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China’s role in the Arctic regime remains a debatable topic in the expert discourse on the High North. Currently, in view of the aggravated conflicts in other regions that include Russia as the largest Arctic state, and China as its strategic partner, the Arctic regimes are experiencing salient disturbances. Against this backdrop, an understanding of China’s opportunities to affect Arctic affairs is urgently needed. We address this issue by combining political and legal analyses. We used the regime theory approach to outline the Arctic regime complex (ARC), and through this lens, we discuss the recent changes that are being observed. Based on this, we determine China’s actual potential for making amendments to the ARC. We conclude that China has no capacity to make a crucial shift in the ARC, but it is still able to alter particular rules, like those related to Arctic Ocean management and scientific cooperation. The further efficient operation of the Arctic Council will play a decisive role in envisaging China’s behaviour in the region.
Let $f\colon M^{2n}\to \mathbb {R}^{2n+p}$, $2\leq p\leq n-1$, be an isometric immersion of a Kaehler manifold into Euclidean space. Yan and Zheng (2013, Michigan Mathematical Journal 62, 421–441) conjectured that if the codimension is $p\leq 11$, then, along any connected component of an open dense subset of $M^{2n}$, the submanifold is as follows: it is either foliated by holomorphic submanifolds of dimension at least $2n-2p$ with tangent spaces in the kernel of the second fundamental form whose images are open subsets of affine vector subspaces, or it is embedded holomorphically in a Kaehler submanifold of $\mathbb {R}^{2n+p}$ of larger dimension than $2n$. This bold conjecture was proved by Dajczer and Gromoll just for codimension 3 and then by Yan and Zheng for codimension 4. In this paper, we prove that the second fundamental form of the submanifold behaves pointwise as expected in case that the conjecture is true. This result is a first fundamental step for a possible classification of the nonholomorphic Kaehler submanifolds lying with low codimension in Euclidean space. A counterexample shows that our proof does not work for higher codimension, indicating that proposing $p=11$ in the conjecture as the largest codimension is appropriate.
The relationships that care home staff have with their co-workers are a key influence on the way they feel about their work and how they perform in their roles. This has a direct influence on quality of care and life as experienced by residents. However, care home providers face a challenge to promote co-worker relationships because: (a) the care home workforce often lack human resource oversight; (b) registered managers (and nurses), who often lack leadership training, are tasked with managing the working relationships of staff, the majority of whom are care workers of different ages, ethnicity and cultural beliefs; and (c) most (care workers) do not have any formal qualifications and are not routinely provided with the communication skills to facilitate collaborative working in dynamic and pressured climates. In this forum article, we consider these challenges and their implications for collaborative co-worker relationships, before highlighting opportunities for research, policy and practice. An important starting point is to focus on developing the leadership skills of staff at all levels and provide care workers with the skills they require to manage their working relationships and support them in their everyday work for the benefit of residents.
Legal centralization in British America was characterized by the passing of arbitration from the community level to the colonial courts. As a consequence, when the 1765 Stamp Act raised the cost of court business, colonists were at a loss for alternatives. This paper addresses the question of why, at this point, colonists did not return to earlier, non-state forms of arbitration. It offers an explanation by providing a detailed empirical study of an alternative American legal forum: the Philadelphia Quaker monthly meeting. While busy arbitrating disputes in the early colonial period, it declined from around 1720. Contrary to what might be expected, this decline was not the consequence of state efforts to marginalize competing institutions. Rather, the local Quaker population abandoned their community legal forum in favor of the public courts. This was likely due to the Quaker court's reliance on reputation-based instruments for enforcement. As Philadelphia's population grew, the meeting's practice of pressuring culprits into compliance through public shaming lost its edge. Accordingly, Friends moved their legal business to the public courts. The paper contributes to the debates on the legal pluralism of empires, the history of arbitration, and state formation in the Atlantic.
We study the optimal investment-reinsurance problem in the context of equity-linked insurance products. Such products often have a capital guarantee, which can motivate insurers to purchase reinsurance. Since a reinsurance contract implies an interaction between the insurer and the reinsurer, we model the optimization problem as a Stackelberg game. The reinsurer is the leader in the game and maximizes its expected utility by selecting its optimal investment strategy and a safety loading in the reinsurance contract it offers to the insurer. The reinsurer can assess how the insurer will rationally react on each action of the reinsurer. The insurance company is the follower and maximizes its expected utility by choosing its investment strategy and the amount of reinsurance the company purchases at the price offered by the reinsurer. In this game, we derive the Stackelberg equilibrium for general utility functions. For power utility functions, we calculate the equilibrium explicitly and find that the reinsurer selects the largest reinsurance premium such that the insurer may still buy the maximal amount of reinsurance. Since in the equilibrium the insurer is indifferent in the amount of reinsurance, in practice, the reinsurer should consider charging a smaller reinsurance premium than the equilibrium one. Therefore, we propose several criteria for choosing such a discount rate and investigate its wealth-equivalent impact on the expected utility of each party.
Religious music served a political function in the southern United States during the antebellum period. This article examines catechisms and hymnbooks used by white evangelical missionaries and slaveowners in the antebellum South, arguing that the planter elite deployed hymns as a medium to assert white supremacy. The term sonic domination identifies processes whereby sound functioned as a social tool to maintain discipline and order among the enslaved population. Black and white people sang hymns in church, at interracial revivals, and during civic services; they were also heard on bells and cited in poetry. English texts and tunes included in slave catechisms and white portrayals of Black singing highlight the role of evangelical hymns in maintaining plantation order in the Old South. At the same time, enslaved Black Christians found creative ways to circumvent the oppressive power of the white elite through song. African Americans employed English hymns in their own religious rituals and used them to convey hidden meanings on the plantation. Both genres, which interacted and ultimately influenced each other, contributed to an eventual codification of American evangelical hymnody.
In this short piece we focus on two of the main changes brought in by the recent Nationality and Borders Act 2022 with a focus on sexually diverse claimants: inadmissibility and the increased standard of proof. The recent changes have a negative impact on all asylum seekers but we highlight that they have a particularly adverse impact on sexually diverse claimants because their diverse backgrounds have not been appropriately considered. The problematic provisions on inadmissibility on the basis of mode of entry and removal to a ‘third safe country’ pose particular risks for sexual minorities. Additionally, the increased standard of proof exaggerates issues already faced by sexually diverse claimants in relation to objective evidence gathering and decision-makers using guidance riddled with stereotypical understandings about sexual minorities.
I encountered three adult patients with major coronary artery occlusion after Kawasaki disease in childhood, who had developed again acute coronary syndrome of adults in the peripheral branches, such as the 4th segments, the atrioventricular node artery, and the posterior descending artery, of the right coronary artery.
Methods:
I reviewed their clinical course and coronary angiograms.
Results:
Their age at onset of acute coronary syndrome ranged from 29 to 33 years. The male patient with a previous anteroseptal myocardial infarction in children had a symptomatic occlusion of the branch of the 4th posterior descending artery at 32 years of age. Acute coronary syndrome occurred in the area of 4th atrioventricular node artery in two female patients. The collateral arteries from the circumflex artery to the 4th atrioventricular node arteries were not clearly injected. It was suspected that they had developed bilateral giant aneurysms after acute Kawasaki disease. Two patients had an acute myocardial infarction due to thrombotic occlusion in a giant aneurysm of the right coronary artery or the left anterior descending artery, and one patient had an asymptomatic coronary occlusion of the right coronary artery and left anterior descending artery in children.
Conclusion:
Occlusion of peripheral coronary arteries in adulthood can occur in patients with multi-vessel disease caused by Kawasaki disease. Recurrent events of acute coronary syndrome can occur in adults, although its prevalence may be low. Careful follow-up in adults is also needed in this population.
Resilience, the capacity to maintain or regain functionality in the face of adversity, is a dynamic process influenced by individual, familial, and community factors. Despite its variability, distinct resilience trajectories can be identified within populations, yet the predictors defining these distinct groups remains largely unclear. Here, using data from the Avon Longitudinal Study of Parents and Children (ages 0-18), we quantify resilience as the remaining variance in psychosocial functioning after taking into account the exposure to adversity. Growth mixture modeling identified seven distinct resilience trajectories, with over half of the study population maintaining resilience throughout early life. Factors increasing the likelihood of resilient trajectory membership included a less emotional temperament, high cognitive abilities, high self-esteem, low levels of autistic social traits, strong sibling relationships, high maternal care, and positive school experiences. Among the socioeconomic factors considered, maternal education – a significant indicator of socioeconomic status – and birth-order were associated with resilient trajectories. Our findings underscore the importance of fostering cognitive abilities, self-esteem, social relationships, positive school experiences, and extracurricular engagement to bolster resilience in adversity-exposed individuals and communities. This research informs resilience-focused interventions in mental health, education, and social policy sectors, and prompts further exploration of socioeconomic influences on resilience trajectories.
Applying the balanced affect model of clergy psychological wellbeing, as conceptualised by the Francis Burnout Inventory (FBI) and operationalised by The Index of Balanced Affect Change (TIBACh), this study explored the impact of seven sets of variables on individual differences in perceived changes in positive affect and negative affect among 737 clergy in the USA serving in the Episcopal Church during the Covid-19 pandemic. The seven sets of variables were: personal, psychological, contextual, ministry-related, church orientation, theological stance, and attitudinal. The data supported the balanced affect model of clergy psychological wellbeing by demonstrating how different variables predicted individual differences in negative affect and in positive affect. For example, clergywomen showed no differences from clergymen in terms of positive affect, but higher levels of negative affect; active self-supporting and retired clergy showed no differences from stipendiary clergy in terms of positive affect, but lower levels of negative affect; Evangelical clergy showed no differences in negative affect, but higher levels in positive affect. The balanced affect model provides insights into how clergy may be better supported during a pandemic.
This article presents a theoretical modelling framework for the previously unconsidered case of turbulent wall plumes that detrain continually with height in stably stratified environments. Built upon the classic turbulent plume model, our approach incorporates turbulent detrainment with a variable coefficient of detrainment. Based on a linear constitutive relationship between the ratio of the detrainment to entrainment coefficients and the ambient buoyancy gradient, it is found that for linear ambient stratifications, a dynamic quasi-equilibrium region, characterised by a near invariant local plume Richardson number, is achieved, downstream of which this equilibrium rapidly breaks down. With increasing ambient buoyancy gradient, while the plume becomes increasingly slender with weaker vertical motions, the level at which the plume breaks down to form a horizontal intrusion first decreases and then increases. Moreover, distinct from classic purely entraining plumes, a detraining wall plume can swell within the pre-equilibrium adjustment stage provided the local Richardson number is sufficiently low $({Ri\ll 6})$, behaviour which is in accordance with observations made in filling-box experiments.
This article examines the representation of the Cold War in Turkish children's magazines in the 1950s, contributing to the current literature on children in the Middle East and the cultural Cold War. My main argument is that Turkish children's magazines played an important role in educating and indoctrinating children to support Turkey's pro-Western stance during the early part of the Cold War in two ways. The first was the production of new local content in the form of articles, stories, and comics that introduced terms and institutions relevant to the Turkish experience of the Cold War as part of the Western camp. Additionally, stories and comics reflected anxieties typical of the Cold War, such as fear of espionage and fifth columns. Second, American comics, translated into Turkish, or in some cases repurposed existing comics, instilled in Turkish children American concepts such as capitalism and consumerism.
Mucopolysaccharidosis type I is an inborn error of glycosaminoglycan catabolism with phenotypes ranging from severe (Hurler syndrome) to attenuated (Hurler–Scheie and Scheie syndromes). Cardiovascular involvement is common and contributes significantly to morbidity and mortality. We conducted a retrospective analysis of the prevalence and natural history of cardiac abnormalities in treatment-naïve individuals enrolled in the international Mucopolysaccharidosis Type I Registry. Interrogation of echocardiography data (presence of cardiac valve regurgitation and/or stenosis; measurements of left ventricular chamber dimensions in diastole and systole, diastolic left ventricular posterior wall and interventricular septal thicknesses and ventricular systolic function (shortening fraction)) showed that mitral regurgitation was the most common and earliest finding for individuals with both severe (58.3%, median age 1.2 years) and attenuated (74.2%, median age 8.0 years) disease. Left-sided valve stenosis was also common in individuals with attenuated disease (mitral 30.3%; aortic 25%). Abnormal ventricular wall and septal thickness (Z-scores ≥2) were observed early in both phenotypes. Z-scores for diastolic left ventricular posterior wall and interventricular septal thicknesses increased with age in the severe phenotype (annualised slopes of 0.2777 [p = 0.037] and 0.3831 [p = 0.001], respectively); a similar correlation was not observed in the attenuated phenotype (annualised slopes of −0.0401 [p = 0.069] and −0.0029 [p = 0.875], respectively). Decreased cardiac ventricular systolic function (defined as shortening fraction <28%) was uncommon but, when noted, was more frequent in infants with the severe phenotype. While cardiac abnormalities occur early in both severe and attenuated mucopolysaccharidosis type I, the pattern of valve dysfunction and progression of ventricular abnormalities vary by phenotype.
Adverse childhood experiences (ACEs) are well-known risk factors for schizophrenia and bipolar disorder.
Aims
The aim was to study the associations between specific ACEs and psychological functioning in women with schizophrenia or bipolar disorder.
Method
Among 29 367 women (mean age 44 years) from the Icelandic Stress-And-Gene-Analysis (SAGA) study, 534 (1.8%, mean age 40) reported having been diagnosed with schizophrenia or bipolar disorder, which were combined to ‘severe mental disorders’. Participants reported on 13 types of ACEs, childhood deprivation and psychological functioning (defined as coping ability and current symptoms of depression, anxiety and sleep disturbances). Adjusted Poisson regression calculated prevalence ratios (PRs) between ACEs and severe mental disorders. Linear regression assessed the association between ACEs and psychological functioning among women with a severe mental disorder.
Results
Women with a severe mental disorder reported more ACEs (mean 4.57, s.d. = 2.82) than women without (mean 2.51, s.d. = 2.34) in a dose-dependent manner (fully-adjusted PR = 1.23 per ACE, 95% CI 1.20–1.27). After mutual adjustment for other ACEs, emotional abuse, sexual abuse, mental illness of a household member, emotional neglect, bullying and collective violence were associated with severe mental disorders. Among women with severe mental disorders, a higher number of ACEs was associated with increased symptom burden of depression (β = 2.79, 95% CI = 1.19–4.38) and anxiety (β = 2.04, 95% CI = 0.99–3.09) including poorer sleep quality (β = 0.83, 95% CI = 0.07–1.59). Findings were similar for schizophrenia and bipolar disorder separately.
Conclusion
Women with schizophrenia or bipolar disorder show a strong history of ACEs, which may interfere with their psychological functioning and, therefore, need to be addressed as part of their treatment, for example, with trauma-focused psychotherapy.
L'articolo indaga le immagini di famiglia sui monumenti funerari della Venetia, concentrate per lo più nel corso dell'età giulio-claudia, anche incrociando le informazioni epigrafiche e integrando l'analisi con elaborazioni quantitative. Si registra una certa codificazione del significato parentale, che emerge dallo schema iconografico e viene ribadito dai gesti, mentre abiti e oggetti aiutavano a caratterizzare il singolo ritratto. Non si riconosce una consistente alterazione del significato dell'immagine in base al contesto sociale o alla premorienza di alcuni membri della famiglia. L'analisi permette di comprendere quali fossero le tendenze trasversali su cui la committenza agiva per ritrarre il proprio nucleo domestico, dialogando con il contesto geografico e culturale di appartenenza e sintetizzando la realtà familiare del mondo dei vivi per creare un modello iconico per la comunità dei morti.
Ideally, mosquito control programs (MCPs) use surveillance to target control measures to potentially dangerous mosquito populations. In North Carolina (NC), where there is limited financial support for mosquito control, communities may suffer from mosquito-related issues post-hurricane due to lack of existing MCPs. Here, study objectives were to (1) investigate the emergency response of a subset of NC counties post-Hurricane Florence and (2) develop guidelines and policy recommendations to assist MCPs in post-hurricane mosquito control response.
Methods:
A survey was administered to a subset of eastern NC counties (an area previously impacted by hurricanes) with various levels of MCPs (from none to well-developed).
Results:
All respondents indicated that having Federal Emergency Management Agency (FEMA) training would be helpful in developing a post-hurricane emergency response plan for mosquito control. There was concern related to a lack of knowledge of emergency control methods (eg, aerial/ground, adulticiding/larviciding) post-hurricane. MCP structure (eg, infrastructure, resources, operational plans/policies) could facilitate response activities and help ensure necessary emergency financial support from agencies such as FEMA.
Conclusions:
Mosquito control post-hurricane protects public health. Public health and other agencies can be networking resources for MCPs. Policy recommendations include implementation of routine FEMA assistance training workshops to improve an understanding of processes involved in assistance and reimbursement.
We investigate the role of pressure, via its Hessian tensor ${\boldsymbol {H}}$, on amplification of vorticity and strain-rate and contrast it with other inviscid nonlinear mechanisms. Results are obtained from direct numerical simulations of isotropic turbulence with Taylor-scale Reynolds number in the range 140–1300. Decomposing ${\boldsymbol {H}}$ into local isotropic (${\boldsymbol {H}}^{I}$) and non-local deviatoric (${\boldsymbol {H}}^{D}$) components reveals that ${\boldsymbol {H}}^{I}$ depletes vortex stretching, whereas ${\boldsymbol {H}}^{D}$ enables it, with the former slightly stronger. The resulting inhibition is significantly weaker than the nonlinear mechanism which always enables vortex stretching. However, in regions of intense vorticity, identified using conditional statistics, contribution from ${\boldsymbol {H}}$ prevails over nonlinearity, leading to overall depletion of vortex stretching. We also observe near-perfect alignment between vorticity and the eigenvector of ${\boldsymbol {H}}$ corresponding to the smallest eigenvalue, which conforms with well-known vortex-tubes. We discuss the connection between this depletion, essentially due to (local) ${\boldsymbol {H}}^{I}$, and recently identified self-attenuation mechanism (Buaria et al., Nat. Commun., vol. 11, 2020, p. 5852), whereby intense vorticity is locally attenuated through inviscid effects. In contrast, the influence of ${\boldsymbol {H}}$ on strain-amplification is weak. It opposes strain self-amplification, together with vortex stretching, but its effect is much weaker than vortex stretching. Correspondingly, the eigenvectors of strain and ${\boldsymbol {H}}$ do not exhibit any strong alignments. For all results, the dependence on Reynolds number is very weak. In addition to the fundamental insights, our work provides useful data and validation benchmarks for future modelling endeavours, for instance in Lagrangian modelling of velocity gradient dynamics, where conditional ${\boldsymbol {H}}$ is explicitly modelled.
Organoids and specifically human cerebral organoids (HCOs) are one of the most relevant novelties in the field of biomedical research. Grown either from embryonic or induced pluripotent stem cells, HCOs can be used as in vitro three-dimensional models, mimicking the developmental process and organization of the developing human brain. Based on that, and despite their current limitations, it cannot be assumed that they will never at any stage of development manifest some rudimentary form of consciousness. In the absence of behavioral indicators of consciousness, the theoretical neurobiology of consciousness being applied to unresponsive brain-injured patients can be considered with respect to HCOs. In clinical neurology, it is difficult to discern a capacity for consciousness in unresponsive brain-injured patients who provide no behavioral indicators of consciousness. In such scenarios, a validated neurobiological theory of consciousness, which tells us what the neural mechanisms of consciousness are, could be used to identify a capacity for consciousness. Like the unresponsive patients that provide a diagnostic difficulty for neurologists, HCOs provide no behavioral indicators of consciousness. Therefore, this article discusses how three prominent neurobiological theories of consciousness apply to human cerebral organoids. From the perspective of the Temporal Circuit Hypothesis, the Global Neuronal Workspace Theory, and the Integrated Information Theory, we discuss what neuronal structures and functions might indicate that cerebral organoids have a neurobiological capacity to be conscious.
This study explored community supervision officers’ perceptions of the individual, community, and organizational challenges confronted by program participants after Hurricane María and their recommendations for future emergency management.
Methods:
A qualitative content analysis was conducted for nine focus group with community supervision officers in Puerto Rico. Participants were asked about their perceptions of how the mental health and drug abuse of persons on parole or probation were affected and the measures taken to address these concerns in disaster response.
Results:
Narratives expose vulnerabilities experienced by those supervised and the aggregated challenges that impact retention in health and rehabilitative services, all of which can detract from successful sentence completion. The disaster response categories call for a more adaptable approach to overseeing procedures in light of the difficulties involved and recognizing the support of the supervised population who have contributed to community initiatives.
Conclusion:
Findings will contribute to informing planning, preparedness, and responses that mitigate the adverse consequences this vulnerable population may experience when exposed to future disaster hazards. Addressing emergency preparedness in this setting provides an opportunity to enact reforms in community supervision and improve access to services needed to enable the successful reintegration of individuals into their communities.