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Considerable research has examined Turkey’s discursive governance of the Syrian refugee crisis, identifying the central themes and metaphors in top officials’ refugee-related messages. However, since they tend to rely on qualitative analyses based on convenience or purposive samples, prior studies have failed to assess the relative frequency of these themes and fall short of reliably gauging the shifts and continuities in the official discourse on refugees. Moreover, while several studies have noted the growing emphasis on the repatriation of Syrian refugees in recent years, no research has yet explored how the Turkish government has sought to reconcile this with its pro-refugee posturing. This paper addresses these limitations via a mixed methods analysis of 382 speeches President Erdoğan gave from September 2014 through December 2022. Quantitative findings show that Islamist and neo-Ottomanist themes have played a major role in Erdoğan’s refugee discourse throughout his presidency. However, since 2018, there has been a sharp increase in Erdoğan’s remarks about repatriating Syrian refugees. A critical discourse analysis of these remarks indicates that Erdoğan has appropriated the language of international law and standards on refugee returns so that he can continue to claim the moral high ground while simultaneously advocating mass repatriation of the Syrians.
Electrothermal bipolar vessel sealing devices are electrosurgical devices that seal tissues and blood vessels up to 7 mm in diameter. This paper discusses our experience using electrothermal bipolar vessel sealing devices in transoral head and neck surgery.
Methods
Electrothermal bipolar vessel sealing devices were used in five patients with lesions of varying size and type within the pharyngo-larynx. These were treated transorally by the otolaryngology department at the Royal Adelaide Hospital. Either the Medtronic LigaSure or BiZact devices were used for transoral resection, debulking or division of these lesions.
Results
Electrothermal bipolar vessel sealing devices were considered helpful in four out of the five cases. Success was dependent on suitable transoral access. A single unsuccessful case reflected the LigaSure jaw's inability to engage a large tumour effectively.
Conclusion
Electrothermal bipolar vessel sealing devices can be safely deployed transorally to treat lesions of the upper aero-digestive tract in selected patients. Further studies investigating additional indications would broaden applications of this approach.
We prove topological regularity results for isoperimetric sets in PI spaces having a suitable deformation property, which prescribes a control on the increment of the perimeter of sets under perturbations with balls. More precisely, we prove that isoperimetric sets are open, satisfy boundary density estimates and, under a uniform lower bound on the volumes of unit balls, are bounded. Our results apply, in particular, to the class of possibly collapsed $\mathrm {RCD}(K,N)$ spaces. As a consequence, the rigidity in the isoperimetric inequality on possibly collapsed $\mathrm {RCD}(0,N)$ spaces with Euclidean volume growth holds without the additional assumption on the boundedness of isoperimetric sets. Our strategy is of interest even in the Euclidean setting, as it simplifies some classical arguments.
We prove that there exist infinitely many coprime numbers a, b, c with $a+b=c$ and $c>\operatorname {\mathrm {rad}}(abc)\exp (6.563\sqrt {\log c}/\log \log c)$. These are the most extremal examples currently known in the $abc$ conjecture, thereby providing a new lower bound on the tightest possible form of the conjecture. Our work builds on that of van Frankenhuysen (J. Number Theory 82(2000), 91–95) who proved the existence of examples satisfying the above bound with the constant $6.068$ in place of $6.563$. We show that the constant $6.563$ may be replaced by $4\sqrt {2\delta /e}$ where $\delta $ is a constant such that all unimodular lattices of sufficiently large dimension n contain a nonzero vector with $\ell _1$-norm at most $n/\delta $.
The interaction between near-wall turbulence and wall curvature is described for the incompressible flow in a plane channel with a small concave–convex–concave bump on the bottom wall, with height comparable to the wall-normal location of the main turbulent structures. The analysis starts from a database generated by a direct numerical simulation and hinges upon the anisotropic generalised Kolmogorov equations, i.e. the exact budget equations for the second-order structure function tensor. The influence of the bump on the wall cycle and on the energy production, redistribution and transfers is described in the physical and scale spaces. Over the upstream side of the bump, the energy drained from the mean flow to sustain the streamwise fluctuations decreases, and the streaks of high and low streamwise velocity weaken and are stretched spanwise. After the bump tip, instead, the production of streamwise fluctuations grows and the streaks intensify, progressively recovering their characteristic spanwise scale. The wall-normal fluctuations, and thus the quasi-streamwise vortices, are sustained by the mean flow over the upstream side of the bump, while energy flows from the vertical fluctuations to the mean field over the downstream side. On the concave portion of the upstream side, the near-wall fluctuations form structures of spanwise velocity which are consistent with Taylor–Görtler vortices at an early stage of development. Their evolution is described by analysing the scale-space pressure–strain term. A schematic description of the bump flow is presented, in which various regions are identified according to the signs of curvature and streamwise pressure gradient.
The INECO Frontal Screening (IFS) and the Frontal Assessment Battery (FAB) are executive dysfunction (ED) screening tools that can distinguish patients with neurodegenerative disorders from healthy controls and, to some extent, between dementia subtypes. This paper aims to examine the suitability of these tests in assessing early-onset cognitive impairment and dementia patients.
Method:
In a memory clinic patient cohort (age mean = 57.4 years) with symptom onset at ≤65 years, we analyzed the IFS and the FAB results of four groups: early-onset dementia (EOD, n = 49), mild cognitive impairment due to neurological causes (MCI-n, n = 34), MCI due to other causes such as depression (MCI-o, n = 99) and subjective cognitive decline (SCD, n = 14). Data were gathered at baseline and at 6 and 12 months. We also studied the tests’ accuracy in distinguishing EOD from SCD patients and ED patients from those with intact executive functioning. Correlations with neuropsychological measures were also studied.
Results:
The EOD group had significantly (p < .05) lower IFS and FAB total scores than the MCI-o and SCD groups. Compared with the FAB, the IFS showed more statistically significant (p < .05) differences between diagnostic groups, greater accuracy (IFS AUC = .80, FAB AUC = .75, p = .036) in detecting ED and marginally stronger correlations with neuropsychological measures. We found no statistically significant differences in the EOD group scores from baseline up to 6- or 12-months follow-up.
Conclusions:
While both tests can detect EOD among memory clinic patients, the IFS may be more reliable in detecting ED than the FAB.
Suppose that $f:X\to C$ is a general Jacobian elliptic surface over ${\mathbb {C}}$ of irregularity $q$ and positive geometric genus $h$. Assume that $10 h>12(q-1)$, that $h>0$ and let $\overline {\mathcal {E}\ell \ell }$ denote the stack of generalized elliptic curves. (1) The moduli stack $\mathcal {JE}$ of such surfaces is smooth at the point $X$ and its tangent space $T$ there is naturally a direct sum of lines $(v_a)_{a\in Z}$, where $Z\subset C$ is the ramification locus of the classifying morphism $\phi :C\to \overline {\mathcal {E}\ell \ell }$ that corresponds to $X\to C$. (2) For each $a\in Z$ the map $\overline {\nabla }_{v_a}:H^{2,0}(X)\to H^{1,1}_{\rm prim}(X)$ defined by the derivative $per_*$ of the period map $per$ is of rank one. Its image is a line ${\mathbb {C}}[\eta _a]$ and its kernel is $H^0(X,\Omega ^2_X(-E_a))$, where $E_a=f^{-1}(a)$. (3) The classes $[\eta _a]$ form an orthogonal basis of $H^{1,1}_{\rm prim}(X)$ and $[\eta _a]$ is represented by a meromorphic $2$-form $\eta _a$ in $H^0(X,\Omega ^2_X(2E_a))$ of the second kind. (4) We prove a local Schottky theorem; that is, we give a description of $per_*$ in terms of a certain additional structure on the vector bundles that are involved. Assume further that $8h>10(q-1)$ and that $h\ge q+3$. (5) Given the period point $per(X)$ of $X$ that classifies the Hodge structure on the primitive cohomology $H^2_{\rm prim}(X)$ and the image of $T$ under $per_*$ we recover $Z$ as a subset of ${\mathbb {P}}^{h-1}$ and then, by quadratic interpolation, the curve $C$. (6) We prove a generic Torelli theorem for these surfaces. Everything relies on the construction, via certain kinds of Schiffer variations of curves, of certain variations of $X$ for which $per_*$ can be calculated. (In an earlier version of this paper we used variations constructed by Fay. However, Schiffer variations are slightly more powerful.)
Positive solitude (PS), the choice of being alone to engage in meaningful inner or physical, spiritual, mental, or cognitive activity/ experience, was recently suggested as a stand-alone phenomenon differentiated from loneliness and negative solitude. As loneliness was previously found to have adverse implications for mental health, the present study examined whether the ability to engage in PS can moderate the harmful effect of loneliness on depressive symptoms. The sample consisted of 520 community-dwelling older adults in Israel aged 68–87 (Mage = 72.66). Participants answered an online questionnaire through a survey company (Ipanel) assessing their background characteristics, depressive symptoms, loneliness, and PS. Loneliness was positively associated with depressive symptoms, whereas PS was negatively associated with depressive symptoms. Furthermore, PS moderated the relationship between loneliness and depressive symptoms, such that higher levels of PS weakened this association. The findings indicate that PS may serve as a buffering factor for mental health among older adults by augmenting coping with the adverse outcomes of loneliness. The results provide insight for tailoring future treatment interventions focusing on PS to enhance mental health among older adults.
In 1968, Steinberg [Endomorphisms of Linear Algebraic Groups, Memoirs of the American Mathematical Society, 80 (American Mathematical Society, Providence, RI, 1968)] proved a theorem stating that the exterior powers of an irreducible reflection representation of a Euclidean reflection group are again irreducible and pairwise nonisomorphic. We extend this result to a more general context where the inner product invariant under the group action may not necessarily exist.
The best transfusion approach for CHD surgery is controversial. Studies suggest two strategies: liberal (haemoglobin ≤ 9.5 g/dL) and restrictive (waiting for transfusion until haemoglobin ≤ 7.0 g/dL if the patient is stable). Here we compare liberal and restrictive transfusion in post-operative CHD patients in a cardiac intensive care unit.
Methods:
Retrospective analysis was conducted on CHD patients who received liberal transfusion (2019–2021, n=53) and restrictive transfusion (2021–2022, n=43).
Results:
The two groups were similar in terms of age, gender, Paediatric Risk of Mortality-3 score, Paediatric Logistic Organ Dysfunction-2 score, Risk Adjustment for Congenital Heart Surgery-1 score, cardiopulmonary bypass time, vasoactive inotropic score, total fluid balance, mechanical ventilation duration, length of cardiac intensive care unit stay, and mortality. The liberal transfusion group had a higher pre-operative haemoglobin level than the restrictive group (p < 0.05), with no differences in pre-operative anaemia. Regarding the minimum and maximum post-operative haemoglobin levels during a cardiac intensive care unit stay, the liberal group had higher haemoglobin levels in both cases (p<0.01 and p=0.019, respectively). The number of red blood cell transfusions received by the liberal group was higher than that of the restrictive group (p < 0.001). There were no differences between the two groups regarding lactate levels at the time of and after red blood cell transfusion. The incidence of bleeding, re-operation, acute kidney injury, dialysis, sepsis, and systemic inflammatory response syndrome was similar.
Conclusions:
Restrictive transfusion may be preferable over liberal transfusion. Achieving similar outcomes with restrictive transfusions may provide promising evidence for future studies.
According to the bioethical principle of individual decisional autonomy, the patient has a right of informed consent to any medical or experimental procedure. The principle is politically liberal by advocating significant individual freedom as guaranteed by law and secured by civil liberties. When practiced in illiberal communities, might it have a political liberalizing effect? I respond first by analyzing cross-national norms of individual decisional autonomy to identify tensions with illiberal community; second, by examining examining Singapore in a single case study to show that liberal bioethics does not promote political liberalization; and third, by showing that the possibility of practicing liberal bioethics in research, clinically as well as in education, does not require a democratic order, and that liberal bioethics is unlikely to encourage the liberalization of illiberal political communities. Hence, it may never contribute to the development of globally effective cross-national norms for the legal regulation of bioethical research and clinical practice. Fourth, to bolster this analysis, I anticipate several possible objections to various of its aspects.
We present results for Newtonian laminar miscible displacement flows in a narrow, vertical, eccentric annulus, obtained from experiments carried out in a scaled laboratory set-up. These are compared with two computational models introduced in Part 1, Zhang & Frigaard (J. Fluid Mech., vol. 947, 2022, A732). Quite close matches have been found for different approaches, regarding the overall evolving displacement process: front shape, dispersion levels and front velocities. Standardized criteria have been established to identify whether a flow has steady/unsteady and dispersive/non-dispersive displacement front, applicable to both concentric and eccentric annuli. Three characteristic flows have been observed, unsteady and dispersive, dispersive with steady front, and non-dispersive with steady front. Through both qualitative and quantitative studies, the importance of the buoyancy number has been established: it both restrains dispersion on the annular gap scale and induces secondary flows in the azimuthal direction.
In the classical gambler’s ruin problem, the gambler plays an adversary with initial capitals z and $a-z$, respectively, where $a>0$ and $0< z < a$ are integers. At each round, the gambler wins or loses a dollar with probabilities p and $1-p$. The game continues until one of the two players is ruined. For even a and $0<z\leq {a}/{2}$, the family of distributions of the duration (total number of rounds) of the game indexed by $p \in [0,{\frac{1}{2}}]$ is shown to have monotone (increasing) likelihood ratio, while for ${a}/{2} \leq z<a$, the family of distributions of the duration indexed by $p \in [{\frac{1}{2}}, 1]$ has monotone (decreasing) likelihood ratio. In particular, for $z={a}/{2}$, in terms of the likelihood ratio order, the distribution of the duration is maximized over $p \in [0,1]$ by $p={\frac{1}{2}}$. The case of odd a is also considered in terms of the usual stochastic order. Furthermore, as a limit, the first exit time of Brownian motion is briefly discussed.
Bathymetry is an important factor affecting wave propagation in coastal environments but is often challenging to measure in practice. We propose a method for inferring coastal bathymetry from spatial variations in surface waves by combining a high-order spectral method for wave simulation and an adjoint-based variational data assimilation method. Recursion-formed adjoint equations are derived to obtain the sensitivity of the wave surface elevation to the underlying bottom topography to any desired order of nonlinear perturbation. We also develop a multiscale optimisation method to eliminate spurious high-wavenumber fluctuations in the reconstructed bathymetry data caused by sensitivity variations over the different length scales of surface waves. The proposed bottom detection method is validated with a realistic coastal wave environment involving complex two-dimensional bathymetry features, non-periodic incident waves and nonlinear broadband multidirectional waves. In numerical experiments at both laboratory and field scales, the bathymetry reconstructed from our method agrees well with the ground truth. We also show that our method is robust against imperfect surface wave data in the presence of limited sampling frequency and noise.