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This book showcases the current state of the art of research on rhythm in speech and language. Decades of study have revealed that bodily rhythms are crucial for producing and understanding speech and language, and for understanding their evolution and variability across populations-not only adults, but also developmental and clinical populations. It is also clear that there is perplexing dimensionality and variability of rhythm within and across languages. This book offers the scientific foundation for harmonizing physiological universality and cultural diversity, fostering collaborative breakthroughs across research domains. Its fifty chapters cover physiology, cognition, and culture, presenting knowledge from neuroscience, cognitive science, psychology, phonetics, and communication research. Ideal for academics, researchers, and professionals seeking interdisciplinary insights into the essence of human communication. This title is also available as open access on Cambridge Core.
This authoritative volume offers a comprehensive exploration of China's rapidly evolving economy from a team of leading specialists. Readers will gain crucial insights into productivity dynamics, innovation, shifting demographics, and the country's ever-changing industrial landscape –encompassing firms, real estate, and trade flows. With a keen focus on the RMB, regulatory frameworks, and the pursuit of common prosperity, this book seamlessly blends cutting-edge research, real-world case studies, and forward-thinking analysis. It delivers a balanced examination of challenges and opportunities, fostering an informed discussion on China's critical role in the global marketplace. Ideal for academics, policymakers, business professionals, and curious readers alike, this timely and accessible resource unveils the many facets of the Chinese economy, guiding you through its complexities and highlighting strategic implications for the future.
While global financial capital is abundant, it flows into corporate investments and real estate rather than climate change actions in cities. Political will and public pressure are crucial to redirecting funds. Studies of economic impacts underestimate the costs of climate disasters, especially in cities, so they undermine political commitments while understating potential climate-related returns. The shift of corporate approaches towards incorporating environmental, social, and governance (ESG) impacts offers promise for private-sector climate investments but are recently contested. Institutional barriers remain at all levels, particularly in African cities. Since the Global North controls the world's financial markets, new means of increasing funding for the Global South are needed, especially for adaptation. Innovative financial instruments and targeted use of environmental insurance tools can upgrade underdeveloped markets and align urban climate finance with ESG frameworks. These approaches, however, require climate impact data collection, programs to improve cities' and countries' creditworthiness, and trainings. This title is also available as open access on Cambridge Core.
Fully revised and updated, the new edition of this classic textbook places a stronger emphasis on real-world test data and trains students in practical materials applications; introduces new testing techniques such as micropillar compression and electron back scatted diffraction; and presents new coverage of biomaterials, electronic materials, and cellular materials alongside established coverage of metals, polymers, ceramics and composites. Retaining its distinctive emphasis on a balanced mechanics-materials approach, it presents fundamental mechanisms operating at micro- and nanometer scales across a wide range of materials, in a way that is mathematically simple and requires no extensive knowledge of materials, and demonstrates how these microstructures determine the mechanical properties of materials. Accompanied by online resources for instructors, and including over 40 new figures, over 100 worked examples, and over 740 exercises, including over 280 new exercises, this remains the ideal introduction for senior undergraduate and graduate students in materials science and engineering.
In Book III of the Plato’s Laws, we are told that under the ancient constitution of Athenian, citizens ‘lived in willing servitude’ to the city’s laws and to its officers (archontes). How are we to understand the servitude (douleia) invoked in this slogan, and what are we to make of the qualification of the servitude as willing (hekontes, ethelontes)? Against those who suggest that Plato here construes willing servitude as a kind of freedom, I argue that the slogan is intended to emphasize the ways in which the ancient Athenians were unfree. Plato uses it to promote, as a political ideal, acceptance of the limitations on freedom that are the inevitable concomitant of political rule.
Experiments were performed that (i) document the effect of the steady spanwise buffer layer blowing on the mean characteristics of the turbulent boundary layer for a range of momentum thickness Reynolds numbers from 4760 to 10 386, and (ii) document the effect of the buffer layer blowing on the unsteady characteristics and coherent vorticity in a boundary layer designed to provide sufficiently high spatial resolution. The spanwise buffer layer blowing of the order of $u_{\tau }$ is produced by a surface array of pulsating direct current (pulsed-DC) plasma actuators. This was found to substantially reduce the wall shear stress that was directly measured with a floating element coupled with a force sensor. The direct wall shear measurements agreed with values derived using the Clauser method to within $\pm 0.85$ %. The degree to which the buffer layer blowing affected $\tau _w$ was found to primarily depend on the inner variable spanwise spacing between the pulsed-DC actuator electrodes, i.e. ‘blowing sites’. Utilizing pairs of $[u,v]$ and $[u,w]$ hot-wire sensors, the latter experiments correlated significant reductions in the $\omega _y$ and $\omega _x$ vorticity components that resulted from the buffer layer blowing and translated into lower Reynolds stresses and turbulence production. The time scale to which these observed changes in the boundary layer characteristics would return to the baseline condition was subsequently documented. This revealed a recovery length of $x^+ \approx 86\,000$ that translated to a streamwise fetch of $x \approx 66\delta$. Finally, a comparison with the recent work by Cheng et al. (2021, J. Fluid Mech. vol. 918, A24) and Wei & Zhou (2024 in TSFP13, June 25–28, 2024) that followed our experimental approach to achieve comparable wall shear stress (drag) reductions has led to a new scaling based on the baseline boundary layer $\textit{Re}_{\tau }$ and buffer layer blowing velocity.
The next-generation radio astronomy instruments are providing a massive increase in sensitivity and coverage, largely through increasing the number of stations in the array and the frequency span sampled. The two primary problems encountered when processing the resultant avalanche of data are the need for abundant storage and the constraints imposed by I/O, as I/O bandwidths drop significantly on cold storage. An example of this is the data deluge expected from the SKA Telescopes of more than 60 PB per day, all to be stored on the buffer filesystem. While compressing the data is an obvious solution, the impacts on the final data products are hard to predict. In this paper, we chose an error-controlled compressor – MGARD – and applied it to simulated SKA-Mid and real pathfinder visibility data, in noise-free and noise-dominated regimes. As the data have an implicit error level in the system temperature, using an error bound in compression provides a natural metric for compression. MGARD ensures the compression incurred errors adhere to the user-prescribed tolerance. To measure the degradation of images reconstructed using the lossy compressed data, we proposed a list of diagnostic measures, exploring the trade-off between these error bounds and the corresponding compression ratios, as well as the impact on science quality derived from the lossy compressed data products through a series of experiments. We studied the global and local impacts on the output images for continuum and spectral line examples. We found relative error bounds of as much as 10%, which provide compression ratios of about 20, have a limited impact on the continuum imaging as the increased noise is less than the image RMS, whereas a 1% error bound (compression ratio of 8) introduces an increase in noise of about an order of magnitude less than the image RMS. For extremely sensitive observations and for very precious data, we would recommend a $0.1\%$ error bound with compression ratios of about 4. These have noise impacts two orders of magnitude less than the image RMS levels. At these levels, the limits are due to instabilities in the deconvolution methods. We compared the results to the alternative compression tool DYSCO, in both the impacts on the images and in the relative flexibility. MGARD provides better compression for similar error bounds and has a host of potentially powerful additional features.
Synthetic-aperture radar images and mesoscale models show that wind-farm wakes differ from single-turbine wakes. For instance, wind-farm wakes often narrow and do not disperse over long distances, contrasting the broader and more dissipating wakes of individual turbines. In this work, we aim to better understand the mechanisms that govern wind-farm wake behaviour and recovery. Hence we study the wake properties of a $1.6$ GW wind farm operating in conventionally neutral boundary layers with capping-inversion heights $203$, $319$, $507$ and $1001$ m. In shallow boundary layers, we find strong flow decelerations that reduce the Coriolis force magnitude, leading to an anticlockwise wake deflection in the Northern Hemisphere. In deep boundary layers, the vertical turbulent entrainment of momentum adds clockwise-turning flow from aloft into the wake region, leading to a faster recovery rate and a clockwise wake deflection. To estimate the wake properties, we propose a simple function to fit the velocity magnitude profiles along the spanwise direction. In the vertical direction, the wake spreads up to the capping-inversion height, which significantly limits vertical wake development in shallow-boundary-layer cases. In the horizontal direction and for shallow boundary layers, the wake behaves as two distinct mixing layers located at the lateral wake edges, which expand and turn towards their low-velocity side, causing the wake to narrow along the streamwise direction. A detailed analysis of the momentum budget reveals that in deep boundary layers, the wake is predominantly replenished through turbulent vertical entrainment. Conversely, in shallow boundary layers, wakes are mostly replenished by mean flow advection in the spanwise direction.
Background: Recent research has demonstrated that DBS sites in Alzheimer’s (AD) and Parkinson’s (PD) influencing cognition are functionally connected to the subiculum. However, the results are mixed, and it is unclear how or if DBS site-subiculum connectivity can be optimized to improve patient cognition. Methods: We studied how subiculum connectivity influenced cognitive outcomes in both PD (subthalamic nucleus) and AD (fornix) DBS patients (total n = 110). We first confirmed DBS site-subiculum connectivity had opposite cognitive effects in each disease. We next investigated patient factors underlying these opposing effects. Lastly, we related our findings back to clinical practice to guide DBS programming in PD and AD. Results: DBS site-subiculum connectivity correlated with cognitive improvement in AD but decline in PD. This was dependent upon hippocampal atrophy; such that higher subiculum connectivity was beneficial when the hippocampus was atrophic but deleterious when it was intact. Finally, we related our findings back to anatomy with cadaveric dissections and present how DBS stimulation can be optimized to improve patient cognition. Conclusions: DBS site-subiculum connectivity influences cognition but depends on patient factors. Thus, to optimize cognition based on patient factors, DBS electrodes can be programmed to stimulate subregions with higher or lower subiculum connectivity.
Russian realism was begotten by French realism. From the 1830s through the 1880s, Russian prose writers responded to story lines, characters, motifs, and stylistics they found in French, in French journals. Pushkin, in both his poetry and prose, and Gogol in his stories, used Western European models; Lermontov in A Hero of Our Time incorporated, among many others, Georges Sand and Alfred de Vigny; Dostoevsky elaborated the work of Balzac, Eugene Sue, and Jules Janin in Crime and Punishment; and Tolstoy wrote Anna Karenina in dialogue with the French novel of adultery, particularly Flaubert’s Madame Bovary. Russian writers, whose prose tradition was only beginning, saw themselves through Western European eyes, at once admiring French culture and feeling inferior to it. The Russians pitted these works of French (and European) realism against countertexts that refuted what they understood to be Western European values, using French subtexts dialectically to create a new cultural synthesis. The subtextual dialogue parodied, corrected, and rejected European models in order to construct a Russian moral and spiritual truth, often incorporating biblical subtexts to do so.
In 2020, RWE4Decisions, a multi-stakeholder initiative commissioned by the Belgian payer, published stakeholder actions to support the generation, analysis, and interpretation of real-world evidence (RWE) to inform the decision making of health technology assessment (HTA) bodies/payers for highly innovative medicines in the European Union (EU). Since 2020, changes in the decision-making environment and advancements in RWE have created an impetus to update stakeholder actions for the EU and Canada.
Methods
RWE4Decisions’ experts led focus groups with individual stakeholder groups (HTA bodies/payers, pharmaceutical industry, clinicians, patients, registry holders, and data analytical experts). Each focus group crafted new actions for their stakeholder, then the actions were discussed and revised in a multi-stakeholder meeting, a public webinar, and a public consultation. Themes across actions and meetings were identified.
Results
Detailed new actions for each stakeholder group are presented. Key themes identified are the need to address interorganizational fragmentation regarding secondary data use and methodologies to build robust RWE. HTA bodies/payers need to develop a common vision about the potential use of RWE. The role of the whole clinical team as primary data collectors is critical. Opportunities for scientific advice across the life cycle of a medicine are essential, and the implementation of RWE guidance related to HTA is paramount. Progress requires specific, operational actions and a collective effort by a variety of stakeholders.
Conclusions
Carrying out these actions will facilitate the development of methodological best practices for generating RWE to inform HTA of highly innovative medicines and build trust between stakeholders in the use of RWE.
Using examples from Germany, Austria, France, the Netherlands, and Belgium, this chapter discusses how Jewish leaders were chosen, how these organizations changed over time, the dilemmas they faced, and how decisions were made regarding cooperation or negotiations with Nazis, often on the basis of “preventing something worse.”
In this work we focus on expected flow in porous formations with highly conductive isolated fractures, which are of non-negligible length compared with the scales of interest. Accordingly, the definition of a representative elementary volume (REV) for flow and transport predictions may not be possible. Recently, a non-local kernel-based theory for flow in such formations has been proposed. There, fracture properties like their expected pressure are represented as field quantities. Unlike existing models, where fractures are assumed to be small compared with the scale of interest, a non-local kernel function is used to quantify the expected flow transfer between a point in the fracture domain and a potentially distant point in the matrix continuum. The transfer coefficient implied by the kernel is a function of the fracture characteristics that are in turn captured statistically. So far the model has successfully been applied for statistically homogeneous cases. In the present work we demonstrate the applicability for heterogeneous cases with spatially varying fracture statistics. Moreover, a scaling law is presented that relates the transfer coefficient to the fracture characteristics. Test cases involving discontinuously and continuously varying fracture statistics are presented, and the validity of the scaling law is demonstrated.
Assessment of regional glucose metabolism by [18F]fluorodeoxyglucose position emission tomography ([18F]FDG PET) serves as a biomarker for differential diagnosis of dementia. Conversely, depressive cognitive impairment shows no abnormalities on cerebral [18F]FDG PET.
Aims
This study validates the diagnostic value of [18F]FDG PET in addition to clinical diagnosis in a real-life gerontopsychiatric clinical population.
Method
Ninety-eight consecutive patients with depression and cognitive impairment were included. Baseline clinical diagnoses were independently established before and after disclosure of [18F]FDG PET, and dichotomised into neurodegenerative or non-neurodegenerative diseases (level 1). Subsequently, neurodegenerative cases were allocated to diagnostic subgroups (Alzheimer’s disease, Lewy body diseases, frontotemporal lobar degeneration, neurodegenerative other; level 2). An interdisciplinary, biomarker-supported consensus diagnosis after a median follow-up of 6.6 month after [18F]FDG PET served as reference. Changes of clinical diagnoses and diagnostic accuracy were assessed.
Results
After disclosure of [18F]FDG PET, level-1 clinical diagnoses changed in 23% (95% CI 16–33%) of cases, improving the diagnostic accuracy from 72% (95% CI 62–81%) to 92% (95% CI 84–96%) (P < 0.001). [18F]FDG PET was of particular value for exclusion of neurodegenerative disease. Concerning level-2 decisions, the clinical diagnoses changed in 30% (95% CI 21–40%) of cases, increasing its accuracy from 64% (95% CI 54–74%) to 85% (95% CI 76–91%) (P < 0.001). A major fraction of incorrect level-2 diagnoses comprised Alzheimer’s disease misdiagnosed as Lewy body diseases.
Conclusions
[18F]FDG PET provides a significant incremental diagnostic value beyond the clinical diagnosis in depressive cognitive impairment. Thus, [18F]FDG PET should be considered in the diagnostic work-up of patients with mental disorders and cognitive impairment.
Integrating scientific research across multiple disciplines to advance breakthroughs is at the heart of clinical-translational science (CTS); among competencies that have been identified as essential for progress, skillful communication is critical. Few tools are available to address the social dynamics of the multidimensional diversity characteristics of CTS. We created the “Building a Diverse Biomedical Workforce Through Communication Across Difference (CAD)” workshop intervention. Based on principles of intercultural communication, CAD taught novel situationally-based communication skills to dyads of near-peer mentors and their undergraduate mentees. This study reports on the effectiveness of the operative mechanisms employed in CAD workshops for helping participants navigate highly diverse research environments.
Methods:
Participant data were collected from multiple sources, including workshop artifacts as well as focus groups conducted post-workshop. Data were organized, individually coded, and then iteratively and collectively into pre-defined and emergent themes.
Results:
Responses indicated that the content and activities resonated strongly with participants and illuminated their understanding of challenges (both their own and others’) related to belonging, confidence, and connectedness to the research environment; several participants shared that they planned to use or had successfully used the skills. Focus group comments revealed that participants recognized the potential of the skills to include significant opportunities for non-instrumental interaction, contributing to a psychologically healthier workplace.
Conclusion:
A brief intervention to develop communication skills across a variety of differences characteristic of clinical-translational settings improves communication between mentors and mentees and with peers and increases sense of belonging in the workplace, with potential benefits to wellbeing.
Understanding firn densification is essential for interpreting ice core records, predicting ice sheet mass balance, elevation changes and future sea-level rise. Current models of firn densification on the Antarctic ice sheet (AIS), such as the Herron and Langway (1980) model are either simple semi-empirical models that rely on sparse climatic data and surface density observations or complex physics-based models that rely on poorly understood physics. In this work, we introduce a deep learning technique to study firn densification on the AIS. Our model, FirnLearn, evaluated on 225 cores, shows an average root-mean-square error of 31 kg m−3 and explained variance of 91%. We use the model to generate surface density and the depths to the $550\,\mathrm{kg\,m}^{-3}$ and $830\,\mathrm{kg\,m}^{-3}$ density horizons across the AIS to assess spatial variability. Comparisons with the Herron and Langway (1980) model at ten locations with different climate conditions demonstrate that FirnLearn more accurately predicts density profiles in the second stage of densification and complete density profiles without direct surface density observations. This work establishes deep learning as a promising tool for understanding firn processes and advancing towards a universally applicable firn model.
This research provides the first population-based investigation of intimate partner violence (IPV) and women’s dietary intake of iron and Vitamin A-rich foods using representative data from eight low- and middle-income countries.
Design:
Using multivariable logistic regression, we estimated the relationship between various forms of past year IPV (physical, emotional and sexual) and consumption of Vitamin A and iron-rich foods.
Setting:
We conducted secondary data analysis of cross-sectional demographic and health surveys from Cambodia (2021, n 5640), Nepal (2022, n 4179), Sierra Leone (2019, n 3812), Nigeria (2018, n 8313), Tajikistan (2017, n 4800), Cote D’Ivoire (2021, n 3656), Kenya (2022, n 10 758) and the Philippines (2022, n 12 278).
Participants:
Women of reproductive age (15–49 years) comprised the analytical sample.
Results:
Results revealed distinct relationship patterns between various IPV forms and women’s dietary consumption of micronutrient-rich foods. The most consistent relationships being that past year (i) sexual IPV (adjusted OR (aOR): 0·72, 95 % CI: 0·53, 0·98), (ii) physical IPV (aOR: 0·86, 95 % CI: 0·73, 1·01) and (iii) emotional IPV (aOR: 0·81, 95 % CI: 0·70, 0·94) significantly reduced the odds of consuming iron-rich foods in the pooled analyses. Due to between-country heterogeneity concerning the relationship between IPV and Vitamin A, pooled estimates for dietary vitamin A consumption were non-significant. However, in the Philippines, IPV was associated with reduced dietary Vitamin A intake.
Conclusions:
IPV is associated with altered dietary intake patterns and between-country differences could be due to different food environments. Mechanisms explaining our findings may involve consequences of IPV that impact diet and dietary practices: depression, control of resources and physical trauma.
Objectives/Goals: Our objective is to examine patient and community perspectives on hospital actions that signify accountability to healthcare equity; part of our overall goal is to identify equity measure concepts representative of community perspectives and priorities for future hospital accountability programs. Methods/Study Population: We conducted a qualitative thematic analysis of secondary data – 32 focus group transcripts from our hospital’s Community Health Needs Assessment (CHNA). A tri-annual CHNA is required of nonprofit hospitals to maintain tax exemption. Diverse participants were recruited from our hospital’s large catchment area. Coding focused on responses to 6 pertinent questions. We adapted the National Committee for Quality Assurance, “Health Equity Measurement Framework for Medicaid Accountability” which consists of 5 domains (access, clinical, experience, structure, and social) to guide the development of our a priori coding tree and subsequent analysis. Two coders double-coded 25% of transcripts. The multidisciplinary research team, including community partners, met iteratively to extract and refine themes. Results/Anticipated Results: We organized our analysis by our conceptual framework’s 5 measurement domains. The “access” and “experience” domains were the most salient for participants. We defined “access” by four sub-domains: financial access, physical access, communication access, and navigability; and “experience” by two subdomains: inclusivity and accomodation. Beyond discussing concepts within these measurement domains, participants debated the “scope” of the hospital’s role with regard to healthcare equity. While some did not think “it was the hospitals” responsibility to give people access to good jobs or fair pay, education…, “other participants felt that healthcare involves not just addressing peoples’ physical health but. their housing… because how can someone take care of their health when they are homeless?” Discussion/Significance of Impact: When asked about hospital accountability to healthcare equity, “access” and “experiences” of care are the most salient measurement domains for patients and communities. The “scope” of the hospital’s role is debated. Policy and health system leaders can apply these perspectives to equity measurement initiatives.