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This study examines how psychological aspects of vestibular disorders are currently addressed highlighting any national variation.
Method
An online survey was completed by 101 UK healthcare professionals treating vestibular disorders. The survey covered service configurations, attitudes towards psychological aspects and current clinical practice.
Results
Ninety-six per cent of respondents thought there was a psychological component to vestibular disorders. There was a discrepancy between perceived importance of addressing psychological aspects and low confidence to undertake this. Those with more experience felt more confident addressing psychological aspects. History taking and questionnaires containing one or two psychological items were the most common assessment approaches. Discussing symptoms and signposting were the most frequent management approaches. Qualitative responses highlighted the interdependence of psychological and vestibular disorders which require timely intervention. Barriers included limited referral pathways, resources and interdisciplinary expertise.
Conclusion
Although psychological distress is frequently identified, suitable psychological treatment is not routinely offered in the UK.
Most analyses of the intersection of police, politics, and violence—which center on the police’s use of force as a means to control subordinate classes, repress political dissidents, or confront non-state armed actors—conceptualize the police as an instrument of political incumbents. In this paper, I problematize the relationship between the police and its political principals by focusing on how police administer violence as a political response in compliance or defiance of political incumbents. While elected officials may enact policy changes that restrain or incite police violence, police forces can either abide with or disregard these directives. Building on this interaction of policy shifts and police responses, I develop a typology of four variants of police administration of violence: peacekeeping, punishing, shirking, and sabotaging. I illustrate this typology with various examples from developed and developing democracies.
Using GDR dissident singer-songwriter Wolf Biermann's ‘Chile – Ballade vom Kameramann’ as a point of departure, this article explores the role that ‘revolutionary’ South America and its musical corollary, the Nueva Canción, played in expressions of inner-communist critique in 1970s East Germany. Biermann's critique was Janus-faced. Lyrically, the ‘Chilean’ allegory of his ballad, in which a cameraman is murdered by a soldier, expressed support for the Allende administration while simultaneously destabilizing Soviet Bloc rhetoric. Musically, references to Nueva Canción music such as that of singer-songwriter Daniel Viglietti represented the anti-imperialist Other while simultaneously rejecting GDR-style socialist realism. On the one hand, Biermann's inspiration in South America can be heard as a colonizing gesture; on the other, it can be understood to reflect a provincialized East German society looking to the Third World for alternative sociopolitical – and musical – models.
This 2021 ASA Presidential Lecture combines sociopolitical history with personal reflections on Black Harlem during African decolonization. It begins at the turn of the twentieth century and traces Harlem’s transformation into an international center of pan-Africanist activism and cultural production. Brown explores solidarities that grew as Harlem politicians, grassroots leaders, and residents encountered political exiles and cultural leaders from the continent, the diaspora, and aligned political movements worldwide. These alliances and modes of protest facilitated a hardening of militant activist traditions and cultural cohesion that shaped an anti-imperialist pan-African movement and ultimately a multinational Black political movement in the 1960’s to 1990s.
In a previous work, I argue that traditional Islamic theism's understanding of the world, when juxtaposed with key facts of our world's religious diversity, is implausible. On this understanding, roughly, the truth of tawḥīd (Islamic monotheism) is universally evident, as is belief in its truth. Faithful Muslims act appropriately on knowledge of tawḥīd and are rewarded with heaven, whereas non-Muslims culpably refuse to do so and are eternally punished in hell. Such a view of the world, I argue, is not borne out by empirical observation and philosophical reflection. In a recent article, Ayşenur Ünügür Tabur criticizes this argument, presenting a number of objections to it. In this rejoinder, I argue that her objections, which primarily consist of misstatements and irrelevancies, fail to refute my argument. Since traditional Islamic theism's understanding of the world includes the view that some people will be eternally punished in hell, Tabur augments her discussion of my argument by attempting to solve the Problem of Hell. In my rejoinder to Tabur, I further argue that her proffered solution to this problem is woefully inadequate.
This article explores post-Soviet power hierarchies which constitute a unique system of vertical stratification in world politics. It does so by analysing relations between two former Soviet states, Tajikistan and Russia, in the aftermath of the Soviet Union’s collapse in 1991. The article investigates the underlying reasons for power asymmetries between the two countries, the ways hierarchies are sustained and enforced, as well as perceived and navigated at political and social levels. It is argued that Tajikistan’s relations with Russia are explicitly postcolonial without clear-cut colonial precedents in Soviet times. Postcolonialism did not automatically result from the Soviet breakdown. Rather, it has gradually emerged because of the two countries’ very different paths of integration into the global capitalist economy, which subordinated Tajikistan to Russia. In this way, new economic asymmetries exacerbated Soviet-era legacies and reinvented them in a new, hierarchical manner. Overall, the article contributes to the debate on the nature of post-Soviet legacies and what it means to be post-Soviet.
I argue that Kant’s Categorical Imperative should be applied to individual maxim tokens rather than abstract maxim types. The article is divided into five sections. In the first, I explain my thesis. In the second, I show that my thesis disagrees with Rawls. In the third, I argue for my thesis on the basis of the wording of the Categorical Imperative and on the basis of considerations about autonomy. In the fourth, I argue for my thesis on the basis of considerations about the ‘ought implies can’ principle. In the fifth, I provide a summary of the main argumentative moves and also explain some of the philosophical advantages of my thesis.
This article explores the convergences and divergences between the Salvation Army, Eberhard Arnold and the Bruderhof up to 1939. While the secondary literature makes passing reference to the influence of the Salvation Army on Arnold, no study has examined what it was about this movement which initially attracted him to it and would lead to lifelong appreciation of the Booths and their Army. This article addresses this gap in the literature. It argues that it was the Salvationist presentation of a living, Spirit-filled Christianity as opposed to a dead and establishment-oriented faith in Arnold's mind that best constitutes this relationship.
Critical CHD is associated with morbidity and mortality, worsened by delayed diagnosis. Paediatric residents are front-line clinicians, yet identification of congenital CHD remains challenging. Current exposure to cardiology is limited in paediatric resident education. We evaluated the impact of rapid cycle deliberate practice simulation on paediatric residents’ skills, knowledge, and perceived competence to recognise and manage infants with congenital CHD.
Methods:
We conducted a 6-month pilot study. Interns rotating in paediatric cardiology completed a case scenario assessment during weeks 1 and 4 and participated in paired simulations (traditional debrief and rapid cycle deliberate practice) in weeks 2–4. We assessed interns’ skills during the simulation using a checklist of “cannot miss” tasks. In week 4, they completed a retrospective pre-post knowledge-based survey. We analysed the data using summary statistics and mixed effect linear regression.
Results:
A total of 26 interns participated. There was a significant increase in case scenario assessment scores between weeks 1 and 4 (4, interquartile range 3–6 versus 8, interquartile range 6–10; p-value < 0.0001). The percentage of “cannot miss” tasks on the simulation checklist increased from weeks 2 to 3 (73% versus 83%, p-value 0.0263) and from weeks 2–4 (73% versus 92%, p-value 0.0025). The retrospective pre-post survey scores also increased (1.67, interquartile range 1.33–2.17 versus 3.83, interquartile range 3.17–4; p-value < 0.0001).
Conclusion:
Rapid cycle deliberate practice simulations resulted in improved recognition and initiation of treatment of simulated infants with congenital CHD among paediatric interns. Future studies will include full implementation of the curriculum and knowledge retention work.
Lynchets, often the defining component of historic agricultural landscapes in northern Europe, are generally associated with soft-limestone geologies and are particularly well developed on loess-mantled landscapes. To understand their formation and chronology, the authors present their geoarchaeological analyses of lynchet soils and loess deposits at Blick Mead and Charlton Forest in southern England, and Sint Martens-Voeren in Belgium. The lynchets date from the late prehistoric to the medieval periods and were constructed by plough action at the English sites, and by both cut-and-fill and ploughing in Belgium. This has resulted in the preservation of highly fertile loessic soils across chalk slopes, lost elsewhere. Although each example is associated with local/regional agricultural histories, the lynchets’ effective soil-retention capacities allowed them to survive as important heritage features with environmental benefits over millennia.
We determine the adjoint Reidemeister torsion of a $3$-manifold obtained by some Dehn surgery along K, where K is either the figure-eight knot or the $5_2$-knot. As in a vanishing conjecture (Benini et al. (2020, Journal of High Energy Physics 2020, 57), Gang et al. (2020, Journal of High Energy Physics 2020, 164), and Gang et al. (2021, Advances in Theoretical and Mathematical Physics 25, 1819–1845)), we consider a similar conjecture and show that the conjecture holds for the 3-manifold.
We examine a link between bond exchange-traded fund (ETF) creation and redemption processes and the underlying bond market liquidity. Using daily creation and redemption data, we find that including a bond in a creation or redemption basket has a favorable impact on the bond’s liquidity for both high-yield and investment-grade markets. The improvement in liquidity persists during times of market stress with this impact being stronger for redemptions than creations. Our results suggest that ETF mispricing arbitrage explains the improvement in bond liquidity. However, we also find evidence that transaction costs and bond inventory management limit the ETF arbitrage.
When many statistical hypotheses are evaluated simultaneously, statisticians often recommend adjusting (or “correcting”) standard hypothesis tests. In this article, I (1) distinguish two senses of adjustment, (2) investigate the prudential and epistemic goals that adjustment might achieve, and (3) identify conditions under which a researcher should not adjust for multiplicity in the two senses I identify. I tentatively conclude that the goals of scientists and the public may be misaligned with the decision criteria used to evaluate multiple-testing regimes.
The timing of tracheostomy for intensive care unit patients is controversial, with conflicting findings on early versus late tracheostomy.
Methods
Patients undergoing tracheostomy from 2001through 2012 were identified from the Medical Information Mart for Intensive Care-III database. Early tracheostomy was defined as less than the 25th percentile of time from intensive care unit admission to tracheostomy (time to tracheostomy). Statistical analysis for tracheostomy timing on intensive care unit length of stay and mortality were conducted.
Results
Of the 1,566 patients that were included, patients with early tracheostomy had shorter intensive care unit length of stay (27.32 vs 12.55 days, p < 0.001) and lower mortality (12.9 per cent vs 9.0 per cent, p = 0.039). Multivariate logistic regression analysis found an association between increasing time to tracheostomy and mortality (odds ratio: 1.029, 95 per cent confidence interval 1.007–1.051, p = 0.009).
Conclusion
Our analysis revealed that patients with early tracheostomy were more likely to have shorter intensive care unit lengths of stay and lower mortality. Our data suggest that early tracheostomy should be given strong consideration in appropriately selected patients.