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A patient with borderline left ventricle successfully underwent biventricular repair following a staged surgical approach to promote left ventricular growth. Despite initial concerns about left ventricle size, apex formation and adequate size of atrioventricular valve indicated potential for future growth. The patient demonstrated significant left ventricular growth, resulting in stable biventricular circulation and a favourable outcome over a three-year postoperative follow-up period.
Clinical Registration Number: Institutional Review Board of Osaka City General Hospital, number 1902139.
The Czechoslovak oppositional initiative Charter 77 produced dozens of documents on human rights between 1977 and 1992. Yet it never dedicated a separate document to women's rights, even if the issue of women's equality was well represented in global human rights discourse at the time. This article explores this absence in Charter 77's intellectual production. It analyses in detail several Charter documents and samizdat publications that touched upon issues of women's equality, showing that some Charter signatories were ready to acknowledge that the socialist state granted women formal equality, while suggesting that neither material conditions nor cultural norms provided full emancipation. However, a more prevalent critique marked the socialist agenda of women's emancipation as something that restricted women's individual freedom in their personal lives. I argue that in their legalistic approach, the Charter milieu largely lacked the conceptual tools to explore discrimination against women as the manifestation of the broader imbalance of power between men and women beyond the law.
The controllability of passive microparticles that are advected with the fluid flow generated by an actively controlled one is studied. The particles are assumed to be suspended in a viscous fluid and well separated so that the far-field Stokes flow solutions may be used to describe their interactions. Explicit elementary moves parametrized by an amplitude $\varepsilon >0$ are devised for the active particle. Applying concepts from geometric control theory, the leading-order resulting displacements of the passive particles in the limit $\varepsilon \to 0$ are used to propose strategies for moving one active particle and one or two passive particles, proving controllability in such systems. The leading-order (in $\varepsilon$) theoretical predictions of the particle displacements are compared with those obtained numerically and it is found that the discrepancy is small even when $\varepsilon \approx 1$. These results demonstrate the potential for a single actuated particle to perform complex micromanipulations of passive particles in a suspension.
Sudden cardiac death poses a significant risk in patients with surgically repaired tetralogy of Fallot. Despite extensive research, risk stratification practices vary. This study surveyed the Pediatric and Adult Congenital Electrophysiology Society to identify these differences. Results showed diverse practices in indications, methods, and interpretation of electrophysiology studies, highlighting a need for standardised algorithms to improve patient outcomes.
Since the 1990s, the Pro-Life Alliance of Gays and Lesbians (PLAGAL) has positioned sexual minorities and fetuses as alike in struggle. The lesbian, gay, and bisexual members of this relatively small organization argued that tolerance and inclusivity of their positionality were strategically beneficial to both the gay rights and antiabortion movements. Ultimately, PLAGAL failed to convince many of the “legitimacy” of their campaigns, and was repeatedly expelled from both right-to-life rallies and Pride marches. This notwithstanding, PLAGAL organizing reveals much about (the limits of) identity politics and the relationship of different social and political movements in this turbulent decade.
Widening and diversifying trade networks are often cited among the boom and bust of Bronze and Iron Age worlds. The great distances that goods could travel during these periods are exemplified here as the authors describe the spectroscopic identification of Baltic amber beads in an Iron Age cremation grave at Hama in Syria. Yet these beads are not unique in the Near Eastern record; as the authors show, comparable finds and references to amber or amber hues in contemporaneous texts illustrate the high social and economic value of resinous substances—a value based on perceptions of their distant origin.
This paper presents a study of the effects of the durability and level of energy storage technology on energy management strategies and the performance of hybrid electric turboprops. The results highlight the key role of battery energy density on the durability of the battery pack and the viability of the concept of hybrid electric aircraft. Additionally, the trade-off between zero-day environmental compatibility and battery lifetime is identified, caused by the size of the pack. The effective energy density would decrease with the aging of the cells, leaving a significant inert mass and increasing fuel consumption. Optimal energy management strategies are suggested in light of this new information. Higher specific energy of the pack would mitigate this aspect, along with a reduction in fuel consumption and ${\rm{N}}{{\rm{O}}_{\rm{x}}}$ emissions. Indeed, the improvement of environmental compatibility was found to be nonlinear with a positive rate, suggesting high returns in investing in great improvements in energy density over a gradual increase. This result relates to the results of the statistical technological forecast presented in this study, which, without an increase in funding, predicts the availability of the specific energy required to match the fuel-only baseline in the 2040–2050 decade.
Oversight, scholars argue, allows Congress to control the executive agents it empowers to implement law. Yet the tools of oversight are rather limited and debate continues as to how much influence oversight provides. How well can members of Congress motivate bureaucratic performance? To measure the efficacy of oversight, we create a new dataset matching oversight efforts to a bureaucratic deficiency Congress has sought to reduce since the early 2000s: improperly made payments to contractors and clients. We estimate the effect of congressional hearings, one of the most important tools of congressional oversight, as well as correspondence, appropriation committee reports, statutes, and executive action. We find that hearings lead to subsequent declines in improper payments. The magnitude of the effect, however, is small relative to the scope of the problem, suggesting strong limits on the efficacy of oversight. Our findings imply that America’s elected officials struggle to effectively manage implementation of policy.
We prove a large deviation principle for the slow-fast rough differential equations (RDEs) under the controlled rough path (RP) framework. The driver RPs are lifted from the mixed fractional Brownian motion (FBM) with Hurst parameter $H\in (1/3,1/2)$. Our approach is based on the continuity of the solution mapping and the variational framework for mixed FBM. By utilizing the variational representation, our problem is transformed into a qualitative property of the controlled system. In particular, the fast RDE coincides with Itô stochastic differential equation (SDE) almost surely, which possesses a unique invariant probability measure with frozen slow component. We then demonstrate the weak convergence of the controlled slow component by averaging with respect to the invariant measure of the fast equation and exploiting the continuity of the solution mapping.
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.