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Sexual and gender minority (SGM) migrants’ disclosure of their identity or “coming out” has significant stakes. It can facilitate access to resources (institutional disclosure), cultivate intimacy and belonging (social disclosure), or support claims for legal protections (legal disclosure). This article analyzes SGM unaccompanied minors’ disclosures as shaped by the evolution of their legal consciousness in pursuing legal relief and incorporation in the United States. Ethnographic observations and in-depth interviews from 2014–2019 with 11 SGM unaccompanied minors reveal a striking pattern in their disclosure practices. During apprehension and detention, minors engaged in social, institutional, and legal disclosure of their SGM status. However, their interactions with agents from the Departments of Homeland Security and Health and Human Services led them to believe that SGM rights, support, and acceptance were contingent on legal status. Later, upon release from state custody, minors withheld legal disclosure from their deportation proceedings and immigration cases, even against the advisement of their attorneys. They also became more strategic in their social and institutional disclosure across other contexts. Post-legalization, however, minors broadened their disclosure practices and embarked on claims related to their SGM status. This study raises implications for research and policy. By analyzing shifts in legal consciousness over time, how certain experiences become reference points for how immigrants understand the law with respect to their identity and related behaviors are illustrated. It also extends the discussion of the far-reaching implications of SGM punishment and the disadvantages of immigration detention for children and youth.
In order to improve the global convergence performance of the super-twisting sliding mode control (STSMC) for the uncertain hybrid mechanism, especially in the high-speed scenario, and enhance the robustness of hybrid mechanism system to the uncertainties with a wide range of changes, an intelligent fixed-time super-twisting sliding mode control (IFTSTSMC) is proposed. Firstly, a fixed-time super-twisting sliding mode control (FTSTSMC) algorithm is designed by adding the exponential power terms with the fixed-time performance parameters in sliding variables and the transcendental function of the super-twisting algorithm in order to enhance the global convergence performance of the STSMC. Secondly, the existence condition of FTSTSMC for the uncertain hybrid mechanism is analyzed. The IFTSTSMC is designed by introducing RBF neural network to break through the limited range of uncertainties in FTSTSMC and enhance the robustness of hybrid mechanism system to the uncertainties with a wide range of changes. Then, the Lyapunov stability of the proposed method and the global fixed-time convergence of the system are proved theoretically. Finally, the effectiveness and superiority of the proposed control method are verified by the simulation and the automobile electro-coating conveying prototype experiment comparing with two classical finite-time sliding mode control methods.
We propose a monotone approximation scheme for a class of fully nonlinear degenerate partial integro-differential equations which characterize nonlinear $\alpha$-stable Lévy processes under a sublinear expectation space with $\alpha\in(1,2)$. We further establish the error bounds for the monotone approximation scheme. This in turn yields an explicit Berry–Esseen bound and convergence rate for the $\alpha$-stable central limit theorem under sublinear expectation.
Failing Fontan poses a significant clinical challenge. This study aims to improve patients’ outcomes by comprehensively understanding the incidence, pathophysiology, risk factors, and treatment of failing Fontan after total cavopulmonary connection.
Methods:
We performed a retrospective analysis of patients who underwent total cavopulmonary connection at the German Heart Center Munich between 1994 and 2022. The onset of failing Fontan was defined as: protein-losing enteropathy, plastic bronchitis, NYHA class IV, NYHA class III for > one year, unscheduled hospital admissions for heart failure symptoms, and evaluation for heart transplantation.
Results:
Among 634 patients, 76 patients presented with failing Fontan, and the incidence was 1.48 per 100 patient-years. Manifestations included protein-losing enteropathy (n = 34), hospital readmission (n = 28), NYHA III (n = 18), plastic bronchitis (n = 16), evaluation for heart transplantation (n = 14), and NYHA IV (n = 4). Risk factors for the onset of failing Fontan were dominant right ventricle (p = 0.010) and higher pulmonary artery pressure before total cavopulmonary connection (p = 0.004). A total of 72 interventions were performed in 59 patients, including balloon dilatation/stent implantation in the total cavopulmonary connection pathway (n = 49) and embolization of collaterals (n = 24). Heart transplantation was performed in four patients. The survival after the onset of Fontan failure was 77% at 10 years. Patients with failing Fontan revealed significantly higher zlog-NT-proBNP levels after onset compared to those without (p = 0.021)
Conclusions:
The incidence of Fontan failure was 1.5 per 100 patient years. Dominant right ventricle and higher pulmonary artery pressure before total cavopulmonary connection were significant risks for the onset of failing Fontan. Zlog-NT-proBNP is only a late marker of Fontan failure.
In this paper we consider the workload of a storage system with the unconventional feature that the arrival times, rather than the interarrival times, are independent and identically distributed samples from a given distribution. We start by analyzing the ‘base model’ in which the arrival times are exponentially distributed, leading to a closed-form characterization of the queue’s workload at a given moment in time (i.e. in terms of Laplace–Stieltjes transforms), assuming the initial workload was 0. Then we consider four more general models, each of them having a specific additional feature: (a) the initial workload being allowed to have any arbitrary non-negative value, (b) an additional stream of Poisson arrivals, (c) phase-type arrival times, (d) balking customers. For all four variants the transform of the transient workload is identified in closed form.
This review essay explores the complex subject of peace in Africa by reviewing six volumes. While the African Union and the United Nations identify peace as providing the foundation for development, the quest for sustainable peace in regions of postcolonial Africa has remained elusive. Several works have sought to examine the contemporary pathways to peace currently being explored on the continent. The works under review must be located in this search for sustainable peace in Africa.
We provide a general recursive method for constructing transfer systems on finite lattices. Using this, we calculate the number of homotopically distinct $N_{\infty} $ operads for dihedral groups $D_{p^n}$, $p \gt 2$ prime, and cyclic groups $C_{qp^n}$, $p \neq q$ prime. We then further display some of the beautiful combinatorics obtained by restricting to certain homotopically meaningful $N_\infty$ operads for these groups.
In Republican China, the Factory Act was first promulgated in 1929, after almost thirty years of unregulated industrialization. Little academic effort has been made to comprehend its actual implementation. Some academics have dismissed it as completely useless, while others have credited it with various enhancements in working conditions. This article focuses on workplace health and safety issues and critically evaluates the implementation of the law to scrutinize its effectiveness (or ineffectiveness) in addressing workers’ life and death matters. This article aims to reassert the Factory Act in China's modern history of industrial development. It points out that despite its inadequate enforcement, the law was significant in laying the foundation for the national institutionalization of state responsibility to systematically monitor and regulate workplace health and safety and paving the way for further safety legislation. Nevertheless, the law fell short of safeguarding workers’ rights during industrial accidents.
Bidirectional cavopulmonary anastomosis is palliative surgical procedure for stepwise adaptation of the ventricle by time-phased relief of blood volume from the single functional ventricle. There still exists a controversial question regarding maintaining additional antegrade pulmonary blood flow. We retrospectively reviewed the surgical cases of 261 patients who underwent bidirectional cavopulmonary anastomosis in our institution from 2012 to 2022 with special regard to antegrade pulmonary blood flow as our preferred strategy. The mean age at the time of surgery was 33.1 months (range 2.9–192 months), and the mean weight was – 7.6 kg (range 3.9–38 kg). Furthermore, we divided all the patients into two groups: in group 1 (n = 182) – patients who underwent bidirectional cavopulmonary anastomosis with antegrade pulmonary blood flow, and in group 2 (n = 47) – patients without antegrade pulmonary blood flow. The mean follow-up time was 56 months (range 24–120 months). Mortality rate was 4.8 % (n = 11) in the past 10 years. Statistical difference between groups was in the following positions: group 2 had less ICU stay (p < 0.000125) and hospital stay (p < 0.017110); group 1 had a longer duration of pleural effusion (p < 0.000003) and amount of drainage output (p < 0.007), also demonstrated higher oxygen saturation (p < 0.000264) and Glenn shunt pressure (p < 0.002) after the surgery; but there was no difference in oxygen saturation after 6, 12, and 24 months; mortality in both groups has no statistic difference. Considering our experience, we take a stand on the controlled to antegrade pulmonary blood flow strategy during bidirectional cavopulmonary anastomosis.
We conducted a retrospective cohort study in Ontario, Canada between December 1, 2020 and June 31, 2021 to compare the incidence of neurological events (hospitalization or emergency room visit) within six weeks of COVID-19 vaccination in Chinese, South Asian and Other ethnic groups. Compared to Others, the crude rates after the first dose for Bell’s palsy, ischemic stroke and intracerebral hemorrhage were lower in Chinese (34, 159 and 48 per 1,000,000 doses) and in South Asians (44, 148 and 32), but similar after adjusting for age, sex and vaccine type. Our findings should help encourage vaccination for all, irrespective of ethnicity.
We study the dynamics of thermal and momentum boundary regions in three-dimensional direct numerical simulations of Rayleigh–Bénard convection for the Rayleigh-number range $10^5\leq Ra \leq 10^{11}$ and $Pr=0.7$. Using a Cartesian slab with horizontal periodic boundary conditions and an aspect ratio of 4, we obtain statistical homogeneity in the horizontal $x$- and $y$-directions, thus approximating best an extended convection layer relevant for most geo- and astrophysical flow applications. We observe upon canonical use of combined long-time and area averages, with averaging periods of at least 100 free-fall times, that a global coherent mean flow is practically absent and that the magnitude of the velocity fluctuations is larger than the mean by up to 2 orders of magnitude. The velocity field close to the wall is a collection of differently oriented local shear-dominated flow patches interspersed by extensive shear-free incoherent regions which can be as large as the whole cross-section, unlike for a closed cylindrical convection cell of aspect ratio of the order 1. The incoherent regions occupy a 60 % area fraction for all Rayleigh numbers investigated here. Rather than resulting in a pronounced mean flow with small fluctuations about such a mean, as found in small-aspect-ratio convection, the velocity field is dominated by strong fluctuations of all three components around a non-existent or weak mean. We discuss the consequences of these observations for convection layers with larger aspect ratios, including boundary layer instabilities and the resulting turbulent heat transport.