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To determine the prevalence and characteristics of plant-based patterns in the Spanish population and assess their potential impact on individuals with similar socio-demographic backgrounds.
Design:
We estimated vegetarian and vegan individuals’ national and regional prevalence and analysed their socio-demographic characteristics and weekly dietary intake patterns. Individuals with a plant-based dietary pattern were matched to a control group (1:4) with similar socio-demographic characteristics. Associations with the prevalence risk of common chronic diseases, self-reported health status, lifestyle and healthcare use were analysed with unadjusted and adjusted logistic regression models.
Setting:
A population-based survey of individuals residing in Spain.
Participants:
Data from 22 072 participants were examined.
Results:
The prevalence of plant-based diets was 5·62‰ (95 % CI: 4·33, 7·28), and adherents were female (68·6 %), single (62·3 %) and university-educated 41·8 %) (P < 0·001). They reported higher rates of ‘never’ consuming snacks (50 % v. 35 %), fast food (58 % v. 36 %) and sweets (33 % v. 14 %). Lifestyle factors did not differ between the plant-based and omnivorous groups; however, adherence to plant-based diets was associated with a prevalence risk of depressive symptoms (OR 2·58, 95 % CI: 1·00, 6·65), stroke (OR 7·08, 95 % CI: 1·27, 39·46) and increased consultations for mental health and complementary medicine (OR 3·21, 95 % CI: 1·38, 7·43).
Conclusions:
Plant-based diets are uncommon and are associated with specific socio-demographic profiles, particularly sex. When comparing individuals with similar socio-demographic characteristics, individuals with plant-based diets and omnivores had similar lifestyles. Addressing patient concerns regarding diet and personal well-being might prioritise healthy behaviours over specific dietary patterns.
Artificial intelligence (AI) facilitates designers in generating creative ideas. How designers work with AI to effectively stimulate and enhance their creativity is an urgent topic in the context of design education and creation. This study conducted a controlled experiment in a design education context to explore the effects of generative AI tools and visual stimuli on the creativity of designers in the early design stages. The results show that the use of text-to-image (T2I) AI tools and the stimulation of abstract visuals enhance the design creativity in both divergent and convergent thinking processes. However, it is important to be aware of the design fixation during this process. This study sheds light on the role and value of different AI tools for designers in the design process, offers a more effective solution of using AI for designers so as to improve creativity and design quality, and provides a theoretical basis for the application of AI-assisted design process.
Antimicrobial resistance (AMR) in intensive care units (ICUs) is a critical issue, which has been exacerbated by the coronavirus disease 2019 (COVID-19) pandemic. This study investigated AMR prevalence and its associated factors among ICU patients in two Vietnamese hospitals from January 2020 to June 2022. Electronic medical records of 1,296 patients with 2,432 non-duplicate bacterial isolates were collected in Phu Tho Hospital (Northern, rural, non-COVID-19 treatment) and 175 Hospital (Southern, urban, COVID-19 treatment centre). Antibiotic susceptibility testing was conducted using VITEK2, BD Phoenix 100, and disk diffusion methods. Logistic regression with 1,000 bootstrap resampling and cross-validation was used to examine factors linked to AMR. Results revealed Acinetobacter spp. (27.5%) as leading strains in Phu Tho Hospital, while Klebsiella spp. (28.0%) predominated in 175 Hospital, except during 2021when Acinetobacter spp. reached the peak. Alarmingly, Acinetobacter spp., Klebsiella spp., and Pseudomonas aeruginosa demonstrated the highest AMR rates and multidrug resistance rates (83.8%–95.8%) in both hospitals. Resistance to cephalosporins, carbapenems, and fluoroquinolones ranged from 75% to 100%. Significant associated factors included age, sex, location, initial admission diagnosis, and bacterial isolation month. This study highlights the urgent need for controlling AMR in ICUs during the pandemic.
Beginning with the opening-up reforms of Deng Xiaoping, the Chinese government has treated law as a central tool for regulating the economy and guiding institutional transformation. Over the decades, since 1949, China’s path to modernization has been marked by profound, experimental transformations that selectively combined foreign expertise with Chinese foundations. A key feature of this process has been China’s strategic adoption and adaptation of legal transplants. While initially a recipient of foreign legal models, China is now increasingly exporting its own approaches through the Belt and Road Initiative (BRI). This article examines how China’s engagement in shaping the legal and regulatory frameworks of host countries under the BRI differs from traditional models of legal transplants. Rather than imposing, China draws on its historical experience to adopt a pragmatic, adaptive strategy defined by three core characteristics: the combination of Chinese and Western practices; an emphasis on voluntariness tempered by asymmetrical power relations; and a prioritization of policy objectives over autonomous legal principles. While this strategy raises concerns about legal fragmentation and institutional coherence, it also fosters a space for legal pluralism, offering an alternative to the homogenization typically associated with Global North legal transplants.
Syrian refugees in Türkiye show a high prevalence of mental health problems but encounter barriers to accessing mental health services. Group Problem Management Plus (gPM+), developed by the World Health Organization, is a low-intensity psychological intervention delivered by nonspecialist facilitators. This qualitative process evaluation explores the acceptability, feasibility and perceived effectiveness of gPM+ for Syrian refugees resettled in Türkiye, as well as facilitating factors and barriers to its implementation. Twenty-three semi-structured interviews were conducted with gPM+ participants, facilitators, drop-outs, relatives of participants and key informants. Findings showed that gPM+ was well-received for its group-based format, which participants felt fostered social support, and for its content, which they reported may have led to improvements in coping skills and family relationships. Facilitators viewed the intervention as feasible to implement. However, barriers such as participants’ economic struggles, practical challenges (e.g., childcare and transportation difficulties) and low mental health literacy impeded engagement. Adapting gPM+ to address social determinants like poverty may be beneficial. The need for booster sessions was emphasized to maintain long-term change and provide deeper learning of the strategies. For sustainable scaling up gPM+ within primary health care, key informants highlighted the importance of training and supervising nonprofessional facilitators and securing governmental support.
Unintended technical interactions across system interfaces can lead to costly failures and rework, particularly in the early design stages of complex products. This study examines how structured risk assessment tools influence teams’ ability to identify, evaluate and mitigate risks from such indirect interactions. In a controlled experiment, 14 engineering teams (comprising professionals and graduate students) engaged in simulated design decisions across three system configurations. Tool usage – including models of direct and indirect risk propagation and value-based trade-offs – was continuously logged and linked to outcomes. Teams that engaged earlier and more deliberately with the tools identified risks sooner and selected mitigation actions with more favourable cost–benefit profiles. Results show that strategic, not merely frequent, tool use improves risk management performance, particularly when addressing cascading effects from indirect physical interactions. These findings support the use of structured supports to enhance both the efficiency of early-stage risk evaluation and the efficacy of risk treatment.
This paper explores the theoretical and analytic possibilities of the concept of gharīb to offer a new understanding of regional displacement in what we know as the modern Middle East. The concept of gharīb (pl. ghurabāʾ) has accrued a wide range of meanings across time and space, including stranger, outcast, and exile, as well as pauper. By occupying the space between estrangement and poverty, the gharīb allows for an intersectional understanding of inequality, experienced by a growing number of marginalized and displaced communities in the Middle East. This paper honors the gharīb while making an analytic shift away from the category of the “refugee,” which has long been the dominant framework for personhood in the study of displacement. Combining genealogical analysis of the word gharīb with ethnographic accounts of displaced and impoverished communities in post-2011 Lebanon, I argue that legal binaries such as refugee versus citizen, and internal versus external displacement, have been further blurred against the backdrop of ongoing and interlocking forms of structural violence, inequality, and lack of protection for marginalized groups. The right to belong, therefore, is less about citizenry and more about a mode of social and economic poverty. This is particularly the case in the margins, where the repercussions of the ongoing crises are first and foremost felt. The gharīb, in contrast to such legal binaries, can be an analytic tool that allows us to delve deeper into the complexities of belonging, futurity, and rights without falling into the traps of methodological nationalism and top-down regional demarcations.
Legal, ethical, historical, cultural, and political questions in relation to African cultural heritage are increasingly the focal point of international, regional, and national debates. It is now widely recognized that African cultural disputes – often between African States (or State institutions) on the one hand, and Western States, State institutions and private actors on the other – are ripe for settlement, especially on the basis of law, including international law. This article focuses on international arbitration as a means for resolving African cultural heritage-related disputes and, for the first time analyses the benefits of all types of international arbitration (State-to-State arbitration, investment treaty arbitration and commercial (contract-based) arbitration) from the perspective of African States and actors in relation to the resolution of African cultural heritage disputes, which include disputes regarding the return of African cultural objects. This article examines for the first time the potential role of all types of arbitral proceedings ((i) State-to-State arbitration, (ii) international investment treaty arbitration (or, as often-called, Investor-State Dispute Settlement (ISDS)), and (iii) commercial arbitration) for the resolution of Africa-related cultural heritage disputes.
This article discusses data from a Romance variety spoken in the linguistic region of France referred to as the Croissant. When roots in this language exhibit a phonologically problematic right edge, the problem is treated differently depending on whether the stem is nominal or verbal. We propose that this unequal treatment reflects an underlying distinction: seemingly unsuffixed verbs are in fact underlyingly suffixed, whereas nouns are truly unsuffixed. The final consonant of the verbal stem is therefore not final underlyingly. It is claimed that this solution is preferable to relying on distinct grammars for nouns and verbs or assuming transderivational relations between words. The article also clarifies the purview of Strict CV, the framework that it is couched in. Strict CV is a theory of representations that defines well- and ill-formed structures, some of which are universal. It needs to be complemented by a theory of computation.
Two experiments investigated the nature of the emotional differences between figurative language and literal counterparts. The semantic differential method was used with principal component analysis as a data-driven implicit method for distinguishing emotional variables. The first experiment found that metaphoric stories were reliably different in emotionality than their literal counterparts along three different data-defined dimensions. The second experiment extended the conclusions to the evaluation of individual words used figuratively (including simile and metaphor). In both studies, principal component analysis revealed three distinct underlying sources of variance implicit in the ratings of experimental items including the dimensions of dynamism and depth, as well as an evaluation scale in each case. Notably, all three implicit scales, though orthogonal to each other, were found to correlate with explicit judgments of emotional valence of the stories in Experiment 1. Data-derived implicit measures are an effective way of discriminating among affective dimensions in figurative linguistic stimuli.
After an introduction to the notions of cybersecurity and cybersecurity-related risks, this preface introduces four collected contributions on challenges and perspectives of EU cybersecurity policies in cyber-physical ecosystem.
We establish two complementary results about the regularity of the solution of the periodic initial value problem for the linear Benjamin–Ono equation. We first give a new simple proof of the statement that, for a dense countable set of the time variable, the solution is a finite linear combination of copies of the initial condition and of its Hilbert transform. In particular, this implies that discontinuities in the initial condition are propagated in the solution as logarithmic cusps. We then show that, if the initial condition is of bounded variation (and even if it is not continuous), for almost every time the graph of the solution in space is continuous but fractal, with upper Minkowski dimension equal to $\frac32$. In order to illustrate this striking dichotomy, in the final section, we include accurate numerical evaluations of the solution profile, as well as estimates of its box-counting dimension for two canonical choices of irrational time.
As cities like Beijing expand rapidly, green and blue spaces (GBS)—essential for ecosystem services (ESs) such as clean air, flood control, and recreation—are increasingly threatened. This 20-year study examines how urban expansion and policy interventions have shaped Beijing’s GBS. While green initiatives have increased natural areas, unchecked urban sprawl has fragmented these spaces, reducing their environmental benefits. Satellite data and urban planning analyses underscore a key lesson: maintaining well-connected natural zones is critical for urban resilience. These findings are broadly applicable for rapidly growing cities globally, urging urban planners to integrate ecological conservation with development, and to safeguard healthy environments and vibrant communities.
Technical Summary
This study quantifies the spatiotemporal dynamics of urban GBS in Beijing, evaluating their essential role in delivering ESs and strengthening urban resilience. Although China has achieved substantial progress in urban greening, the ecological impacts of rapid urbanization on GBS configuration and connectivity have not been comprehensively quantified. Using an integrated analytical framework combining principal component analysis and multiple linear regression, we reveal how urban development strategies have shaped GBS dynamics over two decades. A spatially explicit analysis, utilizing geographically weighted regression, further elucidates the heterogeneous relationships among the normalized difference vegetation index, human footprint index, and ESs delivery capacity. Notably, socioeconomic incentives and green infrastructure governance—especially objective indicators such as forest, garden, and greenspace area—have effectively driven GBS expansion. However, urban expansion has led to pronounced fragmentation of peri-urban GBS, suggesting potential degradation of their ecosystem service support functions. These findings emphasize the need for adaptive GBS management strategies that balance ecological conservation with sustainable urban growth in rapidly developing cities.
Social Media Summary
Urban growth fragments green and blue spaces, reducing vital ecosystem services. Balancing conservation with development is essential for sustainable cities.
This chapter recapitulates the main findings of this study, relating them to the concepts of ‘oligarchy’, the boni and different forms of social power.
We examine the performance of microbial cell-free DNA (mcfDNA) next-generation sequencing (NGS) testing on patients admitted to a quaternary care hospital in Houston, Texas. The test was 75.0% sensitive and 97.8% specific for all mycobacterial infections. mcfDNA NGS results led to adjustments in antimicrobial therapy for seven of nine patients with positive results.
Not all persons sui iuris with the requisite wealth for municipal office were represented in the local municipal councils. This chapter assesses the prevalence of four different groups of such individuals in early-imperial Italy: the Augustales, male minors and women sui iuris, and persons lacking local citizenship (incolae and attributi).
Difficulties in executive functions (EFs) and internalizing and externalizing problems are prospectively related. However, it remains unclear whether the bidirectional relations between specific EF components and internalizing and externalizing problems at the within-person level vary across developmental stages in childhood and early adolescence.
Methods
This study utilized data from seven waves of the Early Childhood Longitudinal Study, Kindergarten Class of 2010–2011 (ECLS-K: 2011), following a nationally representative sample of 15,055 children (mean age at baseline = 5.63 years, SD = 0.37; age range = 4.02–7.83) from kindergarten through fifth grade. Internalizing and externalizing problems and inhibitory control were assessed using teacher-reported measures, while working memory and cognitive flexibility were evaluated using standardized cognitive tasks. Data were analyzed using a random intercept cross-lagged panel model, adjusting for the complex sampling design.
Results
Working memory negatively predicted internalizing problems from kindergarten to first grade, with no significant link to externalizing problems. Cognitive flexibility showed limited effects, with only spring kindergarten externalizing problems predicting lower cognitive flexibility in first grade. Inhibitory control negatively predicted internalizing problems in early childhood, while internalizing problems positively predicted inhibitory control during the kindergarten-to-first-grade transition. Externalizing problems consistently reduced inhibitory control over time. Notably, inhibitory control negatively predicted externalizing problems until third grade but positively predicted them from third to fourth grade.
Conclusions
The findings suggest that while certain EFs can protect against internalizing and externalizing problems in early childhood, these symptoms may also influence EF development, with these interactions evolving as children transition into adolescence.