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Drawing on unbalanced panel data with a maximum of 271,656 bilateral trade flow observations from 1996 to 2021, this study investigates both the linear and nonlinear influence of national Environmental, Social, and Governance (ESG) performance gaps on green exports. When the ESG performance of the exporting country exceeds that of the destination country, the results indicate that an increase in the ESG gap significantly stimulates green exports, and there is evidence that this stimulating effect is achieved by widening green innovation gaps. However, the marginal effect diminishes as environmental regulations in the destination country become more stringent. Conversely, when the exporting country’s ESG performance is lower, narrowing the ESG gap leads to an N-shaped relationship with green exports, which remains U-shaped after removing the extremes. This research provides empirical evidence and policy implications for the trade effects of ESG performance from a macro perspective, while supporting the rationality and necessity of the ESG concept.
In modern jurisprudence, it is recognized that courts will engage in arbitration, often under the rubric of Alternative Dispute Resolution.1 Recourse to arbitration further back in the English past has often been perceived as extra-legal, taking place outside the system of courts, and sometimes intended specifically to avoid those courts. This research has concentrated on the avoidance of secular courts, in particular the king’s courts and common law (see below). By contrast, arbitration in ecclesiastical courts has received less detailed investigation, although many salient aspects have been approached (as indicated below).
This article re-examines the literature on the evidential uses of French tenses, and evaluates what distinguishes French from languages that are said to possess fully grammaticalized evidential systems. Based on corpus analyses, semantic testing, and crosslinguistic comparisons, this study argues that the French passé composé and imparfait do not carry any inherent evidential meaning, unlike the futur and conditionnel. The evidential interpretations of the former two tenses are simply conveyed by the context, while those of the latter two are indeed due to their intrinsic semantic make-up. We conclude that although French encodes evidentiality with verbal inflections only infrequently, it is no different from languages usually cited to illustrate advanced evidential paradigms from a formal and semantic standpoint.
Emergency medical care in Pakistan remains uncoordinated due to the absence of a platform to connect hospitals, patients, and ambulances. Consequently, during periods of resource shortage and crowding of the emergency department at hospitals, patients and ambulances are unable to select the best site for patient management or transfer of patients, resulting in suboptimal care and poor outcomes.
Objectives
We developed a digital platform called EMCON (Emergency Connection) application, which can be used for inter-hospital and hospital-to-patient/ambulance communication to coordinate patient care. The platform offers real-time information on resource availability, facilitates interhospital patient transfers, coordinates ambulance responses, and assists patients in making decisions about seeking emergency care.
Implementation
The platform offers real-time information on resource availability, facilitates interhospital patient transfers, coordinates ambulance responses, and assists patients in making decisions about seeking emergency care. It has a range of features that allow hospitals to control the data that they share to maintain hospital buy-in, incorporates both electronic and manual data entry for real-time updates in low-resource settings or during electronic medical record disruption, and provides visual content and appointment scheduling services to keep patients engaged.
Results
The pilot testing of the EMCON platform yielded promising outcomes, highlighting its adaptability and effectiveness in diverse health care settings. Integration with an electronic medical record (EMR)-equipped tertiary hospital demonstrated seamless real-time data updates, ensuring efficient resource management and coordination. Meanwhile, the successful implementation at a resource-reliant blood bank underscored EMCON’s versatility, allowing manual data entry for hospitals without EMR systems. These results emphasize the platform’s practicality and potential to revolutionize emergency health care access in low- and middle-income countries (LMICs). EMCON’s ability to bridge coordination gaps and enhance resource allocation holds great promise for improving patient outcomes, particularly in resource-constrained settings.
Conclusion
EMCON serves as a promising solution to address critical coordination issues in emergency care, bridging the gap between hospitals, patients, and ambulances to improve emergency health care access in low-resource settings.
We investigate the asymptotic behavior of nearly unstable Hawkes processes whose regression kernel has $L^1$ norm strictly greater than 1 and close to 1 as time goes to infinity. We find that the scaling size determines the scaling behavior of the processes as in Jaisson and Rosenbaum (2015). Specifically, after a suitable rescale of $({a_T-1})/{T{\textrm{e}}^{b_TTx}}$, the limit of the sequence of Hawkes processes is deterministic. Also, with another appropriate rescaling of $1/T^2$, the sequence converges in law to an integrated Cox–Ingersoll–Ross-like process. This theoretical result may apply to model the recent COVID-19 outbreak in epidemiology and phenomena in social networks.
A significant association between tomato consumption and a lower risk of developing hypertension has been reported. In this study, we aimed to investigate the relationship between tomato intake and prehypertension risk among Korean adults. Hypertension was defined according to the criteria established by the Korean Society of Hypertension. The study participants were selected from the Health Examinees cohort study. Tomato consumption was measured using a food frequency questionnaire and categorized into quintiles based on the amount consumed. Higher tomato consumption was associated with a lower risk of prehypertension in men (hazard ratio 0.86, 95% confidence interval 0.80–0.92, p for trend 0.0005). Women in the highest quintile also showed a similar trend (hazard ratio 0.94, 95% confidence interval 0.90–0.99, p for trend 0.0091). Stratified analyses revealed a reduced risk of prehypertension across all subgroups, except underweight individuals and those with a history of alcohol consumption (all P-interaction <0.05). These findings indicate that higher tomato intake may offer potential advantages for managing blood pressure levels.
The conventional $\textrm{e}^N$ laminar-to-turbulent transition-prediction method focuses on the relative growth rate, called the $N$ factor, and neglects receptivity. To improve predictions, Mack (1977) proposed the amplitude method to incorporate receptivity, nonlinear effects and broadband characteristics. Currently, the lack of accurate receptivity coefficients, estimates of initial disturbance amplitudes at the lower-branch neutral position, referred to as branch I (where the imaginary part of the spatial wavenumber is zero), hinders the application of the amplitude method. Although experimental- and numerical-receptivity analyses have been conducted previously, they rely on correlations or indirect approaches. For the purpose of direct evaluation, this study applies bi-orthogonal decomposition to direct numerical simulation (DNS) data of a hypersonic boundary layer over a blunt cone, extracting initial amplitudes of instability modes. The decomposition framework incorporates both boundary-layer and entropy-layer modes, enabling direct evaluation of receptivity coefficients at branch I. The decomposed modal amplitudes show reduced multimode interference and the receptivity coefficients have been computed to have fewer oscillations. With an overall greater magnitude, the receptivity coefficients suggest a possible earlier transition location than the previous numerical study by He & Zhong (2023 J. Spacecr. Rockets, vol. 60, no. 6, pp. 1927–1938). Additionally, a discrete entropy-layer mode is recovered, contributing to instability development alongside modes F and S. These findings support the use of bi-orthogonal decomposition as a practical tool for receptivity analysis and enhancement of the amplitude method in transition prediction.
Longer life expectancy and growing income inequality have prompted an increasing interest in understanding the impact of ageing on nutritional requirements in order to optimise intakes, increase the number of years lived in good health, and reduce morbidity and associated health and social care costs. Food insecurity reduces access to nutritious and healthy food. Understanding the evidence-base on the impacts of food insecurity and the maintenance of food security for older people is crucial to informing policy and intervention.
The increase in numbers of older people experiencing food insecurity is a public health emergency, and is associated with under and malnutrition. Food insecurity can be experienced at any stage of the life course, but has been more widely studied with families and children where poverty is a major driver. Food insecurity in later life has been less well explored by academics, but differs from that experienced in earlier years due to additional complexities, as physical and cognitive health amplify the impact of poverty. Additionally, factors which can appear to be relatively small in impact, can act in a cumulative way to push people towards food insecurity. This review will draw on research about older people’s food practices, contexts, and experiences in relation to food insecurity in later life, and offers a model of food insecurity that has the potential to guide focused public health efforts in order to support the older population to be food secure.
The nonlinear growth of perturbations in hydrodynamic interfacial instabilities can be of particular importance in both scientific research (e.g. supernova explosion) and engineering applications (e.g. inertial confinement fusion). One of the most significant issues in these instabilities is the long-time nonlinear bubble evolution of a single-mode Rayleigh–Taylor instability (RTI), which remains as an unsolved and challenging problem since Taylor’s seminal work more than seven decades ago. Introduced in this paper is an analytical model for the long-time evolution of bubble velocity, curvature and vorticity, which is established by considering the vorticity accumulation around the bubble in a bilaterally rotational flow system under the classical planar potential-flow theory framework. The proposed theoretical model incorporates not only the classical linear, nonlinear and quasi-steady stages, but the late re-acceleration stage. Meanwhile, the new model can capture the phenomenon of secondary velocity saturation following the stage of bubble re-acceleration. The good agreement between the present model and numerical simulations for all density ratios and dimensions confirms that the accumulation in vorticity tends to break the early stage buoyancy-drag equilibrium mechanism and leads to the establishment of a new equilibrium in the late-stage RTI.
To examine the association between snack characteristics (snack frequency, snack energy density (ED) and snack nutritional quality) with diet quality and cardiometabolic risks among U.S. adolescents from the 2009-2016 National Health and Nutrition Examination Survey (NHANES). Cross-sectional dietary data collected using a 24-hour dietary recall from the 2011-2016 National Health and Nutrition Examination Survey (1,999 boys and 1,897 girls aged 12–19 years) were analysed. Associations between snack characteristics with diet quality, fasting blood glucose, triglyceride, total cholesterol, high-density lipoprotein, low-density lipoprotein, blood pressure, waist circumference, metabolic syndrome risk score using multiple linear regression, were analysed stratified by sex. Higher snack nutritional quality (β [95% CI]: boys 0.31 [0.09, 0.52]; girls 0.44 [0.30, 0.57]) was linked to better overall diet quality, whereas snack ED excluding beverages (β [95% CI]: boys –1.82 [–2.52, –1.12]; girls –1.75 [–2.69, –0.82]) was linked to poorer overall diet quality. Among girls, higher snack frequency was associated with lower waist circumference and lower fasting blood glucose (-0.67 [-1.28, -0.05]). Additionally, higher snack ED and nutritional quality was associated with lower waist circumference and triglycerides, respectively. No associations between snack characteristics and cardiometabolic indicators or metabolic syndrome risk score were observed for boys. Findings suggest strategies to improve adolescent snack nutritional quality and ED may improve overall diet quality. However, limited associations were observed between snack characteristics and cardiometabolic risk indicators among girls only. Prospective studies are needed to further investigate the relationship between snack characteristics and adolescent health outcomes.
Dementia care is often fragmented and difficult to navigate. Patient navigation is a promising solution to support individuals with dementia and their care partners.
Objective
A bilingual patient navigation program was piloted in New Brunswick, Canada, embedding six patient navigators in primary care clinics across the province.
Methods
A mixed-methods study explored participant characteristics, satisfaction, and experiences with the program.
Findings
Among 150 navigation cases, primary needs included access to informational resources and social services. Survey results showed high overall satisfaction with the program, along with improved knowledge and access to dementia-related health and social services. Qualitative findings further emphasized that patient navigators successfully linked participants to appropriate resources and services while also reducing care partner burden. However, systemic barriers such as long wait times and financial constraints persisted.
Discussion
This study highlights the need for early intervention and sustained navigation support to enhance dementia care coordination and accessibility in aging populations.
This article reconceptualizes the “rural problematique” in Canada through the contemporary “problem” of the rural migrant. Utilizing critical historical institutional theory, we argue that the challenges newcomers face in rural spaces not only reveal the stagnation of settlement policies but also demonstrate the long-lasting, integrative and harmful impacts of policy inertia. While newcomers experience the implications of inadequate and exclusionary social policies particularly acutely, the obstacles they face cannot be solved through changes to migration policy alone. Rather, we show how these barriers are the result of the historical, specific role that rural Canada plays within the political economy of the country, which relies upon the delineation between rural and urban, and the persistence of the rural as problematic. Thus, an analysis of the contemporary “problem” of the rural migrant demonstrates how the context can change, but the outcomes, which are consistent with the broader rural dynamic, remain the same.
We characterized antibiotic prescribing for outpatient telemedicine visits among a large cohort of pediatric, adult, and older adult populations during 2021. Opportunities exist for improving antibiotic prescribing in outpatient telemedicine, especially for respiratory conditions and among rural and older adult populations.