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.
This brief report explores rehabilitation in the 2023 Armenia emergency response following a fuel depot explosion, injuring over 300 people and overwhelming the national healthcare system.
Methods
It is based on a grey literature review, lessons observed, and secondary analysis of publicly available data shared with the Emergency Medical Team Coordination Cell, regional reports and guidelines, and the authors’ observations and reflections.
Results
The World Health Organization emphasizes rehabilitation in burn care emergencies. Challenges included a shortage of skilled rehabilitation providers, limited guidance to support continuity of care, and inadequate burn care equipment. The United Kingdom’s Emergency Medical Team and Samaritan’s Purse were the only EMTs offering rehabilitation, delivering over 386 interventions. These 2 EMTs and WHO Armenia, with the request of the Ministry of Health of Armenia, delivered just-in-time training, equipping multidisciplinary health care providers with burn rehabilitation skills.
Conclusions
The lessons observed emphasize the importance of ensuring rehabilitation providers, clinical protocols, and equipment are integrated into acute care facilities, national emergency plans, and EMT deployments. Also, just-in-time training should be prioritized and aligned with workforce mobilization, adopting a competency-based approach to strengthen health systems for future emergencies.
The linear theory of the kinetic-ballooning-mode (KBM) instability is extended to capture a weakly driven regime in general toroidal geometry where the destabilization is caused by the magnetic-drift resonance of the ions. Such resonantly destabilized KBMs are characterized by broad eigenfunctions along the magnetic-field line and near-marginal positive growth rates, even well below the normalized-plasma-pressure ($\beta$) threshold of their non-resonant counterparts. This unconventional (or sub-threshold) KBM (stKBM), when destabilized, has been shown to catalyze an enhancement of turbulent transport in the Wendelstein 7-X (W7-X) stellarator (Mulholland et al. 2023 Phys. Rev. Lett. vol. 131, 185101; 2025 Nucl. Fusion vol. 65, 016022). Simplifying the energy dependence of key resonant quantities allows for an analytical treatment of this KBM using the physics-based ordering from the more general equations of Tang et al. (1980 Nucl. Fusion vol. 20, 1439). Results are then compared with high-fidelity gyrokinetic simulations for the (st)KBM in W7-X and the conventional KBM in a circular tokamak at both high and low magnetic shear, where good agreement is obtained in all cases. This reduced KBM model provides deeper insight into (sub-threshold) KBMs and their relationship with geometry, and shows promise for aiding in transport model development and geometry-based turbulence optimization efforts going forward.
Identifying the causative agents of modified bone surfaces can be challenging, particularly in terrestrial systems where numerous biotic and abiotic factors can produce grooves, divots, and striae. This contribution focusses on fossil vertebrates in the Làng Tráng cave system in Vietnam, which preserves a diverse assemblage of middle Pleistocene mammals, and discusses criteria that can identify the agents responsible for the accumulation and degradation of the fossil accumulation. The Làng Tráng assemblage includes some postcranial elements and rare mandibles and skulls, but is dominated by isolated teeth and bones, particularly those of mid-sized (7–250 kg body weight) mammals. Rare long bone shafts exhibit grooves with U-shaped profiles attributable to the ichnotaxon Machichnus bohemicus. In contrast, flat-bottomed grooves attributable to M. multilineatus are exceptionally abundant. The size and shape of these traces are consistent with gnawing by moderate-sized to porcupines such as Atherurus macrourus and Hystrix kiangsenensis, both of which are represented in the Làng Tráng fauna. Porcupines are common contributors to cave faunas in Southeast Asia. The roots of most teeth exhibit moderate to severe biogenic modification, which resulted in common planar facets in some cases and reduction of the root bone to pyramidal wedges in others. The Làng Tráng cave system is unusual in that porcupines did not just contribute to the fauna; they were the dominant taphonomic factor in the accumulation and subsequent biogenic alteration/degradation of bone in these caves. Faceted and wedged roots are herein proposed as diagnostic attributes of porcupine-generated vertebrate bone accumulations.
What sort of thing are the narratives of the life of Jesus, literarily speaking? (History? Biography? Fiction? Myth?) And what bearing does their genre have on the manner of interpretation proper to them? This chapter attends to Origen’s account of the Gospels’ genre, literary precedents, and relationship to other forms of ancient literature in order to establish why he believes the Gospels cannot be read as transparently historical narratives. Here, I propose that the kind of narratives Origen believes the Evangelists compose is directly comparable to the stories one finds throughout the scriptures of Israel. Furthermore, Origen also relates the Gospels’ literary similarity to Jewish biblical narrative to the way they both share a similarly complex relationship to facticity. The Gospels, in sum, all narrate the deeds, sufferings, and words of Jesus “under the form of history”; these historical narratives are of a mixed character, interweaving things that happened with things that didn’t and even couldn’t, with an eye toward presenting the events recorded to have happened to Jesus figuratively.
The signing of the instrument popularly known as the ‘Anglo Irish Treaty’ in December 1921 paved the way for the creation of the Irish Free State in December 1922. The draft constitution of the Irish Free State, created in Dublin in early 1922, was taken to London for a confidential preview in May of that year. The British government insisted that the draft constitution had effectively ignored the provisions of the 1921 Treaty and demanded major revisions. For a brief period, the collapse of the entire settlement agreed in 1921 appeared to be a real possibility. This disaster was only averted when both sides agreed to redraft substantial portions of the draft constitution in early June 1922. This chapter examines the negotiating strategies developed in Dublin and London before and during the radical redrafting of the future constitution of the Irish Free State.
Chapter 3 focuses on Hegel’s critique of liberalism. It starts by discussing the preface to the Philosophy of Right in order to challenge the widespread assumption that Hegel is averse to robust social criticism. Afterwards, the chapter considers two main causes for the limited recognition of his work’s critical dimension. The first is the tendency to read Hegel’s book as a horizontal progression, fuelled by the accumulation of different aspects or layers of freedom. This kind of approach misrepresents the qualitative transformation that is at stake in the transition from civil society to the state, which only a vertical reading can adequately convey. Second, the Philosophy of Right’s critical import has also been obfuscated by some of Hegel’s own philosophical positions. Despite his intended sublation of the stage of civil society, his account of the state remains wedded, in important ways, to the former’s underlying logic. As the chapter seeks to show, if we accept Hegel’s claim that a rational state must synthesize the particular and the universal dimensions of human freedom, we must reject some of his political options as partly or wholly un-Hegelian.
Cyril of Alexandria was a central figure in many of the theological developments and religious conflicts that challenged the stability of the fifth-century eastern Roman Empire. Crucial moments during his episcopacy (412–44) marking wider and more complex developments may be seen with sharp clarity in the outbreaks of overt violence between Christians and Jews and between Christians and “pagans” in the metropolis of Alexandria during the first years of his episcopal career. Moreover, roughly halfway through his tenure as bishop, he would involve himself in a doctrinal dispute underway in the eastern capital of Constantinople, opposing its bishop Nestorius because he believed the truth of the gospel was dangerously undermined by what he took to be Nestorius’ errant Christology. Through the savvy manipulation of ecclesiastical and imperial politics, Cyril succeeded in having Nestorius deposed by the Council of Ephesus in 431, though it took eighteenth months of negotiations to restore communion between the warring factions.
This article explores the role that notions of plot play in Shakespeare source study. Drawing on three moments of scholarly engagement with the sources for Romeo and Juliet, the article shows how plot structures critical inquiry by enabling some kinds of questions while precluding others.
Solid atmospheric particles, such as ice crystals, pollen, dust, ash and microplastics, strongly influence Earth’s climate, ecosystems and air quality. Previous studies have typically relied on analytical models valid only for very small particles or experiments in liquids, where the particle-to-fluid density ratio $R$ is much lower than values encountered in the atmosphere. We combine a novel experimental set-up with particle-resolved direct numerical simulations to study the settling of sub-millimetre ellipsoids in still air. Particle shapes span elongation and flatness values $ 0.2 \leqslant {\textit{EL}}, {\textit{FL}} \leqslant 1.0$ at a density ratio $ R = 1000$ and particle Reynolds numbers $ 2.1 \lt {\textit{Re}}_{\!p} \lt 4.5$, a regime well below the onset of wake-induced instabilities. Nonetheless, we observe unexpectedly rich dynamics: all non-spherical particles exhibit damped oscillatory motion, and some triaxial ellipsoids follow fully three-dimensional, non-planar trajectories due to rotation about all three axes. Simulations at lower density ratios ($ R = 10, 100$) confirm that these behaviours are driven by strong lateral forces happening only at $R=1000$. Key settling characteristics exhibit nonlinear and non-trivial dependencies on shape. In the two-dimensional phase space of elongation and flatness, settling velocity is symmetric about the principal diagonal ($ {\textit{EL}} = {\textit{FL}}$), while oscillation frequency and damping rate show symmetry about the anti-diagonal. Flatness strongly influences pressure drag, while elongation governs lateral drift and swept volume, which can reach up to ten times the particle diameter and four times the volume-equivalent sphere, respectively.
It is the winter of 2021. Like many parents around the world, I have donned the new hat of home-school administrator. My children are high-school age, so they resist oversight (as expected), but I have come to see that they do not need much (who knew?). My role is simply to find suitable remote-learning resources. Again, I am pleasantly surprised, and relieved: high-school level art history, for example, seems to be an especially engaging subject online, given the potential for abundant accurately coloured images, flexible user interfaces, and up-to-date critical content. This happy realisation hits me as I notice that the unfamiliar hat has slipped off the side of my head: I am no longer surveying the resources for the kids’ sakes, but rather I am absorbed, of my own accord, in a lesson on Fauvism.
The chapter is concerned with ego documents, that is sources like autobiographies, diaries and letters, as a data source for historians of the English language. First, the term ego documents is defined and its merits for historical sociolinguistic research are outlined. Thereafter, literacy and education opportunities, and the availability of and approaches to ego documents, are traced from the later Middle Ages to the Modern English period, followed by an illustration of language use across social layers, and a comparison to another contemporary text type. A particular focus is put on ego documents as a source of vernacular speech, for example as data for varieties of English for which there is no other contemporary documentation. The examples given illustrate the sometimes more speech-like and informal nature of ego documents and highlight the value of the text category for historical linguistics.
There is growing awareness of the role that multinational corporations (MNCs) play in contributing to modern slavery down their supply chains (8.7 Alliance, 2023). According to Global Estimates of Modern Slavery, published by the International Labour Organization (ILO), in 2021 there were 27.6 million people trapped in situations of forced labour around the world, with 17.3 million individuals being exploited in the private sector (ILO, 2022). Sectoral analysis of this finding suggests that a third of exploited workers are employed in export-related sectors and are, presumably, part of global value chains (GVCs) (ILO, 2022). The increasing realization, in the last decade or so, that MNCs’ profits are linked to modern slavery has driven workers, their representatives, global and local activists, consumer organizations, and unions, as well as legislators and policymakers at various levels (local, national, regional, and international), to seek innovative and effective ways to hold MNCs accountable and assign them responsibility (LeBaron, 2020; ITUC, 2020; Trautrims et al., 2021).
This trend suggests a shift in policy responses to modern slavery. Since the adoption of the United Nations Office on Drugs and Crime (UNODC) Trafficking Protocol in 2000,1 there has been a predominant view that human trafficking and modern slavery primarily result from the operation of organized crime (H. Shamir, 2012). The expansion of the anti-trafficking and modern slavery policy response towards addressing the role of mainstream business entities, and particularly MNCs, raises multiple complex questions for scholars, policymakers, and activists. These relate to the exact role of MNCs in modern slavery and the practices they adopt, and MNC and supplier compliance (Han et al., 2022); the causes and drivers of modern slavery; the reality of work on the factory floor (and wherever work takes place); and effective policy solutions to change corporate patterns of purchasing, supply chain management, and engagement with suppliers, as well as with workers and their communities.
This retrospective study aimed to investigate the prevalence of arrhythmia in patients presenting with palpitation to the paediatric emergency department of our hospital, which serves as an arrhythmia centre and to share the principles of their management.
Method:
Patients presenting with palpitations were retrospectively reviewed. Those diagnosed with arrhythmias received appropriate emergency interventions. Cardiac electrophysiological studies and ablation were performed when indicated.
Results:
Among 534 paediatric patients evaluated for palpitations, 140 (26.2%) were diagnosed with arrhythmias requiring antiarrhythmic treatment (Group 1). Within this group, 61 patients described palpitations lasting longer than one hour and/or heart rates too rapid to count, compared to only 35 patients in the not requiring antiarrhythmic treatment group (Group 2) (p < 0.001). Group 1 also demonstrated significantly higher rates of isolated palpitations (a single episode without accompanying symptoms or recurrent occurrences), recurrent palpitations, and palpitations ongoing at the time of paediatric emergency department admission (all p < 0.001).
Conclusions:
Our study supports that, as in adults, the probability of arrhythmia increases in children when palpitations persist for more than an hour, occur at an uncountable rapid rate, present as isolated or recurrent episodes, or continue at the time of admission. This data highlights the importance of taking a detailed medical history once again. To our knowledge, this is one of the few studies to comprehensively examine both the acute management and long-term outcomes of arrhythmia in children, including the role of ablation therapy, making it a potentially valuable contribution to the existing literature.
The right to roam – balancing inclusion and enclosure. In Norway, the right to roam is an old custom – a right to traverse and gather berries, herbs and firewood on uncultivated lands – dating back to the Viking Age. In 1957, this right was included in Norwegian laws, in the Outdoor Life Act (Friluftslova). The law transformed agrarian lands into areas for outdoor life and recreation, primarily walking and hiking. However, due to modernisation, the activities performed today are very different than those in the 1950s, involving many sorts of technical devices and installations, commercial activities and a different landscape. The law was a manifestation of the Norwegian outfields as a commons, but what is a commons for some can be an enclosure for others. This is the topic of this article: how the right to roam includes many and much but represents encroachment, displacements and enclosures and has created crowding, natural wear and tear and urges for management regimes. The article describes this as a balance between inclusion and enclosure. The article has two major parts: one presenting the academic discussion about inclusion and enclosure, the other discussing the implementation of the principle in Norway in light of this theory.