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This article presents editions and hand-copies of the cuneiform tablet BM 46590 and the tablet fragments K.13919 and 82-3-23, 108. These new pieces either duplicate or expand the ritual for undoing the effects of unpropitious lunar omens known from K.6018+//, providing new information on Akkadian incantation-prayers to the moon god. Most importantly, the prayer “Sîn 5”, previously known only from a couple of fragmentary lines, can now be read almost in full.
This chapter discusses the Dutch Law on Compulsory Mental Healthcare (Wvggz), which aims to strengthen the autonomy of patients with severe mental disorders by recognizing that coercive measures can be used not only to prevent harm, but also to restore autonomy. This approach challenges the traditional notion that coercive measures inherently undermine autonomy. The chapter also explores the unintended consequences of the law, such as increased bureaucracy. We argue that while the Wvggz introduces valuable ideas, its practical implementation has highlighted the challenges of translating legislative goals into effective practices.
Policy reform in many remote or developing nations focuses on quality education and inclusive education practices, yet many schools are ill-prepared to enact these reforms. In this study, we examined the attitudes and observed teaching behaviours of 27 educators towards inclusive education in Vanuatu schools. Attitudes were measured using the Teacher Attitudes to Inclusion Scale (TAIS), and inclusive practices were observed using the Effective Teaching Practices Checklist (ETPC). Both instruments were administered before and after a professional learning (PL) workshop and time provided for the participants to implement their new learnings. Results indicated that participants’ attitudes towards inclusive education were quite high on the TAIS scale and had a nonsignificant change; however, significant gains were observed across all five ETPC subscales (p < .001) of Classroom Organisation and Order, Behaviour Management, Lesson Planning, Lesson Delivery and Reinforcement, and in particular Adaptive Instruction. These findings suggest that although attitudinal shifts were modest, the targeted PL was associated with meaningful improvements in inclusive classroom practices. The results highlight the value of context-specific training to support inclusive education implementation in remote and developing contexts.
This longitudinal study investigates the development and interrelation of adolescent learners’ L2 English vocabulary knowledge and extramural English (EE) input. The study examines the longitudinal development of L2 English receptive vocabulary knowledge, EE input and the dynamics between L2 proficiency and EE input. Data were collected at four time points by administering vocabulary tests and questionnaires on EE activities. Generalized additive mixed models and growth curve models indicated significant vocabulary growth, particularly in the early years of secondary school, which slowed down toward the end of the study. EE activities such as gaming, social media and reading positively predicted vocabulary development, while watching television with L1 subtitles had a negative effect. Temporal network analysis revealed reciprocal relationships, suggesting that L2 proficiency influences EE input and vice versa. The findings underscore the importance of EE in L2 vocabulary development and highlight the dynamic interplay between language learning and extramural activities.
Few studies have examined the effects of early-life nutrition interventions on adolescent physical activity (PA). We aimed to examine the long-term effects of small-quantity lipid-based nutrient supplements (SQ-LNS) on adolescent PA and sedentary behaviour (SB) and to describe current adolescent PA and SB levels in this cohort. In the International Lipid-Based Nutrient Supplements (iLiNS)-DYAD-Ghana trial, 1320 mothers were enrolled and randomly assigned to one of three conditions: (1) daily iron and folic acid during pregnancy and placebo (calcium) from birth to 6 months postpartum (IFA), (2) multiple micronutrient supplements during pregnancy to 6 months postpartum (MMN) or (3) SQ-LNS during pregnancy to 6 months postpartum (LNS). Infants from mothers in the LNS group received SQ-LNS designed for children from 6 to 18 months. We recruited 11–13-year-old adolescents of mothers enrolled in the iLiNS-DYAD-G trial for a 7-d PA and SB assessment using accelerometers (n 305) and self-reported PA and SB (n 508). We compared the LNS with non-LNS (IFA+MMN) groups using ANCOVA models for the following outcomes: mean vector magnitude counts per minute, PAQ-C score and percentage of time in SB, light PA and moderate-to-vigorous PA (MVPA). There were no significant differences between the LNS and non-LNS groups in any PA outcome in minimally or fully adjusted models. Only approximately 50 % of adolescents met the PA recommendation of 60 min/d MVPA, with males more active than females; however, there is room for improvement. SQ-LNS in early life does not appear to have a sustained impact on PA or SB.
The primary aim of this rapid review was to provide a summary of the mechanisms by which household food insecurity (HFI) is associated with child and adolescent health outcomes. The secondary aim was to identify key HFI determinants, provide an updated account of HFI-associated child/adolescent health outcomes and build a conceptual map to illustrate and consolidate the findings.
Design:
A rapid review was performed using EMBASE, Medline, Web of Science and the Cochrane Library. Inclusion criteria were observational high-income English-language studies, studies evaluating the mechanisms and associations between HFI and child health outcomes using statistical methods.
Setting:
High-income English-speaking countries.
Participants:
Child (3–10 years) and adolescent populations (11–24 years) and their parents, if appropriate.
Results:
Eight studies reported on the mechanisms by which HFI is related to child health outcomes, suggesting that maternal mental health and parenting stress play mediating roles between HFI and child/adolescent mental health, behaviour and child weight status. Sixty studies reported on associations between HFI and various child health outcomes. HFI had a significant impact on diet and mental health, which appeared to be interrelated. Sociodemographic factors were identified as determinants of HFI and moderated the relationship between HFI and child/adolescent health outcomes.
Conclusions:
There is a gap in the evidence explaining the mechanistic role of diet quality between HFI and child weight status, as well as the interplay between diet, eating behaviours and mental health on physical child health outcomes. The conceptual map highlights opportunities for intervention and policy evaluations using complex systems approaches.
Refugees and asylum seekers often experience trauma, leading to high rates of post-traumatic stress disorder (PTSD). However, the extent to which trauma and PTSD impacts social functioning, such as social relationships or engaging with community activities in new environments, remains unclear.
Aims
This systematic review aims to identify key areas of social functioning influenced by trauma and PTSD, with additional analyses stratified by trauma type.
Method
A comprehensive search of five databases, grey literature sources, and reference lists was conducted in February 2025. Included papers explored the impact of trauma or PTSD on social functioning in adult displaced populations post-migration, within the last 30 years. Studies’ risk of bias was assessed using the Mixed Methods Appraisal Tool and the Authority, Accuracy, Coverage, Objectivity, Date, Significance checklist. Data were extracted on associations between trauma, PTSD and social functioning outcomes.
Results
Of the studies, encompassing 15 394 participants, 38 met the inclusion criteria. Our analysis indicated that trauma and PTSD have an impact on multiple domains of social functioning, including post-migration living difficulties, everyday functioning, acculturation and integration, social relationships, and employment and education. War-related trauma predominantly affected psychosocial functioning and integration, whereas interpersonal trauma had a greater impact on social relationships. While most findings indicated a negative influence of trauma and PTSD on these areas, some evidence suggested the potential for post-traumatic growth.
Conclusions
The findings underscore the challenges displaced groups face, alongside the possibility of post-traumatic growth. Future research should focus on identifying factors that facilitate positive adaptation, informing interventions to support social integration in these vulnerable groups.
The Cominform resolution was a turning point in the history of Yugoslavia. In the context of the Cold War, the conflict between Yugoslavia and the Eastern Bloc also had serious consequences on a global level, representing the first major split in the international communist movement after World War II. However, echoes of the split within the million-strong Yugoslav overseas diaspora have not drawn much scientific interest, despite the diaspora’s extensive involvement in the socio-political situation in Yugoslavia throughout the 20th century. The goal of the article is to study the Tito-Stalin split as an international crisis of enormous significance through the local politics of diaspora to better understand its nature and impact. The influence of the diaspora’s host countries’ communist parties must be emphasised in order to understand why most Yugoslav emigrants in the west supported Cominform, as shown through the analysis of sources originating from archives in Australia, New Zealand, Croatia, and Serbia.
Peer-supported Open Dialogue (POD) integrates peer practitioners within mental health teams, fostering a collaborative, person-centred and social network approach to care. Although peer practitioners are increasingly involved in Open Dialogue, the role of peer practitioners within such teams remains underexplored.
Aims
This study aimed to explore (a) the experiences of peer practitioners working within Open Dialogue teams in the Open Dialogue: Development and Evaluation of a Social Intervention for Severe Mental Illness trial, and (b) the perspectives of non-peer Open Dialogue practitioners regarding peer involvement. Our further objectives were to understand the nature, degree and perceived impact of peer practitioner involvement in Open Dialogue.
Method
A qualitative study was conducted using semi-structured interviews and joint interviews with peer practitioners (n = 9). Additionally, excerpts from 11 interviews and 4 focus groups (n = 18), in which non-peer practitioners discussed peer practitioners’ contributions in Open Dialogue, were analysed. Thematic analysis was employed to identify key themes.
Results
Three themes were developed. The first focuses on the perceived influence of peer practitioners on Open Dialogue network meetings; the second explores the opportunities and challenges of working as a peer practitioner in Open Dialogue, while the third details the perceived impact of peer practitioners on team and organisational culture.
Conclusions
Open Dialogue’s emphasis on a flattened hierarchy facilitates the integration of peer practitioners, enabling them to contribute meaningfully to network meetings and team culture. Despite the overall positive experiences, peers still faced common challenges faced by those in other services, such as low pay and occasional instances of a compromised, flattened hierarchy.
Variation is present in every language at every structural level. Though extremely complex, linguistic variation is not fully unpredictable. Previous research suggests that cognitive biases in learning favour conditioned variation: learners often make languages more predictable by eliminating variation or by conditioning it on context, pointing to the presence of biases against random variation. Learning biases favour lexical conditioning over more general category-based conditioning, though both occur in natural languages. Interaction may also contribute to shaping conditioned variation by providing a mechanism for interlocutors to develop a shared system through the coordination of individual preferences. In the present study, we investigated the role of dyadic interaction in the emergence of conditioned variation. We trained participants on an artificial language with unpredictable variation in plural marking and objects representing one or two semantic categories and had them play a communication game using the newly learned language. We hypothesised that interaction would introduce category-based conditioning, this being the simplest conditioned system in the language. Contrary to our expectations, we found no evidence of spontaneous category-based conditioning: participants either removed variation or conditioned marker use on lexical items. Further experiments are needed to explain the emergence of this common linguistic pattern.
Patients with psychiatric disorders are more likely to experience financial difficulties. Yet, there is limited knowledge about the longitudinal relationship between psychopathology in adolescence and debts or experienced financial scarcity in emerging adulthood.
Aims
We aimed to examine whether distinct types of psychological symptoms in mid-adolescence precede the occurrence of unsecured debts and experienced financial scarcity in emerging adulthood.
Method
Data from a Dutch adolescent cohort (N = 659, 53.9% female) oversampled on the risk of psychopathology was used. Psychological symptoms were self-reported at baseline (mean age 14.80 years, s.d. = 0.79), using the Youth Self-Report and the Prodromal Questionnaire-16. At follow-up (mean age 17.95 years, s.d. = 0.80), adolescents reported presence of unsecured debts and completed the Psychological Inventory of Financial Scarcity. Logistic and linear regression analyses were applied, adjusting for the baseline characteristics of sex, age, ethnic background, parental psychopathology and household income as an indicator of family socioeconomic status.
Results
More attention-deficit/hyperactivity problems (adjusted odds ratio 1.15, 95 CI% 1.04–1.27), oppositional defiant problems (adjusted odds ratio 1.17, 95 CI% 1.00–1.35) and psychotic experiences (adjusted odds ratio 1.10, 95 CI% 1.01–1.21) at age 15 years were associated with unsecured debts at age 18 years. Depressive, anxiety, somatic and conduct problems were not associated with later unsecured debts. Depressive, anxiety, attention-deficit/hyperactivity, oppositional defiant, conduct problems and psychotic experiences at age 15 years were associated with increased experienced financial scarcity at age 18 years.
Conclusions
Psychological symptoms during mid-adolescence precede both objective and subjective financial difficulties when entering adulthood. Integrating financial education into prevention efforts could potentially provide significant long-term benefits, particularly for those with mental health problems.
Differences in appetite, food intake, eating behaviours, and food preferences can occur throughout the menstrual cycle. Premenstrual syndrome (PMS) is associated with significant emotional and physiological changes, including altered appetite and food cravings. Therefore, the relationship between PMS and hedonic hunger, food craving of individuals during the menstrual cycle phases were investigated in this study. This study was conducted on 150 women volunteers. Research data were collected using a web-based questionnaire. Four assessment stages were scheduled for each woman, and they were classified in phases according to the onset of menstruation. Participants completed premenstrual syndrome scale and anthropometric measurements were taken based on their statements at the initial assessment stage. In the first, second, and third phases of menstrual cycle, a questionnaire form including the power of food scale (PFS) and Food Craving Questionnaire-Trait (FCQ-T) were applied.
The average age, age of menarche, menstrual cycle length, and bleeding time of the participants were 22.0 ± 2.0, 13 ± 1, 27.7 ± 3, 5.9 ± 1.3, respectively. Women with PMS showed significantly higher total PFS scores compared to those without PMS during the luteal phase (mean ± SD: 3.5 ± 0.6 vs. 2.9 ± 0.7, p < 0.01). Energy intake also increased significantly in the PMS group during this phase (mean ± SD: 2,200 ± 310 kcal/day vs. 1,880 ± 290 kcal/day, p < 0.01). The PFS total scores of participants in phase 1 and phase 2 differ significantly according to BMI classification (p = 0.017; p = 0.013). According to the presence of PMS, phase 1, phase 2, and phase 3, PFS total and sub-factor scores of women differ significantly (p < 0.05). The scores of those with PMS were higher than the scores of those without PMS. In conclusion, the presence of PMS affects hedonic hunger during the menstrual cycle phases.
The impact of freestream turbulence (FST) on the aerodynamic performance of a flexible finite wing and the produced wingtip vortex was investigated. The wing had a NACA 4412 airfoil profile and the chord-based Reynolds number was $1.4\times 10^{5}$. The experiments were conducted in a closed-loop wind tunnel with four different inflow turbulence intensities ($0.2\,\%$, $3\,\%$, $8\,\%$ and $13\,\%$) generated using an active turbulence grid. Force balance measurements revealed that increasing the scale of the FST increased the maximum lift and delayed stall. Digital image correlation (DIC) measured deflections of the wing’s structure. Spanwise bending was found to be the dominant deformation. While the wing vibrated at its natural frequency in all conditions, FST increased the amplitude of the vibrations. A similar spectral signature was observed in the lift force fluctuations as well. Stereoscopic particle image velocimetry measurements were obtained two chord lengths downstream of the trailing edge simultaneously with DIC. FST decreased the vortex strength, and marginally increased vortex diffusion and size. It also increased the vortex meandering amplitude, while reducing the meandering frequency band. For the cases with a turbulence intensity of $8\,\%$ and $13\,\%$, the frequency of meandering and the wing’s vibration were similar and a phase relation between the two motions was observed. Proper orthogonal decomposition of the vortex (after removing meandering) and the subsequent velocity field reconstruction revealed temporal fluctuations in the vortex strength at the same frequency as the wing’s vibration. This was linked to the lift force fluctuations induced by the wing’s deformations.
The question we tackle in this paper is why some indefinite nominal expressions are licit in Romance despite the absence of number marking on the determiner and on the noun, an unexpected option in Romance languages, which are number marking languages (Gil 1987). We focus on the invariable DE found in some Francoprovençal varieties and compare it with partitive articles (PAs) in French/Francoprovençal. We propose that invariable DE and the DE component of PAs explicitly express semantic number, more precisely cumulative reference, and that DE can hence satisfy the requirement of D° to encode number/quantification information (following Delfitto & Schroten 1991). DE combines with an overt or covert ILLE component in a separate functional head (Num°/#°; morphosyntactic number), resulting in PAs and bimorphemic-DE, respectively. As a result, DE is semantically and morphologically equivalent to PAs, except for a non-overt component with DE. Our analysis further shows that the mass/count distinction is not morphologically encoded in Romance but rather a byproduct of the two oppositions plural/singular (morphosyntactic number) and cumulative/atomic reference (semantic number).
When excavating complex anthropogenic stratigraphies, the field archaeologist is often limited to prioritizing the sampling strategy based on in situ macroscopic interpretations. Not until months after the excavation do supporting information and interpretations such as micromorphological analysis offer a more nuanced picture. This article addresses this challenge by evaluating two methods for analyzing results as the excavation is ongoing: computer tomography (CT) and cone beam CT-scanning (CBCT-scanning) of soil blocks using commercially available medical scanners (0.6 mm and 0.3 mm resolution) and an impregnation and micromorphological sediment screening (MSS) approach. The combined methods were applied on samples from a Neolithic settlement (n = 24), an Iron Age / Viking Age cult (n = 9), and an Iron Age settlement (n = 1) in Denmark. Results showed that the CBCT-scanning did not offer clear visual documentation of the different densities between, for example, organic-rich and sandy layers, while the micromorphological screening showed potential when a fluorescent agent (Epodye) was added to the epoxy. Hence, the results suggest that the epoxy impregnation makes it possible to detect microstratigraphical features, while further identification requires a traditional micromorphological thin-section analysis. It would require a larger quantity of samples to assess the procedure’s cost-efficiency on a larger scale.
Long-term immunoglobulin therapy is crucial for several neuromuscular disorders (NMD). Recently, subcutaneous immunoglobulin (SCIg) has become an alternate to intravenous immunoglobulin (IVIg) for maintenance therapy to address limitations. This prospective study assessed the feasibility of SCIg as maintenance therapy for various NMDs after transitioning from IVIg. Overall, the mean monthly immunoglobulin dose remained stable or reduced after transition while maintaining efficacy. Participants reported significantly fewer side effects (29.2 % vs. 66.7%) with SCIg. Compliance with self-infusion and dosing regimen with SCIg was high, with no product wastage. The study shows SCIg therapy has distinct advantages over IVIg and should be considered for NMD patients requiring maintenance therapy.
We compare the marked length spectra of some pairs of proper and cocompact cubical actions of a nonvirtually cyclic group on $\mathrm {CAT}(0)$ cube complexes. The cubulations are required to be virtually co-special, have the same sets of convex-cocompact subgroups, and admit a contracting element. There are many groups for which these conditions are always fulfilled for any pair of cubulations, including nonelementary cubulable hyperbolic groups, many cubulable relatively hyperbolic groups, and many right-angled Artin and Coxeter groups.
For these pairs of cubulations, we study the Manhattan curve associated to their combinatorial metrics. We prove that this curve is analytic and convex, and a straight line if and only if the marked length spectra are homothetic. The same result holds if we consider invariant combinatorial metrics in which the lengths of the edges are not necessarily one. In addition, for their standard combinatorial metrics, we prove a large deviations theorem with shrinking intervals for their marked length spectra. We deduce the same result for pairs of word metrics on hyperbolic groups.
The main tool is the construction of a finite-state automaton that simultaneously encodes the marked length spectra of both cubulations in a coherent way, in analogy with results about (bi)combable functions on hyperbolic groups by Calegari-Fujiwara [14]. The existence of this automaton allows us to apply the machinery of thermodynamic formalism for suspension flows over subshifts of finite type, from which we deduce our results.
We sharpen and generalize the dimension growth bounds for the number of points of bounded height lying on an irreducible algebraic variety of degree d, over any global field. In particular, we focus on the affine hypersurface situation by relaxing the condition on the top degree homogeneous part of the polynomial describing the affine hypersurface, while sharpening the dependence on the degree in the bounds compared to previous results. We formulate a conjecture about plane curves which provides a conjectural approach to the uniform degree $3$ case (the only remaining open case). For induction on dimension, we develop a higher-dimensional effective version of Hilbert’s irreducibility theorem, which is of independent interest.
Digital Tools are reshaping how Engineering Design data and information are produced, processed, used, reused, shared, and stored. The Digital Thread prioritizes the flow of design data and information, promoting effective collaboration and process efficiency. While literature showcases the immense application and capability of taking a Digital Thread approach to Product Design, best practices, key features, and benefits of successful implementations remain scarce. Reviewing and understanding successful implementations can assist researchers and practitioners in making informed decisions to effectively implement Digital Threads in their product design processes. This article addresses this gap by reporting a post hoc review of a collaborative Research & Development project that developed and implemented a Digital Thread approach to the design of hydrogen composite pressure vessels. A thematic analysis of the project’s reports and interviews with members of the project team was performed to identify the key features that expedite and improve the design process through an effective Digital Thread implementation. The post hoc review offers valuable insights – in the form of six feature benefits, four potential implementation challenges, three possible extensions, and four best practice recommendations – for companies looking to adopt and implement a Digital Thread approach to their design process.
Most people are multilingual, and most multilinguals code-switch, yet the characteristics of code-switched language are not fully understood. We developed a chatbot capable of completing a Map Task with human participants using code-switched Spanish and English. In two experiments, we prompted the bot to code-switch according to different strategies, examining (1) the feasibility of such experiments for investigating bilingual language use and (2) whether participants would be sensitive to variations in discourse and grammatical patterns. Participants generally enjoyed code-switching with our bot as long as it produced predictable code-switching behavior; when code-switching was random or ungrammatical (as when producing unattested incongruent mixed-language noun phrases, such as ‘la fork’), participants enjoyed the task less and were less successful at completing it. These results underscore the potential downsides of deploying insufficiently developed multilingual language technology, while also illustrating the promise of such technology for conducting research on bilingual language use.