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The aims of the present study were to assess secular trends in breast-feeding and to explore associations between age at introduction of solid foods and breast-feeding duration. Data from three national dietary surveys in Norway were used, including infants born in 1998 (Spedkost 1, n 1537), 2006 (Spedkost 2, n 1490) and 2018 (Spedkost 3, n 1831). In all surveys, around 80 % of the infants were breastfed at 6 months of age. At 12 months of age, breast-feeding rate was 41 % in Spedkost 1, increasing to 48 % in Spedkost 2 and 51 % in Spedkost 3. Compared with earlier introduction, introduction of solid foods at ≥ 5 months of age was associated with a lower risk of breast-feeding cessation during the first year of life in the two most recent Spedkost surveys. In Spedkost 2, the adjusted hazard ratio for breast-feeding cessation during the first year of life for those introduced to solid foods at ≥ 5 months of age was 0·43 (95 % CI (0·31, 0·60)), P < 0·001, while the corresponding number in Spedkost 3 was 0·44 (95 % CI (0·29, 0·67)), P < 0·001. In conclusion, breast-feeding at infant age 12 months increased over time. Introduction of solid foods at ≥ 5 months of age was positively associated with breast-feeding duration in the two most recent Spedkost surveys. As breast-feeding contributes to numerous health benefits for infant and mother, and possibly improved dietary sustainability in infancy, findings point to the importance of continued protection, support and promotion of breast-feeding.
The northern Adriatic Sea is an important foraging ground for the loggerhead sea turtle Caretta caretta (Linnaeus, 1758) within the Mediterranean Sea. Here, stranding patterns of loggerhead sea turtles were examined over a four-year period (2019–2022) along a short (17 km) stretch of the Italian coast south of the Po River delta. A total of 355 records (alive, n = 24; dead, n = 331) were analysed, and the curved carapace lengths (CCL, notch to tip, cm) mainly reflected large juveniles and sub-adults (average CCL = 57.2 cm; 95% CI = 55.6–58.7). The month of July was identified as the critical month with the highest number of strandings, mirroring migratory processes towards this area during warmer months. The number of stranded turtles•km−1 as well as the absolute number of strandings along the short stretch of the coast might suggest this area as the most impacted in the Mediterranean Sea. This research emphasizes that human activities in the waters south of the Po River delta, particularly trawl fishing, are the primary cause of loggerhead sea turtle strandings and that tracking stranding patterns can offer valuable information about the geographic ranges, seasonal movements, and life cycles of this species.
My aim in this article is to provide an account of practical judgement, for Kant, that situates it within his theory of judgement as a whole – particularly, with regards to the distinction between the determining and reflecting use of judgement. I argue that practical judgement is a kind of determining judgement, but also one in which reflecting judgement plays a significant role. More specifically, I claim that practical judgement arises from the cooperation of the reflecting power of judgement with the faculty of reason – the former assisting the latter in the application of its principle. I conclude by considering a possible role for feeling in practical judgement.
Sudden gains occur in a range of disorders and treatments and are of clinical and theoretical significance if they can shed light on therapeutic change processes. This study investigated the relationship between sudden gains in panic symptoms and preceding cognitive change during cognitive behavioural therapy (CBT) for panic disorder.
Method:
Participants with panic disorder completed in session measures of panic symptoms and catastrophic cognitions. Independent samples t-tests were used to compare the post-treatment score of those who met criteria for one or more sudden gain during treatment with those who did not, and to compare within-session cognitive change between pre-sudden gain sessions and the previous (control) session.
Results:
Twenty-two (42%) of 53 participants experienced a sudden gain during treatment. Participants demonstrating a sudden gain showed more improvement in panic symptoms from pre- to post-treatment than those without a sudden gain. The within-session cognitive change score in the pre-gain session was significantly greater than in the control session.
Conclusions:
Sudden gains occurred in individual CBT for panic disorder and within-session cognitive change was associated with sudden gains. This is consistent with the cognitive model of panic disorder and highlights how sudden gains can help to identify key change processes.
Because economic outcomes depend on private-sector expectations, central banks might be tempted to guide these by publishing projections of key macroeconomic variables. We find that optimal projections require misleading the public. Optimal non-misleading projections are time-inconsistent. Non-misleading time-consistent projections can only improve policy outcomes if the public’s forecasts are noisier, or inconsistent with implemented policy. Since the public only has incentives to be guided by policymakers’ projections when most vulnerable to being mislead, these cannot be trusted blindly. Consistent with this, we find statistically significant systematic deviations between FOMC projections and professional forecasts for US inflation and GDP growth.
In this article, I argue that Du Bois’s Japan—despite displaying his myopic failure to critique non-Western imperialism—served as a potential model for his reimagining transnational democratic leadership beyond Western-centric models and their legacies of White supremacy and democratic despotism. Du Bois’s reflections from the 1890s to the 1960s generally demonstrate a sustained, seven decade-long fluid commitment to realizing a vision of transnational leadership that was accountable to the democratic masses, whether in Asia, Africa, the United States, or elsewhere. Such reflections hold importance now (even as they did in Du Bois’s time) as we continue to grapple with the legacies of Western “democratic” dominance, especially in international institutions designed to facilitate global governance.
for several extended essential spectra $\widetilde {\sigma }_i$. In this work, we extend such theorems for the regularized functional calculus introduced by Haase [10, 11] assuming suitable conditions on $f$. At the same time, we answer in the positive a question made by Haase [11, Remark 5.4] regarding the conditions on $f$ which are sufficient to obtain the spectral mapping theorem for the usual extended spectrum $\widetilde \sigma$. We use the model case of bisectorial-like operators, although the proofs presented here are generic, and are valid for similar functional calculi.
Photographs of a single shark specimen (1040 mm in total length) caught in the Oyodo River estuary, Miyazaki Prefecture, Kyushu, Japan, by a recreational angler and uploaded to the social networking service Facebook, were identified as a juvenile specimen of the bull shark Carcharhinus leucas. The photographic record, now deposited in the Kanagawa Prefectural Museum of Natural History collection, represents the northernmost record of this species in the western Pacific Ocean. Although C. leucas is known to utilize primarily tropical estuarine habitats as nursery grounds, a few reports exist regarding the utilization of subtropical and warm-temperate latitude estuaries, as in this case. From the perspectives of species conservation and shark-bite mitigation in warm-temperate latitudes, further information on C. leucas occurrence around its northern distribution limit is required.
Post-operative pulmonary venous stenosis is a poor prognostic factor in single-ventricle haemodynamics. Implantation of a drug-eluting stent is a therapeutic option. However, due to their small size, they inevitably become inadequate as the patient grows. We present the first case, to the best of our knowledge, of the replacement of a small-diameter stent with a large-diameter stent during Fontan surgery.
The wetlands of the jalca ecoregion in the Andes of northern Peru form peat and play a major role in the hydrological ecosystem services of the ecoregion. Although peat is globally valued for carbon sequestration and storage, peatlands have not yet been mapped in the jalca. In this region, the Gocta waterfall, one of the 20 highest waterfalls in the world, depends on the jalca’s wetlands ecosystem. The local population depends on tourism to the waterfall and is concerned about preserving its drainage area. To inform conservation planning, in this study we delimited the drainage area of the Gocta waterfall and identified land tenure by applying Geographic Information System (GIS), remote sensing and participatory mapping techniques. Then, by classifying optical, radar and digital elevation models data, we mapped peatland in the jalca of the Gocta drainage area with an overall accuracy of 97.1%. Our results will inform conservation strategy in this complex area of communal, private and informal land tenure systems. At a regional level, this appears to be the first attempt at mapping peatlands using remote sensing imagery in the jalca ecoregion, and it represents a milestone for future efforts to map and conserve peatlands in other tropical mountain areas of the world.
Although manual-based treatments are widely available in mental health care, they are often not delivered according to protocol. Treatment-, therapist- and organizational-related determinants are known to affect therapist adherence to treatment protocols, and subsequently treatment success. This study examined which determinants are associated with therapist adherence to the Community Reinforcement Approach (CRA) manual, an evidence-based behavioural treatment programme commonly used in addiction care. Using a cross-sectional design, adherence to the CRA manual and potential contributing determinants were assessed through a self-report survey among therapists (N = 69) working in out-patient addiction care. Correlation analysis and backward stepwise regression analysis were used to examine which treatment-, therapist- and organizational-related determinants were associated with CRA adherence. Significant associations with self-reported CRA adherence were found for nine out of 16 determinants examined. Three independent determinants explained 43% of the variance in CRA manual adherence, namely compatibility with the working method therapists were used to, perceived outcome expectations, and perceived adoption of CRA procedures by colleagues. These determinants should be considered when implementing CRA in addiction care, for example by investing in training and taking into account therapists’ previous treatment experience. This also accounts for creating positive outcome expectations and the use of descriptive norms by making experiences explicit of therapists and teams that excel. Future research should investigate which other determinants contribute to therapists’ adherence and focus on clarifying causality between determinants and adherence.
Key learning aims
(1) To understand the importance of treatment, therapist and organizational determinants influencing therapist adherence to the CRA manual.
(2) To explain the three determinants that make the largest contribution to self-reported therapists’ adherence to the CRA manual, namely: compatibility with the working method, perceived outcome expectations, and perceived adoption of CRA procedures by colleagues.
(3) To reflect on the clinical implications regarding therapist training, implementation of manual-based treatments and future research.
The choking condition of a one-dimensional steady-state diabatic flow, with wall friction, of a perfect gas through a constant cross-section pipe has been analysed by applying a recent analytical solution. Such a choking condition can be achieved for an initially subsonic flow and a supersonic one, even when the heat flux goes from the fluid to the wall. Entropy–enthalpy diagrams have been analysed, and a universal choking condition for compressible diabatic flows with wall friction has been determined. The analytical solution of a supersonic flow, in which a normal shock occurs, has been obtained for a diabatic flow with wall friction and compared with the results of a numerical model.