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.
Edited by
Lisa Vanhala, University College London,Elisa Calliari, International Institute for Applied Systems Analysis, Vienna and Euro-Mediterranean Centre on Climate Change, Venice
This chapter explores loss and damage knowledge politics in Antigua and Barbuda, one of the few countries with national legislation referring specifically to loss and damage. At the twenty-seventh Conference of the Parties in 2022, which achieved a breakthrough agreement to establish a loss and damage fund, the country played a critical role as chair of the Alliance of Small Island States. The chapter traces the role of international influences and national institutions in shaping national loss and damage policies, and finds that there are knowledge politics at play when it comes to loss and damage in Antigua and Barbuda. These include conflicting incentives for deepening the understanding of loss and damage: while a better understanding of future scenarios aids better development planning, it can also alarm large investors (often from the Global North) about climate risks, with this potentially leading to raising fears about stranded assets and capital flight. The chapter is based on twelve semi-structured interviews with national and international policy actors, civil servants, and non-governmental organization actors in Antigua and Barbuda, textual analysis, participant observations, and first-hand experiences of international climate negotiations under the United Nations Framework Convention on Climate Change.
We present a method for narrowing nonparametric bounds on treatment effects by adjusting for potentially large numbers of covariates, using generalized random forests. In many experimental or quasi-experimental studies, outcomes of interest are only observed for subjects who select (or are selected) to engage in the activity generating the outcome. Outcome data are thus endogenously missing for units who do not engage, and random or conditionally random treatment assignment before such choices is insufficient to identify treatment effects. Nonparametric partial identification bounds address endogenous missingness without having to make disputable parametric assumptions. Basic bounding approaches often yield bounds that are wide and minimally informative. Our approach can tighten such bounds while permitting agnosticism about the data-generating process and honest inference. A simulation study and replication exercise demonstrate the benefits.
The authors describe an international project to improve quality of electroconvulsive therapy (ECT) provision in a low- to middle-income territory. Shortcomings in professional training and delivery of clinical care had been identified, including staffing limitations, outdated ECT machines and use of unmodified treatment. The UK Royal College of Psychiatrists, the charity Medical Aid for Palestinians and the Palestinian Ministry of Health collaborated to provide new equipment, deliver specialist training and develop a modern service protocol. The resulting improvements, such as the introduction of electroencephalogram monitoring and stimulus dosing, are detailed, along with obstacles encountered, lessons learnt from the project and aspirations for the future.
This study investigates the effect of visually perceived gestures on the overall (multimodal) prominence of naturally occurring stimuli extracted from a multimodal corpus of Maltese conversations. Experiment participants were required to rate the prominence of target words in sentences presented to them as audiovisual and audio-only stimuli. In half of the stimuli, the target word was accompanied by a co-speech hand gesture. The results of the experiment show (i) that words produced with a co-speech gesture were rated as more prominent than words that were produced without one and (ii) that this was the case independently of whether raters could see those gestures (audiovisual condition) or not (audio-only condition). An acoustic analysis of the data shows that the presence of a co-occurring gesture has a significant effect on the pitch of the target vowel. The study suggests that gestures may provide the listener with an additional but not necessary cue to perceiving prominence.
The thesis of this chapter is that there is a new standard for the signs used to communicate the excess of critical nutrients in processed food. The standard, created in Chile and used by all the Pacific Alliance member states, is composed of octagonal warning signs and, for its simple and clear form, will likely influence other legislations. In this sense, these signs constitute a contribution to International Trade Law. The purpose of this chapter is twofold: first, to explore patterns in the legislative trends observed in Pacific Alliance countries regarding the labelling of foods containing certain ingredients related to non-communicable diseases, and second, it examines whether this new approach can evolve into a new legal standard that other countries in the region are likely to follow.
Suicide prevention is an under-prioritised public health issue in Bangladesh. Recently, it has received academic attention substantiated by an increasing number of publications. Along with that, the Mental Health Act (2018), National Mental Health Policy (2022) and National Mental Health Strategic Plan (2020–2030) have come out. There are many challenges facing suicide prevention efforts in the country, such as suicide’s criminal legal status and associated stigma, lack of a national suicide prevention programme, inadequate clinical services, and most important, the absence of a national database on suicide. This paper analyses documents critically considering initiatives for suicide prevention, highlights the urgent necessity for suicide prevention strategies in the country and identifies prominent stakeholders. A national suicide database in which law enforcement agencies have a prominent stake is urgently needed. In the long term, suicide prevention should be considered in the lens of public health.
This article theorises Indigenous feminist relational freedom that emphasises the ways in which relations and structures of domination disproportionately impact women and gender-diverse people, including through gender-based violence and environmental harm. The theory of relational freedom critiques both one-dimensional conceptions of Indigenous relationality and the conventional framing of Indigenous sovereignty and self-determination through the lens of non-interference, a concept rooted in political autonomy grounded in liberal thought. While non-interference correctly emphasises the need for Indigenous autonomy from state intervention, it falls short in addressing the deeper aspects of Indigenous freedom. Western interference has long impacted Indigenous life, which has led Indigenous self-determination discourses to focus on avoiding state intervention. However, while this emphasis on political autonomy is valid, it does not account for structural forms of domination, particularly underlying inequalities that perpetuate subordination within these structures. These structures range from state institutions that dispossess Indigenous communities to internal systems of gender-based domination that marginalise Indigenous women and LGBTQ+ individuals. The persistence of these structures significantly impedes the full realisation of Indigenous self-determination. The article ultimately theorises Indigenous feminist relational freedom within broader frameworks of feminist relational autonomy and citizenship and Indigenous gift relations, exploring practical approaches for applying the principles of relational freedom within Indigenous governance.
In the UK, around 1 in 4 adults over 65 years suffers from depression. Depression case finding followed by alerting patients and their general practioners (GPs) (screening + GP) is a promising strategy to facilitate depression management, but its cost-effectiveness remains unclear.
Aims
To investigate the cost-effectiveness of screening + GP compared with standard of care (SoC) in northern England.
Method
Conducted alongside the CASCADE study, 1020 adults aged 65+ years were recruited. Participants with baseline Geriatric Depression Scale (GDS) ≥5 were allocated to the intervention arm and those >5 to SoC. Resource use and EQ-5D-5L data were collected at baseline and 6 months. Incremental cost-effectiveness ratio was calculated. Non-parametric bootstrapping was performed to capture sampling uncertainty. The results are presented using cost-effectiveness acceptability curves. Sensitivity analyses were conducted to assess the robustness of primary findings. Subgroup analyses were undertaken to examine the cost-effectiveness among participants with more comparable baseline characteristics across treatment groups.
Results
Screening + GP incurred £37 more costs and 0.006 fewer quality-adjusted life years than SoC; the probability of the former being cost-effective was <5% at a £30 000 cost-effectiveness threshold. Sensitivity analyses confirmed the base-case findings. Subgroup analyses indicated that screening + GP was cost-effective when patients with baseline GDS 2–7, 3–6 and 4–5, respectively, were analysed.
Conclusions
Screening + GP was dominated by SoC in northern England. However, subgroup analyses suggested it could be cost-effective if patients with more balanced baseline characteristics were analysed. Economic evaluations alongside randomised controlled trials are warranted to validate these findings.
The prevalence of psychiatric disorders in people with epilepsy is as high as 43% and, among them, psychoses represent a severe comorbidity.
Aims
This is a narrative review discussing the interplay between epilepsy and psychosis and identifying challenges in diagnosing and managing psychotic symptoms in epilepsy, focusing on the past 10 years.
Method
Articles published between June 2014 and December 2024 were identified through searches in PubMed using the search terms ‘psychosis’, ’seizure, epilepsy and convulsion’, ‘epile*’, ’seizure*’ and ‘convuls*’.
Results
The association between epilepsy and psychosis was shown to be bidirectional, with people with psychosis being at increased risk of epilepsy. In epilepsy, psychotic symptoms may occur in three clinical scenarios, with clinical presentation and management varying in relationship to these: seizure-related (peri-ictal), treatment-related or independent of the former.
Conclusions
There are no guidelines for the management of psychotic symptoms in epilepsy, but it is possible to apply policies for the treatment of psychoses, taking into account the peculiarities and needs of people with epilepsy.
This article contributes to understanding how inexperience and lack of commitment to evidence-based decision making may undermine an otherwise broadly functional framework for constitutional risk management. As part of a focus on the “Visegrád Four” countries, it also helps understand regional dynamics since the COVID-19 pandemic as the most visible emergency after 1989. The article starts with a brief elucidation of the political contexts that have shaped Slovakia’s constitutional risk management, focusing on the developments from 2020 through early 2025. An analysis of mechanisms of emergency risk management in the constitutional framework follows, that helps identify key state authorities attempting to make decisions under serious time pressures. The implementation of the constitutional framework during the COVID-19 pandemic demonstrates the creation of new avenues for restricting rights and bolstering executive competence, with the formally powerful constitutional review mechanisms struggling to challenge these decisions. Ultimately, political context emerges as key: Slovakia entered the COVID-19 pandemic with a governing coalition enjoying constitutional majority and an aura of reform and hope. The emergency mismanagement not only facilitated the breakup of this coalition and early elections, but also a rise in emergency conspiracies openly hostile to institutions and actors committed to evidence-based decision making.
Chapter 3 discusses the key methodological and theoretical issues relevant for Balkan linguistics as a specific manifestation of complex language contact. On the one hand, other proposed linguistic areas are discussed, such as Amazonia, Araxes-Iran, the Caucasus, Ethiopia, Mainland Southeast Asia, Meso-America, the Northwest Coast of North America, and parts of Papua New Guinea and Australia. In that regard, the Balkans represent not only the most studied such case but also the most studiable, in that of all the sprachbunds that have been discussed in the literature, the Balkans offer the greatest amount of, and the longest time-depth for, information on the linguistic history of the area, the social history of the peoples in the region, and relevant reconstructible linguistic prehistory. On the other hand, mechanisms of, and relevant factors for, contact-induced change are presented, including multilingualism, interference, accommodation, simplification, pidginization and creolization, code-switching, borrowing, calquing, and language ideology. Further, other methodologies, including the Comparative Method, linguistic geography, and typological assessments offer additional sources of information for both Balkan linguistic prehistory and Balkan dialectology.
Edited by
Lisa Vanhala, University College London,Elisa Calliari, International Institute for Applied Systems Analysis, Vienna and Euro-Mediterranean Centre on Climate Change, Venice
Emission line galaxies (ELGs) are crucial for cosmological studies, particularly in understanding the large-scale structure of the Universe and the role of dark energy. ELGs form an essential component of the target catalogue for the Dark Energy Spectroscopic Instrument (DESI), a major astronomical survey. However, the accurate selection of ELGs for such surveys is challenging due to the inherent uncertainties in determining their redshifts with photometric data. In order to improve the accuracy of photometric redshift estimation for ELGs, we propose a novel approach CNN–MLP that combines convolutional neural networks (CNNs) with multilayer perceptrons (MLPs). This approach integrates both images and photometric data derived from the DESI Legacy Imaging Surveys Data Release 10. By leveraging the complementary strengths of CNNs (for image data processing) and MLPs (for photometric feature integration), the CNN–MLP model achieves a $\sigma_{\mathrm{NMAD}}$ (normalised median absolute deviation) of 0.0140 and an outlier fraction of 2.57%. Compared to other models, CNN–MLP demonstrates a significant improvement in the accuracy of ELG photometric redshift estimation, which directly benefits the target selection process for DESI. In addition, we explore the photometric redshifts of different galaxy types (Starforming, Starburst, AGN, and Broadline). Furthermore, this approach will contribute to more reliable photometric redshift estimation in ongoing and future large-scale sky surveys (e.g. LSST, CSST, and Euclid), enhancing the overall efficiency of cosmological research and galaxy surveys.
Edited by
Lisa Vanhala, University College London,Elisa Calliari, International Institute for Applied Systems Analysis, Vienna and Euro-Mediterranean Centre on Climate Change, Venice
Edited by
Lisa Vanhala, University College London,Elisa Calliari, International Institute for Applied Systems Analysis, Vienna and Euro-Mediterranean Centre on Climate Change, Venice
As the second lowest-lying country in the world, and because of its fragile economy and social and environmental vulnerabilities, Tuvalu is severely affected by the impacts of climate change. The country has been very active in developing ways of responding to these challenges at the national policy level and has also included the issue of loss and damage in official documents since 2012. At the same time, Tuvalu has played an active role in international loss and damage negotiations, including advocating for a separate article on loss and damage in the Paris Agreement. This chapter explores how Tuvalu’s policy actors make sense of and attempt to govern loss and damage at the national level. Using interpretive policy analysis and thirteen semi-structured interviews, it suggests that loss and damage in Tuvalu is developing as a “complex governance system” with competencies and agency spanning across multiple scales. The chapter finds that loss and damage does not feature as a stand-alone policy domain, nor is it explicitly distinguished from adaptation, but rather is treated as an issue which cuts across different sectors and policy areas, including climate-induced human mobility, infrastructure investment, national sovereignty and the protection of the country’s exclusive economic zone.
This study explores an emerging yet under-researched group within the Chinese bureaucratic system: grassroots female civil servants. Although there is a growing focus in academia on female officials in China, existing research mainly concentrates on the gender representation and career pathways of high-ranking female officials. This research delves into the work and life choices faced by female civil servants in local governments. Despite official discourse advocating for gender equality, interviews with 21 female public servants from a poverty-stricken county in northern China reveal that the demands of local government work and gender norms impose a double burden on them. Although the civil service is known for its stability, these women often have to put in extra effort into demanding and exhausting jobs, frequently sacrificing promotion opportunities to balance family and caregiving responsibilities. However, they seldom express dissatisfaction with this situation, reflecting the entrenched nature of gender role perceptions. This study provides a new explanation for the underrepresentation of female officials at higher levels from a grassroots perspective and reveals the impact of overloaded bureaucratic work on career mobility.
Edited by
Lisa Vanhala, University College London,Elisa Calliari, International Institute for Applied Systems Analysis, Vienna and Euro-Mediterranean Centre on Climate Change, Venice