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Suffering and evil in the world provide the basis for the most difficult challenge to monotheistic belief. This Element discusses how the three great monotheisms – Judaism, Christianity, and Islam – respond to the problem of suffering and evil. Different versions of the problem, types of answers, and recurring themes in philosophical and religious sources are analyzed. Objections to the enterprise of theodicy are also discussed as are additional objections to the monotheistic God more broadly. This treatment culminates in a recommendation for how monotheism can best respond to the most serious formulation of the problem, the argument from gratuitous evil.
Clays are raw materials with properties that are necessary for the manufacture of ceramic tiles. The characteristics of clay ceramic raw materials may vary within the same mineral deposit. Clay blending promotes better use of clay reserves, thereby increasing the applicability and life cycle of raw materials. Therefore, it is important to understand the mechanisms controlling the firing of ceramic tiles. In this study, three different clays from a clay deposit were assessed and ten formulations were prepared using the mixture design method. The formulations were analysed using differential thermal and thermogravimetric analyses and dilatometric analysis. Subsequently, the most refractory and fluxing formulations were subjected to thermal tests under various heating rates, similar to the process used for the calculation of apparent sintering activation energy for the densification of clays and for pyroplasticity tests. It is suggested that a mineral deposit can be assessed based on activation energy and thermal kinetics, expanding the alternatives available to the miner through the planning of mixtures with various clays and thus reducing the energy costs of the industrial process.
Paramedics received training in point-of-care ultrasound (POCUS) to assess for cardiac contractility during management of medical out-of-hospital cardiac arrest (OHCA). The primary outcome was the percentage of adequate POCUS video acquisition and accurate video interpretation during OHCA resuscitations. Secondary outcomes included POCUS impact on patient management and resuscitation protocol adherence.
Methods:
A prospective, observational cohort study of paramedics was performed following a four-hour training session, which included a didactic lecture and hands-on POCUS instruction. The Prehospital Echocardiogram in Cardiac Arrest (PECA) protocol was developed and integrated into the resuscitation algorithm for medical non-shockable OHCA. The ultrasound (US) images were reviewed by a single POCUS expert investigator to determine the adequacy of the POCUS video acquisition and accuracy of the video interpretation. Change in patient management and resuscitation protocol adherence data, including end-tidal carbon dioxide (EtCO2) monitoring following advanced airway placement, adrenaline administration, and compression pauses under ten seconds, were queried from the prehospital electronic health record (EHR).
Results:
Captured images were deemed adequate in 42/49 (85.7%) scans and paramedic interpretation of sonography was accurate in 43/49 (87.7%) scans. The POCUS results altered patient management in 14/49 (28.6%) cases. Paramedics adhered to EtCO2 monitoring in 36/36 (100.0%) patients with an advanced airway, adrenaline administration for 38/38 (100.0%) patients, and compression pauses under ten seconds for 36/38 (94.7%) patients.
Conclusion:
Paramedics were able to accurately obtain and interpret cardiac POCUS videos during medical OHCA while adhering to a resuscitation protocol. These findings suggest that POCUS can be effectively integrated into paramedic protocols for medical OHCA.
Quasi-periodic plasmoid formation at the tip of magnetic streamer structures is observed to occur in experiments on the Big Red Ball as well as in simulations of these experiments performed with the extended magnetohydrodynamics code, NIMROD. This plasmoid formation is found to occur on a characteristic time scale dependent on pressure gradients and magnetic curvature in both experiment and simulation. Single mode, or laminar, plasmoids exist when the pressure gradient is modest, but give way to turbulent plasmoid ejection when the system drive is higher, which produces plasmoids of many sizes. However, a critical pressure gradient is also observed, below which plasmoids are never formed. A simple heuristic model of this plasmoid formation process is presented and suggested to be a consequence of a dynamic loss of equilibrium in the high-$\beta$ region of the helmet streamer. This model is capable of explaining the periodicity of plasmoids observed in the experiment and simulations, and produces plasmoid periods of 90 minutes when applied to two-dimensional models of solar streamers with a height of $3R_\odot$. This is consistent with the location and frequency at which periodic plasma blobs have been observed to form by Large Angle and Spectrometric Coronograph and Sun Earth Connection Coronal and Heliospheric Investigation instruments.
Alcohol use disorder (AUD) and schizophrenia (SCZ) frequently co-occur, and large-scale genome-wide association studies (GWAS) have identified significant genetic correlations between these disorders.
Methods
We used the largest published GWAS for AUD (total cases = 77 822) and SCZ (total cases = 46 827) to identify genetic variants that influence both disorders (with either the same or opposite direction of effect) and those that are disorder specific.
Results
We identified 55 independent genome-wide significant single nucleotide polymorphisms with the same direction of effect on AUD and SCZ, 8 with robust effects in opposite directions, and 98 with disorder-specific effects. We also found evidence for 12 genes whose pleiotropic associations with AUD and SCZ are consistent with mediation via gene expression in the prefrontal cortex. The genetic covariance between AUD and SCZ was concentrated in genomic regions functional in brain tissues (p = 0.001).
Conclusions
Our findings provide further evidence that SCZ shares meaningful genetic overlap with AUD.
Magnetic reconnection is explored on the Terrestrial Reconnection Experiment (TREX) for asymmetric inflow conditions and in a configuration where the absolute rate of reconnection is set by an external drive. Magnetic pileup enhances the upstream magnetic field of the high-density inflow, leading to an increased upstream Alfvén speed and helping to lower the normalized reconnection rate to values expected from theoretical consideration. In addition, a shock interface between the far upstream supersonic plasma inflow and the region of magnetic flux pileup is observed, important to the overall force balance of the system, thereby demonstrating the role of shock formation for configurations including a supersonically driven inflow. Despite the specialized geometry where a strong reconnection drive is applied from only one side of the reconnection layer, previous numerical and theoretical results remain robust and are shown to accurately predict the normalized rate of reconnection for the range of system sizes considered. This experimental rate of reconnection is dependent on system size, reaching values as high as 0.8 at the smallest normalized system size applied.
Tardive Dyskinesia (TD) refers to abnormal, involuntary, choreoathetoid movements of the tongue, lips, face, trunk, and extremities and is associated with long-term exposure to dopamine-blocking agents, such as antipsychotic medications. Once established, these movements usually persist. The movements are disfiguring and can bring unwanted attention to affected individuals. When severe, especially if the respiratory muscles are affected, the movements can be disabling, limit activity, and reduce quality of life. The prevalence is 7.2% in individuals on newer antipsychotics who have never been exposed to older neuroleptics. Until recently, there were no effective treatments for TD. In recent years, many new treatments have been investigated for the treatment of TD, including valbenazine, deutetrabenazine, and branched chain amino acids. Valbenazine first, followed by deutetrabenazine are FDA approved to treat TD. A virtual broadcast was developed to assess the ability of continuing medical education (CME) to improve awareness of the recognition and treatment of TD among psychiatrists.
Methods
The virtual broadcast (May 9, 2020) consisted of a two-hour, live-streamed discussion between two expert faculty. Impact of the educational activity was assessed by comparing psychiatrists’ responses to four identical questions presented before and directly after activity participation. A follow-up survey was sent to all participants six-weeks post-activity to measure performance in practice changes. A chi-square test was used to identify significant differences between pre- and post-assessment responses. Cohen’s d was used to calculate the effect size of the virtual broadcast.
Results
Activity participation resulted in a noticeable educational effect among psychiatrists (n=621; d=6.12, P<.001). The following areas showed significant (P<0.05) pre- vs post-educational improvements: recognition of movements in patients with TD, rate of TD in SGA exposed patients, treatment options for TD (on and off-label), and treatment of TD using VMAT inhibitors. Additionally, 54% of psychiatrists reported a change in practice performance as a result of the education received in the activity, including utilization of a standard scale to evaluate movement disorders and educate patients and family members about potential for TD, how to recognize symptoms, and when to treat.
Conclusions
The results indicated that a CME-certified two-hour virtual broadcast was effective at improving knowledge among psychiatrists for the recognition and treatment of TD. This knowledge also resulted in positive changes in practice performance post-activity. Future education should continue to address best practices in the diagnosis, treatment and management of patients with TD, as there remains an increased need for tailored CME among psychiatrists.
Over the past several decades, the connections between ecology and all major religious perspectives, including the Abrahamic traditions, have been extensively explored. Due to such explosive growth in theological scholarship, official institutional commitments, and public action by the religious community, the environment has become an important topic in science–religion scholarship.
Homo sapiens is the only species that asks questions about its own existence, which means that we are self-interpreting animals. We humans have always been on a quest to know our own nature and to ask whether being human makes us significantly unique, qualitatively different from all other things, living and nonliving. Traditional philosophical traditions maintain that humans are special, and indeed, the highpoint of the natural world, while major religious traditions generally affirm human specialness based on our relation to the divine. In early modernity, however, the Galileo affair was seen as consolidating the “Copernican humiliation” of humanity; it initiated a great change in the way science understands the status of human beings, a change that has profoundly impacted philosophical and religious understandings.
The application of evolutionary theory to morality has given rise in our day to a field known as “evolutionary ethics.” From the beginning, claims about how evolutionary ideas engage ethical thought have sparked controversy. Both Charles Darwin and Herbert Spencer provided their own distinctive evolutionary reasoning about the foundation, content, and function of human morality, while several well-known traditional philosophers, such as Henry Sidgwick, denounced and severely critiqued their views. Given the long-standing connection between ethics and religion, the issues become more complex. In this chapter, we explore the basic issues arising at the intersection of evolutionary ethics and religion – from how areas of ethics are affected to how religion is challenged, with particular attention to theism and Christianity. We also discuss important philosophical work regarding whether evolution debunks realist interpretations of religious ethics and how evolutionary ethics is interpreted by both naturalistic and theistic worldviews.
The history of the universe – from the Big Bang to Homo sapiens – is nothing short of breathtaking. The whole process started off with a violent explosion, went through various stages of cosmic structuring and cooling as galaxies and their solar systems developed, produced at least one planet – Earth – that contained life-supporting conditions and eventually produced life leading to humanity as we know it. In reflecting on the extended development of physical reality, important questions arise regarding whether the universe in general displays a discernible directionality and even whether biological reality is goal-oriented, perhaps with the aim of bringing forth Homo sapiens.
Perhaps no issue at the intersection of biology and religion has received more attention now or in the past than the issue of design. The general problem is whether to explain the manifest appearance of design in nature as apparent or real. In living systems, should function be attributed to an intelligent cause or to natural causation? The debate over this question is as ancient as it is contemporary. Of particular historical and intellectual importance is the tension between the design argument advanced by many thinkers, famously presented by William Paley in the early nineteenth century, and the natural biological explanation, offered by Charles Darwin in the mid-nineteenth century. As our discussion develops, we evaluate the Intelligent Design (ID) argument of the past few decades as well as various forms of theistic evolution as ways of combining ideas of intelligence or purpose with the facts of biology. Likewise, we discuss and evaluate both scientific and philosophical perspectives that reject the idea that intelligence or purpose can be applied to biology or any of the other sciences.
A discussion of the relationship between biology and religion is a subset of the larger conversation about the relationship between science and religion. At the turn of the seventeenth century, the new astronomy catalyzed the Scientific Revolution, which raised questions about whether the Roman Catholic Church or practicing scientists were properly entitled to make claims about the structure and operation of the heavens. As modernity unfolded, the Newtonian Revolution consolidated its position: the purview of the natural sciences – from astronomy to physics to chemistry – was to make claims about the structure and operation of the physical world that were grounded in empirical research and not religious dogma. In the middle of the nineteenth century, the science of biology, mostly in the form of natural history and practiced by Darwin and others, caused new tensions with religion. Biology has remained at the center of much controversy with religion – and now, given their influence in contemporary life, what we may call the emerging “biosciences” present new challenges to which religion must continually respond.
Life has long been thought to be a special quality that distinguishes entities that possess it from entities that are dead or inert. And life has always been fundamental to religious and spiritual traditions. Indeed, the very term “spiritual” is derived from Latin spiritus for breath – and other languages such as Greek (pneuma), Hebrew (ruach), and Sanskrit (atman) contain words variously translated as “spirit” or “breath” or “soul.” However, life is also fundamental to the science of biology. Indeed, bios in classical Greek means “life” – physical life – and is the root of the term “biology.” For centuries, it was commonly accepted, in religion and general society, that life was a special factor somehow distinct from but animating the physical organism. However, in the early years of modern biology, a purely physical basis for life was proposed – a position that was quite controversial, particularly because it had important, ostensibly adverse implications for religious and spiritual traditions.