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Far from being limited to denunciations of modernity, nineteenth-century Catholic thought had a programmatic and visionary side. This article deals with the models of community put forward by Lamennais in L'Avenir, Antonio Rosmini, Luigi Taparelli d'Azeglio, and Wilhelm Ketteler. These writers reimagined the foundations of public life against the claims of self-interested individualism and state omnipotence. Three theses in particular capture their vision of the future polity: 1) societies, which were not “mechanisms,” needed Catholicism as animating spirit; 2) political representation should be “organic”; and 3) whereas the liberal elites imposed their vested interests on the common people, the Catholic polity reflected their needs and beliefs. The four writers envisaged a community of the gentle and caring, which, like the family, was hierarchical, self-governed, local, and supportive. In contrast, it was argued that the people had no voice under liberalism because the elite's values were not the people's and because the political system was a mere arena for the clash of special interests. This was a communitarian and populist Catholicism, prizing self-government, denouncing parliamentary politics, and siding with “the people.”
In continuation of our earlier work (Chen & Sreenivasan, J. Fluid Mech., vol. 908, 2021, R3; Chen & Sreenivasan, J. Fluid Mech., vol. 933, 2022a, A20 – together referred to as CS hereafter), we present a self-consistent Reynolds number asymptotics for wall-normal profiles of variances of streamwise and spanwise velocity fluctuations as well as root-mean-square pressure, across the entire flow region of channel and pipe flows and flat-plate boundary layers. It is first shown that, when normalized by peak values, the Reynolds number dependence and wall-normal variation of all three profiles can be decoupled, in excellent agreement with available data, sharing the common inner expansion of the type $\phi (y^+)=f_0(y^+)+f_1(y^+)/Re^{1/4}_\tau$, where $\phi$ is one of the quantities just mentioned, the functions $f_0$ and $f_1$ depend only on $y^+$, and $Re_\tau$ is the friction Reynolds number. Here, the superscript $+$ indicates normalization by wall variables. We show that this result is completely consistent with CS. Secondly, by matching the above inner expansion and the outer flow similarity form, a bounded variation $\phi (y^\ast )=\alpha _\phi -\beta _{\phi }y^{{\ast {1}/{4}}}$ is derived for the outer region where, for each $\phi$, the constants $\alpha _\phi$ and $\beta _{\phi }$ are independent of $Re_\tau$ and $y^\ast$$\equiv y^+/Re_\tau$ – also in excellent agreement with simulations and experimental data. One of the predictions of the analysis is that, for asymptotically high Reynolds numbers, a finite plateau $\phi \approx \alpha _\phi$ appears in the outer region. This result sheds light on the intriguing issue of the outer shoulder of the variance of the streamwise velocity fluctuation, which should be bounded by the asymptotic plateau of approximately 10.
A novel boundary integral approach for the recovery of overhanging (or not) rotational water waves (with constant vorticity) from pressure measurements at the bottom is presented. The method is based on the Cauchy integral formula and on an Eulerian–Lagrangian formalism to accommodate overturning free surfaces. This approach eliminates the need to introduce a priori a special basis of functions, thus providing a general means of fitting the pressure data and, consequently, recovering the free surface. The effectiveness and accuracy of the method are demonstrated through numerical examples.
We consider the evolution of a spatially periodic, perturbed vortex sheet for small times after the formation of a curvature singularity at time $t=t_c$ as demonstrated by Moore (Proc. R. Soc. Lond. A, vol. 365, issue 1720, 1979, pp. 105–119). The Moore analysis is extended to provide the small-amplitude, full-sheet structure at $t=t_c$ for a general single-mode initial condition in terms of polylogarithmic functions, from which its asymptotic form near the singular point is determined. This defines an intermediate evolution problem for which the leading-order, and most singular, approximation is solved as a Taylor-series expansion in $\tau = t-t_c$, where coefficients are calculated by repeated differentiation of the defining Birkhoff–Rott (BR) equation. The first few terms are in good agreement with numerical calculation based on the full-sheet solution. The series is summed, providing an analytic continuation which shows sheet rupture at circulation $\varGamma =0^+$, $\tau >0^+$, but with non-physical features owing to the absence of end-tip sheet roll up. This is corrected by constructing an inner solution with $\varGamma < \tau$, as a perturbed similarity form with small parameter $\tau ^{1/2}$. Numerical solutions of both the inner, nonlinear zeroth-order and first-order linear BR equations are obtained whose outer limits match the intermediate solution. The composite solution shows sheet tearing at $\tau =0^+$ into two separate, rolled up algebraic spirals near the central singular point. Branch separation distance scales as $\tau$ with a non-local, $\tau ^{3/2}$ correction. Properties of the intermediate and inner solutions are discussed.
The occurrence of behavioral health emergencies (BHEs) in children is increasing in the United States, with patient presentations to Emergency Medical Services (EMS) behaving similarly. However, detailed evaluations of EMS encounters for pediatric BHEs at the national level have not been reported.
Methods:
This was a secondary analysis of a national convenience sample of EMS electronic patient care records (ePCRs) collected from January 1, 2018 through December 31, 2021. Inclusion criteria were all EMS activations documented as 9-1-1 responses involving patients < 18 years of age with a primary or secondary provider impression of a BHE. Patient demographics, incident characteristics, and clinical variables including administration of sedation medications, use of physical restraint, and transport status were examined overall and by calendar year.
Results:
A total of 1,079,406 pediatric EMS encounters were present in the dataset, of which 102,014 (9.5%) had behavioral health provider impressions. Just over one-half of BHEs occurred in females (56.2%), and 68.1% occurred in patients aged 14-17 years. Telecommunicators managing the 9-1-1 calls for these events reported non-BHE patient complaints in 34.7%. Patients were transported by EMS 68.9% of the time, while treatment and/or transport by EMS was refused in 12.5%. Prehospital clinicians administered sedation medications in 1.9% of encounters and applied physical restraints in 1.7%. Naloxone was administered for overdose rescue in 1.5% of encounters.
Conclusion:
Approximately one in ten pediatric EMS encounters occurring in the United States involve a BHE, and the majority of pediatric BHEs attended by EMS result in transport of the child. Use of sedation medications and physical restraints by prehospital clinicians in these events is rare. National EMS data from a variety of sources should continue to be examined to monitor trends in EMS encounters for BHEs in children.
The application of integrative taxonomic approaches is useful to species delineation based on a combination of distinct types of characters, here morphological features and ribosomal DNA sequences. In this study, we surveyed ectoparasitic nematodes of the subfamily Merliniinae in cultivated and natural environments in Iran. Results of morphological and morphometrical studies, light and scanning electron microscopic observations, and molecular analyses allowed us the identification of fourteen known and one unknown species including representatives of the genera Amplimerlinius (five species), Geocenamus (one species), Merlinius (three species), Nagelus (two species), Paramerlinius (one species), Scutylenchus (two species), and Telomerlinius (one species). The unknown species, Scutylenchus sp., characterized by having 35–50 incisures at mid-body; lateral field with 6 longitudinal incisures; lip region slightly offset by a constriction, flattened at front end; bearing 5–7 annuli; cephalic framework not refractive; stylet robust, 18.3–27 μm long; post anal intestinal sac absent; tail elongate conical, dorsally convex, with 24 (19–28) annuli in ventral side, ending to a smooth terminus and males common; spicules 24.5–31 μm long. The phylogenetic analyses were carried out using molecular data from nuclear ribosomal DNA (rDNA) genes viz. D2–D3 expansion segments of the large ribosomal subunit (28S rRNA), partial small ribosomal subunit (18S rRNA), and internal transcribed spacer (ITS). The molecular variability of D2–D3 expansion segments of the 28S rRNA and partial 18S rRNA was low in this family in comparison to the ITS region, which could be a more helpful molecular marker in species and genus identification.
Coronary cameral fistula is a rare congenital anomaly and clinical presentation depends on the location of the defect, degree of shunting, and associated complications. We present a case of coronary cameral fistula where segmental analysis by echocardiogram helped us to avoid misdiagnosis as a ventricular septal defect.
This research work presents an implantable antenna that operates at 5.8 GHz. By using a radiator with a loop-based design, the antenna can be made smaller. Radiator is made up of three connected rectangular loops. On the substrate’s back side, an I-shaped ground plane is used. As substrate and superstrate, polydimethylsiloxane (PDMS) with dimensions of 7 mm × 5 mm × 0.3 mm is used. The conducting sections are made using copper foil that is 30 µm thick. The suggested antenna is examined by the implantable medical device using realistic human scalp phantom models and a homogenous skin box. Simulated study revealed that it operates around 5.8 GHz with a bandwidth from 5.69 to 5.92 GHz. The specific absorption rate was 0.28 and 0.26 W/kg for skin box and human scalp phantoms, respectively, at 1 mW input power across 1 g volume tissue.
In recent years, Western governments have invoked the values of universal human rights to justify large-scale military operations. Critical theorists have often responded that these campaigns serve not to promote peace, stability, or prosperity, but to entrench Western economic and political power, often in ways that have been devastating for local populations. However, Russia’s 2022 invasion of Ukraine casts doubt on whether assumptions about Western dominance will continue to furnish adequate accounts of global armed conflict. Critical theorists base many of their views on what is sometimes called ‘memory politics’, meaning that they cite histories of Western militarism, colonialism, racism and economic exploitation as backdrops to current policies. In this article it is argued that they will only be able to explain a conflict like the Ukraine war with credibility by incorporating into their memory politics the left’s own histories of supporting autocratic regimes.
An ultra-wideband (UWB) and compact-size four-port multiple input multiple output (MIMO) antenna with a footprint of 34 mm × 34 mm fed by an asymmetric coplanar strip (ACS) is investigated. The proposed antenna is composed of four orthogonally placed identical modified elliptical-shaped radiators and achieves an impedance bandwidth of 3.4–12.2 GHz. By etching two inverted L-shaped slots in the radiator element, WLAN band and X-band are rejected in the operating communication range. Because of the usage of a meander line decoupler, the isolation enhancement at the 8–12 GHz band is achieved and the isolation is more than 18 dB for most of the UWB range. The performance of the proposed antenna is studied in terms of isolation between each port, radiation pattern, current distribution, gain, envelope correlation coefficient, diversity gain, and total active reflection coefficient. The compact size and reduced complexity make the proposed design highly suitable for portable devices.
The aim of this review is to provide an overview of dietary interventions delivered during pregnancy for the prevention of gestational diabetes mellitus (GDM). GDM increases the risk of adverse pregnancy and neonatal outcomes, and also increases future cardiometabolic risks for both the mother and the offspring. Carrying or gaining excessive weight during pregnancy increases the risk of developing GDM, and several clinical trials in women with overweight or obesity have tested whether interventions aimed at limiting gestational weight gain (GWG) could help prevent GDM. Most dietary interventions have provided general healthy eating guidelines, while some had a specific focus, such as low glycaemic index, increased fibre intake, reducing saturated fat or a Mediterranean-style diet. Although trials have generally been successful in attenuating GWG, the majority have been unable to reduce GDM risk, which suggests that limiting GWG may not be sufficient in itself to prevent GDM. The trials which have shown effectiveness in GDM prevention have included intensive face-to-face dietetic support, and/or provision of key foods to participants, but it is unclear whether these strategies could be delivered in routine practice. The mechanism behind the effectiveness of some interventions over others remains unclear. Dietary modifications from early stages of pregnancy seem to be key, but the optimum dietary composition is unknown. Future research should focus on designing acceptable and scalable dietary interventions to be tested early in pregnancy in women at risk of GDM.
A newly discovered Spanish description of Kongo increases our knowledge of the country, joining Filippo Pigafetta’s famous account to expand our knowledge of Kongo in this early period. This research shows that the MS was written in 1587 or 1588 and was written by Carmelite Diego de la Encarnación. It adds details on the history of the country, daily life culture, and links to other Carmelite works, including an unpublished chapter of an account by Diego de Santissimo Santo and shows the author could have written a longer but well-known account in the Vatican Library. It includes extensive quotations from the new text.
Neurocognitive impairment and quality of life are two important long-term challenges for patients with complex CHD. The impact of re-interventions during adolescence and young adulthood on neurocognition and quality of life is not well understood.
Methods:
In this prospective longitudinal multi-institutional study, patients 13–30 years old with severe CHD referred for surgical or transcatheter pulmonary valve replacement were enrolled. Clinical characteristics were collected, and executive function and quality of life were assessed prior to the planned pulmonary re-intervention. These results were compared to normative data and were compared between treatment strategies.
Results:
Among 68 patients enrolled from 2016 to 2020, a nearly equal proportion were referred for surgical and transcatheter pulmonary valve replacement (53% versus 47%). Tetralogy of Fallot was the most common diagnosis (59%) and pulmonary re-intervention indications included stenosis (25%), insufficiency (40%), and mixed disease (35%). There were no substantial differences between patients referred for surgical and transcatheter therapy. Executive functioning deficits were evident in 19–31% of patients and quality of life was universally lower compared to normative sample data. However, measures of executive function and quality of life did not differ between the surgical and transcatheter patients.
Conclusion:
In this patient group, impairments in neurocognitive function and quality of life are common and can be significant. Given similar baseline characteristics, comparing changes in neurocognitive outcomes and quality of life after surgical versus transcatheter pulmonary valve replacement will offer unique insights into how treatment approaches impact these important long-term patient outcomes.
Exploratory tympanotomy in cases of traumatic ossicular disruption with intact tympanic membrane is crucial for both diagnostic and therapeutic purposes. Performing this procedure using the endoscope is gaining popularity. Hence, this study aimed to demonstrate varieties of ossicular pathology and their management in our institution.
Methods
A retrospective evaluation was conducted of 136 ears in patients with traumatic ossicular disruption with an intact tympanic membrane, who underwent endoscopic exploratory tympanotomy. A proposed algorithm was followed, to incorporate different traumatic ossicular possibilities. Assessment of hearing outcomes and surgical complications was performed six months post-operatively.
Results
Incudostapedial dislocation was the most commonly encountered type of traumatic ossicular disruption (35.3 per cent). Air conduction threshold improved significantly following endoscopic ossiculoplasty, from 50.9 ± 6.35 dB pre-operatively to 22.35 ± 3.27 dB post-operatively, with successful air–bone gap closure.
Conclusion
Endoscopic ear surgery is effective in the diagnosis and management of challenging cases of post-traumatic ossicular disruption with an intact tympanic membrane.
In light of ongoing debates about income targeting in the welfare state, this article explores how the design and outcomes of income targeting policies are related to popular targeting preferences. Based on the unique combination of fine-grained opinion and policy indicators in a multilevel analysis, the results show that targeting preferences are indeed empirically related to targeting policies. However, whether these preferences are affected more by the de jure targeting design or the de facto targeting outcome seems to vary between two very different policy domains. In the case of unemployment benefits, the results suggest positive policy feedback: support for high-income targeting increases when unemployment benefits are designed to benefit those with previously higher incomes. For income taxation, by contrast, the results suggest negative policy feedback. In that case, it is not so much the de jure design but rather the de facto outcome that matters: the more taxes effectively work to the advantage of higher-income earners, the less support there is for a tax that levies the same amount on everyone, regardless of income.