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Children with CHD have demonstrated a rise in obesity, and have unique risks related to comorbidities of obesity, including feeding dysfunction and exercise limitations. The incidence and cause of obesity among patients with surgically corrected CHD are not fully understood. This single-centre, longitudinal, retrospective cohort study identified patients between 2004 and 2020 with surgical correction. Diagnoses were restricted to d-transposition of the great arteries, coarctation of the aorta, or tetralogy of Fallot with surgical repair by 6 months of life without long-term post-operative complications or chromosomal abnormalities. Evaluation of Body Mass Index by survival curve for endpoints of overweight and obesity, as well as descriptive analysis of the population, was performed compared to the expected prevalence in the state of Oregon (13.7%). Cohorts were divided into eras in 5-year increments. Of 240 patients identified, 87 (36.2%) were overweight and 50 (20.8%) obese, findings significantly higher than expected prevalence (p = <0.01) for the same time period in the state of Oregon. Patients with coarctation of the aorta had a higher prevalence than other diagnoses (p = <0.01). Patients in the 2004–2008 cohort had the highest rates of obesity compared to other cohorts (p = <0.01 and p = <0.01, respectively), likely due to a longer observational period. However, the 2014–17 cohort had the highest rate of increase in hazard ratio. Children with surgically corrected CHD demonstrate higher prevalences of obesity compared to the general population. There is variation by diagnosis, with coarctation of the aorta having comparatively higher prevalences of obesity. Several factors may impact this discrepancy, including sports participation restrictions and initial emphasis on weight gain.
During a period of universal admission respiratory virus testing, many events (5%–14%) that might have been classified as healthcare-associated respiratory viral infections (HARVI) during routine operations were found to be community-acquired. These findings emphasize unique challenges for HARVI surveillance and the impact that testing strategies have on reported rates.
Davidsonian event semantics (Davidson 1967) is widely accepted as a powerful framework for formal semantics. It has brought about many benefits in semantic construction, which may be summarised into two categories: one is to provide a satisfactory solution to a seemingly intractable problem of variable polyadicity, and the other consists of those benefits that come from the availability of the entities called events that correspond to verb actions. This paper provides an analysis of event semantics from a general viewpoint of dependent type theory. First, it is shown that the problem of variable polyadicity can be solved by means of dependent typing, without the employment of events. To do this, we only extend the simple type theory with two type constructors and the resulting semantic definitions not only allow variable polyadicity as desired but also obtain logical inferences as expected. We shall discuss why the solution is natural from a type-theoretical point of view (as compared with that in set theory). We then discuss that most (if not all) of the other benefits of event semantics may already be obtained by alternative means without introducing events as ontological entities. To this end, we consider the evidence for event semantics discussed by Parsons (1990), focusing on two particular aspects: event talks and perception words, showing that the former is mostly concerned with timing, and the latter can be dealt with a special case without introducing events in general.
Traditional philosophy of religion has been put under pressure to reform from different theoretical camps in the last few decades. One of the most salient charges is that the focus on belief as the mark of religion fails to capture a wide variety of religious phenomena and practices, particularly those outside of the Abrahamitic traditions. As a response to this challenge, this article proposes and develops the notion of religious alief as an additional analytical tool to conceptualize religious phenomena that elude characterization in terms of belief. This article first introduces religious aliefs as largely automatic, habitual mental states that influence behavior, feelings, and attitudes, even when a person does not hold an overt or tacit belief in the supernatural content involved. Subsequently, this article argues that religious phenomena such as apotropaic rituals, purification rituals, spontaneous prayer in crisis, jinx (and other folk-religious notions), certain taboos, and the recently coined Somethingism can be explained in terms of religious aliefs.
This paper studies two approaches to relativizing the notions of complete and precomplete numbering. The first one was introduced by Selivanov in the late 1980s, and it strengthens the standard definitions of complete and precomplete numbering. The second one was introduced by Badaev, Goncharov, and Sorbi in the early 2000s, and it is the full relativization of these two concepts. In the first part of the paper, we study how these two approaches differ from each other. In the second part, we study Mal’cev’s object uniquely for the relativized complete numberings.
The response to disasters or mass casualty incidents requires a multi-hazard approach and a rapid, comprehensive response. Community Emergency Response Teams have been formed around the world, where civilians, often laypersons, are integrated into local disaster response. Professionals have been organized into Disaster Medical Assistance Teams, where they are deployed to respond to a distant site. During the October 7, 2023, large-scale attacks in southern Israel, the country found itself in a new and unfamiliar reality. Initiatives began to prepare the population for possible future MCIs. The objective of this article is to describe initiatives that have developed throughout Israel to train medical professionals, including physicians, nurses, and paramedical personnel in local disaster response. These became known as Professional Community Emergency Response Teams. This includes those trained through Magen David Adom, Israel’s National Emergency Medical Service, and those through a Frontline Emergency Medicine model.
Spectral-line results from a new cryogenic phased array feed (cryoPAF) on the Murriyang telescope at Parkes are presented. This array offers a significant improvement in field of view, aperture efficiency, bandwidth, chromaticity and survey speed compared with conventional horn-fed receivers. We demonstrate this with measurements of sky calibrators and observations of 21-cm neutral hydrogen (HI) in the Large Magellanic Cloud (LMC) and the nearby galaxy NGC 6744. Within 0.3 deg of the optical axis, the ratio of system temperature to dish aperture efficiency (Tsys/ηd) is 25 K and the ratio with beam efficiency (Tsys/ηmb) is 21 K (at 1.4 GHz). For the previously measured Tsys = 17 K, respective efficiency values ηd ≈ 0.7 and ηmb ≈ 0.8 are derived. Our HI observational results are in good agreement with previous results, although detailed comparison with multibeam observations of the LMC suggests that the earlier observations may have missed an extended component of low-column-density gas (∼ 8 × 1018 cm−2). We use the cryoPAF zoom-band and wideband data to make a preliminary investigation of whether the large number of simultaneous beams (72) permits the use of novel data reduction methods to reduce the effects of foreground/background continuum contamination and radio-frequency interference (RFI). We also investigate if these methods can better protect against signal loss for the detection of faint, extended cosmological signals such as HI intensity maps. Using robust higher-order singular value decomposition (SVD) techniques, we find encouraging results for the detection of both compact and extended sources, including challenging conditions with high RFI occupancy and significant sky continuum structure. Examples are shown that demonstrate that 3D SVD techniques offer a significant improvement in noise reduction and signal capture compared with more traditional layered 2D techniques.
Although you wouldn’t know it from reading the historiography, dredges played an essential role in expanding and retaining the American empire in the Pacific. Dredges built a string of ports on the Pacific Coast, from Seattle, WA to San Diego, CA. Dredges constructed seaports in Honolulu and Pearl Harbor in Hawai’i and Manila Bay in the Philippines. Dredges turned atolls and desert isles, such as Midway, Guam, and Wake, into a constellation of harbors for ships and seaplanes. In short, dredges literally built the infrastructure of the empire.1
To assess the purchases and prices of unprocessed or minimally processed foods according to the type of food outlet and household income.
Design:
Cross-sectional study conducted with data from the 2017-18 Brazilian Household Budget Survey. Food acquisition and income were the variables of interest. Unprocessed or minimally processed foods were identified according to the NOVA classification, and the shares of energy (kcal) and quantity (grams), as well as prices paid, were analyzed. Food outlets were grouped into nine types. Household income per person was assessed in quintiles (Q). Descriptive analyses were conducted.
Setting:
Brazil.
Participants:
A nationally representative sample of 57,920 households.
Results:
The amount of unprocessed or minimally processed foods acquired varied from 320 g (Q1 of income) to 493 g (Q5). The increase in income had a positive effect on the share of foods purchased in Supermarkets (Q1: 27.6% vs. Q5: 63.8%) and Fruit and vegetable retailers (Q1: 1.5% vs. Q4: 4.6%). In contrast, an inverse relation was observed for Mini-markets (Q1: 34.9% vs. Q5: 16.2%), Butchers (Q1: 6.8% vs. Q5: 2.3%), Street markets (Q1: 13.3% vs. Q5: 3.8%), and Street food vendors (Q1: 5.3% vs. Q5: 1.0%). The price paid for unprocessed or minimally processed foods in Supermarkets, Mini-markets, Butchers and Street markets was positively associated with income, which means that a higher mean price was observed in the highest income quintile.
Conclusions:
The availability and affordability of unprocessed or minimally processed foods differed according to food outlets and were influenced by income level.
This article revitalises the debate on European citizenship by redefining its meaning within the EU and contributing to a broader understanding of constitutional transformation under conditions of post-national governance. Moving beyond the comparative method that evaluates European citizenship through the lens of national citizenship, it reorients the analytical focus to the interaction between national and European rights and introduces the concept of European Material Citizenship. This new form of citizenship reflects a normative shift in the regulation of social, political and economic relations within a constitutional order reshaped by European integration. While national citizenship synthesised the normative ideal constituting and regulating the relationship between the nation-state and individuals, European Material Citizenship synthesises the normative ideal governing a far more complex constitutional geometry – composed of European institutions, Member States and citizens.
The active-layer model used to account for mixed-size sediment morphodynamic processes may be ill-posed under certain circumstances. Well-posedness guarantees the existence of a unique solution continuously depending on the problem data. When a model becomes ill-posed, infinitesimal perturbations to a solution grow infinitely fast. Apart from the fact that this behaviour cannot represent a physical process, numerical simulations of an ill-posed model continue to change as the grid is refined. For this reason, ill-posed models cannot be used as predictive tools. There exists a regularisation strategy based on a preconditioning method that guarantees that the one-dimensional active-layer model is well-posed. Here, we show that the extension of this strategy to two dimensions does not regularise the model and we propose a different regularisation strategy based on diffusion that guarantees that both the one-dimensional and two-dimensional active-layer models are well-posed. We implement the strategy in Delft3D Flexible Mesh and show an application.
This study aimed to develop and validate a questionnaire assessing the nutrition knowledge (NK) of Italian adult women regarding the relationship between diet, lifestyle, and bone health.
Design:
A 30-item questionnaire in Italian was developed by experts based on a literature review. Participants completed the questionnaire twice, with a 2-4 week gap between the two administrations. During the initial administration, weight and height were recorded using a mechanical scale and a stadiometer, while bone mineral density (BMD) of the lumbar spine (L1-L4), femoral neck, and total femur were assessed via dual-energy X-ray absorptiometry (DXA).
Setting:
Centre for Metabolic Bone Diseases at the Parma University Hospital, from January 2022 to June 2024.
Participants:
Women aged 45 to 75 years old, native Italian speakers, undergoing DXA at the Centre participated.
Results:
The sample included 295 women with a median age of 63 years (interquartile range 11.5). The questionnaire demonstrated good internal consistency (Cronbach’s alpha = 0.698) and high temporal stability (R = 0.810, p = 0.002), effectively differentiating between individuals with and without a nutritional background. Regression analysis indicated negative associations between NK score and age (β1 = -0.130, p < 0.001), and BMI (β1 = -0.193, p < 0.001).
Conclusions:
The NutriBone questionnaire is a valid and reliable tool for evaluating NK related to bone health in Italian adult women undergoing DXA, with potential for future research applications.
This study investigates convection in a non-isothermal spherical Taylor–Couette flow (sTC) under the influence of the dielectrophoretic (DEP) force. The convective flow is driven by differential rotation of the inner and outer boundaries rotating with $\varOmega$ and $\Delta {\varOmega }$ in combination of an electric tension applied between both shells to induce thermo-electrohydrodynamic (TEHD) convection. To understand the interaction between DEP force-driven and rotation-driven mechanisms, we first analysed TEHD convection and non-isothermal sTC flow independently. For the TEHD case, we establish scaling relations for heat transport by expressing the Nusselt number, ${\textit{Nu}}$, as a function of the electric Rayleigh number, ${\textit{Ra}}_{{E}}$, and the kinetic energy density, $\tilde {E}_k$. These relations are evaluated against classical models of convection to assess consistency and deviations. A similar approach was applied to the non-isothermal sTC flow in the absence of the DEP force, where we identified axisymmetric and non-axisymmetric flow regimes which were classified by ${\textit{Nu}}$, $\tilde {E}_k$ and $\Delta {\varOmega }$, and developed corresponding scaling relations. When both mechanisms were active, ${\textit{Nu}}$ generally increased, however, the DEP force locally suppressed angular momentum transport, especially near the equator. This interplay revealed three distinct regimes: (A) DEP force-dominated TEHD convection, (C) rotation-dominated non-isothermal sTC flow and (B) a transitional regime with reduced heat transport. A decomposition of a derived inflow Nusselt number, ${\textit{Nu}}^q$, based on conductive and convective contributions, further elucidated the underlying heat transport mechanism.