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In individuals with severe mental illness (SMI), low muscle strength heightens the risk of mortality and chronic disease development. Routine muscle strength assessments could identify vulnerabilities, thereby reducing the growing burden associated with SMI. However, integration into clinical settings faces obstacles because of limited resources and inadequate healthcare staff training. The 5 sit-to-stand (5-STS) test offers an alternative for measuring muscle strength compared with more complex or demanding tests. Nevertheless, its validity in individuals with SMI remains unexplored.
Aims
This study aimed to analyse the criterion validity of the 5-STS test in SMI, considering potential age, gender and body mass index influences.
Method
In a cross-sectional study following the ‘STrengthening the Reporting of OBservational studies in Epidemiology’ (STROBE) guidelines, 82 adults with SMI (aged 18–65, 24 women) were assessed. Participants underwent both the 5-STS test and the isometric knee extension strength (KES) test.
Results
Analysis revealed a significant moderate correlation coefficient and intraclass correlation coefficient (−0.58 for both) for all participants, indicating that the measures are valid and assess related aspects of the same construct. Strong agreement was observed in women and the older age groups. The 5-STS test demonstrated accuracy, with a standard error of estimate lower than the within-subject variability on the KES test. Bland–Altman plots showed limits of agreement values of −3.39 and 3.52 for the entire sample, and heteroscedasticity analyses indicated consistent differences between the 5-STS and KES tests across all groups analysed, except in the women's group.
Conclusions
The 5-STS test seems to be a valid test for assessing muscle strength in individuals with SMI, supporting its usefulness for routine assessment in clinical settings, facilitating detection and intervention in critical situations.
Daniel Immerman has recently put forward a novel account of harm, the Worse than Nothing Account. We argue that this account faces fatal problems in cases in which an agent performs several simultaneous actions. We also argue that our criticism is considerably more powerful than another one that has recently been advanced.
The capacocha was one of the most important types of Inca sacrifices. Road stations (tambos) were built for the pilgrims who travelled to mountain peaks with the sacrifices. Spatial analysis of two tambos on the slopes of the Pichu Pichu and Chachani volcanoes in Peru reveals segregation in the sacred landscape.
We report on four brachyuran crabs collected from the carapaces of loggerhead sea turtles Caretta caretta nesting on Yakushima Island in Kagoshima prefecture, Japan. Three of these crab species have not been previously reported as epibionts on sea turtles. Our research suggests that physical damage to a turtle's carapace, such as cracks and holes created by other epibionts like the burrowing barnacle Tubicinella cheloniae, can create unique habitats for these opportunistic crabs.
This article traces how the Yemeni-origin Sufi order of Ṭarīqa ʿAlawiyya and its ritual litany of al-Ḥaddād, with chants and prayers for the Prophet and his descendants especially from Hadramawt, became part of everyday Muslim devotional practices in Malabar through immigrant networks of Hadrami Sayyids. Competing, sometimes rivalling, and appropriating other Sufi religiosities, the Alawi order meaningfully involved within the theo-legal Sufi discourses that have been remoulding the Sufi cosmopolis in the Indian Ocean. By focusing on two notable early immigrant Sayyids in Malabar, this article argues that the successful placement of the ʿAlawī order within the Sufi cosmopolis and the permeation of the ritual was a complex socio-religious project that was brought forth by various aspects of the sacred genealogy, Alawi Sufi writings, Sufi activism, and the effective utilisation of Hadrami immigrant networks.
This study explores several alternative specifications of futures-based forecasting models to improve existing approaches constrained by restrictive assumptions and limited information sets. In lieu of historical averages, our approaches use rolling regressions and include current market information reflected in the deviation of the current basis from its historical average. To mitigate potential challenges arising from nonstationarity and structural changes in the relationship between farm and futures prices, we employ a 5-year rolling estimation window. We find that a rolling regression approach offers significant improvements (as evidenced by our Modified Diebold–Mariano test) in the accuracy and information content of forecasts of cotton season-average prices (SAPs) mostly at short forecast horizons.
Who deserves credit for epistemic successes, and who is to blame for epistemic failures? Extreme views, which would place responsibility either solely on the individual or solely on the individual’s surrounding environment, are not plausible. Recently, progress has been made toward articulating virtue epistemology as a suitable middle ground. A socio-environmentally oriented virtue epistemology can recognize that an individual’s traits play an important role in shaping what that individual believes, while also recognizing that some of the most efficacious individual traits have to do with how individuals structure their epistemic environments and how they respond to information received within these environments. I contribute to the development of such an epistemology by introducing and elucidating the virtue of epistemic exactingness, which is characterized by a motivation to regulate the epistemically significant conduct of others.
This article presents the preliminary results of investigations at the site of Qach Rresh on the Erbil Plain of the Kurdistan Region of Iraq, conducted by the Rural Landscapes of Iron Age Imperial Mesopotamia project (RLIIM). The site of Qach Rresh is estimated to have been founded in the mid–eighth century B.C.E., at the height of the Assyrian Empire, and continued to be utilised in varying capacity until the onset of the Hellenistic period (c. 320 B.C.E.). Magnetic gradiometry survey and excavations currently suggest that Qach Rresh served as a rural administrative/storage center during the Assyrian Empire, which fell into disrepair following the empire’s collapse. The following post-Assyrian/Iron Age III period then saw several of its large buildings repurposed as refuse areas containing debris from largely domestic contexts. Qach Rresh is the first rural settlement investigated within the Assyrian imperial heartland. The results from this project seem to indicate a high degree of Assyrian state or elite involvement in the countryside, serving as a critical first foray into assessing the relationship between urban governing centers and their “hinterlands”.
In recent years, scholars have drawn particular attention to the existence in the ancient world of permanent, specialized market buildings, macella or μάκɛλλοι, which offered dedicated facilities for the processing and sale of luxury commodities such as fish and meat. However, important questions remain about the typologies, architecture, and “end-users” of these structures. Here, I outline a basic model for how the total and average wealth and traffic of settlements increases with estimated populations, before exploring the relationships between the total footprints and wider architectural characteristics of macella and estimated populations of sites. This reveals that there is a series of relationships between these measures that are not only consistent with wider theoretical and empirical expectations, but also have the potential to alter dramatically our understanding of macella by revealing the connections between the sizes and capacities of these structures and the wealth, connectivity, and integration of settlements.
The aim of this study was to explore the role of managers and employees with an assigned responsibility (i.e. inspirers) when integrating recovery-enhancing activities into everyday work in a primary health care setting.
Background:
The possibility of recovery during the workday is essential for employee wellbeing. However, the literature on workplace interventions focusing on recovery is scarce. Especially with regard to the importance of local driving forces, like managers and inspirers.
Methods:
Two focus groups and two individual interviews were conducted in this qualitative interview study. In total, ten managers and inspirers from different primary health care centres were interviewed about their experiences of brief recovery interventions at their workplaces. A semi-structured interview guide was used, and the qualitative analysis was conducted by using systematic text condensation.
Findings:
From a leadership perspective, two themes with promoting factors for recovery interventions were identified. These were structural promoting factors (including authorisation, communication, and integration) and cultural promoting factors (including attitude, support, and open-mindedness). This knowledge can contribute to future workplace environment development with the focus on recovery during the workday. The results also showed several positive effects of integrated recovery, both on an individual and group level. Hence, this study is a valuable addition to the work recovery research, in terms of understanding the importance of investing in recovery at work.
What follows is a sketch of three of the main claims of How to Pool Risks across Generations: The Case for Collective Pensions (Otsuka 2023) with which my symposium commentators critically engage: namely, that (1) by efficiently pooling risks across as well as within generations, (2) collective pensions can realize a form of Rawlsian reciprocity involving fair terms of cooperation for mutual advantage, (3) through the voluntary binding agreements of individuals to join a mutual association that provides social insurance. I respond to their challenges to these claims in my replies that follow their contributions.
Interviews with 22 home-based primary care (HBPC) clinicians revealed that infectious disease physicians and clinical pharmacists facilitate infection management and antibiotic selection, respectively, and that local initiatives within programs support antibiotic prescribing decisions. Interventions that facilitate specialist engagement and tailored approaches that address the unique challenges of HBPC are needed.
Early warning for epilepsy patients is crucial for their safety and well being, in particular, to prevent or minimize the severity of seizures. Through the patients’ electroencephalography (EEG) data, we propose a meta learning framework to improve the prediction of early ictal signals. The proposed bilevel optimization framework can help automatically label noisy data at the early ictal stage, as well as optimize the training accuracy of the backbone model. To validate our approach, we conduct a series of experiments to predict seizure onset in various long-term windows, with long short-term memory (LSTM) and ResNet implemented as the baseline models. Our study demonstrates that not only is the ictal prediction accuracy obtained by meta learning significantly improved, but also the resulting model captures some intrinsic patterns of the noisy data that a single backbone model could not learn. As a result, the predicted probability generated by the meta network serves as a highly effective early warning indicator.
The paper uses the material and conceptual figure of dust and matter out of place to amplify more-than-human perspectives of time, to trace the changing orientations and ethos of a site. Dust contains a complex mixture of inorganic and organic material, made up of an exuberance of microbial life such as Penicillium, Aspergillus and Cladosporium and around 20 other fungal sources. We are interested in dust as a material and metaphorical device to situate and critique temporality and the way we narrate and investigate the past and future, from a non-human, microbial point of view. Dust implies residual matter, a contradiction to order often associated with dirt. It indicates something that needs to be removed, or rearranged, something that is “out of place,” an element that does not fit. Dust also indicates time and space and signals movement and life: dust hosts a medley of non-human particles and microbial communities that engage in their own worldmaking practices. The paper brings together methods of “un-cleaning” with archival research and spatial methods of 3D scanning, modelling and mapping, as an opportunity to decentre human hubris and explore the ways in which non-humans have and continue to inhabit “our” spaces.
The two first reflections on the politics of money you will see in Eich’s book, a substantial intervention (indeed, the notes are fully one-third the length of the main text itself), come from the visual arts and poetry. Commented upon at the end of his book, the cover image comes from Otis Kaye’s simultaneously playful and biting memento of the Met’s 1961 purchase of Rembrandt’s shimmering 1653 painting, Aristotle with a Bust of Homer. At some 2.3 million dollars, it was the most expensive museum purchase of all time. And Kaye (who seems to have lost most of his own savings in the great crash of 1929) offers both an homage, recreating the main figure of Aristotle with his hand on the bust of a representation of Homer, and a mordant reflection. The trompe l’oeil qualities of paper money in the painting hark back to earlier inflationary economics with the French revolutionary assignats, whose history found renewed interest among those trying to account for German hyperinflation and the Great Depression. Similarly, around Kaye’s edges, the dark intensity of Rembrandt’s background peels away to reveal utilitarian paneling, into which are fixed and interlaced wodges of cash, alongside other symbols of money making. The Heart of the Matter is more than just a wry reflection on the imbrication of art and commerce, or of Rembrandt interpretation—fleeting worldly fame, or lasting reputation. For while its truth seems superficially obvious—that the art world and the art market are inseparable—it is not entirely clear what sort of lesson we are supposed to learn about money. It is on the surface and under it, the base and the superstructure, form and content, style as well as substance. Is it telling us that a society where money is king is one that cannot see the truth of things, or that money, or at least the having of it, is what allows us not to think about it too much?
This paper, building on new archival research and the social table method, presents comprehensive estimates of income inequality in Mexico in 1895, 1910, 1930 and 1940. Inequality grew from 1895 to 1910, driven by economic expansion within the context of an oligarchic economy. While real income increased for the lower classes during this period, the main beneficiaries were large landowners and entrepreneurs. In the revolutionary period from 1910 to 1930 inequality decreased especially as a result of land reforms, benefitting peasants at the expense of the large landowners. However, the economic structure of the country was not fundamentally changed, and in the 1930s inequality raised as incomes of peasants and those in the informal sector fell behind manufacturing and other high-earning sectors. The Mexican case shows the complex interaction of economics, demography and politics in determining economic inequality.