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This study explores how secondary school English teachers in Portugal and Spain perceive extramural English (EE) and integrate it into English Language Teaching (ELT). EE involves any exposure to English outside the classroom, through watching videos, listening to music, or playing games – these being the activities identified by teachers in both countries as the most common among their students. The study analyzes teachers’ perspectives on the frequency of students’ exposure to EE activities, the impact of these activities on different language areas, and, more broadly, the relationship between EE and ELT. A total of 244 participants took part in the study. A survey was used as the research instrument. Data were analyzed by means of mixed ANOVA and an exploratory factor analysis. Findings showed that Portuguese teachers reported higher frequencies of student engagement in all EE activities compared to their Spanish counterparts. However, teachers from both countries shared similar perceptions of the impact of EE on language learning, and identified listening skills, informal language use, and the development of vocabulary as the areas most positively influenced by EE. Finally, teachers from both territories supported the integration of EE into ELT.
Underwater three-dimensional (3D) scanning systems play a crucial role in marine archaeology, offshore engineering, and underwater robotics by capturing detailed representations of areas of interest. However, conventional underwater scanning methods are often time-consuming and inefficient, frequently collecting redundant data points that add little value to the overall representation. This study introduces an artificial intelligence (AI)-driven approach to underwater surface scanning that leverages machine learning techniques such as Bayesian optimisation and Gaussian Process regression to address these inefficiencies. A prototype 3D scanner, controlled by machine learning algorithms, was developed and tested in laboratory conditions that replicated the conditions of offshore deployment. Surfaces with different geometries, including flat, conical, and wavy shapes, were scanned to evaluate the performance of the proposed method against traditional approaches. The new scanning method autonomously selects the most informative measurement locations, reducing the number of scans required while exceeding the accuracy of conventional techniques. The results demonstrate that the proposed approach provides more precise surface representations for most geometries while significantly reducing scanning time. The approach not only reduces computational and storage requirements but also enables efficient data transmission in low-bandwidth scenarios, such as with underwater wireless communication systems. This research highlights the potential of machine learning-enhanced scanning systems to outperform traditional methods, offering a faster, more adaptable, and more accurate solution for underwater visualization in diverse scientific and engineering applications.
Early health technology assessment (HTA) has recently been defined as a process for evaluating the “potential value” of technologies at early development stages. This analysis examines how value is characterized in early stages compared to standard HTA. Using the MAPS framework (Methods, Attributes, Procedures, and Social Preferences), the findings indicate that a broader value framework may be applicable to early HTA relative to standard HTA. This framework includes systematic consideration of attributes beyond health-related benefits, such as real option value and innovation, as well as additional methods like fiscal impact analysis and social return on investment. Additionally, there is potential for less variation in early HTA processes globally, given that these assessments are less tied to local funding decisions. Finally, the role of social preferences in early HTA may also involve considering trade-offs and impact modifiers that are particularly relevant in initial stages, and which deserve further research.
Chapter 6 investigates the Gartner Hype Cycle Chart (HCC) as one of the most influential tools for structuring technological expectations. The HCC translates unruly waves of hype into a visual trajectory, offering managers and investors guidance on when to invest and when to hold back. The chapter shows how analysts blend calculative rationales with affective elements, embedding hype into a processual framework that is both explanatory and prescriptive. It theorises the HCC as a mechanism of ‘hype purification’, where speculative claims are translated into credible and actionable advice. This purification reconciles contradictory pressures: leveraging hype’s mobilising force while mitigating its risks. By shaping organisational timing and investment strategies, the HCC exemplifies how promissory products extend processes of hype management. The chapter demonstrates that far from neutral, such tools are powerful market-making devices that actively configure technological futures.
Public perception matters for policy outcomes. Most research finds that, in contrast to past drug waves, the public views the contemporary opioid epidemic as a medical rather than criminal justice issue, although a smaller body of research suggests that criminal justice frameworks persist. We know less, however, about how issue publics with direct experience—who are more likely to take action and have the ear of policy makers—understand it. How do people involved in the ecosystem of drug use and policy understand the opioid epidemic, and what are the implications for policy and policy change? We identify the competing issue publics that people with experience represent by the frameworks they draw from and the perceptions they hold. Through in-depth interviews and participant observation, we, too, find that people with direct experience more often use language of the medical framework than the criminal justice framework. Yet underlying the seemingly strong surface-level support for the medical framework, the criminal justice approach remains in place. Within the issue publics critical for policy debates, individuals apply the medical framework selectively to people proximate to them, or they are ambivalent, holding multiple frames (including criminal justice) at once, even among those outside the criminal justice field. Further, our research reinforces how even the medical framework is compatible with many punitive elements. The hidden persistence of a punitive framework allows differential treatment for specific populations today and paves the way for dramatic policy change, potentially in the future. Our research has implications for public perception and policy change more broadly.
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
Chapter 2.1 tackles risk pooling. Risk pooling refers to the way prepaid funds are combined and then used to provide care for a covered population. Pooling is an often-underappreciated aspect of health financing which shapes the overall health system. Key learning includes that
Pooling prepaid funds is central to progressing towards UHC. It bolsters health system efficiency and equitable access to services.
Pooling maximizes redistributive capacity and allows the health system to align funding with needs and social priorities.
Having multiple risk pools can be problematic, particularly if
– pools have too few people;
– if everyone in the pool has similar risks, and
– if there is no redistribution of resources across pools.
Structuring and managing risk pools well can offset problems associated with fragmentation by
– Reducing duplication or overlap, making purchasing and service delivery more effective
– Avoiding disproportionately large financial burdens falling on particular pools and,
– Minimizing risk selection and ‘cream-skimming’ whereby pools try to exclude high-risk (and therefore high cost) individuals.
Policy-makers can use a range of pooling strategies to enhance efficiency, equity and access but path dependencies and context matter. Options include
– Encouraging the integration (i.e. consolidation or merger) or coordination of pooling schemes
– Boosting funding for less endowed pools
– Equalization through risk adjustment across pools via direct transfers between schemes
– Making membership compulsory or
– Aligning data systems, benefit packages and payment infrastructure across pools.
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
Chapter 2.3 reports on low-value care and how to reduce waste. Decommissioning or disinvesting from low value care means taking money away from health care services that give poor value for money. Key learning includes that
Ending investment in health technologies or treatments that are ineffective releases resources for more effective high-value care, increases efficiency and quality and contributes to sustainability.
Disinvesting from or decommissioning low-value care often faces institutional barriers.
Health technology assessment (HTA) and the continuous monitoring of peer-reviewed evidence and administrative health care data are key in identifying low-value care and prioritizing what should be decommissioned.
Combining financial and non-financial mechanisms can help influence both the supply of and demand for low-value care and stop its provision.
Broad stakeholder consultation and engagement is a key part of ending the use of low-value care because patients, clinicians, health related organizations and health system norms and structures can all create barriers to change.
Decision-makers need to address how resources released by disinvestment can best be re-invested to strengthen efficiency, quality and access.
Special relativity affects what an interstellar traveller observes. This includes the apparent direction, size, and brightness of a source, as well as the frequency of signals and the wavelength of light. We examine these phenomena – aberration and the Doppler effect – and see how they arise from the Lorentz transformations. General relativistic effects, due to light passing through gravitational fields, are not considered.
Multicore fiber is a prospective medium for high-power lasers. All-fiber cavities based on fiber Bragg gratings (FBGs) inscribed by femtosecond pulses in uncoupled cores generate beams independently at wavelengths defined by the individual FBG reflection. However, separate core generation spectra collapse into a single narrow and stable line at strong optical coupling between the cores. The developed model shows that the collapsed spectrum linewidth depends on the number of cores, their coupling strength and the geometric-mean reflection width of individual FBGs. It is revealed that physical mechanisms and quantitative features of linewidth broadening defined by spatial hole burning and Kerr effects are sufficiently modified in comparison with single-core lasers. A performed comparison of the theory with experiment demonstrates a fairly good correspondence of key characteristics, namely the generation wavelength, spectrum shape and the linewidth value depending on power. An extreme linewidth narrowing is predicted for a high-power multicore fiber laser with a greatly increased number of cores and their coupling strength.
The founder of the Hong Kong branch of the Royal Asiatic Society, John Francis Davis, published the first translation of a Chinese play into English, Laou-Seng-Urh, or ‘An Heir in Old Age’, in 1817. While significant in both literary and scholarly terms, Davis’s work is also worthy of attention for its political undercurrents. An anonymously penned introduction draws connections between Davis’s translation and theatrical performances in the context of Qing diplomacy, including Macartney’s embassy of 1793, while an accompanying ‘Advertisement’ highlights Davis’s role as interpreter on Amherst’s subsequent embassy of 1816. This article conclusively attributes these paratexts to the second secretary of the Admiralty, Sir John Barrow. Records from the East India House library, the John Murray Archive, and back-numbers of The Quarterly Review reveal how Barrow exploited Davis’s translation to promote British diplomatic engagement with China and celebrate the embassy on which he had staked his own reputation as a China expert. Though Laou-Seng-Urh achieved few of its political objectives, it nevertheless inadvertently influenced the trajectory of nineteenth-century academic sinology in Europe.
In this chapter we look at the issue of sending messages over very large distances using electromagnetic radiation. An interstellar spacecraft is likely to have a small, low-power transmitter. Diffraction will reduce the intensity received at the Earth to tiny amounts, making the signal hard to detect even with large receivers. This limits the achievable data rates significantly. We see how to compute the power of the received signal, how to modulate messages into electromagnetic radiation, and how to use signal redundancy – error-correction coding – to reduce information loss due to noise. The received power may be so low that reception occurs in the regime of individual photon counting; we examine how many bits of information photons can carry. We will also examine the choice of wavelength – in particular optical vs radio – and the relative merits of placing receivers on the Earth compared to in space.
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
This study investigates the role of working memory (WM) in the development of receptive and productive abilities in Spanish among intermediate second/additional language (L2/A) learners. Participants completed WM assessments and receptive and productive language tasks targeting grammatical gender agreement on articles and adjectives (receptive: acceptability judgment task [AJT]; productive: information gap activity). Results showed group-level improvement for productive performance, but substantial variability in growth for both receptive and productive performance. WM did not significantly predict growth in either ability, suggesting that WM may not strongly influence the development of gender agreement accuracy at this intermediate proficiency level. To extend the analysis beyond behavioral outcomes, an exploratory post hoc analysis examined associations between WM and neural responses during receptive processing. By examining parallel receptive and productive performance and integrating behavioral and neurocognitive approaches, this study highlights the value of interdisciplinary methods moving forward for understanding the role of WM in L2/A development.
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
Chapter 3.6 addresses how payment mechanisms can foster value for money and quality in long term care. Payment and resource allocation mechanisms for long-term care (LTC) are distinct from those for health care for a number of reasons. Key learning includes that
LTC is particularly prone to poor quality or inadequate care, under-provision, overmedicalization and to delivery in sub-optimal settings.
The challenges for LTC reflect its differences from conventional health care markets, including that:
– In health care the focus is on curing disease whereas, once an individual needs LTC, that need for care is permanent and the emphasis shifts to maintaining quality of life
– LTC is often provided by low-paid or informal (often unpaid) caregivers rather than professionals.
– LTC markets are generally fragmented, with a multitude of funding sources and purchasers involved.
– Collecting data on LTC quality is difficult and makes value-based payments particularly challenging.
Well-designed economic incentives can influence the type, setting, volume and quality of care offered, particularly when
– Payments are adjusted to reflect cost variations between patients
– Payment types are combined and include mechanisms to reward quality and cost containment.
Informal caregivers may be compensated either with cash or non-monetary benefits. Although these do not normally cover the full costs of providing care, they acknowledge carers’ contributions and to some extent address issues such as working hours lost.
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
Edited by
Jonathan Cylus, European Observatory on Health Systems and Policies,Rebecca Forman, European Observatory on Health Systems and Policies,Nathan Shuftan, Technische Universität Berlin,Elias Mossialos, London School of Economics and Political Science,Peter C. Smith, Imperial College of Science, Technology and Medicine, London
The public local inquiry in the planning system is expected to facilitate public participation in environmental decision-making. Public participation in environmental decision-making has the aim of enhancing environmental democracy, making better decisions and improving environmental protection. This paper argues that, despite the long history of participation in the planning system, public local inquiries in their present state are limited in their capacity to facilitate public participation. It contends that the public participation responsibilities of the public local inquiry are hampered by its adversarial procedures. Planning scholars have argued that the formal, adversarial nature of the public local inquiry makes it difficult for people with little legal experience to participate, thus acting as an obstacle to public participation and good decision-making. Drawing on inquiry case law and scholarship, this paper investigates the multiple purposes of the inquiry and how tensions between these purposes have been interpreted by the courts. In exploring the reasons for these conflicts, the paper provides an opportunity to refine the system to facilitate public participation and to ensure that the public local inquiry is fair to its participants and serves the democratic purpose it is expected to meet.