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.
The Argentine ant (Linepithema humile) and the little fire ant (Wasmannia auropunctata) are among the top 100 invasive alien species globally, causing significant ecological and economic harm. Therefore, it is crucial to study their potential geographic distribution worldwide. This study aimed to predict their global distribution under current and future climate conditions. We used distribution data from various sources, including CABI, GBIF, and PIAKey, and key climate variables selected from 19 environmental factors to model their potential geographic distribution using MaxEnt. The AUC values were 0.925 and 0.937 for L. humile and W. auropunctata, respectively, indicating good predictive performance. Suitable areas for L. humile were mainly in southern North America, northern South America, Europe, central Asia, southern Oceania, and parts of Africa, while W. auropunctata suitable areas were mostly in southern North America, most of South America, a small part of Europe, southern Asia, central Africa, and some parts of Oceania. Under climate change scenario, suitable areas for L. humile increased, while highly suitable areas for W. auropunctata decreased. The top four countries with the largest areas of overlapping suitable habitat under current climate were Brazil, China, Australia, and Argentina, while under future SSP585 climate scenario, the top four countries were Brazil, China, Indonesia, and Argentina. Some countries, such as Estonia and Finland, will see an overlapping adaptation area under climate change. In conclusion, this study provides insight into controlling the spread and harm of L. humile and W. auropunctata.
There are many health and nutrition implications of suffering from multimorbidity, which is a huge challenge facing health and social services. This review focuses on malnutrition, one of the nutritional consequences of multimorbidity. Malnutrition can result from the impact of chronic conditions and their management (polypharmacy) on appetite and nutritional intake, leading to an inability to meet nutritional requirements from food. Malnutrition (undernutrition) is prevalent in primary care and costly, the main cause being disease, accentuated by multiple morbidities. Most of the costs arise from the deleterious effects of malnutrition on individual’s function, clinical outcome and recovery leading to a substantially greater burden on treatment and health care resources, costing at least £19·6 billion in England. Routine identification of malnutrition with screening should be part of the management of multimorbidity together with practical, effective ways of treating malnutrition that overcome anorexia where relevant. Nutritional interventions that improve nutritional intake have been shown to significantly reduce mortality in individuals with multimorbidities. In addition to food-based interventions, a more ‘medicalised’ dietary approach using liquid oral nutritional supplements (ONS) can be effective. ONS typically have little impact on appetite, effectively improve energy, protein and micronutrient intakes and may significantly improve functional measures. Reduced treatment burden can result from effective nutritional intervention with improved clinical outcomes (fewer infections, wounds), reducing health care use and costs. With the right investment in nutrition and dietetic resources, appropriate nutritional management plans can be put in place to optimally support the multimorbid patient benefitting the individual and the wider society.
This essay brings to light a rare feature of the Stewart legal system. Grand jury charges remain understudied, partly for want of primary source materials. The brief historical and biographical sketches of the essay are appended by a unique and relevant artifact of the time: a preamble or exhortation to a grand jury charge, ostensibly delivered by a Justice of the King's Bench, John Dodderidge.
In the context of China's “Constructing ecological civilization” initiative, Tibetan environmentalists are proactively incorporating ecological science into their wildlife conservation efforts. This ethnographic study explores the logics, rationales and motivations behind this approach among Tibetans in Qinghai province. The article contends that Tibetan environmentalists adopt ecological science to gain legibility in the eyes of both the state and the wider environmental conservation community, thereby enhancing their political legitimacy and social recognition. On one hand, this practice counters the stigmatizing narratives that depict Tibetan pastoralists as backward. By embracing scientific discourses and practices, they challenge such derogatory views and position themselves as forward-thinking conservationists. On the other hand, this strategy indirectly preserves the traditional knowledge of pastoralists. Through their involvement with ecological science, they merge traditional insights with scientific methodologies, ensuring the protection of their cultural heritage while adapting to the sociopolitical landscape of contemporary conservation dynamics in China.
Acute kidney injury is associated with worse outcomes after cardiac surgery. The haemodynamic goals to ameliorate kidney injury are not clear. Low post-operative renal perfusion pressure has been associated with acute kidney injury in adults. Inadequate oxygen delivery may also cause kidney injury. This study evaluates pressure and oximetric haemodynamics after paediatric cardiac surgery and their association with acute kidney injury.
Materials and Methods:
Retrospective case–control study at a children’s hospital. Patients were < 6 months of age who underwent a Society of Thoracic Surgery-European Association for Cardio-Thoracic Surgery Congenital Heart Surgery categories ≥ 3. Low renal perfusion pressure was time and depth below several tested thresholds. The primary outcome was serum creatine-defined acute kidney injury in the first 7 days.
Results:
Sixty-six patients (median age 8 days) were included. Acute kidney injury occurred in 36%. The time and depth of renal perfusion pressure < 42 mmHg in the first 24 hours was greater in acute kidney injury patients (94 versus 35 mmHg*minutes of low renal perfusion pressure/hour, p = 0.008). In the multivariable model, renal perfusion pressure < 42 mmHg was associated with acute kidney injury (aOR: 2.07, 95%CI: 1.25–3.82, p = 0.009). Mean arterial pressure, central venous pressure, and measures of inadequate oxygen delivery were not associated with acute kidney injury.
Conclusion:
Periods of low renal perfusion pressure (<42 mmHg) in the first 24 post-operative hours are associated with acute kidney injury. Renal perfusion pressure is a potential modifiable target that may mitigate the impact of acute kidney injury after paediatric cardiac surgery.
The linear stability of the Stuart vortices, which is a model of arrays of vortices often observed in the atmosphere and the oceans, in rotating stratified fluids is investigated by local and modal stability analysis. As in the case of the two-dimensional (2-D) Taylor–Green vortices, five types of instability appear in general: the pure-hyperbolic instability, the strato-hyperbolic instability, the rotational-hyperbolic instability, the centrifugal instability and the elliptic instability. The condition for each instability and the estimate of the growth rate derived by Hattori & Hirota (J. Fluid Mech., vol. 967, 2023, A32) are shown to also be useful for the Stuart vortices, which supports their applicability to general flows. The properties of each instability depend on stratification and rotation in a way similar to the case of the 2-D Taylor–Green vortices. For the Stuart vortices, however, the centrifugal instability and the elliptic instability become more dominant than the three hyperbolic instabilities in comparison to the 2-D Taylor–Green vortices; this is explained by the larger ratios of the maximum vorticity and the strain rate at the elliptic stagnation points to the strain rate at the hyperbolic stagnation points. Direct correspondence between the modal and local stability results is further established by comparing unstable modes to solutions to the local stability equations; this is useful for identifying the types of modes since the mechanism of instability is readily known in the local stability analysis. This helps us to discover the modes of the ring-type elliptic instability, which have been predicted only theoretically.
Insects flip their wings around each stroke reversal and may enhance lift in the early stage of a half-stroke. The possible lift-enhancing mechanism of this rapid wing rotation and its strong connection with wake vortices are still underexplored, especially when unsteady leading-edge vortex (LEV) behaviours occur. Here, we numerically studied the lift generation and underlying vorticity dynamics during the rapid rotation of a low aspect ratio flapping wing at a Reynolds number (${\textit {Re}}$) of 1500. Our findings prove that when the outboard LEV breaks down, an advanced rotation can still enhance the lift in the early stage of a half-stroke, which originates from an interaction with the breakdown vortex in the outboard region. This interaction, named the breakdown-vortex jet mechanism, results in a jet and thus a higher pressure on the upwind surface, including a stronger wingtip suction force on the leeward surface. Although the stable LEV within the mid-span retains its growth and location during an advanced rotation, it can be detrimental to lift enhancement as it moves underneath the wing. Therefore, for a flapping wing at ${\textit {Re}}\sim 10^3$, the interactions with stable and breakdown leading-edge vortices lead to the single-vortex suction and breakdown-vortex jet mechanisms, respectively. In other words, the contribution of wing–wake interaction depends on the spanwise location. The current work also implies the importance of wing kinematics to this wing–wake interaction in flapping wings, and provides an alternative perspective for understanding this complex flow phenomenon at ${\textit {Re}}\sim 10^3$.
The purpose of this study is to analyse the effect of half canal wall down tympanomastoidectomy in the treatment of chronic otitis media or cholesteatoma.
Method
In this retrospective study, the half canal wall down tympanomastoidectomy technique was used at our hospital for chronic otitis media or cholesteatoma removal in 265 adult patients, representing 271 operated ears, with an average follow-up time of 8.4 years.
Results
The post-operative cavities were slightly wider and straighter in 91.9 per cent of the ears. Fifteen per cent of the patients needed cavity cleaning every six months, 25 per cent of them needed cavity cleaning every year and 60 per cent of the patients had a self-cleaning cavity. Only one patient with a cleft palate experienced cholesteatoma recurrence in the mesotympanum.
Conclusion
The half canal wall down tympanomastoidectomy technique showed a low-recurrence rate and satisfying operative cavities. The half canal wall down tympanomastoidectomy technique is a good choice for middle ear surgery.
Antipsychotics are commonly prescribed to manage the behavioural and psychological symptoms of dementia (BPSD) despite their modest efficacy and significant adverse effects. Psychosocial interventions are recommended as the first-line approach in treating BPSD before considering pharmacological options. A Cochrane Review by Lühnen et al (2023) evaluated the effects of psychosocial interventions on reducing antipsychotic prescription in care homes, and found that no generalisable recommendations can be made based on the currently available evidence. This commentary attempts to critically appraise and add context to the review.
The numerical range in the quaternionic setting is, in general, a non-convex subset of the quaternions. The essential numerical range is a refinement of the numerical range that only keeps the elements that have, in a certain sense, infinite multiplicity. We prove that the essential numerical range of a bounded linear operator on a quaternionic Hilbert space is convex. A quaternionic analogue of Lancaster theorem, relating the closure of the numerical range and its essential numerical range, is also provided.
I aim in this article to contribute two points to the ongoing discussion regarding strong DDS and modal collapse. First, I will examine a recent version of the modal collapse objection formulated by R. T. Mullins, demonstrating that one can modify the argument to survive its most forceful rejoinder. Having established the cogency of Mullins's modal collapse argument, I next aim to heighten the severity of the conclusion. In particular, I demonstrate that the success of the modal collapse argument entails a moral collapse wherein well-established principles of ethical reasoning fail. Finally, I examine a recent attempt by Katherine Rogers to undercut some of the unwelcomed results of a modal collapse via an appeal to the theistic multiverse. I conclude that this manoeuvre proves ineffective against the moral collapse objection.
The theory of utility is a well-known method of constructing insurance premiums (see e.g., Newton et al. (1986) Actuarial Mathematics. Itasca, Illinois: The Society of Actuaries.). Furman and Zitikis ((2008) Insurance: Mathematics and Economics, 42, 459–465.) proposed an alternative method using the mean value of a weighted random variable. According to this approach, for various choices of weighting, popular premiums such as net premium, modified variance premium, Esscher premium, and Kamps premium are obtained. On the other hand, some premiums cannot be obtained with this method, such as the premium of the exponential principle. In this paper, we provide a complementary theory by introducing a family of unimodal weighted distributions for which the mode is a premium principle.
Political scientists have long viewed values as a source of constraint in political belief systems. More recently, scholars have argued that values—particularly moral values—contribute to polarization. Yet, there is little direct and systematic research on which values are perceived as moral values. We examine 21 values, including Schwartz’s values, political values, and moral foundations. Drawing on a broad literature on cooperation, we first develop theoretical expectations for the extent of value moralization both between and within value systems. We next argue that this moralization matters because it intensifies the effects of value disagreement on social polarization. Using a probability-based survey of the US and an embedded conjoint experiment, we find substantial variation in moralization across values, and that highly moralized values are more polarizing. Our research brings together competing literatures on values and shows how moral values differentially shape polarization.