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Patients’ health outcomes can suffer as a result of poor knowledge and unfavorable attitude towards prehospital emergency care. The purpose of this study was to assess emergency health care providers’ (EHCPs’) knowledge, attitude, and associated factors towards prehospital care in selected prehospital Emergency Medical Service institutions in Addis Abeba, Ethiopia.
Methods:
An institutional-based cross-sectional study design was conducted among EHCPs working in the three selected prehospital emergency medical care centers in Addis Ababa. Data were collected using a standard self-administered questionnaire, cleaned, coded, and entered into EPI Data Version 6, and then exported to SPSS Version 26 for further analysis. The generated data were compiled using frequency tables, charts, and percentages. Logistic regression analysis was used to see the association between independent and dependent variables.
Results:
One hundred thirty-five (135) study participants were included in this study, with a response rate of 95.7%. The mean age of the respondents was 29.2 years (SD = 4.86). Almost three-quarters of the respondents (71.1%) were aged between 26 and 35 years. Of the total participants, 58.5% and 62.2% of EHCPs had good knowledge and a favorable attitude towards prehospital care, respectively. The study revealed that profession (AOR = 3.2; 95% CI, 1.03 - 7.65), educational status (AOR = 1.17; 95% CI, 1.08 - 4.93), and having training (AOR = 2.25; 95% CI, 1.33 - 4.52) were significantly associated with the knowledge of EHCPs. This finding also revealed that the respondent’s knowledge (AOR = 1.36; 95% CI, 1.05 - 2.32) and having training (AOR = 3.2; 95% CI, 1.24 - 7.83) were significantly associated with EHCPs’ attitudes towards prehospital care.
Conclusions:
The knowledge and attitude of EHCPs regarding prehospital care were found to be good and favorable as compared to previous studies. In-service training regarding emergency health conditions and the time needed to care for the patient is important for quality prehospital emergency medical care.
After the Second World War, the US government established a new oil order, forming close ties with three major oil companies—Standard Vacuum, Shell, and California-Texas—referred to as the ‘Three Sisters’ in Korea, which was newly liberated from Japanese colonialism. Even after the South Korean government was established, the US government and the Three Sisters worked to maintain the order. Using the carrot of the Economic Cooperation Administration (ECA) funds, in 1949 the US government pressured the South Korean government into oil agreements that would facilitate the supply of petroleum products to the country. The 1949 oil agreements were completed after three rounds of negotiations. The process of signing the agreements was not limited to the import, storage, and sale of petroleum products in exchange for US aid to South Korea. It also sought to respond to the various interests of Koreans who wanted to create an independent economic structure in the midst of establishing a new government. This article explores the three rounds of negotiations for the 1949 oil agreements whereby the symbiotic relationship between the US government and the Three Sisters was realized in partnership with the interests of the South Korean government. Furthermore, it seeks to broaden the research on the history of Korean oil by promoting an understanding of how US oil policy affected Korea immediately after its liberation from Japanese colonial rule.
The existence of isometric embedding of $S_q^m$ into $S_p^n$, where $1\leq p\neq q\leq \infty$ and $m,n\geq 2$, has been recently studied in [6]. In this article, we extend the study of isometric embeddability beyond the above-mentioned range of $p$ and $q$. More precisely, we show that there is no isometric embedding of the commutative quasi-Banach space $\ell _q^m(\mathbb {R})$ into $\ell _p^n(\mathbb {R})$, where $(q,p)\in (0,\infty )\times (0,1)$ and $p\neq q$. As non-commutative quasi-Banach spaces, we show that there is no isometric embedding of $S_q^m$ into $S_p^n$, where $(q,p)\in (0,2)\setminus \{1\}\times (0,1)$$\cup \, \{1\}\times (0,1)\setminus \left \{\!\frac {1}{n}:n\in \mathbb {N}\right \}$$\cup \, \{\infty \}\times (0,1)\setminus \left \{\!\frac {1}{n}:n\in \mathbb {N}\right \}$ and $p\neq q$. Moreover, in some restrictive cases, we also show that there is no isometric embedding of $S_q^m$ into $S_p^n$, where $(q,p)\in [2, \infty )\times (0,1)$. A new tool in our paper is the non-commutative Clarkson's inequality for Schatten class operators. Other tools involved are the Kato–Rellich theorem and multiple operator integrals in perturbation theory, followed by intricate computations involving power-series analysis.
Passported benefits are additional benefits provided to individual or households based on a previous eligibility to a “primary” social security benefit. Although passported benefits should be easier to claim, in reality the claiming process is often cumbersome and results in low take-up. Drawing on an Israeli case study, we offer a conceptual framework to categorize and analyse the varieties of passported benefits along five dimensions: the eligibility role of primary cash benefits; automation level; legal status; type of service delivery; and the degree of decentralization. The administrative burden literature is employed to make sense of the paradox of passported benefits becoming a site for administrative burden. Using our conceptual framework and drawing on interviews with officials and claimants, we demonstrate why some passported benefits are more user-friendly while others tend to become administratively burdensome.
Kant’s philosophy of natural science has traditionally concentrated on a host of issues including the role of laws of nature and teleological judgements. However, so far, the literature has made virtually no contact with the no less important tradition in Kant’s legal and political philosophy. This article explores one aspect of such connection in relation to the normative foundations of Kant’s notion of cosmopolitan right. I argue that Kant’s argument for cosmopolitan right is based on two main premises: the first is what I call the law of equilibrium, and the second is the premise of physical interaction (commercium in Latin) at work behind what Kant called the original ‘community of land’. The article argues that the relevant notion of community qua commercium should be understood in the context of Kant’s metaphysics of nature as a ‘real community of substances’ governed by a dynamical law of equality of action and reaction. This metaphysical-causal interpretive reading has far-reaching implications for the foundations of cosmopolitan right and its scope of applicability well beyond Kant’s envisaged right to universal hospitality.
To gain insights into the trichurid diversity in pre-Hispanic remains of South American camelids (SACs), as well as into modern SAC populations, a bibliographic search was carried out to find parasitological studies. Results showed that a total of 17 studies were performed at archaeological and paleontological sites, in which a total of 213 samples were examined. The sample set was used as the unit of analysis, and 83% of 52 pre-Hispanic sample sets were positive for parasites. Parasitological studies confirmed the pre-Hispanic presence of diverse trichurids: two Trichuris species and capillariid eggs with morphological differences that allowed them to be assigned to three different species. Currently, the richness of the native trichurid assemblages in SACs has been extended by the inclusion of two species (Trichuris sp. 2 and Capillariinae gen. sp. 1). Modern T. tenuis Chandler, 1930, considered SAC-specific, would have invaded SAC populations during the European colonization. The estimate of regional and temporal trichurid prevalence and paleoecological information allowed us to propose a possible origin for some of them. Although the present analysis is exploratory, it should stimulate future studies about the biogeographic history of SAC helminths, provide relevant information to improve descriptions of the Holocene ecology, and identify threatened helminths.
Point-of-care ultrasound (PoCUS) is used by health care professionals of various specialties worldwide, with excellent results demonstrating significant potential to advance patient care. However, in low resource areas of the world, where other imaging modalities are scarce and the potential of handheld pocket-sized PoCUS devices with great versatility and increasing affordability seems most significant, its use is far from being widespread. In this report, our group of Chadian, Israeli, and Canadian physicians with experience in rural, military, and conflict zone medical aid, discusses the barriers to the implementation of PoCUS in low resource areas and offers potential solutions.
In this paper, we investigate the regularity properties and determine the almost sure multifractal spectrum of a class of random functions constructed as sums of pulses with random dilations and translations. In addition, the continuity moduli of the sample paths of these stochastic processes are investigated.
In the Canadian high Arctic, tabular massive ground ice is found extensively throughout the Eureka Sound Lowlands (ESL). This study evaluates the development of tabular massive ice in raised marine-deltaic sediments of the ESL based on new cryostratigraphic data from sites found between the coastline and the Holocene marine limit. At all sites, massive ice is found below laminated fine-grained marine sediments, and the upper contact between the ice and the overlying marine sediments is conformable and gradational. The concentration of major ions in the massive ice is orders of magnitude higher than expected for glacial ice, but Na/Cl molar ratios vary following elevation: the higher-elevation site has ratios similar to glacial ice, but sites at lower elevations have ratios closer to seawater. The δ18O values of the ice indicate that the main source of water is glacial meltwater but the δD-δ18O regression slope values suggest that the ice formed in an open system while receiving an influx that had a substantially different isotopic signature than the initial reservoir. The development of massive ice in the marine-deltaic sediments involves glacial meltwater recharging an aquifer beneath the Holocene marine sediments with a contribution of 1–10% of seawater.
American Indians and Alaska Natives suffer from disproportionately high rates of chronic mental and physical health conditions. These health inequities are linked to colonization and its downstream consequences. Most of the American Indian and Alaska Native health inequities research uses a deficit framework, failing to acknowledge the resilience of American Indian and Alaska Native people despite challenging historical and current contexts. This scoping review is based on a conceptual model which acknowledges the context of colonization and its consequences (psychological and health risk factors). However, rather than focusing on health risk, we focus on protective factors across three identified domains (social, psychological, and cultural/spiritual), and summarize documented relationships between these resilience factors and health outcomes. Based on the scoping review of the literature, we note gaps in extant knowledge and recommend future directions. The findings summarized here can be used to inform and shape future interventions which aim to optimize health and well-being in American Indian and Alaska Native peoples.
The centenary of the Irish Revolution has just concluded, with 2023 marking the hundredth anniversary of the ‘dump arms’ order which ended, albeit ambiguously, the civil war of 1922–3. European history has been accustomed to marking centenaries during the past ten years, from the First World War which overturned a global order, to the Russian Revolution which created a new one, to the post-war national reverberations which created revolutions of their own. The enthusiasm with which these have been marked across Europe has varied considerably, with the sombre ne plus jamais tones of the centenary of the First World War giving way rapidly to the muted if not entirely absent commemorations of the October Revolution in Russia. The island of Ireland has perhaps been more wedded than elsewhere in Europe to the relentless treadmill of centenaries, with the Irish state formally dating its existence to the vanguardist rebellion, popular mandates and political institutions that occurred between 1916 and 1922, and Northern Ireland being dated to 1920. The ‘Decade of Centenaries’, as it is known in Ireland, has been unfolding according to a carefully arranged schedule since 2012; the end, marking the ambiguous conclusion of the Irish Civil War, is finally upon us. The implications of the ‘Decade’ for public history, for the position of professional historians within and outside the academy, and for the broader understanding of the revolutionary decade are significant and have generated their own critical literature.
This article shows how Progressive-Era state actors in Chicago employed open-ended, low-level criminal charges directed at regulating the moral health of the community to criminalize interracial relationships—even though interracial marriage had been legal in Illinois since 1870. Capacious legal definitions of offenses like vagrancy, disorderly conduct, adultery, and fornication allowed police officers and judges to delineate moral and immoral relationships along racial lines. Using newspaper articles, writing from contemporary social reformers, and court reports, this article reconstructs the treatment of interracial couples in the Chicago legal system to show how discretion in criminal law can reinforce racial hierarchy. I offer three historical arguments: first, that individual arrests and prosecutions of interracial couples labeled lawful, interracial relationships as a form of unlawful “vice,” second, that large-scale raids on spaces for interracial socialization reinforced the criminality of interracial intimacy in a segregated city, and third, that singling out interracial couples allowed the state to exercise control through intrusive forms of punishment like probation and institutionalization.
In February 2020, following a decade-long struggle for justice, a determined group of displaced Cambodian farmers and two advocacy organizations (Inclusive Development International and Equitable Cambodia) reached a landmark agreement with the Australia New Zealand Banking Group (ANZ) to provide a financial pay-out to the farmers for their suffering. The agreement set an important human rights precedent for the global banking industry. It was the first time known that a commercial bank made a financial contribution to remediate harms caused by one of its corporate customers, after acknowledging that its human rights due diligence had been inadequate.1 The case was also a rare example of a community receiving financial compensation through the Organization for Economic Cooperation and Development (OECD)’s voluntary system of corporate accountability (the OECD’s National Contact Points or NCPs). While the final outcome was positive, its singularity and the immense effort, tenacity and resources required in obtaining it, demonstrate both what is wrong with this corporate accountability system and what reforms are needed to reach its potential to advance greater business respect for human rights.
This study aims to report a successful systematic quarantine of coronavirus disease (COVID-19) to detect Omicron, a new variant of concern, among 2 cargo ships in the Morowali seaport, Indonesia.
Methods:
An international standard entry point protocol had been followed in this study for all crew. Rapid diagnostic tests and whole-genome sequencing (WGS) tests have been conducted to identify Omicron, the variant of concern. Individual characteristics, laboratory result, and vaccine status were collected in this study.
Results:
On December 9 and 18, 2021, there was an increase of 21 and 22 new cases, respectively, from 2 ships in the seaport. Both ships came from abroad, 43 new cases with a positivity rate increase from 0 to 13.4% and 13.7% within 2 weeks. A polymerase chain reaction (PCR) examination was carried out on all crews and obtained results 21 of the 22 positive COVID-19 crew (95.5%). The monitoring results showed that there was no fever in the entire crew, no symptoms of cough, runny nose, shortness of breath, and other symptoms pointing to COVID-19.
Conclusion:
Systematic quarantine has successfully contained the large clusters of COVID-19 in the crews of 2 ships and prevented further outbreaks in the local community.
Childhood maltreatment exerts long-term consequences on sleep health, and different subtypes could constitute maltreatment patterns. However, how naturally occurring patterns of childhood maltreatment affect subsequent sleep quality and the underlying mechanisms remain relatively unclear, particularly in youths undergoing a transitional period and in the Chinese cultural context. In this study, we identified childhood maltreatment patterns and explored how these patterns predicted sleep problems through differential emotion regulation strategies. We tracked 1929 Chinese youths (Mage = 18.49; 63.1% females) for one year. Three latent profiles were identified: low maltreatment exposure, high physical and emotional maltreatment, and high sexual abuse. Compared with “low maltreatment exposure,” youths in “high physical and emotional maltreatment” used fewer cognitive reappraisal strategies, and those in “high sexual abuse” used more expressive suppression, and then leading to more sleep problems. This study reveals new insights into the patterns of childhood maltreatment in Chinese youths and implies that individuals exposed to sexual abuse or a combination of physical and emotional maltreatment experience sleep problems through the impairment of differential emotion regulation processes. It also highlights the necessity of setting differential targets on emotion regulation strategies for distinct groups of maltreatment and considering the co-occurrence of physical and emotional maltreatment.
The phylum Bryozoa had long been the only major phylum unknown from the Cambrian and by inference the Cambrian Explosion of biodiversity. When described in 2010 as a late Cambrian cryptostome bryozoan, Pywackia baileyi Landing in Landing et al., 2010 became the oldest known bryozoan (early Cambrian bryozoans have since been described). Controversy remains about the phylum-level identification of Pywackia Landing in Landing et al., 2010—one study proposed an interpretation of Pywackia as an octocoral. No previous studies of the skeletal microstructure of Pywackia have employed the analysis of petrographic thin sections and high-magnification scanning electron microscopy. These two methods, with the addition of data from previous studies, are employed in this analysis of skeletal microstructure, a feature often important for higher-level taxonomic identification. Although many candidate groups were considered, Pywackia's distinctive pillar and laminae, porous skeleton like many Cnidaria, topology of the body walls, and growth of modules are consistent with a cnidarian affinity. Pywackia skeletons with primary microstructure were 100% phosphate mineral and were collected from a setting of pervasive phosphatic replacement, which leaves uncertainty as to the original skeletal composition. Pywackia is not assigned here to a cnidarian class and likely represents an early, rare, short-lived cnidarian evolutionary group.
This is a piece of creative non-fiction. The letter from a daughter to a father is an attempt to understand intergenerationally shared histories, experiences, and different orientations. It aims to imagine what decolonial thinking could look and feel like. Interdisciplinary in its orientation, the letter moves between personal stories and the broader scholarly quest to contemplate the embodied racialized violence of the current conjuncture. The letter suggests that embodied racialized violence is powerful and banal. It explores how it can be carried in the ties that bind – the love, minds, bodies, experiences, and stories of – a familial relationship and the people they encounter. It also represents an inversion of scholarly work in which the interactions that hone arguments are thinly noted in brief acknowledgements, and the citationary writing takes centre stage. Here, the interaction is central, and the citationary writing is laid out in footnotes.
Increasing research has been devoted to examining collaborations between public and private actors in environmental regulation under neoliberal democracies. However, this public-private interaction in authoritarian regimes remains understudied. This article seeks to address this gap in the literature through an empirical examination of the interaction between environmental non-governmental organizations (NGOs) and procuratorates in China's environmental public interest litigation. We find emerging complementarity: NGOs focus on new issues and target high-profile defendants to increase the socio-legal impact of their civil litigation, whereas procuratorates increasingly engage in administrative litigation against government agencies. This complementarity is shaped by the different legal opportunities for Chinese NGOs and procuratorates, as well as their respective institutional objectives and capacities. Their divergent regulatory preferences have also fostered synergy between these two actors, allowing them to collaborate on legal experimentation and innovation.