malt is promising, especially given its higher amylolytic activity compared to barley. This study aimed to assess the impact of substituting up to 50% of barley malt with unmalted triticale on green beer quality, encompassing multiple stages from wort production to primary fermentation at a laboratory scale.Triticale‐based worts (ratios 10–50%) had lower extract content than 100% barley malt. However, incorporating 10% of triticale led to only a 1% decrease in extract content compared to the all‐malt wort. Shearzyme® 500L, an endo‐1,4‐β‐xylanase with β‐glucanase side activity, effectively addressed wort viscosity by breaking down arabinoxylans and β‐glucans in triticale cell walls. All triticale‐based beers exhibited lower ethanol content compared to reference beer, as is typical when using adjuncts. In green beer, a 50% triticale ratio lowered ethanol content by 16% (without enzyme) and 19% (with enzyme) compared to 100% malt beer. However, green beer with 10% triticale had satisfactory levels of total polyphenol and vicinal diketone content, among other parameters.Commercial enzyme application significantly enhanced proteolytic activity within the grain. Fermentations of enzyme‐treated worts showed higher amino acid levels, further confirming the increased proteolytic activity facilitated by the chosen enzyme. Overall, this study provides a comprehensive analysis of the brewing process using native triticale. Building on this foundation, future studies will focus on optimizing mashing conditions to enhance the fermentation profile of the wort. © 2024 Society of Chemical Industry. [ABSTRACT FROM AUTHOR]

Background: Benign laryngotracheal stenosis is widely managed with minimally invasive endoscopic interventions, such as laser incision or excision scar, and dilation. However, various endoscopic treatments are significantly associated with a high recurrence rate. Local auxiliary measures, including inhalation of steroids, injection of steroids, and local topical application of mitomycin C, have been studied in order to increase the success rate. Purpose: To compare the efficacy of endoscopic treatments with and without local adjuncts in patients with benign laryngotracheal stenosis, and analyze their clinical outcomes, recurrence, and complications. Methods: In the meta-analysis, databases including PubMed, EMBASE, OVID, and Web of Science were searched for papers comparing the outcomes of adjunct therapy with non-adjunct therapy in patients with laryngotracheal stenosis. The duplicate publications, reviews, comments or letters, conference abstracts, and case reports were excluded. The random effect model was used for assessing the pooled risk estimates. Results: Eight studies (1204 cases) referring to two prospective randomized controlled studies, two prospective cohort studies, and four retrospective cohort studies were ultimately included in the meta-analysis. Three delivery modes of adjuncts were identified, including intralesion steroid injection (n = 2), inhaled steroid (n = 2), and topical application of mitomycin C (n = 4). The decreased risk estimates of recurrence rate were detected in patients receiving endoscopic treatments with steroid injection or inhaled steroid, compared with endoscopic interventions alone (P < 0.05). Additionally, patients undergoing adjunct therapies had lower risk estimates of recurrence, compared to those receiving endoscopic procedures alone (P < 0.05), based on the subgroup of prospective cohort studies, subglottis, Mayer-Cotton scale of I–II degree, and stenosis length of < 3 cm. The high heterogeneity of the pooling risk estimates perhaps was due to factors of auxiliary drug, clinical characteristics of patients, and methodology. No discernible difference in the incidence of complication was identified. Conclusions: Local application of steroids to minimally invasive interventions appear to reduce the recurrence rate of laryngotracheal stenosis. Various adjuncts available, including steroids and mitomycin C, appear to be safe and associated with a low risk estimate of adjuncts-specific complication rate. High quality multi-center randomized controlled studies are needed, with sufficient periods for follow-up and subjective and objective outcome indicators, to properly evaluate the efficacy, safety, and cost-effectiveness of adjuvant drugs. [ABSTRACT FROM AUTHOR]

Tracheal tube introducers are commonly used by anaesthetists for airway management, especially in difficult cases. They are recommended in airway management guidelines and should be readily available in operating theatres, intensive care units, and emergency departments. Tracheal tube introducers are particularly useful with videolaryngoscopy, aiding in directing the tracheal tube tip towards the glottis. A systematic review of airway trauma associated with tracheal tube introducers found that the standard stylet was the most common introducer and had a higher incidence of airway injury compared to other introducers. However, the review had limitations in terms of study heterogeneity and risk of bias. The use of tracheal tube introducers should be considered thoughtfully, and further research is needed to compare different introducer devices and assess the frequency and severity of airway trauma. [Extracted from the article]

Background: Lumbar surgery is known to cause severe pain in the post-operative period. Modalities to reduce pain in the perioperative period include opioids, non-steroidal anti-inflammatory drugs, neuraxial blocks, and erector spinae block (ESB). Aims and Objectives: In this study, we aimed to evaluate whether ESB could reduce perioperative pain, opioid consumption, and muscle relaxant consumption. Materials and Methods: Fifty patients scheduled for lumbar decompression spine surgery were randomly allocated to two groups, the erector spinae plane (ESP) group (n=25) and the control group multimodal analgesia group (n=25). Intraoperative hemodynamics, muscle relaxant requirement, opioid consumption post-operative visual analog score, and rescue analgesia were evaluated. Results: Compared with the control group, heart rate (91.24±14.86 and 90.20±14.26) (77.12±11.96 and 77.44±11.96) arterial blood pressures (87.12±8.45 mmHg) (85.25±7.25) (78.73±5.56 and 79.64±5.95) were higher during surgical incision and 1st-time interval than in ESP group, respectively. The visual analog scale scores were higher in the control group than in the ESP group during all measurements of time. The requirement for rescue analgesia was more in the control group compared to the ESP group. Post-operative analgesia lasted for 15–18 h. Conclusion: Ultrasound-guided ESP block is a simple and safe technique which provides effective intraoperative, and post-operative analgesia and patient satisfaction with reduced opioid and muscle relaxant consumption.

Background: Many people living with type 1 diabetes (type 1 diabetes mellitus (T1DM)) do not meet glycaemic targets. Adjunctive therapies have both risks and metabolic benefits and may have a role in selected patients. Aim: To review the prescribing patterns of adjunctive therapy for the treatment of T1DM diabetes in Australia. Methods: We conducted an online survey of Australian endocrinologists and endocrinology registrars. We surveyed the frequency of, motivations and concerns regarding the prescription of metformin, dipeptidyl peptidase‐4 (DPP‐IV) inhibitors, sodium‐glucose transport protein 2 (SGLT‐2) inhibitors and glucagon‐like peptide 1 receptor agonist (GLP1RA) in T1DM. Results: Fifty‐two practitioners participated. Most respondents (94%) had prescribed adjuncts for the treatment of T1DM in some form. Weight (89%), large insulin doses (73%), glycaemic variability (52%), high HbA1c (48%) and the presence of cardiovascular disease (48%) were the most common factors determining the use of adjuncts. The most commonly prescribed adjuncts were metformin (94%) and SGLT‐2 inhibitors (65%). Respondents who had never prescribed an SGLT‐2 inhibitor (n = 18) reported risk of diabetic ketoacidosis (DKA) (100%), off‐label status (39%), lack of evidence (39%), withdrawal of support from the European Medicines Agency (17%) and cost (17%) as factors contributing to their decision. Thirty‐one respondents (60%) had prescribed a GLP1RA. Among those who had never prescribed a GLP1RA (n = 21), off‐label status (57%), lack of evidence (48%), cost (38%) and expected lack of efficacy (14%) were factors affecting their decision. Only five respondents (10%) had prescribed a DPP‐IV inhibitor. Conclusion: Australian endocrinologists commonly prescribe adjuncts to address cardiometabolic concerns in T1DM. DKA risk and off‐label status are significant factors contributing to reluctance to prescribe. [ABSTRACT FROM AUTHOR]

Background: Lumbar surgery is known to cause severe pain in the post-operative period. Modalities to reduce pain in the perioperative period include opioids, non-steroidal antiinflammatory drugs, neuraxial blocks, and erector spinae block (ESB). Aims and Objectives: In this study, we aimed to evaluate whether ESB could reduce perioperative pain, opioid consumption, and muscle relaxant consumption. Materials and Methods: Fifty patients scheduled for lumbar decompression spine surgery were randomly allocated to two groups, the erector spinae plane (ESP) group (n=25) and the control group multimodal analgesia group (n=25). Intraoperative hemodynamics, muscle relaxant requirement, opioid consumption postoperative visual analog score, and rescue analgesia were evaluated. Results: Compared with the control group, heart rate (91.24±14.86 and 90.20±14.26) (77.12±11.96 and 77.44±11.96) arterial blood pressures (87.12±8.45 mmHg) (85.25±7.25) (78.73±5.56 and 79.64±5.95) were higher during surgical incision and 1st-time interval than in ESP group, respectively. The visual analog scale scores were higher in the control group than in the ESP group during all measurements of time. The requirement for rescue analgesia was more in the control group compared to the ESP group. Post-operative analgesia lasted for 15-18 h. Conclusion: Ultrasound-guided ESP block is a simple and safe technique which provides effective intraoperative, and post-operative analgesia and patient satisfaction with reduced opioid and muscle relaxant consumption. [ABSTRACT FROM AUTHOR]

Recent research suggests that verb echo answers (VEAs) to a polar question in Japanese are derived by sluicing: the V head moves to C, and the complement of C, TP, undergoes deletion, stranding the verbal complex in C. Two pieces of evidence are provided for the view: adjunct inclusive interpretation and voice mismatch, neither of which is conclusive, as shown here. One consequence of the sluicing analysis is that VEAs reverse scope. We show that the semantic shift has nothing to do with the scope reversal. Our conclusion is that VEAs are unambiguously derived by multiple applications of argument ellipsis. We also advance an alternative explanation of the obligatory wide scope for focus phrases. [ABSTRACT FROM AUTHOR]

The objectives of this minireview are two-fold. The first is to discuss the evolution of opioid analgesia in perioperative medicine in the context of thoracic non-cardiac surgery. Current standard-of-care, aiming to optimize analgesia and limit undesirable side effects, is discussed in the context of multimodal analgesia, specifically enhanced recovery after thoracic surgery pathways. The second is to review a developing research program that may ultimately add another element to the personalization of analgesic plans for individual cancer patients based on optimizing oncological outcomes. Termed "precision oncoanalgesia," this emerging field aims to elucidate how individual patient-specific tumor omics (genomics, transcriptomics, etc.) may mediate the effects of analgesic drugs on oncological recurrence and survival. [ABSTRACT FROM AUTHOR]

Triticale grain, a wheat–rye hybrid, has been reported to comply very well with the requirements for modern brewing adjuncts. In this study, two triticale varieties, in both unmalted and malted forms, were investigated at various ratios in the grist, applying different mashing regimes and concentrations of the commercial enzyme Shearzyme® 500 L with the aim of evaluating their impact on wort production. In order to capture the complex relationships between the input (triticale ratio, enzyme ratio, mashing regime, and triticale variety) and output variables (wort extract content, wort viscosity, and free amino nitrogen (FAN) content in wort), the study aimed to implement the use of artificial neural networks (ANNs) to model the mashing process. Also, a genetic algorithm (GA) was integrated to minimize a specified multi-objective function, optimizing the mashing process represented by the ANN model. Among the solutions on the Pareto front, one notable set of solutions was found with objective function values of 0.0949, 0.0131, and 1.6812 for the three conflicting objectives, respectively. These values represent a trade-off that optimally balances the different aspects of the optimization problem. The optimized input variables had values of 23%, 9%, 1, and 3 for the respective input variables of triticale ratio, enzyme ratio, mashing regime, and triticale variety. The results derived from the ANN model, applying the GA-optimized input values, were 8.65% w/w for wort extract content, 1.52 mPa·s for wort viscosity, and 148.32 mg/L for FAN content in wort. Comparatively, the results conducted from the real laboratory mashing were 8.63% w/w for wort extract content, 1.51 mPa·s for wort viscosity, and 148.88 mg/L for FAN content in wort applying same input values. The presented data from the optimization process using the GA and the subsequent experimental verification on the real mashing process have demonstrated the practical applicability of the proposed approach which confirms the potential to enhance the quality and efficiency of triticale wort production. [ABSTRACT FROM AUTHOR]

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Research on Spanish benefactive constructions examines mostly one type of beneficiary: the one acting as a potential recipient. However, some studies, including Van Valin and LaPolla (1997), Smith (2005, 2010), and Kitillä and Zúñiga (2010), argue that benefaction can be expressed in different ways, depending on the involvement of the positively affected participant in the event described in the sentence. Following this idea, we analyze various types of benefaction in Spanish, particularly those where the beneficiaries are coded in phrases introduced by the prepositions por and para. We employ the taxonomy proposed by Van Valin and LaPolla (1997), which classifies beneficiaries into three types: the recipient, the deputative, and the plain beneficiary. Analysis of our sample shows the presence of all three types. Their use is related to specific semantic and syntactic factors, such as the preposition that introduces them (either por or para or both), the verbal valency of the clause nucleus and its semantic class, and the concrete or abstract attribute of the second arguments of bivalent and trivalent verbs. [ABSTRACT FROM AUTHOR]

Contingent, VITAL faculty make up the majority of faculty positions in the United States, and their role is primarily instruction. Yet they often face numerous barriers to participating in professional development and engaging in the scholarship of teaching and learning (SoTL), activities that can support their instructional effectiveness. This study explores how campuses can facilitate participation of contingent faculty in sustained professional development programs and how these programs can foster their engagement in SoTL. Based on a sample of fourteen campuses that have successfully created professional development for adjuncts and other contingent faculty, we first present the four models of sustained professional development programs we found—faculty learning communities, certification/badge programs, course transformation/departmental action teams, and discussion groups—and highlight the modifications that were made to better meet the needs of contingent faculty. We then consider how various design and implementation choices can support higher-order engagement in SoTL using the multidimensional model of the scholarship of teaching (Trigwell et al., 2000). The results of our study emphasize the importance for campuses to address policy-related barriers that prevent access to sustained professional development for contingent faculty and reveal a number of good practices that instructional leaders can use to guide the design of such programs. [ABSTRACT FROM AUTHOR]

We systematically reviewed the literature to identify comparative studies of core treatments (exercise, education, or weight management), adjunct treatments (e.g. electrotherapeutical modalities, bracing), or multimodal treatments (core plus other treatments), for treating osteoarthritis (OA) complaints, published between 1 March 2022 and 1 March 2023. We searched three electronic databases for peer-reviewed comparative studies evaluating core treatments, adjunct treatments, or multimodal treatments for OA affecting any joint, in comparison to other OA treatments. Two authors independently screened records. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale. A narrative synthesis focusing on pain and function outcomes was performed in studies with a mean sample size of at least 46 participants per treatment arm. 33 publications (28 studies), 82% with PEDro ratings of good or excellent, were eligible for narrative synthesis: 23 studies evaluated knee OA; one knee OA or chronic low back pain; two knee or hip OA; one hip OA only; and one thumb OA. No studies identified a dose, duration or type of exercise that resulted in better pain or function outcomes. Core treatments generally showed modest benefits compared to no or minimal intervention controls. Rehabilitation research continues to be focused on the knee. Most studies are not adequately powered to assess pain efficacy. Further work is needed to better account for contextual effects, identify treatment responder characteristics, understand treatment mechanisms, and implement guideline care. [ABSTRACT FROM AUTHOR]

Background: Peripheral blocks are increasingly used for analgesia after video‐assisted thoracic surgery (VATS). We hypothesised that addition of sufentanil and adrenaline to levobupivacaine would improve the analgesic effect of a continuous extrapleural block. Methods: We randomised 60 patients undergoing VATS to a 5‐mL h−1 extrapleural infusion of levobupivacaine at 2.7 mg mL−1 (LB group) or levobupivacaine at 1.25 mg mL−1, sufentanil at 0.5 μg mL−1, and adrenaline at 2 μg mL−1 (LBSA group). The primary outcome was the cumulative morphine dose administered as patient‐controlled analgesia (PCA‐morphine) at 48 and 72 h. The secondary outcomes were pain according to numerical rating scale (NRS) at rest and after two deep breaths twice daily, peak expiratory flow (PEF) daily, quality of recovery (QoR)‐15 score at 1 day and 3 weeks postoperatively, serum levobupivacaine concentrations at 1 h after the start and at the end of the intervention, and adverse events. Results: At 48 h, the median cumulative PCA‐morphine dose for the LB group was 6 mg (IQR, 2–10 mg) and for the LBSA group 7 mg (IQR, 3–13.5 mg; p =.378). At 72 h, morphine doses were 10 mg (IQR, 3–22 mg) and 12.5 mg (IQR, 4–21 mg; p =.738), respectively. Median NRS score at rest and after two deep breaths was 3 or lower at all time points for both treatment groups. PEF did not differ between groups. Three weeks postoperatively, only the LB group returned to baseline QoR‐15 score. The LB group had higher, but well below toxic, levobupivacaine concentrations at 48 and 72 h. The incidence of nausea, dizziness, pruritus and headache was equally low overall. Conclusion: For a continuous extrapleural block, and compared to plain levobupivacaine at 13.5 mg h−1, levobupivacaine at 6.25 mg h−1 with addition of sufentanil and adrenaline did not decrease postoperative morphine consumption. The levobupivacaine serum concentrations after 48 and 72 h of infusion were well below toxic levels, therefore our findings support the use of the maximally recommended dose of levobupivacaine for a 2‐ to 3‐day continuous extrapleural block. [ABSTRACT FROM AUTHOR]

While one can ‘waste time’, one cannot ‘spend time’ without adding an adjunct (e.g. ‘he spent time on his homework.’) Why is this the case? In this paper, I analyse spend time and waste time, arguing that when one conceptualises the use of time as a resource, this also requires conceptualisation of a concurrent event (cf. Lawlor 1986). Reference must be made to this event because it functions as the reference entity or ‘Ground’ (Talmy 1985, 2000): this triggers an additional adjunct with spend but not with waste, because waste already encodes indirect reference to the event. Secondly, while much of the literature on conceptual metaphor draws on linguistic examples, close linguistic analysis is often lacking (Evans 2013). Hence, I undertake a corpus study of spend time and waste time, paying attention to several variables, including the types of adjuncts used. Adjuncts of spend time, but not waste time, often reference human co-presence. A subsequent analysis shows that adjuncts encoding this sort of information do not occur with spend money. This supports the idea that conceptual metaphors are not one-to-one mappings between source and target domains (Fauconnier & Turner 2008) and that the target domain of time needs to be considered in its own right (cf. Evans 2013).

Copyright of Food Research & Development is the property of Food Research & Development Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study examines unionization efforts among contingent faculty members, who now account for the majority of the academic workforce. Drawing on data from the National Labor Relations Board (NLRB) and other sources, this article uses an event history analysis to identify factors associated with efforts to establish a contingent faculty union at private, 4-year institutions. Even after accounting for other state and institution characteristics, this study finds increased odds of contingent faculty unionization at institutions located in states where the legislature is more liberal and where more contingent faculty union certification elections have been held previously. [ABSTRACT FROM AUTHOR]

Aim: The aim of this systematic review was to evaluate the efficacy of patient‐performed or administered adjunctive measures to non‐surgical peri‐implantitis therapy in terms of probing depth (PD) and/or bleeding on probing (BoP) reductions. Materials and Methods: Randomized and controlled clinical trials with at least 6 months of follow‐up were searched in three databases. Secondary outcomes included implant loss, disease resolution, recurrence of peri‐implantitis, need of re‐treatment, changes in marginal bone levels, patient‐reported outcomes and adverse effects. Results: Of 567 titles, 10 publications, reporting 9 investigations, were included. Three types of adjunctive measures were found (local/systemic antimicrobials and probiotics). Four studies evaluated the effects of local antimicrobials (i.e., minocycline microspheres, chlorhexidine chips or a metronidazole + amoxicillin gel), three studies evaluated systemic antimicrobials (either amoxicillin + metronidazole or metronidazole alone) and two studies evaluated probiotics (Lactobacillus reuteri strains). The addition of local antimicrobials led to modest improvements in PD reduction. Systemic antimicrobials showed significantly greater reductions in PD and BoP, especially at initially deep sites (PD > 6 mm). Due to the large heterogeneity among included studies, no meta‐analyses were performed. Conclusions: Different adjunctive measures in the non‐surgical treatment of peri‐implantitis have different impact in terms of PD and BoP reductions. Improved PD reductions result after the use of systemic antimicrobials, and to a lesser extent, after the use of local antimicrobials. [ABSTRACT FROM AUTHOR]

Intravenous dexamethasone prolongs duration of analgesia or sensory block after injection of local anaesthetics close to peripheral nerves by an average of 8 h. Uncertainty remains on the potential increase in the duration of sensory block after spinal anaesthesia. The objective of this randomised controlled double-blinded trial was to investigate whether dexamethasone i.v. prolongs the sensory block of spinal anaesthesia with bupivacaine when compared with a control group. Of 50 patients undergoing lower limb osteoarticular surgery under spinal anaesthesia with isobaric bupivacaine 15 mg i.t. with morphine 100 μg i.t. were randomised to receive either dexamethasone 0.15 mg kg−1 i.v. or normal saline 3 ml i.v. The primary outcome was duration of sensory block defined as the time elapsed between injection of the local anaesthetic in the intrathecal space and the regression of sensory block by two dermatomes compared with the highest dermatome blocked. Secondary outcomes included intravenous morphine consumption, pain scores at rest and on movement, postoperative nausea and vomiting, and blood glucose at 2, 24, and 48 h. Median duration of sensory block was 135 (105–225) min in the dexamethasone group and 158 (135–240 min) in the control group (P =0.19). Patients in the dexamethasone group received less morphine at 24 h, had significantly less postoperative nausea and vomiting at 2 h and 24 h, and had increased blood glucose at 24 h. Other secondary outcomes were similar between groups. Intravenous dexamethasone did not prolong the sensory block of spinal anaesthesia with isobaric bupivacaine. However, it reduced morphine consumption and rate of postoperative nausea and vomiting at 24 h, at the expense of an increased blood glucose. NCT03527576 (Clinicaltrials.gov). [ABSTRACT FROM AUTHOR]

Manner of speaking verbs denote the transfer of a message through speech, emphasizing the volume, intensity, comprehensibility, psychophysical condition of the speaker, and/or the impression that the speaker leaves on the hearer. In this article, verbs are semantically divided into four subclasses: 1. Verbs with emphasis on volume, 2. verbs of incomprehensible speaking, 3. verbs of meaningless speaking and complaining, and 4. verbs with emphasis on emotional component. Their syntactic peculiarities have been extensively researched in English, while no special attention has been paid to these verbs in Croatian. It is stated that in Croatian they are monovalent verbs. However, these verbs can be bivalent, and even trivalent. The recipient can be expressed by a dative complement within all four semantic subclasses. With the verbs of loud speaking and verbs with negative emotions, it can be expressed by a prepositional complement na ‘at’ + accusative and za ‘after’ + instrumental. The theme can be expressed by a quotation and a clausal complement, a prepositional complement o ‘about’ + locative, an accusative complement, sometimes a prepositional complement protiv ‘against’ + genitive, za ‘for’ + accusative, and with fewer verbs with prepositional phrases za ‘for’ + instrumental or nad ‘over’ + instrumental. Interestingly, there are certain restrictions for the complements’ combination within the same clause, which are described in more detail in the article.

Triticale grain, a wheat–rye hybrid, has been reported to comply very well with the requirements for modern brewing adjuncts. In this study, two triticale varieties, in both unmalted and malted forms, were investigated at various ratios in the grist, applying different mashing regimes and concentrations of the commercial enzyme Shearzyme® 500 L with the aim of evaluating their impact on wort production. In order to capture the complex relationships between the input (triticale ratio, enzyme ratio, mashing regime, and triticale variety) and output variables (wort extract content, wort viscosity, and free amino nitrogen (FAN) content in wort), the study aimed to implement the use of artificial neural networks (ANNs) to model the mashing process. Also, a genetic algorithm (GA) was integrated to minimize a specified multi-objective function, optimizing the mashing process represented by the ANN model. Among the solutions on the Pareto front, one notable set of solutions was found with objective function values of 0.0949, 0.0131, and 1.6812 for the three conflicting objectives, respectively. These values represent a trade-off that optimally balances the different aspects of the optimization problem. The optimized input variables had values of 23%, 9%, 1, and 3 for the respective input variables of triticale ratio, enzyme ratio, mashing regime, and triticale variety. The results derived from the ANN model, applying the GA-optimized input values, were 8.65% w/w for wort extract content, 1.52 mPa·s for wort viscosity, and 148.32 mg/L for FAN content in wort. Comparatively, the results conducted from the real laboratory mashing were 8.63% w/w for wort extract content, 1.51 mPa·s for wort viscosity, and 148.88 mg/L for FAN content in wort applying same input values. The presented data from the optimization process using the GA and the subsequent experimental verification on the real mashing process have demonstrated the practical applicability of the proposed approach which confirms the potential to enhance the quality and efficiency of triticale wort production.

Japanese has a deletion operation, called argument ellipsis, that targets arguments (Oku in A theory of selection and reconstruction in the minimalist program, 1998). The operation does not apply to adjuncts, and thus, adjuncts are unelidable. Funakoshi (J East Asian Linguist 25(2):113–42, 2016), following in the footsteps of Otani and Whitman (Linguist Inquiry 22:345–58, 1991), argues that adjuncts can be elided when V-stranding VP-deletion applies. This article refutes Funakoshi's proposal. Under rigorous control, adjuncts are generally unelidable even when the context strongly favors the adjunct inclusive interpretation, showing that the language lacks VP-deletion. It is also shown that, for a small number of speakers who permit the adjunct inclusive interpretation, the interpretation is sensitive to island constraints. The observation is attributed to covert right dislocation (Tanaka in J Linguist 37:551–79, 2001), marginally available for such speakers. [ABSTRACT FROM AUTHOR]

This year in review presents key highlights from research relating to osteoarthritis (OA) rehabilitation published from the 1st April 2021 to the 18th March 2022. To identify studies for inclusion in the review, an electronic database search was carried out in Medline, Embase and CINAHLplus. Following screening, included studies were grouped according to their predominant topic area, including core OA rehabilitation treatments (education, exercise, weight loss), adjunctive treatments, novel and emerging treatments or research methods, and translation of rehabilitation evidence into practice. Studies of perceived high clinical importance, quality, or controversy in the field were selected for inclusion in the review. Headline findings include: the positive role of technology to support remote delivery of core OA rehabilitation treatments, the importance of delivering educational interventions alongside exercise, the clinical and cost-effectiveness of a stepped approach to exercise, controversy around the potential mechanisms of action of exercise, mixed findings regarding the use of splinting for thumb base OA, increasing research on blood flow restriction training as a potential new intervention for OA, and evidence that the beneficial effects from core OA treatments seen in randomised controlled trials can be seen when implemented in clinical practice. A consistent finding across several recently published systematic reviews is that randomised controlled trials testing OA rehabilitation interventions are often small, with some risk of bias. Whilst future research is warranted, it needs to be large scale and robust, to enable definitive answers to important remaining questions in the field of OA rehabilitation. [ABSTRACT FROM AUTHOR]

The rise of primary topical monotherapy with chemotherapeutic drugs and immunomodulatory agents represents an increasing recognition of the medical management of ocular surface squamous neoplasia (OSSN), which may replace surgery as the standard of care in the future. Currently, there is no consensus regarding the best way to manage OSSN with no existing guidelines to date. This paper seeks to evaluate evidence surrounding available treatment modalities and proposes an approach to management. The approach will guide ophthalmologists in selecting the most appropriate treatment regime based on patient and disease factors to minimize treatment related morbidity and improve OSSN control. Further work can be done to validate this algorithm and to develop formal guidelines to direct the management of OSSN. [ABSTRACT FROM AUTHOR]

This study investigated the effects on beer colloidal stability of full-scale brewing with adjuncts, enzymes, and finings. Industrial lager beers were produced solely from barley malt or from barley malt with adjuncts (corn grist and starch syrup or unmalted barley). Various stabilization aids were also used (silica gel, PVPP, proline-specific endoprotease, carrageenan). Predictive shelf-life tests were conducted. We analyzed the content of compounds (proteins and polyphenols) generally related to beer colloidal stability. The results show that the haze-forming potential of the beer during storage can be evaluated based on the coagulable nitrogen content (high molecular weight proteins), rather than the total nitrogen content and polyphenol content. A very strong and statistically significant negative correlation was observed between the concentration of coagulable nitrogen and beer colloidal stability. When brewing was conducted with 49% barley raw material and exogenous proteases, especially proline-specific endoprotease, the coagulable nitrogen content fell and beer colloidal stability improved. The use of corn grist and starch syrup as up to 40% of the total grist resulted in a 30% longer physical shelf life compared to the all-malt beer. [ABSTRACT FROM AUTHOR]

Copyright of Vigo International Journal of Applied Linguistics is the property of Universidade de Vigo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cuadernos de Lingüística de el Colegio de México is the property of El Colegio de Mexico AC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Kopanisti is a Greek PDO cheese, which is traditionally produced by the addition of an amount of over-mature Kopanisti, called Mana Kopanisti, to initiate cheese ripening. The aim of this study was the production of four types of Kopanisti cheese (A–D) using pasteurized cow milk, and a combination of the following starters/adjuncts in order to test their ability to be used in Kopanisti cheese production: A: Lactococcus lactis subsp. lactis and Lacticaseibacillus paracasei, B: L. lactis and Lc. paracasei/Mana Kopanisti, C: L. lactis and Lc. paracasei/Ligilactobacillus acidipiscis and Loigolactobacillus rennini, D: Lig. acidipiscis and Loig. rennini. Throughout production and ripening, classical microbiological, metataxonomics and physicochemical analyses were employed, while the final products (Day 35) were subjected to sensory analysis as well. Most interestingly, beta-diversity analysis of the metataxonomics data revealed the clusters constructed among the Kopanisti types based on the different inoculation schemes. On day 35, Kopanisti A–C types clustered together due to their similar 16S microbiota, while Kopanisti D was highly differentiated. On the contrary, ITS data clustered Kopanisti B and C together, while Kopanisti A and D were grouped seperately. Finally, based on the sensory evaluation, Kopanisti C appeared to have the most suitable bacteria cocktail for the Kopanisti cheese production. Therefore, not only were the conventional starters used, but also the Lig. acidipiscis and Loig. rennini strains could be used in a standardized Kopanisti cheese production that could lead to final products of high quality and safety. [ABSTRACT FROM AUTHOR]

This paper presents the results of a quantitative study of adjuncts in the Airbus corpus carried out within the theoretical framework of Role and Reference Grammar (RRG). We describe the positional behaviour of these peripheral constituents in the Layered Structure of the Clause and postulate scales of positional and peripheral preferences, based on frequency distribution, in the Airbus controlled natural language (CNL). The results obtained were compared with a previous study on adjunct preferences and positions in Natural English to check for changes in these scales due to the nature of the texts written in this CNL. We also aim to contribute to the development of the RRG analysis of adverbials by offering a detailed semantic typology and a description of the syntax of these peripheral constituents grounded in empirical and quantitatively based data that will serve as a basis for the parsing of adverbials in the computational processing of CNLs. [ABSTRACT FROM AUTHOR]

Abstract Objectives The Airway Alert banner at our institution alerts physicians to patients with the potential for a difficult intubation. Difficult airway guidelines can reduce intubation complications in the operating room, but little research has been done in the emergency department (ED). We hypothesize that patients meeting criteria for the banner will have a more difficult intubation and increased complications. Methods Patients greater than 18 years old who presented to the ED for any complaint and required intubation were reviewed from January 2015 to January 2020 and divided into those meeting criteria for a difficult airway (“criteria cohort”) and those who did not (“non‐criteria cohort”). Past medical history and details of the intubation were collected. Results The mean number of attempts for intubation was 1.60 in the criteria cohort and 1.36 in the non‐criteria cohort (P > .05). The mean grade of view was 1.73 and 1.39, respectively (P

I present and argue for a theory of adjuncts according to which, adjuncts and their respective hosts are derived as separate, parallel objects that are not combined until forced to by the process of linearization. I formalize the notion of the workspace, and the workspace-based operation MERGE. Finally, I show that this approach to adjuncts naturally accounts for Adjunct Islands and Parasitic Gaps and is consistent with adjective ordering constraints.

The current paper argues that there are three types of nominal appositions, i.e. two juxtaposed noun phrases (NPs), in Modern Standard Arabic (MSA). Each type shows special properties in terms of the nominal category of the two units, the deletion of the NP, word order, case agreement, and semantic relation. For each type, we propose a separate structural analysis. An adjunction analysis is motivated for Type I appositions which consist of a common noun followed by a proper name. For Type II appositions which involve two common nouns, we propose that they take a spec-head structure. A head-complement structure is finally proposed for Type III appositions which involve a pronoun followed by an accusative-marked NP. [ABSTRACT FROM AUTHOR]

What are the views of the medical directors of fertility clinics on IVF add-ons? A total of 93 UK clinics were emailed with an invitation for their medical director to participate. Ten IVF clinic medical directors were interviewed to discuss their views on the use of IVF add-ons. Some of the interviewees were medical directors of an IVF clinic with multiple branches across the UK, meaning the total number of clinics accounted for in this study was 35 out of the 93 contacted. Thematic analysis was used to analyse the data. The participants consisted of seven males and three females, with six from solely private clinics and four with NHS and private patients. Four themes were identified: clinical decision-making and the patient–doctor relationship; regulations and the add-on traffic light system; research and evidence; and commercialization and financialization of the IVF sector. UK IVF medical directors had a wide variety of views and experienced different pressures to offer IVF add-ons. The add-on discussion touches on core aspects of professional identity and the meaning of medical practice. The add-on debate points to broader changes in the organization of the IVF sector, which affect key aspects of practising (reproductive) medicine, including the patient–doctor relationship and responsibility for clinical decision-making, and the relationship between regulator and IVF clinic and between scientific evidence and clinical practice. [ABSTRACT FROM AUTHOR]

Brennan and Magness (J Bus Ethics 152:53–71, 2018, 2019) argue that adjuncts are not exploited. We are sympathetic to some of their points. We agree, for example, that certain ways in which adjuncts are compared to sweatshop workers are offensive. For, as Brennan and Magness point out, there are many respects in which adjuncts are much better off than sweatshop workers. However, we show that the core insights of their paper are compatible with the view that adjuncts are exploited. Furthermore, their more general views about exploitation expressed in Cracks in the Ivory Tower actually lend support to the claim that adjuncts are exploited. [ABSTRACT FROM AUTHOR]

Slavic languages are commonly classified as SVO languages, with an exceptional property, though, namely an atypically extensive variability of word order. A systematic comparison of Slavic languages with uncontroversial SVO languages reveals, however, that exceptional properties are the rule. Slavic languages are 'exceptional' in so many syntactic respects that SVO appears to be a typological misnomer. This fact invites a fresh look. Upon closer scrutiny, it turns out that these languages are not exceptional, but regular members of a different type. They are representative of a yet unrecognised type of clause structure organisation. The dichotomy of 'head-final' and 'head-initial' does not exhaustively cover the system space of the make-up of phrases. In addition, there arguably exists a third option (T3). This is the type of phrasal architecture in which the head of the verb phrase is directionally unconstrained. It may precede, as in VO, it may follow, as in OV, and it may be sandwiched by its arguments within the phrase. From this viewpoint, the Slavic languages cease to be exceptional. They are regular representatives of the latter type, and, crucially, their collateral syntactic properties predictably match the properties of this type. [ABSTRACT FROM AUTHOR]

Epidurals were introduced for labour analgesia in the 1940s, and since then they have become the gold standard for analgesia in delivery units globally. Although some controversy remains with regards to the effect of neuraxial blockade on the fetus, it is now established that the benefits are significant. As a result of the introduction of low-dose concentration local anaesthetic mixtures, issues surrounding cardiovascular effects and toxicity have become much less of a concern. The profound motor block found with traditional regimens is much less of a problem resulting in improved maternal satisfaction, although the advent of mobile epidurals has not yet been fully established. Research continues to develop new technologies to provide safer and more individualized neuraxial analgesia tailored to the labouring parturient that seek more control and autonomy over their delivery. No modern technique can emulate the theoretical ideal; however, women can experience safe and effective analgesia with minimal risk to both themselves and their babies. [ABSTRACT FROM AUTHOR]

The number of adjunct faculty members in higher education has been increasing nationally over the past two decades, and schools of social work are no exception to this trend. There has been robust debate about adjunct use, given concerns about low pay, poor access to benefits, lack of inclusion in academic decision making, and little support outside the classroom. Given the growing reliance on such part-time faculty in social work programs, and cognizant of ethical considerations, it is important to find ways of supporting adjuncts that both honor their contributions to social work education and promote the quality of education they offer the next generation of social workers. This paper explores the creation of a multi-faceted, adjunct-centered initiative for part-time social work instructors at a large, urban public university. The authors discuss the existing literature on perceptions of adjunct instructors across various constituencies, address issues around the inclusion of adjuncts in the faculty community, and share obstacles encountered and lessons learned in their endeavor to bolster programmatic support for adjunct instructors. [ABSTRACT FROM AUTHOR]