To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Levoatriocardinal vein is a rare venous anomaly occasionally presenting as a bidirectional shunt in structurally normal hearts. We describe two unique systemic connections of levoatriocardinal vein without intracardiac defects, one causing paradoxical embolism via the hemiazygos vein, and the other draining from the left jugular vein to the pulmonary vein, requiring surgical correction to preserve cerebral venous return.
In this paper, I investigate how parents should talk to their children about injustice. In doing so, I use the non-ideal theory debate in political philosophy to show how the questions traditionally asked there can give substantive guidance to parents. I also contribute to that debate by showing how attention to injustice conversations (a) leads us to ask new questions and develop new modelling tools; (b) can help us to resolve the questions traditionally asked in the debate in a more direct way; and (c) can serve as a model for bringing together substantive and methodological questions in non-ideal theory.
Previous studies have shown that low-fat diet (LFD) is associated with various health benefits, and that lipid and fatty acid metabolism are linked to telomere shortening. However, no epidemiological studies have examined the association between LFD and telomere length (TL). Dietary information was collected using 24-hour recalls among 6,981 adults from a nationwide cross-sectional study. Diet quality was assessed using overall LFD, healthful LFD (hLFD), and unhealthful LFD (uLFD). TL was measured using quantitative PCR. Linear regression was employed to evaluate the association between LFDs and log-transformed TL, and ordinal logistic regression was performed to assess the association of LFDs with ordinal quintiles of TL in descending order. In both fully adjusted linear and ordinal regression models, higher overall LFD [Tertile 3 vs. Tertile 1: percentage change = 2.48%, 95% confidence interval (CI): 0.60%, 4.40%, Ptrend = 0.003; odds ratio (OR) = 0.79, 95% CI:0.68, 0.93; Ptrend = 0.001] and hLFD [Tertile 3 vs. Tertile 1: percentage change = 2.71%, 95% CI: 0.87%, 4.58%; Ptrend = 0.002; OR = 0.84, 95% CI:0.72, 0.97; Ptrend = 0.003] scores were significantly associated with longer TL. The positive association between hLFD and TL was observed in other racial/ethnic groups, but not in non-Hispanic whites (Pinteraction < 0.005). There was no significant association between uLFD and TL in all the models. Our results suggest that LFD rich in high-quality carbohydrates, unsaturated fat, and plant protein is associated with longer TL, and underscore the need to consider the quality and dietary sources of the macronutrients.
This article rethinks the political project of transforming sexual desire and the norms that regulate it, aiming to reduce oppression and marginalization in intimate life. In the wake of recent feminist revivals of this project, such as Amia Srinivasan’s The Right to Sex (2021), I analyze the limitations of two dominant frameworks: ‘disciplinary’ models, which overestimate our capacity to regulate desire, and ‘liberatory’ models, which assume the existence of an authentic, pre-political core of desire that can be freed from power. I argue that both models are flawed, promoting respectively the illusion of total control and prelapsarian fantasies. To move beyond them, I turn to Theodor W. Adorno’s concept of natural history, which challenges the fixity of desire without assuming its infinite malleability. Specifically, drawing on Adorno and his interpreters, I show the natural history provides a framework for conceptualizing agency and transformation that neither negates the constraints shaping desire nor forecloses the possibility of its active reconfiguration. This approach, I suggest, offers a critical foundation for feminist efforts to rethink and reshape desire.
The Indonesian government has alternately ignored and respected the customary land rights of local people in its land policies since colonial times. Since the start of democratisation at the end of the 1990s, the trend to uphold customary land rights has become apparent at the national level. This study examines their status in the field, using the case of land grabbing on Padang Island, Riau Province, Indonesia. The findings include the company’s continued practice of purchasing land areas from local people at a lower price, not as compensation, because the company has not yet recognised the customary land rights. However, the local people contest the negotiation for a higher price through the newly introduced transparent practice of land transactions, involving village officers. The recommendation by the Mediation team to respect customary land rights is thus still a work in progress.
Although the Mixteca region has witnessed a long period of human occupation from before village societies were established to the present, traditional archaeological narratives tend to simplify this history by emphasizing singular points of origin and radical moments of change. Based on decolonial perspectives, we examine how persistence may be a more suitable framework for understanding the long history of human occupation in the region. Using information from three archaeological projects, this article analyzes the enduring histories of household practices at the site of Etlatongo in the Nochixtlan Valley. We focus on the construction of domestic spaces over three different periods in the long occupation of the site: during the latter half of the Early Formative (1400–1000 BC), the late Middle Formative (500–300 BC), and the Postclassic (AD 900–1500s). By analyzing the changing continuities of domestic practices at Etlatongo, this study contributes to scholarship examining the persistence of Indigenous communities in Mesoamerica.
The electrohydrodynamic force of a surface dielectric barrier discharge (SDBD) has been well-developed for flow control applications during recent decades. In the present paper, a geometrical modification of the SDBD plasma actuator has been applied to induce a vectorised normal flow at the trailing edge of a NACA0015 aerofoil. The pitot-tube velocity measurements of the normal jet along its propagation direction revealed formation of vortices at the centre of the electrode distance played a role in flow control authority of the jet. The aerodynamic operation of the double-SDBD structure as a virtual flap was assessed versus a single counter-flow jet of a floating structure at pre- and post-stall angles of attack at low Reynolds numbers. It was found that at small angles of attack, the steady counter-flow gives the most effectiveness of lift enhancement in low velocity, whereas in the higher velocity the unsteady one results in more efficacy. The efficiency of both steady and unsteady normal jets increased considerably at high angles such that a lift coefficient improvement of 38% was achieved at $\alpha = 14^\circ $. In the higher velocity, the plasma induced vertical flow acts like a Gurney flap, causing lift increase at high angles by affecting the vortical structures at the trailing edge. Evaluating the obtained results recommended employment of the induced normal flow as a virtual flap at high angles of attack in the unsteady actuation mode.
Workplace happiness has emerged as a strategic and ethical priority due to its impact on employee well-being, engagement, and sustainable performance. However, the construct remains conceptually fragmented, with existing measures often limited to affect or job satisfaction. This study addresses these limitations by proposing and preliminarily validating a multidimensional instrument that integrates hedonic and eudaimonic dimensions of workplace happiness: emotional well-being and purpose, work–life balance, and work relationships and support. Using a multi-phase research design, including expert content validation, a pilot study (n = 100), and large-scale psychometric testing (n = 354), the study applies exploratory and confirmatory factor analyses. Results provide initial evidence of strong structural validity, internal consistency, and convergent and discriminant validity (CFI = 0.971; TLI = 0.959; RMSEA = 0.078). Workplace happiness is conceptualised as a synergy of affective fulfilment, meaningful contribution, and supportive relationships. Despite cross-sectional and non-probabilistic limitations, the instrument offers a robust foundation for future validation and human-centred organisational research.
Cash transfer programmes have achieved widespread adoption across developing countries, yet evidence on their effectiveness in the Middle East and North Africa remains comparatively limited. This systematic review examines four central questions: whether transfer effectiveness shows threshold effects whereby modest amounts alter behaviour while substantial poverty reduction requires larger transfers; how supply-side service capacity constraints mediate the effectiveness of demand-side incentives; how conflict and displacement influence programme sustainability; and how programme design features interact with patriarchal structures to shape women’s empowerment. Database searches spanning 2000–2024 identified 270 experimental or quasi-experimental studies with quantitative outcomes. Narrative synthesis examined heterogeneity across transfer amounts, programme design, and contexts. Results indicate non-linear threshold effects: modest transfers (5–10 per cent of household income) alter behaviour through framing mechanisms, whereas meaningful poverty reduction requires transfers of 15–20 per cent or more. Demand-side incentives produce counterproductive outcomes when supply-side capacity binds. Humanitarian assistance improves consumption temporarily but effects dissipate within —four to ten months absent sustainable livelihood pathways. Financial resources alone do not guarantee women’s empowerment; complementary interventions addressing social norms and legal frameworks appear necessary. These findings suggest the imperative of calibrating transfer magnitudes to programme objectives while recognising empowerment requires interventions transcending monetary provision.
Periviable births, occurring between 20 and 25 weeks of gestation, present significant challenges due to varying survival rates and potential morbidities for survivors. Medical decision-making in this context raises ethical and legal questions, including considerations of sanctity of life versus quality of life and challenges in the clinician-parent relationship. This article outlines the complex ethical and legal landscape surrounding parental medical decision-making for periviable infants in the United States, discussing the evolution of federal and state laws. Existing laws highlight a vitalist approach that prioritizes life preservation despite potential harm and overlook non-heteronormative and non-traditional family structures, complicating decision-making. The impact of post-Dobbs state abortion bans on parental and clinician autonomy have exacerbated these challenges. We advocate for legislative support for inclusive definitions of legal parenthood to facilitate evidence-based decision-making centered on patients and families. Also needed are legal frameworks that accommodate the intricacies of periviable birth decisions while respecting patient autonomy and medical expertise, especially amidst the evolving legislative environment.
There is a gap in the understanding of meal patterns offered to students targeted by the National School Feeding Programme (PNAE). This study aimed to identify and analyse the menu patterns planned in schools participating in the PNAE. This observational cross-sectional study was carried out from a database consisting of 557 weekly menus from primary schools across Brazilian municipalities. We used Factor Analysis (FA) with Principal Components Analysis (PCA) to identify menu patterns. Nutritional quality assessment of the menus was based on the Revised School Feeding Menu Quality Index (IQCAE-R). Differences in nutritional quality and associations with sociodemographic factors were analysed using the Kruskal-Wallis test, followed by Wilcoxon post-hoc testing with Bonferroni correction. Two menu patterns were identified: (1) ‘Traditional’, predominantly composed of cereals and pasta, roots and tubers, legumes, vegetables, and meats and eggs; and (2) ‘Snack’, with a higher occurrence of bread, cakes, and biscuits, milk and dairy products, chocolate powder, and coffee and tea. The ‘Traditional’ pattern, consisting of food items commonly found in Brazilian food culture, and the ‘Snack’ pattern, characterised by the presence of sweets and highly processed foods, showed significant relationships with sociodemographic variables and nutritional quality of menus. Stimulating schools to provide meals that resemble the ‘Traditional’ pattern may contribute to the adoption of healthier dietary patterns, thus benefiting and strengthening health promotion through PNAE.
In-hospital strokes comprise a small but high-risk subgroup of patients and are associated with worse outcomes compared to community-onset strokes. We compared clinical characteristics, workflow metrics and clinical outcomes of adult patients with in-hospital strokes and those with community-onset strokes in Alberta.
Methods:
We conducted a retrospective cohort study (INPATIENTS: IN-hosPitAl sTrokes InAlbErta iNcidence and ouTcomeS) from Jan 1, 2018–Dec 31, 2022 using provincial administrative data and chart review to compare in-hospital and community-onset acute ischemic and hemorrhagic strokes. We performed multivariable logistic regression to determine the association of stroke onset location (in-hospital vs community-onset) with the following outcomes: in-hospital mortality, prolonged hospital stay and in-hospital complications. Negative binomial regression was conducted to compare workflow metrics between cohorts. All models were adjusted for age, sex, comorbidities, facility type and admission year.
Results:
Among 24,039 stroke admissions, 2,545 (10.6%) were in-hospital strokes and 20,895 (86.9%) were ischemic. In-hospital strokes had higher rates of comorbidities and were associated with higher in-hospital mortality (adjusted OR [aOR] 3.09; 95% CI 2.80–3.41), prolonged hospital stays (aOR 5.47; 95% CI 4.89–6.112) and increased in-hospital complications. In-hospital ischemic stroke patients receiving thrombectomy showed lower odds of in-hospital mortality (aOR 0.46; 95% CI, 0.28–0.75) and pneumonia (aOR 0.38; 95% CI, 0.20–0.71) compared to non-treated patients. Workflow times were significantly longer in in-hospital ischemic strokes compared to community-onset strokes.
Discussion:
Patients with in-hospital stroke experience higher rates of mortality, poorer clinical outcomes and significant delays in management. Targeted quality improvement efforts are needed to address care gaps and improve outcomes in this population.