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This work was carried out to determine the causes of violence against Prehospital Emergency Medical Services Personnel (PHEMSP) who performed their duties without any special security measures during the COVID-19 pandemic, and who were subjected to violence because of their work.
Method:
The approach of this research is in accordance with case study design, which is concerned with the examination of unique cases. For this study, a volunteer announcement was made on social media for PHEMSPs from 3 different branches (Emergency Medical Technicians or EMTs, paramedics, and doctors) who had been actively working in ambulances during the transportation of COVID-19 patients throughout the pandemic, and who had declared that they were subjected to verbal abuse or physical violence. The data was collected through structured interviews from 60 voluntary participants.
Results:
As a result of the analysis of the data, 3 main themes were revealed as the source of violence that PHEMSPs had been exposed to during the pandemic. They are the following: (1) violence caused by the nature of the disease, (2) violence caused by society, and (3) violence caused by working areas and systems. The reasons which created these themes, were accepted as codes. The codes that arose due to the theme of (1) violence caused by the nature of the disease were ‘the fear of contagion,’ ‘the requirement for disinfection,’ and ‘triage problems,’ which caused both verbal abuse and physical violence. In addition to these codes, the code of ‘stigma’ due to protective equipment was found only to elicit verbal abuse. The codes for the theme (2) ‘violence caused by society,’ were determined as societal perceptions regarding high wages, attempts to misuse health services, and distrust. All 3 of these codes were found to evoke both verbal abuse and physical violence. The codes for the theme (3) ‘violence caused by working areas and systems,’ included team mismatch in PHEMSPs, resignation ban, and long working hours, as well as mismatch between in-hospital HCWs and PHEMSPs, mobbing, feeling unsupported, and gender disadvantage. It has been revealed among these codes that only the team mismatch in PHEMSPs caused both verbal abuse and physical violence, while all the others only lead to verbal abuse.
Conclusion:
If a 0 tolerance for ‘violence in the healthcare system’ is to be targeted, it should start in the pre-hospital phase and with all PHEMSPs, since this is the 0 point where the healthcare system, and patients first meet. Additionally, this group should be considered a vulnerable group for workplace violence (WPV), especially due to the COVID-19 pandemic.
Record-sized specimens of the ornate eagle ray Aetomylaeus vespertilio and mangrove whipray Urogymnus granulatus were caught by single-day trawlers off Pamban Island in the Gulf of Mannar, Tamil Nadu, India during 2021 and 2022. All were landed at the Pamban Therkuvadi Fish Landing Centre (FLC). The largest ornate eagle ray was 384 cm disc width (DW) and weighed 530 kg, setting a new global record for the species, as the previous maximum size was reported to be 300 cm DW. This specimen was landed on 19 July 2021. Another large specimen of this species (360 cm DW and total weight of 453 kg) was caught and landed on 12 August 2022. The landed mangrove whipray was 153 cm DW and 150 kg total weight, larger than the previously reported maximum size of 141 cm DW. The morphometrics, stomach contents and reproductive state were studied. One of the eagle rays was a pregnant female with three full-term embryos in the uterus, while the whipray was a spent female. The main prey species in the stomach of eagle ray was big-eye scad Selar crumenophthalmus. The mangrove whipray had fed on a range of fish (pigface bream, goatfish, silverbellies, silverbiddies and lesser sardine) and octopus.
We give an adequate, concrete, categorical-based model for Lambda-${\mathcal S}$, which is a typed version of a linear-algebraic lambda calculus, extended with measurements. Lambda-${\mathcal S}$ is an extension to first-order lambda calculus unifying two approaches of non-cloning in quantum lambda-calculi: to forbid duplication of variables and to consider all lambda-terms as algebraic linear functions. The type system of Lambda-${\mathcal S}$ has a superposition constructor S such that a type A is considered as the base of a vector space, while SA is its span. Our model considers S as the composition of two functors in an adjunction relation between the category of sets and the category of vector spaces over $\mathbb C$. The right adjoint is a forgetful functor U, which is hidden in the language, and plays a central role in the computational reasoning.
This essay examines the intellectual history of the idea of judicial restraint, starting with the early debates among the US Constitution’s founding generation. In the late nineteenth century, law professor James Bradley Thayer championed the concept and passed it on to his students and others, including Oliver Wendell Holmes Jr., Learned Hand, Louis Brandeis, and Felix Frankfurter, who modified and applied it based on the jurisprudential preoccupations of a different era. In a masterful account, Brad Snyder examines Justice Frankfurter’s attempt to put the idea into practice. Although Frankfurter arguably made a mess of it, he passed the idea of judicial restraint on to Alexander Bickel and others. Today it remains a topic of much academic debate, while Supreme Court Justices occasionally give the idea lip service when it advances outcomes they desire.
I propose that the intellectual history of judicial restraint reflects the all-too-human inability to refrain from exercising power. The founders, focused on the need to mitigate the flaws of human nature in designing the executive and legislative branches, failed to sufficiently foresee how the same flaws would affect members of the judiciary. The failed idea of judicial restraint stands as the legacy of the founders’ mistake.
The Richtmyer–Meshkov instability (Richtmyer, Commun. Pure Appl. Maths, vol. 13, issue 2, 1960, pp. 297–319; Meshkov, Fluid Dyn., vol. 4, issue 5, 1972, pp. 101–104) of a twice-shocked gas interface is studied using both high spatial resolution single-shot (SS) and lower spatial resolution, time-resolved, high-speed (HS) simultaneous planar laser-induced fluorescence and particle image velocimetry in the Wisconsin Shock Tube Laboratory's vertical shock tube. The initial condition (IC) is a shear layer with broadband diffuse perturbations at the interface between a helium–acetone mixture and argon. This IC is accelerated by a shock of nominal strength Mach number $M = 1.75$, and then accelerated again by the transmitted shock that reflects off the end wall of the tube. An ensemble of experiments is analysed after reshock while the interface mixing width grows linearly with time. The kinetic and scalar energy spectra and the terms of their evolution equation are calculated and compared between SS and HS experiments. The inertial range scaling of the scalar power spectrum is found to follow Gibson's relation (Gibson, Phys. Fluids, vol. 11, issue 11, 1968, pp. 2316–2327) as a function of Schmidt number when the effective turbulent Schmidt number is used in place of the material Schmidt number that controls equilibrium scaling. Further, the spatially integrated scalar flux follows similar behaviour observed for the kinetic energy in large eddy simulation studies by Zeng et al. (Phys. Fluids, vol. 30, issue 6, 2018, 064106) while the spatially varying scalar flux exhibits back scatter along the centre of the mixing layer and forward energy transfer in the spike and bubble regions.
Supersonic flow over a hollow cylinder/flare with a free-stream Mach number of 2.25 is numerically investigated in this study. Axisymmetric computational fluid dynamics simulations and global stability analysis (GSA) are performed for a wide range of cylinder radii and flare deflection angles. The onset of incipient and secondary separation is delayed as the cylinder radius is decreased due to the axisymmetric effects. The GSA reveals that a decrease in cylinder radius also postpones the emergence of global instability. The GSA results agree well with the results of direct numerical simulations for a supercritical case in the linear stage. The saturated flow exhibits pairs of unsteady streamwise streaks downstream of reattachment. The criterion of the global stability boundary established for supersonic flow over a compression corner (Hao et al., J. Fluid Mech, vol. 919, 2021, A4) is extended to its axisymmetric counterpart.
Single-ended and balanced 90–120 GHz microstrip power amplifier MMICs have been designed for cost-sensitive 5G and 6G backhaul in a commercial 6-inch, 0.1-µm GaAs process. At 108 GHz, measured output power is 20.4 and 22.5 dBm, respectively. At 120 GHz, measured output is 12.6 and 17.4 dBm, respectively. This is the highest reported for GaAs, among the highest reported to date for microstrip MMIC amplifiers at these frequencies and competitive with more expensive InP and GaN processes. Measurement is compared with simulation.
This review aims to critically evaluate the efficacy of long-chain ո-3 PUFA ingestion in modulating muscle protein synthesis (MPS), with application to maintaining skeletal muscle mass, strength and function into later life. Ageing is associated with a gradual decline in muscle mass, specifically atrophy of type II fibres, that is exacerbated by periods of (in)voluntary muscle disuse. At the metabolic level, in otherwise healthy older adults, muscle atrophy is underpinned by anabolic resistance which describes the impaired MPS response to non-pharmacological anabolic stimuli, namely, physical activity/exercise and amino acid provision. Accumulating evidence implicates a mechanistic role for n-3 PUFA in upregulating MPS under stimulated conditions (post-prandial state or following exercise) via incorporation of EPA and DHA into the skeletal muscle phospholipid membrane. In some instances, these changes in MPS with chronic ո-3 PUFA ingestion have translated into clinically relevant improvements in muscle mass, strength and function; an observation evidently more prevalent in healthy older women than men. This apparent sexual dimorphism in the adaptive response of skeletal muscle metabolism to EPA and DHA ingestion may be related to a greater propensity for females to incorporate ո-3 PUFA into human tissue and/or the larger dose of ingested ո-3 PUFA when expressed relative to body mass or lean body mass. Future experimental studies are warranted to characterise the optimal dosing and duration of ո-3 PUFA ingestion to prescribe tailored recommendations regarding n-3 PUFA nutrition for healthy musculoskeletal ageing into later life.
For migrant workers who do not have access to other means of income, the platform economy offers a viable yet exploitative alternative to the conventional labour market. Migrant workers are used as a source of cheap labour by platforms – and yet, they are not disempowered. They are at the heart of a growing platform worker movement. Across different international contexts, migrants have played a key role in leading strikes and other forms of collective action. This article traces the struggles of migrant platform workers in Berlin and London to explore how working conditions, work experiences, and strategies for collective action are shaped at the intersection of multiple precarities along lines of employment and migration status. Combining data collected through research by the Fairwork project with participant observation and ethnography, the article argues that migrant workers are more than an exploitable resource: they are harbingers of change.
Turbulent open channel flows developing above submerged canopies made of slender cylinders mounted perpendicular to the channel bed are known to be largely governed by the solidity parameter $\lambda =dh/\Delta S^2$ ($d$ and $h$ being the diameter and height of the filament, and $\Delta S$ the average spacing between filaments). When the filaments are sufficiently slender, the ratio between the height of the stems and the spacing sets the hydrodynamic regime developing inside and outside the canopy. This ratio also establishes the conditions leading to the transition from a dense to a sparse canopy flow regime (Nepf, Annu. Rev. Fluid Mech., vol. 44, 2012, pp. 123–142). In a previous, companion numerical investigation, Monti et al. (J. Fluid Mech., vol. 891, 2020, A9) used large eddy simulation (LES) to study the influence of the canopy height on the onset of the different regimes without modifying the average spacing $\Delta S$ between the stems. In that LES study, we were looking at the complementary situation in which the height of the stems is constant while the filaments’ number density of the canopy is changed. It was found that for low values of $\lambda$ (i.e. sparse or moderately dense canopies: $\lambda \lessapprox 0.26$), the flows sharing the value of the solidity obtained by either varying $h$ or $\Delta S$ are very similar. Differently, for higher values of $\lambda$ (i.e. in denser canopies), the effects of $h$ and $\Delta S$ start to diverge although sharing the same nominal value of $\lambda$. In this paper, we analyse the different physical mechanisms that come into play for dense configurations obtained by varying either $\Delta S$ or $h$. In particular, we focus on the most relevant length scales and carry out a detailed analysis of the flows using a triple decomposition approach. We show that the inner region of dense canopy flows, characterised by tall stems, is dominated by wall-normal sweeps delivering high momentum in the wall vicinity. Here, the impenetrability condition of the bed redistributes the available momentum in the wall-parallel directions re-energising an otherwise stagnating flow. Differently, in densely packed canopies, the penetration of the outer jet and the momentum transfer from the external flow are limited by the decreasing value of the wall-parallel permeabilities leading to different behaviours, including a reduction of the total drag offered by the canopy.
Records of the Nubian Bustard Nubotis nuba range across the drier northern component of the Sahel zone in Africa from Mauritania through Mali, Niger, and Chad to Sudan. Reports of significant hunting pressure have caused it to be treated as IUCN “Near Threatened” for almost 40 years, but information relating to distribution and population trends remains scattered, anecdotal, and unevaluated. All accessible evidence bearing on its conservation is therefore assembled and reviewed here. The lack of records from Mauritania since 1984, Mali since 1974, and Sudan since 1988 suggests that populations there may now be very small and perhaps entirely extinguished. Records from Niger and Chad remain many, thanks largely to the assiduous reporting of observations on the West African Bird DataBase (WABDaB) by researchers involved in ungulate conservation. The national nature reserves of Aïr and Ténéré (RNNAT) and Termit and Tin-Toumma (RNNTT) in Niger and the Ouadi Rimé–Ouadi Achim Faunal Reserve (RFOROA) in Chad emerge as vital to the long-term survival of the Nubian Bustard, given the accumulating evidence in both countries of (1) widespread habitat degradation and conversion, as human populations and their livestock expand in numbers and range in the Sahel, and (2) intensifying persecution, as highly mobile and well-armed local poachers plus Gulf state hunters gain increasing vehicular access to the remotest regions, depleting all huntable wildlife (a Sahel-wide bird study, 2011–2019, encountered just 16 bustards of four species – none Nubian – in 487 observation days). Populations of Nubian Bustard must now be greatly fragmented and depleted, with many entirely lost, so targeted programmes to minimise disturbance, persecution, and damage to habitat in the three key reserves (including the exclusion of powerlines) are urgently needed. Ultimately however the survival of this and other endemic Sahelian species can only be secured via a huge programme of ecologically and economically sustainable management practices.
A key theme throughout Maimon’s works is a circularity he diagnoses at the heart of Kant’s response to Hume. The objective validity of Kant’s category of causality ultimately rests, Maimon argues, upon the logical status of the hypothetical judgement – on its inclusion among the forms of pure general logic. In turn, however, the inclusion of the hypothetical within pure general logic itself rests upon the objective validity of causal judgements. This article examines Maimon’s diagnosis and traces it back to a debate that has its origins in Wolff’s German Logic, concerning the relationship between categorical and hypothetical judgements.
To map Greek academic otolaryngologists, and assess gender, age and location-related differences in their rank and academic productivity.
Methods
A pre-established database of local and diaspora scientists was used, after adjustment and updating for otolaryngology. The following data were recorded: age, gender, academic rank, country of work, total citations and h-index of December 2022.
Results
A total of 276 Greek academic otolaryngologists were identified in the Scopus database. Of Greek otolaryngologists, 15.9 per cent are women. Of all academic otolaryngologists, 27.1 per cent have a university post, but only 4 per cent of them are women. There is an almost linear correlation between university post ranking and citations. Otolaryngologists based in Greece accounted for 3 out of the 10 most cited Greek otolaryngologists.
Conclusion
There are significant age, gender and location-related differences in academic output. The representation of women and the full use of their potential in medicine require proactive measures, to lift the burdens limiting their participation.
A data-driven turbulence model for coarse-grained numerical simulations of two-dimensional Rayleigh–Bénard convection is proposed. The model starts from high-fidelity data and is based on adjusting the Fourier coefficients of the numerical solution, with the aim of accurately reproducing the kinetic energy spectra as seen in the high-fidelity reference findings. No assumptions about the underlying partial differential equation or numerical discretization are used in the formulation of the model. We also develop a constraint on the heat flux to guarantee accurate Nusselt number estimates on coarse computational grids and high Rayleigh numbers. Model performance is assessed in coarse numerical simulations at $Ra=10^{10}$. We focus on key features including kinetic energy spectra, wall-normal flow statistics and global flow statistics. The method of data-driven modelling of flow dynamics is found to reproduce the reference kinetic energy spectra well across all scales and yields good results for flow statistics and average heat transfer, leading to computationally cheap surrogate models. Large-scale forcing extracted from the high-fidelity simulation leads to accurate Nusselt number predictions across two decades of Rayleigh numbers, centred around the targeted reference at $Ra=10^{10}$.
To investigate epidermal growth factor, transforming growth factor-α and interleukin-8 production in nasal mucosa irrigated with hypertonic 2.3 per cent solution with algae extracts, in comparison to 0.9 per cent NaCl during the first two weeks after surgery for nasal polyposis, in relation to symptoms and local findings.
Methods
This prospective study included 20 nasal polyposis patients postoperatively irrigated with hypertonic solution and 20 nasal polyposis patients postoperatively irrigated with isotonic solution. We evaluated nasal symptom score, endoscopic score and mediator levels in nasal secretions before and after irrigation.
Results
Following treatment, nasal symptom score and endoscopic score were significantly lower in the hypertonic solution group (p = 0.023; p < 0.001, respectively). The increase in the epidermal growth factor and the decrease in the transforming growth factor-α and interleukin-8 concentration were higher in the hypertonic group (p < 0.001 for all mediators).
Conclusion
Irrigation with a hypertonic solution was found to be more effective than an isotonic solution in nasal mucosa reparation.
This work investigates the effect of surface roughness on cylinder flows in the postcritical regime and reexamines whether the roughness Reynolds number ($Re_{k_s}$) primarily governs the aerodynamic behaviour. It has been motivated by limitations of many previous investigations, containing occasionally contradictory findings. In particular, many past studies were conducted with relatively high blockage ratios and low cylinder aspect ratios. Both of these factors appear to have non-negligible effects on flow behaviour, and particularly fluctuating quantities such as the standard deviation of the lift coefficient. This study employs a 5 % blockage ratio and a span-to-diameter ratio of 10. Cylinders of different relative surface roughness ratios ($k_s/D$), ranging from $1.1\times 10^{-3}$ to $3\times 10^{-3}$, were investigated at Reynolds numbers up to $6.8 \times 10^5$ and $Re_{k_s}$ up to 2200. It is found that the base pressure coefficient, drag coefficient, Strouhal number, spanwise correlation length of lift and the standard deviation of the lift coefficient are well described by $Re_{k_s}$ in postcritical flows. However, roughness does have an effect on the minimum surface pressure coefficient (near separation) that does not collapse with $Re_{k_s}$. The universal Strouhal number proposed by Bearman (Annu. Rev. Fluid Mech., vol. 16, 1984, pp. 195–222) appears to be nearly constant over the range of $Re_{k_s}$ studied, spanning the subcritical through postcritical regimes. Frequencies in the separating shear layers are found to be an order of magnitude lower than the power law predictions for separating shear layers of smooth cylinders.