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Leadership emergence is fraught with pervasive gender stereotypes, and women remain underrepresented in senior leadership roles, particularly in healthcare organisations. We apply ecological systems theory to explain how environmental factors enable or inhibit women’s leadership emergence in healthcare settings. We interviewed 17 senior female leaders in the Australian healthcare sector to explore how gender-related perceptions affected their leadership journeys. Five themes emerged that challenge existing narratives: men supported women’s advancement; women impeded other women’s progress; vulnerability was a leadership strength; ambitious women were ostracised; and women were ‘given’ leadership opportunities rather than actively pursuing them. By situating these findings within the ecological systems theory framework, we highlight the interplay of individual and contextual influences across ecosystem levels. Our study offers a novel perspective on gender stereotypes in leadership emergence, advancing ecological systems theory by extending it into a new field. We provide recommendations at individual, organisational, community, and societal levels to empower women leaders.
Returning from a four-month tour in America, the Romanian historian Nicolae Iorga (1871–1940) stopped for a few days in Switzerland, on his way home. On May 7, 1930, he gave a lecture in Bern on medieval peasants and their struggle for freedom in the 14th century. Peasants against feudal armies inspired memories from America. However, Iorga, who was at the time preoccupied with questions of world history and comparative research, did not simply associate the War of Independence with the victory of the Swiss “peasants” at Sempach against Duke Leopold III of Tyrol. He drew a parallel between the military success of the Eidgenossen of 1386 and the defeat inflicted 56 years earlier upon the king of Hungary, Charles I, by Romanian peasants. The battle, on the 600th anniversary of which Iorga delivered his lecture, was illustrated in the Hungarian Illuminated Chronicle. The Romanian historian was convinced that the illustrator had been an eyewitness or, at least, somebody informed by a participant. There is no mention of peasants in the text of the Chronicle, but on the basis of the last illuminations in the manuscript, Iorga thought he could recognize the dress of the Romanian peasants of his own time: the woolen hat (căciulă, a sort of Phrygian cap); the long, braided hair; the leather jacket doubled with wool; the leggings; and the leather sandals (opinci). The Romanians fought like peasants as well: they cut trees in the forest, which they then pushed over King Charles and his heavy cavalry. Iorga did not find this detail either in the text or in the illuminations of the Hungarian Chronicle. He got it from the Chronicle of the Prussian Land by Peter of Dusburg, although that source is not mentioned in the lecture.
This article discusses the Swedish Business Fund (Näringslivets fond) from its creation in 1940, over the postwar decades of welfare state consensus and the radicalised 1970s into the privatisation drive of the 1980s. The article shows that the Fund was created to break the business interest out of the corporatist model and establish it as a market liberal voice in Swedish politics. In doing so, a main ambition of the Fund was to act as a battle instrument for business, and the article shows that it demonstrates a continuous presence of Hayekian thinking with the welfare state. The article revisits the story of the so-called wage earner funds debate (1976–83) and argues that the Fund saw anti-funds mobilisation in view of the preparation of a larger programme of privatisation.
The study aim was to determine the prevalence of food addiction (FA) in individuals with type 2 diabetes and to assess the association between FA and type 2 diabetes. MEDLINE, EMBASE, Web of Sciences, Latin American and Caribbean Literature in Health Sciences, ScienceDirect, Scopus and PsycINFO were searched until November 2024. This study was registered with PROSPERO (CRD42023465903). Cross-sectional studies, case–control, cohorts and clinical trials that were carried out with individuals with type 2 diabetes, regardless of age and sex, were included. The complete data extracted included the prevalence, OR and/or risk ratio of FA, the number of individuals evaluated, age, sex, weight, presence of co-morbidities, age of participants and FA symptoms. A pooled prevalence of FA of 30 % (95 % CI (18, 44) with estimated predictive interval (0; 85); I2 = 99·51; 12 studies; 15 947 participants) was identified. For the associations between FA and type 2 diabetes, we found a grouped crude OR value of 2·35 (95 % CI (1·71, 2·98)). The pooled OR adjusted for age and sex was 2·60 (95 % CI (1·77, 3·42)). Finally, the OR adjusted for age, sex and BMI was 2·01 (95 % CI (1·39, 2·64)). The results of the meta-analyses showed a high prevalence of FA in individuals with type 2 diabetes and that the associations between these two conditions remained even after adjustment for age, sex and BMI, although with a high heterogeneity among individual estimates.
Despite the extensive research on bubble collapse near rigid walls, the bubble collapse dynamics in the presence of shear flow near a rigid wall is poorly understood. We conduct direct simulations of the Navier–Stokes equations to explore the bubble dynamics and pressures during bubble collapse near a rigid, flat wall under linear shear flow conditions. We examine the dependence of the bubble collapse morphology and wall pressures on the initial bubble location and shear rate. We find that shear distorts the bubble, generating two re-entrant jets – one developing from the side opposite to the mean flow and the other from the far end toward the wall. Upon impact of the jet on the opposite side of the bubble, water-hammer shocks are produced, which propagate outward and interact with the convoluted bubble shape. The shock stretches the bubble towards the wall, resulting in a closer impact location for the jet originating from the far end compared with the case with no shear flow. The water-hammer pressure location can be approximated as the theoretical distance travelled by a particle initialised at the bubble centre with the corresponding constant shear flow velocity. The maximum wall pressures can thus be predicted by considering the distance between the far jet impingement location and the wall along the wall-normal direction. As the shear rate is increased, the maximum wall pressure increases, although only marginally. We determine the critical initial stand-off distance from the wall at which the bubble morphology is shear dominated, i.e. characterised by converging re-entrant jets.
We prove that a group $\Gamma $ admits a discrete, topological (equivalently, smooth) action on some simply connected 3-manifold if and only if $\Gamma $ has a Cayley complex embeddable—with certain natural restrictions—in one of the following four 3-manifolds: (i) $\mathbb {S}^3$, (ii) $\mathbb {R}^3$, (iii) $\mathbb {S}^2 \times \mathbb R$, and (iv) the complement of a tame Cantor set in $\mathbb {S}^3$. The fact that these are the only simply connected 3-manifolds that allow such actions is a consequence of the Thurston–Perelman geometrization theorem.
We introduce a new model equation for Stokes gravity waves based on conformal transformations of Euler's equations. The local version of the model equation is relevant for the dynamics of shallow water waves. It allows us to characterize the travelling periodic waves both in the case of smooth and peaked waves and to solve the existence problem exactly, albeit not in elementary functions. Spectral stability of smooth waves with respect to co-periodic perturbations is proven analytically based on the exact count of eigenvalues in a constrained spectral problem.
Transcatheter closure of large and complex atrial septal defect can pose challenges and complications during device placement. To improve stability, several assistive techniques have been developed.
Methods:
This retrospective study evaluated the efficacy of the device-assisted device closure technique for large secundum atrial septal defects. Patients who underwent device-assisted device closure of atrial septal defect between December 2023 and August 2024 were analysed.
Results:
Twenty patients (mean age 38.69 years) underwent device closure of large secundum atrial septal defect with device-assisted device closure technique. The mean atrial septal defect diameter was 31.9 mm. The average thick-to-thick measurement was 38.3 mm, which determined the device size. The majority (18 cases) had thin, floppy margins and two had deficient inferior rim. Successful closure was achieved in 18 patients (90%), while two patients (10%) required other methods of assistance. Based on fluoroscopic guidance, patients were divided into two groups: Group A (8 patients) used anteroposterior projection, and Group B (12 patients) used left anterior oblique-cranial view. After initial two failures with anteroposterior view, all cases were successfully closed using left anterior oblique-cranial projection. Device sizes ranged from 36 to 50 mm (median 40 mm). Cocoon devices were used for sizes up to 42 mm, and Occlunix for larger devices. No significant procedural complications occurred, although two patients had minor post-procedural events.
Conclusions:
Device-assisted device closure technique offers a promising and safe dynamic assistance approach for transcatheter closure of large and challenging atrial septal defects. The left anterior oblique-cranial view showed promising results, though without statistical significance. While results are encouraging, larger prospective studies are needed to validate its effectiveness.
In this paper, we study the cyclicity of the shift operator $S$ acting on a Banach space $\mathcal {X}$ of analytic functions on the open unit disc $\mathbb {D}$. We develop a general framework where a method based on a corona theorem can be used to show that if $f,g\in \mathcal {X}$ satisfy $|g(z)|\leq |f(z)|$, for every $z\in \mathbb {D}$, and if g is cyclic, then f is cyclic. We also give sufficient conditions for cyclicity in this context. This enable us to recapture some recent results obtained in de Branges–Rovnayk spaces, in Besov–Dirichlet spaces and in weighted Dirichlet type spaces.
The article uses the scandal surrounding Jackson Yee, a state-endorsed celebrity and household name in China, as a case study to critically examine how the “government–industry–fan–platform” alliance co-conducts what we call “collaborative celebrity PR” to rescue co-opted stars from scandal. We find that the relationship between the four agents is symbiotic but that the government plays the most important “arbitrator” role. We argue that the state-endorsed celebrities face an inherent dilemma of “power(lessness)” in which they have to dedicate more effort towards propaganda and behave in a moral and exemplary way to please the government to gain more political capital and power and minimize their own precarity. We also highlight the uncertainty and risks using celebrities in its pop propaganda can bring to the CCP: if a state-endorsed celebrity cannot be saved, the scandal can damage the legitimacy and reliability of the Party propaganda.
Opponents of authoritarian regimes are often assumed to desire democracy in place of the current regime. In this paper, we show that authoritarian dissidents hold divergent attitudes towards democracy and identify a key bloc within the regime opposition: “non-democratic critics” (NDCs) or those who are dissatisfied with the current regime but resist adopting democracy. We develop the concept of NDCs, theorize why they exist and how they differ from supporters of democracy and the status quo, and test implications of this framework using interviews and an original survey across China. We find that nearly half of respondents who oppose the current Chinese regime are non-democratic critics who also do not support democracy. Compared to democracy and status quo supporters, NDCs have a distinct set of political and socio-economic demands and higher uncertainty about the performance of democracy in meeting these demands. We also find that NDCs are economically better off than democracy supporters, suggesting that unequal access to the benefits of state-led economic development may motivate differing attitudes toward democracy among regime opponents. These findings put forth an important explanation for why the world’s largest authoritarian regime endures—those who oppose the regime have divergent and unclear visions of what political system should be adopted in its place.
African yam bean (AYB) is an underutilized legume with significant potential for food security in sub-Saharan Africa, yet limited research exists on optimizing its seed yield through selective breeding. In this study, the seed yield (SY) performance and relative importance of some yield-related traits on SY in AYB were assessed. One hundred and ninety-six accessions of AYB were evaluated for 2 years in three agro-ecologies of Nigeria. The experimental design was a 14 × 14 lattice design with three replicates. Data were recorded on SY and 13 SY-related traits. Positive significant genotypic correlations were found between SY and 11 of these traits. Pod length (PL) had a negative significant relationship (rg = −0.44**) with SY. Path coefficient analysis identified days to maturity (DM), pod weight (PW), shelling percentage (SP), number of seeds per pod (NSPD), 100-seed weight (HSW) and seed thickness (ST) as traits with positive direct effects on SY. The additive main effect and multiplicative interaction analysis revealed highly significant accession, environment, accession × environment interaction and interaction principal components effects for SY. Accessions TSs-119, TSs-101, 138A, TSs-4, TSs-157A and TSs-61 were identified as superior and stable, and should be considered for further breeding purposes. Selection criteria for improved SY in AYB should include DM, PW, SP, NSPD, HSW and ST. The identified stable, high-yielding accessions and key yield-related traits provide a framework for accelerating AYB improvement across diverse agro-ecologies.
To evaluate the prevalence, long-term mortality, and clinical characteristics in total cavopulmonary connection patients with excellent functional outcomes.
Methods and results:
A retrospective study of cardiopulmonary exercise test results in 288 patients after total cavopulmonary connection from a single-centre nationwide database. A subgroup of 88 (30.6%) patients (45 women; 51.1%), at a median age 13.0 [interquartile range 11.0; 18.0] years achieved ≥80% of predicted VO2peak value (Super-Fontan phenotype). Survival free from death or heart transplantation 20 years after surgery was 100.0% in the Super-Fontan group versus 94.0% in the rest of the cohort (p = 0.04). Super-Fontan patients were younger, had lower body mass index, lower regurgitant fraction on atrioventricular valve, and larger preoperative McGoon ratio than the rest of the cohort (p = 0.002, p < 0.0001, p = 0.004, and p = 0.04, respectively). Females and tricuspid atresia patients were significantly more prevalent in the Super-Fontan group than in the rest of the cohort (p = 0.02 for both). There was no difference regarding systemic ventricle morphology, fenestration presence, or ejection fraction of systemic ventricle between the Super-Fontan group and the rest of the total cavopulmonary connection cohort (p = 0.06, p = 0.09, and p = 0.64, respectively).
Conclusions:
The subgroup of Super-Fontan patients has unique clinical characteristics when compared to the rest of the total cavopulmonary connection nationwide cohort. Besides superior VO2peak results, Super-Fontan patients tend to have lower long-term mortality, body mass index, and atrioventricular valve, greater preoperative pulmonary dimensions, and a higher prevalence of females and tricuspid atresia patients. There was no variance in morphology of the systemic ventricle, or presence of fenestration.
For the Saskatchewan Party (SKP), identifying with the Western populist tradition was essential to both its creation and initial electoral viability, leading many political commentators to regularly refer to the SKP as a right-wing populist party. Yet scholars have been much more reticent to classify the SKP as an authentically Canadian populist party in the style of the Reform Party of Canada. Part of this disconnect is a result of the SKP's uneven and opportunistic use of populism throughout its history. Indeed, this article argues that the SKP's initial commitment to populism was largely performative, embraced to fend off the challenge of a potential provincial Reform Party. Once the utility of the SKP's performative populism threatened its electoral viability, most of the party's symbolic nods to populism were abandoned. Yet, more recently, the SKP has embraced a new form of populism that merges its pro-business support for the region's oil and gas industry with right-wing policies that are often linked to its rural base. This form of populism, defined as extractive populism, demonstrates that the SKP continues to use populist discourse opportunistically when its right-wing base is threatened.