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Cardiovascular disease (CVD) is the leading cause of death worldwide. Research suggests people with Mental Health Disorders (MHDs) have increased CVD risk. However, knowledge gaps exist regarding CVD risk management for general practice patients with MHD, and interventions that might improve CVD prevention. This study examined the perspectives of general practice professionals in Ireland on cardiovascular risk assessment for patients already diagnosed with MHD and to describe current approaches to identifying this population using the Mental Health Finder (MHF) tool.
Methods:
An embedded mixed-methods design was adopted, guided by constructivist grounded theory and the Social Ecological Model. Aggregated anonymised data, including availability and use of the MHF tool, were collected from five practices and analysed in SPSS. In-depth semi-structured interviews were conducted with 12 general practitioners and three practice nurses. Qualitative data were analysed using Braun and Clarke’s Reflexive Thematic Analysis.
Results:
Of the five practices, two had access to the MHF tool. These reported combined prevalence of 18.7% for MHD compared with 0.5–11.5% in practices without the tool, highlighting the importance of systematic identification. Qualitative analysis generated four themes: (1) prevalence of MHD in general practice, (2) association between MHD and CVD risk, (3) CVD risk management in patients with MHD, and (4) holistic care.
Conclusion:
CVD risk assessment for patients with MHD in general practice is largely opportunistic and unstructured. Participants highlighted the need for structured frameworks, protocols, and enhanced supports to enable systematic cardiovascular assessment and management in this population.
We examine the linear stability of a shear flow driven by wind stress at the free surface and rotation at the lower boundary, mimicking oceanic flows influenced by surface winds and the Earth’s rotation. The linearised eigenvalue problem is solved using the Chebyshev spectral collocation method and a long-wave asymptotic analysis. Our results reveal new long-wave instability modes that emerge for non-zero rotational Reynolds numbers. It is observed that the most unstable mode, characterised by the lowest critical parameters, corresponds to long-wave spanwise disturbances with vanishing streamwise wavenumber. The asymptotic analysis, which shows excellent agreement with numerical results, analytically confirms the existence of this instability. Thus, the present study demonstrates the hitherto unreported combined influence of wind stress and the Earth’s rotation on ocean dynamics.
We report a nearly complete mitochondrial genome (mitogenome) of Echinostoma caproni (Egyptian isolate), which was reassembled and thoroughly annotated from whole-genome sequencing data available from Sequence Read Archive (accession No. ERS055227). Although a mitogenome of E. caproni has previously been deposited in GenBank (accession No. AP017706), it represents a partial sequence lacking the transfer RNA (tRNA)-Ser2 and possessing only a short non-coding region. In contrast, the newly reconstructed mitogenome in this study is 14,549 bp in length and comprises 12 protein-coding genes, 22 tRNA genes, 2 ribosomal RNA genes, and a 1,256 bp non-coding region containing 4 repeat units. The annotated sequence has been deposited in the Third Party Annotation database in GenBank (accession No. BK071757). Phylogenetic inference based on mitogenomic data indicates that E. caproni is closely related to E. miyagawai strains. This improved mitogenome provides a reliable genomic resource for comparative mitogenomic analyses and phylogenetic studies within the family Echinostomatidae.
The Little Bustard Tetrax tetrax has experienced steep population declines across its range, with Sardinia now hosting the last remaining Italian population and the only island population worldwide. We conducted a systematic island-wide survey in 2023, based on 969 point-count data, analysed through robust distance sampling, to assess population density, spatial distribution, habitat associations, and the role of protected areas. We estimated a total density of 0.89 males/km², with 85% of individuals concentrated in two highland subpopulations, i.e. Ozieri and Abbasanta. Highest densities occurred in hay meadows and heterogeneous landscapes, while arable and fallow lands supported lower densities. Protected areas hosted five times higher densities of Little Bustard than unprotected land. Land-use changes over the past 13 years and current soil degradation showed no significant association with current densities, suggesting that declines may be linked to earlier landscape transformations. Our results underscore the critical importance of protected areas and traditional agropastoral systems for the conservation of the Little Bustard in Sardinia. Urgent conservation planning is needed to maintain existing habitats and mitigate emerging threats from land-use change and infrastructure expansion.
Canadian political scientists have often taken a normative approach to political institutions like the constitution, the electoral system, and Parliament. An assumption that institutional reform can itself be a solution to political problems is also reflected in general public commentary and at times has been openly encouraged and supported by the Canadian state itself. This approach has many strengths but also deficiencies, particularly the degree to which it replicates existing understandings of the state, focused on the distribution of power among white men. The study of political institutions in Canada must continue growing to incorporate and integrate a greater diversity of perspectives, including interrogating and challenging their very foundations.
This article provides a general asymptotic theory for mildly explosive autoregression. We confirm that Cauchy limit theory remains invariant across a broad range of error processes, including general linear processes with martingale difference innovations, stationary causal processes, and nonlinear autoregressive time series, such as threshold autoregressive and bilinear models. Our results unify the Cauchy limit theory for long memory, short memory, and anti-persistent innovations within a single framework. Notably, we demonstrate that in the presence of anti-persistent innovations, the Cauchy limit theory may be violated when the regression coefficient approaches the local-to-unity range. Additionally, we explore extensions to models with varying drift, which is of significant interest in its own right.
In this paper, we present an ultra-fast technique for brain tumor detection in microwave brain imaging systems based on compressive sensing (CS). To achieve this, we designed an elliptical array-based microwave imaging system by simulating sixteen elements of modified bowtie antennas in the CST medium around a multi-layer head phantom. Additionally, we designed an appropriate matching medium to radiate in the desired band from 1 to 4 GHz. The algorithm section of our technique involves pre-processing steps for calibration, a processing step to create a two-dimensional image of the received signals, and a post-processing step for CS. In the processing section, we used a confocal image-reconstructing method based on delay and sum and delay, multiply, and sum beam-forming algorithms. Finally, we applied a new CS technique that includes an L1-norm convex optimization method to reconstruct low-dimension images from the original reconstructed images. We present simulated results to validate the effectiveness of our proposed method for precisely localizing the tumor target in a human full head phantom. The simulated results demonstrate that by using our proposed CS method, the image reconstruction processing time decreased to 63% and the compressed image size reduced to 25% of the original image.
Let C and W be two sets of integers. If $C+W=\mathbb {Z}$, then C is called an additive complement to W. We further call C a minimal additive complement to W if no proper subset of C is an additive complement to W. Answering a problem of Nathanson in part, we give sufficient conditions to show that W has no minimal additive complements. Our result extends a result of Chen and Yang [‘On a problem of Nathanson related to minimal additive complements’, SIAM J. Discrete Math.26 (2012), 1532–1536].
This article examines the role of illustrated lantern lectures in promoting Belgian cities and towns during the early twentieth century. Drawing on two original databases of lantern slides and a database of lantern lectures, it demonstrates how these lectures served not only tourism, but also broader social, political and cultural agendas. The projection lantern functioned as a powerful medium within an emerging circuit of education and entertainment, offering audiences an immersive experience. While previous scholarship has largely focused on colonial or exotic representations, this article highlights how familiar, domestic places in Belgium were also visually constructed and promoted. Through an analysis of content, context and the actors involved, the article reveals how lantern lectures contributed to shaping urban imagery, fostering civic pride and constructing local, regional and national identities. In doing so, it repositions the lantern as a key medium in the history of place representation and visual communication.
Rapid population declines of three species of Gyps vultures endemic to Asia were caused by unintentional poisoning by the non-steroidal anti-inflammatory drug (NSAID) diclofenac. Despite a ban on its veterinary use across South Asia, diclofenac has continued to be supplied for this purpose. Here, we report updated results from undercover pharmacy surveys, conducted between 2012 and 2024, in India, Nepal, Bangladesh, and Pakistan to investigate the availability and prevalence of veterinary NSAIDs. The purpose was to establish whether sales of diclofenac had continued and to determine which other veterinary NSAIDs were available. In India, the availability of diclofenac had declined in all Vulture Safe Zones (VSZs), but it was still readily available (up to 25% of sales) in Rajasthan where intensive conservation advocacy had not occurred. Elsewhere in the region, prevalence of diclofenac was low. The vulture-safe meloxicam continued to be the most commonly available veterinary NSAID throughout most of the region, especially in Nepal (85–100%), but still accounted for only 25–45% of products offered in other countries. In Bangladesh, the vulture-toxic ketoprofen was the most prevalent drug overall, but levels declined to a low level (<1% in 2024), following the nationwide ban on veterinary use of the drug in 2023. Fourteen different NSAIDs were recorded in our surveys, several of which are known or suspected to be toxic to vultures. Of special concern is a rapid increase in the prevalence of flunixin in Bangladesh. Flunixin has not been banned in any of the South Asian vulture range states. Conservation priorities should include awareness campaigns, stronger measures to implement current bans, safety-testing of other NSAIDs, especially flunixin, followed by bans on veterinary use of all NSAIDs found to be toxic to vultures. Prior evidence of safety to vultures should be a requirement for the licensing of all new veterinary NSAIDs.
The E(xtended) P(rojection) P(rinciple) (specifically, in its guise as a movement-triggering feature in designated syntactic heads), has been a thorn in the Minimalist side since the mid-1990s. Recently, in the context of attempts to reduce syntactic mechanisms to their minimal expression, the generative operation Merge has been defined as unordered set formation (“Simplest Merge”), and the EPP has been pronounced dead in favour of conditions over labelling which force phrasal movement in order to dissolve ‘symmetry points’. This article compares several theoretical analyses and shows that very simple cases of {XP, YP} copular constructions in Spanish satisfy all requirements for labelling without the need to resort to Internal Merge (IM). Therefore, if there is IM of a DP it must be motivated by reasons other than labelling. Once such a reason exists, the elimination of EPP on labelling grounds becomes dubious.
Two-way diffusion equations arising in kinetic problems relating to electron scattering and in Brownian particle dynamics present singularities absent from conventional diffusion equations. Although calculations by Stein & Bernstein, and Fisch & Kruskal have revealed the formation of entry and exit slope discontinuities at the critical points where the velocity changes sign, the analytical structure of these discontinuities remains unclear. Here we fill this gap via a local similarity variable analysis, illustrated through the two-way diffusion equation $y \partial n/\partial x=\partial ^2 n/\partial y^2$ in $-1 \leq y \leq 1$; $0 \leq x \leq L$, with $n(x,\pm 1)=0$ with various entry conditions $n(0,y)_{y\gt 0}$, and the exit condition $n(L,y)_{y\lt 0}=0$. The similarity variable $\eta =y/x^{1/3}$ permits the analytical characterization of the entry discontinuity, except for constants determined by matching with numerical solutions obtained with two numerical schemes: separation of variables following the construction of Beals, or finite-difference discretization of the transient partial differential equation, which converges in time to a solution almost identical to the separation of variables solution. Although the slope discontinuity depends markedly on the initial condition $n(0,y)_{y\gt 0}$, a simple general similarity solution structure emerges empirically, always involving a spontaneous singular contribution $C |y|^{1/2}$ at $x=0,y\lt 0$. Slow convergence of both numerical solutions near $\{x,y\}=\{0,0\}$ is attributed to the poor eigenfunction representation of the ever-present singular solution component $|y|^{1/2}$. The similarity approach applies equally to other two-way diffusion equations when the coefficient of $\partial n/\partial x$ changes sign linearly with $y$. It can also be extended to situations where this coefficient is discontinuous at the critical points.
This study of red ochre in mortuary contexts in Neolithic to Iron Age sites in Thailand reveals regional and temporal variation. Used extensively at Neolithic Khok Phanom Di, often as body paint, the material was absent at contemporaneous inland sites. Its reappearance in the Bronze Age signalled a symbolic shift in practice, with pieces of ochre incorporated into elaborate funerary rituals. These patterns suggest differing cultural origins and evolving rituals. By the Iron Age, ochre use declined, coinciding with the spread of new mortuary ideologies. The authors highlight how ochre is a powerful marker of identity, belief and cultural change.
The convection velocity in high-Reynolds-number pipe flow was investigated using two-point correlations obtained from two laser Doppler velocimetry systems. The Reynolds number ranged from ${\textit{Re}}_{{\tau}}=3000$ to 20 800, and profiles were obtained from $y/R=0.002$ up to the pipe centre, where $R$ is the pipe radius. This study examines the scaling behaviour of convection velocity profiles derived from raw velocity signals, and the convection characteristics of very large-scale motions (VLSMs) and large-scale motions extracted via scale-separated or time-resolved velocity signals. The profiles show that convection velocities from raw signals exceed the local mean velocity near the wall and gradually approach it toward the centre. These profiles can be scaled using inner variables, namely $y^+$ and $\Delta x^+$, where $\Delta x^+$ represents the measurement distance. Scale-separated convection velocities for VLSM-scale structures – defined as those larger than $5R$ – were higher than the unfiltered values and remained nearly constant up to $y^+ \leq 2000$ at ${\textit{Re}}_{{\tau}} \approx 20\,000$. In this constant region, the convection velocity of VLSMs scaled well with the bulk velocity $U_{\textit{b}}$, taking values of approximately $0.85U_{\textit{b}}$. Furthermore, analysis of the time-resolved data highlights that, when applying Taylor’s frozen turbulence hypothesis, it is essential to consider both the scale dependence and the temporal fluctuations of the convection velocity, which reflect the underlying spatio-temporal dynamics of the flow structures. The present study provides valuable data for discussions on converting frequency-domain measurements into wavenumber space using Taylor’s hypothesis.
Cross-border remittances from South Africa have played a central role in the food availability and well-being of migrant labour households in semi-arid Zimbabwe. However, the outbreak of the COVID-19 pandemic and containment measures introduced by both the South African and Zimbabwean governments hampered the cross-border remittance system and the movement of goods. This paper explores the food provisioning and availability impacts of the changes brought by the cocktail of policy measures on migrant sending households, and whether these households were able to find alternative food sources locally. The study highlights a precarious situation for affected households, which saw their main source of food provisioning curtailed. It argues that the situation was further aggravated by the risk associated with alternative remittance channels, and the non-availability of local alternatives for these households, which were excluded from accessing food parcels/aid by the criteria used to determine beneficiaries. The paper demonstrates the vulnerability of migrant labour households to economic and labour market changes.
Surface roughness is often present in flight systems travelling at high speeds, but its interaction with compressible turbulence is not well understood. Using direct numerical simulations, we study how prism-shaped roughness influences supersonic turbulent boundary layers at a free-stream Mach number $M_\infty =2$. The dataset includes four simulations featuring cubic- and diamond-shaped elements in aligned and staggered configurations. All cases have an initial smooth region where a fully turbulent boundary layer transitions to a rough wall with positively skewed roughness elements relative to the smooth-wall zero plane. This causes a sudden boundary layer growth at the smooth-to-rough transition, generating an oblique shock wave. Individual roughness elements downstream do not generate shock or expansion waves, as they do not protrude into the supersonic region. For cubical elements, the staggered arrangement increases drag and produces more pronounced boundary layer growth than the aligned case. Rotating the cubes along their vertical axis further enhances these effects, yielding the highest drag. Interestingly, diamond-shaped elements in a staggered arrangement exhibit a dynamics similar to aligned cubes, producing lower drag than other cases. We explain the relative drag induced by each roughness shape by examining viscous and pressure drag components separately. The analysis reveals that, for staggered diamonds, the flow skims more easily over roughness, drastically reducing recirculation in troughs and gaps. In other cases, wake interactions are more prominent, causing spikes of highly positive and negative skin friction, a feature often neglected in reduced-order model formulations.
The role of morphology in complex word acquisition was examined in Chinese (L1)–English (L2) bilinguals. Participants learned words consisting of two novel constituents, by pairing them with pictures. Items either belonged to large (torbnel, torbilm, torbla, torbiph) or small morphological families (torbilm, torbla). After training, participants completed recognition and spelling tasks with novel words that either included or excluded a trained morpheme. Results revealed robust stem-training effects, showing that items including a trained constituent were harder to reject and easier to spell than items including two untrained constituents. There was also a significant effect of morphological family size, with greater training effects for items belonging to large than small families. Effect sizes were overall smaller in L2 than in L1. These findings point to the important role of morphological structure in L2 word acquisition and suggest that large morphological family-clusters lead to better learning outcomes.
Thai researchers developed a new self-report measure of executive functions for adolescents based on Diamond’s framework (the Behavioral Inventory Measure of Executive Functions [BIMEFs]). How it was developed, its psychometric properties, and norms by sex and age are reported here.
Method:
An independent panel of experts evaluated the content validity of BIMEFs. Reliability was checked using Cronbach’s alpha with a sample of 45 secondary students. 1,865 students, ages 12 – 18 years (65% female) from across Thailand participated in the normative study.
Results:
The BIMEFs consists of 42 items that assess inhibitory control (IC), working memory (WM), and cognitive flexibility (CF), including eight subcomponents. For all items, the index of item-objective congruence was >0.5 and Cronbach’s alpha was >0.7. Confirmatory factor analysis (CFA) showed the adjusted goodness of fit index to be 0.9. The strongest sex difference was for IC. Students of 13 years scored lower on EFs overall, IC, WM, CF, and all subcomponents than older students. Self-control, verbal working memory, and being able to change perspectives showed the most pronounced differences by age.
Conclusion:
The BIMEFs, which is designed to be culturally-appropriate for Thailand and cross-culturally generally, is the first EF questionnaire based on Diamond’s framework. It shows good psychometric properties and sensitivity to age and sex differences. It indicates that IC development, at least in Thailand, plateaus earlier than WM and CF and that CF shows a more protracted development during adolescence than IC or WM.