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.
After the rapid implementation of digital health services during the COVID-19 pandemic, a paucity of research exists about the suitability of remote consulting in people with intellectual disabilities and their carers, particularly for neuropsychiatric reviews.
Aim
This study examines when remote neuropsychiatric routine consulting is suitable for this population.
Method
A survey was conducted of people with intellectual disabilities and their carers, examining their preference between face-to-face and video consultations for ongoing neuropsychiatric reviews within a rural countywide intellectual disability service in Cornwall, England (population: 538 000). The survey was sent to all adults with intellectual disabilities open to the service on 30 July 2022, closing on 30 September 2022. Participants were asked to provide responses on 11 items predesigned and co-produced between clinicians and experts by experience. The entire service caseload of people had White ethnicity, reflecting the ethnic demographics of Cornwall. Responses received without consent were excluded from the study dataset.
Results
Of 271 eligible participants, 119 responses were received, 104 of whom consented to having their anonymised data used for research analysis. There were no significant differences between preferences and age and gender variables. There was no statistically significant difference regarding preference for the reintroduction of face-to-face appointments (52.0%) compared with video consultations (48.0%). Travel distance (>10 miles) to the clinical setting was important but did not outweigh benefits for those preferring a face-to-face appointment.
Conclusions
This study offers insights into the factors that influence preferences about what type of neuropsychiatric appointment is most suitable for people with intellectual disabilities.
The human ability to effortlessly understand the actions of other people has been the focus of research in cognitive neuroscience for decades. What have we learned about this ability, and what open questions remain? In this Element the authors address these questions by considering the kinds of information an observer may gain when viewing an action. A 'what, how, and why' framing organises evidence and theories about the representations that support classifying an action; how the way an action is performed supports observational learning and inferences about other people; and how an actor's intentions are inferred from her actions. Further evidence shows how brain systems support action understanding, from research inspired by 'mirror neurons' and related concepts. Understanding actions from vision is a multi-faceted process that serves many behavioural goals, and is served by diverse mechanisms and brain systems.
How might a close reading of the language of revolutionary-era anti-slavery petitions contribute to a broader understanding of the politics of the American founding? This chapter focuses on one of the earliest surviving examples of African American political writing, the petition submitted to the Massachusetts House of Representatives in January 1773, by an author named FELIX. Revolutionary republicans came to disparage the petitionary form, because it had failed to persuade King George to defend his colonial subjects. The petition’s conventional language of deference and its tendency to “pray” or plead rather than to demand or insist led many colonists to reject the form in favor of far more assertive declarations of individual and collective right. By reanimating the petition, however, African Americans like FELIX not only contributed to the work of anti-slavery agitation; they also, as this chapter suggests, registered resistance to some of the dominant political ideas of the republican revolution. Drawing on historical studies of the significance of the petition in the colonies as well as accounts of the petition’s key formal and rhetorical features, this chapter makes the case for a specifically African American contribution to the political discourse of the founding.
Behavior change interventions have made an indelible mark on addressing problems that require behavioral solutions; however, such interventions also come at a financial cost. Identifying whether the benefits of behavioral changes are greater than the cost of the intervention itself, and the relative return on those costs compared to alternative opportunities, is critical to ensuring that behavior change interventions are truly beneficial and maximize the return on scarce resources. Cost-effectiveness analysis (CEA), as a form of economic evaluation that has been widely used, can provide evidence to inform decisions on whether funding bodies should fund these interventions or otherwise. The aim of this chapter is to outline the methods and approaches to CEA of behavior change interventions and discuss the role of economic evaluation in this setting. The chapter starts by presenting a framework for conducting economic evaluations of behavior change interventions. The framework sets out how to identify participants, interventions, comparators, and outcomes for economic evaluation studies. The chapter then outlines the appraisal of CEA by applying the consolidated health economic evaluation reporting standards checklist. Finally, the chapter discusses the implications and recommendations for CEA, including discussion of the appropriate measurement of benefits, feasible model approaches, and issues underlying political considerations when funding behavior change interventions.
Objectives: Children with sickle cell anemia (SCA) are commonly reported to experience executive dysfunction. However, the development of executive function (EF) in preschool-age children without stroke in this patient population has not been investigated so it is unclear when and how these deficits emerge. Methods: This case-control study examines the feasibility of assessing the early development of executive functioning in 22 preschool children years with SCA in the domains of processing speed, working memory, attention, inhibitory control, and cognitive flexibility, as well as everyday function, in comparison to matched control children. Results: A pattern of potential deficits in early emerging executive skills was observed in the domains of inhibitory control and cognitive flexibility. Parents reported no differences for everyday EF and no significant differences were observed for working memory and processing speed. Conclusions: Results suggest that deficits in everyday executive difficulties, working memory, and processing speed, as commonly reported for older children with SCA, may not yet have emerged at this early developmental stage, despite specific deficits in cognitive flexibility and inhibitory control on behavioral measures. The feasibility of using available executive measures with preschool age children to characterize the development of early EF skills is discussed. (JINS, 2018, 24, 949–954)
Hyneria lindae is one of the largest Devonian sarcopterygians. It was found in the Catskill Formation (late Famennian) of Pennsylvania, USA. The current study focuses on the palaeohistology of the humerus of this tristichopterid and supports a low ossification rate and a late ossification onset in the appendicular skeleton. In addition to anatomical features, the large size of the cell lacunae in the cortical bone of the humerus mid-shaft may suggest a large genome size and associated neotenic condition for this species, which could, in turn, be a partial explanation for the large size of H. lindae. The low metabolism of H. lindae revealed here by bone histology supports the hypothesis of an ambush predatory behaviour. Finally, the lines-of-arrested-growth pattern and late ossification of specimen ANSP 21483 suggest that H. lindae probably had a long juvenile stage before reaching sexual maturity. Although very few studies address the life-history traits of stem tetrapods, they all propose a slow limb development for the studied taxa despite different ecological conditions and presumably distinct behaviours. The bone histology of H. lindae would favour the hypothesis that a slow long-bone development could be a general character for stem tetrapods.
Increasing numbers of freshwater ecosystems have had sportfish consumption advisories posted in recent years. Advisories are sometimes issued in lieu of environmental remediation if they are considered more cost-effective than “cleaning up” the resource, but this approach assumes that anglers adjust behavior in response to the warning. Previous studies, however, suggest that compliance with advisories can be quite low. In contrast, this study measures a statistically significant response by reservoir anglers to consumption advisories. In particular, anglers are less likely to choose to visit a reservoir with an advisory than a similar reservoir without an advisory. Furthermore, the economic losses due to advisories are quantified for anglers in two regions of Tennessee.
The Morris Justice Project (MJP) works in an area of New York City that is internationally renowned for its place in urban music and culture as much as the stigma that is associated with its reputation. MJP is an informal collection of collaborators and, through its members, is connected with an academic institution. The Project engaged in research-driven activism which attempted to change aggressive community policing methods. One core idea was to use participatory action research methods to generate fresh data on the official policy of ‘stop and frisk’ of residents who were seen as suspect by police. This data was then discussed with a wider set of local people, and used by MJP as part of a city-wide movement for reform of New York Police Department's ‘Broken Windows’ and ‘zero tolerance’ policies. Theirs is a powerful and uplifting story of community mobilisation for social justice.
With 12 authors actively involved in producing and editing, this writing team is itself an example of co-produced knowledge from the start of the inquiry through to and including writing this contribution. It is an illustration of what it could mean for all parties to take seriously multiple forms of expertise. This is not only about elites or professional experts respecting lived expertise, but includes community experts advocating the value of research, or what one participant in the MJP describes eloquently as ‘coming from a place of knowing’.
My first time in the neighbourhood was also my first introduction to Jackie and Fawn. It was quickly interrupted because two of their friend's sons were just taken to the 44th police precinct for no apparent reason and another friend's son had a court date, in which the attorney forgot to show. There was a sense of urgency and frustration but also a basic lack of surprise. I remember how impressed I was with how highly coordinated and responsive the mothers were. In minutes, over texts and phone conversations, some went to the court and some went to the precinct. It all suggested this was not their first time. Of course, we found out later it wasn’t. (Brett)
The Morris Justice Project brought together a diverse collective of academics, lawyers, artists, activists and residents of a South Bronx neighbourhood outraged by New York Police Department's (NYPD) aggressive use of ‘Broken Windows’ policing.
Hobbes, Sovereignty, and Early American Literature pursues the question of democratic sovereignty as it was anticipated, theorized and resisted in the American colonies and in the early United States. It proposes that orthodox American liberal accounts of political community need to be supplemented and challenged by the deeply controversial theory of sovereignty that was articulated in Thomas Hobbes's Leviathan (1651). This book offers a radical re-evaluation of Hobbes's political theory and demonstrates how a renewed attention to key Hobbesian ideas might inform inventive re-readings of major American literary, religious and political texts. Ranging from seventeenth- and eighteenth-century Puritan attempts to theorize God's sovereignty to revolutionary and founding-era debates over popular sovereignty, this book argues that democratic aspiration still has much to learn from Hobbes's Leviathan and from the powerful liberal resistance it has repeatedly provoked.
Scholars argue that states undertake foreign military interventions for economic reasons, yet few have investigated whether intervention produces economic benefits. This article answers this question in the context of US foreign-imposed regime changes (FIRCs) in Latin America. Because FIRCs install leaders who are sympathetic to the intervener’s interests, economic arguments maintain that these interventions should increase bilateral trade between the targets and imposing countries. Yet security-based arguments assert that FIRCs should have little economic effect, as regime changes target threats rather than generate economic benefits. A third perspective argues that FIRCs reduce trade by generating political instability, which causes foreign firms to cut back on their involvement and domestic firms to experience difficulty getting goods to market. To test these competing arguments, this study employs a novel dataset on bilateral trade (1873–2007) compiled through archival research in Washington, DC. Using a gravity model and synthetic controls, it finds that FIRC produces an average decrease of 45 per cent in the dollar value of bilateral trade. Further analysis of archival sector-level data and case studies cast doubt on alternate explanations.