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Marshall Hodgson has been rightly admired for his vast contributions in the fields of both Islam and world history. Despite the many decades since the publication of his works on these topics, his ideas have largely survived the test of time and continue to be influential. There are two respects, however, in which Hodgson's ideas appear to have been fundamentally flawed—namely, his notion of cultural cores versus peripheries in the Islamic world, and his understanding of modernity. This article explores both of these themes.
The COVID-19 pandemic significantly increased the challenges faced by families affected by dementia, leading to an immediate increase in both the number of calls received by Dementia UK's Admiral Nurse Dementia Helpline and the levels of distress and complexity of the calls. Consequently, Admiral nurses experienced feelings of helplessness, echoed in the experiences of other health professionals. One of the approaches that enabled Admiral nurses to cope during this time was ‘hope’, and this article explores the use of hope-based approaches as tools for working therapeutically with families during the pandemic. Although written from the perspective of Admiral nurses, the approaches described are transferable to others working across health and social care. The article provides an overview of one of the main models of hope in the healthcare literature, Snyder's hope model, and explores the literature on hope more widely. Fictitious case vignettes, drawn from clinical practice during the pandemic, are used to illustrate how hope-based approaches can be applied to practice.
The political implications of population aging for democratic systems are fundamental. Questions of democratic legitimacy are raised as the political equilibrium between the generations is upended. Drawing on evidence from liberal democracies with a focus on Japan, the democracy with the oldest electorate, we identify and analyze three demographic effects on the political system: participation effects deriving from younger voters’ marginalization among the electorate; representation effects demonstrated by the dominance of elderly lawmakers inside the parliament and government; and policy effects manifesting in a preference for policies catering to an aging majority. By breaking down these key effects and contextualizing them in broader debates of political demography, we call attention to the normative repercussions of the interplay between demography and democracy and make a case for enhanced generational pluralism.
We consider high Reynolds number supersonic flow over a compression ramp in the triple-deck formulation. Previous studies of compression-ramp stability have shown rapid growth of high-frequency disturbances in initial-value computations; however, no physical or numerical origin has yet been identified robustly. By considering linear perturbations to steady compression-ramp solutions, we show that instabilities observed in previous studies do not have a growth rate that is described by the integral eigenrelation of Tutty & Cowley (J. Fluid Mech., vol. 168, 1986, pp. 431–456) for a (long-wave) Rayleigh instability. We solve both the temporal and spatial instability problems in the limit of asymptotically large wavenumber $K$ (or equivalently frequency) and show that the growth rate of the instability remains $o(K)$, being dominated by higher-order terms in the expansion at moderate ramp angles.
An increasing number of young people are experiencing mental health difficulties and schools have been identified as environments that can support them. However, it is unclear how students feel about the current supports in school and whether they are used. The aim of this study is to explore the perceptions of young people in Irish post-primary schools regarding mental health and well-being supports in schools.
Methods:
An online survey was conducted with (n=109) young people to determine the perceptions of mental health and well-being supports in post-primary Irish schools. Using a convenience sampling method, an online survey was distributed via gatekeepers in local youth and sporting groups. Data collection was completed using the Barriers to Seeking Help-brief version (BASH-B) and additional tailored questions.
Results:
Qualities like being ‘trustworthy’ and ‘a good listener’ were reported as key for adults to be considered a good support in schools. Current mental health and well-being supports were not considered adequate with 65.1% of the participants feeling ‘somewhat supported’ and 22.9% feeling ‘not at all supported’.
Conclusions:
Better advertising of mental health support services should be implemented in schools to promote awareness. This study can inform the development of such services which are urgently needed.
Engineering flow systems operating under low pressures and/or at the micro/nano scale generally include a physically adsorbed gas layer next to the surface. In this paper, we develop a scattering kernel that accounts for the effect of adsorption, arising from van der Waals interactions, on the dynamics of molecules impinging on solid smooth surfaces. In the limit of low bulk density, surface adsorption becomes negligible and the scattering kernel recovers consistently the Cercignani–Lampis model, which best describes molecular collisions with a clean, smooth surface. In the limit of high bulk density, a dense adsorbed molecular layer forms next to the surface and its presence is picked up by the Maxwell model with complete diffuse reflection, which better captures the multiple collisions suffered by molecules. A weight coefficient based on the Langmuir adsorption isotherm is incorporated into the modelling to handle the transition between these two limiting conditions of low and high densities. The proposed model is validated against high-fidelity molecular dynamics simulations that are performed for a variety of gas–surface combinations and adsorbed molecular layers with different densities. It is shown that the proposed model very well captures the scattering patterns of beams of gas molecules at different velocities impinging on surfaces, as well as momentum and energy accommodation coefficients in the entire range of explored conditions.
Women with a history of preeclampsia (PE) have a greater risk of pulmonary arterial hypertension (PAH). In turn, pregnancy at high altitude is a risk factor for PE. However, whether women who develop PE during highland pregnancy are at risk of PAH before and after birth has not been investigated. We tested the hypothesis that during highland pregnancy, women who develop PE are at greater risk of PAH compared to women undergoing healthy highland pregnancies. The study was on 140 women in La Paz, Bolivia (3640m). Women undergoing healthy highland pregnancy were controls (C, n = 70; 29 ± 3.3 years old, mean±SD). Women diagnosed with PE were the experimental group (PE, n = 70, 31 ± 2 years old). Conventional (B- and M-mode, PW Doppler) and modern (pulsed wave tissue Doppler imaging) ultrasound were applied for cardiovascular íííassessment. Spirometry determined maternal lung function. Assessments occurred at 35 ± 4 weeks of pregnancy and 6 ± 0.3 weeks after birth. Relative to highland controls, highland PE women had enlarged right ventricular (RV) and right atrial chamber sizes, greater pulmonary artery dimensions and increased estimated RV contractility, pulmonary artery pressure and pulmonary vascular resistance. Highland PE women had lower values for peripheral oxygen saturation, forced expiratory flow and the bronchial permeability index. Differences remained 6 weeks after birth. Therefore, women who develop PE at high altitude are at greater risk of PAH before and long after birth. Hence, women with a history of PE at high altitude have an increased cardiovascular risk that transcends the systemic circulation to include the pulmonary vascular bed.
To avoid rhythm disturbance, sutures for ventricular septal defect closure have been traditionally placed 2∼5 mm or more away from the edge of the ventricular septal defect. However, the traditional suturing method appears to induce right bundle branch block and tricuspid valve regurgitation after ventricular septal defect closure more than our alternative technique, shallow suturing just at the edge of the ventricular septal defect (shallower bites at the postero-inferior margin). We aimed to verify our clinical experience of perimembranous ventricular septal defect repair.
Methods:
The alternative shallow suturing method has been applied since 2003 at our institution. We retrospectively reviewed the clinical data of 556 isolated perimembranous ventricular septal defect patients who underwent surgical closure from 2000 to 2019. We investigated the postoperative occurrence of right bundle branch block or progression of tricuspid regurgitation and analysed risk factors for right bundle branch block and tricuspid regurgitation.
Results:
Traditional suturing method (Group T) was used in 374 cases (66.8%), and alternative suturing method (Group A) was used in 186 cases (33.2%). The right bundle branch block occurred more frequently in Group T (39.6%) than in Group A (14.9%). In multivariable logistic regression analysis, Group T and patch material were significant risk factors for late right bundle branch block. More patients with progression of tricuspid regurgitation were found in Group T.
Conclusions:
Shallow suturing just at the edge of the ventricular septal defect may reduce the rate of right bundle branch block occurrence and tricuspid regurgitation progression without other complications.
In contrast to the well-studied shopkeepers, little empirical evidence exists on the locational patterns of artisans in transforming urban spaces. By GIS mapping a dataset on Brussels construction entrepreneurs (c. 1830–1930), long-term changes in their patterns of spatial clustering and dispersal become clear, showing which urban areas provided advantageous conditions for artisans to thrive, but also how and when these conditions subsided. While confirming earlier observations of a broad scattering of artisans throughout the city, the analysis also shows how remarkable clusters emerged in cheap, densely built, both central and suburban neighbourhoods. The importance of clustering decreased over time, however. Confronting locational patterns with their potential underlying causes shows that planning policies for the renewal of urban infrastructure and the resulting dynamics on the real estate market acted as the first drivers of urban de-industrialization, affecting the displacement of artisans from inner cities since at least the late nineteenth century.
Short-term fluctuations in atmospheric radiocarbon (14C) concentration mark the tree-ring record for the last ∼15 kyr. Terrestrial macrofossils from sediment cores of Lake Suigetsu, Japan, extend this record of fluctuations back to >35 cal ka BP. Their significance, however, is under debate since the signal-to-noise ratio of the Suigetsu record is low and progressively decreases with increasing age. Coherent semi-millennial-scale structures of the Suigetsu 14C record have nevertheless been identified by three different techniques, namely visual inspection, analyses of the first derivative of 14C vs. calendar age, and Bayesian spline inflections of 14C concentration vs. calendar age, and hence appear objectively real. These 14C fluctuations correlate closely with those of the tree-ring-based 14C master record ∼10–14 cal ka. Thus, Suigetsu fine structures attain global significance and may properly reflect atmospheric 14C variability back to ∼35 cal ka. Carbonate-based 14C records from speleothems and ocean sediments are far smoother and form, together with Suigetsu and other data, the backbone of the IntCal20 record >14 cal ka that largely lacks the Suigetsu fine structure. 14C decay reduces 14C-signal amplitudes over time, so Holocene-style 14C signals of solar modulation disappear in the noise beyond ∼10 cal ka. The remaining older 14C fine structures had larger forcings, most likely linked to climate and carbon cycle, especially ocean-atmosphere CO2 exchange, and thus contain valuable information about these factors. They may also provide global stratigraphic tie points to correlate 14C records of oceanic plankton sediments and climate signals independent of problems with local 14C reservoir effects.
This study examines the learning processes that take place when upper secondary students apply and generate theories while drawing on their preferred music and writing songs of their own. One music theory teacher and two researchers collaborated to design an emergent sequence of lessons focusing on students’ interests, questions and creative work. Interpretive and musical analysis of students’ progress suggests that learning to theorise through modes and sounds from popular music was experienced as motivating, involved similar difficulties as traditional major/minor-based approaches, and resulted in original songs that the students enjoyed and were proud to perform for their peers.
The complexity of the human brain creates a spectrum of sophisticated behavioral repertoires, such as language, tool use, self-awareness, symbolic thought, cultural learning, and consciousness. Understanding how the human brain achieves that has been a longstanding challenge for neuroscientists and may bring insights into the evolution of human cognition and disease states. Human pluripotent stem cells could differentiate into specialized cell types and tissues in vitro. From this pluripotent state, it is possible to generate models of the human brain, such as brain organoids. The recent observation that brain organoids can spontaneously develop complex neural network activity in a dish can help one understand how neural network oscillations evolve and vary between normal and disease states. Moreover, this finding can be leveraged to other applications outside medicine, including engineering and artificial intelligence. However, as the brain model technology becomes more complex, it raises a series of ethical and moral dilemmas. This article discusses the status of this technology, some of its current limitations, and a vision of the future.
Fuzzy set qualitative comparative analysis (fsQCA) is a method for assessing the effects of configurations of variables leading to an outcome. The recent growth of interest in this technique in organizational psychology is proving this method to be an important tool for addressing new and decisive research hypotheses. However, the effectiveness of fsQCA is dictated not only by its general principles, but also by how well these are understood and applied in the research community. Consequently, a guide that covers the fundamental ideas and tenets of the approach is required to aid the research community in its comprehension and practical application. The current study seeks to offer an understanding of FsQCA by providing: (a) A complete description of the method highlighting some of the most important theoretical-methodological aspects; (b) a perspective on the most used guidelines and recommendations, and (c) step-by-step instructions on how to carry out FsQCA in R using the QCA package. Data from 120 employees and supervisors derived from a company based in central Italy were used o best to illustrate how to carry out fsQCA. Codes for conducting the analyses from the QCA package for R accompany the tutorial and can be adapted to a new dataset.
Antinatalism is an emerging philosophy and practice that challenges pronatalism, the prevailing philosophy and practice in reproductive matters. We explore justifications of antinatalism—the arguments from the quality of life, the risk of an intolerable life, the lack of consent, and the asymmetry of good and bad—and argue that none of them supports a concrete, understandable, and convincing moral case for not having children. We identify concentration on possible future individuals who may or may not come to be as the main culprit for the failure and suggest that the focus should be shifted to people who already exist. Pronatalism’s hegemonic status in contemporary societies imposes upon us a lifestyle that we have not chosen yet find almost impossible to abandon. We explicate the nature of this imposition and consider the implications of its exposure to different stakeholders with varying stands on the practice of antinatalism. Imposition as a term has figured in reproductive debates before, but the argument from postnatal, mental, and cultural imposition we launch is new. It is the hitherto overlooked and underdeveloped justification of antinatalism that should be solid and comprehensible enough to be used even by activists in support of their work.
“An extremely timely, thoughtful, and well-informed discussion in applied linguistics and beyond concerning open science. The essay seeks to engage with a broad audience and to dispel some of the persisting myths around open science and would be read fruitfully by many in the field”.
Health inequity scholars, particularly those engaged with questions of structural and systemic racism, are increasingly vocal about the limitations of “resilience.” This is true for Indigenous health scholars, who have pushed back against resilience as a descriptor of modern Indigeneity and who are increasingly using the term survivance. Given the growing frequency of survivance in relation to health, we performed a scoping review to understand how survivance is being applied in health scholarship, with a particular interest in its relationship to resilience. Results from 32 papers indicate that health scholars are employing survivance in relation to narrative, temporality, community, decolonization, and sovereignty, with varying degrees of adherence to the term’s original conception. Overwhelmingly, authors employed survivance in relation to historical trauma, leading us to propose the analogy: as resilience is to trauma, so survivance is to historical trauma. There may be value in further operationalizing survivance for health research and practice through the development of a unified definition and measurement tool, ensuring comparability across studies and supporting future strengths-based Indigenous health research and practice.