To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This paper investigates the everyday use of coins at the Roman Red Sea ports of Berenike and Myos Hormos, challenging their conventional interpretation as mere indicators of trade prosperity. Adopting a contextualized approach, the paper analyzes coin finds alongside non-numismatic evidence – including ceramics, botanical and zoological remains, and epigraphic records – to uncover their role in daily economic activities. The study demonstrates how coins functioned across diverse settings such as marketplaces, industrial zones, religious sites, and residential areas, highlighting their integration into the economic, social, and cultural fabric of the ports. Beyond serving as a medium of exchange, coins played crucial roles in taxation, service payments, and religious offerings. By reconstructing the transactional dynamics of the ancient ports, the paper provides new insights into the interactions between residents and visitors, enriching our understanding of daily life in these vibrant hubs through a holistic archaeological perspective.
This article examines the relationship between acts harmful to the enemy (AHTTE) – the first criterion for the loss of special protection for medical units and transports under international humanitarian law – and the requirements for classification as a military objective, which governs the loss of general protection for civilian objects. The analysis begins by clarifying the articulation between special and general protection, then outlines the legal consequences of losing special protection alone. The definition of AHTTE is examined, with particular attention to hospital shielding, and it is then assessed whether such acts always meet the cumulative conditions of Article 52(2) of Additional Protocol I for becoming military objectives: effective contribution to military action and definite military advantage. The article argues that AHTTE do not always meet these conditions, and that certain acts contribute too indirectly or speculatively to justify targeting. The conclusion emphasizes that this analysis does not preclude the application of other rules governing the conduct of hostilities.
Many affluent democracies have pledged to achieve ‘net zero’ greenhouse gas emissions by mid-century. Achieving these targets would denote important national contributions to the international goal of keeping global warming ‘well below’ 2°C as agreed in the 2015 Paris agreement. Yet pursuing the necessary long-term decarbonisation policies influencing individuals’ everyday lives will require a considerable and enduring level of political leadership. But what enables or constrains politicians to perform such leadership? To date, little is known about the factors influencing politicians’ willingness to advocate for decarbonisation measures in the short-term for the long-term gain of climate change mitigation. This study draws on rare data of consumers’ carbon footprints, parliamentary speechmaking, and qualitative elite interviews in a mixed-methods research design to study how the intensity of constituents’ consumption-based carbon emissions influences the decarbonisation-focused behaviour of members of parliament (MPs) in the UK. Our quantitative findings reveal that MPs pay considerably less attention to decarbonisation issues when they represent carbon-intense constituencies. Moreover, this effect is particularly pronounced for Conservative MPs and amplified in marginal seats. The qualitative interview evidence helps to contextualise these quantitative findings, suggesting that MPs consider the decarbonisation of lifestyles a crucial political challenge and that their electoral considerations and party-political contexts play an important role in how they handle this challenge. Overall, our study draws a sobering picture of politicians’ willingness to sacrifice short-term electoral gains for the long-term prospect of net zero, especially for those MPs representing constituencies that could make high-impact contributions to nationwide emission cuts.
Smartphones have become essential, making our daily lives more manageable; however, excessive use may cause problems. University students are particularly vulnerable to smartphone addiction. This study examines the relationship between smartphone addiction and health-promoting lifestyles among university students.
Methods:
A cross-sectional study was conducted with 911 students at Dokuz Eylul University, Izmir, Turkey. Data were collected via Smartphone Addiction Scale-Short Version (SAS-SV) and Health Promotion Lifestyle Profile II (HPLP II). The printed forms were used, and the researcher administered the survey in person and recorded the responses.
Results:
Prevalence of smartphone addiction was 34.1%. Several factors were significantly associated, including female gender (p = 0.049), being single (p = 0.042), self-perceived smartphone addiction (p < 0.001), daytime sleepiness (p < 0.001), and poor sleep quality (p < 0.001). Students with smartphone addiction had significantly lower HPLP II scores (p = 0.001).
Logistic regression analysis showed that gender was no longer a significant factor. Those without a partner (OR: 1.47, 95% CI: 1.07–2.03), those who considered themselves smartphone addicts (OR: 6.86, 95% CI: 4.99–9.42), and those with daytime sleepiness (OR: 1.52, 95% CI: 1.08–2.14) had higher odds of smartphone addiction. Higher HPLP II scores were protective against smartphone addiction (OR: 0.99, 95% CI: 0.98–0.99).
Conclusions:
This study highlights that students with smartphone addiction engage in less health-promoting behaviours and experience poor sleep quality and daytime sleepiness. Self-perceived smartphone addiction was strongly associated with actual addiction, while a healthier lifestyle appeared to have a protective effect. There is a need for strategies to promote healthy habits and reduce smartphone addiction among university students.
The diffusion of agricultural technologies, such as biofortified crops, is often non-linear, characterised by adoption, discontinuation, and re-adoption. This study examines the factors shaping these dynamic patterns for high-iron beans (HIBs) in Uganda. Based on cross-sectional survey data, we employed a multinomial logit model to categorise and analyse farmer adoption status. The results reveal that a combination of socio-economic and institutional factors significantly influences adoption behaviour. Specifically, the gender and age of the household head, as well as participation in off-farm income, were key socio-economic predictors. Regarding institutional factors, access to reliable markets and the presence of payback schemes emerged as the primary drivers. These findings suggest that overcoming adoption barriers requires addressing both the demographics of farmers and systemic constraints. We recommend a strategic pivot towards decentralising seed production by establishing certified community seed enterprises and enhancing training programmes that focus on both agronomic practices and market linkages to ensure the sustained cultivation of HIBs.
Analysis of historic aerial photography has identified a possible monumental formal garden complex on the outskirts of Tabriz, Iran. Here, the authors describe this complex and explain why it is an important addition to our knowledge of elite Persian garden design practice that spread globally over time.
This study investigated functional connectivity in the default mode, central executive, dorsal attention, and salience networks (SN) and its relation to executive function in youth with traumatic brain injury.
Methods:
Twenty-three youth with traumatic brain injury (11 with moderate-to-severe injury (6 male, mage = 11.78 ± 2.68 years, mtimesinceinjury = 3.71 ± 2.43 years) and 12 with complicated-mild injury (9 male, mage = 12.59 ± 1.99 years, mtimesinceinjury = 4.55 ± 1.59 years) and 17 youth with orthopedic injury (11 male, mage = 11.75 ± 2.12 years, mtimesinceinjury = 3.95 ± 1.79 years)) completed resting-state functional magnetic resonance imaging and a parent rated their child’s executive function.
Results:
We found group differences in the strength of connectivity among four regions in the default mode network (DMN) and two regions of the SN, ps < .05, Eta2 = .151–.229. The orthopedic injury group demonstrated significant negative between-network connectivity, while brain injury groups had negligible negative or, in some cases, positive between-network associations. Groups did not differ on parent ratings of executive function, as all groups fell above the normative mean, reflecting poorer than expected everyday executive behavior. Attenuation of typical negative between-network association between the posterior cingulate in the DMN and two regions of the salience network was associated with worse parent-rated executive behavior (rs = .291–.317, ps < .05).
Conclusions:
Findings illustrate the implications of disrupted downregulation of the default mode network by the SN following pediatric brain injury. They also demonstrate how disruption in functional connectivity may underlie poor executive function after childhood traumatic brain injury.
Generalized anxiety disorder (GAD) is characterized by persistent worry and physical symptoms, with prevalence estimates ranging from 0.8% to 8%. Researchers utilize various tools, such as standardized diagnostic interviews and self-report questionnaires, to estimate GAD prevalence in population-level studies. However, the diagnostic accuracy of these tools varies greatly. This scoping review aimed to identify the tools used for GAD prevalence estimation and assess the extent to which diagnostic tool accuracy is reported.
Methods
A systematic search was conducted in MEDLINE, Embase and PsycINFO using MeSH terms and keywords related to GAD prevalence. No date restrictions were applied. Studies were eligible if they used nationally or regionally representative samples and defined GAD based on DSM-5, ICD-11 or older case definitions. Studies focusing solely on specific sub-groups were excluded. Data extraction included study characteristics, diagnostic tools and reporting of test accuracy.
Results
A total of 537 studies were initially identified, with 48 meeting inclusion criteria, published between 1994 and 2024. Most studies were conducted in Europe (43.75%) and employed cross-sectional designs (92%). Structured diagnostic interviews were the most commonly used tool (77.08%), although self-report questionnaires gained popularity after 2005. Among the included studies, 62.5% reported test accuracy, often addressing validity and reliability.
Conclusions
Despite the widespread use of diagnostic tools in prevalence studies, test accuracy is not consistently reported, which may impact the reliability of prevalence estimates. The variability in agreement between self-report questionnaires and structured diagnostic interviews highlights the need for transparent reporting of test characteristics to improve the validity of GAD prevalence assessments across populations.
Carbapenem-resistant Enterobacterales were isolated from the outlet of a wastewater treatment plant in Kristianstad in southern Sweden, during spring and summer of the year 2024. MALDI-ToF MS identification and subsequent whole-genome sequencing identified eight Klebsiella pneumoniae strains belonging to ST437 and ST873 and 10 Escherichia coli strains belonging to ST167, ST648, ST1284, and ST8346. All strains, except K. pneumoniae ST873, were NDM-5 positive. K. pneumaniae ST437 and E. coli ST8346 carried two carbapenemase genes, blaNDM-5 and blaOXA-181, as well as the extended-spectrum-β-lactamases (ESBL) gene blaCTX-M-15. These two multi-drug-resistant ST variants that are widespread globally, that have previously not been detected in clinical settings in Sweden, are now detected in treated wastewater in a Swedish middle-sized town.
Monitoring snow distribution in alpine terrain is critical for hydrology, avalanche safety, and climate research, yet traditional surveys are costly, hazardous, and spatially sparse. We assess a gondola-mounted, low-cost Light Detection and Ranging (lidar) system (MOLISENS) for repeated snow monitoring in Real-Time Kinematics (RTK)-denied mountain environments. The system fuses lidar, Inertial Measurement Unit (IMU), and standalone Global Navigation Satellite System (GNSS) using a Simultaneous Localization And Mapping (SLAM) algorithm to generate 3D point clouds along a fixed aerial-lift transect at Hoher Sonnblick, Austria. Six winter runs (March 2023) were processed and compared with summer Unmanned Aircraft System (UAS)-photogrammetry. Intra-system repeatability between same-day scans reached centimetre precision (weighted standard deviation 0.010 m; 95% within $\pm$0.006 m), supporting detection of daily to seasonal changes in snow thickness along the route. Absolute agreement with the UAS reference was limited to decimetre scale, primarily due to registration and standalone GNSS uncertainties rather than sensor range noise. Performance degraded over feature-poor snowfields, and manual segment merging was labor-intensive; consequently, quantitative analyses were restricted to well-constrained segments. Despite these limitations, the results demonstrate the feasibility of gondola-mounted lidar for cost-effective, repeatable snow-thickness mapping.
This study examines the use of English on signage in the areas surrounding two U.S. military bases in Japan, Yokosuka Navy Base and Yokota Air Base, highlighting the diverse functions of English that emerge through interactions between American residents and Japanese locals. In these areas, including streets that have become tourist destinations for Japanese visitors, various commercial establishments coexist, some offering authentic products and services for Americans, and others commodifying American culture for Japanese tourists. Within these public spaces, English signage, along with other semiotic resources, plays a central role in shaping a uniquely commodified environment infused with American culture. The study identifies two key features of English signage that distinguish these areas from other parts of Japan: (1) the prominence of informational English signage targeting Americans, such as monolingual English traffic signs and church signs, which reflects the dense American population; and (2) the symbolic use of English by Japanese shop owners, which do not signal modernity or globalization as English signage typically does elsewhere in Japan, but instead commodifies American culture to attract Japanese tourists. These uses of English on signage, alongside other semiotic materials, shape a unique visual and cultural landscape, underscoring the multifaceted roles of English in non‑English‑speaking countries like Japan, including both the ‘authentic’ use of English in communication with Americans and the ‘commodified authenticity’ conveyed through English employed by Japanese shop owners to appeal to Japanese audiences.
This article serves as an introduction to the Special Issue section “Measuring and Enhancing Resilience of United States Rural Communities in the Context of Climate Variability.” To set the stage for this section, we review how climate hazards impact rural areas and synthesize insights that emerge across the issue’s four papers, noting their policy relevance and highlighting opportunities for continued research. We argue that emerging data tools can help program designers and policy makers better support the resilience of rural areas, but that doing so remains complicated by heterogeneity in resources and vulnerabilities across rural areas.
This article reflects on the Socratic model for doing public political philosophy. It concentrates on the dialogue form and considers how this form might be adapted to a very different world than the one Socrates inhabited—one that is demographically diverse and huge, highly mediated, and today, intensely polarized. It suggests as well that philosophers are especially suited to facilitating critiques of current conjunctures and predicaments—their organizing terms, assumptions, and frameworks. They do this best through their skills of questioning.
This Comment assesses the legacy of the 2015 JOIE debate, critiquing the economic conflation of de jure ‘property’ and de facto ‘possession’. Citation analysis confirms the debate’s sustained intellectual footprint, but this did not translate into the lexical shift advocated by its proponents. A text-mining analysis of 58 economics journals finds negligible adoption of the specific term ‘possession’. A broader test for a conceptual basket of related de facto terms also fails to find robust evidence; a fragile signal in one dataset, not replicated in a second. We conclude that no significant, profession-wide lexical adoption occurred.
Compared to most other cases of independence, the creation of Libya is generally regarded as a conservative outcome. Rather than being founded on a nationalist impulse, the United Kingdom of Libya derived its legitimacy from Islam, specifically following the path of the Sanūsiyya—one of the key symbols of anti-colonial resistance—whose religious leader became the first king of the new state. As a primarily religious movement, however, the Sanūsiyya’s influence was unevenly distributed across the country. Consequently, when Idris al-Sanūsī ascended the throne, his political legitimacy was not universally acknowledged. Within this context, both history and historiography played a strategic role in the construction and contestation of political legitimacy. This paper aims to analyse historiographical narratives produced during the 1940s and 1950s, viewing independence as a process that transcends the moment of its formal proclamation. The objective is twofold: first, to investigate the construction of a “Sanūsī epistemological sovereignty” through historical revision and the promotion of a pro-monarchist historiography; and second, to examine its role in legitimising the new state and in fostering a shared sense of identity and nationhood.
Palliative care development in primary care is crucial worldwide. This study reports on the secondary outcomes of a study that evaluated whether a complex intervention in primary care for patients with palliative care needs impacted their healthcare utilization.
Methods:
A before-after study was conducted with family physicians and patients with palliative care needs. Physicians received palliative care training and implemented a new primary palliative care consultation model. Healthcare utilization in the 12 weeks before, during, and after the intervention was compared.
Results:
We analysed healthcare utilization for 33 patients with advanced disease. Pre-intervention, there were high rates of no medical consultations, emergency visits, hospital admissions, and outpatient referrals (84.8%, 75.8%, 81.8%, and 84.8%, respectively). Despite slight reductions during and after the intervention, the differences were not statistically significant.
Conclusions:
The reduction in healthcare utilization was not statistically significant, but the data inform sample size calculations for future economic analyses.
Trial registration:
ClinicalTrials.gov ID – NCT05244590. Registration: 14th February 2022.
In this work, by considering coherent systems comprising independent components with discrete lifetimes, we introduce the notion of discrete-time signature and then discuss some of its properties. With the use of the introduced signature, a stochastic ordering result is also established. We then introduce transformation formulas for the discrete-time signature to facilitate the comparison of systems of different sizes. Some examples are also presented to illustrate all the results developed here.