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This study aimed to evaluate the association between parental and infant birth weights in Japan. In total, 37,504 pregnant Japanese women and their partners were included in this birth cohort study. A multinomial logistic regression model was used to evaluate the associations of parental birth weights with small-for-gestational-age (SGA) or large-for-gestational-age (LGA) infants. Associations between parental birth weight and low birth weight (LBW) infants or macrosomia were also examined, and linear associations between parental birth weight and SGA or LGA were found. The adjusted odds ratios (aORs) for SGA infants per 500 g decrease in maternal and paternal birth weights were 1.50 (95% confidence interval [CI],1.43–1.58) and 1.31 (95% CI, 1.25–1.38), respectively. The aORs for LGA infants per 500 g increase in maternal and paternal birth weights were 1.53 (95% CI, 1.47–1.60) and 1.41 (95% CI, 1.35–1.47), respectively. The association between parental birth weight and LBW infants or macrosomia was also linear. The aORs for LBW infants per 500 g decrease in maternal and paternal birth weights were 1.47 (95% CI, 1.40–1.55) and 1.25 (95% CI, 1.19–1.31), respectively. The aORs for macrosomia per 500 g increase in maternal and paternal birth weights were 1.59 (95% CI, 1.41–1.79) and 1.40 (95% CI, 1.23–1.60), respectively. Parental birth weight was found to be associated with infant birth weight even after adjusting for various parental factors. Furthermore, maternal birth weight was more strongly associated with infant birth weight than with paternal birth weight.
We report a case of iatrogenic left pulmonary artery–left atrial appendage fistula following percutaneous transluminal angioplasty for residual pulmonary artery stenosis in an 11-year-old boy. This rare complication could have been predicted by understanding the anatomical relationship of these structures. In this study, simulation using three-dimensional printing greatly contributed to successful stent placement.
This article designs a robotic Chinese character writing system that can resist random human interference. Firstly, an innovative stroke extraction method of Chinese characters was devised. A basic Chinese character stroke extraction method based on cumulative direction vectors is used to extract the components that make up the strokes of Chinese characters. The components are then stitched together into strokes based on the sequential base stroke joining method. To enable the robot to imitate handwriting Chinese character skills, we utilised stroke information as the demonstration and modelled the skills using dynamic movement primitives (DMPs). To suppress random human interference, this article combines improved DMPs and conductance control to adjust robot trajectories based on real-time visual measurements. The experimental results show that the proposed method can accurately extract the strokes of most Chinese characters. The designed trajectory adjustment method offers better smoothness and robustness than direct rotating and translating curves. The robot is able to adjust its posture and trajectory in real time to eliminate the negative impacts of human interference.
Children differ substantially in their sensitivity to the quality of their environment. Some are more sensitive and more likely to develop Post-Traumatic Stress Disorder (PTSD) in response to Childhood Adversities (CAs), but might also benefit more from Positive Home Experiences (PHE). The aim of this study is to investigate the role of Environmental Sensitivity (ES), CAs and PHEs in PTSD development in children and adolescents. Data was collected from N = 2,569 children/adolescents. PTSD symptoms, CAs, PHEs and ES were assessed with self-report measures. We found that higher ES and CAs emerged as risk factors for PTSD development whereas higher levels of PHEs protected against PTSD. ES moderated the effects of CAs (β = 1.08, p < .001) on PTSD symptoms in the total sample. This moderating effect was more pronounced in girls, suggesting that highly sensitive girls with high childhood adversities were more likely to have higher PTSD symptoms than girls with low levels of sensitivity (β = 1.09, p < .001). In conclusion, Environmental Sensitivity played an important role as a risk factor for PTSD and as a moderating factor that accentuated the main effects of childhood adversities, particularly in girls.
The colluvium and saprolite deposits in the Fran Ali area (Oued Laou, northern Morocco) constitute the main source of raw materials used in traditional pottery. These materials are becoming scarce, however, so alternative materials with the same characteristics are needed; this would ensure the sustainability of pottery activities in the area. The objective of the present study was to examine ten representative samples of clayey materials extracted from the Fran Ali area, i.e. the Ikhadimene, Dar Haddoune, Ihadounene, Aqqbat Ajjoua, and Isalahene sites. The geological materials consist mainly of grayish to brownish phyllites, thin layers of yellowish clay, thicker intervals of reddish-yellow soils ranging in depth from 1 to 4 m, and reddish colluvium soils. The physical properties of these materials were determined using semi-wet sieving and Atterberg limit tests, while chemical, mineralogical, and thermal properties were obtained from the methylene blue test (MBT), the calcimetry test, X-ray fluorescence spectrometry (XRF), X-ray diffraction (XRD), and thermogravimetric and differential thermal (TGA/DTGA) analysis. The results suggest that the soils contain 21–35% clay, 28–34% silt, and 37–52% sand. They are moderately plastic, with methylene blue adsorption capacities ranging from 3 to 7% and minimal CaCO3 carbonate contents (1–4%). Samples are dominated by SiO2 (51–57%), Al2O3 (17–21%), and Fe2O3 (8–10%). Mineralogically, they are composed of illite (19–27%), chlorite (0–22%), kaolinite (5–9%), and quartz (29–32%). Thermal analysis showed a relatively large mass loss of ~10%. The samples are deemed to be moderately plastic. The results indicate that this raw material is acceptable for pottery fabrication, given the small proportion of irregular interlayer content and its average geotechnical properties. In addition, extraction of the colluvium material is not sustainable because of the relative scarcity of the material. Given the mineralogical similarity between the weathered layers (colluvium) and their parent rock (shales), the present results suggest that the latter is a suitable alternative to the former.
For $s_1,\,s_2\in (0,\,1)$ and $p,\,q \in (1,\, \infty )$, we study the following nonlinear Dirichlet eigenvalue problem with parameters $\alpha,\, \beta \in \mathbb {R}$ driven by the sum of two nonlocal operators:
where $\Omega \subset \mathbb {R}^d$ is a bounded open set. Depending on the values of $\alpha,\,\beta$, we completely describe the existence and non-existence of positive solutions to (P). We construct a continuous threshold curve in the two-dimensional $(\alpha,\, \beta )$-plane, which separates the regions of the existence and non-existence of positive solutions. In addition, we prove that the first Dirichlet eigenfunctions of the fractional $p$-Laplace and fractional $q$-Laplace operators are linearly independent, which plays an essential role in the formation of the curve. Furthermore, we establish that every nonnegative solution of (P) is globally bounded.
Spermatogenesis is a developmental process driven by interactions between germ cells and Sertoli cells. This process depends on appropriate gene expression, which might be regulated by transcription factors. This study focused on Rreb1, a zinc finger transcription factor, and explored its function and molecular mechanisms in spermatogenesis in a mouse model. Our results showed that RREB1 was predominantly expressed in the Sertoli cells of the testis. The decreased expression of RREB1 following injection of siRNA caused impaired Sertoli cell development, which was characterized using a defective blood–testis barrier structure and decreased expression of Sertoli cell functional maturity markers; its essential trigger might be SMAD3 destabilization. The decreased expression of RREB1 in mature Sertoli cells influenced the cell structure and function, which resulted in abnormal spermatogenesis, manifested as oligoasthenoteratozoospermia, and we believe RREB1 plays this role by regulating the transcription of Fshr and Wt1. RREB1 has been reported to activate Fshr transcription, and we demonstrated that the knockdown of Rreb1 caused a reduction in follicle-stimulating hormone receptor (FSHR) in the testis, which could be the cause of the increased sperm malformation. Furthermore, we confirmed that RREB1 directly activates Wt1 promoter activity, and RREB1 downregulation induced the decreased expression of Wt1 and its downstream polarity-associated genes Par6b and E-cadherin, which caused increased germ-cell death and reduced sperm number and motility. In conclusion, RREB1 is a key transcription factor essential for Sertoli cell development and function and is required for normal spermatogenesis.
Although there are numerous studies showing the significance of clientelism in the electoral mobilization of the poor in Turkey, scant attention has been paid on the specific clientelistic strategies employed by the Justice and Development Party (Adalet ve Kalkınma Partisi; AKP) among the Kurdish population in İstanbul. Addressing this gap, this study focuses on the AKP’s clientelist politics among Kurdish voters in Bağcılar, a lower-income district on the European side of İstanbul. Drawing on fieldwork, this study argues that the AKP successfully mobilizes Kurdish voters through machine politics and relational clientelism, which are facilitated by co-ethnic brokerage and intermediary linkages. By analyzing different modalities of Kurdish brokers – Kurdish (male) entrepreneurs, Kurdish housewives and Kurdish associations – the study discloses the intricate dynamics of the AKP’s clientelist–machine politics at the local level. It reveals that the AKP’s co-ethnic brokers not only distribute material benefits but also cultivate enduring personal relationships with Kurdish voters, providing problem-solving networks for the Kurdish poor in everyday life. The AKP’s co-ethnic brokerage relations foster trust, care, solidarity, and affectivity among Kurds. The study concludes that the AKP employs both material and symbolic dimensions of clientelism to mobilize the Kurdish electorate in İstanbul.
Based on an integrative approach, this study describes a new species of Urocleidoides infesting Schizodon nasutus in the Paranapanema River basin, Brazil. The new species can be distinguished from its congeners by specific morphological features, including the shape of the male copulatory organ and accessory piece, the ventral bar shape, and the shape and size of the hooks. Molecular analyses, particularly of the 28S rDNA gene, suggest a close relationship between the new species and Urocleidoides paradoxus. The phylogenetic and taxonomic arrangement of Urocleidoides is discussed, as the analyses of the 28S rDNA and COI mtDNA resolved the genus as non-monophyletic, with Diaphorocleidus, Rhinoxenus, and Cacatuocotyle nested within it. Additional morphological and molecular data of other congeneric species are required to investigate the phylogenetic position and classification of Urocleidoides. This study underscores the significance of using integrative approaches in understanding host–parasite associations and phylogenetic relationships, contributing to the description of the freshwater fish parasite biodiversity in South America, particularly in the Paranapanema river basin.
“Ecological validity” (EV) is classically defined as test’s ability to predict real-world functioning, either alone or together with test’s similarity to real-world tasks. In neuropsychological literature on assessment of executive functions (EF), EV is conceptualized inconsistently, leading to misconceptions about the utility of tests. The goal of this systematic review was to examine how EV is conceptualized in studies of EF tests described as ecologically valid.
Method:
MEDLINE and PsychINFO Databases were searched. PRISMA guidelines were observed. After applying inclusion and exclusion criteria, this search yielded 90 articles. Deductive content analysis was employed to determine how the term EV was used.
Results:
About 1/3 of the studies conceptualized EV as the test’s ability to predict functional outcomes, 1/3 as both the ability to predict functional outcome and similarity to real-world tasks, and 1/3 were either unclear about the meaning of the term or relied on notions unrelated to classical definitions (e.g., similarity to real-world tasks alone, association with other tests, or the ability to discriminate between populations).
Conclusions:
Conceptualizations of the term EV in literature on EF assessment vary grossly, subsuming the notions of criterion, construct, and face validity, as well as sensitivity/specificity. Such inconsistency makes it difficult to interpret clinical utility of tests that are described as ecologically valid. We call on the field to require that, at minimum, the term EV be clearly defined in all publications, or replaced with more concrete terminology (e.g., criterion validity).
On the basis of Poincaré and Weyl’s view of predicativity as invariance, we develop an extensive framework for predicative, type-free first-order set theory in which $\Gamma _0$ and much bigger ordinals can be defined as von Neumann ordinals. This refutes the accepted view of $\Gamma _0$ as the “limit of predicativity”.
The Halpern–Läuchli theorem, a combinatorial result about trees, admits an elegant proof due to Harrington using ideas from forcing. In an attempt to distill the combinatorial essence of this proof, we isolate various partition principles about products of perfect Polish spaces. These principles yield straightforward proofs of the Halpern–Läuchli theorem, and the same forcing from Harrington’s proof can force their consistency. We also show that these principles are not ZFC theorems by showing that they put lower bounds on the size of the continuum.
The mysterious disappearance of HMS Erebus and HMS Terror while searching for the Northwest Passage under the leadership of Sir John Franklin in the 1840s led to more than thirty different expeditions seeking to find the lost ships and their 129-man crews. It also fostered the first and only use of wild animals as a means of communication in such a rescue operation. Since covering the vast search areas was challenging, if not impossible during sub-freezing winter conditions, some of the would-be rescuers turned to Arctic foxes as couriers of information that they hoped might direct the lost explorers to safety. Based on excerpts from the participants’ diaries and published reports from the period, and on the physical evidence that survives, this paper describes the role Arctic foxes were asked to play in one of the greatest (unsuccessful) rescue efforts ever undertaken in the Far North.
Malnutrition is a major problem among older adults with type 2 diabetes mellitus (T2DM). Some studies suggest that well glycaemic control increases the risk of frailty due to reduced intake. Therefore, it could be hypothesised that adequate glycaemic controlled patients may be at risk of malnutrition. This study aimed to examine, in older adults with T2DM, the association between adequate glycaemic control and malnutrition as well as identify the risk factors for malnutrition. Data including general characteristics, health status, depression, functional abilities, cognition and nutrition status were analysed. Poor nutritional status is defined as participants assessed with the Mini Nutritional Assessment as being at risk of malnutrition or malnourished. Adequate glycaemic control refers to an HbA1c level that meets the target base in the American Diabetes Association 2022 guidelines with individualised criteria. There were 287 participants with a median (interquartile range) age of 64 (61–70) years, a prevalence of poor nutrition, 15 %, and adequate glycaemic control, 83·6 %. This study found no association between adequate glycaemic control and poor nutrition (P = 0·67). The factors associated with poor nutritional status were low monthly income (adjusted OR (AOR) 4·66, 95 % CI 1·28, 16·98 for income < £118 and AOR 7·80, 95 % CI 1·74, 34·89 for income £118–355), unemployment (AOR 4·23, 95 % CI 1·51, 11·85) and cognitive impairment (AOR 5·28, 95 % CI 1·56, 17·93). These findings support the notion that older adults with T2DM should be encouraged to maintain adequate glycaemic control without concern for malnutrition, especially those who have low income, unemployment or decreased cognitive functions.
Nutritional requirements of individuals vary across the lifecycle, according to activity, age and gender. To optimize human health, consideration of nutritional priorities at each stage is needed. This conference brought together multidisciplinary experts in maternal and child nutrition and health, cardiometabolic and plant-based nutrition and dietitians involved in the care of vulnerable populations, plus nutritional metabolism, health and ageing. The presentations highlighted the most important nutrition research in these areas, updating knowledge and suggesting how dietary advice and policy could be adapted to incorporate research findings. With the global increase in non-communicable disease (NCD) and nutrition being considered as a key modifiable risk factor for the prevention and management of NCD, this conference was much needed.
For some 20 years, science funding bodies have been asking for the integration of sex- and gender-related factors into the content of research and innovation. The rationale for those requirements has been the accumulated evidence that sex and gender are important determinants of health and disease. The European Commission (EC) has been the first, since 2002, to seriously ask for the integration of sex and gender into research and innovation in the context of their multi-annual framework programmes. When introduced, this condition was not immediately applauded by the research community, who perhaps lacked training in methods for the integration of sex- and gender-related factors. The EC Expert Group on Gendered Innovations sought to fill this gap. This review describes the work of this international collaborative project which has resulted in the development of general and field-specific methods for sex and gender analysis and 38 case studies for various research domains (science, health and medicine, environment, engineering) to illustrate how, by applying methods of sex and gender analysis, new knowledge could be created. Since 2010, science funding bodies in Canada, the USA and several EU member states have followed the example of the EC issuing similar conditions. Although the effects of nutritional patterns on a range of (physiological and health) outcomes may differ for men and women, sex and gender analyses are rarely conducted in nutrition research. In this review, we provide examples of how gender is connected to dietary intake, and how advancing gender analysis may inform gender-sensitive policies and dietary recommendations.
This study analyses outcomes for 660 patients managed via a novel telescopic pathway for suspected head and neck cancer referrals.
Method
Data were collected prospectively between January 2021 and December 2022, capturing all two-week-wait referrals triaged as low risk and managed via a nurse-led clinic for nasendoscopic examination and consultant-led remote assessment.
Results
In total, 660 patients were included. There were six head and neck cancers diagnosed, giving a conversion rate of 0.9 per cent. Mean (standard deviation) time to informing the patient whether they did or did not have cancer (28-day faster diagnosis standard) was 28.6 days (20.2), with no significant difference observed in patients imaged prior to review (p = 0.63). No missed cancers were detected in the follow-up period.
Conclusion
Low-risk head and neck cancer referrals can be safely managed in a nurse-led clinic for recorded examination with asynchronous consultant-led management. Further work is required to ensure adherence to the new faster diagnosis standard.