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This paper engages with recent work on formalization in economics to develop a new perspective on mathematization. Boylan and O’Gorman draw on foundations of mathematics to argue that classical mathematics is inappropriate for economics; intuitionistic foundations and constructive mathematics should be used instead. The use of real analysis would be blocked and equilibrium results undermined. I argue that their line of thought faces several challenges; however, I then draw on their analyses and the philosophy of applied mathematics to propose a novel approach in which questions about mathematization are properly understood as questions about the contextual aptness of relevant idealizations.
Obsessive–compulsive disorder (OCD) is often missed and misdiagnosed. This Editorial reminds the reader to screen for obsessions and compulsions; how OCD can be distinguished from other disorders characterised by recurrent thoughts and repetitive behaviours; and to facilitate better access to effective treatments for this often distressing and disabling disorder.
We study fibrations of the projective model for the symmetric space associated with $\operatorname {\mathrm {SL}}(2n,\mathbb {R})$ by codimension $2$ projective subspaces, or pencils of quadrics. In particular we show that if such a smooth fibration is equivariant with respect to a representation of a closed surface group, the representation is quasi-isometrically embedded, and even Anosov if the pencils in the image contain only nondegenerate quadrics. We use this to characterize maximal representations among representations of a closed surface group into $\operatorname {\mathrm {Sp}}(2n,\mathbb {R})$ by the existence of an equivariant continuous fibration of the associated symmetric space, satisfying an additional technical property. These fibrations extend to fibrations of the projective structures associated to maximal representations by bases of pencils of quadrics.
In this article, we investigate the higher topological complexity of oriented Seifert fibred manifolds that are Eilenberg–MacLane spaces $K(G,1)$ with infinite fundamental group $G$. We first refine the cohomological lower bounds for higher topological complexity by introducing the notion of higher topological complexity weights. As an application, we show that the $r^{\text{th}}$ topological complexity of these manifolds lies in $\{3r-1, 3r, 3r+1\}$, and characterize large families where the value is $3r$ or $3r+1$. Additionally, we establish a sufficient condition for higher topological complexity to be exactly $3r$ when the base surface is orientable and aspherical. Finally, we show that the higher topological complexity of the wedge of finitely many closed, orientable, aspherical $3$-manifolds is exactly $3r+1$.
This review aims to explore the potential role of folate and related B-vitamins (B12, B6, and riboflavin) in maintaining cognitive health in ageing, focussing particularly on their interactions with the gut microbiota and inflammation. Low B-vitamin status, common in older adults, is associated with poorer cognitive function and dementia. Furthermore, people with dementia are observed to have increased abundance of pro-inflammatory microbes and concomitant higher concentrations of cytokines in their circulation. Therefore, gut dysbiosis and chronic inflammation have been proposed as contributors of cognitive dysfunction. Although many observational studies report that low B-vitamin status, especially vitamin B6, is associated with a worse inflammatory state, the role of the gut microbiota is much less investigated. Pre-clinical evidence suggests higher B-vitamin intakes may beneficially modulate the gut bacterial profile and its metabolic activity, positively influencing inflammation. The evidence however is inconsistent and the few human intervention studies available are confined to clinical populations, or are limited by small sample size or to a single B-vitamin at high supplementation doses. Of note, one study in rats with Alzheimer’s type dementia reported an association of folate and vitamin B12 deficiency with disturbed gut bacterial composition, neuroinflammation and impaired memory. In conclusion, optimising B-vitamin status may help promote cognitive health during ageing through modulation of the gut microbiota and immune function. Well-designed human studies are however required to confirm these relationships and inform evidence-based nutritional strategies for healthy ageing.
Transnational anti-trans actors fall into two camps: traditionally conservative actors who pursue transphobia to extend patriarchy and feminists who pursue transphobia to challenge patriarchy. This article investigates how shared language and practices of anti-trans feminist and traditionalist coalitions enact opposing sex/gender orders. I explain this alliance through grounded theory generated from a critical discourse analysis of my dataset of 1016 anti-trans texts from 175 organizations. I develop my Affective Orientation Threat Structure, which explains the affective governing process of this coalition, and then apply this framework to anti-trans discourses about trans threats to womanhood. I find that anti-trans feminists and traditionalists generate fear via shared threat constructions but frame threat differently in order to mobilize affective energy in service of diverging regulative regimes and sex/gender orders. I argue that the illogics produced by contradictions within this incompatible coalition benefit both camps by maximizing affective disorientation and generating momentum through paradox.
This paper examines the Catarinella Askos in order to explore the funerary culture and social dynamics of the elite in Hellenistic-Republican Daunia. The vessel, found in Lavello (Basilicata) but produced in the city of Canosa (Apulia) in the late 2nd/early 1st c. BCE, depicts an elaborate funerary ceremony with a procession, music, and mourning rituals. The paper contextualizes the images by linking them to material evidence of Canosan funerary practices. It aims to reconstruct the sensory experiences of those who attended and performed at funerals, including aspects of staging and movement, gesture and utterance, and sensation and emotion. By demonstrating how these multimodal spectacles served as arenas for social distinction, competitive consumption, and political consolidation among elite families during Roman hegemony, the paper argues for the resilience of Italian elite culture and social structures rooted in the pre-Roman period.
This paper is in line with research that analyzes the careers of European parliamentarians, adopting a comparative and cross-sectional approach and taking into account previous and subsequent political experiences in a multilevel perspective. Indeed, we propose a comparison between two similar cases, namely two southern European countries that have a quasi-federal system or are affected by an important regionalization process – Spain and Italy – and we examine a rather long time period ranging from the IV to the IX EP legislature. Our dataset consists of 508 observations, 195 relating to Spanish members of the European Parliament (MEPs) and 313 to Italian ones. By relying on the recent systematization, we propose to classify MEPs’ career models – which are our dependent variable – into four types: the EU shorter-termers, the ‘stepping stone’ MEPs, the EU long-termers, and the ‘multilevel surfers’. A multinominal regression analysis was conducted to understand which political factors (party affiliation of MEPs, length of previous career, critical European Parliament [EP] elections) may have a specific impact on each career type. We found that, after the 2014 EP critical election, the probability of MEPs engaging in the EP decreases, as they are more likely to develop a short-term career model than a long-term one. In addition, previous national experience and a regional executive career are the best predictors of a multilevel career.
Penicillins are the most frequently prescribed antibiotics for a broad range of infections. In North America, up to 15% of hospitalized patients report a penicillin allergy, but research has shown that 98% of these patients can tolerate penicillins. Removing inaccurate allergy labels is an essential component of antimicrobial stewardship. While allergy delabelling used to be complex or require an allergist referral, the emergence of new tools, such as the PEN-FAST score, facilitates direct delabeling of low-risk patients.
Objectives:
The primary objective of this study was to trial the use of the PEN-FAST scoring tool at a major tertiary care center in Canada. Secondary objectives included measuring the pharmacy workload associated with the delabeling process.
Methods:
A prospective pilot study was implemented at a Canadian tertiary care hospital to identify new patients with a penicillin allergy label, perform a review of their medical history, obtain a PEN-FAST score, and if applicable, implement an oral challenge with amoxicillin.
Results:
Most of the 155 screened patients were delabeled based on their medical history. Twenty-nine patients were eligible for an oral challenge, and three challenges were conducted.
Conclusion:
PEN-FAST scoring in combination with direct oral challenge is a practical tool that can be prospectively implemented by pharmacists.
Comorbid obsessive–compulsive disorder (OCD) or obsessive–compulsive symptoms (OCS) are common in people with severe mental illness (SMI; including schizophrenia, bipolar disorder and schizoaffective disorder), with little known about associations with smoking.
Aims
To estimate the association between OCD/OCS and smoking status among people with SMI in a huge electronic database.
Method
Using the Clinical Records Interactive Search (CRIS) platform for data of service users in the South London and Maudsley (SLaM) NHS Foundation Trust, tobacco smoking status was retrospectively detected through an algorithm of natural language processing technique, categorising into ‘current smoker’, ‘ex-smoker’ and ‘non-smoker’ by the clinical notes of SMI individuals during 2007–2015. A hierarchical assignment rule was applied following the order of ‘smoker’, ‘ex-smoker’ and then ‘non-smoker’ in an individual. Logistic regression was used to examine the association between smoking and OCS in people with SMI for univariable and multivariable analyses.
Results
We identified 15 479 SMI individuals (56% male; mean age 41 years old), with 90.4% ever smoked. Among them, 2320 (15%) had OCS (without OCD), while 2174 (14%) had a clinical diagnosis of comorbid OCD. After adjusting for demographics and functional status as confounders, both SMI individuals with OCS only and an OCD diagnosis were significantly more likely to have ever smoked (adj. odds ratio 1.47, 95% CI 1.23, 1.76 and adj. odds ratio 1.33, 95% CI 1.11, 1.60, respectively) compared with those without OCD/OCS.
Conclusions
In this large-scale analysis of people with SMI, we found that individuals with OCS or OCD were more likely to have ever smoked.
Newfoundland and Labrador (NL) introduced Canada’s first excise tax on sugar-sweetened beverages (SSBs) in 2022. Industry marketing practices in response to SSB taxation may affect public health impacts. We examined changes in posted beverage pricing and marketing of taxable and non-taxable beverages in NL before and after the SSB tax was implemented.
Design:
Pre-/post- observational study with in-store audits of beverage prices and marketing. Changes including pricing discounts and promotions were assessed the at the individual beverage level, for years pre/post-tax implementation.
Setting:
80 food stores (grocery, convenience, drug, dollar) in NL, Canada.
Results:
There was no evidence of a change in posted shelf prices between pre/post years. There was a significant increase (+2.5%, χ2=9.693, p=0.002) in proportion of discounted taxable SSBs with no change in non-taxable beverages (p=0.350). There were no significant differences in change of number of promotions for taxable SSBs (+5.2 [-0.1, 10.5], F=3.789, p=0.053) nor non-taxable beverages (+3.4 [-1.0, 7.7], F=2.268, p=0.134).
Conclusions:
The lack of change in posted prices of taxable SSBs indicate that the NL SSB tax was not communicated at the point of decision-making. While some marketing changes post-tax were observed, results should be interpreted cautiously as they cannot be attributed definitively to the tax. Existing literature implies that industry may adapt marketing conduct to counteract beverage taxes. Such changes were limited in NL, suggesting retailers may have opted not to display the tax rather than attempt to actively counteract it. Lack of transparency surrounding the tax may neutralize intended behavioral effects.