To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This study experimentally investigates the wake structure of a porous square cylinder in terms of permeability over two decades of $Da$ (i.e. $2.4 \times 10^{-5} < Da < 2.9 \times 10^{-3}$). The porous cylinder, featuring a simple cubic lattice structure, was fabricated using an additive manufacturing technique. This unique method, combined with a periodic and scalable lattice structure, effectively isolates permeability from porosity, making it suitable for an in-depth parametric study. The key parameter, permeability, was directly estimated by measuring the pressure drop and superficial velocity for each porous case in an open-loop pipe flow system. The downstream flow fields were obtained using standard planar particle image velocimetry measurements in an open-loop wind tunnel. Based on the experimental data, structural modifications in the near wake were examined in relation to permeability, leading to the identification of four distinct flow regimes depending on $Da$. Additionally, the downstream flow adjustment length ($L_i$) was assessed by introducing a permeability-based source term into the momentum equation, facilitating the development of an analytical model for $L_i$. The present experimental data support this analytical model, and our results further confirmed that $L_i$ plays a crucial role as a characteristic length scale in the near wake.
Sophia Moreau, in her important book, offers an insightful account of (one strand of) the wrong of discrimination based on the evil of subordination. My symposium contribution seeks to clarify the structure of Moreau's account of subordination and its normative and axiological status. On one plausible view, subordination is fundamentally bad or wrong. On another view, subordination is a distinctive social phenomenon, which is bad or wrong only derivatively. I will outline each view, and consider the implications each has for certain issues central to Moreau's book.
Combustion instabilities in annular systems raise fundamental issues that are also of practical importance to aircraft engines and ground-based gas turbine combustors. Recent studies indicate that the injector plays a significant role in the stability of combustors by defining the flame dynamical response and setting the inlet impedance of the system. The present investigation examines the effects of combinations of injectors of two different types ($U$ and $S$) on thermoacoustic instabilities in a laboratory-scale annular combustor and compares different circumferential staging strategies. The combustor operates in a stable fashion when all injection units belong to the $S$-family, but exhibits large amplitude pressure oscillations when all these units are of the $U$-type. When the system comprises a mix of $U$- and $S$-injectors, it is possible to determine the number of $S$-injectors leading to stable operation. For a fixed proportion of $U$- and $S$-injectors, some arrangements give rise to stable operation while others do not. Results also show that introducing symmetry-breaking elements affects the system's modal dynamics. These experimental observations are interpreted in an acoustic energy balance framework used to derive an expression for the growth rate as a function of the describing functions of the flames formed by the different injectors and their respective azimuthal locations. Growth rates are determined for the different configurations and used to explain the various observations, estimate the system damping rate and predict the location of the nodal line when the standing mode prevails.
Sophia Moreau's wide-ranging and nuanced book defends a pluralist view of wrongful discrimination. I argue three points. First, I argue that Moreau's account of deliberative freedom does not provide a distinct ground for objecting to discrimination. Second, I argue that there is not as wide a gap between her view and expressivism as she makes there out to be. Third, there is an intriguing gap in the argument that deserves further exploration: Moreau never provides us with an account of when and why social subordination is wrong.
Airway management is a cornerstone in the prehospital care of critically ill or injured patients. Surgical cricothyrotomy offers a rapid and effective solution when oxygenation and ventilation fail using less-invasive techniques. However, the exact indications, incidence, and success of prehospital surgical cricothyrotomy are unknown, with variable rates reported in the literature. This study aimed to examine prehospital indications and success rates for surgical cricothyrotomy within a large, suburban, ground-based Emergency Medical Services (EMS) system.
Methods:
This is a retrospective analysis of 31 patients who underwent paramedic performed surgical cricothyrotomy from 2012 through 2022. Key demographic parameters were analyzed, including the incidence of cardiac arrest, call type (trauma versus medical), initial airway management attempts, number of endotracheal intubation (ETI) attempts before surgical airway, and average time to the establishment of a surgical airway in relation to the number of ETI attempts. Surgical cricothyrotomy success was defined as the acquisition of four-phase end-tidal capnography reading. The primary data sources were the EMS electronic medical records, and descriptive statistics were calculated.
Results:
A total of 31 patients were included in the final analysis. Of those who received a surgical cricothyrotomy, 42% (13/31) occurred in the trauma setting, while 58% (18/31) were medical calls. In all patients who underwent surgical cricothyrotomy, the median (IQR) time to the procedure was 17 minutes (IQR = 11-24). In trauma patients, the median time to surgical cricothyrotomy was 12 minutes (IQR = 9-19) versus 19 minutes (IQR = 14-33) in medical patients. End-tidal carbon dioxide (ETCO2) detection and placement success was confirmed in 94% (29/31) of patients. Endotracheal intubation was attempted in 55% (17/31) before subsequent surgical cricothyrotomy, with 29% (9/31) receiving more than one ETI attempt. The median time to surgical cricothyrotomy when multiple prior intubation attempts occurred was 33 minutes (IQR = 23-36) compared to 14.5 minutes (IQR = 6-19) in patients without a preceding intubation attempt.
Conclusion:
Prehospital surgical airway can be performed by paramedics with a high degree of success. Identification of the need for surgical cricothyrotomy should be determined as soon as possible to allow for rapid securement of the airway and to ensure adequate oxygenation and ventilation.
Given any commutative Noetherian ring R and an element x in R, we consider the full subcategory $\mathsf{C}(x)$ of its singularity category consisting of objects for which the morphism that is given by the multiplication by x is zero. Our main observation is that we can establish a relation between $\mathsf{C}(x), \mathsf{C}(y)$ and $\mathsf{C}(xy)$ for any two ring elements x and y. Utilizing this observation, we obtain a decomposition of the singularity category and consequently an upper bound on the dimension of the singularity category.
Evidence shows that talking with patients about psychotic experiences can be beneficial. The key question is therefore: which psychological methods can help patients most? This editorial presents ten principles for the design and development of effective psychological treatments. These principles are perceptible characteristics of successful interventions.
In Faces of Inequality, Sophia Moreau puts forward a pluralistic theory of how discrimination wrongs people. I approach Moreau's ideas not as a legal philosopher or theorist, but as an empirical and socio-legal scholar of equality law. In this commentary, I pick up on five provocations that emerge for me from Moreau's work: on reasonable accommodations, on comparison in equality law, on the public/private divide, on the justification of discrimination, and on discrimination as a personal wrong. While Moreau's work is grounded in the common themes or shared features that emerge from equality laws across jurisdictions, I consider what these themes mean for the uncommon ground, drawing on exceptional developments in discrimination law in some Australian jurisdictions, and our experience with the “exceptional” protected characteristic of age.
Gorerite, ideally CaAlFe11O19 is a new mineral and M-type hexaferrite of the magnetoplumbite group. It was found in ferrite-rich segregations of esseneite–gehlenite–wollastonite–anorthite melted rock of the ‘olive’ subunit of pyrometamorphic rocks located near Hatrurim Junction in the Negev Desert, Israel. Within these ferrite-rich segregations up to 100 μm in size, platy crystals of gorerite up to 50 μm in size intergrow with hibonite, hematite, maghemite, magnesioferrite, dorrite, barioferrite and andradite, forming aggregates. Additionally, small crystals of gorerite occur within magnesioferrite. Importantly, gorerite did not crystallise directly from the melt. Instead, it emerged through a reaction involving earlier crystallised hibonite and an iron-enriched melt, resulting in the partial or complete replacement of hibonite by gorerite. Gorerite appears grey in the reflected light (R = 18–23%), displaying distinct bireflectance: dark-grey perpendicular to Z and light-grey parallel to Z. Its Raman spectrum exhibits only one strong band at 700 cm–1, which shifts to higher frequencies with increasing Al content. Gorerite crystallises in the P63/mmc space group, with lattice parameters a = 5.8532(4) Å, c = 22.7730(2) Å and V = 675.67(7) Å3 with Z = 2. It exhibits a structure characterised by an intercalation of triple spinel-like S blocks and rock-salt type R blocks along the hexagonal c-axis.
As part of a parasitological survey, several specimens of two new monopisthocotylean species, Neotetraonchus celsomanueli sp. nov. and N.peruvianus sp. nov. (Dactylogyridea, Dactylogyridae), were collected from the gill filaments of the Peruvian sea catfish Galeichthys peruvianus (Siluriformes, Ariidae) off Puerto Pizarro, Tumbes region, Peru. Neotetraonchus celsomanueli sp. nov. is characterised by an MCO with a T-shaped distal end and an accessory piece that is ribbed and expanded proximally with a worm-shaped termination. Neotetraonchus peruvianus sp. nov. is typified by its MCO, which has a sledgehammer-shaped distal end and an accessory piece with a claw-shaped distal end. Additionally, N.peruvianus sp. nov. is characterised by its jellyfish-shaped onchium. A partial 28S rDNA sequence was obtained from N.celsomanueli sp. nov., and a phylogenetic analysis was conducted. This analysis revealed the phylogenetic position of Neotetraonchus celsomanueli sp. nov. within a clade comprising monopisthocotylean parasites of diadromous and marine ariid catfishes, including Hamatopeduncularia spp., Chauhanellus spp., Thysanotohaptor Kritsky, Shameem, Kumari & Krishnaveni, 2012, and Neocalceostomoides spinivaginalis Lim, 1995. This finding brings the number of known Neotetraonchus species to seven and represents the first described Neotetraonchus species infecting marine catfishes from Peru.
In this Reply to Critics, I respond to essays by Professors Alysia Blackham, Jessica Eisen, Pablo Gilabert, Andrea Sangiovanni, Dale Smith, Iyiola Solanke, and Daniel Viehoff on the theory of wrongful discrimination developed in my book, Faces of Inequality. Among the topics I discuss are: the relationship between equality and discrimination, the role of social subordination in my theory of wrongful discrimination, and methodology in discrimination theory.
In Faces of Inequality, Sophia Moreau offers a pluralist theory of discrimination, according to which discriminatory conduct involves one or more of (at least) three types of wrong. She claims, further, that each of these wrongs represents a failure to treat some people as the equal of others. I argue that this further claim is mistaken. I also suggest that there may be no need for a pluralist theory of discrimination to identify a property that is shared by the different types of wrong recognised by the theory (beyond the fact that each is present in cases of wrongful discrimination).
Transoral robotic surgery total laryngectomy is a promising procedure. We conducted a systematic review to study the indications, surgical techniques and complications of this procedure.
Methods
We followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.
Results
We concluded with 5 studies and 27 surgeries. The main indications of transoral robotic surgery total laryngectomy were selected recurrent laryngeal squamous cell carcinomas, dysfunctional larynx, and specific primary non-squamous cell carcinoma laryngeal cancers. The rate of pharyngocutaneous fistula was 20 per cent overall. In every reported cancer case, the specimen was excised within negative surgical margins. The average time of the procedure was 282.6 minutes.
Conclusion
Transoral robotic surgery total laryngectomy is a safe procedure of high value. The preservation of strap muscles and hyoid bone as well as the sacrifice of less mucosa compared to the traditional technique reduces the risk of certain complications and improves the swallowing outcome.