Embracing the complexity of lived experiences in psychiatry research:Reflexivity,cultural sensitivity,and emergent design

This article examines the critical integration of reflexivity,cultural sensitivity,and emergent design in qualitative psychiatry research focused on lived experiences.While quantitative methods offer essential clinical insights,qualitative approaches provide a deeper understanding of the emotional,psychological,and social dimensions of mental health.Reflexivity enables researchers to remain aware of how their personal biases and professional backgrounds shape data interpretation.Cultural sensitivity ensures that mental health conditions are understood within their broader cultural contexts,helping avoid misrepresentation and promoting authentic participant expression.Emergent design offers flexibility in adapting the research process to evolving themes,particularly in the dynamic and multifaceted realm of psychiatric conditions.Together,these principles promote ethically sound,participant-centered research that captures the full complexity of lived experiences.The article also highlighted the practical implications of these principles for enhancing both academic knowledge and clinical practice in psychiatry.

日本“Emergent系统”的研究

本文介绍了日本文部省重点科学研究课题“Emergent系统”的立题背景，研究的出发点，所设立的基础研究项目，及研究的进展．

Reducing Uncertainties in Climate Projections with Emergent Constraints:Concepts, Examples and Prospects

Models disagree on a significant number of responses to climate change,such as climate feedback,regional changes,or the strength of equilibrium climate sensitivity.Emergent constraints aim to reduce these uncertainties by finding links between the inter-model spread in an observable predictor and climate projections.In this paper,the concepts underlying this framework are recalled with an emphasis on the statistical inference used for narrowing uncertainties,and a review of emergent constraints found in the last two decades.Potential links between highlighted predictors are explored,especially those targeting uncertainty reductions in climate sensitivity,cloud feedback,and changes of the hydrological cycle.Yet the disagreement across emergent constraints suggests that the spread in climate sensitivity can not be significantly narrowed.This calls for weighting the realism of emergent constraints by quantifying the level of physical understanding explaining the relationship.This would also permit more efficient model evaluation and better targeted model development.In the context of the upcoming CMIP6 model intercomparison a growing number of new predictors and uncertainty reductions is expected,which call for robust statistical inferences that allow cross-validation of more likely estimates.

Modelling and stability analysis of emergent behavior of scalable swarm system

In this paper we propose a two-layer emergent model for scalable swarm system. The first layer describes the indi-vidual flocking behavior to the local goal position (the center of minimal circumcircle decided by the neighbors in the positive visual set of individuals) resulting from the individual motion to one or two farthest neighbors in its positive visual set; the second layer describes the emergent aggregating swarm behavior resulting from the individual motion to its local goal position. The scale of the swarm will not be limited because only local individual information is used for modelling in the two-layer topology. We study the stability properties of the swarm emergent behavior based on Lyapunov stability theory. Simulations showed that the swarm system can converge to goal regions while maintaining cohesiveness.

Mission Planning and Action Planning for Agile Earth-Observing Satellite with Genetic Algorithm

This paper concerns the mission scheduling problem for an agile Earth-observing satellite. Mission planning and action planning for the satellite are both taking into account. Multiple mission types( including multi-strip area,real time download request,and stereoscopic request) and complex satellite actions,such as observe action and data download action,are considered in this paper. Through reasonable analysis of specialties and operational constraints of agile satellites in observing process,the mission scheduling model under multiple objective conditions is constructed. A genetic algorithm combined with heuristic rules is designed to solve problem. Genetic algorithm is designed to arrange user missions and heuristic rules are used to arrange satellite actions. Experiment results suggest that our algorithm works well for the agile Earth-observing satellite scheduling problem.

Systematic review of emergent laparoscopic colorectal surgery for benign and malignant disease

Laparoscopic surgery has become well established in the management of both and malignant colorectal disease.The last decade has seen increasing numbers of surgeons trained to a high standard in minimallyinvasive surgery.However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery.There is a perception that emergent surgery is technically more difficult and may lead to worse outcomes.The present review aims to provide a comprehensive and critical appraisal of the available literature on the use of laparoscopic colorectal surgery(LCS)in the emergency setting.The literature is broadly divided by the underlying pathology;that is,inflammatory bowel disease,diverticulitis and malignant obstruction.There were no randomized trials and the majority of the studies were case-matched series or comparative studies.The overall trend was that LCS is associated with shorter hospital stay,par or fewer complications but an increased operating time.Emergency LCS can be safely undertaken for both benign and malignant disease providing there is appropriate patient selection,the surgeon is adequately experienced and there are sufficient resources to allow for a potentially more complex operation.

The Emergent Salt Diapirs in the East Zagros, Iran

The emergent salt diapirs of the east Zagros, Iran have been investigated by their structural positions. The study area is including of Zagros orogeny belt and Persian Gulf that both of them have been formed on northeastern part of Arabian plate. There are 84 emergent salt diapirs that originated from Hormuz formation with Infra-Cambrian to Cambrian age. Based on location, shape and orientation of the emergent salt domes in the east Zagros hinterland and Persian Gulf foreland basin, internal motivation forces in the salt deposits has been predominant compared to later tectonic forces. In the other words, most of the emergent salt diapirs are pre-orogenic diapirs and they had got prominent role as pines in determining the shape and location of next structures during to the Zagros orogeny. Finally, Neogene continental collision has a supplementary role to diapirism and salt reactivation. However there are an evidence to syn-orogenic emergent diapirs that they have got an important role in the progressive deformation.

What is the ideal approach for emergent pericardiocentesis using point-of-care ultrasound guidance?

BACKGROUND:Traditionally performed using a subxiphoid approach,the increasing use of point-of-care ultrasound in the emergency department has made other approaches(parasternal and apical)for pericardiocentesis viable.The aim of this study is to identify the ideal approach for emergency-physician-performed ultrasound-guided pericardiocentesis as determined by ultrasound image quality,distance from surface to pericardial fl uid,and likely obstructions or complications.METHODS:A retrospective review of point-of-care cardiac ultrasound examinations was performed in two urban academic emergency departments for the presence of pericardial eff usions.The images were reviewed for technical quality,distance of eff usion from skin surface,and predicted complications.RESULTS:A total of 166 pericardial effusions were identified during the study period.The mean skin-to-pericardial fl uid distance was 5.6 cm(95%confi dence interval[95%CI]5.2-6.0 cm)for the subxiphoid views,which was signifi cantly greater than that for the parasternal(2.7 cm[95%CI 2.5-2.8 cm],P<0.001)and apical(2.5 cm[95%CI 2.3-2.7 cm],P<0.001)views.The subxiphoid view had the highest predicted complication rate at 79.7%(95%CI 71.5%-86.4%),which was signifi cantly greater than the apical(31.9%;95%CI 21.4%-44.0%,P<0.001)and parasternal(20.2%;95%CI 12.8%-29.5%,P<0.001)views.CONCLUSIONS:Our results suggest that complication rates with pericardiocentesis will be lower via the parasternal or apical approach compared to the subxiphoid approach.The distance from skin to fl uid collection is the least in both of these views.

Real-time online rescheduling for multiple agile satellites with emergent tasks

The emergent task is a kind of uncertain event that satellite systems often encounter in the application process.In this paper,the multi-satellite distributed coordinating and scheduling problem considering emergent tasks is studied.Due to the limitation of onboard computational resources and time,common online onboard rescheduling methods for such problems usually adopt simple greedy methods,sacrificing the solution quality to deliver timely solutions.To better solve the problem,a new multi-satellite onboard scheduling and coordinating framework based on multi-solution integration is proposed.This method uses high computational power on the ground and generates multiple solutions,changing the complex onboard rescheduling problem to a solution selection problem.With this method,it is possible that little time is used to generate a solution that is as good as the solutions on the ground.We further propose several multi-satellite coordination methods based on the multi-agent Markov decision process(MMDP)and mixed-integer programming(MIP).These methods enable the satellite to make independent decisions and produce high-quality solutions.Compared with the traditional centralized scheduling method,the proposed distributed method reduces the cost of satellite communication and increases the response speed for emergent tasks.Extensive experiments show that the proposed multi-solution integration framework and the distributed coordinating strategies are efficient and effective for onboard scheduling considering emergent tasks.

Percutaneous Dilational Tracheostomy in the Emergent Setting

Objective: Since its inception, the use of the percutaneous dilational tracheostomy (PDT) has been contraindicated in the setting of an emergent airway. Emerging in the literature are several cases of successful emergent PDTs. Here we present our experience with the use of PDT in managing emergent airways. Study Design: All patients who underwent emergent PDT, using the Ciaglia Blue Rhino Introducer Set (Cook Critical Care, Bloomington,IN), in an academic county hospital setting between February 2010 and May 2012 were included in the study. Electronic medical records were reviewed for demographic and procedural data. Results: Twelve patients were included in the study with ages ranging from 20 to 87 (mean 57) years-old. The most common reason for emergent airway was trauma (7 patients), followed by obstructing neck mass (2 patients), septic shock (2 patients), and angioedema (1 patient). Seven PDTs were performed in the OR, four at bedside and one in the ER. Three of the 12 patients had emergent cricothyroidotomies in place that malfunctioned, requiring emergent conversion. No patients suffered from short term complications. One patient developed a neck abscess at the site of the PDT one month post operatively, two patients had accidental decanulation post operatively, and both were replaced without complication. Conclusions: PDT can be used in the emergent setting in the hands of trained practitioners with minimal complications. A larger, prospective trial is needed to make conclusions regarding patient care.

Evolution of emergent C-points,L-lines,and C-lines in free space

Polarization singularities,which emerge from the incoherent superposition of two vector electric fields with the same frequency,and their evolution in free space are studied analytically and illustrated by numerical examples.It is shown that there exist C-points,L-lines,in particular,C-lines in incoherently superimposed two-dimensional wavefields.Usually,the C-lines are unstable and disappear during the free-space propagation.The motion,pair creation-annihilation process of the emergent C-points,as well as the distortion of the L-lines may take place,and the degree of polarization of the emergent C-points varies upon propagation and may be less than 1.

Interpreting Strategy in case of Emergent Circumstances

This paper is to make a brief study on the professional qualities which a qualified interpreter should possess, aimed at giving the interpreter some advice on how to deal with the emergency situation while interpreting.

Influence of Psychological Intervention before Emergent Ocular Trauma Surgery on Patients' Negative Emotions

Purpose:.To investigate the effect of preoperative psychological intervention on alleviating negative emotions in patients undergoing emergent ocular trauma surgery.Methods:..A total of 100 patients undergoing emergent ocular trauma surgery were selected using convenience sampling and randomly divided into control(n=49) and experimental(n =51) groups. Patients in the control group received conventional nursing and their counterparts in the observation group were treated with individualized psychological interventions including psychological support, relaxation training, and humanistic care based on conventional nursing care..Self-rating anxiety scale(SAS), self-rating depression scale(SDS), and fear visual analog scale(FVAS) scores were statistically compared between the two groups.Results:.The scores of SAS, SDS, and FAVS were significantly lower in the experimental group than in the control group(all P<0.001).Conclusion:.Comprehensive psychological intervention effectively eliminates negative emotions in patients undergoing emergent ocular trauma surgery and accelerates their physical and mental recovery.

Emergent Property in Macromolecular Motion

In this paper, the model of inverse cascade fractal super-blocks along one direction (in the positive or negative) in the 3-dimensional space is developed to describe the self-similar motion in macromolecular system. Microscopically the cohesive and dispersed states of the motion blocks are co-existent states with vastly different probability of occurrence.Experimental results and theoretical analysis show that the microscopic cohesive state energy and dispersed state energy of each motion block are respectively equal to the macroscopic glassy state energy kT8 and molten state energy kTm of the system. This singularity unveils topologically the nonintegrability, mathematically the anholonomy, and macroscopically the emergent property. This singularity also reveals that the glass, viscoelastic and melt states are three distinct emergent properties of macromolecular motion from a macroscopic viewpoint. The fractal concept of excluded volume is introduced to depict the random motion at various scales in the system. The Hausdorff dimensions of the excluded volune and the motion blocks are both found equal to 3/2.

New Analytical Methodology for Sb(III) Traces Quantification as Emergent Contaminant in Drinks Packaged PET Samples by Solid Surface Fluorescence

Emerging contaminants constitute a set of substances that are released into the environment for which regulations are currently not established for their environmental monitoring, being antimony one of them. A new methodology for Sb(III) traces monitoring by solid surface fluorescence is proposed. The metal was complexed with alizarine (Az) as fluorosphore reagent in alcaline medium in presence of the bile salt sodium cholate. To isolate the analyte of matrix constituents, a preconcentration/separation strategy on filter paper was introduced prior to determination step. The solid surface fluorescence was measured λem = 450 nm and λexc = 363 nm using a solid sampler holder. Under optimal conditions, the limits of detection and quantification of proposed methodology were 0.08 and 0.24 μg·L-1, respectively, showing a linear range from 0.24 to 304.4 μg·L-1 with good sensitivity and adequate selectivity. It was applied to the Sb(III) traces determination present in drinking water and beverages samples packaged in polyethylene terephthalate (PET) bottles widely consumed in Argentina. The combination of a preconcentration step on common filter paper and the inherent sensitivity of photoluminescent methods have permitted to achieve sensitivity similar to atomic spectroscopies using a lower price instrument typical in control laboratories. Precision and accuracy were tested with excellent agreement. Results were truenessed by ETAAS with satisfactory concordance.

The Riemann Hypothesis and Emergent Phase Space

By interpreting multifractal L-function zero alignment as a decoherence process, the Riemann hypothesis is demonstrated to imply the emergence of classical phase space at zero alignment. This provides a conception of emergent dynamics in which decoherence leads to classical system formation, and classical system trajectories are characterized by modular forms.

Spacetime as an Emergent Phenomenon: A Possible Way to Explain Entanglement and the Tunnel Effect

Entanglement and the tunnel effect phenomena have been repeatedly observed and are generically accepted under orthodox quantum mechanics formalism. However, they remain rather inexplicable in the context of spacetime usual conceptualization. In the present work, we suggest an alternative quantum mechanics formalism, refining the pilot-wave theory initially proposed by de Broglie. We suggest that spacetime is an emergent phenomenon from a prior subquantum medium and that entanglement and the tunnel effect can be explained in terms of a nonlinear relation between space and time that is imposed by subquantum waves.

Exploring Emergent Vegetation Time-History at Malheur Lake, Oregon Using Remote Sensing

The extent of emergent vegetation can be a useful indicator of lake health and identify trends and changes over time. However, field data to characterize emergent vegetation may not be available (especially over longer time periods) or may be limited to small, isolated areas. We present a case study using Lands at data to generate indicators that represent emergent vegetation extent in the near-shoreline and tributary delta areas of Malheur Lake, Oregon, USA. Malheur Lake has a large non-native carp population that may significantly affect emergent vegetation and adversely impact reservoir health. This study evaluates long-term trends in emergent vegetation and correlation with common environmental variables other than carp, to determine if emergent vegetation changes can be explained. We selected late June images for this study as vegetation is relatively mature in late June and visible, but has not completely grown-in providing a better indication of vegetation coverage in satellite images. To explore trends in historic emergent vegetation extent, we identified eight regions-of-interest (ROI): three inlet areas, three wet-shore areas (swampy areas), and two dry-shore areas (less swampy areas) around Malheur Lake and computed the Normalized Difference Vegetation Index (NDVI) using 30 years of Lands at images from 1984 to 2013. For each ROI we generated time-series data to quantify the emergent vegetation as determined by the percent of area covered by pixels that had NDVI values greater than 0.2, using cutoff as an indicator of vegetation. For correlation, we produced a corresponding time series of the lake area using the Modified Normalized Difference Water Index (MNDWI) to identify water pixels. We investigated the correlation of vegetation coverage (an indicator of emergent vegetation) with lake area, June precipitation, and average daily maximum temperatures for a period from two months prior to one month after the June collection (April, May, June, and July);all parameters that could affect vegetation growth. We found minimal correlation over time of the vegetative extent in any of the eight ROIs with the selected parameters, indicating that there are other factors which drive emergent vegetation extent in Malheur Lake. This study demonstrates that Landsat data have sufficient spatial and temporal detail to provide insight into ecosystem changes over relatively long periods and offers a method to study historic trends in reservoir health and evaluate potential influences. We expect future work will explore other potential drivers of emergent vegetation extent in Malheur Lake, such as carp populations. Carp were not considered in this study as we did not have access to data that reflect carp numbers over this 30 year period.

Low-temperature characteristicsof rubbers and performance testsof type 120 emergencyvalve diaphragms

Purpose–The type 120 emergency valve is an essential braking component of railway freight trains,butcorresponding diaphragms consisting of natural rubber(NR)and chloroprene rubber(CR)exhibit insufficientaging resistance and low-temperature resistance,respectively.In order to develop type 120 emergency valverubber diaphragms with long-life and high-performance,low-temperatureresistant CR and NR were processed.Design/methodology/approach–The physical properties of the low-temperature-resistant CR and NRwere tested by low-temperature stretching,dynamic mechanical analysis,differential scanning calorimetryand thermogravimetric analysis.Single-valve and single-vehicle tests of type 120 emergency valves werecarried out for emergency diaphragms consisting of NR and CR.Findings–The low-temperature-resistant CR and NR exhibited excellent physical properties.The elasticityand low-temperature resistance of NR were superior to those of CR,whereas the mechanical properties of thetwo rubbers were similar in the temperature range of 0℃–150℃.The NR and CR emergency diaphragms metthe requirements of the single-valve test.In the low-temperature single-vehicle test,only the low-temperaturesensitivity test of the NR emergency diaphragm met the requirements.Originality/value–The innovation of this study is that it provides valuable data and experience for futuredevelopment of type 120 valve rubber diaphragms.

Emergent Gravity, Violated Relativity and Dark Matter

The nonlinear affine Goldstone model of the emergent gravity, built on the nonlinearly realized/ hidden affine symmetry, is concisely revisited. Beyond General Relativity, the explicit violation of general invariance/relativity, under preserving general covariance, is exposed. Dependent on a nondynamical affine connection, a generally covariant second-order effective Lagrangian for metric gravity is worked out, with the general relativity violation and the gravitational dark matter serving as the signatures of emergence.