A 6-months assessment of the alcohol-related clinical burden at emergency rooms (ERs) in 11 acute care hospitals of an urban area in Germany

BACKGROUND: The purpose of the study was to identify and to profile alcohol-related attendances to emergency rooms (ERs) of 11 hospitals of various medical specialties covering a large urban population, to assess risk factors associated with short-stay cases, repeat attendances and higher degree of alcohol consumption and to estimate their impact on the alcohol-related burden at ERs. METHODS: A 6-months study was carried out to obtain clinical and administrative data on single and multiple attendances at ERs in 11 governmental acute hospitals in a large city in Germany. All alcohol-related attendances at ERs of study hospitals were eligible. A broad definition of alcohol-related attendances independently from alcohol diagnosis and various demographic, clinical and administrative measures were used. Odds ratios for the associations of these measures with duration of stay, repeat attendances and higher degrees of alcohol consumption were derived from multivariate binomial and multinomial logistic regression models. RESULTS: 1,748 patients with symptoms of alcohol consumption or withdrawal (inclusion rate 83.8%) yielded 2,372 attendances (3% of all medical admissions), and resulted in 12,629 inpatient-days. These patients accounted for 10.7 cases per 1,000 inhabitants. The average duration of inpatient stay was 10 days. 1,451 of all patients (83%) presented once, whereas the median of repeat attendances was three for the remaining 297 patients. Short-stay cases (<24 hours) were significantly linked with male gender, alcohol misuse, trauma (or suspicion of a trauma) and medical specialties. Increased levels of alcohol consumption at first attendance were significantly associated with repeat attendances in due course. In a multinomial logistic regression model higher degrees of alcohol consumption were significantly associated with male gender, trauma, short-stays, attendance outside regular working time, and with repeat attendances and self-discharge. CONCLUSION: Apart from demographic factors, the alcohol-related clinical burden is largely determined by short-stay cases, repeat attendances and cases with higher levels of alcohol consumption at first attendance varying across medical specialties. These findings could be relevant for the planning of anti-alcoholic interventions at ERs

Neutrino Masses, Mixing, and Oscillations

The Review summarizes much of particle physics and cosmology. Using data from previous editions, plus 2,873 new measurements from 758 papers, we list, evaluate, and average measured properties of gauge bosons and the recently discovered Higgs boson, leptons, quarks, mesons, and baryons. We summarize searches for hypothetical particles such as supersymmetric particles, heavy bosons, axions, dark photons, etc. Particle properties and search limits are listed in Summary Tables. We give numerous tables, figures, formulae, and reviews of topics such as Higgs Boson Physics, Supersymmetry, Grand Unified Theories, Neutrino Mixing, Dark Energy, Dark Matter, Cosmology, Particle Detectors, Colliders, Probability and Statistics. Among the 118 reviews are many that are new or heavily revised, including a new review on Neutrinos in Cosmology. Starting with this edition, the Review is divided into two volumes. Volume 1 includes the Summary Tables and all review articles. Volume 2 consists of the Particle Listings. Review articles that were previously part of the Listings are now included in volume 1. The complete Review (both volumes) is published online on the website of the Particle Data Group (http://pdg.lbl.gov) and in a journal. Volume 1 is available in print as the PDG Book. A Particle Physics Booklet with the Summary Tables and essential tables, figures, and equations from selected review articles is also available. The 2018 edition of the Review of Particle Physics should be cited as: M. Tanabashi (Particle Data Group), Phys. Rev. D 98, 030001 (2018)

Affect and iconicity in phonological variation

AbstractThe study of iconic properties of language has been marginalized in linguistics, with the assumption that iconicity, linked with expressivity, is external to the grammar. Yet iconicity plays an essential role in sociolinguistic variation. At a basic level, repetition and phonetic intensification can intensify the indexicality of variables. Iconicity plays a further role in variation in the form of sound symbolism, linking properties of sounds with attributes or objects. Production studies have shown some phonological variables exhibiting sound symbolism, particularly in the expression of affect. In some cases, the observation of sound symbolism has been largely interpretive. But in others, stylistic variability as a function of speaker affect has provided empirical evidence of iconicity. This article examines the role of iconicity and performativity in transcending the limits of reference, reviews iconicity in production studies, and provides experimental evidence that sound symbolism influences how listeners attribute affect to linguistic variation. (Variation, iconicity, affect)</jats:p

Local features, local meanings: Language ideologies and place-linked vocalic variation among Jewish Chicagoans

Abstract Research on Jewish English in the United States has drawn on a set of ideologies linking the Jewish ethnolinguistic repertoire to New York City English, but less is known about how these ideologies interface with the social meanings of regional features in the communities outside New York in which these speakers live. Through meta-linguistic commentary and acoustic analyses drawn from sociolinguistic interviews with white Jewish and Catholic Chicagoans, we find that meta-linguistic ideologies associate Jewish speakers with New York City English and white Catholic speakers with ‘local’ Chicago features. However, in actual production, these linguistic differences appear to be driven by neighborhood rather than ethnoreligious identity alone. We argue that while meta-linguistic commentary may re-circulate broader linguistic ideologies, the uptake of elements of the ethnolinguistic repertoire may depend on the social meanings of those features in the local community more broadly, including class- and place-linked variation. (Ethnolinguistic repertoire, place, Northern Cities Shift, Jewish English)*</jats:p

The social meaning of stylistic variability: Sociophonetic (in)variance in United States presidential candidates’ campaign rallies

AbstractWhile speakers have been shown to deploy linguistic styles to project socially meaningful personae, less well-understood are the ways that variability or consistency of stylistic practice across and within speech events can itself accumulate to construct a public image. This study examines the use of (ING) and word-final /t/-release across multiple campaign rallies of three US presidential candidates, speakers in heightened contexts of persona construction. Differences emerged in the degree and nature of variability candidates exhibited in the use of these features across rally locales and utterance-level topic differences. We argue that the degree of linguistic variability a candidate exhibits across events itself serves as a socially meaningful linguistic resource, contributing to a constructed public image of flexibility or consistency in relation to a speaker's audience and public platform. We conclude that the amount of linguistic variability a speaker exhibits across contexts is itself a dimension of stylistic practice. (Style, sociophonetics, politicians, variability)*</jats:p