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Supportive public policies are suggested as ways to lessen gentrification’s impact for older adults. While explicit policies designed to help older adults with gentrification are rare, literature on age-friendly cities is a close proxy. We utilized three North American cases undergoing gentrification: New York City, NY, and Denver, CO, in the United States and Hamilton, in Ontario, Canada, to present existing neighbourhood-based policies as social determinants of health in housing, resource access, healthcare, transportation, and communal places. Age-friendly policy application gap examples and COVID-19’s impact were included. Using a qualitative comparative case study method, we found policies were not specifically designed to address older adults’ gentrification needs. With the call for age-friendly designations, the role of gentrification in neighbourhoods with older populations must be included. We call for gentrification-specific policies for older adults to provide greater safeguards especially when events such as COVID-19 compete for existing, over-stretched resources.
Legislation is a powerful tool for facilitating mental healthcare. Gender is an important social determinant of physical and mental health. Many jurisdictions are in the process of revising their mental health law, to align with human rights commitments. Consideration of gender in these revisions could enhance the mental healthcare received by women, transgender and non-binary individuals.
Aim:
This paper examines gender-based provisions in mental health law published in English.
Methods:
Countries that use English as an official language were identified. Jurisdictions in these countries with stand-alone mental health laws were included. Legislation was reviewed for gender-specific provisions.
Results:
Seventy-five countries were evaluated; 71 jurisdictions were included. Thirty-eight jurisdictions had 88 gender-specific provisions. These addressed ten key areas, including: general gender-based protections, female representation on boards and review panels, protections during searching and restraint, gender separated facilities, protections in relation to parenting, fertility, sterilisation and termination. Fiji, Ghana, India, and the Australian jurisdictions had the highest number of gender-specific laws. However, gender-specific provisions are highly heterogeneous and are drafted from a cisnormative perspective and fail to adequately address the specific needs of individuals outside of that framework.
Conclusion:
Gender-specific provisions can enhance the protections afforded by mental health law. However, as legislation can be a blunt instrument, careful consideration must be given to potential unintended consequences. During revisions of mental health law consideration should be given to gender-specific provisions and legislation must be inclusive of individuals identifying as transgender, non-binary and other genders.
Multiple reviews have examined the impact of nutritional interventions in patients with burn injuries; however, discrepancies among results cast doubt about their validity. We implemented this review to assess the impact of various nutritional interventions in adult patients with burn injuries. We conducted a thorough search of PubMed, Scopus and Web of Science databases until 1 August 2024, to identify relevant meta-analyses of intervention trials, examining the impact of nutritional interventions on burn patients. We adopted the random-effect models to determine the pooled effect sizes while employing the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) to examine evidence certainty. Thirty-three original intervention trials from eleven meta-analyses were entered in our review. Early enteral nutrition could substantially reduce overall mortality (relative risk (RR): 0·36, 95 % CI: 0·19, 0·68, GRADE = moderate certainty), hospital stay (mean difference (MD): −15·3, 95 % CI: −20·4, −10·2, GRADE = moderate certainty) and sepsis risk (RR: 0·23, 95 % CI: 0·11, 0·45, GRADE = moderate certainty). Glutamine showed a notable decrease in the length of hospital stay (MD: −6·23, 95 % CI: −9·53, −2·94, GRADE = low certainty). However, other nutritional interventions, including combined immunonutrition, branched-chain amino acids, fish oil, ornithine α-ketoglutarate and trace elements, did not significantly affect the assessed clinical outcomes. Early enteral nutrition might impose a beneficial effect on mortality, hospital stay length and incidence of sepsis with moderate evidence. Lower length of hospital stay was also seen in burn patients supplemented with glutamine, although the evidence was weak.
In Latin American comparative politics, a tension exists between North Americanization and parochialism. While certain academic scholarship is published in Scopus-indexed journals that engage with “mainstream” Global North literature, other works are found in non-indexed outlets, focusing solely on their home countries and fostering parochial scientific communities. To assess this tension in graduate program curricula, we compiled an original dataset of comparative politics readings from 21 universities across nine Latin American countries. Our network analysis reveals a centralized structure influenced by mainstream readings, challenging the expectation of parochialism. In addition to the mainstream content, universities tend to incorporate readings from regional journals to facilitate cross-case comparisons. However, these materials are inconsistently shared, resulting in fragmentation of content from Latin American sources. Our findings contribute to and challenge the North Americanization versus parochialism debate, showing that future scholars receive similar mainstream training but encounter diverse regional materials during their PhD studies.
The accuracy of electromagnetic (EM) exposure assessments depends mainly on the resolution of a voxel human body model. The resolution of the conventional human body model is limited to a few millimeters. In the millimeter wave (mmWave) frequency range, EM waves are absorbed by the superficial tissues in the human body. Therefore, resolution and skin thickness of the human body model are important for accuracy of the EM wave exposure metrics recommended by international human safety guidelines. Realistic thickness modeling of the skin tissue on the human body may provide greater accuracy in the EM exposure assessment, especially at mmWave frequency range. In this paper, effects of the skin thickness on the EM exposure metrics in one-dimensional multi-layered models obtained from different regions of the body model are investigated using the dispersive algorithm based on the finite-difference time-domain method over the frequency range from 1 to 100 GHz. Furthermore, effects of eyelid tissue in a human eye on the EM exposure metrics are studied over the frequency range. The EM exposure metrics such as absorbed power density, heating factor, and power transmission coefficient are calculated up to 100 GHz to evaluate the limits of EM wave exposure.
In this article, we study rational matrix representations of VZ p-groups (p is any prime). Using our findings on VZ p-groups, we explicitly obtain all inequivalent irreducible rational matrix representations of all p-groups of order $\leq p^4$. Furthermore, we establish combinatorial formulae to determine the Wedderburn decompositions of rational group algebras for VZ p-groups and all p-groups of order $\leq p^4$, ensuring simplicity in the process.
French is a typical verb-framed language, in which manner verbs cannot freely combine with result-denoting constituents in a single VP. Drawing on experimentally elicited production data on Hexagonal French, this study examines how the syntactic (in)flexibility of manner-of-creation verbs influences the lexicalization of the event result. As for result lexicalization within the VP headed by the manner verb, the study explores the occurrence of effected objects and resultative PPs. Thus, it addresses the availability of the material/product alternation (sculpter une poupée à partir du bois/sculpter le bois en (une) poupée) as a type of argument alternation, whose existence has been questioned for the Romance languages. Furthermore, it is explored how the verbs’ syntactic flexibility influences whether manner and result are lexicalized within a single VP at all or distributed onto different VPs. The results show that the material/product alternation does occur, but that only a limited set of verbs has the syntactic flexibility required for it. Additionally, it is shown that syntactic flexibility favors a denser packaging of conceptual components, since with verbs that admit an effected object, the result is realized more often in the VP than with verbs that do not.
Recent studies have shown that sound-symbolic patterns can be modelled using phonological theory. The purpose of the current study is to describe a new Japanese nicknaming pattern, pime-yobi, wherein [h] alternates with [p] to express cuteness, and to model it using Maximum Entropy Harmonic Grammar. The current study, building on the analysis of Alderete & Kochetov (2017), proposes a sound-symbolic constraint, Express[p], which requires output forms to contain [p]. The results of two experiments show that Japanese speakers found names containing [p]s to be cuter than those without them and that pime-yobi nicknaming exhibits intra- and inter-speaker variation in acceptability and cuteness. Based on these results, theoretical analysis shows that the weight of Express[p] varies both across different speakers and within the same speaker.
Computerised CBT (cCBT) is an established and evidence-based treatment for depression and some anxiety disorders. This paper aimed to replicate the study of Meisel et al. (2018), to understand more about therapist beliefs regarding offering cCBT within a service-evaluation. Meisel et al. (2018) found that although most staff in an inner-city IAPT service were confident offering cCBT to clients, staff believed there was not a strong evidence-base, and training on cCBT was identified as a solution to low cCBT uptake. The unexpected COVID-19 pandemic provided an opportunity to collect additional data to understand the impact of significant societal changes and service delivery methods to see if this led to a change in attitudes towards cCBT as Wind et al. (2020) hypothesised.
Data on staff beliefs about the provision of cCBT from one rural UK Talking Therapies service is presented across three time points: pre-COVID pandemic, post-COVID pandemic, and following additional cCBT training. Staff completed a survey at each time point, containing agree/disagree ratings and free-text questions, obtaining perspectives on cCBT including advantages, barriers/problems, and confidence. This paper reports staff opinions with commentary on how they have changed over time. Between time points 1 and 3, agreement with the statement ‘supporting clients using cCBT requires a high level of skill’ increased by 29%. Several beliefs did not change, despite moving towards more remote working in the pandemic, and training. Although the paper illustrates some changes in beliefs over time, it does not provide support for changes in therapist beliefs, with reasons for this examined.
Key learning aims
(1) Following reading this paper, the reader will understand changes in staff beliefs and attitudes towards cCBT that occurred between pre-pandemic and post-pandemic time points in one NHS Talking Therapies service.
(2) The reader will also be aware of the beliefs that have not changed following both the pandemic and additional staff training on cCBT and will be able to consider why this might be and whether it may be generalisable across wider services.
(3) The reader will be aware of potential interventions that could be introduced to try and address the ‘stubborn beliefs’ around cCBT that are not consistent with the evidence-base and may limit patient access to this option.
Salt works along the Yucatan coasts of Mexico and Belize provide a record of salt production for inland trade during the height of Late Classic Maya civilisation (AD 550–800). At the Paynes Creek Salt Works in Belize, production focused on the creation of salt cakes by boiling brine in pots supported over fires in dedicated salt kitchens. Underwater excavations at the Early Classic (AD 250–550) site of Jay-yi Nah now indicate there was a longer and evolving tradition of salt making in the area, one that initially employed large, incurved bowls to meet local or down-the-line trade needs before inland demand for salt soared.
The giant coronary artery aneurysm is a very rare finding (0.02% of the general population), in which the right coronary artery is most often affected by aneurysms. Herein, we present a rare case of a giant left coronary artery aneurysm involving multiple major coronary arteries and compressing the cardiac cavity. The giant coronary artery aneurysm was opened and explored under cardiopulmonary bypass, and many mixed thrombi and calcified tissue were exposed. The patient was discharged uneventfully 7 days after surgery. The best management strategy at present is based on case reports, small case series, and personal experience. Treatment must be individualized according to the aetiology, location, symptoms, size, disease progression, the existence of infection, and the degree of any coexisting atherosclerosis. Surgery is a good alternative, particularly if a giant coronary artery aneurysm has a high risk of rupture and compressing the cardiac cavity. Even today, the treatment strategy is still open to debate and a clear evidence-based management strategy has not been established.
The Chengba site is the only city site dated from the late Warring States Period in eastern Sichuan Province, China. New discoveries of artefacts and structures at the site enable exploration of the regional role and management of counties that were established at this time by the central government.
This study was conducted to estimate the relative contribution of dominance genetic effects to efficiency-related traits including Kleiber ratio (KR), efficiency of growth (EF) and relative growth rate (RGR) in Baluchi sheep. To this end, each trait was analysed with a series of 12 animal models which were identical for fixed and additive genetic effects but differed for combinations of dominance genetic and maternal effects. The Akaike's information criterion (AIC) was used to rank models. (Co)variances between traits were estimated using bivariate analyses. For all traits studied, according to AIC values, models containing the dominance genetic effects provided a better data fit than otherwise identical models. By including dominance genetic effects in the model, additive genetic variance did not change, but a significant decrease was observed in the residual variance (24, 19 and 25% for KR, EF and RGR, respectively). Estimates of dominance heritability $( {\boldsymbol h}_{\boldsymbol d}^ 2 )$ were 0.20 ± 0.05, 0.17 ± 0.05 and 0.19 ± 0.07 for KR, EF and RGR, respectively, more than corresponding estimates of additive heritability ${\bf ( }{\boldsymbol h}_{\boldsymbol a}^{\bf 2} {\bf ) }$ as 0.14 ± 0.02, 0.09 ± 0.03 and 0.13 ± 0.02, respectively. Dominance genetic correlations between traits were 0.89 ± 0.17 (KR-EF), 0.86 ± 0.20 (KR-RGR) and 0.93 ± 0.21 (EF-RGR). Additive genetic correlations between traits were 0.84 ± 0.05 (KR-EF), 0.78 ± 0.04 (KR-RGR) and 0.83 ± 0.04 (EF-RGR). The Spearman correlation between additive breeding values including and excluding dominance genetic effects were close to unity either for all animals or top ranked animals. Since presence of dominance genetic effects increased the model power to fit the data, inclusion of these effects in the genetic evaluation models for Baluchi sheep was recommended.