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Crystal cells in echinoderms have been described in the literature as a type of coelomocyte (immune cell) containing a crystalline structure. Their putative function has been widely ascribed to osmoregulation but this assertion was never robustly tested. In the present paper, a review of crystal cells and crystalline structures provides evidence supporting a different identity and function. First, the same microcrystals can be found either free or encapsulated by a cell membrane (with or without a structure resembling a nucleus). Specifically, they are typically non-encapsulated when found inside tissues of internal organs and encapsulated when free floating in the hydrovascular or perivisceral fluids. Although usually individually packaged, microcrystals were also observed encapsulated in groups of up to four, with or without other particles. Their morphological features, coupled with their chemical and optical properties, match that of microcrystals of uric acid, described in other phyla, including chordates. Two pathways of excretion of these crystallised by-products were evidenced: rejected with sea water out of the respiratory tree and expelled via transrectal coelomoducts among coelomocyte aggregates. Overall, the present synthesis strongly supports that ‘crystal cells’ historically described as a distinct type of coelomocyte in holothuroids are phagocytes that have engulfed uric acid microcrystals generated as waste by metabolic activities.
Parental prenatal mood and anxiety disorders (PMADs) are linked to child neurodevelopmental disorders (NDDs), but evaluations of the magnitude and mechanisms of this association are limited. This study estimates the strength of the association and whether it is impacted by genetic and environmental factors.
Methods
A systematic search of PubMed, CENTRAL, PsycINFO, OVID, and Google Scholar was performed for articles published from January 1988 to September 2025. Of 2,420 articles screened, 74 met the inclusion criteria. Meta-analyses were conducted on 21 studies, and 53 were included in the narrative synthesis. We conducted random-effects meta-analyses, along with tests for heterogeneity (I2) and publication bias (Egger’s test). The review followed PRISMA and MOOSE guidelines.
Results
Maternal PMADs were associated with a significantly increased risk of attention-deficit/hyperactivity disorder (ADHD; odds ratio [OR] 1.91, 95% confidence interval [CI] 1.45–2.52) and autism spectrum disorder (ASD; OR 1.75, 95% CI 1.43–2.14) in children. Paternal PMADs were also associated with the risk of NDDs, with combined odds for ASD and ADHD (OR = 1.23, 95% CI 1.14–1.33). Several studies suggested that the link between parental PMADs and offspring NDDs might be impacted by both genetic and environmental factors, including the impact of ongoing parental depression on child behavior.
Conclusions
Parental PMADs are associated with increased risk of NDDs in children. These findings likely reflect a combination of inherited liability and environmental processes; clarifying mechanisms will require genetically informed designs. Regardless of mechanism, offering optional, family-centered developmental support may help promote child well-being in families where a parent is experiencing PMADs.
Political representation is challenged by social acceleration, the rise of populism, and electoral volatility. Politicians’ need for prioritizing time and energy is acute and consequential for democracy. Voters’ preferences constitute one democratically relevant standard for guiding such priorities. However, current research mainly focuses on voters’ preferences for representatives’ personality traits or policy outcomes, which are hard for an individual politician to control. This study provides a conceptual framework for analyzing politicians’ task priority by separating functional legislative tasks from relational representative tasks, and employs this framework in surveys among Danish, German, UK, and US voters. Analyses of open-ended answers, time allocations, and conjoint experiments show that voters assign higher importance to functional tasks compared to relational tasks. The framework offers a new approach to studying political representation in practice, and the results provide guidance for how politicians should prioritize scarce resources for political representation in a high-speed, volatile political context.
Common ragweed (Ambrosia artemisiifolia L.) is a globally distributed, difficult to control weed that can cause severe crop yield losses if not properly managed. Clopyralid is a synthetic auxin herbicide widely used to control A. artemisiifolia and other Asteraceae weeds. In 2016, a highly clopyralid-resistant A. artemisiifolia population, which we call AMBEL-40, was reported on a Michigan Christmas tree farm. We investigated the inheritance and potential clopyralid resistance mechanisms in this population using greenhouse dose–response assays; test crosses with a susceptible line—AMBEL-39; and RNA-seq. The ED50 values for AMBEL-40 and AMBEL-39 were 2,110.8 and 74.5 g ha−1, respectively; therefore, the resistant/susceptible ratio is 28.3. Dose–response results with triclopyr, fluoxypyr, 2,4-D, or dicamba demonstrate no multiple or cross-resistance in AMBEL-40. AMBEL-40 and AMBEL-39 crossed F1 generations (M3F1, M3F2, and M1F1) showed increased resistance compared with AMBEL-39, with ED50 values of 1,379.2, 1,134.0, and 542.5 g ha−1. Chi-square tests of three sib-mated F1 to generate F2 generations rejected a single-gene 1:3 model and supported a two-gene 3:13 segregation, consistent with multigenic inheritance. We identified 23 Aux/IAA transcripts containing the degron (IAA protein subdomain) sequence in the published A. artemisiifolia genome; of these, three contained polymorphisms in our RNA-seq data, but none consistently co-segregated with resistance. Differential expression analysis identified 70 genes with 39 upregulated and 31 downregulated in AMBEL-40, including candidates in auxin/ethylene signaling, metabolism, cuticular wax biosynthesis, and stress modulation, supporting a non–target site resistance mechanism. Together, these results indicate that clopyralid resistance in A. artemisiifolia is recessive and multigenic, with potentially altered signaling, metabolism, and uptake as a mechanism of resistance rather than a single Aux/IAA degron mutation.
Melting alpine ice threatens (pre)historic archaeological sites. Current trends suggest loss of ice will continue. Here, we present recent fluctuations in yearly minimum extent from 2017 to 2024 for three central Norwegian ice patches: Storhornet, Elghøa and Lågtangan. We discuss how melting ice affects their archaeological potential and introduce the term ghost patch to describe archaeological ice patch sites no longer containing ice. Future archaeological fieldwork prioritization must account for ice patch to ghost patch transitions. We suggest updated archaeological approaches for a future with less and less ice.
Depressive symptoms are closely associated with cognitive decline and risk of incident dementia, and plasma biomarkers may play a significant role in this relationship. We aimed to investigate the influence of plasma biomarkers and explore the underlying mechanisms.
Methods
This study included 1,658 dementia-free community residents recruited in 2009–2011 from the Shanghai Aging Study. At baseline, we assayed plasma phosphorylated tau 217 (p-tau217) and neurofilament light chain (NfL), and assessed depressive symptoms using the Center for Epidemiologic Studies Depression scale. Cox regression models were performed to estimate the risks of incident dementia and Alzheimer’s disease (AD) during the 5-year follow-up. Parallel and serial mediation models were applied to investigate whether plasma p-tau217 and NfL mediated the relationship between depressive symptoms and cognitive decline.
Results
Older adults with depressive symptoms had higher risks of dementia and AD, especially among those with higher concentrations of baseline plasma p-tau217/NfL. Sex-specific analysis revealed that depressive symptoms combined with high plasma NfL increased AD risk in men (hazard ratio, HR [95% confidence interval, CI] = 5.89 [2.01, 17.27], p = 0.001), whereas women with depressive symptoms and high plasma p-tau217 showed higher AD risk (HR [95%CI] = 6.07 [2.82, 13.09], p < 0.001). Parallel mediation analysis revealed that plasma p-tau217/NfL mediated the relationship between depressive symptoms and cognitive decline, respectively. Additionally, serial mediation analysis found p-tau217 precedes NfL within the mediating pathway (β = 0.403, bootstrap 95% CI: 0.347, 0.452).
Conclusions
Plasma p-tau217 and NfL could individually or jointly mediate the relationship between depressive symptoms and cognitive decline.
A chemical explosion and fire erupted in Conakry, Guinea, West Africa on December 18, 2023, destroying Guinea’s main fuel depot and resulting in 25 dead and 459 injured. Fifteen of the deaths occurred directly at the explosion site. Firefighters initiated efforts to control the blaze and transported injured, non-ambulatory victims to local hospitals with assistance from the military, Red Cross, and mining companies. Thirteen clinical facilities within an eight-mile radius of the explosion received burn and non-burn victims, with only one of these, Donka National Hospital, capable of handling burn victims. Many less seriously injured victims self-selected where they sought care, although anecdotal information indicates that an unknown number of injured did not seek care or chose to leave the city. The disaster marked the first time stakeholders from various sectors in the Guinean society (from first responders to mining companies) came together in a concerted response. Ranked 179th of 193 countries on the Human Development Index (HDI), the disaster rapidly outstripped Guinea’s response and health care capabilities, leaving behind economic shocks affecting livelihoods and the local economy. These experiences underscore the need for improved capabilities and coordination in disaster planning, warning and communication systems, and prehospital and hospital response in developing countries.
To understand how the Go Wish Cards Game (GWCG) can support the expression of values, wishes, and preferences at the end of life among women living with advanced breast and/or gynecological cancer.
Methods
This descriptive qualitative study was conducted as part of a larger randomized clinical trial. Participants were recruited from a leading cancer center in Brazil and invited to sort the GWCG cards into three categories: “very important,” “somewhat important,” and “not important.” The 10 cards rated as “very important” were discussed individually to explore their meanings. At the end of the session, participants were asked: “What did it mean for you to play the cards?” Narratives associated with the “very important” cards were analyzed using content analysis based on Bardin’s methodological framework.
Results
Thirty-three women completed the GWCG. Participants described the game as a meaningful opportunity for reflection, communication, and expression of personal values and end-of-life wishes. Discussions of the “very important” cards elicited narratives focused on trust-based relationships, emotional and spiritual support, dignity, and relief from suffering. The most frequently selected cards included wishes such as “to have a doctor I trust and nurses who care about me” and “to have my family and friends with me,” reflecting shared priorities across narratives. Values and wishes were organized into three overarching dimensions: emotional and existential connections; dignity and autonomy; and care and comfort at the end of life. The GWCG was perceived as a valuable tool for facilitating the expression of biopsychosocial and spiritual values.
Significance of results
The findings indicate that the GWCG supports reflection and the articulation of end-of-life values, wishes, and priorities, particularly those related to dignity, autonomy, comfort, and emotional connection. The tool shows potential to promote meaningful conversations and care aligned with what gives purpose and meaning to women living with advanced cancer.
People diagnosed with schizophrenia can have functional impairments in multiple domains. Cognitive impairment is central to schizophrenia and has substantial prognostic value compared with other symptoms of schizophrenia. However, no study has previously investigated directed relationships in a complex system of cognitive, sociodemographic, clinical and quality of life (QOL) variables in people diagnosed with schizophrenia.
Aims
To identify the complex relationships of components of cognition with other cognitive components, as well as with clinical and QOL variables.
Method
This study included data from 1450 participants in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study. The present study reconstructed a Bayesian network from this data using cognition, clinical, sociodemographic and QOL variables.
Results
Processing speed was centrally associated with all other cognitive domains. Cognitive domains were conditionally independent of positive symptoms but moderately associated with negative symptoms (β = −0.25; P < 0.001). The positive symptoms subscale was independent of QOL, conditioning on third variables. Negative symptoms were moderately associated with QOL (β = −0.33; P < 0.001), and processing speed had a weak association with QOL (β = −0.12; P < 0.001). Processing speed was a central variable in the network.
Conclusions
Intervening with respect to processing speed may be the most beneficial way of improving other cognitive functions. More research is needed on directed networks that include social cognition and global levels of functioning.
Neurodivergence encompasses neurodevelopmental conditions including autism, attention-deficit hyperactivity disorder (ADHD) and Tourette syndrome. Particular physical traits, notably those linked to joint hypermobility, have an established association with both neurodivergence and bipolar affective disorder.
Aims
This case-control study tested, first, whether the presence of joint hypermobility predicted bipolar affective disorder and, secondly, whether neurodivergent characteristics were important in understanding this relationship.
Method
Data were collected from 52 participants with self-reported clinical diagnoses of bipolar affective disorder and from a comparison group of 54 participants without diagnosis of bipolar affective disorder. All participants were assessed on screening instruments for autism (Ritvo Autism Asperger Diagnostic Scale; RAADS-R), ADHD (Wender Utah Rating Scale; WURS) and joint hypermobility. Group differences were explored, and odds ratios calculated for the presence of bipolar and neurodivergence given the presence of hypermobility. A mediation analysis was performed to determine the contribution of neurodivergent characteristics to the relationship between joint hypermobility and bipolar affective disorder.
Results
The presence of joint hypermobility significantly predicted the presence of bipolar disorder (odds ratio 5.1; 95% CI = 2.1, 12.4). In the bipolar affective disorder group, the prevalence of likely autism and ADHD was greater (84.6 and 65.4% respectively) than in the comparison group (22.2 and 3.7% respectively). The odds ratio for a diagnosis of bipolar affective disorder was 18.2 (95% CI = (6.70, 49.41)) in those meeting the threshold for likely autism; and 46.89 (95% CI = 9.96, 220.74) in participants meeting the threshold for likely ADHD. Mediation analysis showed that autistic, ADHD and pooled neurodivergent characteristics mediated the link between joint hypermobility and bipolar affective disorder.
Conclusions
This suggests a potential mechanism for affective pathophysiology, through developmental characteristics associated with joint hypermobility. The appreciation of interacting physical and neurodivergent traits to the expression of psychiatric illness has implications for diagnostic formulation, personalised medicine and service design.
Factor analysis models explain dependence among observed variables by a smaller number of unobserved factors. A main challenge in confirmatory factor analysis is determining whether the factor loading matrix is identifiable from the observed covariance matrix. The factor loading matrix captures the linear effects of the factors and, if unrestricted, can only be identified up to an orthogonal transformation of the factors. However, in many applications, the factor loadings exhibit an interesting sparsity pattern that may lead to identifiability up to column signs. We study this phenomenon by connecting sparse confirmatory factor analysis models to bipartite graphs and providing sufficient graphical conditions for identifiability of the factor loading matrix up to column signs. In contrast to previous work, our main contribution, the matching criterion, exploits sparsity by operating locally on the graph structure, thereby improving existing conditions. Our criterion is efficiently decidable in time that is polynomial in the size of the graph, when restricting the search steps to sets of bounded size.
Social connections might be protective against depressive and anxious symptoms and dementia in later life. The extent to which social connections are heritable versus modifiable in older age remains unknown.
Aims
We aimed to investigate the heritability of social connections and their influence on mental and cognitive health over time among older adults in a longitudinal cohort.
Method
We analysed data from the Older Australian Twins Study (333 monozygotic, 266 dizygotic twins; 65+ years) at three time-points over 6 years. We examined the factor structure and heritability of baseline social connections and their associations with mental and cognitive health longitudinally.
Results
We found three weakly heritable social connections factors: (a) interacting with friends/neighbours/community (h2 = 0.09, 95% CI: 0.00, 0.44); (b) family interactions/childcare (h2 = 0.13, 95% CI: 0.00, 0.43); (c) involvement in religious groups/caregiving (h2 = 0.00, 95% CI: 0.00, 0.19). Strong genetic correlations were observed between depressive symptoms and factors a (r = −0.96) and b (r = −0.60). More frequent baseline interactions with friends/neighbours/community were associated with fewer depressive symptoms cross-sectionally (B = −0.14, p = .004) and longitudinally (B = −0.09, p = 0.006), but the associations between social connections and cognitive health were not significant.
Conclusions
Social connections were weakly heritable, suggesting large environmental determination. Connections with friends/neighbours/community were associated with better mental health cross-sectionally and over time.
This study presents the integrated results of stable carbon (δ13C) and nitrogen (δ15N) isotope and aDNA analyses, conducted to examine dietary and mobility practices in two mid- to late Byzantine communities in western Anatolia: the coastal cosmopolitan site of Kadıkalesi Anaia and the rural inland settlement of Barcın Höyük. Isotopic data from thirty-eight individuals indicate that both populations primarily consumed terrestrial C₃-based resources. At Kadıkalesi, δ15N values show greater variability, suggesting more differentiated access to animal protein sources, whereas the rural community at Barcın Höyük exhibits isotopic homogeneity, consistent with more uniform dietary practices and an equitable access to food. Kadıkalesi also shows intra-site dietary variation by age and sex, while Barcın is again more homogeneous. At Barcın, aDNA results indicate a predominant local genetic continuity, suggesting a stable population; a single instance of external ancestry is attested by a male individual with affinities to western populations, particularly from eastern Europe, in line with historical military resettlement patterns (stratiotika ktemata). By integrating isotopic and genomic evidence, this study demonstrates how ancestry and mobility shaped dietary habits, offering insights into the interplay of urbanism, mobility, and social organization in the Byzantine period.
The Supreme Court is less constrained than political science has recognized. Motivated justices can dramatically alter politics without deferring to actors in the other branches. Subverting constraints, justices can aggrandize power and impose their irreducible preferences. Using Reconstruction as an example, this article brings new evidence to support the claim that an autonomous Court precipitated the end of Reconstruction. I make three essential arguments: First, the Republican commitment to federal civil rights protection extended longer than is traditionally supposed. Second, the architect of postbellum constitutionalism, Justice Bradley, harbored long-standing fear of Black equality and enfeebled the Reconstruction amendments when neither legal nor political imperatives compelled him to do so. Last, Bradley’s interventions substantially hindered Reconstruction by facilitating the “redemption” of southern state governments. This article employs mixed-methodology, using a difference-in-differences analysis and novel archival data. Contrary to scholarship arguing that the Court simply followed a Republican retreat, the Court dramatically reshaped the political-social development of Reconstruction.
This study aimed at investigating the clinical, individual, and systemic factors influencing paediatricians’ and family physicians’ clinical decision-making process in the vaccination of children during infection from the physician’s perspective.
Methods:
A qualitative study through semi-structured in-depth interviews was conducted among 10 paediatricians and 10 family physicians working in Ankara, Türkiye. The audio-recorded interviews were translated into written texts, and the obtained data was analysed using the thematic analysis method proposed by Braun and Clarke.
Results:
Four main themes were identified in of thematic analysis: (I) Impact of clinical conditions on vaccination decisions, (II) attitudes of families and their communication processes with physicians, (III) impact of practice settings and institutional factors, and (IV) vaccine postponement and compensation approaches. It was observed that the decision-making processes of the paediatricians were mainly based on the clinical evaluation criteria, while family physicians considered the expectations of the families and institutional conditions. Also, the importance of establishing effective communication with vaccine-hesitant families has been emphasized by both groups of physicians.
Conclusion:
In the immunization of infected children, decision-making is shaped in addition to medical facts in relation to the parental attitude, organizational factors within health institutions, and personal experiences of medical staff. Decisions of paediatricians are largely grounded in medical facts, whereas family practitioners assess that social and organizational factors are of higher importance. Improved adherence to medical guidelines and communication competencies of medical professionals can contribute towards medical practice consistency.
In this retrospective cohort, chronic kidney disease stage III-V (P = .005), history of previous urinary tract infection within 3 months (P < .05), Revised Cardiac Risk Index for preoperative risk ≥2 (P = .002), and percutaneous nephrolithotomy procedure (P < .05) were associated with risks of infections after urological procedures among patients with negative urine culture screening.
Intrauterine growth restriction (IUGR) in newborn animals is linked to impaired intestinal health, yet the characteristics of their gut microbiota and circulating exosomal miRNAs remain incompletely understood. This study compared the cecal microbiota composition and serum exosomal miRNA profiles to characterize differences between IUGR and normal birth weight (NBW) piglets. Compared to NBW piglets, IUGR piglets displayed significant reductions in body and organ weights (heart, liver, kidney) as well as shorter jejunal and ileal lengths (p < 0.05). Microbial diversity, reflected by the Chao1 and Shannon index, was significantly reduced in IUGR piglets (p < 0.001). Taxonomic analysis revealed decreased abundances of Bacteroidetes, Fusobacteria, and Fusobacterium (p < 0.05), alongside increased abundances of potential pathogenic taxa, including Proteobacteria, Escherichia-Shigella, and Sutterella (p < 0.05). Moreover, three serum exosomal miRNAs (ssc-miR-16, ssc-miR-19b, and ssc-let-7c) emerged from the analysis as potential key regulators of IUGR. Functional enrichment analysis revealed that ssc-miR-16 and ssc-miR-19b were significantly increased in IUGR piglets, mainly targeting genes involved in cellular signaling, metabolism, and immune regulation, including the mTOR and infection-related pathways. In contrast, ssc-let-7c was significantly downregulated and linked to metabolic processes such as protein digestion and absorption. Collectively, these findings demonstrate that IUGR disrupts intestinal barrier development and microbial homeostasis, while identifying three serum exosomal miRNAs as potential biomarkers and mechanistic contributors to the pathological processes underlying IUGR.
Le 8 juin 2023, le Canada et les Pays-Bas ont saisi la Cour internationale de justice (CIJ) pour des violations de la 1984 Convention contre la torture et autres peines ou traitements cruels, inhumains ou dégradants attribuées à l’État syrien. À cette situation étatique, souvent décrite comme une zone où le droit et la justice n’avaient pas leur place, se superposent ainsi de premiers efforts pour que l’État rende des comptes. Au-delà de la possibilité dont dispose la Cour internationale de Justice (CIJ), en tant que visage institutionnel de la responsabilité étatique, de réduire ici le “fossé d’impunité,” cette affaire met également en lumière la tension existante entre deux visions opposées du droit international (“universaliste” et “souverainiste”) qui sont appelées à coexister dans le cadre de la lutte contre l’impunité. Bien que cette affaire, s’inscrivant dans une lignée jurisprudentielle favorable à l’élargissement de la fonction judiciaire de la CIJ, confirme la proximité avec le modèle “universaliste” eu égard à l’extension du locus standi devant son prétoire et à l’évolution de son mandat pour embrasser les contextes gouvernés par des violations massives des droits de la personne, il ne faudrait pas en déduire que le paradigme “souverainiste” a été effacé et remplacé.
Glaciers that terminate in the ocean or lakes exhibit unique dynamics that can drive rapid change. These dynamics, governed by many complex and interacting processes, challenge calibration and validation of physics-based models. We take a data-driven approach to quantify the imprint of glacier–ocean interactions on global non-ice sheet glacier ice volumes. Using curated datasets, we build a hierarchy of models that capture the influence of ice shelves and grounded marine termini. We find that tidewater and lake-terminating glaciers are systematically thicker than glaciers ending on land. Summed globally, this effect accounts for about 20% of non–ice-sheet glacier volume. Thicker ice is observed both for glaciers with ice shelves, where buttressing supports upstream ice, and for water-terminating glaciers without shelves. We interpret this result in terms of a simple mechanical model whereby water pressure permits thicker termini than possible in air, consistent with theoretical limits on ice cliff height. Our results highlight how ice–ocean interactions shape the equilibrium geometry of glaciers, offering a large-scale complement to process-based studies of calving and frontal melt. While most global glacier models omit these interactions, our analysis motivates their inclusion in forecasts of glacier change and sea level rise.