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Schizophrenia is a chronic condition that requires long-term management. Quality of life is an important outcome measure for individuals diagnosed with schizophrenia; it can be tracked over time allowing evaluation of whether interventions lead to sustainable improvements. Nutrition and dietary interventions are an underutilized treatment for tackling the metabolic consequences of mental illness, which is now recognized as having increased importance in the management of schizophrenia. This study examines the impact of nutrition and dietary interventions on quality of life outcomes for those with schizophrenia.
Methods:
A systematic review of the literature was conducted, assessing the impact of nutritional interventions on quality of life outcomes in individuals with a diagnosis of schizophrenia.
Results:
A total of 982 articles were screened, of which nine articles met the inclusion criteria. Quality of life measures varied across studies, which made comparison across studies challenging. Previous studies had relatively small sample sizes and did not have long follow-up durations. Some of the studies found that dietary interventions such as counselling, weight management programs, food diaries and nutritional education improved quality of life, whereas others did not detect any effect.
Conclusions:
The review provides preliminary evidence that nutrition and dietary interventions may benefit quality of life among individuals with schizophrenia. There were however substantial limitations in studies highlighting the need for further research. The paper also highlights the need to standardize assessment tools for future quality-of-life research.
Advance Choice Documents (ACDs) have been recommended for inclusion in new mental health legislation for England and Wales based on evidence they reduce compulsory psychiatric admission, with particular benefit for Black people. As Black people disproportionately experience compulsory psychiatric admission in the UK, our aim was to explore potential barriers and enablers to effective ACD implementation for Black people with previous experience of compulsory admission.
Methods:
Six stakeholder workshops and one consensus workshop were held with: Black service users who had previously been involuntarily admitted, carers/supporters of Black service users, and mental health staff. Thematic analysis was conducted on workshop transcripts.
Results:
Participants were service users (n = 13), carers/supporters (n = 7), service users and carers/supporters (n = 3), and staff (n = 18). Thematic analysis identified themes of ‘training’, ‘completion’, ‘access’, and ‘use’ concerning ACD implementation. Stakeholders highlighted the importance of understanding the racialised experience of Black service users for effective ACD implementation. Strong communication between and amongst stakeholders and helpful systems for access were also emphasised. Stakeholders also recommended joint training and independent facilitation of ACDs to address Black service user-staff power imbalances.
Conclusions:
Known enablers and barriers to ACD implementation are important when considering ACDs for Black people, as is explicitly engaging with their experiences holistically, including racialised historical and individual experiences that underline some treatment preferences. Independent facilitation and shifts in service user-staff power dynamics present as key to realising the potential of ACDs to empower Black service users in relation to their care, and in turn to potentially reduce coercive care.
The illegal theft of old trees threatens China’s ecological and cultural heritage. Despite legal protections, their high-value timber has persistently fuelled illicit trade driven by economic incentives and weak enforcement in remote areas, endangering biodiversity and cultural traditions. This Comment article proposes comprehensive and alternative approaches to combat the illegal theft of old trees by advocating for a strengthened legal framework, enhanced monitoring systems and increased support for local authorities. It highlights the importance of public awareness and community engagement in conservation efforts to address the ingrained economic drivers of this illegal trade.
This article investigates the observation that the object of obligatorily transitive verbs in Jordanian Arabic cannot drop in VSO clauses but can in SVO clauses as long as its referent is already mentioned in the previous discourse of an accompanying utterance. When object drop takes place, the subject of the accompanying clause should be a [+definite] or [+specific] element. This article provides an account of this generalization, based on the topic nature of the subject and the object, their structural positions in the high and low peripheries and the effect of relativized minimality in ruling out movement of one over the other.
This study investigates the seasonal and regional distribution of paediatric laryngomalacia admissions in the United States, hypothesizing higher admission rates in winter and colder regions due to reduced sunlight exposure affecting vitamin D levels.
Methods
We analyzed data from the 2016 Kids’ Inpatient Database (KID), focusing on children under three years old. Laryngomalacia cases were identified using International Classification of Diseases and Related Health Problems 10th Revision (ICD-10) code Q31.5. Seasonal and regional differences in admission rates were assessed using Pearson’s chi-squared test, with a significance level of p less than 0.05.
Results
Of 4,512,196 estimated national admissions, 11,638 were due to laryngomalacia. Admissions increased by 10.0 per cent in winter and decreased by 10.9 per cent in summer (p < 0.005). Regionally, admissions were higher in the Midwest/Central (18.6 per cent) and Northeast (9.3 per cent) and lower in the South (7.4 per cent) and West (11.1 per cent) (p < 0.005).
Conclusion
Laryngomalacia admissions are significantly influenced by seasonal and regional factors, likely related to environmental conditions affecting vitamin D synthesis.
Wind turbines operate in the atmospheric boundary layer (ABL), where Coriolis effects are present. As wind turbines with larger rotor diameters are deployed, the wake structures that they create in the ABL also increase in length. Contemporary utility-scale wind turbines operate at rotor diameter-based Rossby numbers, the non-dimensional ratio between inertial and Coriolis forces, of $\mathcal {O}(100)$ where Coriolis effects become increasingly relevant. Coriolis forces provide a direct forcing on the wake, but also affect the ABL base flow, which indirectly influences wake evolution. These effects may constructively or destructively interfere because both the magnitude and sign of the direct and indirect Coriolis effects depend on the Rossby number, turbulence and buoyancy effects in the ABL. Using large eddy simulations, we investigate wake evolution over a wide range of Rossby numbers relevant to offshore wind turbines. Through an analysis of the streamwise and lateral momentum budgets, we show that Coriolis effects have a small impact on the wake recovery rate, but Coriolis effects induce significant wake deflections which can be parsed into two regimes. For high Rossby numbers (weak Coriolis forcing), wakes deflect clockwise in the northern hemisphere. By contrast, for low Rossby numbers (strong Coriolis forcing), wakes deflect anti-clockwise. Decreasing the Rossby number results in increasingly anti-clockwise wake deflections. The transition point between clockwise and anti-clockwise deflection depends on the direct Coriolis forcing, pressure gradients and turbulent fluxes in the wake. At a Rossby number of 125, Coriolis deflections are comparable to wake deflections induced by ${\sim} 20^{\circ }$ of yaw misalignment.
This article aimed to summarize the clinical characteristics and our experience with the diagnosis and management of laryngocele. We offer our perspectives for cases associated with laryngeal cancer.
Methods
A retrospective study of 14 patients with laryngocele was accomplished from June 2014 to June 2024. Clinical data were analyzed through descriptive statistical methods.
Results
A total of 14 laryngocele patients were divided into internal type (n = 11; 78.6 per cent) and combined type (n = 3; 21.4 per cent). Nine laryngocele patients (n = 9; 64.3 per cent) were accompanied by laryngeal cancer. The transoral approach was applied in 11 internal laryngocele patients with no post-operative complications or recurrences.
Conclusion
Laryngoscopy and imaging examination are helpful for diagnosis especially to exclude laryngeal cancer. The transoral approach is effective for the internal type, and the key is to resect the anterior part of the false vocal fold. For patients with concomitant laryngeal cancer, the laryngocele should be promptly managed.
This article explores the utility of content-embedded working memory capacity (WMC) tasks for advancing second language (L2) research. While both complex span and content-embedded tasks implement a dual-task paradigm that requires processing and maintenance of information, they differ in that the former demand maintenance of extraneous memory elements during processing, while the latter demand processing and maintenance of the same elements. Since manipulating information stored in working memory is critical for L2 processing and development, particularly in intentional learning contexts, content-embedded tasks may serve as strong predictors of several linguistic outcomes. We report preliminary evidence suggesting that both content-embedded tasks (available in IRIS [https://www.iris-database.org/details/iv6nR-HD9NQ]) and complex span tasks can be significant predictors of explicit L2 aptitude and L2 reading comprehension, but that content-embedded tasks can show advantages over complex span tasks in some instances. We discuss methodological implications for the measurement of WMC in L2 research.
Lift and drag forces on moving intruders in flowing granular materials are of fundamental interest but have not yet been fully characterized. Drag on an intruder in granular shear flow has been studied almost exclusively for the intruder moving across flow streamlines, and the few studies of the lift explore a relatively limited range of parameters. Here, we use discrete element method simulations to measure the lift force, $F_{{L}}$, and the drag force on a spherical intruder in a uniformly sheared bed of smaller spheres for a range of streamwise intruder slip velocities, $u_{{s}}$. The streamwise drag matches the previously characterized Stokes-like cross-flow drag. However, $F_{{L}}$ in granular shear flow acts in the opposite direction to the Saffman lift in a sheared fluid at low $u_{{s}}$, reaches a maximum value and then decreases with increasing $u_{{s}}$, eventually reversing direction. This non-monotonic response holds over a range of flow conditions, and the $F_{{L}}$ versus $u_{{s}}$ data collapse when both quantities are scaled using the particle size, shear rate and overburden pressure. Analogous fluid simulations demonstrate that the flow around the intruder particle is similar in the granular and fluid cases. However, the shear stress on the granular intruder is notably less than that in a fluid shear flow. This difference, combined with a void behind the intruder in granular flow in which the stresses are zero, significantly changes the lift-force-inducing stresses acting on the intruder between the granular and fluid cases.
Let X be the sum of a diffusion process and a Lévy jump process, and for any integer $n\ge 1$ let $\phi_n$ be a function defined on $\mathbb{R}^2$ and taking values in $\mathbb{R}$, with adequate properties. We study the convergence of functionals of the type
where [x] is the integer part of the real number x and the sequences $(\Delta_n)$ and $(\alpha_n)$ tend to 0 as $n\to +\infty$. We then prove the law of large numbers and establish, in the case where $\frac{\alpha_n}{\sqrt{\Delta_n}}$ converges to a real number in $[0,+\infty)$], a new central limit theorem which generalizes that in the case where X is a continuous Itô’s semimartingale.
In this article, we describe meromorphic solutions of certain partial differential equations, which are originated from the algebraic equation $P(f,g)=0$, where P is a polynomial on $\mathbb {C}^2$. As an application, with the theorem of Coman–Poletsky, we give a proof of the classic theorem: Every meromorphic solution $u(s)$ on $\mathbb {C}$ of $P(u,u')=0$ belongs to W, which is the class of meromorphic functions on $\mathbb {C}$ that consists of elliptic functions, rational functions and functions of the form $R(e^{a s})$, where R is rational and $a\in \mathbb {C}$. In addition, we consider the factorization of meromorphic solutions on $\mathbb {C}^n$ of some well-known PDEs, such as Inviscid Burgers’ equation, Riccati equation, Malmquist–Yosida equation, PDEs of Fermat type.
In this study, we introduce multiple zeta functions with structures similar to those of symmetric functions such as the Schur P-, Schur Q-, symplectic and orthogonal functions in representation theory. Their basic properties, such as the domain of absolute convergence, are first considered. Then, by restricting ourselves to the truncated multiple zeta functions, we derive the Pfaffian expression of the Schur Q-multiple zeta functions, the sum formula for Schur P- and Schur Q-multiple zeta functions, the determinant expressions of symplectic and orthogonal Schur multiple zeta functions by making an assumption on variables. Finally, we generalize those to the quasi-symmetric functions.
The aim of this article is to analyse the Italian Nuova Destra. The first part examines the birth of the Nuova Destra within the current of the Movimento Sociale Italiano (MSI), referring particularly to Pino Rauti, a founder and leader. Following the experience of the magazine La Voce della Fogna and the Hobbit Camps, the first publishing initiatives of the Nuova Destra – Diorama letterario and Elementi, influenced by Alain de Benoist and the French Nouvelle Droite – were established. The second part analyses the path of the Nuova Destra as an autonomous cultural current. After Marco Tarchi’s expulsion from the MSI in 1981, the Nuova Destra launched an aggressive publishing strategy that failed to make the necessary organisational leap and came to an end around 1994. Nevertheless, the Nuova Destra has created a recognisable current, culturally eclectic and capable of ranging over different fields of knowledge with ‘metapolitics’ and ‘right-wing Gramscism’.
We prove that there exists a left-c.e. Polish space not homeomorphic to any right-c.e. space. Combined with some other recent works (to be cited), this finishes the task of comparing all classical notions of effective presentability of Polish spaces that frequently occur in the literature up to homeomorphism.
We employ our techniques to provide a new, relatively straightforward construction of a computable Polish space K not homeomorphic to any computably compact space. We also show that the Banach space $C(K;\mathbb {R})$ has a computable Banach copy; this gives a negative answer to a question raised by McNicholl.
We also give an example of a space that has both a left-c.e. and a right-c.e. presentation, yet it is not homeomorphic to any computable Polish space. In addition, we provide an example of a $\Delta ^0_2$ Polish space that lacks both a left-c.e. and a right-c.e. copy, up to homeomorphism.
This paper answers the question of how, according to Hegel, we can do philosophy of right. The first part of the paper deals with a critical dimension of Hegel’s understanding of the method of the philosophy of right. In the second part, it is shown that in the philosophy of right we consciously look at the present as forming a comprehensive context, as something that is resistant to mere thought and as something that is temporal. According to Hegel, what we consider in this way is concrete.