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The literature about values in healthcare contains many terms which are sometimes used interchangeably. These terms include ‘compassion’, ‘sympathy’, ‘empathy’, ‘kindness’, ‘communication skills’, and various other words which are intended to denote a caring, understanding attitude towards healthcare provision. Confusion between these terms adds significantly to the apparent heterogeneity of research in this area and raises the worrying possibility that some writing on this topic uses these terms interchangeably. This chapter starts by exploring specific terms which are often used as synonyms for ‘compassion’, such as ‘sympathy’, ‘empathy’, ‘kindness’, and ‘communication skills’, and then focuses on two of the so-called ‘near enemies’ of compassion: pity and ‘horrified anxiety’. We may be trying to cultivate compassion, but, at times, emotions can arise that may be mistaken for compassion and can have negative effects. Clarity about concepts and terms can help to understand their significance, their importance in healthcare provision, and ways in which they support, as well as differ from, compassion. Overall, this chapter echoes the main arguments of this book by emphasising that compassionate healthcare requires an all-of-system approach, rather than isolated changes, paper exercises, or tinkering around the edges. Reflecting on terminology can help greatly in this process.
The central Maya lowlands (CML) display an uncommon demographic history—the absence of a millennial population rebound from its former occupational peak, about 800 CE. Here we postulate why the loss of a well-populated CML during the Late Classic-Terminal Classic periods failed to regain substantial occupation during the subsequent 700-800 years before the Spanish conquest of the Maya realm. Updating the narrative of stressful human-environmental conditions, shifts in trade routes, and long-term paucity of occupation in the CML, we examine push-pull factors that affected Postclassic Maya population geography. These factors include population pressures, environmental hazards, resource conditions, and livelihood standards that existed in the Postclassic Period between northern and coastal lowlands and the CML. The advantages that the CML maintained before Postclassic times, foremost regaining superior environmental conditions for agriculture, were insufficient pull factors given the low levels of push factors in the northern and coastal lowlands. We draw attention to the under-treated problem—the failure of a population rebound in the CML—and encourage improvements in systematic data and analytics to address it, including consideration of non-material, socio-cultural factors.
English employs a variety of comparative formation strategies. Theoretical and corpus-based research has established that their distribution depends on a variety of factors. In this article, we take an experimental approach to test analytic, synthetic and double comparative forms in relation to register in American and British English. We report on a rating study investigating the appropriateness and interpretation in terms of evaluativity of the three comparative forms. Our findings confirm the hypothesis that the comparative variants are not considered equally appropriate, but the effect is not as strong as would be expected under the hypothesis that frequency of occurrence is directly related to linguistic judgments. The analytic and double comparative alternatives exhibit lower appropriateness levels than the synthetic comparative. Analytic and double comparative forms are rated as less appropriate in formal than in informal contexts, which did not show an effect on the synthetic form. Furthermore, the analytic variant shows a different behavior in terms of the interpretation than the other forms in that a stronger effect of evaluativity is detected. Limitations and future directions are discussed. Our study is the first to provide experimental evidence for certain hypotheses emerging from corpus-based research.
Prior research shows that, when making causal inferences, people can control for alternative causes. However, these studies utilize artificial inter-trial intervals on the order of seconds; in real-life situations, people often experience data over days and weeks (e.g., learning the effectiveness of two new medications over multiple weeks). Across two experiments, participants learned about two possible causes from data presented either in a more naturalistic paradigm (one trial per day for multiple weeks via smartphone) or in a traditional trial-by-trial paradigm (a rapid series of trials). The results show that people can control for alternative causes when learning over long timeframes, but they also exhibit non-normative discounting. The results also reveal that the extent to which people control and learn simple relations is suboptimal across both short and long timeframes.
When and why do wealthy individuals support redistribution? Under standard political economy models, preferences for redistribution are a function of material conditions. The partisanship literature, on the contrary, argues that partisan identification determines redistributive preferences. We move beyond this dichotomy to argue that the ideology of the government enacting redistribution is a key factor explaining support for redistribution among the wealthy. Through survey experiments during the 2022 Colombian election, we find that the wealthy are more likely to support redistribution under a right-wing government and expect redistribution under the Right to be more efficient and less economically disruptive. We find heterogeneous treatment effects across ideological groups. However, regardless of ideology, the wealthy do not expect macroeconomic instability from right-wing redistribution.
The experimentally backed and hitherto overlooked empirical observation of the paper is a contrast among indefinite Positive Polarity Items regarding their possibility of being rescued under certain operators with different rescuing potential. If/surprise/only/don’t think can rescue some-indefinites, suspending their anti-licensing (i.e., their impossibility to occur in the scope of a clausemate negation): while some-pronouns (in English and French) and des-indefinites in French exhibit the expected rescuability, English some-NPs remain unexpectedly degraded. Our account relies on the hypothesis that ‘rescuing’ is due to sentential negation being interpreted as ‘external’ (vs. nullified as in most literature). The definition we propose for external negation is syntactic: rescuing operators allow sentential negation to raise to an illocutionary functional projection above Tense Phrase (TP). Thus at LF (Logical Form), the negation takes that higher projection (rather than TP) as complement and becomes harmless for some-indefinites. The semantic correlate of this syntactic proposal is the interpretation of external negation as a propositional operator. As it involves the illocutionary periphery, rescuing is pragmatic in nature. The different rescuing potential between some-pronouns and some-NPs arises from the interplay between their distinct LF-representations and a minimal-event pragmatic constraint on rescuing.
This chapter shows that Italian households with sufficient wealth for political office outnumbered the men actually holding these offices by a wide margin. It achieves this by estimating the number of Italian households that satisfied the senatorial or equestrian census minimum. A new reconstruction of the distribution of elite wealth in Roman Italy is presented, which is based on an economic (power-law) model combined with a bottom-up (‘tessellated’) approach that expressly takes the heterogeneity of the Italian civitates into account.
Organic strawberry production using the annual hill system relies predominantly on polyethylene (PE) mulch for weed control. However, although nonbiodegradable PE mulches are allowed to be used in organic production, albeit with restrictions, they pose environmental risks, and disposal can be a problem. We assessed cellulose-based hydromulches (HMs) as a PE mulch substitute in organic strawberry production. HMs made from shredded newsprint, water, guar gum (6% of HM dry mass), and with or without a biochar-based colorant were applied to raised beds, then day-neutral strawberry plants were transplanted. Four HM treatments combining dark (D) or light (L) colored and low (L) 5,800 or high (H) 8,700 kg DW ha−1 rates, were tested against paper mulch (PAP), white-on-black PE mulch, and weedy and weed-free checks at two sites in North Dakota: Absaraka (with a sandy soil, common purslane-dominated) and Fargo (with a clay soil, Venice mallow-dominated). At Fargo, high-rate HMs suppressed weed density as effectively as PE mulch. At Absaraka, HMs reduced weed density less effectively than PE and PAP mulches; low-rate HMs performed poorly compared with high rates (35 and 40 weeds m−2 vs. 4 and 17 weeds m−2), likely because of rainfall after HM application and location-specific differences in the weed communities and soil types. At Absaraka, strawberry yield from the use of HM-DH was greater than PE (272 vs. 144 g plant−1), whereas yield from HM-LH, HM-DL and HM-LL mulches (215, 168 and 141 g plant−1, respectively) were similar to yield with PE mulch. At Fargo, yield for all HMs (287, 223, 211, and 162 g plant−1) did not differ from that of PE (253 g plant−1). Although only high-rate HMs at Fargo suppressed weeds similarly to PE, fruit yield and quality were similar to that of PE with all HMs. Therefore, HMs could be promising sustainable alternatives to PE mulch for use in organic strawberry systems.
The Resilience Hub was established to coordinate mental health and psychosocial support for anyone affected by the 2017 Manchester Arena terrorist attack.
Aims
To use the Hub’s mental health screening data to examine the variation in symptoms reported by children and young persons (CYP) and their parent/guardian and explore any association with time delay in post-event registration or parental distress.
Method
CYP engaging with Hub services were separated into eight ‘admission’ groups depending on when they registered post-incident. CYP were screened for trauma, depression, and generalised and separation anxiety. Parents/guardians also completed screening measures for their own and their child’s anxiety. Baseline and follow-up scores were compared between admission groups. Parental and CYP assessments of the CYP’s anxiety score was compared with the measure of parental distress.
Results
Almost half of CYP registered in the first 3 months of service launch, with numbers of new registrations falling during each subsequent screening cycle. Generally, there was an increase in baseline screening scores as Hub registration time increased. The Children’s Impact of Event scale score decreased by 0.11 (95% CI: −0.17, −0.05) per month, but the score for depression increased by 0.06 (95% CI: 0.03, 0.10). Longitudinal patterns in anxiety and separation were difficult to discern. Screening scores of CYP registering later reduced at a faster rate than those of the first registrants. Higher levels of parental mental distress were correlated with increased anxiety scores assigned to the CYP in relation to the anxiety score reported by the CYP themselves.
Conclusion
CYP who registered earlier were less symptomatic, although those registering later did show increased improvement in their symptoms, indicating that the Hub was beneficial. Parental well-being was associated with child mental distress, indicating that shared family trauma should be considered when planning care.
The new mineral argentopearceite (IMA2020-049) was found at the mine dump of the abandoned Lehnschafter mine, Mikulov–Hrob district (holotype), and later at museum samples (cotypes) from the Moldava fluorite deposit, both in the Krušné hory Mountains, Czech Republic. Argentopearceite is associated with proustite in quartz gangue (Mikulov) or acanthite and proustite in fluorite gangue (Moldava). The new mineral occurs as tabular (pseudo)hexagonal crystals up to 0.8 mm (Mikulov) and 3 mm (Moldava), and as groups and aggregates up to 1 cm. Argentopearceite from Mikulov is steel grey to black. Mohs hardness is ca. 3; the calculated density is 6.29 g.cm–3. In reflected light, argentopearceite is grey with a greenish shade. Bireflectance was not observed and pleochroism is very weak. Anisotropy under crossed polars is moderate with weak greenish and green–blue tints. Internal reflections were not observed. Reflectance values of argentopearceite in air (Rmin/Rmax, %) are: 27.3/30.0 at 470 nm, 26.6/29.3 at 546 nm, 26.2/28.8 at 589 nm, and 25.9/28.1 at 650 nm). The empirical formula for argentopearceite, based on electron-microprobe analyses (n = 15), is (Ag15.95Cd0.02)Σ15.97(As1.82Sb0.11)Σ1.93(S11.03Cl0.05Te0.01)Σ11.09. The ideal formula is Ag16As2S11, which requires (in wt.%) Ag 77.45, As 6.72 and S 15.83, total of 100.00. Argentopearceite is trigonal, P321, a = 14.8583(5), c = 12.3038(15) Å, with V = 2352.38(15) Å3 and Z = 4. Its crystal structure was refined by single-crystal X-ray diffraction data to a final R1 = 0.0773 on the basis of 6594 unique reflections with Fo > 3σ(F) and 242 refined parameters. The structure of argentopearceite mostly conforms to the general architecture of the As-dominant members of the pearceite–polybasite family of minerals.
This study aims to explore the perspectives of urban and regional living Aboriginal and Torres Strait Islander adults and children regarding Bush Foods, nutrition and health to advocate for future culturally informed programmes and policy.
Design:
The qualitative study conducted nine Yarning sessions, which were recorded and transcribed verbatim. An inductive, reflexive thematic analysis using a codebook was employed to analyse the data.
Setting:
All Yarns were conducted face-to-face in various locations across Southeast Queensland.
Participants:
Yarning sessions were conducted with Aboriginal and Torres Strait Islander participants (n 20), including ten adults and ten children. Participants resided in areas classified as inner regional, outer regional and major cities.
Results:
Five interconnected themes were generated concerning participants’ perspectives on Bush Foods, nutrition and health. These themes included the effects of colonisation and bureaucratic impositions, socio-environmental factors influencing food provision, the significance of Bush Foods in cultural connection and nutritional health, the importance of reciprocity in communities and the nuanced role of agency influenced by education.
Conclusions:
The findings were synthesised into two overarching concepts: the role of family, kin and culture at the individual and community level, aligning with cultural determinants of Indigenous health, and the broader socio-political influences of colonialism, capitalism and power imbalances, reflecting social determinants of Indigenous health. This research highlights a need for culturally informed health policies guided by consideration of cultural, social and commercial determinants that support an Indigenised food system and Bush Food reintegration for urban-living Aboriginal and Torres Strait Islander adults and children.
Our received theories of self-deception are problematic. The traditional view, according to which self-deceivers intend to deceive themselves, generates paradoxes: you cannot deceive yourself intentionally because you know your own plans and intentions. Non-traditional views argue that self-deceivers act (sub-)intentionally but deceive themselves unintentionally and unknowingly. Some non-traditionalists even say that self-deception involves a mere error (of self-knowledge). The non-traditional approach does not generate paradoxes, but it entails that people can deceive themselves by accident or by mistake, which is rather controversial. I argue that a functional analysis of human interpersonal deception and self-deception solves both problems and a few more. According to this analysis, my behavior is deceptive iff its function is to mislead; I may but need not intend to mislead. In self-deception, then, the self engages in some deceptive behavior and this behavior misleads the self. Thus, while it may but need not be intended, self-deception is never an accident or a mistake.
The silent patent ductus arteriosus is currently considered a benign lesion with some practitioners dismissing these patients from cardiac follow-up. We present a 5-year-old male with no known cardiac history who presented with endarteritis in a silent patent ductus arteriosus and underwent successful antibiotic treatment and transcatheter device occlusion.
Considering the high likelihood of chronicity, it is imperative to understand the risk factors and outcomes associated with severe anorexia nervosa (AN), for which Danish registers provide a unique opportunity. We developed a measure of AN severity adapted from clinical literature for use in register-based research.
Methods
The study population included all Danish individuals born between 1963 and 2007 who were diagnosed with AN from 1969 to 2013. Using register data, we constructed the anorexia nervosa register-based severity index (AN-RSI), incorporating early or late illness onset, number of inpatient admissions and outpatient treatments, cumulative treatment length, and illness duration, each weighted based on clinical importance. Associations between AN-RSI scores, evaluated 5 years after first AN diagnosis, and mortality were estimated using survival analysis.
Results
Among 9167 individuals diagnosed with AN, 132 died during follow-up: 17 from AN, 30 from suicide, and 85 from other causes. Higher AN-RSI scores were associated with increased rates of mortality from AN, somatic anorexia diagnosis, suicide, alcohol-related causes, and any cause. AN cases who scored in the top 20% of AN-RSI had especially high mortality rates. Furthermore, severe AN cases were also more likely to be in treatment in the next 5 years after severity was established.
Conclusions
AN-RSI effectively captures mortality and long-term treatment in the absence of detailed patient records and is associated with later mortality in AN patients. AN-RSI could serve as a tool to examine epidemiological and genetic risk factors associated with AN course and outcomes.
In model-based diagnostics, a simulation model is used to simulate the same operating conditions as the system to be diagnosed to detect and identify anomalies. For this type of analysis, the diagnostic results may be affected by multiple sources of uncertainty. The most common uncertainty to consider is measurement noise. Other sources of uncertainties may originate from the simulation model, instrumentation setup and numerical issues, such as tolerances. While these are often overlooked, they may affect the result to various extent.
In this paper, a multi-point model-based gas path analysis method is proposed and evaluated in the presence of both measurement noise and model uncertainties. The multi-point algorithm addresses the issue of the diagnostic system being underdetermined, having more health parameters than measurements available for diagnostics. It obtains a unique solution through an optimization, where the deviation in health parameter estimation for the operating conditions going into the analysis is minimised. Model uncertainties are introduced in the system by intentionally skewing the characteristics of the rotating components. The objective function is then reconfigured with a, for the gas turbine diagnostic field, novel method taking model uncertainties of the component maps into account. Through this it is possible to reduce the effect of model uncertainties on the diagnostic result. The study shows that through this approach, the uncertainties in diagnostic results are reduced by $3.7{\rm{\% }}$ for the evaluated operating conditions.
We discuss the Singer conjecture and Gromov–Lück inequality $\chi\geq |\sigma|$ for aspherical complex surfaces. We give a proof of the Singer conjecture for aspherical complex surfaces with residually finite fundamental group that does not rely on Gromov’s Kähler groups theory. Without the residually finiteness assumption, we observe that this conjecture can be proven for all aspherical complex surfaces except possibly those in Class $\mathrm{VII}_0^+$ (a positive answer to the global spherical shell conjecture would rule out the existence of aspherical surfaces in this class). We also sharpen the Gromov-Lück inequality for aspherical complex surfaces that are not in Class $\mathrm{VII}_0^+$. This is achieved by connecting the circle of ideas of the Singer conjecture with the study of Reid’s conjecture.