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We present a new explicit formula for the determinant that contains superexponentially fewer terms than the usual Leibniz formula. As an immediate corollary of our formula, we show that the tensor rank of the $n \times n$ determinant tensor is no larger than the $n$-th Bell number, which is much smaller than the previously best-known upper bounds when $n \geq 4$. Over fields of non-zero characteristic we obtain even tighter upper bounds, and we also slightly improve the known lower bounds. In particular, we show that the $4 \times 4$ determinant over ${\mathbb{F}}_2$ has tensor rank exactly equal to $12$. Our results also improve upon the best-known upper bound for the Waring rank of the determinant when $n \geq 17$, and lead to a new family of axis-aligned polytopes that tile ${\mathbb{R}}^n$.
We consider two continuous-time generalizations of conservative random walks introduced in Englander and Volkov (2022), an orthogonal and a spherically symmetrical one; the latter model is also known as random flights. For both models, we show the transience of the walks when $d\ge 2$ and that the rate of direction changing follows a power law $t^{-\alpha}$, $0<\alpha\le 1$, or the law $(\!\ln t)^{-\beta}$ where $\beta>2$.
Sextic double solids, double covers of $\mathbb P^3$ branched along a sextic surface, are the lowest degree Gorenstein terminal Fano 3-folds, hence are expected to behave very rigidly in terms of birational geometry. Smooth sextic double solids, and those which are $\mathbb Q$-factorial with ordinary double points, are known to be birationally rigid. In this paper, we study sextic double solids with an isolated compound $A_n$ singularity. We prove a sharp bound $n \leq 8$, describe models for each n explicitly, and prove that sextic double solids with $n> 3$ are birationally nonrigid.
The article evaluates clerical professionalisation in the eighteenth-century Polish-Lithuanian Commonwealth by examining the division of labour within parishes. It argues that proponents of the Catholic Enlightenment endeavoured to achieve post-Tridentine reforms while also assigning to the clerical profession responsibilities for the material well-being of parishioners and service to the Commonwealth. It concludes that the process of clerical professionalisation remained incomplete. Firstly, approval for hiring assistant priests resulted in the delegation of many, if not all, ecclesiastical duties to them. Secondly, the improved professional education of priests occasionally led to unexpected withdrawal from pastoral duties seen as falling below their acquired competencies.
This article examines manuscript sermons to reveal how a Calvinist minister, Hugh Ramsden, preached predestination from his parish pulpit in the late 1620s. It shows how he adapted a scholarly work for this purpose, sought to balance inclusive and exclusive visions of the Christian community, and attempted to frame the doctrine as a comfort. By comparing two manuscripts for the same sermon, the extempore aspects of his live preaching are explored. Lastly, it considers the negotiation that allowed Hugh's like-minded brother, Henry, to continue with Calvinist preaching under the Laudian regime of Richard Neile in the 1630s.
Despite strong evidence of efficacy of electroconvulsive therapy (ECT) in the treatment of depression, no sensitive and specific predictors of ECT response have been identified. Previous meta-analyses have suggested some pre-treatment associations with response at a population level.
Aims
Using 10 years (2009–2018) of routinely collected Scottish data of people with moderate to severe depression (n = 2074) receiving ECT we tested two hypotheses: (a) that there were significant group-level associations between post-ECT clinical outcomes and pre-ECT clinical variables and (b) that it was possible to develop a method for predicting illness remission for individual patients using machine learning.
Method
Data were analysed on a group level using descriptive statistics and association analyses as well as using individual patient prediction with machine learning methodologies, including cross-validation.
Results
ECT is highly effective for moderate to severe depression, with a response rate of 73% and remission rate of 51%. ECT response is associated with older age, psychotic symptoms, necessity for urgent intervention, severe distress, psychomotor retardation, previous good response, lack of medication resistance, and consent status. Remission has the same associations except for necessity for urgent intervention and, in addition, history of recurrent depression and low suicide risk. It is possible to predict remission with ECT with an accuracy of 61%.
Conclusions
Pre-ECT clinical variables are associated with both response and remission and can help predict individual response to ECT. This predictive tool could inform shared decision-making, prevent the unnecessary use of ECT when it is unlikely to be beneficial and ensure prompt use of ECT when it is likely to be effective.
The international migration literature has highlighted four key stylized facts from the perspective of the source country: (i) Migration rates are notably high, with some nations seeing over ten percent of their population living abroad. (ii) Certain developing countries have witnessed a significant exodus of skilled workers, commonly referred to as brain drain, spanning several decades. (iii) Migrants often maintain strong ties to their country of origin, evidenced by the substantial remittances they send back to their relatives. (iv) Migration is not necessarily permanent, as a considerable number of individuals return to their home country after a period spent abroad. In this paper, we present a theoretical model that endogenously explains these facts. Our model allows us to explore key issues in migration literature from a theoretical standpoint. We analyze the general equilibrium effects of migration, its long-term implications, and its welfare consequences. Additionally, we investigate whether the combined impact of return migration and remittances can counterbalance the effects of skilled migration. Finally, we evaluate the efficacy of policy interventions designed to mitigate the adverse effects of brain drain.
Assessing the conservation status of a species is important for designing effective conservation measures. Consequently, it is often vital to review it to update biodiversity management initiatives. The Parana Antwren Formicivora acutirostris is a bird found in pioneering formations (coastal marshes) of Brazil’s southern flood plains. It is considered threatened in Brazil but near threatened globally. In 2007, its distribution, habitat, and population size were estimated based on aerial photographs from 1978 and 1980. Since the species is threatened and occupies a small area across a region under pressure, we aimed to reassess its conservation status and assess its Green Status. We compiled new records, conducted new density estimates, and compared them with the previous mapping with satellite imagery to estimate the current distribution in terms of extent of occurrence (EOO), area of occupancy (AOO), area of habitat (AOH), habitat loss, and population size, and review its conservation status. The species is distributed across 10 populations, including two new populations further south. We estimated the EOO at 26,655 km², AOO at 320 km², AOH at 41 km², and the population as 6,285 mature territorial individuals. The previously mapped AOH decreased by 15.35 km² due to ecological succession. The loss of habitat due to invasion by exotic grasses is the main anthropogenic impact. We recommend that the species be considered “Vulnerable”. The Green Status indicates that the Conservation Legacy of actions taken thus far and the Conservation Dependence of ongoing actions are inefficient due to their small scales, but it highlights the importance of future actions for species conservation. We propose the establishment of exotic-free zones as small areas with a significant amount of minimally invaded environments, which we suggest as priority areas for the conservation of the species due to their cost-effective management potential. We also propose assisted colonisation to enhance its long-term conservation.
Although forensic psychiatrists are often asked to comment on a defendant's capacity to form the necessary mens rea for their alleged offence, little has been written on how mental disorders map onto legal concepts of mens rea, particularly those of intention. In this article we explore legal concepts of mens rea and the relevance of mental disorders and alcohol intoxication. We briefly consider philosophical approaches to intentional action and a variety of common mental disorders. We conclude that despite the presence of significant psychopathology it is rare for mental disorders to cause a defendant to lack the ability to form mens rea. Experts should therefore be cautious about coming to the conclusion that they do lead to a lack of capacity to form mens rea and should make clear the limits of their expertise, given the difficulty of translating clinical mental states into legal concepts of liability.
Recently, subcritical transition to turbulence in the quasi-two-dimensional (quasi-2-D) shear flow with strong linear friction (Camobreco et al., J. Fluid Mech., vol. 963, 2023, R2) has been demonstrated by the 2-D mechanism at $Re = 71\,211$, and the nonlinear Tollmien–Schlichting (TS) waves related to the edge state were approached independently of initial optimal disturbances. For 2-D plane Poiseuille flow, transition to the fully developed turbulence requires that the Reynolds number is several times larger than the critical Reynolds number $Re_c$ (Markeviciute & Kerswell, J. Fluid Mech., vol. 917, 2021, A57). In this paper, we observed the subcritical transitional flow in 2-D plane Poiseuille flow driven by the nonlinear TS waves by both linear and nonlinear optimal disturbances ($Re < Re_c$) with different quantitative edge states. The nonlinear optimal disturbances could trigger the sustained subcritical transitional flow for $Re \geqslant 2400$. The initial energy for nonlinear optimal disturbance is more efficient than the linear optimal disturbance in reaching the subcritical transitional flow for $2400 \leqslant Re \leqslant 5000$. Moreover, the initial energy of linear optimal disturbance is larger than the energy of its edge state. The nonlinear TS waves along the edge state are formed by the nonlinear optimal disturbances to trigger transitional flow, which agrees well with the main conclusions of Camobreco et al. (J. Fluid Mech., vol. 963, 2023, R2), while the required $Re$ of 2-D plane Poiseuille flow is much smaller.
The frequency and severity of floods has increased in different regions of the world due to climate change. It is important to examine how adaptation measures impact the mental health of individuals affected by these disasters.
Objective
The goal of this scoping review was to document the existing studies on the impact of flood adaptation measures in affected populations to identify the best preventive strategies and limitations that deserve further exploration.
Methods
This study followed the PRISMA-ScR guidelines. Inclusion criteria focused on studies in English or French available in MEDLINE and Web of Science that examined the impact of adaptation measures on the mental health of flood victims. Literature reviews or non-study records were excluded from the analysis.
Results
A total of 857 records were obtained from the examined databases. After 2 rounds of screening, 9 studies were included for full-text analysis. Six studies sought to identify the factors that drive resilience in flood victims, whereas 3 studies analyzed the impact of external interventions on their mental health.
Conclusions
The limited number of studies demonstrates the need for public health policies to develop flood adaptation measures that can be used to support the mental health of flood victims.
In 1920, the Syrian Congress at Damascus ratified a democratic constitution that would have been beyond the dreams of activists in the 2011 Arab Spring. Under the leadership of the leading Islamic reformer of the day, Sheikh Rashid Rida, the constitution disestablished Islam as a state religion, guaranteed one-third of parliamentary seats to non-Muslim minorities, and promised autonomy to the majority Christian territory of Mount Lebanon. Unlike the Ottoman constitution that had once reigned in Greater Syria, the Syrian document granted the preponderance of power to parliament, not the monarch. Nonetheless, the British and French colluded in the willful destruction of this nascent democracy. And with League of Nations’ support, they divided the Syrian Arab Kingdom into sectarian mandatory states. By stripping Syrian Arabs of a self-determined political community, Europeans denied them the “right to have rights,” as Hannah Arendt argued. The political backlash against European rule transformed the minority question in Syria into a polarized and violent contest, leading to the sectarian conflicts that overwhelmed Syria, Lebanon, and Palestine in the remainder of the 20th century.
With the increase in natural disasters and the expected role of public health nurses (PHNs) in responding, it is crucial to develop evidence-based disaster preparedness and management training programs tailored to the needs of PHNs. This study evaluates the effectiveness of a flipped classroom approach in disaster training for PHNs.
Methods
A total of 42 PHNs completed a 5-hour online training program and an in-person 8-hour training session at a local nursing school. Surveys measuring self-reported confidence and knowledge were completed at the beginning and end of the online and in-person training.
Results
The average years of experience as an RN and PHN were 12.3 years and 6.7 years, respectively. Approximately 64% of participants had never deployed during a disaster. The pre- and posttest demonstrated a large effect size, indicating the effectiveness of both online and in-person training. The online training resulted in significant changes in knowledge. The in-person training showed a statistically significant increase in confidence across all measures.
Conclusions
Online and in-person disaster preparedness training programs can effectively enhance the knowledge, skills, and attitudes of PHNs. The majority of participants expressed that the training better prepared them to work in disaster shelters.
Climate change is no longer a problem for future generations and the impact is already taking a toll in many parts of the world. Climate change has already caused substantial, and increasingly irreversible, damage to ecosystems. All these issues combined will inevitably lead to an increase in human suffering and forced displacement. This has significant ramifications for health care systems. In this editorial we outline how climate change is already impacting both physical and mental health. Health professionals have a role to play in addressing this great challenge of our time. Health professionals should reflect on how to promote means of climate change mitigation and adaptation within their spheres of influence – clinical, education, advocacy, administration, and research.
Combining non- and minimally invasive archaeological survey, geomorphological methods and linguistic studies enables a better understanding of the dynamic use of the Daugava waterway from the Bronze to the Viking ages. Results indicate a common origin period of many fortified settlements and also identify research questions about cultural fluctuations in the Baltic-Slavic–Scandinavian contact area.
To reconstruct behavioural changes that underpin evolutionary transitions between solitary and eusocial behaviour, we need detailed behavioural information about both solitary and eusocial species. Most behavioural studies of sweat bees have focused on sociality. We addressed the lack of detailed information about solitary species using pinned specimens of Lasioglossum leucozonium (Schrank) and L. zonulum (Smith) from Ontario (2003–2019) and Alberta (2016). We used weekly abundance of trapped bees to evaluate flight phenology (univoltine versus bivoltine), delineating two phases of flight activity, P1 and P2, before and after the first appearance of males, and evaluated female traits related to reproduction (body size, wear, and ovary development). All populations were confirmed to be solitary. The Ontario L. leucozonium and Alberta L. zonulum were univoltine, with P1 and P2 females being similar in size but P2 females more worn and with less-developed ovaries. Ontario L. zonulum were bivoltine, with P2 females being larger, more worn, and having more ovary development than P1 females, a unique pattern among bivoltine sweat bees. Contrasting observations between univoltine and bivoltine populations support the contention that solitary reproduction is not necessarily “simple” and that detailed information is needed to illuminate behavioural changes during bee social evolution.
The aim of this review is to identify, evaluate, and graphically display gaps in the literature related to scarce health resource allocation in humanitarian aid settings.
Methods
A systematic search strategy was utilized in MEDLINE (via Ovid), Scopus, EMBASE, CINAHL Complete, and ProQuest Central. Articles were reviewed by 2 reviewers with a third reviewer remedying any screening conflicts. Articles meeting inclusion criteria underwent data extraction to facilitate evaluation of the scope, nature, and quality of experience-based evidence for health resource allocation in humanitarian settings. Finally, articles were mapped on a matrix to display evidence graphically.
Results
The search strategy identified 6093 individual sources, leaving 4000 for screening after removal of duplicates. Following full-text screening, 12 sources were included. Mapping extracted data according to surge capacity domains demonstrated that all 4 domains were reflected most of all the staff domain. Much of the identified data was presented without adhering to a clear structure or nomenclature. Finally, the mapping suggested potential incompleteness of surge capacity constructs in humanitarian response settings.
Conclusions
Through this review, we identified a gap in evidence available to address challenges associated with scarce resource allocation in humanitarian settings. In addition to presenting the distribution of existing literature, the review demonstrated the relevance of surge capacity and resource allocation principles underpinning the developed framework.
Anxiety related school avoidance can affect up to 5% of a country’s students each year. VRET (Virtual Reality Exposure Therapy) is a novel therapy proven to be as effective as conventional approaches for treating many anxiety disorders. The aim of this research is to co-design and evaluate a VRET intervention for students experiencing school related anxiety.
Method:
Eighteen adolescents participated in design thinking workshops where they developed a script and storyboard for the VRET. Using an iterative approach, a VRET prototype was developed based on this work. Eighteen teenagers were subsequently recruited to engage with the VRET for one session each and provide feedback on their experience via a structured questionnaire (supervised by a study coordinator) particularly focusing on the ability of the VR experience to reduce school related anxiety.
Results:
Exposure therapy needs to produce an anxiety response to be effective. The VRET was effective in producing an anxiety response in 89% of participants. Results demonstrated that 93% of participants found the simulations immersive, 94% found the scenarios believable, and 83% could relate to ‘Dala’, the avatar in the videos. 100% of participants believed that VRET would help with school anxiety.
Conclusion:
This proof-of-concept study demonstrates favourable face validity indicating promise for this mode of intervention for delivering targeted support to anxious students. VRET could be used as a scalable, cost effective early intervention to reduce the severity of anxiety associated with school avoidance.