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Existing academic research has highlighted a connection between dietary habits and political beliefs. An individual’s dietary choices can mean more than just the need or pleasure of eating. Dietary choice can also be tied to a personal identity, in which food consumption reinforces through other beliefs and in-group identities, including partisan affiliation and political ideology. This study analyzes survey data from the Natural Marketing Institute’s (NMI) 2019 Lifestyles of Health and Sustainability (LOHAS) survey and compares the results to Mosier and Rimal’s original evaluation using the NMI’s 2016 LOHAS survey data. The results show most Americans continue to have a meat-based diet irrespective of political party, with gender being the most consistent and robust explanatory factor for dietary choice. However, there are some notable shifts in dietary choice and significance for certain partisan affiliations that highlight how in-group dynamics may be reflective of attitude and behavioral norms.
Ivabradine has been shown to be safe and effective in treating congenital and postoperative junctional ectopic tachycardia in children; however, in recent years, case reports have suggested that it may also be used to treat automaticity-related ectopic atrial tachycardia and focal atrial tachycardia. Here, we discussed a case in which we used ivabradine to induce sinus rhythm in a 38-day-old baby who had resistant supraventricular tachycardia and investigated potential accessory pathway-related tachycardia.
On February 6, 2023, seismic activity struck Kahramanmaraş, with earthquakes of magnitudes 7.7 and 7.6. The study aimed to determine the effect of the presence of PTSD and its scores on hygiene behaviors.
Methods
This cross-sectional study was conducted in Adıyaman, Türkiye, between September and October 2023. The study population comprised individuals aged 18 and above who had experienced the earthquake. The PTSD Checklist-Civilian (PCL-C) scale was used to evaluate PTSD, and the Hygiene Inventory was used to evaluate the participants’ hygiene behaviors.
Results
Females, those with lower levels of education, the unemployed, singles, those living in tents, individuals who lost a loved one in the earthquake, and those with PTSD had worse hygiene behaviors compared to other groups. In the multivariate model of linear regression analysis of hygiene total score, only the PTSD score retained its predictive significance for hygiene behavior. More than 50% of the participants had scores meeting PTSD. The total PTSD score and the prevalence of PTSD among women was notably greater.
Conclusions
Mental health plays a pivotal role in shaping individuals’ hygiene practices and behavior patterns post-disaster. Swift implementation of mental health interventions is crucial for the prevention of behavioral pathologies.
This article examines the influence of the American Medical Association’s (AMA) campaign against national health insurance between 1945 and 1950. Although previous research has focused on the AMA’s professional influence and its opposition to national health care proposals, I argue that the AMA’s efforts played an essential role in the widespread adoption of private health insurance in the postwar era. Managed by the political consulting firm Whitaker and Baxter, the campaign actively promoted so-called “voluntary” health insurance and mobilized its member physicians and medical societies to support this alternative. Drawing on new archival research, I also highlight the significance of state-level innovations and medical society insurance plans, particularly in California. Ultimately, the article shows how the AMA’s campaign not only prevented the adoption of national health care but also entrenched private health insurance as a cornerstone of the American welfare state.
The health benefits of the long-chain omega-3 polyunsaturated fatty acids (PUFA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) have been known for over 50 years and underpin the UK population recommendation to consume >450 mg EPA + DHA per day. These recommendations, last revised in 2004, are based mainly on epidemiological evidence. Much research has been conducted in the interim. Most randomised controlled trials (RCT) use doses of EPA + DHA of 840 mg/d or more. For anti-inflammatory, triacylglycerol-lowering and anti-hypertensive effects, >1.5 g EPA + DHA per day is needed. Cognitive benefits are also likely to require these higher intakes. Farmed salmon now contains considerably less EPA + DHA relative to farmed fish of 20 years ago, meaning one portion per week will no longer provide the equivalent of 450 mg EPA + DHA per day. Oily fish alone can only provide a fraction of the EPA + DHA required to meet global needs. Furthermore, there is low global oily fish consumption, with typical intakes of <200 mg EPA + DHA per day, and limited intakes in vegans and vegetarians. Therefore, there is an urgent need for affordable, acceptable, alternative EPA + DHA sources, including vegan/vegetarian friendly options, such as bio-enriched poultry, red meat and milk products; fortified foods; enriched oilseeds (for example, genetically modified Camelina sativa); algae and algal oils; and approaches which enhance endogenous EPA/DHA synthesis. In this narrative review, we suggest that current EPA + DHA intake recommendations are too low, consider EPA/DHA from a holistic health-sustainability perspective and identify research, policy and knowledge mobilisation areas which need attention.
The proliferation of platform-mediated work necessitates a nuanced examination of how workers negotiate their agency and contest power dynamics within these novel labour arrangements. This research seeks to examine the diverse resistance practices among platform workers and the worker-driven determinants that either facilitate or hinder such practices among workers. The research design uses a Global North-Global South dichotomous perspective to understand how workers engaged in analogous labour processes within disparate political-economic frameworks are responding to the challenges. In this, 122 semi-structured interviews were conducted among online food delivery workers in India [Mumbai and Guwahati] and Italy [Milan and Bologna]. The findings contribute to our appreciation of how individual determinants among workers impede resistance practices, ultimately diminishing the potential for unified collective action within the platform workforce.
There are no studies in the literature examining the inflammatory content and effects of the diets of patients with primary Sjögren’s syndrome (PSS). This study aimed to investigate the relationship between the Energy-Adjusted Dietary Inflammatory Index (E-DII) and anthropometric measurements, disease activity, inflammatory markers, and blood lipid concentrations in female patients with PSS. A cross-sectional study was conducted between November 2020 and November 2021, including 102 female patients with a confirmed diagnosis of PSS. Dietary intake was assessed using the multiple-pass, 3-day food record method to calculate E-DII scores. Physical activity was evaluated using the International Physical Activity Questionnaire (Short Form), anthropometric measurements were taken, and the European League Against Rheumatism Sjögren’s Syndrome Disease Activity Index (ESSDAI) was used to determine disease activity. Lipid profile and inflammatory markers were analyzed in blood samples. Patients had a median E-DII value of –2·36. An anti-inflammatory diet was associated with lower anthropometric measurements and reduced total cholesterol, triglycerides, and low-density lipoprotein cholesterol concentrations. Logistic regression analysis revealed a significant association between E-DII and complement C3 (OR: 1·03, 95 % CI: 1·00, 1·05, P = 0·021) and C4 (OR: 1·08, 95 % CI: 1·01, 1·13, P = 0·019) after adjusting for age, disease score, drug use for SS, smoking, and physical activity. However, no significant correlation was found between E-DII and ESSDAI scores, C-reactive protein, or erythrocyte sedimentation rate. In conclusion, a pro-inflammatory diet was associated with higher anthropometric measurements and adverse lipid profiles in PSS patients, but its relationship with disease activity and inflammation remains unclear.
The best prehospital transport strategy for patients with suspected stroke due to possible large vessel occlusion varies by jurisdiction and available resources. A foundational problem is the lack of a definitive diagnosis at the scene. Rural stroke presentations provide the most problematic triage destination decision-making. In Alberta, Canada, the implementation and 5-year experience with a rural field consultation approach to provide service to rural patients with acute stroke is described.
Methods:
The protocols established through the rural field consultation system and the subsequent transport patterns for suspected stroke patients during the first 5 years of implementation are presented. Outcomes are reported using home time and data are summarized using descriptive statistics.
Results:
From April 2017 to March 2022, 721 patients met the definition for a rural field consultation, and 601 patients were included in the analysis. Most patients (n = 541, 90%) were transported by ground ambulance. Intravenous thrombolysis was provided for 65 (10.8%) of patients, and 106 (17.6%) underwent endovascular thrombectomy. The median time from first medical contact to arterial access was 3.2 h (range 1.3–7.6) in the direct transfers, compared to 6.5 h (range 4.6–7.9) in patients arriving indirectly to the comprehensive stroke center (CSC). Only a small proportion of patients (n = 5, 0.8%) were routed suboptimally to a primary stroke center and then to a CSC where they underwent endovascular therapy.
Conclusions:
The rural field consultation system was associated with shortened delays to recanalization and demonstrated that it is feasible to improve access to acute stroke care for rural patients.
Recognizing cervical dystonia (CD) movement patterns for appropriate botulinum toxin type A (BoNT-A) pattern determination depends on clinical expertise. Kinematic analysis objectively measures dystonic neck movements, and whether BoNT-A patterns determined solely using kinematics can effectively treat CD symptoms was investigated.
Methods:
Twenty-two BoNT-A-naïve CD participants were randomized to receive three BoNT-A injections determined clinically (“cb”) or by kinematic-based assessment (“kb”). Outcomes included the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) and kinematic measures of CD motor symptoms (tonic deviation and dynamic movements) at re-injection (weeks 12, 24) and peak effect (weeks 6, 18, 30) compared to baseline.
Results:
Mean tonic deviation that returned to neutral was observed in 47% of “kb” and 31% of “cb” participants between weeks 6 and 30. Mean dynamic movements (root mean square amplitude) were significantly reduced in the “kb” group between weeks 12 and 30 compared to baseline. TWSTRS total score and motor severity were significantly reduced in the “cb” group, and disability sub-score was significantly reduced in both groups for all subsequent injections. Treatment-related side effects occurred in two “cb” and four “kb” participants.
Conclusion:
The study indicates that kinematic-based BoNT-A injection patterns can effectively reduce CD symptoms and disability, offering valuable guidance for both novice and experienced injectors.
This article looks at the opium economy and the opium regime in late nineteenth- and early twentieth-century British Burma, focusing particularly on the Burma–China and Burma–Siam borderlands. It explores British responses to complaints from China, as well as Siam, regarding the smuggling of opium from Burma in the very decades — the 1910s, 1920s, 1930s — when the world was moving towards regulation and prohibition. It explains how and why the British Burma government failed to curb both the cultivation of poppy in Burma's uplands and the smuggling of opium to/from neighbouring China and Siam. The colonial government frequently sought to explain away why so little had been achieved and why opium continued to find its way across the border (e.g., from Kengtung state to Siam). Rather than taking these facts at face value, this article reveals the potent relationship between borderlands, smuggling, and state-making, while linking this finding to ideas about Zomia and establishing what was distinctive about the Burma–China–Siam borderland compared with others in the British Empire in Asia.
With the rapid expansion of the Infection Prevention Control/Healthcare Epidemiology (IPC/HE) fields over recent decades, the pivotal roles of IPC/HE in hospital regulation, quality improvement, patient safety, and healthcare finances have become increasingly apparent. Consequently, the demand for effective IPC/HE leaders has surged.1,2 Training in IPC/HE is essential for all infectious diseases (ID) fellows (both adult and pediatric), including those planning a career in hospital epidemiology as well as those planning to focus on general ID, transplant, HIV, etc. ID fellows, however, have historically felt ill-prepared in IPC/HE. Joiner et al’s survey highlighted this gap, revealing that only half of respondents felt adequately trained in infection control, despite half of them participating in infection control in their practice.3 IPC/HE fellow education is not currently standardized, and most IPC/HE training is led by individual mentors and healthcare facilities.
Saltmarshes are widely recognized as one of the most productive coastal habitats, and on the Amazon coast, Spartina alterniflora marshes are widespread on both marine and freshwater sites. On the Amazon coast, this ecosystem is subject to a wide array of environmental factors that influence its characteristics and associated macrobenthic fauna. However, few studies have been carried out in Amazonian saltmarshes when compared to others regions worldwide. Therefore, this study characterizes the vertical distribution of macrobenthic fauna in Amazon saltmarshes and their seasonal changes. Vertical stratified samples (0–10 and 10–20 cm) were collected during the rainy (April 2008) and dry seasons (November 2008) in saltmarshes located in an Environmental Protected Area located on the Northern Brazilian Amazon coast (Algodoal-Maiandeua island). The saltmarsh area varied between seasons, being denser and taller in the dry season. A total of 38 macrobenthic taxa were recorded, of which 11 were exclusively found in the dry season. The macrobenthic faunal structure varies among seasons, with higher density and richness in the dry season. Overall, higher densities and richness were found at near-surface layers in both seasons. We suggest that the vertical distribution of the macrobenthic fauna depend on the vegetation density in Amazon saltmarshes, since this vertical distribution is more prominent in the dry season where we observed higher Spartina density and most of the fauna is concentrated near the surface. Therefore, this study provides novel insights into macrobenthic distribution patterns, reinforcing that Amazonian saltmarshes have unique characteristics that strongly influence their distribution.
Modern Western diets, characterised by a substantial proportion of kilocalories derived from ultra-processed foods (UPF), have been associated with systemic inflammation. This study examines the association between UPF consumption and inflammation, assessed through alterations in C-reactive protein (CRP) concentrations, among Brazilian adolescents. This is a cross-sectional study involving a sub-sample of 6316 adolescents aged 12–17 years, participants in the Study of Cardiovascular Risk in Adolescents (ERICA), from seven capitals in Brazil. Dietary intake was assessed using a 24-hour recall, and foods were categorised based on their degree of processing according to the NOVA classification. UPF consumption was then divided into quartiles. For CRP evaluation, blood samples were collected after a 12-hour fasting period and categorised as > 3 mg/l, indicating low-grade inflammation. Poisson regression models with robust variance were employed to assess the association between UPF consumption and high CRP concentrations. High UPF consumption (highest quartile, ≥ 44·9 % kcal/d) was slightly associated with a higher prevalence of CRP after adjusting for potential confounders (prevalence ratio = 1·039; 95 % CI: 1·006, 1·073), compared with those in the lowest quartile of UPF consumption. However, when evaluating different groups of UPF separately (such as sugary beverages, processed meats and sweets), the previous association was no longer observed. These findings suggest a modest association between overall UPF consumption and early indicators of unhealthy low-grade inflammation in adolescents. Further experimental and cohort studies are necessary to clarify the role of UPF in inflammatory processes.
Numerous studies showed that the flow and transport phenomena in angstrom channels are different from existing understandings. In this work, we investigate the electrokinetic phenomena in a charged angstrom channel, including homogeneous and heterogeneous charge distributions at the wall to mimic the charging mechanisms of electrified metal-like surfaces and deprotonated dielectric surfaces, respectively. Our results show that both the streaming current and the flow velocity linearly increase as the applied pressure increases in a homogeneously charged system. However, in a heterogeneously charged system, the streaming current is activated only when the applied pressure exceeds a critical threshold. This behaviour arises from the strong Coulomb interactions between counterions and the surface charge, manifesting as an obvious nonlinear feature. The dissociation of counterions from the surface charge may not only cause pressure-dependent streaming conductance but also reduce the friction coefficient of the system, thus the flow resistance, when the system friction is governed by the bound ions. We found that such pressure-dependent streaming conductance gradually weakens as the channel size increases and reaches the regime of classical nanofluidic theories. Taking one-dimensional non-equilibrium statistics and Markov chains for the sequence evolution of bound-ion dissociation, our theory can well explain the pressure-dependent streaming conductance and water permeability in angstrom charged channels. Voltage-driven nonlinear ionic transport and electro-osmosis were also observed in heterogeneously charged systems. Our findings will be helpful for understanding the ionic transport in angstrom-scale channels and possibly useful in ion separations.
The article analyses the project to move the Argentinian capital from Buenos Aires to Viedma, a small city located in the south, in 1986. The project enlightens the period as a juncture of both technical and political transitions. In technical terms, the proposal had a hybrid nature, articulating developmentalist planning perspectives with innovative objectives for the time. In political terms, the proposal reflected the contradictions of the period, in which re-foundational illusions and severe economic and political limitations were articulated. Crossing the technical and political dimensions, the initiative is suggestive of the role given to technicians within the democratic transition.