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.
This study described the development and assessment of the psychometric properties of the Dissociation-Integration of Self-States Scale (D-ISS). This is a new scale to assess dissociation at the ‘between modes’ or self-state (personality) level. The D-ISS is rooted in cognitive behavioural theory and designed to measure between-mode dissociation (dissociation between self-states) in clinical practice and research.
Method:
Study 1: D-ISS scale items were generated and then answered by 344 young adults (16–25 years) who reported experiencing stressful times. An exploratory factor analysis (EFA) was conducted and the results were used to refine the scale to 25 items.
Study 2: The final 25-item D-ISS was completed by 383 adults (18–65 years) who reported experiencing mental health difficulties. A confirmatory factor analysis (CFA) was conducted using the second dataset. Internal consistency, test–retest reliability, convergent validity and divergent validity of the final D-ISS was assessed.
Results:
Study 1: The EFA showed a clear 5-factor solution, which was used to refine the D-ISS to a total of 25 items with five items in each factor.
Study 2: The 5-factor solution from Study 1 was confirmed as a good fit by the CFA using the data collected in Study 2. The D-ISS demonstrated good internal reliability and test–retest reliability. The D-ISS showed no correlations with divergent scales. For convergent validity, the D-ISS showed moderate correlations with the Dissociative Experiences Scale (DES-II).
Conclusions:
The new D-ISS measure of between-mode dissociation is reliable and valid for the population represented by our sample. Further research into its use in clinical populations is required.
Key learning aims
(1) To understand and be able to use a new measure of dissociation at the personality or self-states level.
(2) To understand the cognitive behavioural model of dissociation.
(3) To understand the theoretical underpinnings of the scale, in terms of the effects of childhood and adult adversity and other factors on psychological development.
(4) To consider the potential clinical and research applications of the scale.
(5) To appreciate the limitations of the research so far and the nature of future research required.
To identify global research priorities for improving hand hygiene in healthcare settings and develop a 2023–2030 research agenda to guide funding, coordinate research, promote investment, and inform policy for enhanced healthcare quality and safety.
Design:
Expert consensus study using a modified Delphi process.
Participants:
A 105-member panel of international hand hygiene experts including the World Health Organization (WHO) Technical Advisory Group of Experts on Hand Hygiene in Healthcare representing all WHO regions and World Bank income levels.
Methods:
The research priorities were identified through a multiphase approach including a meta-review to establish knowledge gaps and inform initial priorities, followed by expert consultations using a modified Delphi process. 192 preliminary priorities were included in a two-round Delphi survey. Experts rated each priority in the first round, and then reviewed and adjusted responses based on the panel’s aggregated, anonymous responses in the second round. Ratings were collected on a five-point Likert scale. Consensus was defined as a combined “strongly agree” and “agree” frequency of at least 70%.
Results:
Consensus was achieved for 178 of 192 priorities (92.7%), categorized into six domains: system change; training and education; evaluation and feedback; reminders and communications; institutional safety climate; and hand hygiene improvement impact on healthcare-associated infections and antimicrobial resistance. Of these, 121 priorities reached >80% consensus. The Delphi process, maintained a 92% response rate over two rounds.
Conclusions:
A structured consensus process yielded a research agenda to address gaps in hand hygiene improvement, supporting enhanced healthcare quality and safety globally.
This article presents a case of osteomyelitis variolosa from a skeleton excavated in the Western Cemetery at Cirencester (Corinium) in Britain, dated to the 3rd or 4th c. CE. This osteological condition is caused by the variola virus, the causative agent of smallpox, and is found in some individuals who have survived a childhood smallpox infection, the condition manifesting many years later. The significance of this discovery is that it indicates that smallpox had been introduced into the Roman world, and to Britain in particular, by the late 3rd or 4th c. CE. Rather than postulating a separate and unrecorded introduction of smallpox into the Roman empire, we suggest that this discovery strengthens the case for seeing the 2nd-c. Antonine Plague as an early form of smallpox.
Vaccine hesitancy among health care workers poses significant challenges to public health, particularly during times of crisis. This study investigates the factors influencing vaccine hesitancy among health care workers at Montefiore Medical Center, NY, with the aim of providing valuable insights to help shape and enhance future public health vaccination campaigns.
Methods
Utilizing Montefiore’s HER (Epic system) data from 2021–2023, linear logistic and multiple regression analyses were performed to assess correlations between demographic variables—such as age, race/ethnicity, job category, and county of residence—and vaccine uptake for both influenza and COVID-19 vaccines. Data were sourced from EPIC and Cority employee datasets. Missing demographic data were imputed where possible. The study population comprises a diverse workforce of 21 331 health care workers, encompassing a wide range of clinical and non-clinical roles.
Results
Key predictors of vaccine hesitancy included prior influenza vaccination status, age, race/ethnicity, job title, and county of residence. Workers vaccinated against influenza were 6.2% more likely to receive the COVID-19 vaccine. Younger health care workers and racial groups like Black and biracial employees demonstrated higher levels of hesitancy, while Asian workers exhibited higher rates of vaccine acceptance.
Conclusions
Tailored communication strategies and educational programs are critical for addressing vaccine hesitancy, particularly among younger health care workers and specific racial groups. Building trust and improving transparency will be essential to increasing vaccine uptake and achieving broader public health objectives.
Among language users, it is a commonplace that multilingual speakers switch between languages to make themselves intelligible. Yet, sociolinguistics has had surprisingly little to say about this. This neglect traces back to early efforts to carve out a niche for the field by focusing on contexts where social rather than semantic factors like intelligibility shape multilingual practice. As fruitful as this approach has been, here I argue that it has ironically obscured much that is of social significance in multilingual practice. Focusing on prominent practices of code-mixing in Papua New Guinea, I show how their social meanings—the roles and identities they index—are tied to the way they make speech in global languages intelligible to people unfamiliar with them. In the wake of European colonialism, postcolonial nationalism, and neoliberal globalization, contexts of unevenly distributed multilingualism like this are ubiquitous. And there, intelligibility is often a prime social factor shaping multilingual practices. (Multilingualism, codeswitching, intelligibility, social meaning, global languages)*
Glucosinolates (GSLs) are significant and specialized metabolites found in Brassicas that have crucial roles in both human and plant defence. The present study investigated sinigrin, progoitrin and glucoerucin in Indian cauliflower genotypes using high-performance liquid chromatography (HPLC). For this, 37 genotypes of cauliflower from early (14), mid-early (6), mid-late (15) and late (2) maturity groups along with broccoli (two) and Sicilian purple (one) were evaluated in randomized block design during 2019–20 and 2020–21. Glucoerucin was predominant in most of the cauliflower genotypes (30), followed by sinigrin (5) and progoitrin (2). It was also prominent in broccoli genotypes. Progoitrin was the principal GLS in Sicilian Purple ‘PC-1 (2.430 μmol/g). In cauliflower, the glucoerucin, progoitrin and sinigrin were ranged from 0.067 to 7.248 μmol/g, 0.001 to 0.849 μmol/g and 0.001 to 3.310 μmol/g, respectively. Pusa Deepali (early), Pusa Sharad (mid-early) and Pusa Shukti (mid-late) were found to be ‘low progoitrin-high glucoerucin’ varieties in their respective groups. In the late group, Pusa Snowball Kt-25 had low progoitrin. Glucoerucin and sinigrin were highest in the mid-early group. Progoitrin was highest in genotypes harvested in the first fortnight of November and the second fortnight of February, whereas sinigrin and glucoerucin were maximum in the genotypes harvested during the second fortnight of November. The K-means clustering identified four clusters, and principal component analysis revealed two principal components. The information on three GLSs in Indian cauliflower will be useful for breeding varieties with desirable GSL profiles for public health and plant defence.
Many problems in elastocapillary fluid mechanics involve the study of elastic structures interacting with thin fluid films in various configurations. In this work, we study the canonical problem of the steady-state configuration of a finite-length pinned and flexible elastic plate lying on the free surface of a thin film of viscous fluid. The film lies on a moving horizontal substrate that drives the flow. The competing effects of elasticity, viscosity, surface tension and fluid pressure are included in a mathematical model consisting of a third-order Landau–Levich equation for the height of the fluid film and a fifth-order Landau–Levich-like beam equation for the height of the plate coupled together by appropriate matching conditions at the downstream end of the plate. The properties of the model are explored numerically and asymptotically in appropriate limits. In particular, we demonstrate the occurrence of boundary-layer effects near the ends of the plate, which are expected to be a generic phenomenon for singularly perturbed elastocapillary problems.
Emerging from a shift in the relationship between archaeology and museums, the ‘Making the Museum’ project investigates the makers of the archaeological and ethnographic collections of the Pitt Rivers Museum in Oxford, positioning archaeological theory and method as essential tools for uncovering the ‘hidden histories’ of these makers.
The rise of online voicing and campaigns empowered by digital technologies and online social media is rejuvenating retail investor activism that has been mostly ignored in the traditional offline setting. This article argues that online activism that is initiated by retail investors will affect managerial attention intensity and attention priority on environmental issues, thus promoting green innovation. Using a Chinese-listed companies database with 13,795 firm-year observations over the period from 2011 to 2018, our results confirm that online environmental activism induces corporate green innovation. Online activism is more effective when the retail investor base holds larger shares in total and presents questions with a more intensely negative tone. Additionally, the above-mentioned moderating effects are stronger in digital firms. Our study offers insights into the online patterns of shareholder activism in the digital era and highlights the role of minority voicing in promoting corporate sustainable transformation.
The present contribution proposes a low-threshold action plan for research into what we consider critical areas in multilingualism where we see an urgent need for more empirical studies and research-based classroom interventions and a stronger commitment to multilingual standards both in research and teaching. Reaching out to a wide audience of researchers, educationalists and decision makers, we first stake out the conceptual frame for our discussion and delineate the theoretical base that informs our thinking. This is followed by a perforce perfunctory overview of the current state of things. Next, we outline three research tasks with concrete practical suggestions and guidance on how to operationalise and implement the respective projects. Each task is contextualised in terms of its broader socio-educational embedding and prospective practical-theoretical relevance. The overall aim is to challenge traditional monolingual-grounded notions of language development, promote a dynamic and inclusive multilingual perspective in language learning, teaching and assessment, and contribute to a more informed understanding of multilingualism.
This inaugural presidential address of the Asian Law and Society Association features three recently published monographs to draw attention to research by the next generation of scholars and to show how they contribute to the field. Although the three books differ in terms of focus, methods, and findings, they share a hallmark of law and society, that is, they investigate practices, beliefs, and objects that are often taken for granted. At the same time, the three studies arrive at dissimilar conclusions about law, which reflects another unifying hallmark of law and society—its diversity. Together, the inconsistent findings expose the many profiles of law and demonstrate its fascinating nature. They remind us that we do not yet know the intricacies of law, and we need all kinds of law and society scholarships—on Asian societies and elsewhere—to continue advancing the field.
Individuals on the autism spectrum or with elevated autistic traits have shown difficulty in recognizing people’s facial emotions. They also tend to gravitate toward anime, a highly visual medium featuring animated characters whose facial emotions may be easier to distinguish. Because autistic traits overlap with alexithymia, or difficulty in identifying and describing feelings, alexithymia might explain the association between elevated autistic traits and difficulty with facial emotion recognition. The present study used a computerized task to first examine whether elevated autistic traits in a community sample of 247 adults were associated with less accurate emotion recognition of human but not anime faces. Results showed that individuals higher in autistic traits performed significantly worse on the human facial emotion recognition task, but no better or worse on the anime version. After controlling for alexithymia and other potentially confounding variables, autistic traits were no longer associated with performance on the facial emotion recognition tasks. However, alexithymia remained a significant predictor and fully mediated the relationship between autistic traits and emotion recognition of both human and anime faces. Findings suggest that interventions designed to help individuals on the autism spectrum with facial emotion recognition might benefit from targeting alexithymia and employing anime characters.
Given a general polarized $K3$ surface $S\subset \mathbb P^g$ of genus $g\le 14$, we study projections of minimal degree and their variational structure. In particular, we prove that the degree of irrationality of all such surfaces is at most $4$, and that for $g=7,8,9,11$ there are no rational maps of degree $3$ induced by the primitive linear system. Our methods combine vector bundle techniques à la Lazarsfeld with derived category tools and also make use of the rich theory of singular curves on $K3$ surfaces.
On 23 September 1920, when the Inter-Allied boundary commission arrived in the town of Gmünd (Cmunt), residents participated in a large demonstration about the small border change set to take place along the Lower Austrian-Bohemian border. While boundary commissions in Europe have historically acted as intermediaries between local and state interests, this article argues that the Inter-Allied commission members departed from this role when they refused to undergo any public consultation or meet with any demonstrators about the border change. Examining the (in)actions of the postwar Inter-Allied and state boundary commission representatives alongside the concerns of the local population in Gmünd reflects how international, state, and local actors all perceived Europe’s boundaries as malleable and negotiable over a year after the signing of the post-World War I (WWI) treaties. The lead-up to and demonstration in Gmünd in September 1920 further nuances the relationships between the Allied Powers, postwar states, and local populations during the boundary-making process in the wake of WWI, illuminating both successful and unsuccessful claim making strategies pursued by state and local actors.
This paper concerns an insurance firm’s surplus process observed at renewal inspection times, with a focus on assessing the probability of the surplus level dropping below zero. For various types of inter-inspection time distributions, an explicit expression for the corresponding transform is given. In addition, Cramér–Lundberg-type asymptotics are established. Also, an importance sampling-based Monte Carlo algorithm is proposed, and is shown to be logarithmically efficient.
In this article, I present the immunological account of physiological individuality courtesy of Thomas Pradeu and the evolutionary account of biological individuality from Ellen Clarke. I argue that in combination, the logic of these two accounts implies that all physiological individuals are capable of undergoing evolution by natural selection. The main objection to this view is the case of holobionts. Here I argue that this objection is unjustified and that holobionts meet basic criteria for evolutionary individuality. As such, this supports the view that physiological individuals are also evolutionary individuals.