We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
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.
It is sometimes morally permissible not to help others even when doing so is overall better for you. For example, you are not morally required to take a career in medicine over a career in music, even if the former is both better for others and better for you. I argue that the permissibility of not helping in a range of cases of “compensated altruism” is explained by the existence of autonomy-based considerations. I sketch a view according to which you can have autonomy-based permissions to choose between alternatives when these alternatives differ in terms of the valuable features they instantiate. Along the way, I argue that considerations of moral autonomy do not support rejecting the plausible view that we each constantly face reasons with morally requiring strength to help (distant) strangers.
Among Biomphalaria glabrata/Schistosoma mansoni snail–trematode combinations, it appears that some parasites succeed whilst others fail to infect snails. Snails that become infected are termed susceptible hosts. Those which are not infected are traditionally determined as ‘resistant’. Here the concept of B. glabrata resistance to S. mansoni is re-examined in the light of additional observations. It is suggested that, in B. glabrata/S. mansoni, compatibility is tested independently for each individual miracidium and host, and that the success or failure of an infection does not depend on the snail susceptibility/resistance status, but on the ‘matched’ or ‘mismatched’ status of the host and parasite phenotypes.
Multisectoral nutrition governance (MNG) is a vital enabling determinant of improved nutrition outcomes. Despite this, it remains to be a complex phenomenon that lacks adequate understanding, especially in developing countries like Kenya. This narrative review aims to discuss the evolution of MNG, the current state of MNG, barriers and challenges, and based on these identify entry points for improvement within the complex governance structure in Kenya.
Design:
The Peer Review of Electronic Search Strategies (PRESS) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to ensure rigorous and transparent identification of literature and interpretation.
Setting:
Kenya and developing countries with similar contexts.
Participants:
The review included forty-five documents (peer-reviewed articles and grey literature) that reported on MNG in developing countries.
Results:
We acknowledge that MNG is a complex and evolving determinant of better nutrition outcomes. The paper highlights challenges Kenya and other developing countries face such as inadequate leadership, inadequate coordination, insufficient capacity, inadequate monitoring and evaluation systems, and limited financial resources, among others. For Kenya in particular, there is inadequate understanding of what MNG is and how it can be effectively operationalised and tracked.
Conclusions:
To enhance understanding of MNG in Kenya, a country-specific assessment of MNG processes and impact outcomes using standard tools and defined metrics is vital. Such assessment will generate evidence of progress, successes, and challenges that will compel the government and stakeholders to invest more in multisectoral nutrition approaches to achieve its nutrition goals.
In sub-Saharan countries, like South Africa, there is scant understanding of adolescent resilience to depression over time; the multisystemic resource combinations that support such resilience; and whether more diverse resource combinations yield better mental health dividends. In response, we conducted a longitudinal concurrent nested mixed methods study with 223 South African adolescents (mean age: 17.16 years, SD = 1.73; 64.60% girls; 81.60% Black). Using longitudinal mixture modeling, the quantitative study identified trajectories of depression and associations between trajectory membership and resource diversity. Using a draw-and-write methodology and reflexive thematic analyses, the qualitative study explored the resource diversity associated with each trajectory. Taken together, these studies identified four depression trajectories (Stable Low; Declining; Worsening; Chronic High) with varying resource diversity at baseline and over time. Resource diversity was inclusive of personal, relational, contextual, and culturally valued resources in both the Stable Low and Declining trajectories, with emphasis on relational supports. Personal resources were emphasized in the Worsening and Chronic High trajectories, and culturally valued and contextual resources de-emphasized. In summary, resource constellations characterized by within and across system diversity and cultural responsiveness are more protective and will be key to advancing sub-Saharan adolescent mental health.
As our understanding of the process of resilience has become more culturally and contextually grounded, researchers have had to seek innovative ways to account for the complex, reciprocal relationship between the many systems that influence young people’s capacity to thrive. This paper briefly traces the history of a more contextualized understanding of resilience and then reviews a social–ecological model to explain multisystemic resilience. A case study is then used to show how a multisystemic understanding of resilience can influence the design and implementation of resilience research. The Resilient Youth in Stressed Environments study is a longitudinal mixed methods investigation of adolescents and emerging adults in communities that depend on oil and gas industries in Canada and South Africa. These communities routinely experience stress at individual, family, and institutional levels from macroeconomic factors related to boom-and-bust economic cycles. Building on the project’s methods and findings, we discuss how to create better studies of resilience which are able to capture both emic and etic accounts of positive developmental processes in ways that avoid the tendency to homogenize children’s experience. Limitations to doing multisystemic resilience research are also highlighted, with special attention to the need for further innovation.
Business has a role to play in negating the tolerance of slavery and to take active steps to help survivors of trafficking. The UN Guiding Principles (UNGPs) are the global standard for businesses to respect human rights and create an obligation upon business to implement policies and due diligence processes to identify, prevent and remedy (if possible) negative human rights impacts that they may have caused or contributed to. This includes a duty to prevent human trafficking. Legislation like the UK Modern Slavery Act requires a business to take steps to tackle and proactively report on human trafficking and modern slavery in their organisations and supply chains. Effective due diligence allows companies to identify and assess potential and actual human rights abuses in their operations and services, including their supply chains and business relationships. The EU draft Directive on Corporate Sustainability Due Diligence will require businesses within its scope to develop and implement a mandatory human rights due diligence strategy (European Parliament, 2021). It is argued that while businesses will assess risk before entering key business transactions, very few take responsibility for decent work in their supply chains (BHRRC, 2017).
COVID-19 highlighted that business practices impact on people in supply chains. It has posed unprecedented challenges for business and workers in supply chains, particularly those exposed to forced labour and modern slavery. The shutdown of countless factories during the pandemic increased unemployment rates, putting those most vulnerable at greater risk of exploitation. Perpetrators of modern slavery induce victims to rely on them for basic needs such as food and shelter, and circumstances where income generated would be confiscated (GBCAT, 2020). The chapter outlines contributing factors in the exploitation of workers including the role of the businesses, demand for cheap labour, global inequality and poverty. Business leaders representing both the survivor employment programmes – Bright Future, Holos – and the retail organisations who collaborated with them – the Co-op, Dixons Carphone and Brightwork Recruitment – were interviewed for this chapter, discussing their roles in the rehabilitation of survivors and identifying barriers in this process.
The role of business in the exploitation of victims
The journey from legitimate employment to exploitation can be linked to business in multiple ways.
Iodine is an essential trace mineral, vital for its functions in many physiological processes in the human body. Both iodine deficiency (ID) and excess are associated with adverse health effects; ID and excess iodine intake have both been identified in sub-Saharan Africa (SSA). The review aims to (1) review the iodine status among populations in SSA until October 2018, and (2) identify populations at risk of excess or inadequate iodine intakes. A systematic search of relevant articles was carried out by a seven-member research team using PubMed, Science Direct and Scopus. A total of twenty-two articles was included for data extraction. Of the articles reviewed, the majority sought to determine the prevalence of iodine status of the study populations; others measured the impact of uncontrolled and unmonitored salt iodisation on iodine excess and tested the effectiveness of water iodisation. Although iodine status varied largely in study populations, ID and excessive iodine intake often coexisted within populations. The implementation of nutrition interventions and other strategies across SSA has resulted in the reduction of goitre prevalence. Even so, goitre prevalence remains high in many populations. Improvements in access to iodised salt and awareness of its importance are needed. The emerging problem of excess iodine intakes, however, should be taken into consideration by policy makers and programme implementers. As excessive iodine intakes may have adverse health effects greater than those induced by iodine deficient diets, more population-based studies are needed to investigate iodine intakes of the different population groups.
This chapter, having briefly restated what is meant by the term ‘modern slavery’, will explore how business is implicated by it, and the salient requirements of the UK Modern Slavery Act (MSA) transparency in supply chain provision, in the context of growing mandatory reporting requirements for business to report transparently on their supply chain impacts. We also examine how business has responded to the MSA. It concludes with some practical steps that business can take to address the risk of modern slavery in its supply chains.
The liberalisation of trade, the growth in global value chains (GVCs) and the proliferation of multinational corporations (MNCs) and their impact on the environment and human rights have recently led to a spotlight being shone on ethical trade and the protection of human rights. ‘Modern slavery’ has become a recognised global phenomenon, giving rise to questions on how the state and business should be tackling these issues.
Although ethical trade is still relatively in its infancy, corporate social responsibility (CSR) professionals, pressure groups, non-governmental organisations (NGOs) and international bodies such as the International Labour Organisation (ILO) have spent years trying to manage the impacts of large-scale global business. While it may seem relatively straightforward to ensure certain factors such as decent work, decent wages and regular employment contracts throughout the supply chain, this has increasingly become no easy feat. Global business has expanded tenfold and MNCs are faced with assessing the benefits of supporting developing economies through supply contracts and ensuring that they are producing a responsibly sourced product. As business has expanded, so have the mechanisms to conceal forced labour. The GVC theoretical framework has been deployed over the last two decades to analyse the drivers of labour exploitation in the global economy and the governance gaps that facilitate it. Larger organisations have increasingly complex and ever-changing supply chains, making it almost impossible to stay on top of risk. Another significant contribution to the exploitation by business of labour has been the significant growth by MNCs in outsourcing the number of workers employed directly. This outsourcing of the functions and responsibilities associated with employment increases the opportunity to exploit labour as it significantly dismantles employers’ obligations to workers. (Phillips 2016).
Cercariae, like miracidia, are non-parasitic larval stages implicated in the life cycle of all trematodes for the host-to-host parasite transmission. Almost all cercariae are free-living in the external environment. With a few exceptions (cercariae of Halipegus occidualis (Halipegidae) can live several months, Shostak & Esch, 1990a), cercariae have a short active life during which they do not feed, living on accumulated reserves. Most cercariae encyst as metacercariae in second intermediate hosts which are prey of the definitive host; in certain species, the interruption of the active life is achieved by an encystment in the external environment (or a simple immobile waiting strategy in a few species). In some two-host life cycles, the cercariae develop into adults after penetration (this is the case for various species causing human schistosomiasis). Some cercariae do not leave the mollusc which must then be ingested by the definitive host.
The study aimed to investigate, for the first time, the association between diet quality (food variety and dietary diversity), intakes of anti-inflammatory nutrients and food groups, and subclinical inflammation as assessed by categories of high-sensitivity C-reactive protein (hs-CRP).
Design
Cross-sectional study.
Setting
Resource-poor, rural children in the Eastern Cape, South Africa.
Subjects
A sample size formula determined a representative sample of 235. Five schools were purposively selected and cluster sampling used to select 240 participants. Measurements included 24 h recall and dietary diversity questionnaires, anthropometric and biochemical measurements.
Results
The sample consisted of 50·4 % (n 118) girls and 49·6 % (n 116) boys. No obesity was found, but overweight was prevalent in 4·2 % of the children. The hs-CRP concentration (median (25th, 75th percentile)) of the low, medium and high risk inflammatory categories was 0·6 (0·4, 0·7), 1·6 (1·2, 2·2) and 4·2 (3·4, 6·4) mg/l, respectively. Body composition parameters did not differ between hs-CRP groups. Most of the anti-inflammatory nutrient intakes (dietary Fe, Zn, Mg, vitamin C, folate, linolenic acid, linoleic acid, MUFA and PUFA) differed significantly between the hs-CRP groups, with intakes increasing from low to high hs-CRP groups, with similar results for linolenic acid (P=0·022) intake. No significant relationships between hs-CRP and any of the food groups could be established, but significant relationships were established between hs-CRP levels and the high density of living arrangements and unhygienic ablution facilities.
Conclusions
Although no link could be established between overnutrition and hs-CRP levels, an association was found between hs-CRP and dietary quality, as well as socio-economic status.
Milk losses associated with mastitis can be attributed to either effects of pathogens per se (i.e. direct losses) or to effects of the immune response triggered by the presence of mammary pathogens (i.e. indirect losses). Test-day milk somatic cell counts (SCC) and number of bacterial colony forming units (CFU) found in milk samples are putative measures of the level of immune response and of the bacterial load, respectively. Mediation models, in which one independent variable affects a second variable which, in turn, affects a third one, are conceivable models to estimate direct and indirect losses. Here, we evaluated the feasibility of a mediation model in which test-day SCC and milk were regressed toward bacterial CFU measured at three selected sampling dates, 1 week apart. We applied this method on cows free of clinical signs and with records on up to 3 test-days before and after the date of the first bacteriological samples. Most bacteriological cultures were negative (52.38%), others contained either staphylococci (23.08%), streptococci (9.16%), mixed bacteria (8.79%) or were contaminated (6.59%). Only losses mediated by an increase in SCC were significantly different from null. In cows with three consecutive bacteriological positive results, we estimated a decreased milk yield of 0.28 kg per day for each unit increase in log2-transformed CFU that elicited one unit increase in log2-transformed SCC. In cows with one or two bacteriological positive results, indirect milk loss was not significantly different from null although test-day milk decreased by 0.74 kg per day for each unit increase of log2-transformed SCC. These results highlight the importance of milk losses that are mediated by an increase in SCC during mammary infection and the feasibility of decomposing total milk loss into its direct and indirect components.
Although resilience among victims of child abuse is commonly understood as a process of interaction between individuals and their environments, there have been very few studies of how children's individual coping strategies, social supports and formal services combine to promote well-being.
Method.
For this study, we conducted a multi-phase analysis of a qualitative dataset of 608 interviews with young people from five countries using grounded theory strategies to build a substantive theory of young people's service and support use patterns. We started with an analysis of ten interviews (two from each country) and then compared these findings to patterns found in each country's full dataset.
Results.
The substantive theory that emerged explains young people's transience between individual coping strategies (cognitive and behavioral), reliance on social supports (family members, peers and teachers), and engagement with formal service providers whose roles are to provide interventions and case management. Young people's patterns of navigation were shown to be contingent upon the individual's risk exposure, his or her individual capacity to cope, and the quality of the formal and informal supports and services that are available and accessible.
Conclusion.
Differing amounts of formal resources in low-, middle- and high-income countries influence patterns of service use. Implications for better coordination between formal mental health services and social supports are discussed.
Our understanding of the second half of the fifteenth century has been informed greatly by the plethora of surviving political manifestoes from that period. These manifestoes, laying out arguments, pleas, appeals and justifications for the actions being undertaken by various political actors of the time, are a wonderful source of primary evidence on political actions written by some of the key actors themselves. The benefit these manifestoes provide in understanding both the particular circumstances which they addressed and the political environment and culture in which they existed has proven extremely valuable in improving our understanding of this era. Close analysis of various manifestoes and sets of manifestoes has given us new and useful perspectives on some of the crucial political developments of the later fifteenth century. Furthermore, through examinations of ranges of these documents, historians have been able to offer insight into what they collectively might have to tell us about the period as a whole. Overall, these manifestoes have proven remarkably useful and offer further potential to develop new perspectives on the politics of their time.
One way in which to consider the manifestoes across the half-century would be to look at a selection, covering the whole period, issued by men who were taking up arms against the status quo. The later fifteenth century is remarkable for the degree to which manifestoes were used by those resorting to rebellion. In the political system of late-medieval England, taking up arms without the approval of the head of state was the most dangerous action a person could take. It left one completely open to charges of treason, with the potential to suffer forfeiture, attainder and execution. Nor would these penalties have been merely theoretical to Englishmen in the late fifteenth century. Richard, earl of Cambridge, father of Richard, duke of York, and grandfather of Edward IV, had been executed and had forfeited his title for his participation in the Southampton Plot against Henry V in 1415. Even holy orders could not necessarily protect one from being executed for rebellion, as Archbishop Scrope of York discovered in 1405. Manifestoes under these circumstances were a crucial attempt to tip the scales within political society, even if just through obtaining passive support, in the riskiest political move possible.
Within the Soom Shale Lagerstätte of South Africa (Upper Ordovician, Hirnantian), two brachiopod taxa preserve traces of organic tissue. In Trematis, presumed bands of periostracum are preserved on the flanks of the pedicle notch, and clay mineral casts of the pedicle are preserved in many specimens of Kosoidea. Both these genera are organophosphatic-shelled Linguliformea, together with a third genus identified as Plectoglossa. A fourth brachiopod taxon in the fauna belongs within the calcitic-shelled Rhynchonelliformea (Plectothyrella). Kosoidea cedarbergensis is a new species of discinoidean.
To investigate the relationship between poor Fe status and overweight or obesity in elderly respondents in South Africa.
Design
Cross-sectional, observational baseline survey.
Setting
Sharpeville, South Africa.
Subjects
A sample size calculation determined a representative sample of 104 randomly selected elderly (≥60 years) respondents. Measurements included weight, height, biochemical and haematological parameters. Measured BMI was used to categorise the respondents into normal weight, overweight and obese groups.
Results
The majority of the women were overweight (28·4 %) or obese (54·6 %); 58 % of the respondents had normal Fe status, 15 % were classified as Fe depleted, 9 % as Fe deficient and 13 % as Fe-deficient anaemic. Ten per cent of the respondents had low Hb levels with no other low Fe status parameters, and were thus anaemic due to other causes. A significant correlation (r = 0·318, P < 0·001) existed between BMI and high-sensitivity C-reactive protein (hs-CRP). hs-CRP was negatively correlated to serum Fe levels (r = −0·319, P < 0·001). No significant relationships existed between BMI and Fe status parameters.
Conclusions
A coexistence of obesity and poor Fe status were observed in these elderly respondents. The positive relationship between hs-CRP and BMI indicated chronic inflammation in the higher BMI groups. The negative relationship between hs-CRP and serum Fe indicated that lower serum Fe levels were related to the inflammation linked with higher BMI. A relationship between obesity-related chronic, low-grade inflammation and poor Fe status has been found in adults, but the significance of the current study is that this relationship was also confirmed for elderly persons.