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Memory complaint in the absence of organic pathology is a common phenomenon accounting for up to one third of patients presenting to memory clinics. Health anxiety has been specifically linked to dementia worry and repeated presentations to the National Health Service (NHS). Providing reassurance that an individual does not have dementia appears ineffective in reducing presentations to primary and secondary care services.
Aims:
This study sought to evaluate and establish the effectiveness of a 1-hour pilot training workshop to enhance healthcare professionals’ knowledge and confidence to those with health anxiety around cognitive decline.
Method:
The one-session pilot training workshop was developed and informed by previous work and consultation with the 2Gether NHS Foundation Trust Memory Assessment Service staff. The training workshop was then evaluated by employing an idiosyncratic self-report questionnaire. Participants completed the questionnaire prior to and after the training workshop.
Results:
Pre- and post-training questionnaires revealed that the pilot training workshop was effective in increasing perceived knowledge and confidence in staff responding to patients presenting with health anxiety and co-occurring subjective memory complaints.
Conclusions:
The findings suggest that healthcare professionals may benefit from training in identifying and addressing health-anxious individuals with subjective memory complaints. This may have implications in the provision of psychologically informed care offered in a memory assessment service. Recommendations are made for further enhancing the effectiveness of staff training and promoting alternative service treatment pathways.
In this article, I present a novel argument against abortion. In short, what makes it wrong to kill someone is that they are a counterfactual person; counterfactual persons are individuals such that, were they not killed, they would have been persons. My view accommodates two intuitions which many views concerning the wrongness of killing fail to account for: embryo rescue cases and the impermissibility of infanticide. The view avoids embryo rescue cases because embryos in the rescue scenarios are not counterfactual people: they are not counterfactual people because it is false to say that, were they not killed, they would have been persons. As a result, it does not follow from my account that there is a prohibition against allowing embryos to die. On the other hand, infants are counterfactual people: an infant is an individual such that, were she not killed, she would have been a person.
The cemetery at Sutton Hoo in East Suffolk includes tumuli dating to the sixth–seventh centuries ad. The largest contained an intact ship-burial. The man commemorated is not identifiable, but is often presumed to be Rædwald, rex Anglorum c ad599–624/5. Excavation was curtailed by the outbreak of war in 1939. Despite subsequent re-excavation and lengthy research, questions remain.
Information dispersed in the definitive publication is correlated and developed. Digital 3D imaging of the ship’s iron fastenings are used here to extrapolate curved lines of missing rivets and superimpose them on the burial chamber plan. A digital roof reconstruction is also presented.
Mechanisms of collapse of the objects are deduced from their positioning and damage, revealing space for access to the chamber. A cross-section depicts the calculated height of the deck and known tilt of the ship. Residues of phosphate, Middle Eastern bitumen, tar and tape cumulatively suggest embalming practices. A temporary coffin and a bed on which possessions were placed are proposed.
The most valuable object relinquished is deduced to be the ship. Fragments of a possible anchor are identified. The suggested identification of the iron stand as a raised light would allow supporting ships to follow.
Grassland habitats currently face severe anthropogenic exploitation, thereby affecting the survival of grassland-dependent biodiversity globally. The biodiversity-rich grasslands of India lack quantitative spatiotemporal information on their status. We evaluated the status of upper Gangetic Plains grasslands in 2015 and compared it with those from 1985, 1995 and 2005. On-ground mapping and visual classifications revealed a 57% decline in these grasslands between 1985 (418 km2) and 2015 (178 km2), mostly driven by habitat conversion (74% contribution by cropland). Limited radiotelemetry data from endemic swamp deer indicated a possible grassland-dominated average home range size of 1.02 km2, and these patches were highly preferred (average Ivlev’s index = 0.85) over other land-use classes at both spatial and temporal scales. Camera-trapping within the core habitats suggests the critical use of these patches as fawning/breeding grounds. Habitat suitability analysis indicates only c. 17% of the area along the Ganges is suitable as swamp deer habitat. We recommend the protection of these critical grassland patches to maintain ‘dynamic corridors’, with restoration and other management approaches involving multiple stakeholders to ensure the survival of this critical ecosystem.
Se presentan los primeros resultados del análisis de pieles procesadas recuperadas en el sitio Puerto Tranquilo 1, ubicado en el extremo norte de la Isla Victoria, en el Parque Nacional Nahuel Huapi, Provincia de Neuquén, Argentina. El material estudiado proviene de un nivel tardío, por encima de un fogón fechado en 640 ± 60 años aP (1288–1431 cal dC). El conjunto incluye tanto fragmentos de piel con pelo como depilados, con costuras de tendón y pelo, pintados y con reparaciones. Se aplicó una metodología específica para el análisis de las pieles y las fibras, con una descripción técnico-morfológica detallada a partir del análisis macro- y microscópico (SEM/óptico). Las características de la médula y de la cutícula de las fibras permitieron la identificación de Lama guanicoe y Mustelidae (cf. Galictis). Se aplicaron estrategias analíticas y metodológicas novedosas y se generaron datos acerca de las diferentes dimensiones del uso humano de los recursos faunísticos y de la producción de tecnologías en el área boscoso-lacustre norpatagónica. La comparación con otras evidencias arqueológicas, etnográficas y etnohistóricas permitió reconocer rasgos tecnológicos recurrentes en la preparación de las pieles y en la manufactura de artefactos, como parte del proceso productivo del cuero en Norpatagonia.
Family functioning may serve as protective or risk factors in the development of youth psychopathology. However, few studies have examined the potentially reciprocal relation between child psychopathology and family functioning. To fill this gap in the literature, this study tested for time-ordered associations between measures of family functioning (e.g., cohesion, conflict, and emotional expressiveness) and child psychopathology (e.g., total behavior problems, externalizing, and internalizing problems) using data from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN; N = 1143, 52.3% female, Nwaves = 5). We used a random-intercept cross-lagged panel model to identify whether child psychopathology preceded and predicted family functioning, the reverse, or both processes occurred simultaneously. At the between-person level, families who tended to have more cohesion, who lacked conflict, and who expressed their emotions had lower levels of child psychopathology. At the within-person level in childhood, we found minimal evidence for time-ordered associations. In adolescence, however, a clear pattern whereby early psychopathology consistently predicted subsequent family functioning emerged, and the reverse direction was rarely found. Results indicate a complex dynamic relation between the family unit and child that have important implications for developmental models that contextualize risk and resilience within the family unit.
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.