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.
When reading contemporary theories of distributive justice, one could easily get the impression that questions of fiscal design are normatively speaking merely instrumental for realizing the distributive ideal. Once the overall conception of justice is settled upon, questions of how the state should arrange its institutions and policies are settled if they effectively and efficiently promote the preferred distribution. I argue that such pure instrumentalism is mistaken in the context of fiscal policy. As a result, there is nothing problematic or morally arbitrary about accepting domain-specific principles of fiscal justice.
Among the people who have been hailed for being particularly authentic are notorious liars. But this seems like a contradiction. Can you be authentic if you lie about what you value, believe, or feel? This brief article explores this question and the unique stances on honesty that different notions of authenticity take.
The venous blood test is a prevalent auxiliary medical diagnostic method. Venous blood collection equipment can improve blood collection’s success rate and stability, reduce the workload of medical staff, and improve the efficiency of diagnosis and treatment. This study proposed a rigid-flexible composite puncture (RFCP) strategy, based on which a small 7-degree-of-freedom (DOF) auxiliary venipuncture blood collection (VPBC) robot using a trocar needle was designed. The robot consists of a position and orientation adjustment mechanism and a RFCP end-effector, which can perform RFCP to avoid piercing the blood vessel’s lower wall during puncture. The inverse kinematics solution and validation of the robot were analyzed based on the differential evolution algorithm, after which the quintic polynomial interpolation algorithm was applied to achieve the robot trajectory planning control. Finally, the VPBC robot prototype was developed for experiments. The trajectory planning experiment verified the correctness of the inverse kinematics solution and trajectory planning, and the composite puncture blood collection experiment verified the feasibility of the RFCP strategy.
In the United States, emphasizing their families and talking about parenthood can be a potent strategy for political candidates as voters use information about a candidate’s family life to make assessments of the candidate’s personal attributes and issue competencies. We nonetheless know little about how a candidate’s race affects these assessments. We thus consider how Black women use and benefit from politicizing motherhood, and we argue that the unique intersectional identities of Black women shaped jointly by their race and gender can give Black women a stronger strategic advantage from highlighting motherhood compared to white women. Using both observational and experimental data, we apply this intersectional framework by examining motherhood messages. We identify the extent to which Black women rely on messages about motherhood and how voters respond. Our results show that Black women are just as likely to use motherhood messages relative to white women, and that Black women receive positive evaluations from voters from a message emphasizing motherhood. White and minority voters are equally likely to positively rate Black women who emphasize motherhood.
To examine the association of co-morbidity with home-time after acute stroke and whether the association is influenced by age.
Methods:
We conducted a province-wide study using linked administrative databases to identify all admissions for first acute ischemic stroke or intracerebral hemorrhage between 2007 and 2018 in Alberta, Canada. We used ischemic stroke-weighted Charlson Co-morbidity Index of 3 or more to identify those with severe co-morbidity. We used zero-inflated negative binomial models to determine the association of severe co-morbidity with 90-day and 1-year home-time, and logistic models for achieving ≥ 80 out of 90 days of home-time, assessing for effect modification by age and adjusting for sex, stroke type, comprehensive stroke center care, hypertension, atrial fibrillation, year of study, and separately adjusting for estimated stroke severity. We also evaluated individual co-morbidities.
Results:
Among 28,672 patients in our final cohort, severe co-morbidity was present in 27.7% and was associated with lower home-time, with a greater number of days lost at younger age (−13 days at age < 60 compared to −7 days at age 80+ years for 90-day home-time; −69 days at age < 60 compared to −51 days at age 80+ years for 1-year home-time). The reduction in probability of achieving ≥ 80 days of home-time was also greater at younger age (−22.7% at age < 60 years compared to −9.0% at age 80+ years). Results were attenuated but remained significant after adjusting for estimated stroke severity and excluding those who died. Myocardial infarction, diabetes, and cancer/metastases had a greater association with lower home-time at younger age, and those with dementia had the greatest reduction in home time.
Conclusion:
Severe co-morbidity in acute stroke is associated with lower home-time, more strongly at younger age.
In the United Kingdom, people living with dementia admitted to National Health Service (NHS) psychiatric/mental health inpatient dementia assessment wards (dementia assessment wards) are nearly always compulsorily detained under a section of the Mental Health Act 1983 owing to the risk and complexity of the presenting condition. As such, dementia assessment wards admit some of the most vulnerable patients in society, yet these environments of care are under-researched and under-reported in the literature. Using care aesthetics as an overarching explanatory lens, this article focuses on the care of one patient (Charlotte – not her real name) resident on a dementia assessment ward and uses a range of qualitative methods to illuminate that experience, including ethnographic observations and a care record review. To further develop the reach of the case study, interviews were also conducted with Charlotte's husband as her main family carer and key ward staff involved in Charlotte's care. Data were analysed using a sensory and narrative-based method to provide a sequential, embodied, individually positioned and storied account of Charlotte's care and interpreted experience on the ward. The analysis revealed that Charlotte's presentation of dementia was complex insofar as she resisted any attempt by the ward staff to offer her food or drink or to help with washing and dressing. Charlotte also swore frequently and loudly and spent time actively ‘watching’ and ‘looking’ at people and the environment in which she was now living. The findings contribute to the fields of critical dementia studies, dementia education, health-care practice and policy making, and may be used to highlight the value of sensory and embodied approaches to capturing a caring dynamic.
A neural-network-based large eddy simulation is performed for flow over a circular cylinder. To predict the subgrid-scale (SGS) stresses, we train two fully connected neural network (FCNN) architectures with and without fusing information from two separate single-frame networks (FU and nFU, respectively), where the input variable is either the strain rate (SR) or the velocity gradient (VG). As the input variables, only the grid-filtered variables are considered for the SGS models of G-SR and G-VG, and both the grid- and test-filtered variables are considered for the SGS models of T-SR and T-VG. The training data are the filtered direct numerical simulation (fDNS) data at $Re_d=3900$ based on the free-stream velocity and cylinder diameter. Using the same grid resolution as that of the training data, the performances of G-SR and G-VG (grid-filtered inputs) and T-SR-FU and T-VG-FU (grid- and test-filtered inputs with fusion) are better than those of the dynamic Smagorinsky model and T-SR-nFU and T-VG-nFU (grid- and test-filtered inputs without fusion). These FCNN-based SGS models are applied to untrained flows having different grid resolutions from that of training data. Although the performances of G-SR and G-VG are degraded, T-SR-FU and T-VG-FU still provide good performances. Finally, T-SR-FU and T-VG-FU trained at $Re_d = 3900$ are applied to higher-Reynolds-number flows ($Re_d = 5000$ and 10 000) and their results are also in good agreements with those of fDNS and previous experiment, indicating that adding the test-filtered variables and fusion increases the prediction capability even for untrained Reynolds number flows.
By introducing automation development into a labor search model, this paper obtains that the increasing importance of automation in production may be responsible for the reduction in job reallocation along the transitional dynamics path. In the long run, we find automation also increases the total unemployment rate and reduces overall labor force participation. In addition, decreasing any disparity between differently skilled labor is detrimental to job reallocation along the transitional dynamics path, and both the long-run total unemployment rate and overall labor market participation will fall. Nevertheless, appropriate government subsidy policies can improve business dynamics across the labor market.
As readers of this journal can attest to, although philosophers and economists are somewhat used to talking to and learning from each other, it tends to be the subset of philosophers working in decision theory, philosophy of science, and particular areas of ethics and political philosophy that contribute to our interdisciplinary field of research. The book that is the subject of this review symposium, Anna Mahtani’s The Objects of Credence (Oxford University Press, 2024), is a wonderful exemplar of what can be learned when a different branch of philosophy is brought to bear on central questions in this field. Both philosophers and economists talk about and work with credences, or degrees of belief, all the time. These are usually modelled as probabilities, which are in turn usually thought of as attaching to propositions. But it has long been argued by philosophers of language that propositions cannot be the objects of credence. Mahtani’s book is an investigation into all that begins to unravel once we accept this insight. The results have profound implications both for rational choice modelling and for welfare economics.
The Objects of Credence grew from a simple insight, which is that credence claims are opaque (or ‘hyperintensional’). This central idea can be illustrated using the following example:
(1) Tom has a high credence that George Orwell is a writer.
(2) Tom has a low credence that Eric Blair is a writer.
The California Department of Public Health (CDPH) reviewed 109 cases of healthcare personnel (HCP) with laboratory-confirmed mpox to understand transmission risk in healthcare settings. Overall, 90% of HCP with mpox had nonoccupational exposure risk factors. One occupationally acquired case was associated with sharps injury while unroofing a patient’s lesion for diagnostic testing.
Prehospital pediatric intubation is a potentially life-saving procedure in which paramedics are relied upon. However, due to the anatomical nature of pediatrics and associated adverse events, it is more challenging compared to adult intubation. In this study, the knowledge and attitude of paramedics was assessed by measuring their overall success rate and associated complications.
Methods:
An online search using PubMed, Scopus, Web of Science, and Cochrane CENTRAL was conducted using relevant keywords to include studies that assess success rates and associated complications. Studies for eligibility were screened. Data were extracted from eligible studies and pooled as risk ratio (RR) with a 95% confidence interval (CI).
Results:
Thirty-eight studies involving 14,207 pediatrics undergoing intubation by paramedics were included in this study. The prevalence of success rate was 82.5% (95% CI, 0.745-0.832) for overall trials and 77.2% (95% CI, 0.713-0.832) success rate after the first attempt. By subgrouping the patients according to using muscle relaxants during intubation, the group that used muscle relaxants showed a high overall successful rate of 92.5% (95% CI, 0.877-0.973) and 79.9% (95% CI, 0.715-0.994) success rate after the first attempt, more than the group without muscle relaxant which represent 78.9% (95% CI, 0.745-0.832) overall success rate and 73.3% (95% CI, 0.616-0.950) success rate after first attempt.
Conclusion:
Paramedics have a good overall successful rate of pediatric intubation with a lower complication rate, especially when using muscle relaxants.
In October 2022 the Church of England commissioned an examination of the impact of the debate on same-sex blessing and same-sex marriage within other Anglican Churches. The examination involved a literature search, an original survey among key informers and a general internet search. This paper draws on the general internet search to contrast the impacts in New Zealand and Australia. Drawing on Jungian psychological type theory, this analysis employs the contrasting decision-making functions of feeling (concerned with subjective interpersonal values) and thinking (concerned with objective logical analysis). The data suggest that the feeling approach dominant in New Zealand, which prioritized offering space and time for those of differing opinions to meet together, reported more positive outcomes than the thinking approach dominant in Australia, which gave greater priority to adversarial debate.
When scholars have compared “African traditional religion” and “Western science,” they have often treated the terms of this comparison as racialized unitary entities, which are either radically different or somewhat similar (even as Western categories of rationality or nature remain the basis for these comparisons). This essay unsettles these assumptions by focusing on practices that are called “science” in the fields of both petroleum geology and Afro-Caribbean religion. Based on long-term ethnographic research in Trinidad, arguably the world’s oldest site of commercial oil extraction, I show how internal differences between those involved in “petroleum science” and “African religion” reveal a spectrum of meanings for the word “science” centered on relations to risk. At one end of this spectrum, science conveyed ideals of stable tradition that de-risked claims to knowledge for energy sector specialists intent on securing foreign investment or for “Yorubacentric” lineages of African religion centering initiation-based authority. At this spectrum’s other end, “science” foregrounded the risks of accessing hard-to-perceive forces in petroleum exploration or “spiritual work.” By focusing on heterogeneous practices rather than cultural essences or ideals of rationality, I show how the ethical implications of “science” depend on differing experiences of the risks of working with subterranean powers. While petroleum surveys at my field site in Trinidad required embodied risks by laborers, geologists backgrounded these contexts of power, representing the risks of their work as a problem of scientific accuracy. Afro-Trinidadian spiritual workers, in contrast, foregrounded the embodied risks of science as the ground of ethical practice.
Tappe Takhchar-Abad, near Birjand in south Khorasan, is a recently discovered and excavated almost circular adobe building with six towers, dating to the Achaemenid period. This article suggests that the architectural tradition of circular buildings and sites in the late Iron Age/Achaemenid period, in Greater Khorasan, apparently originated from Bactria in which most such sites have been reported.
In recent decades, populist parties and leaders have obtained great political success. Since populism plays on voter dissatisfaction with the political elite, we might expect that dissatisfaction with the welfare state should also play a role. In this study, we suggest measures to assess welfare state performance (WSP), and we examine how assessment of WSP helps to explain support for the populist political parties – both rightwing and leftwing. Our findings are based on the sixth round of European Social Survey data that has a special module on democracy, which includes questions that enables us to measure WSP. This article shows that WSP is a significant predictor in explaining support for populist parties, but the dynamics differ between how WSP influences support for leftwing populist (LWP) and rightwing populist (RWP) parties.
‘You are overthinking that!’ The article argues against the popular idea that too much of the activity of thinking is bad for individuals. Wrong thinking, I argue, is what is bad or unhealthy, irrespective of the length of time it is done for. Wrong thinking can lead to worrying, stress, and impedes practical action. But if thinking is done right, then you can't have too much of it.