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This study presents a revised estimation of the prevalence of female genital mutilation/cutting (FGM/C) among migrant women and second-generation girls in Italy as of 1 January 2023. The study is based on an enhanced indirect estimation of the prevalence among migrants and data on first- and second-generation women legally residing in Italy as of 1 January 2023. The study estimates that approximately 88,600 women aged 15 and over have undergone FGM/C in Italy, representing 46% of migrant women from practising countries. Notably, around one-third of these women are over 50 years old, indicating that FGM/C remains a significant health concern beyond childbearing age. Among foreign-born women, 46.5% are estimated to be affected, compared to 22.5% of Italian-born women. The research also identifies approximately 16,000 girls under 15 at potential risk, with the highest numbers among those of Egyptian, Nigerian, and Senegalese descent. Methodologically, the study underscores the importance of refining indirect estimation techniques to account for the socio-demographic selectivity of migration. While the overall prevalence of FGM/C is decreasing, the persistence of the practice among specific communities calls for targeted interventions. The findings emphasise the need for culturally sensitive awareness campaigns, strengthened legal frameworks, and accessible healthcare services. Furthermore, this research contributes to the European discourse on FGM/C by providing a replicable estimation model adaptable to other non-practising countries receiving migrants from FGM/C-prevalent regions. Periodic replication of such estimates can provide valuable insights into evolving FGM/C trends, aiding policymakers in resource allocation and intervention strategies to eradicate the practice.
Let $M^{({k})}_{d}(n)$ be the manifold of n-tuples $(x_1,\ldots,x_n)\in(\mathbb{R}^d)^n$ having non-k-equal coordinates. We show that, for $d\geq2$, $M^{({3})}_{d}(n)$ is rationally formal if and only if $n\leq6$. This stands in sharp contrast with the fact that all classical configuration spaces $M^{({2})}_d(n)=\text{Conf}(\mathbb{R}^d,n)$ are rationally formal, just as are all complements of arrangements of arbitrary complex subspaces with geometric lattice of intersections. The rational non-formality of $M^{({3})}_{d}(n)$ for $n \gt 6$ is established via detection of non-trivial triple Massey products, which are assessed geometrically through Poincaré duality.
Constructions are long-term pairings in memory of form and meaning. How are they created and learned, how do they change, and how do they combine into new utterances (constructs, communicative performances) in working memory? Drawing on evidence from word-formation (blending, Noun-Noun-compounds) over idioms and argument structure constructions to multimodal communication, we argue that computational metaphors such as 'unification' or 'constraint-satisfaction' do not constitute a cognitively adequate explanation. Instead, we put forward the idea that construction combination is performed by Conceptual Blending – a domain-general process of higher cognition that has been used to explain complex human behavior such as, inter alia, scientific discovery, reasoning, art, music, dance, math, social cognition, and religion. This title is also available as Open Access on Cambridge Core.
Global capitalism is being reshaped by two major trends. States have become increasingly interventionist, reshaping their economies in response to crises and geopolitical tensions. Secondly, digital platform giants have emerged from the US and China that concentrate political economic power in private hands. This Element argues that these trends are increasingly symbiotic. Digital platforms are being folded into the spiralling rivalry between the US and China. As states tap into their extraterritorial governance capacities by exerting control over platforms, platform firms leverage state support to pursue and expand their internationalization strategies. Therefore, the US-China rivalry is increasingly being fought at the level of the technology stack, a dynamic the authors call state platform capitalism. The Element examines four fields in which this novel regime of competition is at play: digital currencies, technical standards, cyber security, and smart cities. This title is also available as Open Access on Cambridge Core.
This study aimed to determine the incidence, location and outcome of incidental avid lesions on positron emission tomography-computed tomography scans for head and neck cancer.
Methods
A retrospective study reviewing digital case notes, performed from a single centre. Clinicopathological information was collected and incidental avid lesions on positron emission tomography-computed tomography reports were recorded. Further investigations were followed up to determine the outcome of the lesions.
Results
A total of 281 patients undergoing staging positron emission tomography-computed tomography (stages T4, N3 or unknown primary) and/or treatment response positron emission tomography-computed tomography scans for head and neck cancer were identified, with 363 incidental avid lesions reported in 369 scans. The most common location was the abdomen (30.0 per cent), followed by thorax (28.9 per cent). A total of 33.1 per cent of lesions had further investigation. The rate of incidental synchronous primary was 3.6 per cent.
Conclusion
The benefit of investigating carefully selected incidental avid lesions outweighs the harm of investigation, as it may alter management. There is a need for a standardised pathway for investigating these lesions in head and neck cancer services.
A 9200-year-long Holocene record of pollen, magnetic susceptibility (MS), and sedimentation rates from Pup Lake, northern Lower Michigan, USA, along with comparative pollen data from regional paleoecological sites and optically stimulated luminescence dates from inland sand dunes across the Great Lakes region, reveals emerging relationships among climate, vegetation, and erosion. Tsuga (hemlock) pollen was used to track local- and regional-scale hydroclimate variability owing to the taxon’s moisture sensitivity and close association with modern lake-effect snowfall gradients. Two periods of elevated MS and Tsuga values, 6800–5200 cal yr BP and 3200–800 cal yr BP, are interpreted as millennial-scale phases of greater effective moisture that drove key changes in forest composition and resulted in accelerated erosion. Overall, the lake’s MS record broadly tracks changes in Tsuga pollen frequencies and sedimentation rates, particularly during the Late Holocene, suggesting the emergence of a well-defined lake-effect climate system between 5200 and 1000 cal yr BP. Additionally, Pup Lake’s MS record exhibits notable connections with widely recognized hemispheric-scale climate deterioration episodes, including the 9.2, 8.2, and 5.2 ka BP events.
We obtain polylogarithmic bounds in the polynomial Szemerédi theorem when the polynomials have distinct degrees and zero constant terms. Specifically, let $P_1, \dots, P_m \in \mathbb Z[y]$ be polynomials with distinct degrees, each having zero constant term. Then there exists a constant $c = c(P_1,\dots,P_m) \gt 0$ such that any subset $A \subset \{1,2,\dots,N\}$ of density at least $(\log N)^{-c}$ contains a nontrivial polynomial progression of the form $x, x+P_1(y), \dots, x+P_m(y)$. In addition, we prove an effective “popular” version, showing that every dense subset $A$ has some non-zero $y$ such that the number of polynomial progressions in $A$ with this difference $y$ is asymptotically at least as large as in a random set of the same density as $A$.
Diabetes mellitus is a prevalent chronic illness worldwide and largely impacts migrants who have settled in developed countries. In diabetes care, patients play a central role and are natural partners in self-care education for improving health. Upon reviewing the literature, no studies were found that evaluated culturally adapted education models led by a nurse and delivered by a multi-professional team from the perspective of migrants in a group setting. Therefore, this study aims to explore patients’ evaluation of the content and implementation of a person-centred, group-based diabetes education model for migrants with type 2 diabetes led by a nurse and delivered by a multi-professional team.
Method:
Qualitative exploratory study, using semi-structured interviews in focus groups and individually to collect data. Eleven migrants who had participated in an intervention testing the education model aged 45–70, who had been living in Sweden between 4–32 years participated. Inductive qualitative content analysis of data was undertaken.
Results:
Participants gave a positive picture of their experiences concerning the content and organisation of the person-centred, group-based, culturally adapted diabetes education model. The education sessions were described as providing new and evidence-based knowledge. The multi-professional education staff and the interpreter were perceived as having a professional and familiar approach. They wanted to recommend the education model to others.
Conclusions:
The study revealed a well-functioning diabetes education model tailored to individual beliefs and cultural aspects. It improved perceived knowledge about type 2 diabetes among migrants, thus increasing self-care behaviour and health. In today’s multicultural society, the study offers insights into migrants’ feelings, ideas, concerns, knowledge, and experience regarding the content, structure, and outcome of a group-based, culturally adapted diabetes education model that can improve self-care behaviour to promote health and prevent illness. As a result, the education model can be used in primary healthcare as a central and natural partner in self-care education to improve health.
In this article, I analyse the word-prosodic system of Drubea and Numèè, two of the rare tonal Oceanic languages. Building on Rivierre’s (1973) seminal work, I show that the word-prosodic system of these two languages can be analysed as involving only register features: an underlying downstep and a postlexical epenthetic upstep. Drubea and Numèè are thus tonal languages without tones stricto sensu. This new type of word-prosodic system has both theoretical and typological implications: (i) register features, defined as in Snider’s (1999) Register Tier Theory, need not be subordinate to or associated with tones, and may exist in the absence of tone, including in underlying representation; (ii) tonal systems come in two types: tone-based systems in which the tonal contrasts are defined paradigmatically, as in most tone languages, and register-based systems where tonal contrasts are defined syntagmatically, as in Drubea and Numèè.
The best known historical narrative of the international mental hygiene movement among English-speaking audiences locates its origins in the publication of A Mind That Found Itself, the autobiographical account of Clifford Beers (1876–1943), a Yale graduate and former psychiatric patient. The success of the book is thought to have prompted the creation of the first Society for Mental Hygiene in Connecticut in 1908. Beers’ biography, published as Advocate for the Insane in 1980, contends that mental hygiene abroad developed from seeds first sown in the USA and subsequently in Canada.
This article offers a critical reappraisal of that narrative and advances an alternative framework for understanding the history of the international mental hygiene movement during the first half of the twentieth century. It draws on a body of scholarship, emerging since the 1980s, that has sought to decentre the prevailing account, exposing the multiplicity of forces at work in a history that diverges from any straightforward, linear trajectory radiating from a single point of origin.
By tracing this decentred history, the article highlights the contested nature of the ‘international’ in the context of the mental hygiene movement. Case studies from the USA, France, Brazil, and Argentina reveal both the conflicts it engendered and the diverse meanings and significance it assumed within distinct national settings.
The current study aimed to investigate the effects of different iron sources on growth performance and small intestinal health in weaned piglets. Two hundred and forty piglets (Duroc × Large White × Landrace, 9.52 ± 1.60 kg, 40 ± 2 d) were assigned to four treatments including control group, a basal diet without iron supplemented in mineral premix; ferrous sulfate (FeSO4) group, 100 mg Fe/kg dry matter (DM); ferrous glycinate (Fe-Gly) group, 80 mg Fe/kg DM; amino acid-Fe(II)-chelator complexes group, 30 mg Fe/kg DM. There were four pens for each treatment, and each pen had fifteen piglets. The experiment lasted for 28 days. Compared to the control group, three iron sources increased average daily feed intake (P < 0.05). Fe-Gly and amino acid-Fe(II)-chelator complexes increased average daily gain (P < 0.05). Amino acid-Fe(II)-chelator complexes increased villus height in jejunum (P < 0.05). In addition, Fe-Gly increased Ki67 and leucine rich repeat containing G protein-coupled receptor 5 (Lgr5) mRNA expression in duodenum (P < 0.05). Amino acid-Fe(II)-chelator complexes increased claudin-1 mRNA expression, and both amino acid-Fe(II)-chelator complexes and Fe-Gly increased Lgr5 mRNA expression (P < 0.05) in jejunum. These results suggest that organic iron is more effective than FeSO4 in improving growth performance, and has a positive effect on intestinal health in weanling piglets.
Do initiative and referendum campaigns enable voters to make coherent decisions? Do the dynamics of opinion formation differ across ballot measures? Despite extensive research on direct democratic processes, these questions remain underexplored. Using rolling cross-section data on two citizen-sponsored initiatives in California and two referendums in Switzerland, we examine the dynamics of voters’ knowledge about party cues and arguments for and against ballot measures in the run-up to direct democratic votes. Moreover, we assess the extent to which these dynamics help voters to cast votes that are in line with their party cue and consistent with their position on arguments. The results present a nuanced picture: while campaigns increase voters’ knowledge and help them to make more coherent choices, there is significant variation across ballots in knowledge acquisition and resulting degree of in-line and consistent voting.
This study examined data from 20 national genebanks in Latin America and the Caribbean, Africa, the Near East and Asia to identify similarities and differences in genebank operations and processes, funding and facilities, as well as opportunities to strengthen their contributions to the global system of crop conservation and use. Data on genebank performance metrics were collected and used to assess compliance with FAO Genebank Standards. This enabled the analysis of trends in ex situ conservation of major food crops, locally important crops and crop wild relatives across national genebanks and the identification of shared challenges and opportunities to improve genebank operations and address funding gaps. All genebanks in the study failed to meet quality management standards and performance goals for the effective management of crop collections. The most pressing challenge for all national genebanks was the management and safety duplication of highly diverse collections in both seed and field genebanks, often with limited information available to guide best conservation practices. A further critical constraint was the fluctuating and often insufficient funding to support the wide range of tasks needed to secure and use this valuable national crop germplasm.
Production of seafood has received relatively little attention in agri-food debates despite the fact that, since the 1960s, seafood production has been transformed through the industrialization of fisheries and globalization of seafood commodity chains. Intensive aquaculture emerged as a new industry in response to declining fish catches. Global commodity chains of seafood and capital accumulation processes changed tremendously, leading to complex international trade dynamics and rising inequalities. The Turkish aquaculture sector has also been transformed via government subsidies, and a few vertically integrated aquaculture companies started to produce farmed sea bass and sea bream (SBSB) in Turkish waters, while organizing their operations both upstream (processing of fish feed in Africa) and downstream (sales and distribution in Europe) in the global SBSB value chain. We adopted a single commodity approach to uncover how seafood production has been transformed via expanding commodity frontiers of capital-intensive SBSB production by focusing on the strategies of Turkish aquaculture enterprises, trade dynamics, and socio-ecological implications of SBSB production via in-depth interviews with key stakeholders and a review of legislative documents and trade data. Our analysis offers critical insights into the agrarian-change debate in Turkey by analyzing the global and regional socio-ecological inequalities created by Turkish SBSB production.
Compliance with court decisions is essential for the rule of law. Generally, regimes comply with decisions that serve their interests; however, compliance with decisions against government interests is less certain. In 1947–2005 and 2014–2023, the Supreme Court of Pakistan (SCP) decided many politically important cases in favour of the prevailing authoritarian and hybrid regimes. However, between 2005 and 2013, although the SCP reached decisions against the government’s interests in politically important cases, the government still complied. Why would authoritarian and hybrid regimes, such as those in Pakistan between 2005 and 2013, comply with decisions in politically important cases that were against their interests instead of disobeying or ignoring them? Very few studies have addressed this puzzling phenomenon. This article argues that increasing public support for courts coupled with reinforcement mechanisms—supported by both the judiciary and external actors—contributes to such compliance. The article concludes that a combination of social, political, and legal factors is essential for compliance by authoritarian and hybrid regimes in politically important cases.
End-of-life (EOL) care for critically ill individuals is shaped by socioeconomic, legal, and cultural factors for Koreans in South Korea and Korean Americans (KA) in the United States. This scoping review thematically synthesized critical care literature from Korea and community-based literature involving KAs to inform culturally tailored EOL and palliative care research and practice.
Methods
Following the updated JBI scoping review guidance, we reviewed English and Korean articles across seven databases. Due to the lack of critical care studies involving KAs, the scope of U.S. studies was broadened to all healthcare settings. We conducted a thematic synthesis to identify cross-context cultural insights that are potentially transferable from Koreans in critical care to KAs with similar needs.
Results
Evidence on EOL care for Koreans in critical care and for KA communities across U.S. settings was limited. Korea-based critical care studies (N = 23) highlighted physician-initiated decision-making, minimal advance care planning, and a lack of direct patient perspectives. U.S.-based studies (N = 26) focused on hypothetical palliative care preferences among older, community-dwelling KAs, with limited attention to critical care. Both contexts revealed shared cultural preferences for family-centered decision-making, physician-led discussions, and indirect communication about diagnosis and prognosis. Further research is warranted to investigate within-group heterogeneity and preference shifts across illness trajectories to inform culturally tailored EOL interventions for KAs.
Significance of results
Findings highlight the need for culturally and structurally informed approaches to improve EOL care in both Korea and the U.S. This cross-context analysis demonstrates how evidence from the heritage country can inform research and practice for immigrant and minoritized populations when domestic data are sparse. Strength-based approaches grounded in community values, combined with culturally specific insights from Korean literature, may enhance culturally responsive support for KA patients and families.
A classical theorem of Jordan asserts that if a group G acts transitively on a finite set of size at least $2$, then G contains a derangement (a fixed-point free element). Generalisations of Jordan’s theorem have been studied extensively, due in part to their applications in graph theory, number theory and topology. We address a generalisation conjectured recently by Ellis and Harper [‘Orbits of permutation groups with no derangements’, Preprint, 2024, arXiv:2408.16064], which says that if G has exactly two orbits and those orbits have equal length $n \geq 2$, then G contains a derangement. We prove this conjecture in the case where n is a product of two primes, and in the case where $n=bp$ with p a prime and $2b\leq p$. We also verify the conjecture computationally for $n \leq 30$.
Bibliometric analysis reveals significant research trends and highlights collaborations among institutions and countries within extremophiles and astrobiology. A bibliometric analysis of 309 papers reveals key research trends and collaborations in extremophiles and astrobiology in this research and provides a strategic overview of scientific interest, identifying research gaps and guiding future exploration of life adaptability and extraterrestrial biosignatures. Thus, analysis has systematically assessed trends, research collaborations and emerging topics guiding future research on the adaptability of life and the search for extraterrestrial biosignatures. According to trends, omics technologies, particularly genomics and multi-omics approaches, are emerging as pivotal tools for understanding the genetic and metabolic adaptations that enable extremophiles to thrive in harsh conditions. Also, multi-omics approaches will provide a better understanding of the genetic and metabolic adaptations that allow extremophiles to survive in harsh environments, such as extreme temperatures, high salinity, or acidic and alkaline conditions. These insights deepen our understanding of extremophile biology and support the identification of molecular biosignatures indicative of extraterrestrial life.
A growing body of evidence shows an association between in utero Ramadan exposure and negative long-term consequences. Nonetheless, there is a scarcity of studies utilizing clinical measures in adults. This study investigates a possible association between in utero Ramadan exposure and mean arterial pressure (MAP) as well as random blood glucose (RBG) measures in the adult offspring. Using cross-sectional data from the Southeast Asia community observatory health and demographic surveillance system (SEACO) in Malaysia for two survey rounds (year 2013 and 2018), we compared MAP and RBG of in utero Ramadan-exposed Muslims with unexposed Muslims and non-Muslims. In utero Ramadan exposure was estimated based on the overlap between pregnancy (estimated from birth dates) and Ramadan periods. We conducted difference-in-differences analyses adjusted for age and birth months (seasonal effects). A total of 20,575 participants aged 35 or older were included in the analysis, comprising 12,696 Muslims and 7,879 non-Muslims. Difference-in-differences analyses revealed no statistically significant association between in utero Ramadan exposure and MAP, or between in utero Ramadan and RBG. These findings persisted in additional analyses examining the timing of Ramadan exposure during pregnancy.
Cuando las aguas se juntan. Dir. Margarita Martínez Escallón. Prod. La Retratista. Colombia, 2023. 85 minutes. Distributed by Cineplex.
Cantos que inundan el río. Dir. Luckas Perro (also known as Germán Arango Rendón). Prod. Pasolini en Medellín. Colombia, 2022. 72 minutes. Distributed by Briosa Films.
Del otro lado. Dir. Iván Guarnizo. Prod. Gusano Films, Salon Indien Films, RTVC Play. Colombia-Spain, 2021. 83 minutes. Distributed by DOC:CO Agencia de Promoción y Distribución.