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While the judicial machinery of early modern witch-hunting could work with terrifying swiftness, skepticism and evidentiary barriers often made conviction difficult. Seeking proof strong enough to overcome skepticism, judges and accusers turned to performance, staging 'acts of Sorcery and Witch-craft manifest to sense.' Looking at an array of demonological treatises, pamphlets, documents, and images, this Element shows that such staging answered to specific doctrines of proof: catching the criminal 'in the acte'; establishing 'notoriety of the fact'; producing 'violent presumptions' of guilt. But performance sometimes overflowed the demands of doctrine, behaving in unpredictable ways. A detailed examination of two cases – the 1591 case of the French witch-demoniac Françoise Fontaine and the 1593 case of John Samuel of Warboys –suggests the manifold, multilayered ways that evidentiary staging could signify – as it can still in that conjuring practice we call law. This title is also available as Open Access on Cambridge Core.
The Marangoni flow induced by an insoluble surfactant on a fluid–fluid interface is a fundamental problem investigated extensively due to its implications in colloid science, biology, the environment and industrial applications. Here, we study the limit of a deep liquid subphase with negligible inertia (low Reynolds number, $Re\ll {1}$), where the two-dimensional problem has been shown to be described by the complex Burgers equation. We analyse the problem through a self-similar formulation, providing further insights into its structure and revealing its universal features. Six different similarity solutions are found. One of the solutions includes surfactant diffusion, whereas the other five, which are identified through a phase-plane formalism, hold only in the limit of negligible diffusion (high surface Péclet number $Pe_s\gg {1}$). Surfactant ‘pulses’, with a locally higher concentration that spreads outward, lead to two similarity solutions of the first kind with a similarity exponent $\beta =1/2$. On the other hand, distributions that are locally depleted and flow inwards lead to similarity of the second kind, with two different exponents that we obtain exactly using stability arguments. We distinguish between ‘dimple’ solutions, where the surfactant has a quadratic minimum and $\beta =2$, from ‘hole’ solutions, where the concentration profile is flatter than quadratic and $\beta =3/2$. Each of these two cases exhibits two similarity solutions, one valid prior to a critical time $t_*$ when the derivative of the concentration is singular, and another one valid after $t_*$. We obtain all six solutions in closed form, and discuss predictions that can be extracted from these results.
Functional neurological disorder (FND) most often presents in women of childbearing age, but little is known about its course and outcomes during pregnancy, labour and postpartum (the perinatal period). We searched MEDLINE, PsycInfo and Embase combining search terms for FND and the perinatal period. We extracted data on patient demographics, subtype of FND, timing of symptom onset, comorbidities, medications, type of delivery, investigations, treatment, pregnancy outcomes and FND symptoms at follow-up.
Results
We included 36 studies (34 case reports and 2 case series) describing 43 patients. Six subtypes of FND were identified: functional (dissociative) seizures, motor weakness, movement disorder, dissociative amnesia, speech disorders and visual symptoms. New onset of perinatal FND was more common in the third trimester and onwards. Some women with functional seizures were exposed to unnecessary anti-seizure prescriptions and intensive care admissions.
Clinical implications
Prospective studies are urgently needed to explore how FND interacts with women's health in the perinatal period.
Penicillin allergy delabeling may benefit antimicrobial stewardship (AS). Cost of initial penicillin treatments following risk-stratified inpatient delabeling were compared to two hypothetical treatment regimens if delabeling had not occurred: (1) AS-guided and (2) Common Treatment. Penicillin allergy delabeling improved antimicrobial spectrum index, was cost-neutral, and averted unnecessary penicillin desensitizations.
This paper focuses on the experiences of bereavement guilt among young adults bereaved by a caregiver’s cancer, examining associations with attachment style, experiential avoidance, and psychological flexibility with the aim of informing psychosocial interventions for this population.
Methods
Ninety-seven young adults (18–25 years) bereaved by a parent/guardian’s cancer completed an online survey, including measures of bereavement guilt, attachment style, experiential avoidance, and psychological flexibility. Mediation analyses explored the associations between attachment style (anxious, avoidant) and bereavement guilt, and if these associations were mediated by experiential avoidance or psychological flexibility.
Results
Bereavement guilt was significantly positively associated with anxious, but not avoidant, attachment to the deceased; the relationship between anxious attachment and bereavement guilt was partially mediated by experiential avoidance. Bereavement guilt was also negatively associated with psychological flexibility and engagement with bereavement counseling.
Significance of results
Given the limited literature on cancer-related bereavement in young adulthood, this study offers important theoretical and clinical insights into factors associated with more complex aspects of grief in this population. Specifically, this work identified that anxious attachment is associated with ongoing bereavement complications in the years following the death of a caregiver to cancer, with experiential avoidance partially mediating this relationship. While further research is needed to better understand the interaction between these factors and other related constructs, such as psychological flexibility, these findings may be helpful in selecting therapeutic approaches to use with this population.
Thin-film equations are utilised in many different areas of fluid dynamics when there exists a direction in which the aspect ratio can be considered small. We consider thin free films with Marangoni effects in the extensional flow regime, where velocity gradients occur predominantly along the film. In practice, because of the local deposition of surfactants or input of energy, asymmetric distributions of surfactants or surface tension more generally, are possible. Such examples include the surface of bubbles and the rupture of thin films. In this study, we consider the asymmetric thin-film equations for extensional flow with Marangoni effects. Concentrating on the case of small Reynolds number $ Re $, we study the deposition of insoluble surfactants on one side of a liquid sheet otherwise at rest and the resulting thinning and rupture of the sheet. The analogous problem with a uniformly thinning liquid sheet is also considered. In addition, the centreline deformation is discussed. In particular, we show analytically that if the surface tension isotherm $\sigma = \sigma (\varGamma )$ is nonlinear (surface tension $\sigma$ varies with surfactant concentration $\varGamma$), then accounting for top–bottom asymmetry leads to slower (faster) thinning and pinching if $\sigma = \sigma (\varGamma )$ is convex (concave). The analytical progress reported in this paper allows us to discuss the production of satellite drops from rupture via Marangoni effects, which, if relevant to surface bubbles, would be an aerosol production mechanism that is distinct from jet drops and film drops.
Despite increased political attention to instances of legislative obstruction in recent years, little is known about the public’s attitudes toward these procedural techniques. I evaluate these attitudes in the context of the last two decades of nominations to the U.S. Supreme Court with three complementary analyses. In the first, nationally representative survey evidence reveals an overriding political dimension to Americans’ attitudes over the use of tactics to delay the confirmation process. The president’s copartisans express considerably higher levels of opposition to delayed consideration of a nominee than individuals politically opposed to the president. In the second and third, evidence from observational surveys and a survey experiment shows that these attitudes vary depending on the type of the obstruction under consideration, with Americans less supportive of the use of forms of obstruction that entirely preclude procedural consideration of a nominee, such as refusing to hold hearings, than more established methods that do not, like the filibuster or document requests. These findings reveal that the American public has internalized the political stakes of judicial nominations and suggest that obstruction may have electoral consequences in an era of extreme polarization.
The importance of the humanities has been highlighted in developing a holistic person-centred model of psychiatry. The use of film to explore topics related to psychiatry, known as ‘cinemeducation’, has been shown to encourage reflection. Wellbeing has been identified as a key area in the quality of psychiatry training, however there is currently no evidence exploring the wellbeing and educational benefits of ‘cinemeducation’ within psychaitry training programmes
Our primary aim was to measure the impact of ‘cinemeducation’ events on attendees’ wellbeing and professional development, with a secondary aim to explore attendees experience of ‘cinemeduation’.
The hypothesis is that attendees will experience a wellbeing and educational benefit from the initiative.
Methods
6 events were assessed between January and August 2023. Each event involved the showing of a feature length film, followed by a 30-minute discussion. 4 out of 6 events were facilitated by guest speakers, usually a consultant psychiatrist. Following events, questionnaires were distributed which included a series of statements with Likert scales and open ended questions. Mean Likert scale scores were calculated with qualitative data interpreted by the authors using thematic analysis.
Results
A total of 108 trainees attended events, predominantly core trainees (64.52%). All events scored consistently high for self-reported wellbeing, however facilitated events demonstrated higher scores for self-reported reflective and educational benefits. The themes derived from qualitative data were of ‘cinemeducation’ being a novel educational opportunity where attendees were able to use film to work through challenges associated with psychiatry, as well as being an opportunity for connecting with other trainees, where attendees could share experiences and foster a sense of community.
Conclusion
Core psychiatry trainees in particular, appear to value ‘cinemeducation’ as a tool to connect with their peers and develop their understanding of psychiatry in a relaxed, but stimulating environment, which is best achieved under the guidance of a senior colleague. The study suggests that the introduction of ‘cinemeducation’ across psychiatry training programmes would benefit trainees’ wellbeing and development. Further research is required to assess the impact of such initiatives across a broader cohort of trainees, using more robust methods of data collection, as well as formal measures of skills such as reflective functioning.
Lubrication theory is adapted to incorporate the large normal stresses that occur for order-one Deborah numbers, $De$, the ratio of the relaxation time to the residence time. Comparing with the pressure drop for a Newtonian viscous fluid with a viscosity equal to that of an Oldroyd-B fluid in steady simple shear, we find numerically a reduced pressure drop through a contraction and an increased pressure drop through an expansion, both changing linearly with $De$ at high $De$. For a constriction, there is a smaller pressure drop that plateaus at high $De$. For a contraction, much of the change in pressure drop occurs in the stress relaxation in a long exit channel. An asymptotic analysis for high $De$, based on the idea that normal stresses are stretched by an accelerating flow in proportion to the square of the velocity, reveals that the large linear changes in pressure drop are due to higher normal stresses pulling the fluid through the narrowest gap. A secondary cause of the reduction is that the elastic shear stresses do not have time to build up to their steady-state equilibrium value while they accelerate through a contraction. We find for a contraction or expansion that the high $De$ analysis works well for $De>0.4$.
Pressure-driven flows of viscoelastic fluids in narrow non-uniform geometries are common in physiological flows and various industrial applications. For such flows, one of the main interests is understanding the relationship between the flow rate $q$ and the pressure drop $\Delta p$, which, to date, is studied primarily using numerical simulations. We analyse the flow of the Oldroyd-B fluid in slowly varying arbitrarily shaped, contracting channels and present a theoretical framework for calculating the $q-\Delta p$ relation. We apply lubrication theory and consider the ultra-dilute limit, in which the velocity profile remains parabolic and Newtonian, resulting in a one-way coupling between the velocity and polymer conformation tensor. This one-way coupling enables us to derive closed-form expressions for the conformation tensor and the flow rate–pressure drop relation for arbitrary values of the Deborah number ($De$). Furthermore, we provide analytical expressions for the conformation tensor and the $q-\Delta p$ relation in the high-Deborah-number limit, complementing our previous low-Deborah-number lubrication analysis. We reveal that the pressure drop in the contraction monotonically decreases with $De$, having linear scaling at high Deborah numbers, and identify the physical mechanisms governing the pressure drop reduction. We further elucidate the spatial relaxation of elastic stresses and pressure gradient in the exit channel following the contraction and show that the downstream distance required for such relaxation scales linearly with $De$.
Background: Reducing oral corticosteroids (OCS) use can alleviate the risk of many adverse events related to long-term OCS use. Here, we evaluate real-world utilization of OCS among patients with generalized myasthenia gravis (gMG) over the first 6 months following efgartigimod initiation. Methods: Patients with gMG using OCS who initiated efgartigimod treatment were identified retrospectively from an open US medical and pharmacy claims database (IQVIA Longitudinal Access and Adjudication Data [LAAD], April 2016-April 2023). Average daily dose (ADD) of OCS was analyzed during the 3-month period preceding efgartigimod initiation, and at 3 and 6 months post-efgartigimod initiation. Results: Of 231 patients assessed, 17 (7.4%), 109 (47.1%), and 105 (45.5%) had baseline OCS ADD of 0–5 mg, 5–20 mg, or >20 mg, respectively. At 3 and 6 months post-efgartigimod, 82 (35%) and 99 (43%) patients, respectively, reduced ADD by ≥5 mg. Proportion of patients with ADD of 0–5 mg increased >3-fold (7% baseline vs. 26% 6 months post-efgartigimod) and proportion of patients with ADD of >20 mg decreased by 35% (45% baseline vs. 29% 6 months post-efgartigimod) following efgartigimod initiation. Conclusions: Approximately 43% of patients were able to decrease steroid use or achieved steroid-free status within 6 months of efgartigimod treatment initiation.
This study used semi-structured interviews to examine daily stressors and coping resources as experienced by twenty-one racially and/or ethnically diverse, undocumented college students residing in Massachusetts (USA). A legal violence framework and stress process theory were used to analyze the stress and coping experiences of undocumented college students. The findings reveal the presence of financial burdens, fears of deportation, blocked opportunities, and legal status concealment as daily stressors, as well as needed peer and informational supports as coping resources for undocumented students. Furthermore, for undocumented students, fear of deportation and stigma hindered their ability to identify and capitalize on needed peer and institutional support. The authors argue that not recognizing the structural and symbolic ways that immigration laws serve as legitimizing sources for afflicting social, psychological, and material harm places students with precarious legal status at risk for poor mental health. This chapter concludes by offering practice implications to help improve the ability of institutional agents within higher education to meet the needs of undocumented college students.
Aquatic ecosystems - lakes, ponds and streams - are hotspots of biodiversity in the cold and arid environment of Continental Antarctica. Environmental change is expected to increasingly alter Antarctic aquatic ecosystems and modify the physical characteristics and interactions within the habitats that they support. Here, we describe physical and biological features of the peripheral ‘moat’ of a closed-basin Antarctic lake. These moats mediate connectivity amongst streams, lake and soils. We highlight the cyclical moat transition from a frozen winter state to an active open-water summer system, through refreeze as winter returns. Summer melting begins at the lakebed, initially creating an ice-constrained lens of liquid water in November, which swiftly progresses upwards, creating open water in December. Conversely, freezing progresses slowly from the water surface downwards, with water at 1 m bottom depth remaining liquid until May. Moats support productive, diverse benthic communities that are taxonomically distinct from those under the adjacent permanent lake ice. We show how ion ratios suggest that summer exchange occurs amongst moats, streams, soils and sub-ice lake water, perhaps facilitated by within-moat density-driven convection. Moats occupy a small but dynamic area of lake habitat, are disproportionately affected by recent lake-level rises and may thus be particularly vulnerable to hydrological change.
The three-dimensional order shown by the two-layer hydrates of Na- and Ca-vermiculite, prepared from Mg-vermiculite from Llano, Texas, has enabled clear, two-dimensional Fourier projections of their interlayer structures to be obtained. Structure factor calculations were made in space group C2 and with unit-cell dimensions of a = 5.358 Å, b = 9.232 Å, and ß = 96.82°; for Na-vermiculite C = 14.96 Å and for Ca-vermiculite c = 15.00 Å. In Na-vermiculite the interlayer cations are octahedrally coordinated to water molecules with the sodium-water polyhedra only located between the triads of oxygen atoms forming bases to tetrahedra in adjacent silicate layers. In Ca-vermiculite the interlayer cations are in both octahedral and 8-fold (distorted cubic) coordination with water molecules. The octahedrally coordinated Ca ions are between the bases of tetrahedra in adjacent silicate layers, but the 8-fold coordinated Ca ions are between the ditrigonal cavities. In both Na- and Ca-vermiculite some water molecules are drawn from planar networks appreciably towards the ditrigonal cavities. The three-dimensional order observed for these vermiculites contrasts with the stacking disorder reported for Mg-vermiculite from Llano. The distinct crystallographic behavior of Na+, Ca2+, and Mg2+ in the hydration layers of Llano vermiculite probably depends on cation sizes and field strengths, together with the need to achieve local charge balance near the sites of tetrahedral Al-for-Si substitution.
A vermiculite-aniline intercalate with a basal spacing of 14.78 Å was investigated by one- and two-dimensional X-ray diffraction methods. The intercalate, prepared by ion exchange between Na-saturated vermiculite from Llano, Texas, and a 1% aniline hydrochloride solution, contains only one aniline cation per single layer cell. A reduced effective cell-charge is believed to be responsible for this. Structure factor calculations were made in space group C2/c and with unit cell dimensions of a = 5.33, b = 9.18, c = 29.78 Å, and β = 97.0°. However, extra reflections in the a*b* plane, which are similar to those in a vermiculite-benzidine intercalate, showed that after aniline intercalation the true unit cell became primitive. The aniline cations are distributed statistically over equivalent crystallographic sites in the interlayer space. The organic molecules are orientated with their planes vertical and their nitrogen atoms over the projected centers of the ditrigonal cavities into which they key. The aniline cations form ordered arrays upon the silicate layers by packing into rows. Perpendicular to [010], populated and vacant rows alternate. Along populated rows aromatic ring planes are alternately parallel and perpendicular to [010]. With small adjustments this model is similar to that of benzidine-vermiculite.
Beidellite was synthesized hydrothermally from a noncrystalline gel at 320°C and 130 bar pressure. The beidellitic character of the product was verified by infrared spectroscopy on the NH4+-exchanged form. Intercalation was achieved with hydroxy-aluminum solutions having different OH/Al molar ratios. The solutions were investigated by several methods, including 27Al nuclear magnetic resonance. Essentially, two Al species were detected: monomelic Al and a polymerized form containing Al in four-fold coordination. This latter species was found to be selectively fixed in the interlamellar region, which resulted in a stable spacing of 18 Å at 110°C and 16.2 Å at 700°C. The pillared beidellites had specific surface areas of > 300 m2/g, mainly due to micropores. Both Brönsted and Lewis acid sites were evidenced by infrared spectroscopy using pyridine as a probe molecule.
Raman and Fourier-transform-infrared (FTIR) spectroscopic methods and X-ray powder diffraction (XRD) techniques have been used to study the influence of hydrazine on the vibrational modes of kaolinite. Strong vibrational perturbations of the OH-stretching and -deformation bands were observed in the Raman and FTIR spectra on intercalation. The intensities of the Raman- and IR-active OH-stretching bands decreased significantly upon intercalation; the intensities of the Raman bands were reduced to a greater extent than the IR bands. The deformation bands were also strongly perturbed by the presence of hydrazine in the interlamellar region. Upon evacuation of the intercalate, two new bands at 3628 and 912 cm−1 were noted, indicating the presence of a different structural conformation of the complex under vacuum. Similar results were obtained using XRD, on evacuation of the kaolinite-hy-drazine (KH) complex the d(001) value decreased from 10.4 to 9.6 Å. Partial collapse of the intercalate from 10.4 to 9.6 Å was probably due to keying of the -NH2 moiety of hydrazine into the siloxane ditrigonal cavity, as indicated by a blue-shift of the inner-OH band from 3620 to 3628 cm-1. Structural OH vibrational modes may therefore be useful probes of amine interactions with clay mineral surfaces.