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The gender and politics literature offers diverse views on the causes of gendered practices and the best methodologies for studying them. This article advances efforts to take stock of and systematize this diversity by grounding the feminist institutionalist perspective in critical realism. The article posits that gendered institutions are real entities with independent powers, while also emphasizing the crucial role that human ideas play in upholding and contesting gendered practices. To faithfully capture gendered institutions and their relationship with human agency, the article promotes the use of the abductive-retroductive research design. This approach allows feminist institutionalist scholars to construct and test multiple competing theories about gendered institutions, drawing from various empirical manifestations of institutional power. These expressions range from observable actions to codified rules, socially shared norms, and other subtle discourses. By shedding light on the principles at the heart of realist-oriented feminist research, this work paves the way for a more standardized and transparent approach to feminist inquiries.
We propose a methodology for normative evaluation when preferences are context-dependent. We offer a precise definition of context-dependence and formulate a normative criterion of self-determination, according to which one situation is better than another if individuals are aware of more potential contexts of a choice problem. We provide two interpretations of our normative approach: an extension of Sugden’s opportunity criterion and an application of Sen’s positional views in his theory of justice. Our proposition is consistent with Muldoon’s and Gaus’ approaches of public reason in social contract theory, which account for the diversity of perspectives in non-ideal worlds.
We derive reduced models for extrusion problems where it is necessary to account for fluid compressibility. We consider the two-dimensional extensional flow of a compressible viscous fluid and discuss two specific applications: weakly compressible fluids and bubbly liquid–gas mixtures that behave as a single compressible fluid. The mathematical model we present consists of equations for conservation of mass, conservation of momentum and a closure relationship between the pressure and density. The most substantial differences between compressible extrusion problems is in the closure relationship. By integrating the conservation equations across the fluid cross-section and exploiting a slender aspect ratio, we derive reduced equations for conservation of mass and conservation of momentum in the direction of flow. The reduced system of equations relating cross-sectionally averaged quantities is closed by a relationship between the averaged pressure and density, which will differ substantially depending on the application. We demonstrate the utility of a reduced model for both the weakly compressible fluid and bubbly mixture applications; namely, in providing valuable quantitative insights without needing to solve a complicated free-boundary problem.
SARS-CoV-2 is a novel coronavirus that has rarely been associated with chylothorax. Patients with Noonan syndrome are at risk for developing chylothorax, especially after cardiothoracic interventions. We present the case of SARS-CoV-2 infection triggering the underlying tendency of a patient with Noonan syndrome to develop chylothorax who did not develop it even after prior cardiothoracic interventions. Patient presented in respiratory distress without hypoxia and was found, on imaging, to have a large right-sided pleural effusion, which was eventually classified as chylothorax. The patient was then started on a low-fat diet. Chest tube drainage substantially reduced the effusion in size, and it remained stable. Our report highlights that SARS-CoV-2 infection can cause the development of a chylothorax or a chylous effusion in patients with Noonan syndrome or among populations with a similar predisposition. A high index of suspicion in vulnerable patients or those not responding to traditional therapy should exist with providers, thus leading to the testing of the fluid to confirm the diagnosis.
We apply an intersectional framework to explore how connections to marginalized communities interact with candidate demographics to shape vote choice in U.S. politics. In an original experiment manipulating candidates’ race, gender, sexuality, and endorsements, we show that endorsements by organizations advocating for marginalized communities shape voter evaluations to the same, if not greater, degree as candidate demographics. Moreover, the effects are particularly pronounced for candidates receiving an endorsement from an LGBT advocacy organization. Attitudes toward marginalized communities are mapped onto candidates with ties to those communities, whether the candidate is a member or not; we call this process associational affect. Identity has a complex role in shaping vote choice, and, absent an investigation of power and interlocking social hierarchies, it alone is insufficient to explain vote choice.
The Royal College of Psychiatry journals have an outstanding reputation for excellence, integrity and impact in psychiatry. Facilitated by Cambridge University Press, which is equally steeped in tradition, the family of College journals remains committed to enriching our understanding of mental science and exploring the clinical issues that matter.
We show that certain sums of partition numbers are divisible by multiples of 2 and 3. For example, if $p(n)$ denotes the number of unrestricted partitions of a positive integer n (and $p(0)=1$, $p(n)=0$ for $n<0$), then for all nonnegative integers m,
The intricate water-land intermingled nature of wild environments necessitates robots to exhibit multimodal cross-domain mobility capabilities. This paper introduces a novel wheel-spoke-paddle hybrid amphibious robot (WSP-bot) that can operate on flat and rough terrains, water surfaces, and water-land transitional zones. The proposed robot relies on a propulsion mechanism called transformable wheel-spoke-paddle (WSP), which combines the stability of wheeled robots with the obstacle-climbing capability of legged robots, while also providing additional aquatic mobility. The utilization of a crank-slider-based transformation mechanism enables seamless switching between multiple motion modes. An analysis of mode transition and ground motion in spoke mode was conducted, along with an investigation of its obstacle-crossing capability. Simulations were performed for mode transition, ground locomotion, and obstacle-crossing, as well as propulsion of a single WSP module on water. Based on the above work, a prototype robot was manufactured. Prototype tests, including mode transition and mobility tests on land and water surfaces under multimodal states, confirmed the effectiveness of the proposed WSP-bot.
To evaluate the acceptability and safety of educational videos utilising visual storytelling to provide information about the cardiac ICU and post-operative care to parents. Videos were designed to educate, further encourage parents to engage in their child’s cardiac care, and address common sources of distress.
Study Design:
Two educational videos and survey were sent to 29 families of children previously admitted to the cardiac ICU (April 2020–March 2021). Views regarding information quality, quantity, format, and relevance were assessed, as were parents’ emotional responses. Quantitative thresholds for safety and acceptability were set a priori. An inductive approach to content analysis was applied to identify themes in qualitative data.
Results:
Sixteen parents participated (response rate: 55%). All acceptability and safety thresholds were met; 92% of parents rated the videos as helpful and 85% were “very” or “extremely likely” to recommend them to other families of children with CHD. No participants reported significant distress after viewing the videos. Expressions of parental engagement with their child’s care team were common (92%). In qualitative responses, parents perceived the videos as potentially helpful in reducing distress if viewed prior to cardiac ICU admission.
Conclusion:
Visual storytelling to orient parents to the cardiac ICU and address common stressors was found to be safe and acceptable when tested with parents of children previously admitted to the cardiac ICU. Further prospective studies are needed to test intervention effects when videos are viewed before or during cardiac ICU admission, especially for mitigating anxiety and traumatic stress associated with admission.
Pain management is essential in the immediate post-surgical period. We sought to describe the ketorolac dose regimen in neonates and infants following cardiac surgery. Secondary outcomes included renal dysfunction, bleeding, and pain management.
Methods:
We performed a single-centre retrospective cohort study of neonates and infants (aged < 12 months) who received ketorolac following cardiac surgery, from November 2020 through November 2021 (inclusive). Ketorolac was administered at 0.5 mg/kg every 6 hours. Safety was defined by absence of a clinically significant decline in renal function (i.e., increase in serum creatinine [SCr] by ≥ 0.3 mg/dL from baseline within 48 hours and/or urine output ≤ 0.5 mL/kg/hour for 6 hours) and absence of clinically significant bleeding defined as major by International Society on Thrombosis and Hemostasis paediatric criteria or Severe/Fatal Bleeding Events by Nellis et al. Efficacy measures included pain scores and opioid utilisation.
Results:
Fifty-five patients met eligibility criteria. The median (range) dose and duration of ketorolac administration was 0.5 mg/kg/dose for 48 (6–90) hours. Among all patients, there was not a statistically significant difference observed in median SCr within 48 hours of baseline (p > .9). There were no major or severe bleeding events. The median (range) opioid requirements (morphine intravenous equivalents per kg per day) at 48 hours post-ketorolac initiation was 0.1 (0–0.8) mg/kg/day.
Conclusions:
If validated prospectively, these findings suggest that a ketorolac regimen 0.5 mg/kg/dose every 6 hours in neonates and infants post-cardiac surgery may be safe with regard to renal function and bleeding risk, and effective regarding opioid-sparing capacity.
The spectral behaviour of random sawtooth waves propagating in the inner surf zone is investigated in this study. We show that the elevation energy spectrum exhibits a universal shape with an $\omega ^{-2}$ tendency in the inertial subrange and an exponential decay in the diffusive subrange ($\omega$ being the angular frequency). A theoretical spectrum is derived based on the similarities between sawtooth waves in the inner surf zone and Burgers wave solutions. Very good agreement is shown between this theoretical spectrum and laboratory experiments covering a large range of incident random wave conditions. Additionally, an equation describing the universal shape of the dissipation spectrum is derived. It highlights that the dissipation spectrum is nearly constant in the inertial subrange, consistent with prior laboratory observations. The findings presented in this study can be useful to improve broken wave dissipation parametrizations in stochastic spectral wave models.