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This study aims to evaluate disaster preparedness of undergraduate nursing students.
Methods:
This descriptive cross-sectional study included 302 voluntary nursing students from a university in Northern Cyprus. Data were collected through an online survey using Google Forms, which included a descriptive information form and the General Disaster Preparedness Belief Scale (GDPBS).
Results:
The mean age of the participants was 20.64 ± 2.02 years. Among the participants, 41.7% had prior experience with disasters, and 77.2% expressed a need for disaster education. The average GDPBS total score was high, and the mean score of the sub-dimensions was moderate. Nursing students who expressed a need for disaster education had higher scores on the severity and self-efficacy subscales of the GDPBS (p<0.05).
Conclusion:
The level of disease preparedness was moderate in nursing students in Northern Cyprus. Therefore, education based on the health belief model, which assumes that positive health behaviors are affected by knowledge and attitudes, may be useful to improve disaster preparedness in nursing students.
We study spaces of continuous functions and sections with domain a paracompact Hausdorff k-space $X$ and range a nilpotent CW complex $Y$, with emphasis on localization at a set of primes. For $\mathop {\rm map}\nolimits _\phi (X,\,Y)$, the space of maps with prescribed restriction $\phi$ on a suitable subspace $A\subset X$, we construct a natural spectral sequence of groups that converges to $\pi _*(\mathop {\rm map}\nolimits _\phi (X,\,Y))$ and allows for detection of localization on the level of $E^2$. Our applications extend and unify the previously known results.
The measurement of process variables derived from cognitive behavioural theory can aid treatment development and support the clinician in following treatment progress. Self-report process measures are ideally brief, which reduces the burden on patients and facilitates the implementation of repeated measurements.
Aims:
To develop 13 brief versions (3–6 items) of existing cognitive behavioural process scales for three common mental disorders: major depression, panic disorder, and social anxiety disorder.
Method:
Using data from a real-world teaching clinic offering internet-delivered cognitive behavior therapy (n=370), we drafted brief process scales and then validated these scales in later cohorts (n=293).
Results:
In the validation data, change in the brief process scales significantly mediated change in the corresponding domain outcomes, with standardized coefficient point estimates in the range of –0.53 to –0.21. Correlations with the original process scales were substantial (r=.83–.96), internal consistency was mostly adequate (α=0.65–0.86), and change scores were moderate to large (|d|=0.51–1.18). For depression, the brief Behavioral Activation for Depression Scale-Activation subscale was especially promising. For panic disorder, the brief Agoraphobic Cognitions Questionnaire-Physical Consequences subscale was especially promising. For social anxiety disorder, the Social Cognitions Questionnaire, the Social Probability and Cost Questionnaire, and the Social Behavior Questionnaire-Avoidance and Impression Management subscales were all promising.
Conclusions:
Several brief process scales showed promise as measures of treatment processes in cognitive behaviour therapy. There is a need for replication and further evaluation using experimental designs, in other clinical settings, and preferably in larger samples.
A dense Ecklonia radiata (Laminariales) kelp forest extending at least 35 km has been found between 45 and 60 m depth range within the mesophotic zone inside the iSimangaliso marine-protected area (MPA) at the iSimangaliso Wetland park World Heritage Site on the east coast of South Africa. This is the first visual confirmation of the occurrence of E. radiata beds in subtropical South Africa, in an area situated between the tropical and subtropical bioregions, in an area that spans the Natal and Delagoa bioregions of the south-western Indian Ocean, more than 350 km north of its previously documented South African range. The kelp was found to be present across the length of the MPA, but dense beds were present only in the southern Natal bioregion, with sparse occurrences observed elsewhere on soft-coral and sponge-dominated reefs in the upper mesophotic zone. The footage was collected in November 2020, May 2021 and November 2022 during remotely operated vehicle and drop camera surveys of the mesophotic zone inside the MPA. This discovery adds to the body of knowledge on the global distribution of Laminariales populations in deep tropical and subtropical settings and the diversity of habitats within South Africa's largest coastal MPA.
“Building Blocs” charts a global history of the last great crisis of globalization—the transwar decades from the 1880s through the 1940s—by centering strategic minerals needed to make steel. Little studied, but critically important, alloying minerals like tungsten and manganese were only needed in small amounts, but they were essential to the foundations of both national prosperity and security: steel and military production. Herein lay a fundamental problem: none of the industrial powers possessed adequate domestic deposits of these minerals, which were concentrated in remote locations such as central India, the Caucasus, southern China, Brazilian jungles, the Australian outback, and southern Africa. In a world in which steel was power, “Building Blocs” shows that resource anxieties motivated interwar quests for autarky and autonomy in the form of self-contained blocs. The scramble for strategic minerals escalated tensions and put rivals on the road to war, reshaping the forms and structures of geopolitical entities and international institutions throughout the transwar period.
The coronavirus disease 2019 (COVID-19) pandemic has provided a great lesson for the globe about the necessity and significance of pandemics-related preparedness in all settings. Public health emergency operation centers play critical roles in preparing for and responding to public health events and emergencies by coordinating and pooling resources. In this article, we aimed to share lessons learnt from the public health response to the louse-borne relapsing fever (LBRF) outbreak coordinated by the emergency operation center established to respond to the COVID-19 pandemic in Jimma, Ethiopia.
After the major waves of COVID-19 outbreaks in Ethiopia were over, Jimma University Medical Center (JUMC) reported clusters of louse-borne relapsing fever cases from Jimma Main Prison. Accordingly, Jimma Emergency Operation Center (JEOC) established for the COVID-19 pandemic was immediately alerted and effectively coordinated the overall response.
As a result, the outbreak was contained within the prison without spreading to the community and the outbreak ended within a shorter period compared to previous LBRF outbreaks in Ethiopia. This indicates the necessity of establishing and sustaining public health emergency operation centers to prepare for and combat potential future public health emergencies.
We investigate the groups of units of one-relator and special inverse monoids. These are inverse monoids which are defined by presentations, where all the defining relations are of the form $r=1$. We develop new approaches for finding presentations for the group of units of a special inverse monoid, and apply these methods to give conditions under which the group admits a presentation with the same number of defining relations as the monoid. In particular, our results give sufficient conditions for the group of units of a one-relator inverse monoid to be a one-relator group. When these conditions are satisfied, these results give inverse semigroup theoretic analogues of classical results of Adjan for one-relator monoids, and Makanin for special monoids. In contrast, we show that in general these classical results do not hold for one-relator and special inverse monoids. In particular, we show that there exists a one-relator special inverse monoid whose group of units is not a one-relator group (with respect to any generating set), and we show that there exists a finitely presented special inverse monoid whose group of units is not finitely presented.
A growing literature focuses on the role of political partisanship in shaping attitudes and behaviors during the COVID-19 pandemic in the United States. We provide a different perspective, by developing a theory of how partisanship interacts with another important factor that shapes how people think and behave in the context of the pandemic—local norms. Using a combination of survey data and a survey experiment, we demonstrate the importance of norms in shaping both support for social distancing and reported social-distancing behavior, particularly amongst independents and Republicans. We then confirm that perceptions of norms are indeed tied to what is actually happening around people—that their partisanship does not blind them to reality. Our analysis is the first to examine how partisanship and norms interact with each other and helps to explain why partisan differences matter more in some places than in others.
Let $K={\mathbb {Q}}(\theta )$ be an algebraic number field with $\theta $ satisfying a monic irreducible polynomial $f(x)$ of degree n over ${\mathbb {Q}}.$ The polynomial $f(x)$ is said to be monogenic if $\{1,\theta ,\ldots ,\theta ^{n-1}\}$ is an integral basis of K. Deciding whether or not a monic irreducible polynomial is monogenic is an important problem in algebraic number theory. In an attempt to answer this problem for a certain family of polynomials, Jones [‘A brief note on some infinite families of monogenic polynomials’, Bull. Aust. Math. Soc.100 (2019), 239–244] conjectured that if $n\ge 3$, $1\le m\le n-1$, $\gcd (n,mB)=1$ and A is a prime number, then the polynomial $x^n+A (Bx+1)^m\in {\mathbb {Z}}[x]$ is monogenic if and only if $n^n+(-1)^{n+m}B^n(n-m)^{n-m}m^mA$ is square-free. We prove that this conjecture is true.
To search for any morphological variation contributing to aetiopathogenesis and the diagnosis of benign paroxysmal positional vertigo, we measured the sizes of the semicircular canals in patients with and without benign paroxysmal positional vertigo using multidetector computed tomography.
Methods
Cranial bone computed tomography images of 30 benign paroxysmal positional vertigo patients and 30 control patients were acquired with a 128-slice computed tomography scanner and a transverse plane with a thickness of 0.67 mm. The inner diameter, height and width of the canals were measured.
Results
The width of the anterior semicircular canals, and the width and height of the posterior semicircular canals of the affected ears in benign paroxysmal positional vertigo patients (n = 30) were significantly greater than in the control patients (n = 90; p = 0.001, p = 0.023, p = 0.003, respectively).
Conclusion
In benign paroxysmal positional vertigo patients, the posterior and anterior semicircular canals are longer than those in people without benign paroxysmal positional vertigo. These morphological changes may contribute to elucidating the aetiopathogenesis and be used as a radiological sign for diagnosis of benign paroxysmal positional vertigo disease.
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.