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Post-asymptotic giant branch (post-AGB) binary stars are evolved systems that host circumbinary discs formed through mass loss during late stage binary interactions. Their structural, morphological, kinematic, and chemical similarities to planet-forming discs suggest that these systems may act as sites of ‘second-generation’ planet formation. In this study, we assess whether the disc instability mechanism – a proposed pathway for rapid, giant planet formation in some protoplanetary discs - can operate in post-AGB discs; motivated by their short lifetimes ($10^{4-5}$ yr). Using the Toomre criterion under well motivated assumptions for disc structure and size, mass, and thermal properties, we assess the conditions for gravitational instability. We first benchmark our analytical framework using well studied protoplanetary disc systems (including HL Tauri, Elias 2-27, GQ Lupi) before applying the same analysis to observed post-AGB discs. We find that post-AGB discs are generally gravitationally stable at present, due primarily to their low masses. Using viscous disc theory, we find that the discs were stable against collapse even in the past, when their masses were potentially higher. In contrast, several protoplanetary discs analysed in the same way show that they likely experienced gravitationally unstable phases early on. We also find that higher viscosity parameters ($\alpha \sim 10^{-2}$) are better aligned with expected post-AGB disc lifetimes. Finally, we revisit the planet formation scenario proposed for the post-common envelope system NN Ser, first carried out by Schleicher and Dreizler, and we show that gravitational instability could be feasible under specific, high disc mass assumptions. Overall, our results provide the first systematic theoretical assessment of gravitational instability in post-AGB discs, demonstrating that this mechanism is unlikely to dominate second-generation planet formation in these systems and underscoring the need to explore alternative pathways – such as core accretion – in future studies.
Internal waves in a two-layer fluid with rotation are considered within the framework of Helfrich’s $f$-plane extension of the Miyata–Maltseva–Choi–Camassa model. We develop simultaneous asymptotic expansions for the evolving mean fields and deviations from them to describe a large class of uni-directional waves via the Ostrovsky equation, which fully decouples from mean-field variations. The latter generate additive inertial oscillations in the shear and in the phase of both the interfacial displacement and shear. Unlike conventional derivations leading to the Ostrovsky equation, our formulation does not impose the zero-mean constraints on the initial conditions of any variable. Using the constructed solutions, we model the evolution of quasi-periodic initial conditions close to the cnoidal wave solutions of the Korteweg–de Vries (KdV) equation but with local defects, both with and without rotation. We show that rotation leads to the emergence of bursts of internal waves and shear currents, qualitatively similar to the wavepackets generated from solitons and modulated cnoidal waves in earlier studies, but emerging much faster. We also show that cnoidal waves with expansion defects discussed in this work are generalised travelling waves of the KdV equation: they satisfy all conservation laws of the KdV equation (appropriately understood), as well as the Weirstrass–Erdmann corner condition for broken extremals of the associated variational problem and a natural weak formulation. Being smoothed in numerical simulations, they behave, in the absence of rotation, as long-lived states with no visible evolution, while rotation leads to the emergence of strong bursts.
In recent years, there has been growing interest regarding the impact of human movement quality on health. However, assessing movement quality outside of laboratories or clinics remains challenging. This study aimed to evaluate the capabilities of consumer-grade wearables to assess movement quality and to consider optimal sensor locations. Twenty-two participants wore Polar Verity Sense magnetic, angular rate, and gravity (MARG) sensors on their chest and both wrists, thighs, and ankles, while performing repeated bodyweight movements. The Madgwick sensor-fusion algorithm was utilized to obtain three-dimensional orientations. Concurrent validity, quantified using the root-mean-square-error (RMSE), was established against a Vicon optical motion capture system following time-synchronization and coordinate-system alignment. The chest sensors demonstrated the highest accuracies overall, with mean RMSE ($ {\mathrm{RMSE}}_{\mathrm{mean}} $) less than 9.0° across all movements. In contrast, the wrist sensors varied considerably ($ 5.5\hskip-2pt {}^{\circ}\le {\mathrm{RMSE}}_{\mathrm{mean}}\le 139.1\hskip-2pt {}^{\circ} $). Ankle and thigh sensors yielded mixed results, with the $ {\mathrm{RMSE}}_{\mathrm{mean}} $ ranging from 2.0° to 40.0°. Notably, yaw angles consistently demonstrated higher discrepancies overall, while pitch and roll were relatively more stable. This study highlights the potential of consumer-grade MARG sensors to increase the real-world applicability and accessibility of complex biomechanical models. It also accentuates the requirement for strategic sensor placement and refined calibration and postprocessing methods to ensure accuracy.
This study reveals the mineralogy and origin of unusual silica-carbonate bodies (listvenite) associated with tectonized serpentinites and Permian–Triassic phyllites from the Tokat region in northern Turkey. The listvenite includes green-coloured opaline silica intersected by saddle dolomite and minor sulfide mineralization (pyrite, cobaltite and enargite). It also hosts abundant chalcedonic bodies, i.e. agate of bluish to bluish-white colour. Listvenite-hosted opaline silica has been recognized as lussatite, a fibrous birefringent opal-CT variety, with a dominantly ‘tridymitic’ structure. The green colouration results from discrete, but widely disseminated, Cr-bearing smectite-group minerals, such as volkonskoite and/or Cr-montmorillonite. Chromium, the main colouring agent as determined by element-distribution mapping and visible-light spectroscopy, was probably derived from spinel-group minerals (e.g. chromite), the relics of which mark the presence of an ultramafic protolith. In contrast, the vein agate is composed of length-fast chalcedony, with subordinate quartzine and minor opaline silica, followed by drusy quartz. Its bluish colour appears to be related to scattering effects enhanced by elevated moganite contents (up to 46 wt.%). The observed mineral paragenesis suggests at least a two-stage evolution: (1) early listvenitization marked by carbonate-silica alteration of the host serpentinite together with concomitant sulfide precipitation; and (2) subsequent silicification producing chalcedony (agate) veins under low-temperature conditions, followed by possible dissolution of the earlier saddle dolomite. This evolution reflects complex fluid–rock interactions involving CO2-rich, Ca-bearing and later Si-rich fluids under fluctuating redox and pH conditions. Hence, the proposed crystallization sequence of the associated mineral assemblage is: sulfides (cobaltite+pyrite+enargite) → saddle dolomite → opal (lussatite) + Cr-smectite → chalcedony (agate). These data provide new insights into the genesis, colouration mechanisms and structural state of Cr-bearing opaline and chalcedonic silica in altered ultramafic terrains.
We study the stability of a steady Eckart streaming jet flowing in a closed cylindrical cavity. This configuration is a generic representation of industrial processes where driving flows in a cavity by means of acoustic forcing offers a contactless way of stirring or controlling flows. Successfully doing so, however, requires sufficient insight into the topology induced by the acoustic beam. This, in turn, raises the more fundamental question of whether the basic jet topology is stable and, when it is not, of the alternative states that end up being acoustically forced. To answer these questions, we consider a flow forced by an axisymmetric diffracting beam of attenuated sound waves emitted by a plane circular transducer at one cavity end. At the opposite end, the jet impingement drives recirculating structures spanning nearly the entire cavity radius. We rely on linear stability analysis (LSA) together with three-dimensional nonlinear simulations to identify the flow destabilisation mechanisms and to determine the bifurcation criticalities. We show that flow destabilisation is closely related to the impingement-driven recirculating structures, and that the ratio $C_R$ between the cavity and the maximum beam radii plays a key role on the flow stability. In total, we identified four mode types destabilising the flow. For $4 \leqslant C_R \leqslant 6$, a non-oscillatory perturbation rooted in the jet impingement triggers a supercritical bifurcation. For $C_R = 3$, the flow destabilises through a subcritical non-oscillatory bifurcation and we explain the topological change of the unstable perturbation by analysing its critical points. Further reducing $C_R$ increases the shear within the flow and gradually moves the instability origin to the shear layer between impingement-induced vortices: for $C_R = 2$, an unstable travelling wave grows out of a subcritical bifurcation, which becomes supercritical for $C_R=1$. For each geometry, the nonlinear three-dimensional (3-D) simulations confirm both the topology and the growth rate of the unstable perturbation returned by LSA. This study offers fundamental insight into the stability of acoustically driven flows in general, but also opens possible pathways to either induce turbulence acoustically or to avoid it in realistic configurations.
This article proposes a local projection (LP) residual bootstrap method to construct confidence intervals for impulse response coefficients of AR(1) models. Our bootstrap method is based on the LP approach and involves a residual bootstrap procedure applied to AR(1) models. We present theoretical results for our bootstrap method and proposed confidence intervals. First, we prove the uniform consistency of the LP-residual bootstrap over a large class of AR(1) models that allow for a unit root, conditional heteroskedasticity of unknown form, and martingale difference shocks. Then, we prove the asymptotic validity of our confidence intervals over the same class of AR(1) models. Finally, we show that the LP-residual bootstrap provides asymptotic refinements for confidence intervals on a restricted class of AR(1) models relative to those required for the uniform consistency of our bootstrap.
In Canada, the management of migraine is commonly carried out by primary care providers. Guidelines for the acute and preventative management of migraine in Canada are published by the Canadian Headache Society (CHS). There are currently limited data describing prescribing patterns among clinicians caring for patients with migraine in Canada.
Aims:
Our aim for this exploratory study was to characterize the current pharmacological treatments prescribed for patients with migraine in Nova Scotia, Canada, seeking care through their primary care providers.
Methods:
We conducted a retrospective cross-sectional analysis of deidentified electronic medical record (EMR) data collected from January 2019 to December 2023 from the Maritime Research Network for Family Practice (MaRNet-FP) to identify prescribing patterns for the acute and preventative management of migraine in Nova Scotia.
Results:
In total, 3075 active patients who received a diagnosis of migraine were identified in the MaRNet-FP EMR database (6.53% of total patients). Migraine patients were predominantly female (81%) with an average age of 44 ± 16 years. Between 2019 and 2023, 50% of patients with a migraine diagnosis received a prescription for a medication that can be used for the acute management of migraine, most commonly, nonsteroidal anti-inflammatory drugs and triptans. Over the same period, 60.4% of patients were prescribed a medication that can be used for the prevention of migraine, the most common of which were anti-depressants and beta-blockers.
Conclusion:
Our findings demonstrate alignment with CHS guidelines but highlight potential undertreatment of migraine.
The rational allocation of authority across government levels is crucial for the effective provision of environmental public goods. Based on China’s environmental policy texts (1973–2023) and case studies, this paper analyzes the division and adjustment of environmental governance powers. The findings reveal selective decentralization under the trend of centralization over the past fifty years in China’s environmental governance: (1) Legislative power has been conditionally devolved, to encourage distinctive local environmental legislation that is non-contradictory to central legislation; (2) Administrative power has transitioned from an ambiguous two-tier system to a three-category framework with attempts to quantify shared authorities. This recentralization aligns with the principle that national public goods are provided by the central government, while regional ones are supplied jointly; (3) Supervisory power has transitioned from local to vertical management, and its oversight has been elevated to a national initiative, receiving strong political endorsement.
Although first performed several years ago, percutaneous total cavopulmonary connection has not yet become a widely adopted procedure in patients with univentricular circulation.
Methods and objectives:
We describe a case involving a novel, modified technique for the percutaneous completion of the Fontan circulation using covered stents in a 12 kg patient.
Results:
The transcatheter Fontan completion was successfully performed. Minimal surgical preparation included banding of the inferior vena cava during the preceding superior cavopulmonary connection. Using needle puncture to create the anastomosis and implanting covered stents, a total cavopulmonary connection with an intra-atrial tunnel was established. The patient recovered uneventfully.
Conclusion:
Percutaneous total cavopulmonary connection is feasible and may represent a less invasive alternative for selected patients. However, data on this approach are currently very limited, and further studies are urgently needed.
In 1963, Martin Luther King, Jr. wrote Letter from Birmingham Jail in response to white clergy members who had urged him to cease demonstrating against segregation laws, follow the standards of law and order, and pursue change through official governmental channels. These remonstrations mirror arguments invoked to delegitimize dissent and provide support for legal but immoral governmental policies such as American slavery, Nazi atrocities, and apartheid. At the heart of religious justifications for such arguments is Romans 13:1–7, which endorses human government as God ordained but can be interpreted to require unqualified obedience to law. It is also the go to passage used by Christians to describe the role and authority of police officers in their law enforcement capacity. The way Romans 13 has often been interpreted and applied, however, is exegetically and theologically problematic. Most importantly, the passage is not describing the role of individual police officers as is often argued, but rather the operation of human government as an institution. This flawed starting point has led to a cascade of other interpretive errors, which include describing police officers as agents of God’s wrath and delegitimizing dissent against unjust laws. It also promotes some of the most pernicious features of American law enforcement, including the alienating idea of police as the thin blue line, the we-they mentality that demeans those being policed, the use of warrior to describe the policing role, the militarization of law enforcement, and the systemic racism that plagues U.S. policing. In this article, the author offers a more exegetically and theologically accurate reading of Romans 13, with very different implications for role of law enforcement, and gestures toward a much-needed Christian theology of policing.
Brief, low-intensity interventions may hold untapped promise for bolstering maternal health in low-resource contexts. The current study used propensity score matching (PSM) to evaluate uptake and differential effectiveness of two low-intensity digital perinatal health (PH) support programs in Lima, Peru. Pregnant women (N = 251) were assigned to one of two conditions (PH vs. trauma-focused PH [TF-PH]) and received weekly psychoeducational content via WhatsApp from a lay paraprofessional for 5 weeks. Conditions were not randomly assigned; PSM was used to improve causal inference of the condition. Women were interviewed before participation (T1), immediately following treatment (T2) and at 3 (T3) and 12 months postpartum (T4). Intimate partner violence had strong negative effects on women’s mental health, multisystem resilience and parenting, and single mothers reported higher levels of depression and posttraumatic stress symptoms than did partnered women. Intervention uptake was high, with 77% of women participating in all sessions. There were no significant differences between treatment groups over time, but effect sizes indicated a slight advantage of the TF-PH condition in addressing depression symptoms (dr = −0.29) and multisystem resilience (dr = 0.39). Study findings suggest that brief interventions may be well-received and that trauma-focused supports may also confer additional benefits for addressing depression and resilience.
There is limited evidence on the association between psychiatric morbidity and COVID-19 mortality.
Methods
We used deidentified electronic health records from the Catalan public health system to evaluate the association between number of mental disorders and COVID-19 mortality. Adults diagnosed with a mental disorder in Catalonia’s mental health services (from to 2017–2019) were compared to a matched (1:1) control group by sex, age, and area of residence. COVID-19 mortality risk was evaluated from February to December 2020. Odds ratios (OR) with 95% confidence intervals (CI) were estimated for the association between the number of mental disorders and COVID-19 mortality. To examine if different patterns of psychiatric comorbidity were related to COVID-19 death, we performed K-means cluster analysis on individuals with ≥2 disorders, stratified by COVID-19 death.
Results
The final sample included 785,378 adults (392,689 with ≥1 mental disorder). Mortality risk increased with the number of mental disorders: OR 1.23 (95% CI: 1.11–1.35) for one mental disorder, up to 5.21 (95% CI: 1.34–20.27) for four or more. Cluster analysis (n=84,207) identified seven psychiatric comorbidity profiles among those who did not die of COVID-19, and six profiles among those who died, with substantial comparability between cohorts.
Conclusion
An increasing number of psychiatric diagnoses was associated with greater COVID-19 mortality, while specific comorbidity patterns showed limited differential influence. This suggests that it is not the specific combination of mental disorders that influences COVID-19 death outcomes, but rather the overall burden of multiple diagnoses.
“Cultures of Power” tells the story of the electrification of greater Los Angeles from the first introduction of electric light in 1882 through 1969. Whereas scholars have previously examined how electrification has either preceded urbanization or amended pre-existing urban forms, in Southern California these two processes took place simultaneously, with each indelibly shaping the other. The result was not only a new model of American urbanism, but also a transformative approach to electric system development that shaped that industry’s growth worldwide. Greater Los Angeles and its electric systems, I argue, emerged from a decades-long process of co-creation fueled by differing perceptions of local landscapes, regional political conflict, and an emerging local mass culture fixated on electric symbols and products. I use this decades-long arc to illustrate how electricity’s social prominence shifted in response not merely to the passage of time and the growing familiarity of electric technologies, but rather as a consequence of choices made by Angeleno institutions and individuals.
Just as prospective differentiation between true emergencies and calls for subacute patients is critical to the delivery of prehospital care, retrospective differentiation is critical to research and quality improvement. Determining the acuity of patients based on the type of care they received could complement the vital-sign-based instruments currently popular, yet imperfect. The study aim was to create a consensus definition of time-dependent care and a list of time-dependent interventions in paramedicine.
Methods:
The study was a Delphi approach consisting of four rounds of voting by a bi-provincial panel of 22 Canadian key informants representing medical first responders, paramedics, and physicians – first to agree on a definition of time-dependent care – then to categorize 29 clinical and 34 pharmacological interventions.
Results:
Based on the consensus definition of “A majority of patients who should receive the intervention, according to provincial protocols, would suffer a direct prejudice to their health or safety if the intervention, provided on its own, was not performed within eight minutes of the initial call,” the panel reached consensus on 52 of 63 interventions (82.5%), of which 17 (32.7%) were voted time-dependent (11 clinical [64.7%] and six pharmacological [35.3%]). Clinical interventions included airway suction or de-obstruction, cricothyrotomy, positive pressure ventilation, chest decompression, cardiopulmonary resuscitation, defibrillation, cardioversion, pacing, and hemorrhage control. Pharmacological interventions included medication classed as sympathomimetics, caloric agents, antiarrhythmic agents, anticonvulsants, or tranquilizers.
Conclusion:
The panel reached a consensus on a definition of time-dependent care and used this to identify prehospital interventions that could serve as an instrument to improve care and system performance.
Sleep disorders are closely linked to the onset, progression and severity of psychiatric disorders, yet large-scale data from real-world inpatient settings remain limited. Evaluating the impact of chronic sleep disorders (CSD) in this context is essential for improving care.
Methods
We conducted an analysis of adult inpatients hospitalized from January 1, 2021, to December 31, 2023, using data from the Paris Psychiatry Hospital Group’s health data warehouse. Sleep disorders were identified via ICD-10 codes, hypnotic prescriptions, or mentions in medical record. CSD was defined using an Index of Length of Stays with Disorders (ILSD) >0.5, and no sleep disorders (NSD) with an ILSD of zero.
Results
Among 13,913 psychiatric inpatients, 81% were classified as having CSD. Compared to NSD patients, those with CSD had a higher number of hospitalizations (1.84 vs 1.33, p<0.001) and increased use of seclusion (17.6% vs 13.3%, p<0.001) and physical restraint (6.6% vs 5.3%, p=0.003). Individuals with CSD were more frequently hospitalized than the NSD group for depressive disorders (15.6% vs13.1%, p<0.001), bipolar disorders (11.4% vs5.6%, p<0.001), personality disorders (5.3% vs4.3%, p=0.009), alcohol abuse (3.3% vs2.4%, p=0.005), other substance use disorders (2.9% vs2.2%, p=0.018), manic episode (2.0% vs0.9%, p<0.001), and anxiety disorders (1.4% vs0.9%, p=0.012). Hypnotics were prescribed in 50.5% of SD-related stays. The CSD group had more psychiatric and non-psychiatric comorbidities.
Conclusions
CSD are highly prevalent in psychiatric inpatients and associated with more severe clinical profiles, greater hospitalization burden, and increased restraint use. Targeted sleep management strategies may help improve outcomes and care.
Today, there is a tendency within the field of environmental education to argue that the current global metacrisis is intrinsically linked to idealist traditions in philosophy and culture. The underlying intuition appears to be that idealism ultimately relies on a Cartesian distinction between mind and body: that it privileges the mind while neglecting the body, thereby enabling a view of materiality – or “nature” – as something to be used or exploited. A similar assumption can be identified in the call for papers for this issue, where modern idealism is linked to neoliberal politics and economics. In contrast, the aim of our paper is not to reject idealism entirely but to argue that the real issue lies in particular ideas and worldviews associated with specific understandings of reality. To open up space for alternative ideas and imaginaries, we propose that educational theory and practice must engage with a process we term mundification: the initiation of individuals – though education and other cultural practices – into what it means for there to be something at all, that is; a world.
With the growing number of gravitational wave detections, achieving a competitive measurement of $H_0$ with dark sirens is becoming increasingly feasible. The expansion of the LIGO-Virgo-KAGRA Collaboration into a four detector network will reduce both the localisation area and the luminosity distance uncertainty associated with each gravitational wave event. It is therefore essential to identify and mitigate other major sources of error that could increase the uncertainty in $H_0$. In this work, we explore three scenarios relevant to the dark siren method in future observing runs. First, we demonstrate that there is a precision gain offered by a catalogue of spectroscopic-like redshifts compared to photometric-like redshifts, with the greatest improvements observed in smaller localisation areas. Second, we show that redshift outliers (as occur in realistic photometric redshift catalogues), do not introduce bias into the measurement of $H_0$. Finally, we find that uniformly sub-sampling spectroscopic-like redshift catalogues increases the uncertainty in $H_0$ as the completeness fraction is decreased; at a completeness of 50% the benefit of spectroscopic redshift precision is outweighed by the degradation from incompleteness. In all three scenarios, we obtain unbiased estimates of $H_0$. We conclude that a competitive measurement of $H_0$ using the dark siren method will require a hybrid catalogue of both photometric and spectroscopic redshifts, at least until highly complete spectroscopic catalogues become available. This, however, will come at the cost of a more complex selection function.