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A decade ago, the American Academy of Arts and Sciences published The Heart of the Matter report to much acclaim. But what has been the impact of such a high-minded report? In the decade since its publication, we have seen a prevailing anti-humanities rhetoric with significant consequences to the security and persistence of humanistic principles. This article focuses on what many consider to be the most crucial problem of our time, climate change and its consequences, in thinking about how this overwhelming problem offers a rallying point for the insertion of the humanities into practical solutions which require an upending of discrete disciplinary perspectives as well as a bridging of the academic and public divide so that any space between the practice of the humanities and advocacy for social and environmental justice is vastly diminished. It argues for a thorough review of academic reward systems, for a broadening of scholarly definitions, and for a pedagogical focus that demands theory commit to empirical application. Finally, it suggests that we reengage our storytelling prowess with an emphasis on the power of metaphor in order to bolster imaginative response and methodological flexibility that is both cogent and compelling.
Biotite was altered by boiling in 0.2 M A1C13 solution, and the products were examined by X-ray powder and single-crystal diffraction, chemical analysis and thermogravimetry. The altered material is a 14 Å clay mineral with hydroxy-Al interlayers. It has a stacking sequence characteristic of vermiculite and its silicate layers are similar in chemical composition to trioctahedral vermiculite. The results of extracting the interlayer material with sodium citrate solution, X-ray examinations after heating and thermogravimetry show that the interlayer material is composed of Al associated with OH and H2O. The chemistry and kinetics of the alteration reaction and the orientational between the altered and original biotites are also discussed.
To provide a systematic synthesis of primary care practice-based interventions and their effect on participation in population-based cancer screening programs.
Background:
Globally, population-based cancer screening programs (bowel, breast, and cervical) have sub-optimal participation rates. Primary healthcare workers (PHCWs) have an important role in facilitating a patient’s decision to screen; however, barriers exist to their engagement. It remains unclear how to best optimize the role of PHCWs to increase screening participation.
Methods:
A comprehensive search was conducted from January 2010 until November 2023 in the following databases: Medline (OVID), EMBASE, and CINAHL. Data extraction, quality assessment, and synthesis were conducted. Studies were separated by whether they assessed the effect of a single-component or multi-component intervention and study type.
Findings:
Forty-nine studies were identified, of which 36 originated from the USA. Fifteen studies were investigations of single-component interventions, and 34 studies were of multi-component interventions. Interventions with a positive effect on screening participation were predominantly multi-component, and most included combinations of audit and feedback, provider reminders, practice-facilitated assessment and improvement, and patient education across all screening programs. Regarding bowel screening, provision of screening kits at point-of-care was an effective strategy to increase participation. Taking a ‘whole-of-practice approach’ and identifying a ‘practice champion’ were found to be contextual factors of effective interventions.
The findings suggest that complex interventions comprised of practitioner-focused and patient-focused components are required to increase cancer screening participation in primary care settings. This study provides novel understanding as to what components and contextual factors should be included in primary care practice-based interventions.
The International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA) found that there was no statistical difference in cardiovascular events with an initial invasive strategy as compared with an initial conservative strategy of guideline-directed medical therapy for patients with moderate to severe ischemia on noninvasive testing. In this study, we describe the reasons that potentially eligible patients who were screened for participation in the ISCHEMIA trial did not advance to enrollment, the step prior to randomization. Of those who preliminarily met clinical inclusion criteria on screening logs submitted during the enrollment period, over half did not participate due to physician or patient refusal, a potentially modifiable barrier. This analysis highlights the importance of physician equipoise when advising patients about participation in randomized controlled trials.
This paper proposes that safety footwear manufacture shifts towards a sustainable Product-Service System (PSS). The PSS consists of seven stages from identification of requirements through to disposal or replacement. Through this, designers and manufacturers can realise safety footwear that is customised to end user sizing, function, industry and aesthetic requirements. For end users, this PSS leads to the creation of more comfortable and practicable footwear, addressing the underlying level of acceptance of uncomfortable safety footwear, reducing waste and providing sex specific offerings.
This article investigates Classic Maya understandings of two particular animal species: the (gray) fox and the armadillo. We use these species as a point of entry into Classic Maya categorizations of the non-human animal world, examining the salient biological and physical characteristics of those animals that Classic-period artists and scribes chose to highlight. Rather than accepting the creatures depicted on painted pottery or referenced in hieroglyphic texts as generalized examples of particular kinds (i.e., simply “a fox” or “an armadillo”), however, we show how the evidence from ancient art, historical accounts, and contemporary ethnography points to an emphasis on specific beings, often named individuals, who engage in particular behaviors and relate to other entities (both human and non-human) in distinctive ways. Although this article focuses exclusively on the fox and the armadillo, those species serve as examples through which we consider the limitations of applying Western taxonomic categories to other systems of knowledge, as well as the possibilities for how we might catch glimpses of radically different ways of organizing the world.
The sub-kilometre scale distribution of snow depth on Arctic sea ice impacts atmosphere-ice fluxes of energy and mass, and is of importance for satellite estimates of sea-ice thickness from both radar and lidar altimeters. While information about the mean of this distribution is increasingly available from modelling and remote sensing, the full distribution cannot yet be resolved. We analyse 33 539 snow depth measurements from 499 transects taken at Soviet drifting stations between 1955 and 1991 and derive a simple statistical distribution for snow depth over multi-year ice as a function of only the mean snow depth. We then evaluate this snow depth distribution against snow depth transects that span first-year ice to multiyear ice from the MOSAiC, SHEBA and AMSR-Ice field campaigns. Because the distribution can be generated using only the mean snow depth, it can be used in the downscaling of several existing snow depth products for use in flux modelling and altimetry studies.
Preclinical and clinical studies suggest that males and females may be differentially affected by cannabis use. This study evaluated the interaction of cannabis use and biological sex on cognition, and the association between observed cognitive deficits and features of cannabis use.
Methods:
Cognitive measures were assessed in those with regular, ongoing, cannabis use (N = 40; 22 female) and non-using peers (N = 40; 23 female). Intelligence, psychomotor speed, and verbal working memory were measured with the Wechsler Abbreviated Scale of Intelligence, Digit Symbol Test, and Digit Span and Hopkins Verbal Learning Test, respectively. Associations between cognitive measures and cannabis use features (e.g., lifetime cannabis use, age of initiation, time since last use of cannabis, recent high-concentration tetrahydrocannabinoid exposure) were also evaluated.
Results:
No main effects of group were observed across measures. Significant interactions between group and biological sex were observed on measures of intelligence, psychomotor speed, and verbal learning, with greatest group differences observed between males with and without regular cannabis use. Psychomotor performance was negatively correlated with lifetime cannabis exposure. Female and male cannabis use groups did not differ in features of cannabis use.
Conclusions:
Findings suggest that biological sex influences the relationship between cannabis and cognition, with males potentially being more vulnerable to the neurocognitive deficits related to cannabis use.
Neonicotinoid insecticides are used to reduce crop damage caused by insect pests, but sublethal levels could affect development and reproduction in nontarget insects, such as monarch butterflies (Danaus plexippus) (Lepidoptera: Nymphalidae). To investigate the impact of field-realistic concentrations of the neonicotinoid clothianidin on monarch butterflies, we grew swamp milkweed (Asclepias incarnata) (Apocynaceae) in either low (15 ng/g of soil) or high (25 ng/g of soil) levels of clothianidin, or in a control (0 ng/g), then raised monarchs on the milkweed. Morphological traits of monarch caterpillars were measured during development and, once they eclosed, were mated as adults to quantify egg size and mass and the number of eggs laid. Although the effects of the treatment had complex effects on caterpillar length, width and volume of late-instar caterpillars were negatively affected. Fifth-instar caterpillars from the high-dose insecticide treatment had lower mass than other groups. Adult monarch butterflies raised on treated milkweed were larger than controls, but clothianidin exposure did not affect the number of eggs laid or egg size. Although the magnitude of the effect depends on clothianidin concentration, our results suggest that exposure to clothianidin during early life can impact monarch caterpillar development but is unlikely to reduce female reproductive output.
Freshwater habitats in China are potentially suitable for invasive alien turtle species and, consequently, raising turtles in aquaculture facilities and the trade in turtles this supplies pose risks to habitats and native wetland communities when exotic turtles escape or are released deliberately. Online trade (e-commerce) is making an increasing contribution to turtle sales in China, seemingly driving demand and thus potentially exacerbating the risk of release. We document the scale and spatial pattern of online sales of non-native turtles over 90 days on China's Taobao.com e-commerce site. The majority of sales were in the ecologically sensitive middle and lower Yangtze river basin (82.35% of > 840,000 slider turtles Trachemys scripta elegans, and 68.26% of > 100,000 snapping turtles, Chelydridae spp.). These species are native to the Americas. Concurrently, over 2008–2018, we found 104 mentions of feral turtle issues listed on Baidu News where, among the 53 prefectures mentioned, issues with invasive turtle populations also focused predominantly in the middle and lower Yangtze river basin. Although circumstantial, this association suggests that the substantial online sale of alien turtles could be having detrimental effects in China's Yangtze river basin. It is important to safeguard these wetland habitats, which are of global importance, by improving policies for detecting and regulating invasive alien turtle issues and by warning consumers about the ecological hazard of their purchases.
This third edition of the much acclaimed Cambridge Handbook of Psychology, Health and Medicine offers a fully up-to-date, comprehensive, accessible, one-stop resource for doctors, health care professionals, mental health care professionals (such as psychologists, counsellors, specialist nurses), academics, researchers, and students specializing in health across all these fields. The new streamlined structure of the book features brief section overviews summarising the state of the art of knowledge on the topic to make the information easier to find. The encyclopaedic aspects of the Handbook have been retained; all the entries, as well as the extensive references, have been updated. Retaining all the virtues of the original, this edition is expanded with a range of new topics, such as the effects of conflict and war on health and wellbeing, advancements in assisted reproduction technology, e-health interventions, patient-reported outcome measures, health behaviour change interventions, and implementing changes into health care practice.