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In “The Idea of Public Reason Revisited,” John Rawls implied that a well-ordered society would be a deliberative democracy and said that public reason is essential to it. After his turn to political liberalism, he was chary about claims of truth. In Section 1, I lay out essential features of Rawlsian deliberative democracy. In Section 2, I introduce some prominent commentary on Rawls’s treatment of truth and public reasoning. On these readings—collectively “the non-permissive reading”—Rawls’s treatment of truth has problematic implications for public reasoning and therefore for deliberative democracy. In Section 3, I survey those implications. In Section 4, I argue that the texts which are taken to support the non-permissive reading support a very different reading. In Section 5, I argue that Rawls does not endorse the theses imputed to him by the non-permissive reading and that his view does not have the implications surveyed in Section 3.
For a group G, a subgroup $U \leqslant G$ and a group A such that $\mathrm {Inn}(G) \leqslant A \leqslant \mathrm {Aut}(G)$, we say that U is an A-covering group of G if $G = \bigcup _{a\in A}U^a$. A theorem of Jordan (1872), implies that if G is a finite group, $A = \mathrm {Inn}(G)$ and U is an A-covering group of G, then $U = G$. Motivated by a question concerning Kronecker classes of field extensions, Neumann and Praeger (1990) conjectured that, more generally, there is an integer function f such that if G is a finite group and U is an A-covering subgroup of G, then $|G:U| \leqslant f(|A:\mathrm {Inn}(G)|)$. A key piece of evidence for this conjecture is a theorem of Praeger [‘Kronecker classes of fields and covering subgroups of finite groups’, J. Aust. Math. Soc.57 (1994), 17–34], which asserts that there is a two-variable integer function g such that if G is a finite group and U is an A-covering subgroup of G, then $|G:U|\leqslant g(|A:\mathrm {Inn}(G)|,c)$, where c is the number of A-chief factors of G. Unfortunately, the proof of this theorem contains an error. In this paper, using a different argument, we give a correct proof of the theorem.
This study aimed to evaluate the association between serum magnesium levels and the risk of symptomatic patent ductus arteriosus in premature infants.
Material and Method:
This retrospective single-centre cohort study analysed the medical records of patients. Neonates were categorised into two groups based on the presence or absence of symptomatic patent ductus arteriosus. Demographic factors including gender, gestational age, type of birth, birth weight, multiple pregnancies, medical treatment for duct closure or surgical ligation, length of hospital stay, and mortality and neonatal outcomes were compared between the groups. The relationship between serum magnesium levels at 24 hours of age and the risk of symptomatic patent ductus arteriosus and other neonatal morbidities was assessed.
Results:
This study found no significant relationship between symptomatic patent ductus arteriosus and serum magnesium levels. Additionally, no significant differences were observed between serum magnesium levels and ductal diameter, nor in the need for medical or surgical intervention for symptomatic patent ductus arteriosus. However, neonates with serum magnesium levels greater than 3 mg/dL exhibited a significantly higher incidence of respiratory distress syndrome. Conversely, the prevalence of bronchopulmonary dysplasia was significantly lower in this group, with both findings reaching statistical significance (p < 0.05)
Conclusion:
These results suggest that while serum magnesium levels may not be a reliable marker for symptomatic patent ductus arteriosus, they could have clinical implications in the modulation of neonatal respiratory outcomes. Further research is warranted to explore the underlying mechanisms and assess the potential therapeutic role of magnesium in the management of neonatal morbidities.
Dog-assisted interventions (DAIs) to improve health-related outcomes for people with mental health or neurodevelopmental conditions are becoming increasingly popular. However, DAIs are not based on robust scientific evidence.
Aims
To determine the effectiveness of DAIs for children and adults with mental health or neurodevelopmental conditions, assess how well randomised controlled trials (RCTs) are reported, and examine the use of terminology to classify DAIs.
Methods
A systematic search was conducted in Embase, PsycINFO, PubMed, CINAHL, Web of Science and the Cochrane Library. RCTs were grouped by commonly reported outcomes and described narratively with forest plots reporting standardised mean differences and 95% confidence intervals without a pooled estimate. The quality of reporting of RCTs and DAIs was evaluated by assessing adherence to CONSORT and the Template for Intervention Description and Replication (TIDieR) guidelines. Suitability of use of terminology was assessed by mapping terms to the intervention content described.
Results
Thirty-three papers were included, reporting 29 RCTs (with five assessed as overall high quality); a positive impact of DAIs was found by 57% (8/14) for social skills and/or behaviour, 50% (5/10) for symptom frequency and/or severity, 43% (6/14) for depression and 33% (2/6) for agitation. The mean proportion of adherence to the CONSORT statement was 48.6%. The TIDieR checklist also indicated considerable variability in intervention reporting. Most DAIs were assessed as having clear alignment for terminology, but improvement in reporting information is still required.
Conclusions
DAIs may show promise for improving mental health and behavioural outcomes for those with mental health or neurodevelopmental conditions, particularly for conditions requiring social skill support. However, the quality of reporting requires improvement.
Restraints are used in various medical settings to control or restrict problematic patient behavior and can be physical, chemical, or environmental. Restraints can produce harmful psychological and physical effects.
Objectives
The prevalence of restraints in geriatric populations in psychiatric hospital settings in the province of Newfoundland and Labrador (NL) has not yet been documented.
Methods
This retrospective cohort study examined whether any form of restraint was used on patients admitted to the Geriatric Psychiatry Unit (GPU) at the Waterford Hospital in St. John’s, NL, from June 1, 2019, to June 1, 2021.
Findings
There were 277 admissions to the GPU during the period of observation, and of these, 189 (68.2%) had a chemical restraint administered, 135 (48.7%) had a physical restraint administered, and 123 patients (44.4%) had both a chemical and physical restraint administered.
Discussion
Restraints are used to control patient behavior for a number of reasons and in a variety of ways. While this practice is used to promote safer environments for patients, it is not without medical, ethical, and political concerns.
This study could promote alternatives to restraints for this geriatric psychiatric population in light of the construction of a new mental health and addictions facility in NL.
We study time-dependent density segregation of granular mixtures flowing over an inclined plane. Discrete element method (DEM) simulations in a periodic box are performed for granular mixtures of same size and different density particles flowing under the influence of gravity. In addition, a continuum model is developed to solve the momentum balance equations along with the species transport equation by accounting for the inter-coupling of segregation and rheology. The particle force-based density segregation theory has been used along with the $\mu {-}I$ rheology to predict evolution of flow properties with time for binary and multicomponent mixtures. The effect of particle arrangements on the transient evolution of flow properties for three different initial configurations is investigated using both continuum and DEM simulations. Continuum predictions for various flow properties of interest such as species concentration, velocity, pressure and shear stress at different time instants are compared with DEM simulations. The results from the discrete and continuum models are found to be in good agreement with each other for well-mixed and heavy-near-base initial configurations. Kinetic theory-based predictions of segregation evolution, however, show good quantitative agreement only for the heavy-near-base configuration with a much slower evolution for the well-mixed case. Interestingly, the continuum model is unable to predict the flow evolution for the light-near-base initial configuration. DEM simulations reveal the presence of an instability driven, quick segregation for this configuration which is not predicted by the one-dimensional model and requires generalisation to three dimensions.
On 22 January 2025, an international conference titled “Patrimoine en péril?” was held at the Museum of Art and History in Geneva. It was organized by the UNESCO Chair in the International Law of the Protection of Cultural Heritage (University of Geneva), the Museum of Art and History (MAH), and the International Alliance for the Protection of Heritage (ALIPH) Foundation. This event was part of the eponymous exhibition at MAH,1 commemorating the seventieth anniversary of the 1954 Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict, and coinciding with the twentieth anniversary of the entry into force of the Swiss Cultural Property Transfer Act. The conference explored these two themes, bringing together international experts from academia, law, and heritage conservation and management, reflecting a cross-disciplinary perspective on the protection of cultural property in times of crisis. In his opening remarks, Marc-Olivier Wahler (Director of the MAH) highlighted the evolving role of museums in contemporary society. The conference was split into five sessions, each addressing various critical issues related to cultural property, and were moderated by Béatrice Blandin (MAH), Antoinette Maget Dominicé (University of Geneva), and Marc-André Renold (University of Geneva).
People, across a wide range of personal and professional domains, need to accurately detect whether the state of the world has changed. Previous research has documented a systematic pattern of over- and under-reaction to signals of change due to system neglect, the tendency to overweight the signals and underweight the system producing the signals. We investigate whether experience, and hence the potential to learn, improves people’s ability to detect change. Participants in our study made probabilistic judgments across 20 trials, each consisting of 10 periods, all in a single system that crossed three levels of diagnosticity (a measure of the informativeness of the signal) with four levels of transition probability (a measure of the stability of the environment). We found that the system-neglect pattern was only modestly attenuated by experience. Although average performance did not increase with experience overall, the degree of learning varied substantially across the 12 systems we investigated, with participants showing significant improvement in some high diagnosticity conditions and none in others. We examine this variation in learning through the lens of a simple linear adjustment heuristic, which we term the “δ-ϵ” model. We show that some systems produce consistent feedback in the sense that the best δ and ϵ responses for one trial also do well on other trials. We show that learning is related to the consistency of feedback, as well as a participant’s “scope for learning” how close their initial judgments are to optimal behavior.
Social interactions frequently take place under the shadow of the future. Previous literature explains cooperation in indefinitely repeated prisoner’s dilemma as driven predominantly by self-interested strategic considerations. This paper provides a causal test of the importance of social preferences in such contexts. In a series of pre-registered experiments, we show that high levels of cooperation can be sustained when prosocial individuals interact in segregated groups. By comparing their behavior with that of mixed and selfish groups, we highlight the conditions under which other-regarding motivations matter in repeated interactions.
Having a relapse of schizophrenia or recurrent psychosis is feared by patients, can cause social and personal disruption and has been suggested to cause long-term deterioration, possibly because of a toxic biological process.
Aims
To assess whether relapse affected the social and clinical outcomes of people enrolled in a 24-month randomised controlled trial of antipsychotic medication dose reduction versus maintenance treatment.
Methods
The trial involved participants with a diagnosis of schizophrenia or recurrent, non-affective psychosis. Relapse was defined as admission to hospital or significant deterioration (assessed by a blinded end-point committee). We analysed the relationship between relapse during the trial and social functioning, quality of life, symptom scores (Positive and Negative Syndrome Scale) and rates of being in employment, education or training at 24-month follow-up. We also analysed changes in these measures during the trial among those who relapsed and those who did not. Sensitivity analyses were conducted examining the effects of ‘severe’ relapse (i.e. admission to hospital).
Results
During the course of the trial, 82 out of 253 participants relapsed. There was no evidence for a difference between those who relapsed and those who did not on changes in social functioning, quality of life, symptom scores or overall employment rates between baseline and 24-month follow-up. Those who relapsed showed no change in their social functioning or quality of life, and a slight improvement in symptoms compared to baseline. They were more likely than those who did not relapse to have had a change in their employment status (mostly moving out of employment, education or training), although numbers changing status were small. Sensitivity analyses showed the same results for those who experienced a ‘severe’ relapse.
Conclusions
Our data provide little evidence that relapse has a detrimental effect in the long term in people with schizophrenia and recurrent psychosis.
There is a prominent literature explaining how policy entrepreneurs, as active agents, promote policy changes. However, most existing studies focus on policy entrepreneurship at the national level, with limited attention paid to the vibrant dynamics of numerous local government innovations typically driven by entrepreneurial individuals. This systematic review seeks to take stock of the empirical literature on subnational policy entrepreneurship, in order to consolidate scholarly knowledge, identify generalizable patterns, and inform future research. Following a well-established review protocol, we collected 64 articles through a thorough literature search, with 122 sets of individual entrepreneurs reported in the sample, and coded all cases based on individual-level attributes and processual characteristics. Remarkable diversity is noted in terms of (1) the policy sector; (2) forms of entrepreneurship; (3) policy change outcomes; (4) level of jurisdiction; and (5) key characteristics of the individual entrepreneurs. We find salient patterns in the entrepreneurial motivations and strategies used.
The impact of long-term nocturnal warming on soil aggregate stability and carbon (C) and nitrogen (N) sequestration was examined in agricultural fields. Employing a passive warming system, the nighttime warming experiment involved two treatments: a control check (CK) and a nighttime warming treatment (WT), spanning the entire growth seasons of wheat from 2013 to 2021. The annual average temperature increase ranged from 0.3 to 1.3°C, with an average increment of 0.71°C over the eight years. Both dry and wet sieving methods showed that nighttime warming reduced the proportion of macroaggregates and increased microaggregates compared to CK, thereby diminishing soil aggregate (SA) stability. While nighttime warming had the potential to elevate the concentrations and contents of soil organic carbon (SOC) and total nitrogen (TN), significant effects were only observed in the concentrations and contribution rates of SOC and TN. The C/N ratios across different particle sizes within SA were not significantly affected by nighttime warming. Additionally, no significant correlation was found between the SOC/TN contents and contribution rates and the stability of SA. These results suggest that eight years of nighttime warming could undermine the stability of SA, yet it did not impact the pools of N and C in the agricultural lands of central China.
We report an anomalous capillary phenomenon that reverses typical capillary trapping via nanoparticle suspension and leads to a counterintuitive self-removal of non-aqueous fluid from dead-end structures under weakly hydrophilic conditions. Fluid interfacial energy drives the trapped liquid out by multiscale surfaces: the nanoscopic structure formed by nanoparticle adsorption transfers the molecular-level adsorption film to hydrodynamic film by capillary condensation, and maintains its robust connectivity, then the capillary pressure gradient in the dead-end structures drives trapped fluid motion out of the pore continuously. The developed mathematical models agree well with the measured evolution dynamics of the released fluid. This reversing capillary trapping phenomenon via nanoparticle suspension can be a general event in a random porous medium and could dramatically increase displacement efficiency. Our findings have implications for manipulating capillary pressure gradient direction via nanoparticle suspensions to trap or release the trapped fluid from complex geometries, especially for site-specific delivery, self-cleaning, or self-recover systems.