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Complex fluids can be found all around us, from molten plastics to mayonnaise, and understanding their highly non-linear dynamics is the subject of much research. This text introduces a common theoretical framework for understanding and predicting the flow behavior of complex fluids. This framework allows for results including a qualitative understanding of the relationship between a fluid's behavior at the microscale of particles or macromolecules, and its macroscopic, viscoelastic properties. The author uses a microstructural approach to derive constitutive theories that remain simple enough to allow computational predictions of complicated macroscale flows. Readers develop their intuition to learn how to approach the description of materials not covered in the book, as well as limits such as higher concentrations that require computational methods for microstructural analysis. This monograph's unique breadth and depth make it a valuable resource for researchers and graduate students in fluid mechanics.
Why do people write about politics? And why does political writing get published? This innovative study explores the diverse world of modern British political writing, examining its evolving genres and their pivotal role in shaping political identities, ideologies, and movements. Spanning memoirs, biographies, parliamentary novels, fanzines, and grassroots publications, chapters consider how these forms have documented lived experiences, challenged authority, and influenced political discourse across all levels of society. Contributions from leading scholars illuminate the creative strategies and cultural contexts of political writing since the late nineteenth-century across varied regional contexts, from Beatrice Webb's diaries to punk zines and Conservative pamphlets. In doing so, they examine the interplay of literature, propaganda, and activism, offering fresh perspectives on the connections between politics and publishing. Accessible and insightful, this study provides a window into how political ideas are crafted, disseminated, and reinforced through the written word.
Storytelling is a powerful tool for understanding. This casebook presents seventy dilemma-based narrative cases, providing language teachers with a thorough overview of key topics in language education. The cases cover a broad range of language teaching and learning concerns relevant to the development of pre- and in-service language teachers. They include narratives of language teachers, learners, teacher educators, researchers, administrators, and other professionals working in a variety of educational settings, such as schools, universities, private language institutions, and informal contexts, and in multilingual contexts around the world. Cases illustrate theoretical principles and concepts current in the field, in the form of moral or practical dilemmas that require resolving by readers. Case components include discussion questions, related research topics with suggested methods for carrying out research, and reading resources. A facilitator guide provides suggestions for conducting classroom and online discussions, creating case-based assignments for assessment, and mentoring teacher research.
Knowing your end-customer, how they think, and how they make decisions is crucial for the effective design and management of marketing channels. In this comprehensive and engaging new textbook, Frazier demystifies strategic channel decision-making by emphasizing the basics and using real-world examples from a range of industries to demonstrate how channels of distribution are organized and coordinated. Taking a managerial decision-making approach, students are guided through the text via a range of pedagogical features, including learning objectives and key takeaways, and can test their understanding with end-of-chapter review and discussion questions. Instructors are supported by an extensive suite of online resources, including test bank cartridges, lecture slides, and figures from the book. Every chapter is accompanied by two online case studies, one B2B, one B2C, while the instructor manual brings together teaching tips, links to relevant videos, and sample exam papers, along with model answers to the chapter assessments to assist with class marking.
Including perspectives from across various health sectors, Leading and Managing Health Services considers the fundamental leadership and management skills students need to successfully navigate change and innovation in health service settings. The second edition has been updated to reflect changes to the health services industry in recent years. Two new chapters on empathic leadership and leading and managing in the digital age cover concepts including compassionate care, digital health, artificial intelligence and telehealth. Each chapter includes definitions of key terms for easy reference, contemporary case studies to provide relevant industry perspectives and end-of-chapter reflective and self-analysis questions for deeper student engagement. Written by leading academics and industry experts, Leading and Managing Health Services provides students with practical skills to lead and manage in a wide range of healthcare settings, no matter where they sit in the organisational structure.
We present a dataset of 1,119 radiocarbon dates and their contexts for Oaxaca, Mexico, a best effort to include all published dates, plus hundreds of unpublished samples. We illustrate its potential and limitations with five examples: (1) dated stratigraphy in stream cutbanks show how aggradation, downcutting, and stability responded to global climate and human activities; (2) 14C samples from Late/Terminal Formative contexts allow interregional comparisons of temple and palace construction, use, and abandonment; (3) new 14C dates provide better understanding of events during the Late Classic/Epiclassic, a problematic time in the ceramic chronology; (4) individual Classic/Postclassic residential contexts had long durations—several hundred years; and (5) model constraints from other data permit refinement at times of calibration curve deviation, as during AD 1400–1600. We recommend further chronological refinement with best-practice standards, new samples, existing collections, and statistical modeling.
E. E. Constance Jones (1848–1922) published widely in philosophical logic and in ethics and moral psychology and was an active member of the British philosophical community from 1890 until her death. Her contributions to philosophical logic were wide-ranging and sophisticated, anticipating celebrated insights of later twentiethcentury philosophy of language and logic. In ethics, her writings on hedonism and practical reason, though influenced by her mentor, Henry Sidgwick, were innovative and merit further examination.
The Anti-Extradition Bill Movement in 2019 sparked the most radical mass protests seen in Hong Kong since the transfer of sovereignty. Scholars have proposed various explanations for the radicalization of the protests, as well as for the mass support for this radicalization across various sectors of society. However, economic grievances have been relatively downplayed in attempts to understand the radical protests. Using data from a survey conducted during the suspension of the movement in 2020 (N = 1,574), this study examines the relationship between economic grievances and support for the protests. Through mediation analysis, the findings show that individuals who perceived themselves as belonging to a lower class tended to have a diminished sense of social mobility and equality. These negative perceptions contributed to concerns about the activities of Mainland Chinese individuals and the use of public resources. Thus, these particular economic grievances were found to be positively associated with support for the 2019 movement.
Governments are increasingly implementing policies to improve population diets, despite food industry resistance to regulation that may reduce their profits from sales of unhealthy foods. However, retail food environments remain an important target for policy action. This study analysed publicly available responses of industry actors to two public consultations on regulatory options for restricting unhealthy food price and placement promotions in retail outlets in Scotland.
Design:
We conducted a qualitative content analysis guided by the Policy Dystopia Model to identify the discursive (argument-based) and instrumental (tactic-based) strategies used by industry actors to counter the proposed food retail policies.
Setting:
Scotland, UK, 2017-2019.
Participants:
N/A
Results:
Most food and retail industry responses opposed the policy proposals. Discursive strategies employed by these actors commonly highlighted the potential costs to the economy, their industries and the public in the context of a financial crisis, and disputed the potential health benefits of the proposals. They claimed that existing efforts to improve population diets, such as nutritional reformulation, would be undermined. Instrumental strategies included using unsubstantiated and misleading claims, building a coordinated narrative focused on key opposing arguments and seeking further involvement in policy decision-making.
Conclusions:
These findings can be used by public health actors to anticipate and prepare for industry opposition when developing policies targeted at reducing the promotion of unhealthy food in retail settings. Government action should ensure robust management of conflicts of interest and establishment of guidance for the use of supporting evidence as part of the public health policy process.
This is a proof-of-concept study to compare the effects of a 2-week program of “Remind-to-move” (RTM) treatment using closed-loop and open-loop wearables for hemiparetic upper extremity in patients with chronic stroke in the community. The RTM open-loop wearable device has been proven in our previous studies to be useful to address the learned nonuse phenomenon of the hemiparetic upper extremity. A closed-loop RTM wearable device, which emits reminding cues according to actual arm use, was developed in this study. A convenience sample of 16 participants with chronic unilateral stroke recruited in the community was engaged in repetitive upper extremity task-specific practice for 2 weeks while wearing either a closed-loop or an open-loop ambulatory RTM wearable device on their affected hand for 3 hrs a day. Evaluations were conducted at pre-/post-intervention and follow-up after 4 weeks using upper extremity motor performance behavioral measures, actual arm use questionnaire, and the kinematic data obtained from the device. Results showed that both open-loop and closed-loop training groups achieved significant gains in all measures at posttest and follow-up evaluations. The closed-loop group showed a more significant improvement in movement frequency, hand functions, and actual arm use than did the open-loop group. Our findings supported the use of closed-loop wearables, which showed greater effects in terms of promoting the hand use of the hemiparetic upper extremity than open-loop wearables among patients with chronic stroke.
Proposing ‘the littoral’ as a subject of historical enquiry, this article centres on British rule over the waters, isles, and shores in nineteenth-century colonial Hong Kong. It argues that similar and connected to its rule over urban space, the British government endeavoured to regulate the colony’s watery fringes out of racial and other concerns. Commensurate with the growth of shipping, colonial rulers demarcated particular littoral spaces as mirrors or even extensions of land spaces. In the late nineteenth century, an emerging hierarchy of delineated navigational, anchorage, and quarantine spaces was discernible in Hong Kong’s littorals. Despite their efforts to structure littoral space, British colonial authorities failed to direct its actual usage. Not only did stakeholders compete and negotiate over using Victoria Harbour, but also, many Chinese watercraft countered official control by venturing across administrative boundaries. More broadly, the case of Hong Kong suggests perspectives for addressing the complexity of the littoral history of colonial port cities in Asia. First is the examination of connections between different areas within littoral space. Second is the inseparability between littoral space and urban space in terms of government policies. Third is the contrast between colonial designs and actual negotiations regarding the use of littoral space.
Routine immunization programs may reduce antibiotic use, but few studies have comprehensively examined their impact on antibiotic utilization. We aimed to explore temporal trends in vaccination and antibiotic use among young children in the United States.
Design:
Ecological study using the Merative® MarketScan Commercial Claims and Encounters database.
Methods:
We analyzed claims data on pediatric vaccine uptake (pneumococcal conjugate, Haemophilus influenzae type b, diphtheria-tetanus-pertussis, and influenza) and antibiotic prescriptions and antibiotic-treated respiratory tract infections among US children <5 years during 2000–2019. Vaccination status was assessed annually, and children were categorized based on receipt of all four vaccines, 1–3 vaccines, or no vaccines. Antibiotic prescriptions were classified by spectrum and drug class. Respiratory infections included otitis media, pharyngitis, pneumonia, sinusitis, and viral infections.
Results:
Among 6.7 million children, vaccine uptake increased from 32.5% receiving all four vaccines in 2004 to 66.8% in 2019. During this period, overall antibiotic prescriptions decreased from 1.89 to 1.01 per person-year, with the greatest reductions in macrolides (73.3%) and broad-spectrum antibiotics (57.0%). Antibiotic-treated respiratory tract infections declined from 2.43 to 1.61 episodes per person-year, with the largest decreases in sinusitis (64.7%) and pharyngitis (39.8%).
Conclusions:
The findings suggest a temporal association between routine childhood immunization uptake and reduced antibiotic utilization. Although immunization programs are primarily aimed at protecting children from vaccine-preventable diseases, their potential role in complementing antimicrobial stewardship efforts and other factors influencing antibiotic reduction warrants further investigation through more rigorous study designs.
Some individuals experience abnormally persistent and intense symptoms of grief that significantly interfere with daily functioning. This condition has been described using terms such as complicated or prolonged grief and prolonged grief disorder (PGD).
Aims
To identify the availability of evidence addressing a range of policy relevant issues related to grief, bereavement and PGD. In this paper we focus on the availability of evidence from systematic reviews.
Method
We searched 12 databases and the websites of 18 grief- or bereavement-related organisations. Using key characteristics extracted from included reviews, we produced a high-level overview of the available evidence that enabled potential research gaps to be identified.
Results
We identified 212 reviews – 103 focused on people’s experiences of grief/bereavement including service use; 22 reported on PGD prevalence, 42 on PGD risk factors, 37 on factors that influence grief more broadly and 80 on the effectiveness of grief-related interventions. Fifty-five reviews focused on multiple issues of interest. Half of reviews focused on a specific cause/type of death (n = 108). Of these reviews, most focused on three main causes/types of death: a specific health condition or terminal illness (n = 36), perinatal loss (n = 34) and suicide (n = 20).
Conclusions
We identified a large number of reviews, but key evidence gaps exist, particularly in relation to intervention cost-effectiveness and social, organisational or structural-level interventions that are needed for addressing inequities and other modifiable factors that can impair grieving and potentially increase the risk of PGD.
Aims: The audit aims to check compliance with regards to assessment and management of substance misuse among patients admitted with psychosis in male wards, St George’s Park hospital. The following National Institute of Clinical Excellence (NICE) guideline was considered for the audit: Coexisting Severe Mental Illness (Psychosis) and Substance Misuse: Assessment and Management in Healthcare Settings – CG 120 (published on March 23, 2011).
Methods: All patients with diagnosis of psychosis and any comorbid substance use history admitted as inpatients in the wards from a period of July 1 to July 31 2024 were considered for the audit. Only patients who were on the wards for a minimum duration of 7 days were included.
A total of 37 patients were found as suitable. Patient progress notes and discharge letters were reviewed to check compliance with standards.
Results: Our results showed areas of both good compliance and poor compliance with regards to the standard. We found that 88.8% of patients were assessed for comorbid substance use during the first week of admission by the treatment team. In 62.06% of patients, there was evidence of involvement for specialist drug and alcohol services on admission and in the management of withdrawal symptoms. For 87.5% of patients, it was evident that policies were followed with regards to search procedures, visiting arrangements, planning and reviewing leaves, regular drug and alcohol testing and other security measures. However, only 42.8% compliance was noted regarding involvement with specialist substance use services on discharge.
Conclusion: The audit has demonstrated that wards showed good compliance to NICE guidelines around assessment of substance use and in following policies regarding measures to check for substance use in ward settings. However lower compliance was evident with regards to involvement of specialist substance misuse services during both admission and discharge. Following the outcome of audit and presentation in local team meetings, it was decided to initiate a service evaluation to look at barriers regarding involvement of specialist drug and alcohol services along with an educational programme for professionals especially nursing staff regarding the need of screening and referral for people with comorbid substance use in psychosis. A re-audit is planned after a period of 6 months.
Edited by
Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath,Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester,Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend,Philip Harrington, West Midlands Deanery, Birmingham
Edited by
Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath,Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester,Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend,Philip Harrington, West Midlands Deanery, Birmingham
Nociceptors are the sensory receptor for pain and are widespread. They are responsive to different types of stimuli; mechanical, thermal or chemical. Stimulation of these nociceptors results in propagation of an impulse to the spinal cord.
Edited by
Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath,Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester,Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend,Philip Harrington, West Midlands Deanery, Birmingham
Edited by
Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath,Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester,Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend,Philip Harrington, West Midlands Deanery, Birmingham
The brachial plexus is formed from the anterior primary rami of C5 to T1 and provides all motor and sensory innervation to the upper limb. The nerves that make up the plexus lie in a sheath that extends from the tubercles of the transverse processes of the cervical vertebrae to the axilla; it is within this sheath that we would inject our local anaesthetic. As these five roots pass between scalenus anterior and medius, C5 and C6 join to form the upper trunk, the root of C7 continues as the middle trunk and C8 and T1 unite to form the lower trunk. The interscalene approach aims to anaesthetise the roots of the plexus.