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Do Paul's letters draw on ethnic stereotypes? Did they influence how ethnic and racial outsiders were viewed in later eras? In this volume, Matthijs den Dulk offers a series of case studies that analyze different ways in which ethnic stereotypes were used or exerted influence on Pauline writings. Informed by recent empirical research on the impact of stereotypes, Den Dulk shows that paying attention to ancient stereotypes about Galatians, Corinthians, Scythians, Cretans and other groups sheds significant new light on the context, composition and content of Paul's letters. Den Dulk's exegetical argument integrates analyses of the history of interpretation, which demonstrate that Paul's letters were used to support modern conceptions of ethnic difference, including racist theories. This study thus raises important and timely questions about the content of Paul's letters as well as their influence on subsequent ideas about race and ethnicity. This title is also available as Open Access on Cambridge Core.
Configuring Psychology offers a vibrant, multimodal sociological analysis of clinical psychology as a profession and practice in the UK. Starting from the widely-accepted principle and goal of enhancing access to care, it examines how political, economic, legal, and social dynamics intertwine with clinical norms and expertise. These interactions configure broader healthcare contexts, defining not only entry into therapy but also exclusion from it. Through close attention to policy developments, professional strategies, and psychologists' experiences, Martyn Pickersgill reveals how access reforms shape clinical knowledge, therapeutic practice, and understandings of psychology itself. He shows how expanding access has become both a moral imperative and a managerial project, with clinical psychologists balancing competing bureaucratic, ethical, and emotional demands in an increasingly strained NHS. As such, Configuring Psychology provides essential insights for social scientists as well as clinicians and policymakers navigating reform. This title is also available as open access on Cambridge Core.
We propose a deep reinforcement learning (RL) framework designed to optimize the hedging of specific, user-defined risk factors—referred to as targeted risks—in financial instruments affected by multiple sources of uncertainty. Our methodology uses Shapley value decompositions to establish source of risk grouping’s contribution to the projected contract cash flows, providing a clear attribution of the profit and loss to distinct risk categories. Leveraging this decomposition, we apply deep RL to hedge only the targeted risks, while leaving non-targeted risks mostly unaffected. In addition, we introduce a joint neural network architecture in which the agent network utilizes risk estimates from a risk measurement neural network to stabilize the hedging strategy, taking into account local risk dynamics. Numerical experiments show that our approach outperforms traditional methods, such as delta hedging and traditional deep hedging, significantly reducing targeted risks in variable annuities while maintaining flexibility for broader applications.
Cognitive diagnostic models (CDMs) provide fine-grained diagnostic feedback by modeling the relationship between latent attributes and item responses. Two key components required for CDM implementation are the Q-matrix, which links items to attributes, and the attribute hierarchy, which defines prerequisite relationships among attributes. In many practical settings, both structures are specified by experts based on cognitive theory. In this article, we propose a novel Bayesian estimation method that simultaneously learns the Q-matrix, the attribute hierarchy, and the parameters of the deterministic inputs, noisy “and” gate (DINA) model. We develop a Metropolis–Hastings within Gibbs algorithm and integrate a mini-batch strategy to improve computational efficiency. We conducted a series of simulation studies to evaluate the performance of the proposed algorithm under varying conditions, including sample size, test length, hierarchy structure, mini-batch size, and threshold settings. The results demonstrate strong recovery rates for both latent structures and item parameters, confirming the accuracy and robustness of our method. A real data application further illustrates the utility of the proposed framework in uncovering interpretable diagnostic structures. Our findings offer practical guidance for researchers seeking to implement CDMs when both the Q-matrix and attribute hierarchy are unknown.
Lasoo Health is an e-software in the early stages of development, designed to generate a consult report with the most probable headache diagnosis and treatment plan from direct patient input. A patient accesses the program with their consent and a referral from primary care. Digital consult is then reviewed by a medical specialist and then sent to the primary care provider to initiate care. This early health technology assessment (eHTA) assesses the potential impact of Lasoo Health on timely access to effective headache management, cost savings, and health outcomes compared to the current standard of care (SOC) in Alberta, Canada.
Methods
We developed a discrete event simulation (DES) of headache diagnostic pathways for Albertan patients suffering from headaches. The model was parameterized using secondary data sources identified via relevant published literature and subject matter expert opinion. Cost-effectiveness was expressed from a societal perspective using the incremental net monetary benefit (iNMB) of Lasoo Health incorporated with the SOC compared to SOC alone over an analytical time frame of five years.
Results
Our analysis suggests that incorporating Lasoo Health into the SOC may reduce specialist assessment wait times by 70 percent and total per-patient costs by 7 percent. Using a willingness-to-pay (WTP) threshold of Canadian dollars (CAD) 50,000 (U.S. dollars (USD) $35,240), the iNMB per patient was estimated to be CAD 1,069 (USD $753).
Conclusions
The benefits of implementing Lasoo Health over a 5-year period could translate to improved patient outcomes, reduced wait times for specialists, and lower productivity losses among headache patients.
Characters are central to narrative theory but remain under-specified in computational work, where they are often reduced to clusters of words or vectors. We propose an operationalizable ontology of characterization that bridges narratological theory and NLP. From BERT-based clustering of character descriptions, we derive 17 classes of attributes (actions, emotions, traits, relations, possessions, etc.), validated through manual annotation ($k = 0.77$) and automatic classification (64% accuracy vs. 12% baseline). Applied to character similarity tasks for French fiction, our framework outperforms existing models. By aligning narratological insights with computational methods, we move toward a representation of fictional characters as structured, comparable entities for large-scale literary analysis.
Sex differences in psychosis pathoetiology are insufficiently understood. This study explores how childhood adversity (CA) and coping mechanisms relate to psychosis expression (PE) across males and females in the general population.
Methods
Data from the TwinssCan project (males: n = 312; females: n = 478) were used. The Childhood Trauma Questionnaire assessed CA domains. The Utrecht Coping List assessed coping strategies. Psychosis expression was assessed using the Community Assessment of Psychic Experiences (CAPE). Mixed linear regression analyses examined sex-stratified associations of CAPE scores with CA, coping strategies, and their interactions.
Results
Emotional abuse (EA) was associated with increased total CAPE scores (T-CAPE), explaining the greatest variance among CA across sexes. Sex-specific effects showed that sexual abuse (SA) and physical abuse (PA) were linked to higher T-CAPE in females, whereas physical neglect (PN) was linked to higher T-CAPE in males. Passive-reacting was associated with increased T-CAPE, explaining the greatest variance among coping styles across both sexes. Sex-specific effects showed that, in females, seeking social support was linked to decreased T-CAPE, while emotional expression increased it. The only sex-shared interaction effect was between reassuring thoughts and emotional neglect (EN), associated with decreased T-CAPE. In females, social support (× PA/PN/EA), reassuring thoughts (× PA/PN), and palliative-reacting (× PN/PA) were associated with decreased T-CAPE, while passive-reacting (× EN) increased it. In males, avoidance (× SA/PA) and passive-reacting (× PN) were associated with increased T-CAPE.
Conclusions
Sex differences in the associations of PE with CA and coping underscore the necessity for sex-specific interventions that promote adaptive coping strategies.
We investigate the developmental consequences of slave-raiding in Eastern Europe, the largest source of slaves in the early modern world after West Africa. Drawing on a wide-ranging new dataset, we estimate that at least five million people were captured from hundreds of locations across Eastern Europe between the fifteenth and eighteenth centuries. We hypothesize that, over time, raids encouraged an economically advantageous process of defensive state-building linked to raided societies’ resistance to and lack of integration into the slave trade. Using difference-in-differences and instrumental variables strategies, we find that exposure to raids is positively associated with long-run urban growth and related indicators of demographic and commercial development. Consistent with our posited mechanism, raided areas constructed more robust defensive infrastructures and attained higher levels of military, administrative, and fiscal capacity. Our findings suggest that the structure of slave production conditions its developmental legacies, cautioning against drawing generalizations from the African context.
This paper examines how tourism served as a vehicle for informal political propaganda in postwar Taiwan under Guomindang (GMD) rule. Following the Second World War, when the GMD began governing Taiwan, the government recognized tourism’s potential for ideological projection and national legitimation. Through analysis of tourism promotional materials, policy documents, and news reports from Taiwan, Hong Kong, and Southeast Asia, this paper demonstrates how Taiwan deliberately positioned itself as the authentic guardian of ‘Cultural China’ within a competitive regional context. The GMD government strategically deployed Chinese cultural traditions and landmarks as tourism attractions to establish Taiwan’s cultural legitimacy, particularly targeting overseas Chinese communities through ‘returning home tourism’ initiatives that framed Taiwan as the authentic homeland for all ethnic Chinese. Significantly, while Hong Kong promoted itself under the banner ‘The Orient is Hong Kong’ primarily to Western tourists, Taiwan’s dual strategy sought to attract both international visitors interested in experiencing ‘mysterious China’ and overseas Chinese through tourism experiences that showcased ‘Free China’ or ‘Cultural China’. This approach constituted a systematic attempt to legitimize Taiwan’s claim to represent China proper, even as its formal diplomatic position deteriorated in the 1970s. The paper argues that Taiwan’s tourism strategy represented a deliberate political calculation that transcended economic objectives, transforming cultural tourism into a powerful tool for asserting sovereignty and maintaining international relevance despite growing diplomatic isolation.
A coupled computational-fluid-dynamics/finite-element methodology is implemented to investigate the free aerodynamic separation of clusters of equally sized spheres arranged in regular configurations in Mach-20 flow, representing an idealized meteoroid-fragmentation scenario. The regular nature of the initial agglomeration geometries – touching sphere pairs, tetrahedral four-sphere arrangements and face-centred-cubic 13-sphere configurations – allows a systematic exploration of both individual sphere motions and bulk cluster dynamics as the initial orientation is varied. For sphere pairs, a stable lifting configuration arises when the spheres are in contact in a skewed configuration, a phenomenon that can also emerge in the more populous clusters. In the tetrahedral survey, comprising 38 initial orientations, shock surfing of downstream bodies is found to play a significant role in driving the separation dynamics. Despite substantial variations in detailed sphere motions with initial orientation, the trajectory type and final lateral velocity collapse reasonably well with the initial polar angle of the sphere within the cluster. Indices describing the bluntness and asymmetry of the initial configuration are introduced and correlate well with the collective cluster dynamics, though not always in an intuitive way. For the 13-sphere clusters, the dependency of individual sphere lateral velocities follows a similar trend with initial polar angle to the four-sphere case, suggesting that a simplified separation model may be possible for such configurations. The influence of the initial cluster bluntness on the bulk dynamics is somewhat reduced, however, indicating a tendency towards more homogeneous separation as the cluster population is increased.
We study private equity involvement (or lack thereof) in the long-term care (LTC) sector and its recent developments in the United States, Ireland and Poland. Based on the similarities and differences across these countries’ LTC systems, which can be treated as ideal types of the variety in typical models of LTC systems, we develop a systematic approach to the analysis of private equity engagement in the sector. Specifically, we define the comparison criteria as follows: the debates about the role and place of private equity in LTC; the extent of private equity investments in LTC; the reasons for private equity entry into the LTC sector; the business strategies of private equity firms; the regulations relative to private equity in LTC. Our case study comparison demonstrates that policy responses to population aging and care needs are deeply political processes, leading to a variety of solutions shaped by institutional legacies, cultural contexts, and the power dynamics between states, markets, and civil society.
The broad-leaved Zornia, Zornia latifolia Sm. (Fabaceae), is a perennial herb, known for reported psychoactive and medicinal properties, with a native range from Argentina to South Texas and some West Indian islands. There is disagreement on the status of Z. latifolia in Florida concerning whether it is a native species, an established non-native species, or a waif (i.e., a non-native species growing outside cultivation, but not maintaining a viable population). In Florida, there is only one published record of Z. latifolia growing outside cultivation, in Hillsborough County, but multiple records of this species cultivated for research. I observed extensive populations of Z. latifolia in St Lucie, Martin, Palm Beach, and Orange counties, and confirmed observations posted online from Hillsborough County. Based on the recentness of its first record of growing outside cultivation in Florida (2015), its substantial persistent populations at multiple locations in peninsular Florida, and its occurrence primarily in and adjacent to mowed areas, Z. latifolia appears to be an established non-native species in the state. Whether it becomes a major invasive species in Florida remains to be seen.
Do voters take into account the deaths of family members and close friends when evaluating the government’s response to the COVID-19 pandemic—particularly when that response is problematic or even negligent—as in the case of Mexico under the Andrés Manuel López Obrador (AMLO) administration? Using data from the 2021 Mexican Election Study, this research shows that opposition partisans who lost close friends or relatives to COVID-19 are more likely to evaluate the government’s response to the pandemic negatively. In contrast, National Regeneration Movement (MORENA) partisans do not hold accountable their co-partisan government. They are no more likely to evaluate the government’s response negatively, even when they experience the same losses. Experimental evidence further shows that MORENA partisans do not lower their evaluations of government performance after being informed about the country’s high COVID-19 mortality. They are also more likely to underestimate the number of COVID-19 deaths in the country, even after being presented with official mortality figures. These findings underscore how partisanship can cloud accountability, leading some voters to dismiss objective information and to judge government performance primarily through the lens of partisan loyalty. Partisanship can distort the accountability mechanism at the core of retrospective voting even during a major health crisis.
Following the proclamation of constitutionalism on 23 July 1908, villagers throughout the Ottoman Empire occupied and reclaimed çiftlik (plantation) lands from which they had previously been dispossessed. This article approaches the Ottoman 1908 Revolution as part of the “global wave of constitutional revolutions” by shifting the historiographical focus of the 1908 revolution from urban to agrarian spaces. It investigates a series of land occupations that emerged across the Ottoman çiftlik geography, conceptualizing them as the “constitutionalism of the dispossessed.” I argue that this constitutionalism of the dispossessed was a response to what I call the “order of dispossession” that emerged in the late nineteenth century: a class project of çiftlik owners reacting to global economic, imperial fiscal, and local ecological crises that aimed to subordinate labor to the circuits of global capital. Furthermore, this article discusses the failure of the constitutionalism of the dispossessed in the face of a social counter-revolution by çiftlik owners, which culminated in the codification of imperial property law. It demonstrates that the post-revolutionary government—having been concerned with the credibility of the empire in European credit markets for new loans to sustain the empire in fiscal crisis—desired the restoration of the order that the çiftlik owners insisted upon, and which the circuits of global capital required. This article ultimately offers a fresh and radical history of the Ottoman 1908 revolution and counter-revolution, suggesting a novel perspective to understand the modes of protest of the dispossessed in response to the imperatives of global capital.
Despite increasing efforts to promote and support breastfeeding, the United States continues to have some of the lowest exclusive and sustained breastfeeding rates globally. Foreign-born immigrants and refugees specifically have been reported to have high initiation but low exclusive breastfeeding (EBF) rates. This scoping review aims to explore what is known about strategies to support breastfeeding among foreign-born mothers in the United States using the Arksey & O’Malley framework for scoping reviews and PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews). Six databases were searched using a comprehensive search strategy and 2103 articles were identified, of which 31 met eligibility criteria and discussed 33 specific breastfeeding interventions. The articles describe a range of interventions, including breastfeeding promotion and education (n = 30), hands-on breastfeeding support (n = 9), material support like giving breastfeeding supplies and food (n = 16), social support (n = 18) and social marketing campaigns (n = 1) to promote community support for breastfeeding. Common strategies for implementing these interventions include individual counselling (n = 21), group breastfeeding education (n = 17), informational materials (n = 12) and family support promotion (n = 11). In total, 87·3% of the immigrant mothers targeted by these breastfeeding support interventions were Hispanic, and 4·5% and 7·0% were mothers of African and Asian descent, respectively. This study reveals limited data and key gaps in efforts to preserve the culture of breastfeeding and promote EBF among multicultural immigrant and refugee families, particularly non-Hispanic groups. Addressing these gaps will improve optimal infant feeding practices among foreign-born mothers in the United States and, consequently, maternal and infant health outcomes.
We present a unified construction of perfectoid towers from specific prisms which covers all the previous constructions of (p-torsion-free) perfectoid towers. By virtue of the construction, perfectoid towers can be systematically constructed for a large class of rings with Frobenius lift. Especially, any Frobenius lifting of a reduced $\mathbb {F}_p$-algebra has a perfectoid tower.
Evidence on the association between self-esteem and suicide risk (SR) among adolescents in Latin America is limited. To address this gap, we examined this association in secondary school students from northern Peru. We performed an analytical cross-sectional study based on secondary data collected in 2022 from 1,314 adolescents attending 5 secondary schools. SR was assessed using the Plutchik Suicide Risk Scale, while self-esteem was measured with the Rosenberg Self-Esteem Scale. Prevalence ratios (PRs) and corresponding 95% confidence intervals (CIs) were calculated through Poisson regression with robust variance, both in crude and adjusted models. The study population comprised 54.2% males, with the majority (69%) in middle adolescence. Low self-esteem was identified in 44.7% of participants, while 29.4% presented average self-esteem. Overall, 33.3% of adolescents reported SR (95% CI: 30.8–36.0). In crude analyses, both average and low self-esteem were associated with a higher prevalence of SR compared with high self-esteem (PR = 2.30 and PR = 4.11, respectively). In adjusted models, average self-esteem was associated with a 42% higher prevalence (PR = 1.42) and low self-esteem with a 67% higher prevalence (PR = 1.67). One in three adolescents presented an SR, underscoring the need to integrate school- and community-based programs that promote self-esteem within suicide prevention.