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This study investigates the public health implications of terrorist attacks on telecommunications infrastructure globally, assessing the direct and indirect impacts on emergency response and medical services.
Methods
Utilizing retrospective analysis, this research delves into incidents recorded in the Global Terrorism Database (GTD) from 1970 to 2020. The study employs descriptive statistical methods to identify patterns and examine the regional distribution and frequency of these attacks, alongside the types of weaponry used and the direct casualties involved.
Results
The analysis underscores a significant focus on telecommunications by terrorist groups, revealing a frequent use of high-impact weapons like explosives and incendiary devices aimed at maximizing disruption. The study highlights considerable regional variations in the frequency and nature of attacks, emphasizing the strategic importance of these infrastructures to public safety and health systems.
Conclusions
The findings demonstrate the critical need for robust security enhancements tailored to regional threats and the integration of advanced technologies in public safety strategies. The research advocates for enhanced international cooperation and policymaking to mitigate the impacts of these attacks, ensuring telecommunications resilience in the face of global terrorism.
As the number of ethnic minority politicians increase across countries like the United Kingdom and the United States, so too have instances in which these officeholders act against the communities they descriptively represent. In this contribution, we introduce the concept of paradoxical representation which we argue functions through neoliberal, post-racial scripts of color-blindness and meritocracy. Similar to research on gender representation which calls into question assumptions that substantive representation will follow unproblematically from women’s descriptive representation (Celis and Childs 2012), we argue that ethnic minority representatives can act as “post-racial gatekeepers.” This means paradoxically working against rather than for marginalized ethnic minority groups (Saini, Bankole, and Begum 2023). Through political discourse and policymaking, these representatives construct and “gatekeep” hegemonic ideas around race, racism, gender, and migration.
Migrant labor exploitation is widespread in developed countries, which host growing populations of undocumented migrants. While denouncing by migrants is essential to prosecute exploitative employers, an undocumented community actively hiding from the state is unlikely to whistleblow. I consider an intervention providing migrant farmworkers in Italy information and incentives to report on their racketeers. I leverage the staggered rollout of the intervention to study its effects in a difference-in-differences framework. The intervention empowered migrants to whistleblow, increased the prosecution of criminal organizations responsible for racketeering migrants, and raised awareness among natives, who became more favorable toward immigration and parties supporting it. These findings highlight the conditions under which undocumented migrants can take political action for their socioeconomic advancement. Unlike other integration policies which have been shown to backlash, highlighting migrants’ vulnerability to exploitation might foster solidarity and more liberal immigration attitudes among natives.
In this paper, we establish a definitive result which almost completely closes the problem of bounded elementary generation for Chevalley groups of rank $\ge 2$ over arbitrary Dedekind rings R of arithmetic type, with uniform bounds. Namely, we show that for every reduced irreducible root system $\Phi $ of rank $\ge 2$, there exists a universal bound $L=L(\Phi )$ such that the simply connected Chevalley groups $G(\Phi ,R)$ have elementary width $\le L$ for all Dedekind rings of arithmetic type R.
Early adversity increases risk for child mental health difficulties. Stressors in the home environment (e.g., parental mental illness, household socioeconomic challenges) may be particularly impactful. Attending out-of-home childcare may buffer or magnify negative effects of such exposures. Using a longitudinal observational design, we leveraged data from the NIH Environmental influences on Child Health Outcomes Program to test whether number of hours in childcare, defined as 1) any type of nonparental care and 2) center-based care specifically, was associated with child mental health, including via buffering or magnifying associations between early exposure to psychosocial and socioeconomic risks (age 0–3 years) and later internalizing and externalizing symptoms (age 3–5.5 years), in a diverse sample of N = 2,024 parent–child dyads. In linear regression models, childcare participation was not associated with mental health outcomes, nor did we observe an impact of childcare attendance on associations between risk exposures and symptoms. Psychosocial and socioeconomic risks had interactive effects on internalizing and externalizing symptoms. Overall, the findings did not indicate that childcare attendance positively or negatively influenced child mental health and suggested that psychosocial and socioeconomic adversity may need to be considered as separate exposures to understand child mental health risk in early life.
On July 28, 2022, floods in eastern Kentucky displaced over 600 individuals. With the goal of understanding mental health needs of affected families, we surveyed households living in flood evacuation shelters after the 2022 Kentucky floods.
Methods
Families experiencing displacement from the 2022 Kentucky floods currently living in three different temporary shelter locations were surveyed via convenience sampling. A rapid community needs assessment involving in-person interviews using modified two stage cluster methodology (CASPER) was conducted between September 6-9, 2022.
Results
Teams conducted 61 household interviews. Since the flood, 27.7% reported that their household received services from behavioral health and 19.6% received grief counseling. Experiencing agitation (36.7%), difficulty concentrating (47.5%), nightmares (62.3%), or suicidal thoughts/self-harm (6.6%) were reported by households surveyed. Over one-fourth (27.0%) of individuals surveyed reported being depressed nearly every day. Over 20% reported anhedonia (inability to feel pleasure) nearly every day. Over 75% of individuals surveyed reported being anxious several days or more over the last two weeks. Over one-third of individuals (34.0%) reported being unable to stop worrying nearly every day. Of those individuals surveyed, 36.1% reported barriers to mental health services.
Conclusions
Symptoms of depressed mood, anhedonia, anxiety, and nightmares were prevalent in displaced families six weeks after the 2022 Kentucky floods. Providing and encouraging access to mental health services are important priorities during disaster recovery.
Several organizations including the Environmental Protection Agency, World Health Organization and American Academy of Pediatrics recommend that hospital sound levels not exceed 45 decibels. Yet, several studies across multiple age groups have observed higher than recommended levels in the intensive care setting. Elevated sound levels in hospitals have been associated with disturbances in sleep, patient discomfort, delayed recovery, and delirium.
Methods:
We measured sound levels in a pediatric cardiac intensive care unit and collected vital signs data, sedation dosing and delirium scores. During a 5-week study period, sound levels for 68 patients in 22 private and 4 semi-private rooms were monitored.
Results:
Sound levels were consistently above stated recommendations with an average daytime level of 50.6 decibels (maximum, 76.9 decibels) and an average nighttime level of 49.5 decibels (maximum, 69.6 decibels). An increase in average and maximum sound levels increased the probability of sedation administration the following hour (p-value < 0.001 and 0.01, respectively) and was predictive of an increase in heart rate and blood pressure (p-value < 0.001).
Conclusion:
Sound levels in the CICU were consistently higher than recommended. An increase in heart rate, blood pressure and sedation utilization may suggest a stress response to persistent and sudden loud sounds. Given known negative impacts of excessive noise on stress, sleep, and brain development, as well as the similar adverse effects from the related use of sedative medications, reducing excessive and sudden noise may provide an opportunity to improve short- and long-term hemodynamic and neurodevelopmental outcomes in the pediatric cardiac intensive care unit.
In 2021, the International Monetary Fund (IMF) moved to integrate climate risks into its Article IV surveillance of member states. While the IMF has not traditionally been at the forefront of climate change efforts, this decision involved defining climate change as a risk to macro-economic stability. I argue that the integration of climate change into IMF surveillance can be understood as a case of international organisation (IO) boundary work taking place via the mechanism of economisation: an economic institution addressing a (traditionally non-economic) issue as an economic issue. The study identifies crucial factors shaping this boundary expansion, particularly the agency of IMF staff, as well as preferences within the IMF Executive Board, and institutional ideas. The straightforward integration of physical and transition climate risks is in contrast to the contestation surrounding the integration of mitigation policy. The findings contribute to the literature on IOs and their boundaries, change within the IMF, and the environmental political economy. The analysis reveals the role of IMF staff in this boundary work and, in addition, that institutionalised ideas and the heterogeneous preferences among member states acted as scope conditions limiting how far this economisation could go.
In this paper, we give a complete coarse classification of strongly exceptional Legendrian realizations of the connected sum of two Hopf links in contact 3-spheres. This is the first classification result about exceptional Legendrian representatives for connected sums of link families.
We propose a novel approach for non-Newtonian viscoelastic steady flows based on a decomposition of the rate-of-deformation tensor which here, in a simplified version, leads to an anisotropic generalised Newtonian fluid-like model with separated treatment of kinematics pertaining to shear and extensional flows. Care is taken to assure that the approach is objective and does not introduce spurious effects due to dependence on a specific reference frame. This is done by separating the rate-of-deformation tensor into shear and elongational components, with the local scalar shear and elongation rates being the second invariant of each tensor separately, and by modifying the method used to separate the rate-of-deformation tensor so that it becomes independent of superimposed rigid rotations, thus satisfying the principle of material indifference. We assess the model with two test cases: planar contraction flow, often employed to evaluate numerical methods or constitutive equations and for which experimentally observed corner vortex enhancement and pressure drop increase are seldom found in numerical simulations; and flow past confined or unconfined cylinders, for which experiments indicate a drag increase due to elasticity and most predictions give a drag decrease. With our anisotropic model, incorporating additional elongational-flow-related terms, large vortices and accentuated pressure drop coefficients can be predicted for the contraction problem and enhanced drag coefficient for the cylinder problems. This is the first work where problems of non-Newtonian fluid mechanics are solved numerically with separation of strain rate into shear and elongational components.
Affective polarization (AP), a concept that summarizes intense partisans’ animosity towards opposing parties and positive feelings towards their own, has recently received increasing attention. Despite a growing interest in Latin American polarization, there are very few empirical studies on the range and depth of dislike and distrust towards political adversaries in the region, and how this impacts the quality of democracies. This research note uses survey data collected after ten election cycles in six countries to estimate the scope and depth of AP in the region. We measure the extent of polarization in Latin America compared to other Western nations, assess its evolution, and makes some inroads to explain who drives AP. On aggregate, Latin America does not show large AP scores, yet there are clear signs of an upward trend. More than a widespread social phenomenon, the evidence suggests that AP is driven by large intense minorities.
Since Key and Allport, scholars have argued that racial context affects political behavior, with some finding out-group contact increases intergroup hostility and others showing the opposite. We argue that Americans exist in multiple racial contexts simultaneously that may overlap or conflict, helping to explain past discord. Using novel data, we document in-group embeddedness among the four largest U.S. ethnoracial groups for three kinds of racial context: geographic, social, and psychological. These three contexts are only weakly correlated, we find, with social ties exhibiting distinctly high rates of in-group segregation. We next examine the relationship between racial contexts and political attitudes, showing that individuals who are highly embedded across contexts express notably different views than those who experience cross-cutting pressures. Our results underscore a need for greater care and specificity when examining the relationship between “racial context” and political phenomena.
Schistosomosis in animals due to Schistosoma spindale significantly burdens India’s livestock economy because of high prevalence and morbidity and is mostly underdiagnosed from the lack of sensitive tools for field-level detection. This study aimed to clone, express the 22.6-kDa tegument protein of S. spindale (rSs22.6kDa) and to utilise it in a dot enzyme-linked immunosorbent assay for serodiagnosis. RNA was extracted from adult worms recovered from the mesenteries of slaughtered cattle to amplify the gene encoding the 22.6-kDa protein. In silico analysis revealed the protein’s secondary structure, consisting of 190 amino acids forming alpha helices (47.89%), extended strands (17.37%), beta turns (8.95%), and random coils (25.79%), with α helices and β sheets in the tertiary structure. Two conserved domains were noted: an EF-hand domain at the N-terminus and a dynein light-chain domain at the C-terminus. Phylogenetic studies positioned the S. spindale sequence as a sister clade to Schistosoma haematobium and Schistosoma bovis. The gene was cloned into a pJET vector and transformed into Escherichia coli Top 10 cells, with expression achieved using a pET28b vector, BL21 E. coli cells, and induction with 0.6 mM isopropyl-β-d-thiogalactopyranoside. The protein’s soluble fraction was purified using nickel-chelating affinity chromatography, confirmed by sodium dodecyl sulfate–polyacrylamide gel electrophoresis and immunoblotting, identifying a distinct immunodominant 22.6-kDa protein. The diagnostic utility was validated using a dot enzyme-linked immunosorbent assay which demonstrated a of sensitivity of 89.47% and specificity of 100%. The study records for the first time the prokaryotic expression and evaluation of the 22.6-kDa tegumental protein of S. spindale, highlighting its potential as a diagnostic antigen for seroprevalence studies in bovine intestinal schistosomosis.
To outline the life and work of Greek physician Asclepiades of Bithynia (124–40 BC), especially his contributions to thinking about mental illness.
Methods:
Review and discussion of relevant fragments of Asclepiades’ work that survive and review of secondary literature, supplemented by relevant systematic literature searches (e.g. PubMed).
Results:
Asclepiades challenged the long-standing Hippocratic doctrine of the four humours and developed an approach to physical and mental illness that was humane, reasoned, and a forerunner of later developments in psychiatry. Asclepiades argued that the human body, like everything in the universe, comprised tiny, imperceptible particles, which he called önkoi, seamless masses in perpetual motion. In consequence, Yapijakis describes Asclepiades as ‘the father of molecular medicine’. Asclepiades held that good health was maintained by free, balanced motion of önkoi through theoretical pores, while disease resulted from blockage or impaction of önkoi passing through pores in various body parts (e.g. brain). Based on this idea, Asclepiades recommended releasing people with apparent mental illness from confinement and using judicious combinations of diet, exercise, massage, bathing, and music to treat ‘phrenitis’ (delirium) and melancholia. He suggested that the physician act ‘safely, swiftly and pleasantly’ (‘cito, tutu, jucunde’) for both physical and mental illness.
Conclusions:
Asclepiades belongs to the historical tradition of progressive medical approaches to mental illness, not least because he applied his principles for the treatment of physical illness to mental illness. His ideas about psychiatry set the scene for further evolution of attitudes to mental illness and its treatment over subsequent centuries.
This study aimed to examine the effect of volunteers’ health behaviors and disaster preparedness on disaster attitudes.
Methods
The sample comprised 378 volunteers aged 18 to 30 who were affiliated with the largest volunteer network in a non-governmental organization in Turkey. In the study, data were collected with Descriptive Information Form, the Disaster Preparedness Scale, and the Disaster Attitude Scale.
Results
The mean total score of the participants in the Disaster Attitude Scale was 3.06 ± 0.73 (1-5). The mean total scale score of the participants in the Disaster Preparedness Scale was 33.21 ± 8.02 (13-54). Notably, factors such as using alcohol, the status of general health checkups status, and scores on the physical protection and assistance subscales the Disaster Preparedness Scale were significantly associated with the Disaster Attitude Scale total score (P < 0.05).
Conclusions
In this study, regular general health check-ups, alcohol use in general, and physical protection and assistance sub-scales are critical determinants of volunteers’ attitudes toward disasters. The disaster volunteers, health professionals particularly nurses, should develop training programs to enhance volunteers’ disaster attitudes focusing on promoting disaster preparedness and positive health behaviors in both governmental and non-governmental organizations.
The aim of this study was to investigate the antioxidant effect of alpha-lipoic acid (α-LA) in dairy cows and its metabolic mechanism. Thirty Holstein cows weighing 550 ± 25 kg, 200 ± 15 days of lactation and calving 2–3 times were randomly divided into three groups, ten cows in each group. Different doses of α-LA were added based on body weight: 0 (CTL), 30 (LA-L) and 60 (LA-H) mg/kg per head per day; 7 days adaptation period, 30 days formal period. Milk production was recorded daily during the test period. Milk and blood samples were collected on the last day. ELISA kits and automatic biochemical analyser were used to detect the indicators in blood; serum metabolites were detected and analysed by non-target metabolomics. The results of the study showed that the addition of α-LA significantly increased milk yield; blood concentrations for HDL, triglyceride, cortisol and triiodothyronine were significantly elevated; and levels of glutathione reductase and nitric oxide synthase were significantly reduced in LA-L group as compared to CTL group. The concentrations of IL-1β, IL-2, TNF-α, IgG and IgA were significantly higher after supplementation with α-LA. Metabolomics analysis revealed 13 and 15 differential metabolites each in positive or negative modes. Methylmalonic acid levels were significantly higher following α-LA supplementation compared to CTL group, as were D-lactose, D-maltose and oleanolic acid levels in LA-L group. In summary, α-LA can enhance milk production, improve antioxidant capacity and immunity, and is more beneficial for animal production and economic benefits at 30 mg/kg.
In the winter of 2022–2023, hundreds of the Atlantic puffins (Fratercula arctica) appeared dead in the coast of the Canary Islands, a rare event considering their cold-living habits, normally occupying the North Atlantic Ocean. In this work, investigation about the parasites present in the Atlantic puffins found in the biggest islands of the Archipelago was carried out from a population portion. Necropsies of 39 birds were made and, during the examination of the urinary tracts, helminths were found. Morphoanatomical analysis under microscope allowed to identify them into Renicola genus with high similarity to Renicola sloanei. After that, DNA was extracted and NADH dehydrogenase subunit 1 gene were amplificated by a polymerase chain reaction method followed by sequencing and phylogenetic analysis. The molecular results demonstrated that in fact R. sloanei was the helminth parasite present in the urinary tracts of the Atlantic puffins found in the Canary Islands.