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Personality disorders play a major role in psychiatric clinical practice. Usually evident by adolescence, they arise when emotions, thoughts, impulsivity, and especially interpersonal behavior deviate markedly from the expectations of the individual’s culture. These disorders comprise a group of diverse and complex conditions that still warrant better understanding across multiple dimensions: genetic, neurobiological, pharmacological, and psychodynamic. This chapter addresses the definitions of both personality and personality disorder and outlines the two sets of diagnostic criteria: primary characteristics of personality disorder and the three main categories/clusters of personality disorder. It also discusses incidence of the specific disorders and relevant treatment modalities. Treatments plans should include psychotherapy, psychopharmacology, and psychoeducation, as well as treatment of comorbidities and crises. Psychotherapy has been the intervention of choice for most personality disorders, with pharmacological treatment usually auxiliary and focused on symptoms. Clinician skill is a key element of diagnosis and treatment. An experienced clinician should be able to differentiate between personality traits or styles and actual personality disorders, a particularly challenging task when a patient presents in crisis. Individuals with personality disorders can manifest a disturbed pattern in interpersonal relationships that can be deleterious in the therapeutic relationship if not approached with skill.
This essential guide continues to provide invaluable information on using medications safely and effectively in the intensive care setting. Split into two sections, the first being an A-Z guide to the drugs available and concise notes on the key topics and scenarios faced on a daily basis. This section provides succinct information on each drug including uses, administration directions and adverse effects. The second section details practice guidelines on areas such as drug dosing in renal failure and haemofiltration, Parkinson's disease therapy when nil-by-mouth and insulin therapy. This new edition features an array of new drug monographs alongside thorough updates to existing monographs, guidelines and the unique IV compatibility table, which allows readers to identify compatible and non-compatible drugs combinations. Presented in a concise, compact format, this book is an invaluable resource for doctors, pharmacists, nurses, advanced clinical practitioners, and other professionals caring for critically ill patients.
How do Islamic discourses, practices and symbols become a concrete and meaningful facet of the lives of individuals and communities in the cities of contemporary Pakistan? How do they constitute relationships between neighbors, friends, relatives, strangers, and various urban groups? In other words, how is Islam woven into and how does it shape the social fabric of urban Pakistan? The Social Life of Islam addresses these questions through an ethnography of Sufi shrines in Pakistan's second largest metropolitan center, Lahore. It argues that Sufi shrines' position as a vital hub of metropolitan public life is critical to their capacity to serve as a conduit for Islam. Connecting urban studies with the study of religion, this book explores the minutiae of social interactions in everyday life that constitute Sufi shrines as a key social, political and religious space for the mediation, contestation and reproduction of social relations in the city and for producing a distinct embodiment of Islam.
What explains patterns of representation – of women and ethnic minorities – in government cabinets? The authors argue governments diversify their cabinets when (1) a minority group – and it need not be ethnic – is sizable and can mobilize (political competition); and/or (2) the general population believes in and expects the inclusion of minorities (popular norms). The authors test their argument using original cabinet data from Asia and Europe (N=93) 1960-2015 and a most-similar design of four case studies. They identify the gender and ethnicity of 91,000 country-year-minister observations – with consideration of the rank of their ministerial portfolio. They find evidence that in countries where there is political competition and/or popular norms, cabinets have fewer double-hegemons. However, this does not necessarily suggest minorities are holding portfolios of substantive prestige. This project offers a way to study intersectionality in democratic representation and political institutions.
Spontaneous preterm birth remains the leading cause of neonatal death, and the second leading cause of mortality worldwide in children below five years of age. The causes of preterm birth are multifactorial, likely contributing to why significant progress in reducing the incidence has been slow. This Element contains the most up-to-date evidence regarding the aetiology, epidemiology, and management of pregnancies at risk of, or complicated by, spontaneous preterm birth and preterm pre-labour rupture of membranes. It concentrates largely on those aspects potentially amenable to preventative intervention (i.e. cervical dysfunction and premature uterine contractility), as well as strategies to improve outcomes for infants born prematurely.
Caesarean section delivery (CD) is the most common surgical operation performed in the world. Since first described 400 years ago, surgical rates continue to rise globally. Caesarean rates are now reported from South American countries of over 50% and rates of over 32% are currently being reported from the United States, China, England and Scotland. Surgical complications can occur at the time of operation and there are major implications for future pregnancies, including increased rates of placenta previa/accreta, stillbirth and preterm labour. This Element discusses many aspects of CD, including the Robson 10 group classification system, which classifies populations by characteristics such as parity, presentation of the fetus and the history of previous births, an evidencebased approach to surgical techniques, recommendations of the major guidelines and recommendations concerning trial of labour after previous caesarean.
Multiple pregnancy affects 0.9-3.1% of births worldwide. Prevalence rates vary significantly due to differences in dizygotic twinning rates and use of assisted reproduction. Both maternal and fetal/neonatal complications are more common in multiple compared to singleton pregnancies, and there are specific problems for the fetuses related to monochorionicity. Multiple pregnancies require specialised and individualised care. Complicated multiple pregnancies should be managed in a tertiary care centre where there is additional expertise, such as the laser ablation needed to treat monochorionic monozygotic pregnancies with conjoined circulations. Cornerstones of management in pregnancy are the need for accurate fetal measurement to optimise dating of gestational age, and documentation of chorionicity. High-level ultrasound expertise is needed. The mothers need frequent assessment to detect hypertension and anemia, and early identification and management of preterm labour.
This Element explores the idea of publication in media used before, alongside, and after print. It contrasts multiple traditions of unprinted communication in their diversity and particularity. This decentres print as the means for understanding publication; instead, publication is seen as an heuristic term which identifies activities these traditions share, but which also differ in ways not reducible to comparisons with printing. The Element engages with texts written on papyrus, chiselled in stone, and created digitally; sung, proclaimed, and put on stage; banned, hidden and rediscovered. The authors move between Greek inscriptions and Tibetan edicts, early modern manuscripts and AI-assisted composition, monasteries and courts, constantly questioning the term 'publication' and considering the agency of people publishing and the publics they address. The picture that transpires is that of a colourful variety of contexts of production and dissemination, underlining the value of studying 'unprinted' publication in its own right.
Diabetes mellitus is one of the most common and important medical complications affecting pregnancy. It can predate the pregnancy ('pre-existing diabetes') or arise during pregnancy ('gestational diabetes', GDM). Typically, GDM resolves once the pregnancy has ended. However, about 3% of women with a diagnosis of GDM have type 2 diabetes diagnosed for the first time in pregnancy, which persists beyond pregnancy. The coexistence of diabetes of any type and pregnancy is associated with an increased risk of adverse outcomes for both the woman and baby. However, with appropriate management by a multidisciplinary team before, during and after delivery these risks can be minimised. Optimising blood glucose control, screening for maternal and fetal complications and a discussion about delivery are key strategies. During pregnancy, all women should be offered screening for GDM. After pregnancy, all women with GDM should be offered annual screening to identify the development of type 2 diabetes.
Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation.
We explore the interplay between $\omega $-categoricity and pseudofiniteness for groups, and we conjecture that $\omega $-categorical pseudofinite groups are finite-by-abelian-by-finite. We show that the conjecture reduces to nilpotent p-groups of class 2, and give a proof that several of the known examples of $\omega $-categorical p-groups satisfy the conjecture. In particular, we show by a direct counting argument that for any odd prime p the ($\omega $-categorical) model companion of the theory of nilpotent class 2 exponent p groups, constructed by Saracino and Wood, is not pseudofinite, and that an $\omega $-categorical group constructed by Baudisch with supersimple rank 1 theory is not pseudofinite. We also survey some scattered literature on $\omega $-categorical groups over 50 years.
Do people like financial nudges? To answer that question we conducted a pre-registered survey presenting people with 36 hypothetical scenarios describing financial interventions. We varied levels of transparency (i.e., explaining how the interventions worked), framing (interventions framed in terms of spending, or saving), and ‘System’ (interventions could target either System 1 or System 2). Participants were a random sample of 2,100 people drawn from a representative Australian population. All financial interventions were tested across six dependent variables: approval, benefit, ethics, manipulation, the likelihood of use, as well as the likelihood of use if the intervention were to be proposed by a bank. Results indicate that people generally approve of financial interventions, rating them as neutral to positive across all dependent variables (except for manipulation, which was reverse coded). We find effects of framing and System. People have strong and significant preferences for System 2 interventions, and interventions framed in terms of savings. Transparency was not found to have a significant impact on how people rate financial interventions. Financial interventions continue to be rated positive, regardless of the messenger. Looking at demographics, we find that participants who were female, younger, living in metro areas and earning higher incomes were most likely to favor financial interventions, and this effect is especially strong for those aged under 45. We discuss the implications for these results as applied to the financial sector.
Parameter learning is a crucial task in the field of Statistical Relational Artificial Intelligence: given a probabilistic logic program and a set of observations in the form of interpretations, the goal is to learn the probabilities of the facts in the program such that the probabilities of the interpretations are maximized. In this paper, we propose two algorithms to solve such a task within the formalism of Probabilistic Answer Set Programming, both based on the extraction of symbolic equations representing the probabilities of the interpretations. The first solves the task using an off-the-shelf constrained optimization solver while the second is based on an implementation of the Expectation Maximization algorithm. Empirical results show that our proposals often outperform existing approaches based on projected answer set enumeration in terms of quality of the solution and in terms of execution time.
Prior work has yielded mixed findings regarding the relationship between language control and domain-general inhibitory control. Here, we tested the possibility that omnibus language ability would moderate the relationship between language control and inhibitory control in bilingual children. We tested 43 Spanish-English bilingual children (ages 4–5.92 years; 25 females). Children engaged in play-based interactions with their parent, and rates of cross-speaker switches (using a language different from one used by parent) indexed language control. Inhibitory control was measured via a non-verbal flanker task. Analyses revealed that higher frequency of cross-speaker code-switches was associated with better inhibitory control only for children with higher levels of language ability. For children with lower language skills, there was no association between switches and inhibitory control. These findings align with the literature linking cognitive control and language control in bilinguals and extend it to indicate that the strength of the language system constrains this link.
This paper describes a semantics for pure Prolog programs with negation that provides meaning to metaprograms. Metaprograms are programs that construct and use data structures as programs. In Prolog a primary mataprogramming construct is the use of a variable as a literal in the body of a clause. The traditional Prolog 3-line metainterpreter is another example of a metaprogram. The account given here also supplies a meaning for clauses that have a variable as head, even though most Prolog systems do not support such clauses. This semantics naturally includes such programs, giving them their intuitive meaning. Ideas from Denecker and his colleagues form the basis of this approach. The key idea is to notice that if we give meanings to all propositional programs and treat Prolog rules with variables as the set of their ground instances, then we can give meanings to all programs. We must treat Prolog rules (which may be metarules) as templates for generating ground propositional rules, and not as first-order formulas, which they may not be. We use parameterized inductive definitions to give propositional models to Prolog programs, in which the propositions are expressions. Then the set of expressions of a propositional model determine a first-order Herbrand Model, providing a first-order logical semantics for all (pure) Prolog programs, including metaprograms. We give examples to show the applicability of this theory. We also demonstrate how this theory makes proofs of some important properties of metaprograms very straightforward.
In the quest for “identity dominance” over the enemy, armed forces are increasingly leveraging biometrics for a variety of purposes. This paper focuses on the combat employment of one of them – facial recognition, which, unlike other biometrics, does not appear to have been widely utilized for targeting purposes yet. With the purchasing patterns of advanced militaries suggesting that such a development is around the corner, this paper assesses the compliance with international humanitarian law (IHL) of the use of facial recognition technologies for targeting purposes. It peruses the applicable legal framework to demonstrate that IHL is neutral towards the use of new technologies and that the right to privacy under international human rights law does not preclude the use of biometrics in hostilities. The analysis zooms in on two specific use cases in which facial recognition is likely to be employed on the battlefield, namely (1) targeted killings against combatants and (2) targeted killings against civilians directly participating in hostilities. The paper closes with an acknowledgment that while facial recognition does have obvious operational benefits, it also has the potential to exacerbate targeting practices that stretch the limits of IHL.