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This paper is based on the Lanchester Lecture of the Royal Aeronautical Society held in London, UK, in October 2023. The lecture discussed the advances in computational modeling of separated flows in aerospace applications since Elsenaar’s Lanchester Lecture in 2000. Elsenaar’s efforts focused on assumptions primarily associated with separation for steady inflow and a static (non-moving) vehicle or component. Since that time, significant advancements in computational hardware, coupled with substantial investments in the development of algorithms and solvers, have led to important breakthroughs in the field. In particular, computational aerodynamics techniques are currently applied to complex aerospace problems that include unsteady or dynamic considerations, such as dynamic stall and gusts, which are discussed. A perspective of the technology developed over the past quarter-century, highlighting their importance to computational aerodynamics is discussed. Finally, the potential of future areas of development, such as machine learning, that may be exploited for the next generation of computational aerodynamics applications is explored.
The global population is ageing rapidly, emphasising the need to understand the decision-making processes of older adults regarding potential care transitions. Gerontological research has focused on healthcare decisions, with less information on living situation choices of older adults. This review explored older adults’ experiences with their involvement in decision-making processes related to transitioning into care facilities in the United Kingdom. From a systematic search of articles, nine were reviewed using thematic narrative synthesis. Four themes with nine subthemes were identified: Involvement in decision-making (Exclusion of older adults, Usefulness of involvement), The necessity of moving (Triggers for moves, The role of family), Timely planning (Helpfulness of planning, Planning avoidance), and Factors for choosing a care home (Non-quality factors, Quality factors, Continuity of life). These themes highlighted the issue of inadequate involvement of older adults in decision-making, often resulting in negative consequences like regret and difficulty settling into new care settings. The necessity of moving arose from sudden events or increased support needs. Some older adults acknowledged the necessity due to declining health or to spare family burden, while relatives grappled emotionally, postponing the choice. Timely planning was found to be beneficial practically and emotionally, facilitating smoother transitions. However, participants would rarely plan and discuss such matters early. Older adults focused on personal experiences and trusted sources rather than publicly available information when considering Factors for choosing a care home. The findings show the need for greater inclusion of older adults in decisions related to their care and the importance of early planning and providing preferred types and formats of information to aid decisions. Future research should focus on a better understanding of older adults’ preferences for successful involvement in care decisions, with support and guidance for others involved in the decisions.
This chapter explores the development of funerary archaeology in Late Antiquity, examining how burial practices evolved and how they have been interpreted over time. It argues that these practices were far more complex than previously assumed, shaped by a range of factors including religious beliefs, social status and local traditions. The chapter challenges earlier assumptions that grave goods were exclusively linked to pagan burials, demonstrating that Christians also placed objects in graves. It also examines the influence of nationalism and antiquarianism on the interpretation of burial sites, particularly in the nineteenth and early twentieth centuries. One of its key conclusions is that burial practices varied significantly and cannot be neatly categorised along religious or ethnic lines. Additionally, cemeteries served not only as places of interment but also as spaces for reinforcing social identity, political claims and communal memory. By integrating modern archaeological techniques with historical analysis, the chapter offers a more nuanced understanding of late antique funerary customs, moving beyond simplistic narratives of religious transformation.
China’s property law framework is underpinned by a series of fundamental laws and statutory reforms that define the ownership, usage and transfer of both urban and rural property. These statutes not only reflect the evolution of property law in China but also highlight the country’s ongoing efforts to balance state control with private property rights, aiming to foster economic development while ensuring social stability and equity. The dynamic nature of China’s property law framework continues to evolve in response to domestic and international economic pressures, requiring continuous analysis and adaptation. Notwithstanding the ongoing signs of progress, Chinese property law faces several challenges that stem from rapid economic development, urbanization, ideological inertia and the legal complexities of transitioning to a market-oriented economy. Rather than a linear transition to private ownership, China’s institutional reform of rural land markets is more complex than orthodoxy economic theory, law and development theory suggests.
The transition from primary to secondary school, encompassing the pre-, during-, and post-transition stages, often poses significant challenges for students on the autism spectrum. This critical period has garnered growing research attention; however, the perspectives of Australian parents on the support their autistic children receive post-transition remain largely unexplored. Underpinned by a transcendental phenomenological epistemology and Kohler’s Taxonomy for Transition Programming, we explored Australian parents’ perspectives on the support being provided to their children on the autism spectrum and how these students experience this post-transition period. Four parents of high-school-aged children on the autism spectrum participated in interviews, conducted online via Zoom. A deductive content analysis of parents’ insights revealed overwhelming dissatisfaction with the post-transition support provided to their children on the autism spectrum, particularly surrounding home–school collaboration practices and the utilisation of personalised learning. The findings contribute a much-needed Australian perspective to the limited body of research focused on sustaining support for students on the autism spectrum beyond the initial transition to secondary school.
The transfer from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) can be challenging, particularly for adolescents with neurodevelopmental disorders (NDDs) requiring long-term follow-up.
Aims
To examine the transfer process from CAMHS to AMHS in a university hospital in Türkiye, focusing on challenges, service gaps and barriers to transfer for individuals with NDDs.
Method
Hospital records of children with NDDs followed in CAMHS for at least 5 years were reviewed. Children with at least one annual admission until 2017–2018 were included. A total of 211 patients were categorised into two groups: those who transferred to AMHS by 2018–2019 (transferred group, 81 patients) and those who did not transfer (non-transferred group, 130 patients). Clinical features, such as primary diagnosis and treatments, were compared, and parental views on the transfer process were collected via telephone interviews.
Results
The transferred group included 81 patients (38.4%), whereas the non-transferred group had 130 patients (61.6%). Of the total sample, 55 (26.1%) were female, and 156 (73.9%) were male. Primary diagnoses were similar between groups; however, the transferred group had more comorbidities (P < 0.001) and more frequent antipsychotic prescriptions (P = 0.006). Proactive information from CAMHS doctors (B = 2.46, s.e. = 0.68, P < 0.001) and psychiatric comorbidities predicted transfer. In addition, attention-deficit hyperactivity disorder diagnoses changed during transfer in the transferred group (P = 0.002).
Conclusion
These findings emphasise the need for tailored transition support to enhance mental healthcare for NDD patients and indicate areas where further research is required to address healthcare barriers.
Regenerative involution is crucial for renewing the mammary gland and maximizing milk production. However, the temporal profiles indicators of oxidative status during this phase are still unclear. In this study, Experiment 1 aimed to investigate the dynamic changes in indicators of oxidative status in plasma during regenerative involution. The dairy goats were dried off at 8 weeks (wk) before kidding (−8 wk, n = 14) or −12 wk (n = 6). The blood samples taken at −8, −7, −6, −5, −4, −3, −2, −1 wk, on the day for kidding (0 wk) and the first week after kidding (+1 wk, milk production 1.28 ± 0.31 kg per day). Experiment 2 aimed to investigate the dynamic changes in indicators of oxidative status in mammary cells. Seven selected goats were biopsied for tissue collection and cell isolation at −8, −4, −1, +1 wk (milk production 1.28 ± 0.31 kg per day), respectively. Plasma analysis in Experiment 1 showed an increase in reactive oxygen species (ROS) levels, peaking at −4 wk (P < 0.01). No significant differences were observed between the dry-off treatments (P = 0.36). The activity of superoxide dismutase (SOD) in plasma remained stable from −7 wk to the first week after kidding (+1 wk), while glutathione peroxidase (GSH-Px) activity peaked at −4 wk. An increased catalase activity was observed at +1 wk (P < 0.01), indicating its response to lactation. In Experiment 2, an increase in ROS levels in isolated mammary cells was observed at −4 wk, while SOD, GSH-Px, and malondialdehyde levels in tissue homogenates rose around kidding (P < 0.01). The dynamic change of the oxidative status suggests that targeted antioxidant strategies would be helpful for regenerative involution of mammary gland in ruminants.
Film offers untapped potential for making critical interventions in world politics, particularly in ways that harness people’s capacity to narrate stories that creatively empower their communities. Combining International Relations scholarship on visual politics with narrative theory and feminist scholarship on care, this paper presents film as a means of exploring and expressing narrative agency; that is, the power to tell stories that represent people’s experiences in ways that disrupt hegemonic narratives. Dialectics of care and narrative agency are explored in the context of military-to-civilian ‘transition’ in Britain. We argue that the landscape of transition for military veterans is dominated by a preoccupation with employment and economic productivity, resulting in a ‘care deficit’ for veterans leaving the military. Through the Stories in Transition project, which used co-created film to explore narrative agency in the context of three veterans’ charities, we argue that the act of making care visible constitutes a necessary intervention in this transitional landscape. Grounding this intervention within feminist care ethics and the related notion of care aesthetics, we highlight the potential for film to reveal in compelling audio-visual narratives an alternative project of transition which might better sustain life and hope in the aftermath of military service.
International organisations recommend that patients with CHD undergo a structured transition process to prepare for lifelong cardiac care. However, there is a limited understanding of current transition practices in the United States (U.S.) from the perspective of adult CHD programs. The purpose of this study was to characterise adult CHD transition practices across the U.S.
Method:
We conducted a descriptive, cross-sectional survey of adult CHD programs in the U.S., inquiring about transition practices (preparation, transfer, and integration), resources, specialists, and barriers. We used descriptive statistics to analyse the data.
Results:
We analysed responses from 38 adult CHD programs (37% response rate). Among these, 25 (66%) of adult CHD programs reported formal transition programs and 26 (68%) reported having a transfer process to receive patients from paediatric cardiology. Reported transition program specialists were interdisciplinary. Few programs reported having psychologists or psychiatrists on their teams or offered support for patients with intellectual disability. The main barriers affecting transition were insurance and health care costs.
Conclusion:
Around two-thirds of respondent adult CHD programs reported the presence of formal transition programs. More resources may be needed within these programmes to support patient psychological well-being and those with intellectual disability and to address barriers related to insurance and health care costs.
Individuals with a psychiatric inpatient admission in adolescence have a high risk of schizophrenia-spectrum disorders (SSDs) when followed to adulthood. Whether psychotic symptoms predict subsequent SSDs in inpatient cohorts, however, is an important unanswered question.
Methods
The sample consisted of adolescents (aged 13–17) admitted to psychiatric inpatient care (Oulu, Finland) from April 2001 to March 2006. Psychotic symptoms were assessed with the Schedule for Affective Disorders and Schizophrenia. Specialized health care use and diagnoses were followed up in national health care registers until June 2023. Cox regression was used to predict SSDs by the presence of baseline psychotic symptoms.
Results
Of 404 adolescent inpatients admitted with non-psychotic mental disorders, 28% (n = 113) reported psychotic symptoms: 17% (n = 68) subthreshold and 11% (n = 45) full threshold. By the end of follow-up, 23% of the total cohort went on to be diagnosed with an SSD. Subthreshold psychotic symptoms did not differentiate patients who would subsequently develop SSDs (cumulative incidence 24%; HR = 1.42, 95%CI = 0.81–2.50). Full-threshold psychotic symptoms, on the other hand, were associated with an increased risk of subsequent SSDs (cumulative incidence 33%; HR = 2.00, 95%CI = 1.12–3.56). Most subsequent SSDs (83%), however, occurred in individuals who had not reported threshold psychotic symptoms during inpatient admission.
Conclusions
There was a high risk of subsequent SSDs among adolescent psychiatry inpatients when followed over time. SSDs were not predicted by subthreshold psychotic symptoms. Full-threshold psychotic symptoms were associated with an increased risk of subsequent SSDs, though with low sensitivity.
Can United Nations peace operations improve their effectiveness and strengthen longer-term positive legacies in host nations by shifting to greater use of renewable energy? Since the end of the Cold War and the growth of modern UN peace operations, attention has been focused on the missions’ mandate of supporting political strategies for peace and core objectives such as protecting civilians. Could missions better meet their mandate with improved energy options and reduced emissions, or is there a trade-off with the core objectives? As the missions are nearly fully dependent on diesel generators to power their operations, what is the UN’s responsibility to reduce emissions at a time when addressing climate change is a priority of the UN Secretary-General? Is there an ethical case to make for the UN to support greater use of renewable energy where it operates? And could the UN partner with host nations and others to support a shift in energy use that benefits the communities that host peace operations? This essay argues that missions could reduce their emissions and leverage their energy needs to increase security, strengthen ties to local communities, increase energy access, and support the climate goals of host nations. Drawing on case studies in recent peacekeeping missions and the author’s review of UN commitments across mandates, the Sustainable Development Goals, peacebuilding, and climate goals, this essay will address this area of potential innovation that can help build a positive legacy for UN missions and countries emerging from conflict.
The Sidi Zin Archaeological Project aims to bridge understanding of the Acheulean–Middle Stone Age transition in northern Tunisia, a relatively understudied region in the context of hominin evolution. The Sidi Zin locality will provide chronological, palaeoenvironmental, geomorphological and cultural insights into Acheulean and Middle Stone Age occupations in Tunisia.
This chapter explains what this book is about. Becoming an adult is different for everybody. Young people with cognitive disability can find it hard to get the right supports to become an adult. Many young people can experience violence and abuse. This book tells the stories of young people with cognitive disability from different backgrounds. Family members and practitioners also talk about stories of young people with cognitive disability.
This chapter tells Amethyst’s story. Amethyst is an Aboriginal and South Sea Islander young woman with cognitive disability. Amethyst is not her real name. Amethyst was abused many times as a child and a young adult. Her story can tell us a lot about what needs to change for young people with cognitive disability. We need to understand that abuse affects a person’s whole life, their family, and their world.
Becoming an adult involved lots of changes and challenges for young people with cognitive disability. Many services, and sometimes families, judged young people badly because they had a cognitive disability. Young people needed help to be independent, but this wasn’t always given to them. Some young people were lonely and found so-called friends who abused them. Aboriginal and/or Torres Strait Islander young people and young people from culturally and linguistically diverse backgrounds needed others to understand and respect their culture. LQBTIQA+ young people wanted love and acceptance as they became adults.
Understanding transitions from psychopathology to well-being is crucial for promoting recovery. Plasticity – the ability to modify brain functioning and mental states – is increasingly recognized as essential because it enables the reorganization of neural and mental processes underlying such transitions. Recently, a network-based approach that operationalizes plasticity, and the ability to transition to well-being, as the inverse of the connectivity strength within the symptom network has been proven effective in predicting both the likelihood and timing of recovery from major depressive disorder. This innovative method to measure plasticity is opening new avenues for timely diagnosis, patient stratification, and targeted, individualized treatment of mental illness. Overall, integrating the assessment of plasticity levels into precision psychiatry holds significant potential for developing novel and effective personalized therapeutic strategies in psychiatry.
This book presents the lived experiences of young people with cognitive disability and their struggles as they transition to adulthood. Whether you are a young person yourself looking to transition to adulthood, a parent, or a professional supporting a young person, this book will help you understand the systemic failures which have caused abuse, exploitation, neglect and violence. But it will also outline the inner and outer resources which have enabled young people to maintain their self-belief and overcome adversity. Despite the fact society is failing these young people, the young people in this book speak of belief and have hope for the future. Drawing upon the United Nations human rights framework, this book provides a narrative for empowerment and reform. It involves the input of co-researchers with disability and includes Easy English summaries in each chapter to ensure its accessibility to young people with cognitive disability.
This article applies van Gennep’s structure of the ritual to the patent application process, arguing that information undergoes several ontological transformations on the way to patentability. The second half of the article applies Turner’s focus on the liminal space. From this perspective, the ‘pure possibility’ of the liminal space is essential to patent law, because it helps negotiate between strong boundaries (as a form of property) and the almost improvisational way in which general rules are applied to specific patents. Taken together, these two approaches provide a more nuanced understanding of how patent law comes into existence and how the patents themselves operate as distinct social and cultural artefacts. The analysis does not intend to replace the economic understanding of patent law, but instead seeks to reflect more completely how it actually functions.
Chapter Seven analyzes the progress of the transition from the production of vehicles with internal combustion engines to the production of electric vehicles in eastern Europe. The transition is considered in the context of the development of the automotive industry in eastern Europe since the early 1990s and the relative position of the east European integrated periphery in the European automotive industry value chains and production networks. The chapter argues that foreign firms are driving the transition, while the role of the east European governments and local firms is much less significant. The transition is slower than in western Europe, and eastern Europe will continue to produce internal combustion engine vehicles for longer. Eastern Europe will continue to rely on its competitive advantage of low production costs, especially low labor costs, to continue to attract foreign direct investment in the automotive industry. The chapter considers the consequences of the transition on the position of east European countries in automotive value chains, production networks and the division of labor in the European automotive industry.
Epilepsy remains the most common neurologic disorder in childhood and adolescence, with certain epilepsy syndromes such as childhood absence epilepsy (CAE) and juvenile myoclonic epilepsy (JME) being more common in girls. Psychiatric disorders are a common comorbidity in children with epilepsy, especially two behavioral conditions: attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder. In addition, psychosocial issues of stigma, bullying and violence remain potent disruptors of patients’ development at this stage in their lives. Emerging information on how cultural, ethnical and gender diversity may affect care should also be taken into consideration and proactively addressed. As the care of children and adolescents with epilepsy has grown more complex over the past decades, the transition from pediatric to adult care systems needs to become purposeful, such as the medical, psychosocial, educational and vocational needs of young adults with long-term medical conditions are actively