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Among Líĺwat people of the Interior Plateau of British Columbia, an oral tradition relays how early ancestors used to ascend Qẃelqẃelústen, or Mount Meager. The account maintains that those climbers could see the ocean, which is not the case today, because the mountain is surrounded by many other high peaks, and the Strait of Georgia is several mountain ridges to the west. However, the mountain is an active and volatile volcano, which last erupted circa 2360 cal BP. It is also the site of the largest landslide in Canadian history, which occurred in 2010. Given that it had been a high, glacier-capped mountain throughout the Holocene, much like other volcanoes along the coastal range, we surmise that a climber may have reasonably been afforded a view of the ocean from its prior heights. We conducted viewshed analyses of the potential mountain height prior to its eruption and determined that one could indeed view the ocean if the mountain were at least 950 m higher than it is today. This aligns with the oral tradition, indicating that it may be over 2,400 years old, and plausibly in the range of 4,000 to 9,000 years old when the mountain may have been at such a height.
The long- and finite-wavelength instabilities of weakly viscoelastic film on an oscillating inclined plane are investigated. By using the Chebyshev series solution with the Floquet theory, the combined effects of viscoelasticity and forcing amplitude on instability are described when the inclined plane oscillates in streamwise and wall-normal directions. For long-wavelength instability, the solution to the eigenvalue problem is obtained analytically by the asymptotic expansion method. Results show that the Floquet exponent is independent of the wall-normal oscillation amplitude. The effects of inclined angle, gravity and surface tension on the stability of viscoelastic liquid film are also discussed. For finite-wavelength instability, numerical results corresponding to the wall-normal oscillation disclose that with the increase of viscoelasticity, the unstable gravitational boundary moves to a higher wavenumber, and the critical amplitudes of subharmonic and harmonic instabilities are reduced. The neutral curve of gravity instability for streamwise oscillatory flow is divided into two parts, and a stable bandwidth is formed for a large value of the viscoelastic parameter. Besides, a new oscillatory mode is identified at small angles of inclination, which will be enhanced if the effect of viscoelasticity is incorporated.
This article examines the treatment of Anglican clergy in the novels of Iris Murdoch, setting this discussion in the context of Murdoch's own engagement with Christianity: one of sympathy without assent, yet with detailed knowledge of the secularizing theologies of the period. Clerical interventions in pastoral situations, politely tolerated in the earlier novels, are openly and robustly rejected in the later books. That pastoral care is, for Murdoch, vitiated by a desire for control, against which Murdoch set her ideal of self-emptying attention. Murdoch also dramatizes the loss of faith which forced, on some of the clergy, an inconsistency between outward speech and inner conviction. For some, the apparent hypocrisy is resolved by suicide or exile; for others, their vocation must continue as a witness to something absolute, even if they themselves can longer articulate its nature with any conviction. The Church remains necessary even if God himself is not.
The House of Lords debate over the 1844 Brothel Suppression Bill was derailed by an accusation of hypocrisy. An opponent of the measure, Earl Fitzhardinge, shifted attention from legal reform to the notorious brothels operating on Church of England property, and argued that the dean and chapter of Westminster Abbey should be prosecuted were the bill to become law. In addition to offering an interesting case study of clerical hypocrisy in practice, the story of the failed 1844 Bill provides useful context for better-known sexual reform projects of the late nineteenth century. This article focuses on three major themes that animated the events of 1844: the power of distraction and delay; the role of elite male perspectives; and the complicated but critical role of Christianity in sexual reform.
Although there is increasing academic attention for the rise of Animal Advocacy Parties (AAPs), existing accounts overlook their emergence in the context of the politicization of race and religion. This contribution deploys Rancière’s political thought combined with a critical race theoretical lens to analyze the project of the leading AAP after which most international sister parties are modeled: the Dutch Party for the Animals. We find that the party on the one hand disrupts the anthropocentrism characteristic for the Dutch social and political order but on the other hand affirms and contributes to the policing and racialization of Muslims. This became most apparent in their proposal to ban unstunned religious slaughter. We demonstrate that this proposal was part of the party’s general inability to recognize the contemporaneous logics of race and religion. This leads us to conceptualize the party’s project as a colorblind, or in non-ableist terms, color-evasive animal politics.
We introduce a bivariate tempered space-fractional Poisson process (BTSFPP) by time-changing the bivariate Poisson process with an independent tempered $\alpha$-stable subordinator. We study its distributional properties and its connection to differential equations. The Lévy measure for the BTSFPP is also derived. A bivariate competing risks and shock model based on the BTSFPP for predicting the failure times of items that undergo two random shocks is also explored. The system is supposed to break when the sum of two types of shock reaches a certain random threshold. Various results related to reliability, such as reliability function, hazard rates, failure density, and the probability that failure occurs due to a certain type of shock, are studied. We show that for a general Lévy subordinator, the failure time of the system is exponentially distributed with mean depending on the Laplace exponent of the Lévy subordinator when the threshold has a geometric distribution. Some special cases and several typical examples are also demonstrated.
While it is commonly understood that the poll tax and literacy tests, among other measures, were used effectively in the South to disenfranchise Black voters from the late nineteenth through the mid-twentieth century, what is not well known is how much those disenfranchising laws mattered. Specifically, how much did the enactment of poll taxes or literacy tests affect turnout in federal and state elections? And how much did those disenfranchising provisions dampen vote totals for Republican candidates in the South? Using the staggered implementation and removal of several disenfranchising policies over a 101-year period, we answer these questions and provide some precision to our collective knowledge of the “disenfranchising era” in American electoral politics. Overall, we find that the poll tax was the main driver of disenfranchisement in Southern elections, with literacy tests and the Australian ballot providing some secondary effects. We also find that ex-felon disenfranchisement laws were considerably more important—both in reducing turnout as well as Republican vote share in Southern elections—than has been traditionally understood. Finally, we unpack the “South” and unsurprisingly find that racial politics drove these results: the disenfranchising institutions were more impactful in states with a larger Black population share. Our results show the powerful effects of disenfranchising policies on electorates and electoral outcomes. We discuss these results in both their historical context as well as with a mind to the continuing use of disenfranchising provisions in law today.
This study examined the associations between residential environment and self-rated mental health (SRMH) among Canadians aged 65 or older (n = 16,304) and whether education and gender moderated the associations. Data came from the 2018 Canadian Housing Survey. Hierarchical multiple regressions were conducted to test the associations. Analyses revealed that increased dwelling size was associated with better SRMH among older women with high school education. Older adults with higher satisfaction with their dwelling design were more likely to report better SRMH, except for women with some college education. Feeling safer in the community was uniquely associated with better SRMH for men with high school education and women with a university degree. Results confirmed significant associations between specific home and residential environment features and SRMH for each gender-by-education group. Environmental programs designed to improve SRMH for older adult populations should consider within- and between-group diversity.
Turbulence in gravity-driven film flow is usually discussed in terms of three-dimensional solitary-wave pulses as they are frequently observed in flows along smooth walls. Here, we show that free-surface turbulence arises in films along rippled substrates, as they are commonly employed in process engineering applications, already at rather low Reynolds numbers from the irregular break-up of the solitary-wave fronts. Short waves in the capillary regime replace the broken solitary waves beyond a certain Reynolds number. The crossover coincides with the occurrence of steady three-dimensional surface patterns upstream, which suppress travelling waves. The waves show power spectral densities with power-law exponents typical for weak capillary-wave turbulence. With increasing Reynolds number, the steepness of the power law declines to lower levels.
A substantial proportion of patients undergoing hemodialysis carry Staphylococcus aureus in their noses, and carriers are at increased risk of S. aureus bloodstream infections. Our pragmatic clinical trial implemented nasal povidone-iodine (PVI) decolonization for the prevention of bloodstream infections in the novel setting of hemodialysis units.
Objective:
We aimed to identify pragmatic strategies for implementing PVI decolonization among patients in outpatient hemodialysis units.
Design:
Qualitative descriptive study.
Setting:
Outpatient hemodialysis units affiliated with five US academic medical centers. Units varied in size, patient demographics, and geographic location.
Interviewees:
Sixty-six interviewees including nurses, hemodialysis technicians, research coordinators, and other personnel.
Methods:
We conducted interviews with personnel affiliated with all five academic medical centers and conducted thematic analysis of transcripts.
Results:
Hemodialysis units had varied success with patient recruitment, but interviewees reported that patients and healthcare personnel (HCP) found PVI decolonization acceptable and feasible. Leadership support, HCP engagement, and tailored patient-focused tools or strategies facilitated patient engagement and PVI implementation. Interviewees reported both patients and HCP sometimes underestimated patients’ infection risks and experienced infection-prevention fatigue. Other HCP barriers included limited staffing and poor staff engagement. Patient barriers included high health burdens, language barriers, memory issues, and lack of social support.
Conclusion:
Our qualitative study suggests that PVI decolonization would be acceptable to patients and clinical personnel, and implementation is feasible for outpatient hemodialysis units. Hemodialysis units could facilitate implementation by engaging unit leaders, patients and personnel, and developing education for patients about their infection risk.
This pilot study aimed to evaluate a training programme for primary care physiotherapists focused on the assessment and management of benign paroxysmal positional vertigo.
Methods
A six-month training programme and toolkit utilising the revised Standards for Quality Improvement Reporting Excellence (‘SQUIRE 2.0’) guidelines was developed to facilitate the learning of new knowledge and skills in the assessment and management of benign paroxysmal positional vertigo following Gagne's model of instructional design. A pre- and post-training knowledge and confidence questionnaire evaluated the impact of the training programme.
Results
Eleven participants started the training programme and five completed it. On average, knowledge increased by 54 per cent (range, 41–95 per cent) and confidence increased by 45 per cent (range, 31–76 per cent). A 73 per cent improvement in practical skills acquisition was demonstrated after the initial training session.
Conclusion
A structured approach to learning demonstrates improvements in knowledge, skills and confidence of physiotherapists in the evidence-based management of benign paroxysmal positional vertigo.
This article examines jokes about religion, particularly religious hypocrisy, in early modern English jestbooks, from the 1520s to the 1740s. It argues that over the course of England's Long Reformation, we find more and more jokes in which the solution, or alternative, to hypocrisy is not a more robust faith, making the inward heart correspond to one's outward show of religion, but rather a more profane Christianity, making one's outward face correspond to an all-too-human and worldly heart. Jokes about religious hypocrisy thus betray both a deep anxiety about piety, and the emergence of a profane species of Protestantism.
Benign paroxysmal positional vertigo is the most common episodic vestibular disorder, although it is often quiescent by the time patients visit a specialist clinic, making the diagnosis difficult to confirm. Patients fear the consequences of a relapse and it is not clear what follow up should be provided.
Objective
This evaluation reviewed the results of an open access pathway that offered priority appointments to patients with a history of positional vertigo.
Results and conclusion
In total, 664 patients were included in the analysis, 52 per cent of whom had unconfirmed benign paroxysmal positional vertigo. Open follow up improved diagnostic rates by approximately 40 per cent. The rate of benign paroxysmal positional vertigo recurrence was 34 per cent in patients with follow up of at least one year, 41 per cent with follow up of one to two years, and 53 per cent with follow up of two years or more. One in five recurrences occurred in a different semi-circular canal. These results suggest that specialist follow up is required for management of recurrent benign paroxysmal positional vertigo.
The Church of England is currently debating what pronouns to use of God in liturgy. Opinions are strongly established on various sides. This article aims to slow the pace at which strong judgements are arrived at, through four sets of arguments. First, the distinctiveness of English compared with some other European languages and the danger of allowing the contingencies of English pronoun use to dominate the possible meanings of scripture. Second (drawing on the work of Janet Martin Soskice), the complexity of the figure of the fatherhood of God. Third, the significance of German philosophy of language in relation to negative theology and the particular ways in which the inadequacy of language about God has theological consequences. Fourth, a more philosophical discussion of the ways in which what is necessary or possible in one language cannot adequately be conveyed, as necessary or merely possible, in translation.