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To evaluate the relationship between the food environment in favelas and the presence of arterial hypertension and diabetes among women in the context of social vulnerability.
Design:
A cross-sectional and partially ecological population-based study was conducted in a Brazilian capital city. The healthiness and availability of ultra-processed foods in the food environment were assessed through retailer audits using the AUDITNOVA instrument. The presence of diabetes and arterial hypertension was evaluated based on self-reported prior medical diagnosis. Logistic regression models were applied using generalized estimating equations, adjusted for age, education, race/skin color, and poverty status.
Participants:
1,882 adult women of reproductive age (20 to 44 years).
Results:
It was found that 10.9% of women were hypertensive, and 3.2% had diabetes. The likelihood of having diabetes and arterial hypertension decreases with higher levels of healthiness in the food environment (Diabetes [OR: 0.25; 95% CI: 0.07, 0.97]/Arterial hypertension [OR: 0.45; 95% CI: 0.24, 0.81]) and increases with greater availability of ultra-processed foods in their living area (Diabetes [OR: 2.18; 95% CI: 1.13, 4.21]/Arterial hypertension [OR: 1.64; 95% CI: 1.09, 2.47]).
Conclusions:
These results suggest that characteristics of the consumer food environment have a significant effect on the occurrence of chronic diseases among socially vulnerable women, adding to the existing evidence in the literature and highlighting the need for integrated health care.
The article studies how public policies of migrant ‘integration’ are enacted and made sense of in the street-level welfare state from the perspective of social work practitioners performing integration work and with a focus on language and language skills acquisition. It draws from twenty-seven semi-structured individual interviews and reflective discussions after service user meetings with eleven social workers and social advisors in migrant integration services conducted between 2018 and 2019 in the Helsinki capital region of Finland. Results infer ambiguous, yet persistent, ideals of monolingualism in which Finnish language skills acquisition plays a central role and linguistic diversity turns into individual lack of skills and capacities through service user responsibilisation. Yet practitioners refer to the unfeasible situations this creates for service users as well as to their own struggles as practitioners within the monolingual service system.
To assess the feasibility of transcatheter closure in patients with dextrocardia and isolated atrial septal defect or ventricular septal defect.
Methods:
A retrospective analysis was performed on the clinical data of 10 patients with dextrocardia and atrial septal defect or ventricular septal defect from June 2013 to January 2023 and successfully underwent transcatheter closure. Patient data were meticulously collected.
Results:
The study cohort comprised 10 patients, with three males, aged between 3 and 38 years. Intraoperative right heart catheterisation revealed the following measurements: the mean pulmonary arterial pressure of 20.5(18,24,3) mmHg, and a pulmonary-to-systemic flow ratio of 1.80(1.58,2.15). There were five atrial septal defects, with defect diameters of 26(20,30) mm, comprising three dextroversion and two mirror-image dextrocardia. Intraoperative echocardiography confirmed the absence of any residual shunt. Among them, a patient with mirror-image dextrocardia, atrial septal defects, and interrupted inferior vena cava required an alternative approach due to femoral vein limitations. The right internal jugular vein was punctured, and a 22 mm atrial septal occluder was successfully deployed via this route. The study identified five ventricular septal defects, with defect diameters of 4(3.5,5.5) mm, including two dextroversion and three mirror-image dextrocardia. Upon post-operative repeat left ventriculography, no residual shunt was detected in all but one case, which exhibited a minimal residual shunt. Throughout the perioperative period and subsequent post-operative follow-up, no severe complications were observed.
Conclusion:
For patients with dextrocardia accompanied by simple CHD, transcatheter closure is a viable option when interventional treatment is indicated. Although transcatheter closure of atrial septal defects or ventricular septal defect in patients with dextrocardia presents unique challenges, it is safe and effective when the anatomical nuances of dextrocardia are thoroughly understood.
Over the past decades, archaeological exploration of southern China has shattered the image of primitive indigenous people and their pristine environments. It is known, for example, that East Asia's largest settlements and hydraulic infrastructures in the third millennium BCE were located in the Yangzi valley, as were some of the most sophisticated metallurgical centers of the following millennium. If southern East Asia was not a backward periphery of the Central Plains, then what created the power asymmetry that made possible 'China's march toward the Tropics'? What did becoming 'Chinese' practically mean for the local populations south of the Yangzi? Why did some of them decide to do so, and what were the alternatives? This Element focuses on the specific ways people in southern East Asia mastered their environment through two forms of cooperation: centralized and intensive, ultimately represented by the states, and decentralized and extensive, exemplified by interaction networks.
Kant did not initially intend to write the Critique of Practical Reason, let alone three Critiques. It was primarily the reactions to the Critique of Pure Reason and the Groundwork of the Metaphysics of Morals that encouraged Kant to develop his moral philosophy in the second Critique. This volume presents both new and first-time English translations of texts written by Kant's predecessors and contemporaries that he read and responded to in the Critique of Practical Reason. It also includes several subsequent reactions to the second Critique. Together, the translations in this volume present the Critique of Practical Reason in its full historical context, offering scholars and students new insight into Kant's moral philosophy. The detailed editorial material appended to each of the eleven chapters helps introduce readers to the life and works of the authors, outlines the texts translated, and points to relevant passages across Kant's works.
Behavioural economics and behavioural public policy have been fundamental parts of governmental responses to the Covid-19 pandemic. This was not only the case at the beginning of the pandemic as governments pondered how to get people to follow restrictions, but also during delivery of the vaccination programme. Behavioural Economics and Policy for Pandemics brings together a world-class line-up of experts to examine the successes and failures of behavioural economics and policy in relation to the Covid-19 pandemic. It documents how people changed their behaviours and use of health care and discusses what we can learn in terms of addressing future pandemics. Featuring high-profile behavioural economists such as George Loewenstein, this book uniquely uncovers behavioural regularities that emerge in the different waves of COVID-19 and documents how pandemics change our lives.
This path-breaking book has made an unusual and original contribution to literary theory by means of a study of the literature of ancient Greece. It investigates an aspect of poetic imagery in the practical context of Greek lyric and drama up to and including Aeschylus and Pindar. Several hundred passages are systematically examined, with many passages from English verse introduced to provide illustration. Using these, Michael Silk formulates a new critical concept, 'interaction', which characterises certain features of metaphor and other imagery and explores in detail their nature and significance. He then proceeds to discuss related issues in the fields of stylistics and literary theory, give fresh insights into several features of ancient literature, and – above all – make important contributions to the theory and practice of 'literary lexicography' in a dead language. This reissue contains a substantial new Introduction engaging with critical and scholarly developments since first publication.
We live in a turbulent world observed through coarse grained lenses. Coarse graining (CG), however, is not only a limit but also a need imposed by the enormous amount of data produced by modern simulations. Target audiences for our survey are graduate students, basic research scientists, and professionals involved in the design and analysis of complex turbulent flows. The ideal readers of this book are researchers with a basic knowledge of fluid mechanics, turbulence, computing, and statistical methods, who are disposed to enlarging their understanding of the fundamentals of CG and are interested in examining different methods applied to managing a chaotic world observed through coarse-grained lenses.
English Medium Instruction (EMI) is a burgeoning field of interest for researchers and practitioners; however, to date its sociocultural and political implications have not been widely considered. This book addresses that concern by situating EMI within wider sociopolitical contexts of knowledge and language. It foregrounds the notion of 'Critical EMI,' bringing together applied linguists to revisit EMI in higher education from critical sociocultural perspectives. The notion of criticality is conceptualized as an attempt at addressing issues of ideology, policy, identity, social justice, and the politics of English. The chapters explore Critical EMI concerns in diverse settings across five continents, and present insights for the theory, research, policy, and practice of EMI. The book also problematizes the neocolonial spread and dominance of English through EMI. Calling for an explicit and inclusive EMI praxis, it is essential reading for researchers of applied linguistics and English language education, as well as teacher practitioners.
Since its inception in the early 20th century, Functional Analysis has become a core part of modern mathematics. This accessible and lucid textbook will guide students through the basics of Functional Analysis and the theory of Operator Algebras. The text begins with a review of Linear Algebra and Measure Theory. It progresses to concepts like Banach spaces, Hilbert spaces, Dual spaces and Weak Topologies. Subsequent chapters introduce the theory of operator algebras as a guide to study linear operators on a Hilbert space and cover topics such as Spectral Theory and C*-algebras. Theorems have been introduced and explained through proofs and examples, and historical background to the mathematical concepts have been provided wherever appropriate. At the end of chapters, practice exercises have been segregated in a topic-wise manner for targeted practice, making the book ideal both for classroom teaching as well as self-study.
How did Greek and Roman historians claim the authority to narrate the deeds embraced by their histories? In this acclaimed and influential book, John Marincola examines all aspects of their self-presentation, surveying the entire field from Herodotus (fifth century BCE) to Ammianus Marcellinus (fourth century CE). He shows how each historian claimed veracity by imitating, modifying, and manipulating the traditions established by his predecessors. After discussing the tension between individuality and imitation, he analyses the recurring style used to establish the historian's authority: how he came to write history; the qualifications brought to the task; the inquiries and efforts he made in his research; and his claims to possess a reliable character. By showing how each historian used the tradition to claim and maintain his own authority, the book – now including a substantial new Introduction – helps us better understand the complex nature of ancient historiography.
Causation in Physics demonstrates the importance of causation in the physical world. It details why causal mastery of natural phenomena is an important part of the effective strategies of experimental physicists. It develops three novel arguments for the viewpoint that causation is indispensable to the ontology of some of our best physical theories. All three arguments make much of the successes of experimental physics. This title is also available as Open Access on Cambridge Core.
The view of dynamic capabilities in evolutionary economics as being based on capabilities comprised of routines has so far precluded their integration in evolutionary economics. This Element contributes to such integration by introducing the dynamic metacapabilities framework. Borrowing from quantum mechanics, dynamic metacapabilities assume that resources and capabilities, rather than being created ex-nihilo, result from bundles of information 'decohering ' to bundles of resources and capabilities as new information becomes available to the firm. Operationalized by a management paradigm we call 'quantum management, ' dynamic metacapabilities contribute to integrating dynamic capabilities in evolutionary economics and to resolving the ongoing debate on what dynamic capabilities are by postulating an informational view of the firm according to which firms 'evolve ' with strategy throughout a lifecycle governing the transition from dynamic 'metacapabilities ' to dynamic capabilities and onto ordinary capabilities.
Murayama and Jach offer valuable suggestions for how to integrate computational processes into motivation theory, but these processes cannot do away with motivation altogether. Rewards are only rewarding because people want and like them – that is, because of motivation. Sexual desire is not primarily a quest for rewarding information. Elucidating the interface between motivation and cognition seems a promising way forward.
Although higher-level constructs often fail to explain the mechanisms underlying motivation, we argue that purely mechanistic approaches have limitations. Lower-level neural data help us identify “biologically plausible” mechanisms, while higher-level constructs are critical to formulate measurable behavioral outcomes when constructing computational models. Therefore, we propose that a multi-level, multi-measure approach is required to fully unpack the black box of motivated behavior.
Melina Constantine Bell (2021) argues that J. S. Mill's harm principle permits society to coercively interfere with the use of bigoted insults, since these insults are harmful on “a more expansive, modern, conception of harm.” According to Bell, these insults are harmful in virtue of their contributing to detrimental objective states like health problems. I argue that people with illiberal dispositions might have intense and sustained negative subjective reactions to behavior that the harm principle ought to protect, reactions intense enough to affect their health or other objective interests. Bell's way of thinking about harm therefore has illiberal implications. Yet I agree with her that bigoted insults should be regarded as harmful. I therefore propose an alternative way of understanding harm according to which subjective pain is a harm when it is intentionally caused.
Artificial intelligence (AI) is increasingly being integrated into sentencing within the criminal justice system. This research examines the impact of AI on sentencing, addressing the challenges and opportunities for fairness and justice. The main problem explored is AI’s potential to perpetuate biases, undermining fair-trial principles. This study intends to assess AI’s influence on sentencing, identify legal and ethical challenges, and propose a framework for equitable AI use in judicial decisions. Key research questions include: (1) How does AI influence sentencing decisions? (2) What concerns arise from AI in sentencing? (3) What safeguards can mitigate those concerns and prejudices? Utilizing qualitative methodology, including doctrinal analysis and comparative studies, the research reveals AI’s potential to enhance sentencing efficiency but also to risk reinforcing biases. The study recommends robust regulatory frameworks, transparency in AI algorithms, and judicial oversight to ensure AI supports justice rather than impedes it, advocating for a balanced integration that prioritizes human rights and fairness.