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From the last decades of the twentieth century, above all, in the more service-oriented post-industrial economies, and in a context of debilitation of public health systems, health care became exponentially profitable, thereby attracting new types of investors. In fact, this new stage entails moving from the commercialisation of health care to its financialisation; that is, medical care becomes just one more financial asset and its price and quality are quoted on the stock exchange. This study intends to participate in the debate initiated by historians of medicine and economic historians with the aim of tracing capitalist traits and market participation in the evolution of health coverage, a process initially promoted by professional doctors who converted their consulting rooms into small clinics and larger hospital companies and which, over time, saw the incorporation of financial capital. In particular, this paper has two specific objectives for the case of Spain. First, to analyse the relationship of collaboration and/or competition between public and private hospitals under democracy and the factors that have conditioned this relationship. Second, to make an initial contribution towards understanding how, in this context, the large private hospital groups have been created in Spain during this period, especially in recent decades with concentration in the hands of financial capital, originating from both the traditional banking sector and investment funds.
This article aims to highlight peculiarities relating to the realization of the state duty to protect human rights during the crisis situation after the 2020 presidential elections in Belarus. It proposes that we engage more seriously with the context of a strong authoritarian state, which does not have people’s protection as a priority and deliberately involves business in human rights violations. Such a context is at odds with the more often presumed model in the BHR discussion: a strong business and a weak state that cannot protect its people. Two systemic factors, which stem from the authoritarian nature of the Belarusian political regime and which worsened during the crisis are discussed in the context UN Guiding Principles on Business and Human Rights: the use of business as a tool to achieve political goals and the dependence of all institutions in the country on the authorities. One of the key conclusions of the article is that the Belarusian crisis, aggravated by the complicity of Belarus in the Russian aggression, prompts businesses to adopt a new optic on human rights due diligence and to assess their long-term risks and strategies in authoritarian countries. At the very least there is an awareness among businesses of the direct link between political and human rights risks.
This paper offers a novel interpretation of the 1890 British Ultimatum, by bringing to the front of the stage its techno-diplomatic dimension, often invisible in the canonical diplomatic and military narratives. Furthermore, we use an unconventional historical source to grasp the British–Portuguese imperial conflict over the African hinterland via the building of railways: the cartoons of the politically committed and polyvalent Portuguese artist and journalist Rafael Bordalo Pinheiro (1846–1905), published in his journal Ponto nos iis, from the end of 1889 and throughout 1890. We argue that the Ponto nos iis cartoons played a so far overlooked role in the unfolding of British–Portuguese affairs, as they shaped at a distance a diplomatic exchange with the British satirical journal Punch. Attacking and counterattacking his fellow cartoonists in Britain, Pinheiro surged into the role of informal diplomat. This cartoon visual and public diplomacy unfolded in the pages of both journals and was tied to the two countries’ colonial conquests in Africa, where the Portuguese and British empires were competing to dominate the African hinterland through large technological systems. Hence the cartoons made visible to wider audiences the otherwise hidden role that technologies played in the two countries’ affairs. In turn, the cartoons aimed at persuading the Portuguese public and ruling classes alike that only regime change, from monarchic to republican, would restore the wounded Portuguese national pride.
So far, female physicians have played a minor role in scientific studies of Nazi victims; this also applies to specialists in pathology. Against this background, the present study examines the biographies of the outstanding Jewish pathologists Rahel Rodler (1878–1944), Ruth Silberberg (1906–97), Lotte Strauss (1913–85) and Zelma Wessely (1914–2004). The focus is on their roles as women scientists and their fateful careers after the Nazi rise to power, embedded in the context of the position of women in medical studies and the medical profession of their time as well as in the subject of pathology. The study is primarily based on archival sources from various German, Austrian and Swiss state and university archives, from the British National Archives and from the National Archives and Records Administration in Washington DC. The paper provides three key findings: (1) The four female pathologists were rare exceptions in the contemporary pathological scientific community with a quantitative share of less than 5%. (2) They experienced discrimination on two levels (gender and ‘race’). (3) Thanks to professional excellence and continued dedication, three of the four female pathologists were able to escape from Nazi Germany and achieve remarkable careers in emigration. It can be concluded that Rodler, Silberberg, Strauss and Wessely rose to female role models and pioneer scientists in contemporary pathology.
The high infant mortality rate of illegitimate children in Dualist Hungary urged politicians to create a modern state child welfare system for the protection of abandoned children whose upbringing became a national matter. Their main concern was providing adequate nutrition for infants and increase their chances of survival. The article examines how demographical concerns and national-political ideals influenced the evolution of the child welfare system in multi-ethnic Transylvania, first as part of the dual monarchy and after the First World War as a province of Romania. The Hungarian state children’s asylums offered a variety of nursing programs for abandoned infants, where the foster-care system often resulted in their Magyarization at a later age. During the First World War, the new objective was the protection of infants together with mothers and the promotion of breastfeeding in order to ensure the viability of the Hungarian nation. National arguments were used in both time periods to support infant protection initiatives. In interwar Transylvania, the urban-rural ethnic distribution influenced the development of infant protection facilities: all state investments were channeled toward the “authentic” Romanian countryside, while in the “foreign” urban environment ethnic minorities focused on their own institutions.
This work examines the history of smallpox, a highly infectious and epidemic disease, in Argentina, throughout different governments and public health policies from the nineteenth to the twentieth century. The study focuses on the smallpox vaccine and the social and collective significance of universal immunization. It also analyses the relationship between governments of different political orientations and the international community regarding the production of vaccines and vaccination campaigns from their implementation to the eradication of the disease.
The study of the icebergs and their movements is one of many applications of scatterometer data in the study of the ecosystems of polar regions. SCATSAT-1 is the Indian Space Research Organisation’s (ISRO’s) Ku-band (13.515625 GHz) scatterometer. Using enhanced resolution Gamma0H (horizontally polarised incidence angle normalised backscattering coefficient) data of SCATSAT-1, we observed the movement of iceberg D28 and its interaction with wind, ocean currents and sea ice for one and a half years of its journey (JD 269, 2019 to JD 051, 2021). The data sets used are as follows: (1) SCATSAT-1 level-4 Gamma0H; (2) OSCAR (Ocean Surface Current Analysis Real-time) third-degree resolution ocean surface currents; (3) hourly wind speed data of ERA5; 4) NSIDC (National Snow and Ice Data Center) sea ice concentration data; and (5) NSIDC Polar Path-finder Daily EASE-Grid Sea Ice Motion Vectors, Version-3. For this study, we divide the continent into five different regions/sectors. It is found that the trajectory of the iceberg is influenced by the resultant of the wind and ocean current, at different scales in these regions. Moreover, sea ice motion can also change the course of iceberg. From the on-screen digitisation of the iceberg, the average area of the iceberg is found to be approximately 1509.82 km2 with approximate dimensions of 27 km × 55.5 km. We conclude that spatial and temporal behaviours of the iceberg can be ascertained from the scatterometer data.
John Flowerdew is a Visiting Chair at the University of Lancaster and a Visiting Research Fellow at Birkbeck, University of London. He was previously a Professor at City University of Hong Kong and at the University of Leeds, UK. His research is in the fields of Applied Linguistics and Discourse Analysis. His books include Academic listening: Research perspectives (CUP); Research perspectives on English for academic purposes (with M. Peacock) (CUP); Second language listening: Theory and practice (with L. Miller) (CUP); Academic discourse (Longman); Discourse in English language education (Routledge); Signalling nouns in discourse: A corpus-based discourse approach (with R. W. Forest) (CUP); Discourse in context (Bloomsbury); The Routledge handbook of critical discourse studies (with J. Richardson); Discipline-specific writing: Theory into practice (with T. Costley) (Routledge), and Introducing English for research publication purposes (with P. Habibie (Routledge).
In this article, I argue that sceptical theists have too narrow a focus: they consider only God's axiological reasons, ignoring any non-axiological reasons he may have. But this is a mistake: predicting how God will act requires knowing about his reasons in general, and this requires knowing about both God's axiological and non-axiological reasons. In light of this, I construct and defend a kind of sceptical theism – Deontological Sceptical Theism – that encompasses all of God's reasons, and briefly illustrate how it renders irrelevant certain charges of excessive sceptical and how it evaporates equiprobability objections. Furthermore, I put forth a simple argument in favour of Deontological Sceptical Theism, which shows that everyone (at least currently) ought to endorse it.
Utilizing the ideas of convivencia (convivial interaction) and Barbara Tomlinson and George Lipsitz's framework of ‘accompaniment’, I suggest that the ‘modern-urban’ mariachi, often characterized as an expression of standardization and commodification, has established a capacity for facilitating culture that contributes to the development of convivial communal spaces. In the midst of marginalization and systemic oppression, migrant and aggrieved communities throughout Greater Mexico engage in cultural practices and actions to reaffirm a sense of belonging, to which mariachi musicians have contributed and at times served as cultural bearers. I examine mariachi practices of apprenticeship learning and chambas (contractual gigs), the emergence of the Misa Panamericana (the mariachi mass) in Cuernavaca, and the integration of Mexican cultural expressions in San José, California to illuminate the convergence of political, cultural, and religious action and how the mariachi expression has played a role in these intersections.
Religious expressivism is the view that religious sentences, like ‘God is all-loving’ and ‘God offers us the gift of salvation’, are devoid of cognitive meaning. Such sentences are not truth-evaluable: they cannot be judged as true or false. In Religious Language, Michael Scott asked what explains the seeming logical behaviour of religious sentences if they are not truth-evaluable, as religious expressivists claim. In particular, religious expressivists need to explain (i) how a given religious sentence and its negation seem inconsistent and (ii) how religious sentences could figure in logically valid arguments. In this article, I develop a version of Weak Kleene semantics that could address these two ‘logic’ challenges.
Legislative allies are widely recognized as key to social movement success, but the emergence of their alliance with activists remains understudied. This article proposes a strategic approach to this phenomenon based on the cases of the environmental, labor, and LGBT+ movements in Chile and their allied legislators. According to this approach, an alliance emerges due to two necessary conditions. Movement organizations must display tactical capacity, which signals their adaptability and competence to participate in Congress. And a socially skilled leadership creates the trust required for movement leaders and legislators to cooperate during the lawmaking process. This approach emphasizes that alliances emerge from activists’ strategic efforts to build a social tie, whose effectiveness is mediated by legislators’ expectations and congressional norms. By specifying the strategic dimension of an alliance, this study highlights the capacity of activists to foster cooperative relations with state actors.
Within India's system of plural personal laws, the rights of women in matters of marriage, divorce, and inheritance are solely based on their natal communal identity. While we see many examples of women appealing to courts to secure or improve their rights vis-à-vis personal laws, marriage outside the community has often occluded these rights completely. Marital property, inheritance, and even access to sacred space are in a gray zone of differentiated rights between natal and marital community customs. One intermarried woman, Goolrukh Gupta, sued the trust that managed the town's sacred space in the High Court to confirm her rights to enter sacred space. The Court ruled that she was removed from her natal community even though she had married under the Special Marriage Act of 1954, as she had “merged personality with her husband.” While British women's property was held under coverture through the nineteenth century, these laws were never transferred over to the Indian colony. Through the legal appeals of intermarried women, this article explores the shifting and unstable rights of intermarried women in India.
Saul Smilansky presents us with a puzzle which, in combination with a small number of premises, is supposed to generate a reversal of Pascal's wager: the wagerer should bet on a secular lifestyle, and reject religion, as the surest way of pleasing God (if God exists). In this article, we argue that the puzzle, once unpacked, isn't particularly puzzling, that the premises aren't true, and that Smilansky's wager is open to both reductio and a reversal of its own.
This article explores the structure of cultivated religious experience. For the Buddhist philosopher Jñānaśrīmitra (c. 980–1040), the religious experience of the Buddhist yogin (yogipratyakṣa) is not spontaneous or sporadic but must be intentionally and rationally cultivated. I argue that Jñānaśrīmitra's picture parallels certain contemporary constructivist accounts of religious experience, according to which the prejudices, expectations, and interpretative structures of the practitioner shape the character of the experience in question. Despite this, however, Jñānaśrīmitra maintains that religious experience is direct, non-conceptual, and ineffable. Even though cultivation begins by focusing on rationally understood, effable conceptual content (the Buddha's teaching of the Four Nobles' Truths, for instance), the yogin's relation to that content is transformed through cultivation (bhāvanā). Cultivation makes awareness-events with conceptual content vivid (spaṣṭa) in such a way that they lose their conceptual character, coming to affect the practitioner's mind as if they were external to it. In this way, precisely in virtue of beginning the process of cultivation with certain expectations about the Buddha's teaching, Buddhist yogins come to have a direct and non-conceptual experience of the breakdown of their own mental streams and the dissolution of the sense of self.
I examine some behavioural and heuristic models of individual decision-making and argue that the diverse psychological mechanisms these models posit are too demanding to be implemented, either consciously or unconsciously, by actual decision makers. Accordingly, and contrary to what their advocates typically claim, behavioural and heuristic models are best understood as ‘as-if’ models. I then sketch a version of scientific antirealism that justifies the practice of as-if modelling in decision theory but goes beyond traditional instrumentalism. Finally, I relate my account of decision models to the recent controversy about mentalism versus behaviourism, reject both positions, and offer an alternative view.