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This short piece addresses how the possibility of humanity’s creating the technological singularity challenges and reshapes a host of traditional debates in the philosophy of religion about the significance of God’s status as creator.
To describe the protocol and progress of a thyroid study using thyroid ultrasonography in emergency workers who responded to the Fukushima nuclear accident.
Methods
Thyroid ultrasonography was performed on Fukushima emergency workers at over 60 health examination institutions. The accuracy of ultrasonography is controlled by standard procedural protocols, examiner training, and a central review system. Thyroid findings are classified into 4 categories: Category A1 (no nodule or cyst), Category A2 (nodules ≤ 5.0 mm and/or cysts ≤ 20.0 mm), Category B (nodules ≥ 5.1 mm and/or cysts ≥ 20.1 mm), and Category C (requires immediate further examination). Participants classified as Categories B or C are recommended for secondary examination.
Results
Among 3398 participants with available ultrasound images obtained at the first health examination between January 2016 and October 2023, 45.2 % were classified as Category A1, 39.2 % as Category A2, 15.5 % as Category B, and 0 % as Category C. Of the 207 participants for whom secondary examination results were available, seven were diagnosed with cancer or suspected cancer.
Conclusions
An accuracy control system of thyroid ultrasonography has been established which will continue to carefully investigate the thyroids of Fukushima emergency workers.
To evaluate the effectiveness of the Hospital Disaster Management (HDM) Skill Training Program (STP), focusing on the learning and behavior of nurse educators.
Methods
The study design was a randomized control trial with a pre-test and post-test control group with blinding of the outcome assessor. The sample includes nurse educators in selected collegiate nursing institutions, with 30 participants in the experimental and control groups. The training was delivered in a hybrid mode, and participants were randomly assigned to groups. The training was validated using the Delphi technique. Learning was assessed using a questionnaire measuring the knowledge, skills, and attitudes of the experimental and control groups.
Results
The STP on HDM significantly improved the experimental group’s knowledge (t value = 4.581, P = 0.001), Skill (t value = 3.136, P = 0.003), Attitude (t value = 2.093, P = 0.003), and Behavior (t value = 9.34, P = 0.001).
Conclusions
HDM is a global necessity, and the study highlights the effectiveness of the STP on HDM, underscoring the importance of equipping health care professionals, especially nurses, with essential disaster management skills.
Personality disorders, characterised by pervasive emotional and interpersonal dysfunction, are integral to psychiatric practice. This service review estimated the prevalence of personality disorders in a psychiatric inpatient setting and looked at various clinical and demographic factors of interest.
Methods:
Data were retrospectively collected from 526 patients discharged from St Patrick’s University Hospital in 2019–2020 under the care of two consultant-led teams. Demographic and clinical data such as age of first mental health contact, number of previous admissions, and risk history were recorded as well as the use of the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD).
Results:
37% of the sample had at least one personality disorder, with borderline (24.9%), avoidant (13.3%) and obsessive-compulsive (7.6%) being the most common subtypes. Notably, in 72.1% of cases the diagnosis was new. High comorbidity was observed, particularly with affective (47.7%) and anxiety disorders (28.4%). Patients with personality disorders exhibited high rates of self-harm (45%) and suicide attempts (40%).
Discussion:
The review highlighted potential delays in diagnosis, with an average of 15 years of mental health service contact prior to diagnosis. The findings underscore the need for specialised services and further research to better understand and manage personality disorders in the Irish psychiatric setting. Limitations include the specific sample from a private mental health facility and the high use of structured interviews, which may affect the generalisability of the results to other settings. This review contributes valuable data to the limited research on personality disorder prevalence in Irish psychiatric services.
This study aimed to compare the efficacy of endoscopic type I tympanoplasty/myringoplasty with (ETMFE) or without tympanomeatal flap elevation (ETMFNE).
Methods
A thorough search of the PubMed, Embase and Cochrane Library databases was executed. The Review Manager 5.4 software was used for synthesising data, with forest plots illustrating the results for each outcome. Assessment of potential publication bias was conducted using funnel plots and Egger’s test.
Results
The meta-analysis included data from seven studies with 839 patients. The results demonstrated no significant difference in graft success rates (risk ratio = 1.01; 95 per cent confidence interval: 0.98–1.04; p = 0.54) or air–bone gap improvement (mean difference = –0.08; 95 per cent confidence interval: –2.02–1.85; p = 0.93) between the ETMFE and ETMFNE groups. However, the ETMFE group showed a pronounced increase in operation time (mean difference = 19.50; 95 per cent confidence interval: 10.75–28.25; p < 0.0001).
Conclusion
ETMFNE could be a preferable option for tympanic membrane perforation, offering similar efficacy to ETMFE but with reduced surgical time, particularly in appropriately selected cases.
This paper studies the market microstructure implications of uninformed trading volume. We capture uninformed volume using spikes in retail trading triggered by weekly advertisements (ads) in the Wall Street Journal that are largely duplicates. We report three findings. First, consistent with a positive volume-volatility relation, stock price volatility amplifies on recurring ad days. Second, informed investors time liquidity to trade more aggressively on recurring ad days. Third, despite the increase in informed trading on such days, price impact is lower, yielding a negative volume–price impact relation. Collectively, the evidence supports the theoretical predictions of Collin-Dufresne and Fos (2016).
Scholar-activism, which we define as scholarship that seeks to contribute knowledge to activism is often underappreciated. From a methodological perspective, the positionality of scholar-activists is too often misunderstood. Yet scholar-activism is a relatively common approach to generating new knowledge about hard-to-access, repressive contexts while also assisting political movements and their strategies. Feminist-informed scholarship necessitates scholar-activism because it is driven by an emancipatory purpose that demands critical reflexivity about the power of epistemology, boundaries, relationships, and the researcher’s situatedness (Ackerly and True 2020, 22). We argue that a deeper understanding of scholar-activism and lived experiences is vital for furthering knowledge and impact in the politics and gender field.
This article aims to explain the strains and paradoxes of how African communities have been unable to obtain legal access and control to expropriated or stolen cultural heritage held in foreign museums despite their increased participation in international cultural heritage law. Further, it outlines the strained relationship between communities’ participation in cultural heritage governance under international cultural heritage law and cultural heritage law in Kenya. Using a postcolonial critique, this article examines these cultural heritage laws using notions of communitarianism and relationality in relation to the African Renaissance. It is demonstrated that communities should have increased participation in cultural heritage governance and, as a result, access to and control over their appropriated cultural heritage held in foreign museums. The purpose of a post-colonial critique of cultural heritage laws seeks to allow states and communities to listen to each other as opposed to one replacing the other in matters of cultural heritage.
This study aims to investigate action language processing abilities in Parkinson’s disease (PD) compared to healthy controls (HCs), specifically examining whether the involvement of motor systems is influenced by task context. By focusing on implicit versus explicit task demands, the study evaluates how semantic processing differs in PD and whether these differences align with a flexible embodied cognition framework.
Methods:
The study analyzed the performance of participants on two tasks: an explicit task (semantic judgment task, SJ) and an implicit task (letter detection task, LD). PD outpatients (n = 31, mean age 64.58 years) referred to the Parkinson and Movement Disorders Unit of ICS Maugeri Hermitage were enrolled, along with a group of healthy controls (n = 31, mean age 64.19 years). Performance was measured through reaction times (RTs) and accuracy scores (Acc) during the processing of action verbs and abstract verbs.
Results:
PD patients exhibited slower RTs and lower accuracy when processing action verbs compared to abstract verbs, but only during the SJ task. Slower RTs in the SJ task were predicted by language and executive functioning (semantic fluency) and disease progression (Hoehn and Yahr stages) for both action and abstract verbs. In the LD task, slower RTs were predicted by executive functioning for action verbs and attention (measured by Trail Making Test Part B and Stroop task) for abstract verbs.
Conclusions:
The findings suggest a context-dependent involvement of the motor system in action language processing, supporting a flexible, embodied approach to conceptual semantic processing rather than an automatic one.
Detailed analysis of the expression ‘things in general and in themselves’ reveals two further uses of ‘noumenon’ (and ‘thing in itself’) in addition to the ‘positive’ and ‘negative’ senses distinguished by Kant himself. It follows (pace various ‘reductive’ interpretations) that Kant’s transcendental distinction comprises four different contrasts. On a new resolution of the long-running ‘one or two objects?’ dispute, there follows a complete re-interpretation of Kant’s transcendental distinction as a meta-metaphysical thought experiment. It has the ‘metaphysical density’ necessary to forestall charges of ‘innocuousness’ without giving purchase to the well-known objections that have dogged Kant’s transcendental distinction from its inception.
A potent investigative instrument in the fight against highly sophisticated criminal schemes camouflaged by layers of secrecy is the sting operation. However, its application provokes crucial questions of legality and admissibility. Additionally, lack of legal provisions governing sting operations in India has resulted in conflicting judicial stances, calling for clarity on this issue. Hence, this paper examines the intricate legal and ethical challenges surrounding sting operations, which, on one hand, aid in uncovering serious offences and foster public interest but, on the other hand, threaten to infringe privacy rights and fairness of trials. The paper analyses international practices in Canada and the United States of America, alongside judicial precedents and scholarly opinions in India, and recommends statutory inclusion of sting operations in the Indian legal system. The paper proposes stringent judicial control, elaborate ethical guidelines to avoid staging crimes, and regulations on media reporting to maintain the delicate balance of public interest versus personal rights. The paper concludes with a model draft for legislative reform that seeks to strengthen the idea of justice without weakening fundamental rights.
This introduction outlines the motivation and significance of the first special issue dedicated to engaging philosophically with Afro-Brazilian religions in an Anglophone journal of philosophy. It traces the project’s origins, inspired by a need to diversify the philosophy of religion beyond traditional Western paradigms, and explores how Afro-Brazilian traditions like Candomblé and Umbanda challenge the discipline’s predominant focus on belief and intellectualized theism. By examining their ritual-centric practices, embodied epistemologies, and syncretic dynamics, the special issue demonstrates how these underrepresented traditions can enrich philosophical debates on metaphysics, epistemology, and religious diversity. The introduction also highlights the interdisciplinary methodology employed, emphasizing the integration of cultural anthropology and ethnography to explore emic concepts, rituals, and mythic narratives. This special issue seeks to inspire further philosophical engagement with Afro-Brazilian traditions and other neglected religious practices.
Starting from the coupled Boltzmann–Enskog (BE) kinetic equations for a two-particle system consisting of hard spheres, a hyperbolic two-fluid model for binary, hard-sphere mixtures was derived in Fox (2019, J. Fluid Mech.877, 282). In addition to spatial transport, the BE kinetic equations account for particle–particle collisions, using an elastic hard-sphere collision model, and the Archimedes (buoyancy) force due to spatial gradients of the pressure in each phase, as well as other forces involving spatial gradients. The ideal-fluid–particle limit of this model is found by letting one of the particle diameters go to zero while the other remains finite. The resulting two-fluid model has closed terms for the spatial fluxes and momentum exchange due to the excluded volume occupied by the particles, e.g. a momentum-exchange term $\boldsymbol {F}_{\!\!fp}$ that depends on gradients of the fluid density $\rho _f$, fluid velocity $\boldsymbol{u}_{f}$ and fluid pressure $p_f$. In Zhang et al. (2006, Phy. Rev. Lett.97, 048301), the corresponding unclosed momentum-exchange term depends on the divergence of an unknown particle–fluid–particle (pfp) stress (or pressure) tensor. Here, it is shown that the pfp-pressure tensor ${\unicode{x1D64B}}_{\!pfp}$ can be found in closed form from the expression for $\boldsymbol {F}_{\!\!fp}$ derived in Fox (2019, J. Fluid Mech.877, 282). Remarkably, using this expression for ${\unicode{x1D64B}}_{\!pfp}$ ensures that the two-fluid model for ideal-fluid–particle flow is well posed for all fluid-to-particle material-density ratios $Z = \rho _f / \rho _p$.
We present a mathematical model to investigate heat transfer and mass transport dynamics in the wave-driven free-surface boundary layer of the ocean under the influence of long-crested progressive surface gravity waves. The continuity, momentum and convection–diffusion equations for fluid temperature are solved within a Lagrangian framework. We assume that eddy viscosity and thermometric conductivity are dependent on Lagrangian coordinates, and derive a new form of the second-order Lagrangian mass transport velocity, applicable across the entire finite water depth. We then analyse the convective heat dynamics influenced by the free-surface boundary layer. Rectangular distributions of free-surface temperature (i.e. a Dirichlet boundary condition) are considered, and analytical solutions for thermal boundary layer temperature fields are provided to offer insights into free-surface heat transfer mechanisms affected by ocean waves. Our results suggest the need to improve existing models that neglect the effects of free-surface waves and the free-surface boundary layer on ocean mass transport and heat transfer.
Democracies today do not collapse all at once, in an extreme and illegal manner, but erode gradually, through a series of subtle and seemingly legal measures. This challenges traditional theories of unconstitutional constitutional amendments, which are designed to address revolutionary changes that negate core features of the constitutional order. How should courts respond when a constitutional amendment comes at the early stages of a process of democratic erosion, when the ‘first brick’ is falling from the fortress of democracy, or when would-be autocrats slice the first piece from the ‘salami’ that is the democratic constitutional order? Against the backdrop of Israel's recent judicial overhaul, we argue that in countries experiencing incremental democratic erosion, courts must take a broad and contextual view and, when there is evidence that further anti-democratic moves are being planned, prevent that ‘first brick’ from falling. This is crucial to protect other democratic institutions, such as significant gatekeepers or constitutional courts.