To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This cross-sectional study examinee health and social concerns among community-dwelling older people, the resources they sought, and factors related to these concerns.
Methods
A convenience sample of 222 Nova Scotians aged 65 or over completed a semi-structured interview using the ACT® Assess, which assess 53 common health and social issues across six domains. Each item was linked to a database of corresponding local resources.
Findings
Over 40% of participants reported loneliness, moderate or greater pain, sleep problems, and/or bereavement – all within the Mental Health domain. However, only 32% sought Mental Health resources, compared to over 60% who sought resources for Accommodation and Finances. Participants receiving care showed greater challenges in activities of daily living and mobility.
Discussion
Findings suggest a high level of concern, even among a relatively healthy sample, and indicate a progression of concerns from psychosocial and home maintenance issues to mobility and functional challenges.
In response to New South Wales’ target of eliminating Food Organics and Garden Organics (FOGO) waste to landfill by 2,050, this study investigates how environmental education shapes residents’ awareness and waste-sorting behaviours in multi-unit dwellings (MUDs) across Greater Western Sydney. Adopting an exploratory mixed-methods approach – integrating surveys, bin audits, interviews, and infrastructure assessments – the research reveals persistent knowledge gaps and structural constraints, particularly among culturally and linguistically diverse (CALD) households. Guided by the Action Competence Framework (ACF), the findings underscore that effective FOGO participation is not driven by infrastructure alone. Rather, it depends on inclusive, participatory, and culturally responsive education that fosters understanding, builds confidence, and strengthens a sense of shared responsibility. Intergenerational learning emerges as a critical pathway, where everyday household interactions enable behavioural shifts and help reduce contamination at the source. While limited by a small sample size (n = 33) and its exploratory scope, the study makes a meaningful contribution to environmental education scholarship by extending the application of the ACF to informal residential settings. It also offers practical insights for local governments, highlighting the need to embed community-based learning strategies that can drive sustained engagement and support long-term sustainability outcomes in high-density urban environments.
This article examines the multispecies–algorithmic audiovisual installation Astrofin, focusing on the relational structures between multispecies behaviour, algorithmic systems and audiovisual generation. Drawing on theories of intermediality and intermedial interference, it proposes the concept of ‘conflict mechanisms’ to describe misalignments, temporal displacements and shifting intermedial relations within multispecies-algorithmic systems. Rather than understanding media relations through balance and coherence, the article argues that instability and ongoing relational displacement constitute conditions of audiovisual generation. The analysis develops through three dimensions. At the translational level, fish behaviour is transformed into behavioural data and distributed across parallel pathways of sound, image and spatial generation. While sharing the same behavioural data, different generative pathways unfold asynchronously, producing shifting intermedial relations. At the perceptual level, sound and image remain connected while repeatedly separating and recombining, rendering audiovisual synchrony and causal relations unstable. At the level of agency, agency cannot be stably attributed to animals, algorithms, or system structures, as it continuously circulates across different generative conditions. The article further considers the ethical implications of multispecies participation. Astrofin avoids treating animal behaviour as symbolic representation or a carrier of meaning, instead focusing on how multispecies relations are mediated through algorithmic and audiovisual structures.
The US role in global agricultural markets shifts with competition, trade issues, and conflict. This study examines the impact of US Department of Agriculture (USDA) ending stocks projections on corn and soybean futures prices. Using an event study framework and futures price data, we find that unexpected changes in US ending stocks drive price responses while world ending stocks do not. Our results suggest markets treat USDA as the more credible source for domestic supply information but not for global aggregates. For hedgers and policymakers, knowing which information moves prices is essential to managing risk and allocating data collection resources.
Plasma cell-free DNA metagenomic next-generation sequencing (cf-mNGS) tests offer the ability to detect microbial DNA from a single blood sample; however, its clinical utility in infants remains incompletely characterized. This study aims to evaluate the real-world clinical impact of plasma cf-mNGS testing in the neonatal and infant population.
Design:
Retrospective cohort study
Setting:
A large academic medical center in Los Angeles, California
Patients:
95 hospitalized neonates and infants (≤12 months of age).
Methods:
Clinical impact was adjudicated using predefined criteria.
Results:
We reviewed 95 unique plasma cf-mNGS testing episodes performed between February 2018 and August 2024. The mean age at testing was 4.2 months (SD, 3.8). All patients were hospitalized in the intensive care unit at the time of testing. Tests were most frequently performed for evaluation of “culture-negative sepsis” (30.5%), unexplained hospital-onset fevers (25.3%), and multiorgan failure (21.1%). Plasma cf-mNGS testing did not influence clinical management in the majority of cases (86.3%; 95% CI, 78.0%–91.8%). Positive clinical impact occurred in 5/95 cases (5.3%; 95% CI, 2.3%–11.7%), where plasma mNGS results assisting in antimicrobial de-escalation/discontinuation or earlier/new diagnoses. Negative clinical impact occurred in 4/95 cases (4.2%; 95% CI, 1.6%–10.3%), with plasma cf-mNGS results prompting unnecessary investigations or treatment.
Conclusions:
Our findings do not support the routine use of plasma cf-mNGS testing for indications including “culture-negative sepsis” in neonatal and infant populations.
The target paper brings a new dimension to cultural evolution research. The findings it reports are consistent with the hypothesis that it is integrated cognitive networks – i.e., ways of structuring knowledge – that evolve through culture, as opposed to discrete units of cultural knowledge. The impact of child peer groups on cultural evolution could be modeled using methods from network science.
While Engineered Living Materials (ELMs) are increasingly investigated for technical viability, discussion of their broader societal implications remains limited. To address this gap, we conducted a multidisciplinary co-design workshop centred on a self-healing biomineralised bacterial cellulose (BMBC). Twenty participants from biodesign, bio-nanoscience, materials science, and engineering worked in six groups through a three-phase process: 1) generating application concepts, 2) designing how self-healing would unfold and be experienced, and 3) reflecting on ecological, social, economic, and future implications. Workshop outcomes and discussions were analysed using thematic analysis. Participants framed self-healing not merely as functional repair but as temporal, expressive, and relational transformation, emphasizing personalisation, regeneration, trust, and systemic embedding. The study demonstrates how early, material-led design exploration can surface societal dimensions before technical pathways stabilise. We argue that multidisciplinary co-design supports more responsible ELM development by revealing how such materials may function, be interpreted, and acquire meaning in everyday contexts.
Lew-Levy and Amir argue that the cultural role of human children has been overlooked. Juveniles have been similarly overlooked in research on animal culture. Youngsters are often innovative, and ample opportunities exist for cultural transmission to peers and adults. We review the evidence and argue that the young may be a powerful cultural force in human and nonhuman societies alike.
i) Define children’s dietary patterns at three developmental stages—early childhood (1 to <3 years), preschool age (3 to <6 years), and school age (6 to <11 years)—and assess transitions over time; ii) Verify the association between exposure to exclusive breastfeeding and the trajectory of patterns
Design:
Cohort study using 2008–2019 data from the Brazilian Food and Nutritional Surveillance System.
Setting:
Standardized markers of previous-day food intake identified dietary patterns. Latent Transition Analysis assessed shifts over time and estimated the effect of exclusive breastfeeding for 3–6 months on dietary pattern transitions.
Participants:
135,340 children.
Results:
Two dietary patterns emerged: higher ultra processed food intake and lower ultra processed food intake. Patterns showed notable stability over time. Exclusively breastfed children following a lower ultra processed food pattern in early childhood had 11% higher odds (OR = 1.11, 95% CI = 1.06 – 1.16) of maintaining this pattern at preschool age. Exclusively breastfed children in the lower ultra processed food pattern had a 10% lower likelihood (OR = 0.90, 95% CI = 0.86 – 0.95) of transitioning to a higher ultra processed food pattern at preschool age.
Conclusion:
Dietary patterns in Brazilian children showed significant stability from early childhood to school age. Exclusive breastfeeding may protect against transitioning to high ultra-processed food patterns.
Lew-Levy and Amir emphasize the importance of peer cultures in understanding children’s active roles in preserving and transforming cultural knowledge. We review research highlighting peer teaching as a specific mechanism through which peer culture is maintained and transmitted. We argue that understanding peer teaching is essential to the broader understanding of cultural continuity and change.
The breath counting task (BCT) has shown evidence of validity as a behavioral measure of mindfulness in healthy populations but remains largely untested in clinical contexts. The BCT is a computerized measure of present-moment awareness based on breath-counting accuracy. This study provides a preliminary evaluation of its validity in adults with advanced cancer and their family caregivers.
Methods
Fifty-five patient-caregiver dyads were randomized to a 6-week mindfulness intervention or usual care. Participants completed the BCT and self-report surveys at baseline, post-intervention, and 1-month follow-up. The BCT’s construct validity was examined through: (1) sensitivity to mindfulness intervention using linear mixed models, (2) convergent validity via correlations with self-reported mindfulness and theoretically related constructs (e.g., inner peace), and (3) criterion validity via correlations with clinical outcomes (e.g., quality of life).
Results
Findings differed for patients and caregivers. Among caregivers, the BCT demonstrated sensitivity to intervention; breath-counting accuracy on the BCT increased over time in the mindfulness condition and remained stable in the usual care condition. Among patients in the mindfulness condition, greater breath-counting accuracy was moderately associated with better quality of life at follow-ups, including a significant correlation at 1 month (r = .57, p < .05), supporting its criterion validity. Evidence of convergent validity was limited. However, for patients and caregivers, greater breath-counting accuracy was moderately associated with higher self-reported mindfulness facets following intervention.
Significance of results
Preliminary findings suggest the BCT may capture certain attentional aspects of mindfulness in patients with advanced cancer and caregivers; however, patterns varied across groups, highlighting the need for further evaluation of its validity in clinical contexts.
This article demonstrates the profound shaping influence of the First World War on the post-war lives and ministries of Australian Anglican Army chaplains. Through their use of the Anglican liturgy and their leadership of Anzac commemoration, returned Anglican chaplains offered means of consolation and hope to grieving Australians. They also addressed the need of many Australian veterans to make sense of their war experience as meaningful and sacred. In doing so, returned chaplains created the rituals, symbols and liturgy that would give enduring voice and shape to an emerging Australian civil religion. Veteran chaplains also founded religious brotherhoods; forged institutions, ministries and advocacy aimed towards the working class and men; and offered a corporate vision of society that sought to break the impasse between labour and capital, and contend with post-war claims of fascism, communism and capitalism. In turn, this article contends that the war’s aftermath represents a moment in Australian history when the Anglican Church focused on what it meant to be a nation, and the goals and aspirations worthy of national energy and enthusiasm. Returned Anglican chaplains were able, and had earned the right, to speak about such matters.
Within their peer cultures, children not only teach and socially learn from one another, but they also prompt one another to confront and adapt to different, coequal perspectives in a way that superintending adults cannot do.
Suicide in public places remains a public health challenge. In Ireland, 512 suicides were recorded in 2021, almost one third in public places. Bridge A was identified as a high-risk site for suicide by jumping. This study aimed to apply Health Impact Assessment (HIA) methods to evaluate proposed structural suicide-prevention interventions and examine the utility of HIA in informing suicide prevention decision-making.
Methods:
A project-level HIA was conducted by the Health Service Executive National Health Improvement team, with multi-agency input, following Institute of Public Health guidance. The four stages – screening, scoping, analysis and reporting – were informed by a literature review, a site visit, population health profiling, and analysis of incident data from An Garda Síochána.
Results:
Between January 2020 and April 2025, there were 20 suicide attempts and one death at Bridge A, most involving women under 35, contrasting with national and international trends. Parts of the surrounding area showed higher levels of disadvantage, contributing to population ‘sensitivity’. The ‘magnitude’ of the health impact was assessed as high, and the intervention was judged to reduce ‘Injury risk’ and improve ‘Road or Route Safety’ in a way that is ‘significant’. The proposed structural modifications, alongside non-structural measures including suicide prevention training and crisis support signage, were recommended.
Conclusions:
This study demonstrates the utility of HIA in informing multi-agency suicide prevention decision-making in public places. The findings support implementation of the proposed measures and highlight the potential for HIA to be applied to other high-risk locations.
As China’s land-financed development model faces increasing constraints, local governments have turned to public data as a new strategic resource. However, there is a governance puzzle with public data: how can the state mobilize a resource whose ownership remains legally and politically unresolved? This article examines Local Digital Platform Vehicles (LDPVs), hybrid corporations that have proliferated since the early 2010s. Drawing on data gathered from extensive interviews and an original nationwide dataset of LDPVs from 2014 to 2025, we argue that these entities enable local governments to exercise “control without ownership” by asserting authority over data flows rather than through formal property rights. Internally, control is achieved through co-shareholding, task approval, personnel and strategic partner selection, which bind market actors to local developmental objectives. Externally, LDPVs extract value by internalizing subcontractor profits, pursuing data financialization and shifting towards platform-based models. The article shows how China’s local developmental state is developing new organizational instruments for governance in the digital age.
This article brings a critical feminist phenomenological lens to a central pillar of the international humanitarian law regime – the proportionality rule – and reflects on how the narrow, masculine orientation of the norm fails to accommodate women’s experiences of incidental mental harm. While women disproportionately experience double the rates of post-traumatic stress disorder in response to trauma events than do men, the proportionality rule does not expressly include mental harm within its ambit, exposing the rule to conservative interpretation and exclusionary applications for gendered mental harm. Some interpretations of the temporal constraints of the rule (concerned with the legality of single strikes, absent their latent, reverberating effects) reflect a dominant event-based legal model at odds with women’s experiences of mental harm that are protracted, cumulative and repercussive. Studies reveal women’s fear as a product of constructions of masculinity and femininity, structural inequity, and fear conditioning. This article offers a reparative response through a gendered and temporal alignment of the principle of proportionality with women’s experiences of mental harm in armed attacks.
This article argues that the current Anglican Communion crisis is best understood as constitutional erosion: the weakening of shared norms that historically mediated disagreement through recognizable form, restraint and reception. Doctrinal and moral disputes function as triggers, but the deeper driver is the loss of a common grammar of legitimacy, so that procedurally valid provincial actions can be constitutionally unintelligible to other provinces. The article interprets key African and Global South interventions not primarily as theological or cultural reaction but as contested constitutional reasoning rooted in episcopal guardianship, communion discipline and inherited catholic order. It analyses the Global Anglican Future Conference and Global South instruments as substitute constitutional documents generated by the incapacity of the Instruments of Communion to secure effective restraint and proposes a minimal inter-provincial accord: clarified instrument authority, operationalized reception, limited covenantal discipline and a standing advisory process for communion impairment.
A reflection on the recent Nairobi-Cairo proposals of the Inter-Anglican Standing Commission on Unity, Faith and Order (IASCUFO). The background to the proposals is set out with criticism of the resulting document and suggestions for improving relations in the Anglican Communion.
During World War II, the Japanese Kwantung Army’s Unit 731 secretly conducted large-scale, inhumane, and unethical human experimentation in China, culminating in one of the most heinous medical atrocities, crimes against humanity, and war crimes in the Asia-Pacific theatre of the war. Despite the gravity of the subject matter and its historical significance, research on Unit 731 has, for a long time, been rather limited, but has gradually increased in recent decades. In this article, we identify several important characteristics and trends in research activities related to Unit 731, with a view to providing a general overview of the existing scholarship and to providing recommendations for future research.
From the 1950s to the 1970s, academic research started to accumulate. The second stage was one of rapid development from the 1980s to the 1990s. During this period, research efforts in Japan had a far-reaching influence and began to spread to China, Europe, and the U.S. Scholars from scientific, medical, and educational communities began participating in Unit 731 research successively. The third stage of multi-dimensional development began at the onset of the twenty-first century. Research expanded into comparative inquiries of Japanese medical atrocities and their Nazi counterpart; at the same time, research on many topics in diverse disciplines was also deepened and intensified. In addition to focusing on pragmatic issues such as reflections and actions of modern society and reconciliation, researchers have also been concerned with historical writing and collective memory.