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We investigate the possibility of defining meaningful upper and lower quantization dimensions for a compactly supported Borel probability measure of order r, including negative values of r. To this end, we employ the concept of partition functions, which generalises the notion of the $L^q$-spectrum, thus extending the authors’ earlier work with Sanguo Zhu in a natural way. In particular, we derive inherent fractal-geometric bounds and easily verifiable necessary conditions for the existence of quantization dimensions. We state the exact asymptotics of the quantization error of negative order for absolutely continuous measures, thereby providing an affirmative answer to an open question regarding the geometric mean error posed by Graf and Luschgy in this journal in 2004.
The primary aim of this study was to evaluate whether military occupations with repetitive exposure to low-level blast (i.e., breachers and snipers) display poorer neurocognitive status compared to military controls without prior occupational engagement as breachers and/or snipers, and whether that effect is mediated by self-reported mental health symptoms.
Method:
With data collected from Canadian Armed Forces (CAF) breachers and snipers and sex- and age-matched CAF controls (n = 112), mental health was assessed using the PCL-5 (PTSD) and the Brief Symptoms Inventory, and neurocognitive function based on a set of computerized tasks (i.e., four-choice reaction time task, delayed matching-to-sample, n-back, Stroop). Directed Acyclic Graphs (DAGs) were created to establish a causal framework describing the potential effect of occupation on neurocognitive function while considering mental health. Factor analysis modeling was used to establish the latent construct of neurocognitive function, which was then incorporated into student-t models for effect estimation, following assumptions derived from causal inference principles.
Results:
Our results demonstrated that it is snipers specifically who displayed lower neurocognitive performance compared to breachers and controls. Critically, this effect was not mediated by mental health status. In fact, mental health was generally better in both breachers and snipers when compared to controls.
Conclusions:
When the focus is on occupations with repetitive exposure to low-level blast, the snipers in particular are impacted most in terms of neurocognitive function. We speculate that this might be due to additional impact of recoil forces exacerbating the effect of blast overpressure on the nervous system.
The Collaborating Network of Networks for Evaluating COVID-19 and Therapeutic Strategies (CONNECTS) was a novel network of networks created in response to the COVID-19 pandemic. This program brought together a large matrix of clinical research networks to swiftly design and/or implement concurrent clinical studies. Successful coordination of this large-scale collaboration required innovative solutions for timely and transparent centralized operations reporting. As the Administrative Coordinating Center (ACC) for CONNECTS, RTI International developed and maintained a web-based infrastructure that served as the central communication and reporting hub. This single-platform approach provided a robust collection of key topics to support daily operational oversight (e.g., enrollment and retention, site coverage, study milestones, financial tracking). Underlying data acquisition, harmonization, and portal reporting methods aimed to address nuances of the network of networks (e.g., disparate data sources, diverse user needs) while providing the necessary speed and agility to combat the COVID-19 pandemic. The resulting system was well received, readily adapted to changes, and successfully supported three years of early COVID-19 research. Although the CONNECTS central reporting methods arose from necessity during an urgent and dynamic public health emergency, they are a model for efficient and effective centralized operational reporting for any large-scale public health research effort.
The recent proliferation of the digital video essay as a public, personalized, and creative genre on YouTube testifies to the immense popularity of essayistic practices across the globe today. Some of today’s digital video essays from this platform engage in what I call “postscholarly” criticism, which combines the nonprofessional explorations of literary humanities scholarship with personal, social, and public commentary. My essay broadly argues that, by situating academic scholarship in the global digital public domain, today’s author-critics produce self-appointed sites of popular humanities work. To examine the tension between disciplinarity and publicity of postscholarly video essays, I theorize the influences of the academic humanities on today’s author-critics, along with exploring the amateur and public origins of the video essay production. By drawing on relevant examples, I aim to show the salient traits of postscholarly criticism from YouTube, with a focus on its global transmission. Finally, I raise the question of (post-)professionalism within literary public humanities to promote its distinction from today’s popular public practices of criticism. Overall, my essay invites scholars of the public humanities to study the new digital era of postscholarly criticism as a popular phenomenon with significant implications for the literary discipline and beyond.
Geographic information systems (GIS) are computer-based spatial mapping tools widely used in public health to examine service availability and access disparities and healthcare utilization. While GIS has supported evidence-based health planning in various domains, its application in mental healthcare service delivery remains underexplored. Our scoping review aimed to address this gap by exploring the scope and type of GIS usage in studying three dimensions of mental health (MH) service delivery (availability, accessibility and utilization), across all geographical locations, settings and populations. We conducted a scoping review following the Joanna Briggs Institute methodology. We included peer-reviewed English-language studies using GIS to examine service delivery (availability, accessibility or utilization) for any MH condition diagnosed through standardized criteria or validated tools. Seven databases were searched (Medical Literature Analysis and Retrieval System Online [MEDLINE], PsycINFO, Excerpta Medica Database [Embase], Global Health, Cumulative Index to Nursing and Allied Health Literature [CINAHL], Cochrane Central Register of Controlled Trials [CENTRAL] and Web of Science) between January and April 2024. This review included 58 studies predominantly from high-income countries. A wide range of GIS methods were employed across studies, including hotspot analysis, network analysis and spatial analysis. Six studies explored availability, generally through measures like distribution of facilities across a population, and resource availability within 5–10-mile network buffers. Forty-six studies explored the spatial accessibility of MH services and substance-use treatment facilities using GIS. Six studies examined service utilization patterns. Equity emerged as a recurring theme across all three dimensions. GIS has the potential to emerge as a powerful tool in MH research, particularly in mapping disparities, informing service delivery and identifying high-risk zones. Expanding GIS use in trial design, implementation science and policy advocacy could help bridge critical gaps in MH service delivery, ensuring more equitable and data-driven decision-making.
Our research reviews theory and evidence in the economics literature to provide a standard value of a statistical life (VSL) applicable to the Department of Defense (DOD). We follow Viscusi (Best estimate selection bias in the value of a statistical life, Journal of Benefit-Cost Analysis, 9(2), 205–246, 2018a) by conducting a meta-analysis of 1,025 VSL estimates from 68 different labor market studies and find a best-set average VSL estimate of $11.8 million (US$2021) across all studies. For DOD analysts and practitioners, we advocate using our best-set VSL estimate for the vast majority of benefit–cost analyses (BCAs) within the DOD. In addition to providing a VSL benchmark to use in DOD BCAs, we disaggregate casualty types and provide a range of VSL estimates to use in sensitivity analyses. Employing restricted data from the DOD on over 6,700 US military fatalities in Afghanistan and Iraq from 2001 to 2021, we show that (1) fatalities are highly concentrated among young, White and enlisted males, and that (2) the Army and Marines account for the vast majority of the fatality totals (73 and 22%, respectively), in contrast to the low number of fatalities (<5%) in the Air Force and Navy. The monetized cost of US military fatalities in Afghanistan and Iraq would involve individual VSL levels that range from $3.2 to $27.6 million per statistical life (US$2021), after applying standard pay grade and income adjustments.
This study examines the representation of psychotic disorders in Spanish punk music over three decades, analysing 5647 songs from 177 bands. Content related to psychotic disorders appeared in 2.28% of the corpus, divided into songs with psychosis as a central theme and those using psychopathological terms incidentally. Schizophrenia and paranoia were the most referenced diagnoses, although frequently applied in ways that lacked clinical accuracy. Thematic analysis revealed two main dimensions: a clinical–therapeutic one, typically negative in tone, centred on symptoms, suffering, treatments, hospital admission and substance use; and a social dimension, highlighting stigma, rejection, loneliness and incomprehension. Although many songs linked psychosis to violence and crime, others framed it as a source of wisdom, freedom or creativity. Overall, punk music offers a complex and polarised discourse on mental illness, reflecting societal perceptions that oscillate between empathy and the reinforcement of stereotypes.
Advances in deep learning and representation learning have transformed item factor analysis (IFA) in the item response theory (IRT) literature by enabling more efficient and accurate parameter estimation. Variational autoencoders (VAEs) are widely used to model high-dimensional latent variables in this context, but the limited expressiveness of their inference networks can still hinder performance. We introduce adversarial variational Bayes (AVB) and an importance-weighted extension (IWAVB) as more flexible inference algorithms for IFA. By combining VAEs with generative adversarial networks (GANs), AVB uses an auxiliary discriminator network to frame estimation as a two-player game and removes the restrictive standard normal assumption on the latent variables. Theoretically, AVB and IWAVB can achieve likelihoods that match or exceed those of VAEs and importance-weighted autoencoders (IWAEs). In exploratory analyses of empirical data, IWAVB attained higher likelihoods than IWAE, indicating greater expressiveness. In confirmatory simulations, IWAVB achieved comparable mean-square error in parameter recovery while consistently yielding higher likelihoods, and it clearly outperformed IWAE when the latent distribution was multimodal. These findings suggest that IWAVB can scale IFA to complex, large-scale, and potentially multimodal settings, supporting closer integration of psychometrics with modern multimodal data analysis.
Linearly stable shear flows first transition to turbulence in the form of localised patches. At low Reynolds numbers, these turbulent patches tend to suddenly decay, following a memoryless process typical of rare events. How far in advance their decay can be forecasted is still unknown. We perform massive ensembles of simulations of pipe flow and a reduced-order model of shear flows (Moehlis et al. 2004 New J. Phys. vol. 6, issues 1, p. 56) and determine the first moment in time at which decay becomes fully predictable, subject to a given magnitude of the uncertainty on the flow state. By extensively sampling the chaotic sets, we find that, as one goes back in time from the point of inevitable decay, predictability degrades at greatly varying speeds. However, a well-defined (average) rate of predictability loss can be computed. This rate is independent of the uncertainty and also of the type of rare event, i.e. it applies to decay and to other extreme events. We leverage our databases to define thresholds that approximately separate phase-space regions of distinct decay predictability. Our study has implications for the development of predictive models, in particular it sets their theoretical limits. It also opens avenues to study the causes of extreme events in turbulent flows: a state which is predictable to produce an extreme event is causal to it from a probabilistic perspective.
The question of how to pursue politically relevant and engaged scholarship has been an ongoing theme within socio-legal scholarship. In the United States of America, Presidential Addresses of the Law and Society Association have consistently urged greater political engagement (Lempert 2001; Seron 2016; Scheppele 2023). In the United Kingdom, journals such as Social & Legal Studies have placed critical and engaged scholarship at the core of their mission (Editorial 1992; Editorial 1998). In the Majority World1 – where the socio-legal field is less institutionalised – scholars have often been more directly involved in political action, re-imagining colonial law and using it as a tool for social change (Shivji 2018; Sieder, Ansolabehere and Alfonso Sierra 2019). These scholars have not only inspired calls for activist scholarship in the Minority World (Munger 2001) but have also unsettled the very dichotomy between scholarship and activism (D’Souza 2009).
Despite reductions in cardiovascular, cancer, and infectious disease, comparable public-health improvements in mental health have not materialized. Global dissemination of trainings and programs have not translated into reduced burden of mental health conditions. Detection in primary care remains uncommon, sustained delivery of psychological services is difficult, few governments prioritize mental health, and reliable data are scarce. A largely unexamined factor is how we talk about suicide. How suicide is discussed shapes whether primary care workers feel able to engage, what organizations incorporate psychosocial programs, and whether mental-health data are accurate and representative. Drawing on three decades of work, this Perspectives piece argues that protocol-heavy, medico-legal framing, such as rigid confidentiality scripts, liability fears, and technical checklists, pulls attention away from the feelings involved in sitting with a person who expresses suicidal thoughts. Logistical, legal, and clinical pushback reflects fear and powerlessness in the face of suicidality. I advocate for making deliberate space for emotional processing by inviting helpers to notice their own reactions, collaborating with people with lived experience of suicidality, and learning from those bereaved by suicide. An empathy-guided approach to suicide can strengthen trainings, program adoption, data quality, and, most importantly, ensure people in distress are not left alone.
Previous studies have indicated that depression is common among young adults. However, these studies have mainly focused on risk factors rather than protective factors, especially in the context of Vietnam.
Aims
To explore protective factors such as self-compassion and the mediating role of gratitude, crucial for informing targeted interventions aimed at reducing depression in this population.
Method
A cross-sectional study was conducted in September 2023 using convenience sampling of individuals aged 18–25 years (n = 356, mean age 21.23 years) living in Ho Chi Minh City, Vietnam, recruited via online surveys distributed through social networks. The required sample size was determined using Monte Carlo power analysis to ensure adequate statistical power for mediation analysis. Data were analysed to examine the mediating role of gratitude (Gratitude Questionnaire – Six Item Form, GQ-6) in the relationship between self-compassion (Self-Compassion Scale – Short Form, VSCS-SF) and depression (Patient Health Questionnaire-9, PHQ-9).
Results
Self-compassion showed a significant negative association with depression (β = −0.50, t = −11.42, p < 0.001), accounting for 27% of the variance in depression scores. Gratitude significantly mediated this relationship, with an indirect effect of a × b = −0.07 (s.e. = 0.02, 95% CI −0.11 to −0.04]). Specifically, self-compassion positively predicted gratitude (β = 0.34, t = 6.80, p < 0.001), and gratitude, in turn, negatively predicted depression (β = −0.20, t = −4.42, p < 0.001). The direct effect of self-compassion on depression remained significant after controlling for gratitude (β = −0.43, t = −9.52, p < 0.001), indicating a complementary partial mediation. Bootstrap analysis with 5000 resamples further confirmed the robustness of the indirect effect.
Conclusions
The pivotal roles of self-compassion and gratitude in mitigating depression among young adults were explored, informing tailored intervention strategies for mental health practitioners.
This study presents the creation and validation of LexEst, a short 5-minute test to assess vocabulary knowledge in Estonian. Our freely accessible test consists of 90 items and is designed for L2 speakers of Estonian. LexEst is modeled after the original Lexical Test for Advanced Learners of English. Similarly to other test variants, our test has been adapted to assess vocabulary knowledge at varying proficiency levels. Our findings demonstrate that LexEst provides an objective measure of the Estonian vocabulary of L2 learners, aligning well with subjective language proficiency indicators, such as self-assessed skills. In addition, higher LexEst scores and shorter response times are associated with higher CEFR-level language courses and a greater daily use of Estonian. Higher LexEst scores are also associated with an earlier age of acquisition in Estonian and a higher perceived importance of learning Estonian.
Led by the charismatic Kwame Nkrumah, Ghana won its political independence from the United Kingdom in 1957. It precipitated both the dying spiral of colonialism across the African continent and the world's first Black socialist state. Utilising materials from Ghanaian, Russian, English, and American archives, Nana Osei-Opare offers a provocative and new reading of this defining moment in world history through the eyes of workers, writers, students, technical-experts, ministers, and diplomats. Osei-Opare shows how race and Ghana-Soviet spaces influenced, enabled, and disrupted Ghana's transformational socialist, Cold War, and decolonization projects to achieve Black freedom. This title is also available as open access on Cambridge Core.
Perinatal obsessive-compulsive disorder (PNOCD) can impact up to one in five individuals in the perinatal period. Whilst effective treatment for PNOCD is available, parents experience barriers accessing this evidence-based psychological therapy. Healthcare professionals’ perspectives on barriers to accessing support are valuable to develop targeted interventions to increase access to support for PNOCD.
Aim:
This study aimed to prioritise a list of barriers to accessing therapy for PNOCD, in terms of importance and amenability to change, from the perspective of healthcare professionals.
Method:
203 healthcare professionals from across primary, community and secondary care services completed a survey where they ranked barriers in terms of importance and amenability to change. Barriers were ranked within clusters and across cluster names; 47 barriers were organised into seven clusters. Rankings were analysed using descriptive statistics and the non-parametric Friedman’s test.
Results:
Professionals ranked healthcare professionals’ knowledge and training on PNOCD as the barrier which was most important and amenable to change. Parents’ knowledge and awareness of PNOCD and services, their attitudes to mental health problems, and their attitudes towards healthcare professionals and services were ranked as the second most important and amenable to change.
Conclusion:
Professionals view their colleagues’ knowledge and training on PNOCD as the most important barrier impacting parents access to evidence-based therapy for PNOCD. Training for professionals could be targeted to increase access. Parents’ awareness and attitudes surrounding PNOCD, mental health and services were also identified by professionals as an important barrier and is recommended to be targeted to increase access.
Political polarization is a group phenomenon in which opposing factions, often of unequal size, exhibit asymmetrical influence and behavioral patterns. Within these groups, elites and masses operate under different motivations and levels of influence, challenging simplistic views of polarization. Yet, existing methods for measuring polarization in social networks typically reduce it to a single value, assuming homogeneity in polarization across the entire system. While such approaches confirm the rise of political polarization in many social contexts, they overlook structural complexities that could explain its underlying mechanisms. We propose a method that decomposes existing polarization and alignment measures into distinct components. These components separately capture polarization processes involving elites and masses from opposing groups. Applying this method to Twitter discussions surrounding the 2019 and 2023 Finnish parliamentary elections, we find that (1) opposing groups rarely have a balanced contribution to observed polarization, and (2) while elites strongly contribute to structural polarization and consistently display greater alignment across various topics, the masses, too, have recently experienced a surge in alignment. Our method provides an improved analytical lens through which to view polarization, explicitly recognizing the complexity of and need to account for elite-mass dynamics in polarized environments.
Singapore conducted its second nationwide mental health literacy survey in 2023, following the first survey in 2015.
Aims
This study aimed to ascertain the population’s beliefs about the helpfulness of treatments for mental illnesses in Singapore, and assessed changes over an 8-year period.
Method
A nationally representative cohort (n = 4195, aged 18–67 years) was interviewed between September 2022 and February 2024, which replicated the methods of the 2015 survey (n = 3006, aged 18–65 years). Using a vignette-based approach, 3002 respondents rated the perceived helpfulness of 28 treatment options for alcohol abuse, dementia, depression, obsessive–compulsive disorder (OCD) and schizophrenia as either ‘helpful’ or ‘harmful’. Weighted prevalence, stratified by vignettes and logistic regressions, were performed.
Results
Counselling was most frequently rated as being helpful for alcohol use disorder (94.0%) and depression (95.2%), while seeing a psychiatrist was most frequently rated helpful for schizophrenia (93.0%), dementia (85.1%) and OCD (91.6%). Across all vignettes, informal help sources, including family (80.8%) and friends (74.7%), were considered less helpful than mental health professionals, except for ‘counselling over the phone’ (58.8%) and ’seeing a general practitioner’ (69.8%). Participants in 2023 were significantly more likely to endorse psychologists, counsellors and phone counselling as being helpful than in 2015. Face-to-face help was considered more helpful than over-the-phone professional help, highlighting the continued need for a personal touch in mental health services.
Conclusions
Overall, there has been an improvement in the perception of the helpfulness of mental health professionals, but targeted interventions to improve the perception of mental health services by general practitioners and institutions are essential.