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We study the bursting of a bubble on a liquid free surface under critical conditions, i.e. those leading to the minimum (maximum) size (velocity) of the first-emitted jet droplet. We consider the effect of a surfactant remaining in the monolayer during the cavity collapse and jetting (the surfactant is considered as insoluble). Our experiments show that a tiny amount of surfactant considerably increases (decreases) the droplet radius (velocity). The volume of the first-emitted droplet increases by a factor of 20 for a concentration that produces an insignificant reduction in the bubble surface tension. The total liquid volume ejected by the bubble increases with the surfactant concentration. Surfactant accumulates at the bubble base due to the shrinkage of the cavity bottom and surfactant convection. The resulting reduction in surface tension narrows the region of free surface reversal. Despite this effect, the droplet size increases because Marangoni stress widens the jet and slows the liquid jet interface, delaying droplet detachment. More liquid flows into the droplets, increasing the mass and energy transfer to the resulting spray. A significant increase in the droplet size is also observed with a weak surfactant. This indicates that natural water contamination can substantially alter bubble bursting under critical conditions. Our results may explain the size of the particles emitted by bubble bursting in seawater.
High-energy, sugar-rich diets are associated with obesity and pancreatic disorders. We investigated the effects of consumption of a high-fat and high-fructose diet (HFFrD) on gene expression related to insulin synthesis, inflammation and apoptosis in pancreatic β-cells. Weaned Wistar rats were fed either a control diet (CD; 11 % kcal from fat and 0 % from fructose) or an HFFrD (48 % kcal from fat and 33 % from fructose) for 22 weeks; after a 6-h fast, animals were euthanised. Body weight and total fat were recorded. Serum analyses included: glucose, insulin, triacylglycerides (TAG), malondialdehyde (MDA), TNFα, IL-6, IL-10 and advanced glycation end-products (AGE). Pancreatic islets were analysed for gene expression linked to insulin synthesis, inflammation and apoptosis. Pancreatic assessments included TUNEL assay and immunohistochemistry. HFFrD increased body weight, total fat, MDA, insulin, homeostatic model assessment for insulin resistance, AGE, TAG and IL-6 concentrations in both sexes. Gene expression revealed sex-dependent differences: Glut2, Gck, Khk, Ins2 and the transcription factor Mafa were downregulated in males but upregulated in females. Pdx1 expression increased in females, whereas NeuroD1 increased in males. Pro-inflammatory markers (Il-1β, Il-6) increased in both sexes, whereas Il-10 decreased in males and increased in females. Bax/Bcl2 ratio decreased in males but increased in females; antioxidant and apoptotic markers Nrf2 and Casp3 increased in females. Endocannabinoid receptors (Cnr1, Cnr2) increased in both sexes. HFFrD altered the expression of genes involved in insulin synthesis, inflammation and apoptosis in a sex-specific manner. Compared with males, females showed lower vulnerability, possibly because of adaptive responses in insulin synthesis signalling influenced by sex hormones.
The Spanish agricultural sector depends on seasonal agricultural migrant workers. This study aimed to examine the associations among dietary patterns, sociodemographic factors and food security among seasonal agricultural workers.
Design:
A cross-sectional multicentre study. The dietary pattern was evaluated according to the Spanish Society of Community Nutrition recommendations for the adult population. Descriptive analysis was disaggregated according to sex. Multi-adjusted logistic models were used to assess the association between dietary patterns and explanatory variables.
Setting:
Work sites and temporary accommodations in four Spanish provinces: North Spain: Lleida and La Rioja, and South Spain: Almeria and Huelva.
Participants:
Male and Female Seasonal Agricultural Migrant Workers (n 623).
Results:
The final sample consisted of 609 migrant agricultural workers. Of these, 36 % were female, and 61 % were classified as North African. Overall, 40 % of the participants adhered to the evaluated dietary pattern. Adherence was positively associated with North African nationality, being married or cohabiting and low socio-economic status. Not skipping meals due to economic constraints and receiving food aid emerged as key factors contributing to greater adherence to the assessed dietary pattern.
Conclusions:
This study provides an initial insight into the dietary pattern of seasonal agricultural migrant workers in Spain. The findings indicate that external socio-economic and structural factors primarily shape their dietary habits. Policies aimed at enhancing food security, and other food coping strategies, such as access to food aid, are crucial for improving dietary adherence to a healthy dietary pattern.
In June 2019, after a twenty-years discontinuous process of negotiation, the European Union and MERCOSUR announced the conclusion of the commercial chapter of their Association Agreement. This chapter analyses the negotiations from an international political economy perspective, taking into account structure and agency factors at play, both in the international arena and within the internal dynamics of each side. The chapter aims to provide a periodisation of the negotiation process as well as to discuss the main obstacles explaining the twenty-years failure in achieving an acceptable outcome, and the drivers that explain its final conclusion. The chapter argues that the EU–MERCOSUR Association Agreement was functional to an inter-regional strategy supporting globalisation and regionalism, but this could not overcome deep-rooted economic interests and a number of social and political barriers of the parties. Among them the chapter examines divergent political cycles, conflicting agendas of offensive and defensive positions, and changes in regionalism and regional trade and integration strategies. The chapter also explains how, paradoxically, a new international scenario marked by the setback and the crisis of both globalisation and regionalism has pressed the parties to the final agreement. These obstacles, however, remain present and will determine the complex process of ratification and entering into force of this agreement.
This chapter examines the main challenges posed by remote working from the perspective of occupational health and safety protection. Methodologically, the chapter utilizes a multi-level perspective and also focuses on how the temporal and spatial breadth of remote work affect health and safety at work and its regulations. The chapter analyzes the problem of applying the current concepts of effective working time and rest time to the new activity times that arise in remote work. The study also examines the problems that arise regarding controlling and recording working time in remote work, as well as the legal limits of the new forms of control used by companies. The need to articulate specific forms of digital disconnection and to introduce online working time as a psychosocial risk factor is addressed. The chapter also examines the implications of remote work for the management of occupational risk prevention. In addition to how occupational risk prevention planning is carried out, special attention is paid to the new occupational risks that may appear in the digital sphere, such as cyber-bullying, but also the increase in more traditional psychosocial risks, and the difficulties that arise in achieving an effective assessment of these risks.
Late complications following surgical repair of aortic coarctation may include hypertension, aortic valve disease, coronary artery disease, aneurysm formation, and recoarctation. However, preprocedural aneurysmal dilatation is rarely reported.
Case Presentation:
We report the case of an 11-year-old male with severe aortic coarctation and a giant aneurysm identified prior to any surgical or interventional treatment. Takayasu’s arteritis was ruled out, and the patient underwent successful percutaneous placement of a covered stent. Post-procedure, he showed no residual gradient or aneurysmal lesion.
Conclusion:
This case highlights a rare presentation of aneurysmal dilatation occurring prior to any intervention for aortic coarctation and supports the efficacy of covered stent placement as a safe and effective therapeutic option.
Participation in the public debate constitutes one of the most evident avenues for political scientists to demonstrate the social relevance of the discipline. This article focuses on two questions: the types of roles political scientists adopt in their public interventions and the potential tensions between their public engagement and the epistemic norms regulating academic and research activities. We investigate these questions in the context of very salient political debates, involving a high degree of political confrontation, where basic political beliefs, values, identities, and interests are at stake. Focusing on the case of the public debate surrounding the Catalan independence crisis (2010–2018), we demonstrate that in this type of context, (1) political scientists mostly adopt a partisan stance in their public interventions, yet it is also frequent that this is combined with the presence of academic elements in their discourse; (2) demand side factors (media outlets’ editorial lines) reinforce these partisan dynamics. These findings show that opportunities for increasing the social relevance of political scientists in these highly contentious contexts might come at the price of creating tensions that could erode the legitimacy of political science knowledge before the public.
The population with a serious mental illness (SMI) shows a high risk of premature mortality. Overexposed to multiple health risks throughout life, their main threat is physical illness, which starts earlier and is not diagnosed in time. Developing preventive actions is a public health priority.
Methods
This longitudinal prospective study evaluated the predictive value of lung function on all-cause mortality in patients with schizophrenia (SCHIZ) or bipolar disorder. Patients aged 40–70 years, active smokers, and without preexisting respiratory disease underwent spirometry following American Thoracic Society/European Respiratory Society 2021 standards. Mortality data were collected through December 2022. Cox proportional hazards models and Kaplan–Meier survival curves analyzed the association between lung function, specifically forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), and mortality, adjusting for relevant confounders (age, gender, abdominal circumference, and comorbidities).
Results
Of 107 participants (mean age 49.3 years, 63.3% male) with SMI (72% SCHIZ) and active smokers, 8 (7.5%) died during the 6-year follow-up (5 cardiovascular and 3 cancer). Mean z-scores were −1.41 (SD = 1.22) for FEV1 and −0.99 (SD = 1.16) for FVC. Lower FEV1 and FVC z-scores were significantly associated with increased mortality risk (p = 0.002 and p = 0.009, respectively). Kaplan–Meier analysis confirmed this association for FEV1 (p = 0.039) and FVC (p = 0.007) but not for gender, comorbidities (hypertension, diabetes, and dyslipidemia), or FEV1/FVC. A multivariate Cox regression model, adjusting for age and abdominal circumference, confirmed the independent predictive value of lower FEV1 z-score for mortality (hazard regression = 0.473, 95% confidence interval: 0.220–0.979, p = 0.044).
Conclusions
Poorer lung function, especially lower FEV1, was independently associated with all-cause mortality in SMI. Spirometry, an easily implementable technique, could help to detect at-risk individuals and favor prevention initiatives.
Chronic otitis and mastoiditis are inflammatory processes that can lead to deafness and disability if left untreated, especially in the pre-antibiotic era and in fishing communities with high exposure to infection. This study describes lesions on temporal bones found in Tzintzuntzan, a prehispanic city located near Lake Pátzcuaro, Michoacán, in western Mexico. A multidisciplinary team analyzed a sample (N = 96) of temporal bones using morphoscopic analysis, multidetector CT scanning, and 2D and 3D virtual reconstruction. All evaluations were double-blinded using a previously standardized process and a validated questionnaire. The combination of multiple methodologies and a multidisciplinary team of evaluators improved the likelihood of classifying lesions. Nearly one-third of the lesions (31.25%) are compatible with the diagnoses of chronic otitis and mastoiditis. The frequency of these lesions is high in fishing communities such as in the city of Tzintzuntzan, possibly leading to significant hearing impairment among the population and affecting individuals’ abilities to perform essential aquatic activities.
In 1988, meteorological measurements started at the Spanish research station Juan Carlos I (JCI) on Livingston Island. A second station - Gabriel de Castilla (GdC) - was installed in 2005 on Deception Island. These long-term measurements improved our climatological understanding of the western region of the South Shetland Islands (SSI), a region that has received less attention than the more station-populated King George Island in the central SSI. Here, we present a complete climatological analysis of these stations after undertaking a full quality control process of the data. This analysis covers temperature, wind, precipitation, radiation, relative humidity and pressure, as well as trends and variability. The results show: 1) the stations along the western SSI coastline, particularly JCI, are warmer than those on the central SSI, especially in summer, 2) at GdC, winters are colder due to stagnant cold air pooling within the Deception Island caldera, 3) the importance of island orography in shaping local climatology, especially regarding wind patterns, and 4) the critical need to correct precipitation measurements for undercatchment of solid precipitation by common pluviometers. This study provides a climatological framework to support further research conducted in the region.
Atop El Castillo, the largest pyramid within the Maya site of Chichen Itza, in Mexico’s Yucatan Peninsula, stand two ruined columns that once portrayed the feathered serpent deity K’uk’ulkan. 3D-imaging technologies have identified scattered sculptural fragments belonging to these columns, allowing a digital reconstruction that opens new possibilities for their conservation.
Given the growing global prevalence and significant impact of depression and anxiety, both in general and within the workplace, understanding the underlying mechanisms contributing to emotional disorders is essential. This study examined whether self-esteem mediates the relationship between experiential avoidance and emotional disorders, focusing on depression and anxiety. We conducted a cross-sectional analysis of 174 outpatients from a community mental health center, who completed self-report measures of experiential avoidance, self-esteem, depression, and anxiety. We used the PROCESS macro for mediation analysis, and the results indicated that self-esteem significantly mediated the relationship between experiential avoidance and both depression and anxiety. We analyzed the mediation model within the framework of self-determination theory, which suggested that interventions aimed at reducing experiential avoidance and enhancing self-esteem could be effective for emotional disorders. In this study, we highlight the importance of addressing both experiential avoidance and self-esteem in the therapeutic context. We also discuss implications for clinical practice and limitations of the current study.
The treatment of asymptomatic bacteriuria (AB) has been associated with increased in antibiotic resistance and Clostridioides difficile infection, without clinical benefit. One strategy to improve management is to incorporate a recommendation in the microbiological report. The aim of the study was to assess the impact of this intervention on antibiotic prescribing for AB.
Methods:
Potential cases of AB were identified, and the following comment was included in the microbiology report: “Assess according to clinical findings. In AB, no treatment is recommended”. Patient demographics, sample characteristics, reason for request, isolated microorganism, resistance profile, time to clinician’s review of the report, initiation of treatment and its causes, and repeat urine culture were collected. Factors associated with adherence to the recommendations were evaluated.
Results:
A total of 391 possible AB cases were identified. The majority of samples originated, from primary care (96%) and in women over 65 years of age (98%). Antibiotic treatment was initiated in 60% of cases, while the microbiological recommendation was followed in 40%. Factors associated with nonadherence to the recommendation included urine culture request prompted by foul-smelling or cloudy urine, and repeat culture. In contrast, urine cultures requested during routine health checks were more likely to be associate with adherence to the recommendation.
Conclusions:
The inclusion of a commentary in the microbiology report contributed to a reduction in antimicrobial prescription in AB. This intervention may be effective in optimising antibiotic prescribing practices and improving urine culture request management policies.
Non-suicidal self-injury (NSSI) is associated with mental disorders, yet work regarding the direction of this association is inconsistent. We examined the prevalence, comorbidity, time–order associations with mental disorders, and sex differences in sporadic and repetitive NSSI among emerging adults.
Methods
We used survey data from n = 72,288 first-year college students as part of the World Mental Health-International College Student Survey Initiative (WMH-ICS) to explore time–order associations between onset of NSSI and mental disorders, based on retrospective age-of-onset reports using discrete-time survival models. We distinguished between sporadic (1–5 lifetime episodes) and repetitive (≥6 lifetime episodes) NSSI in relation to DSM-5 mood, anxiety, and externalizing disorders.
Results
We estimated a lifetime NSSI rate of 24.5%, with approximately half reporting sporadic NSSI and half repetitive NSSI. The time–order associations between onset of NSSI and mental disorders were bidirectional, but mental disorders were stronger predictors of the onset of NSSI (median RR = 1.94) than vice versa (median RR = 1.58). These associations were stronger among individuals engaging in repetitive rather than sporadic NSSI. While associations between NSSI and mental disorders generally did not differ by sex, repetitive NSSI was a stronger predictor for the onset of subsequent substance use disorders among females compared to males. Most mental disorders marginally increased the risk for persistent repetitive NSSI (median RR = 1.23).
Conclusions
Our findings offer unique insights into the temporal order between NSSI and mental disorders. Further work exploring the mechanism underlying these associations will pave the way for early identification and intervention of both NSSI and mental disorders.
Idiopathic orbital myositis is a rare inflammatory condition that predominantly affects multiple extraocular muscles. Isolated involvement of a single muscle is very uncommon. Isolated levator palpebrae myositis is a diagnostic challenge that should be considered in patients with periocular pain and complete eyelid ptosis without ophthalmoparesis or pupillary dysfunction. We propose a comprehensive set of diagnostic tests to identify the underlying etiology and a recommended treatment regimen. Additionally, we present a case from our clinical practice that illustrates this rare presentation, of which few cases have been described in the literature.
An archaeological investigation at the western margin of the Cordillera de la Sal Formation in Catarpe (San Pedro de Atacama, northern Chile), revealed a series of pyrometallurgical furnaces from the Late period (AD 1400–1536). The furnaces, found at the Catarpe Túnel archaeological site, were used to reduce atacamite, clinoatacamite, brochantite, chrysocolla, and azurite to obtain unalloyed copper prills. Exceptional for the Atacama oasis and salt flats, Catarpe Túnel represents the only major archaeometallurgical site recorded in the area. Archaeometric analysis has determined the type of ore smelted, the composition of the metallic copper produced, and the characteristics of the fuel used by the operations. Although these operations are typical of the local metallurgical tradition, their proximity to a documented section of the Qhapaq Ñan and the Inka administrative center of Catarpe Este led us to wonder about the possible Tawantinsuyu influence in the region.
Cognitive deficits and immune system dysregulation are core features of psychotic disorders. Among inflammatory markers, interleukin-6 (IL-6) and tumour necrosis factor-alpha (TNF-α) have been linked to both psychosis pathophysiology and related cognitive impairments.
Methods
We investigated associations among IL-6, TNF-α, and neurocognitive performance in 107 participants: individuals at clinical high risk for psychosis (CHR-P, n = 35), first-episode psychosis (FEP, n = 39), and healthy controls (HC, n = 33). Assessments included memory, processing speed, executive function, and social cognition. Cytokines were measured from fasting serum samples. Analyses included ANOVA, correlations, and multivariate regressions controlling for age, sex, IQ, group, and symptom severity.
Results
TNF-α levels were significantly elevated in FEP compared to CHR-P (p = 0.0251); IL-6 differences were non-significant. FEP showed poorer performance in multiple cognitive domains, especially social cognition. CHR-P individuals exhibited intermediate profiles between FEP and HC in cognition. In adjusted regression models, IL-6 was significantly associated with undermentalization on the MASC task (β = 0.28, p = 0.0337) and showed a trend-level association with slower processing speed (β = 0.98, p = 0.075). TNF-α levels predicted poorer facial emotion recognition (β = −1.37, p = 0.0022). IQ and group were significant covariates in most models.
Conclusions
Our findings suggest that peripheral inflammation, particularly IL-6 and TNF-α, may selectively impact social cognitive functioning in early psychosis. Though modest, these associations highlight potential inflammatory contributions to functional impairment and support further investigation of immunological targets in early intervention.
Intentionally enhancing and supporting the early careers of individuals from populations underrepresented in science and medicine (URSM) is essential to achieving health equity. The Health Equity Leadership and Mentoring (HELM) Program at the University of Minnesota and the University of Utah is designed to foster academic excellence and build leadership capacity of postdoctoral fellows, clinical fellows, and early-career faculty who identify as URSM and/or who are committed to careers in health equity research and clinical care. HELM models a culture of psychosocial safety to create a sense of belonging and uses evidence-based and culturally aware mentoring and career development strategies with the goal of retaining diverse faculty. HELM proved agile and adaptive during the Covid-19 pandemic and has been successful in states with and without legislation limiting diversity programs. Across the 2 institutions, the HELM program has supported over 200 trainees and early-career faculty through mid-2024. Among HELM participants who joined the program as faculty, 85%–95% have remained in their faculty positions.
Selective serotonin reuptake inhibitors (SSRIs) are the first-line treatment for major depressive disorder (MDD), but initial outcomes can be modest.
Aims
To compare SSRI dose optimisation with four alternative second-line strategies in MDD patients unresponsive to an SSRI.
Method
Of 257 participants, 51 were randomised to SSRI dose optimisation (SSRI-Opt), 46 to lithium augmentation (SSRI+Li), 48 to nortriptyline combination (SSRI+NTP), 55 to switch to venlafaxine (VEN) and 57 to problem-solving therapy (SSRI+PST). Primary outcomes were week-6 response/remission rates, assessed by blinded evaluators using the 17-item Hamilton Depression Rating Scale (HDRS-17). Changes in HDRS-17 scores, global improvement and safety outcomes were also explored. EudraCT No. 2007-002130-11.
Results
Alternative second-line strategies led to higher response (28.2% v. 14.3%, odds ratio = 2.36 [95% CI 1.0–5.6], p = 0.05) and remission (16.9% v. 12.2%, odds ratio = 1.46, [95% CI 0.57–3.71], p = 0.27) rates, with greater HDRS-17 score reductions (−2.6 [95% CI −4.9 to −0.4], p = 0.021]) than SSRI-Opt. Significant/marginally significant effects were only observed in both response rates and HDRS-17 decreases for VEN (odds ratio = 2.53 [95% CI 0.94–6.80], p = 0.067; HDRS-17 difference: −2.7 [95% CI −5.5 to 0.0], p = 0.054) and for SSRI+PST (odds ratio = 2.46 [95% CI 0.92 to 6.62], p = 0.074; HDRS-17 difference: −3.1 [95% CI −5.8 to −0.3], p = 0.032). The SSRI+PST group reported the fewest adverse effects, while SSRI+NTP experienced the most (28.1% v. 75%; p < 0.01), largely mild.
Conclusions
Patients with MDD and insufficient response to SSRIs would benefit from any other second-line strategy aside from dose optimisation. With limited statistical power, switching to venlafaxine and adding psychotherapy yielded the most consistent results in the DEPRE'5 study.
This work reports the X-ray powder diffraction (XRPD) data recorded at room temperature (293 K) of dibromidodioxido-[(4,4′-di-tert-butyl)-2,2′-bipyridine]molybdenum(VI). The analysis of the powder diffraction pattern led to an orthorhombic united cell with parameters a = 17.9205(23) Å, b = 13.4451(16) Å, c = 18.1514(19) Å, V = 4,373.5(11) Å3, and values of Z = 8 and Z’ = 2. The crystal structure of this material corresponds to the structure of entry IFUJEC of the Cambridge Structural Database (CSD), determined at 90 K. The excellent Rietveld refinement, carried out with General Structure and Analysis Software II (GSAS-II), showed the single-phase nature of the material and the good quality of the data. This material was also characterized by elemental analysis, UV–vis, Fourier transform infrared spectroscopy (FTIR), and proton nuclear magnetic resonance (1H-NMR) techniques.