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 study of psychological well-being and related resilient outcomes is of increasing focus in cardiovascular research. Despite the critical importance of psychological well-being and related resilient outcomes in promoting optimal cardiac health, there have been very few psychological interventions directed towards children with heart disease. This paper describes the development and theoretical framework of the WE BEAT Wellbeing Education Program, a group-based psychoeducation and coping skills training intervention designed to improve psychological well-being and resilience in adolescents with paediatric heart disease.
Methods:
Program development was informed by patient and family needs and input gathered via large, international survey methods as well as qualitative investigation, a theoretical framework, and related resilience intervention research.
Results:
An overview of the WE BEAT intervention components and structure of the programme is provided.
Conclusions:
The WE BEAT Wellbeing Education Program was developed as one of the first resiliency-focused interventions in paediatric heart disease with an overall objective to foster positive psychological well-being and resilient outcomes through a health promotion and prevention lens in an accessible format while providing access to safe, peer-to-peer community building. Feasibility pilot results are forthcoming. Future directions include mobile app-based delivery and larger-scale efficacy and implementation trials.
Climate change uniquely affects those who are at the intersection of several inequalities simultaneously, such as those based on gender, age, and disability. This makes them ‘directly affected’ by climate change, which is crucial in establishing ‘victim status’ under Article 34 of the European Convention on Human Rights. At the same time, as a result of unequal power relations, intersectional victims face exclusion from, or minimal participation in, political decision-making processes concerning climate change. This further justifies their claim to victim status as a matter of procedural climate justice. As agents of change, intersectional victims, namely elderly women and girls with disabilities, can be empowered to contribute to climate decision making, thereby reshaping unjust power relations. The article examines two climate cases currently before the European Court of Human Rights: Verein KlimaSeniorinnen Schweiz and Others v. Switzerland, brought by elderly women, and Duarte Agostinho et al. v. Portugal and 32 other States, brought by children and young people.
Some ecofeminist scholars have argued that being a feminist entails being a contextual vegan. Donna Haraway has opposed this position and received extensive critique. Yet no one, to my knowledge, has systematically studied how Haraway's theory can enrich ecofeminist vegan literature. To this end, I first establish the method of analysis, and/or framework, I use to read Haraway's work, what I call, interconstitutionality. Next, I delineate the limitations of Haraway's thinking insofar as it assumes a position of human dominion over animals. I then explore some aspects of Haraway's theory that can enrich ecofeminist vegan scholarship and provide insights to go beyond the limits of Haraway's corpus regarding: (1) the entanglements and embodied vulnerabilities that constitute human and non-human animals; (2) the agency of animals and the importance of curiosity and respect in leading just lives with other than human animals; (3) the ethical relevance of otherness, difference, and vulnerability at multiple scales: subject, community/herd, species, and cross-species (e.g., there are shared vulnerabilities between beings who are pregnant regardless of the species they belong to); and (4) the unavoidable violence that human existence entails. The text closes by affirming an ecofeminist non-anthropocentric vegan ontology and ethico-politics that aspires to overcome human dominion over animals.
We demonstrate that investment income taxes incentivize capital allocation to the ecofriendly green sector away from the non-ecofriendly brown sector in a stylized economy. This tax reduces the arrival intensity of climate disasters, delivers the socially optimal allocation, and can be jointly implemented with a carbon tax, expanding policymakers’ toolkit to reduce climate disasters. Extending the model with heterogeneous investors, we show that investment income taxes can obtain support from a political majority and thereby relax political constraints faced by a carbon tax alone.
This article examines Middle and Late Preclassic period ritual activity and caches discovered in the Central E Group complex at the ancient Maya site of Cival, which is located in northeastern Peten, Guatemala. It focuses on a series of excavations conducted in 2013 and 2014 at Structure 9, the E Group's western radial pyramid and uses theories of social memory and sacred place to provide insight into the recently discovered caches, termination rituals, and the deliberate destruction of architectural features found there. It also draws on previous ritual activity conducted in the Central E Group plaza and the site's broader history to obtain a more comprehensive understanding of the role of this complex as a sacred place and hub of memory at Cival for more than 1,000 years.
Nasal septoplasty is one of the most performed procedures within ENT. Nasal obstruction secondary to a deviated nasal septum is the primary indication for functional septoplasty. Since the coronavirus disease 2019 pandemic, waiting lists have increased and are now long. This study assessed patients on the waiting list for septoplasty and/or inferior turbinate reduction surgery using the Nasal Obstruction Symptom Evaluation instrument.
Method
Patients on our waiting list for septoplasty and/or inferior turbinate reduction surgery were reviewed using a validated patient-reported outcome measure tool to assess symptom severity.
Results
Eighty-six out of a total of 88 patients (98 per cent) had Nasal Obstruction Symptom Evaluation scores of 30 or more. In addition, 78 (89 per cent) and 50 (57 per cent) patients were classified as having ‘severe’ or ‘extreme’ nasal obstruction, respectively. Two patients scored less than 30 and were classified as having non-significant nasal obstruction.
Conclusion
The Nasal Obstruction Symptom Evaluation instrument is a quick and easy way to validate septoplasty waiting lists. In this study, two patients were identified who no longer required surgery.
This report examines the deposit of a sixteenth-century cache of silver aquillas within a Chachapoya household at the site of Purun Llacta de Soloco. The report examines their context and contents. These findings have implications for a larger examination of social value in Andean societies and the specialized treatment and use of ritual objects during the tumultuous colonial period.
To investigate alterations in middle-ear mechanics after type 1 cartilage tympanoplasty by comparing the ambient pressure absorbance values of the perforated tympanic membrane, normal tympanic membrane and cartilage-grafted tympanic membrane.
Methods
Twenty patients diagnosed with non-suppurative chronic otitis media and 20 healthy controls were included. Pure tone audiometry and wideband tympanometry were performed once in the healthy controls and pre-operatively, one month and three months post-operatively in the patients.
Results
Using wideband tympanometry, the patients’ three-month post-operative ambient pressure absorbance values were found to be similar to those of the healthy controls at low frequencies, while lower ambient pressure absorbance values were recorded at middle and high frequencies. Air–bone gap and ambient pressure absorbance values showed significant negative correlations at 1000 and 4000 Hz both pre- and post-operatively.
Conclusion
Generally, the patients’ ambient pressure absorbance values were significantly lower at middle and high frequencies than those of the healthy controls. Post-operative wideband tympanometry is a practical tool for investigating the effects of a repaired tympanic membrane on middle-ear dynamics.
The diversity of human mortuary practices and treatments in prehistory is widely recognised, but our understanding of the purpose and manner of corpse manipulation in many regions is limited. This article reports on unusual aspects of funerary archaeology at the Neolithic site of Dingsishan, southern China. Anatomical consideration of cutmarks on human bones and the positioning of bodies and body parts within burials suggests that mortuary treatments at this site included strategic and systematic disarticulation, evisceration and excarnation. Rather than signalling social differences, these practices may have resulted from the very practical need to save space.
This study demonstrates an experimental realization of turbulence control strategies previously explored by Choi et al. (J. Fluid Mech., vol. 262, 1994, pp. 75–110) through numerical simulations. To conduct the experiments, a deformable surface with a streamwise array of 16 independently controlled actuators was developed. A real-time particle image velocimetry (RT-PIV) system was also created for flow measurements. The objective of the control strategy was to target the sweep and ejection motions of the vortex shedding from a spherical cap placed in a laminar boundary layer. Reactive control strategies consisted of wall-normal surface deformations that opposed or complied with the wall-normal (v) or streamwise (u) velocity fluctuations obtained from the RT-PIV. The results showed two primary outcomes of the control approach. Firstly, it effectively hindered the advancement of sweep motions towards the wall. Secondly, it disrupted the periodic shedding of vortices. The v-control with opposing wall motions and u-control with compliant wall motions exhibited strong inhibition of sweep motions, while the v-control with compliant and u-control with opposing wall motions showed weaker inhibition. All reactive control cases resulted in the disruption of vortex shedding. In some instances, this disruption was accompanied by increased turbulent kinetic energy due to the generation of additional flow motions. However, the v-control with opposing wall motions significantly reduced the vortex-shedding energy while maintaining total turbulent kinetic energy close to or below that of the unforced flow. Overall, the experiments show the effectiveness of reactive control strategies in mitigating sweep motions and disrupting vortical structures, offering insights for developing reactive control strategies.
The deceleration effect of the deployable aerodynamic decelerator is not as good as a parachute in the subsonic region. This paper proposes a novel concept of using a parachute-like configuration (PLC) to enhance the deceleration performance of the mechanically deployable aerodynamic decelerator (MDAD) through structural transformation. The MDAD turned into the PLC from the sphere cone configuration (SCC) at Ma 0.8. The aerodynamic characteristics of the two configurations are analysed deeply. Compared to the SCC, the results show that the drag coefficient increases effectively, and the maximum increases is about 10% in the PLC. The airflow is altered by the MDAD configuration, which can affect the surface pressure and temperature. During the transformation process, the axial and normal force coefficients tend to stabilise. However, the static stability of the PLC deteriorates sharply compared to the SCC when the angle-of-attack exceeds 45°.
An experimental study in a wind tunnel is presented to explore the wake of a floating wind turbine subjected to harmonic side-to-side and fore–aft motions under laminar inflow conditions. The wake recovery is analysed as a function of the frequency of motion $f_p$, expressed by the rotor-based Strouhal number, $St = f_p D / U_{\infty }$ ($D$ is the rotor diameter, $U_{\infty }$ the inflow wind speed). Our findings indicate that both directions of motion accelerate the transition to the far-wake compared with the fixed turbine. The experimental outcomes confirm the computational fluid dynamics results of Li et al. (J. Fluid Mech., vol. 934, 2022, p. A29) showing that sideways motions lead to faster wake recovery, especially for $St \in [0.2, 0.6]$. Additionally, we find that fore–aft motions also lead to better recovery for $St \in [0.3, 0.9]$. The recovery is closely linked to nonlinear spatiotemporal dynamics found in the shear layer region of the wake. For both directions of motion and $St \in [0.2, 0.55]$, the noisy wake dynamics lock in to the frequency of the motion. In this synchronised-like state, sideways motions result in large coherent structures of meandering, and fore–aft movements induce coherent pulsing of the wake. For fore–aft motion and $St \in [0.55, 0.9]$, the wake shows a more complex quasiperiodic dynamic, namely, a self-generated meandering mode emerges, which interacts nonlinearly with the excitation frequency $St$, as evidenced by the occurrence of mixing components. The coherent structures grow nonlinearly, enhance wake mixing and accelerate the transition to the far-wake, which, once reached, exhibits universal behaviour.
Post 2004 tsunami and earthquake, the landmass of Andaman and Nicobar Islands (ANI's) experienced uplift (North Andaman and Mayabunder) and subsidence (South Andaman & Nicobar Islands). The altered geomorphology modified the tidal regime, which resulted in mangrove degradation in their current locations and the formation of new intertidal zones potential for mangrove colonization. Avicennia species; a pioneer in mangrove succession was expected to colonize such new intertidal zones. Therefore, to understand the colonization pattern of Avicennia species in these new intertidal zones and their distribution in the old forests, we surveyed 79 sites across ANI's (55 Andaman and 24 Nicobar Islands). Our survey confirms the presence of three Avicennia species namely A. marina, A. officinalis, and A. alba – a new distribution record to the ANI's. Further, A. marina was found to be the most widely distributed, and abundant among three Avicennia species (Relative Abundance (RA) – 97.92%; Relative Frequency (RF) – 68.75%). In contrast, A. officinalis (RA – 1.93%; RF – 26.25%) and A. alba (RA – 0.16%; RF – 5%) were found limited in their distribution and abundance. As per the IUCN Red List, the Avicennia population is decreasing globally, whereas, its population may increase significantly across ANI's due to the availability of vast new intertidal zones. Hence, Avicennia spp. can be utilized in the plantation programs to facilitate rapid colonization in the unvegetated potential mangrove habitats across ANI's. Such an effort will improve the mangrove ecosystem services that were hampered due to mangrove degradation by the 2004 tsunami.
We show that every definable subset of an uncountably categorical pseudofinite structure has pseudofinite cardinality which is polynomial (over the rationals) in the size of any strongly minimal subset, with the degree of the polynomial equal to the Morley rank of the subset. From this fact, we show that classes of finite structures whose ultraproducts all satisfy the same uncountably categorical theory are polynomial R-mecs as well as N-dimensional asymptotic classes, where N is the Morley rank of the theory.
We have performed numerical simulations to investigate the phenomenon of axial pattern formation exhibited by a non-neutrally buoyant concentrated suspension. Continuum modelling of the concentrated suspension is done using the suspension balance model to identify the underlying mechanism of the phenomenon. We demonstrate that axial concentration variations become amplified to axial bands owing to the influence of the second normal stress difference ($N_2$), and the first normal difference ($N_1$) accentuates the effect of $N_2$. We demonstrate that the end walls of the rotating cylinder are necessary to prevent the smearing out of axial bands but are not a direct cause of the phenomenon.
This study investigates the influence of suspended kelp farms on ocean mixed layer hydrodynamics in the presence of currents and waves. We use the large eddy simulation method, where the wave effect is incorporated by solving the wave-averaged equations. Distinct Langmuir circulation patterns are generated within various suspended farm configurations, including horizontally uniform kelp blocks and spaced kelp rows. Intensified turbulence arises from the farm-generated Langmuir circulation, as opposed to the standard Langmuir turbulence observed without a farm. The creation of Langmuir circulation within the farm is attributed to two primary factors depending on farm configuration: (i) enhanced vertical shear due to kelp frond area density variability, and (ii) enhanced lateral shear due to canopy discontinuity at lateral edges of spaced rows. Both enhanced vertical and lateral shear of streamwise velocity, representing the lateral and vertical vorticity components, respectively, can be tilted into downstream vorticity to create Langmuir circulation. This vorticity tilting is driven by the Craik–Leibovich vortex force associated with the Stokes drift of surface gravity waves. In addition to the farm-generated Langmuir turbulence, canopy shear layer turbulence is created at the farm bottom edge due to drag discontinuity. The intensity of different types of turbulence depends on both kelp frond area density and the geometric configuration of the farm. The farm-generated turbulence has substantial consequences for nutrient supply and kelp growth. These findings also underscore the significance of the presence of obstacle structures in modifying ocean mixed layer characteristics.
From the early 1960s to the early 1990s, a range of concerns about “brainwashing” in youth reeducation programs obfuscated professional and political discourse, influencing key outcomes that shaped the development of the troubled-teen industry in the United States. The most significant historical developments related to this controversy involved three different youth programs. In response to accusations of “brainwashing,” program executives created elaborate counterarguments and public-relations campaigns. Instead of working to address inherent risks associated with therapeutic reeducation, the brainwashing label obscured the potential for harm and enabled an unethical teen program industry.
An extensive experimental investigation was undertaken to control the flow and noise characteristics influenced by vortex shedding from a circular cylinder by implementing air blowing at the base of the cylinder. The study synchronised near-field pressure and far-field noise measurements with the wake velocity field to understand the noise reduction mechanism of base blowing. Surface pressure fluctuations were measured using pressure taps distributed around the cylinder's circumference through a remote-sensing method, while velocity measurements were obtained using planar particle image velocimetry at the midspan to examine the flow dynamics. The study unveiled the crucial role of near-field pressure, particularly induced at the shoulders of the cylinder, in generating far-field noise. The rapid vertical flow movement, arising from the interaction between shear layers, was identified as a mechanism responsible for inducing surface pressure fluctuations. This phenomenon occurred as high-momentum fluid moved from the free stream into the interior of the vortex-formation region. By applying base blowing, a remarkable reduction in both near-field pressure and far-field noise was achieved at the fundamental vortex-shedding frequency, with reductions of approximately 20 and 25 dB, respectively, compared with the baseline. Additionally, base blowing caused the shear layers to roll up farther downstream than in the baseline by decreasing the entrainment of fluid-bearing opposite vorticity by the shear layer upstream of the growing vortex. Consequently, there was a substantial decrease in turbulent kinetic energy and Reynolds stress near the cylinder, resulting in slower vertical flow movement and weaker near-field pressure.