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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
This chapter analyses the political and social dynamics that unfolded in Norway following the country’s liberation on 8 May 1945 and how these shaped the contours of the treason trials in the long term. At the political level, it demonstrates, the early consensus between the returning exile government and the resistance forces in Norway on the topic of the trials was a key reason as to why they were largely implemented according to plan. At the social level, the swift commencement of the trials satisfied a strong public demand and was deemed a requirement for securing a peaceful transition period. The final section of the chapter details the public pressure felt by representatives of the Norwegian Parliament (Storting) in July 1945 as they debated and passed some of the basic instruments of the trials, most notably an act approving of the use of the death penalty.
Turbulent flow is an important branch of fluid mechanics with wide-ranging occurrences and applications, from the formation of tropical cyclones to the stirring of a cup of coffee. Turbulence results in increased skin friction and heat transfer across surfaces, as well as enhanced mixing. As such, it is of practical significance, and there is a need to establish predictive methods to quantify turbulent flows. Equally important is a physical understanding of turbulent flows to guide strategies to model and control turbulence-driven phenomena. We focus on the study of turbulent flows and draw on theoretical developments, experimental measurements, and results from numerical simulations. Turbulent flows are governed by the Navier-Stokes equations. The solution of these equations for turbulent flows displays chaotic and multiscale behavior. When averaged, the nonlinear terms in the Navier-Stokes equations lead to the so-called closure problem, where additional unknowns are introduced in the mean flow equations. These unknowns are typically modeled using intuition, experience, and dimensional arguments. We present the scaling and dimensional analysis necessary for model development.
English Medium Instruction (EMI) research has highlighted the transition from secondary schools to EMI higher education as a critical stage that shapes students’ learning behaviors and perceptions. However, longitudinal studies that draw on a quantitative design to outline students’ patterns of academic development during the transition period are scarce. While investigating students’ language-related academic difficulties, previous research has predominantly treated students as a unitary cohort without exploring the disparities that may arise from individual difference variables. This chapter reports an empirical case study that adopts a longitudinal quantitative design to identify patterns of change in students’ perceptions of lecture listening difficulties during their first semester transitioning into an EMI university in China. The study also explores variations in these patterns that are associated with students’ English listening proficiency upon entry. Key methodological procedures for designing and implementing the study will be introduced, while along with sharing suggestions for handling the typical challenges of attrition and missing data in longitudinal quantitative research. The chapter concludes with methodological implications of the study for EMI research, and offers suggestions for future research based on a critical reflection of the study’s limitations.
This chapter employs a survey to ask whether the efforts of various climate networks as part of collaborative climate governance are perceived as effective. Sweden is known for being a corporatist state in which dialogue with stakeholders is a key feature of policy development. This can also be seen in the way that the Swedish government has developed its policies for decarbonization by establishing the multi-stakeholder initiative Fossil Free Sweden as a flagship. However, there are numerous other climate networks that are led by non-state and sub-state actors and operate independently of state action. This chapter outlines a set of multi-actor networks that work to contribute to achieve Sweden’s climate targets and assesses them in terms of perceived effectiveness. By studying the perceptions of key stakeholders, this chapter seeks to understand the contributions of various climate networks to Swedish decarbonization beyond measurable emission reductions, thereby paving the way for critical reflections about the role of collaborative climate action in broader governance arrangements.
Moving prevention for college students out of the mental health clinic and into the classroom changes the campus environment. A curricular approach to enhancing student resilience is described through an exemplar of a one-credit general education course focused on adaptive responses to stress, Changing Minds, Changing Lives (CMCL). The experiential, strength-based curriculum is designed to meet basic psychological needs, buffer predictable stress, and boost adaptive resilience. Based on a social–ecological model of resilience, the CMCL program functions as a campus opportunity structure teaching self-regulation skills, facilitating greater connectedness, and strengthening resilience capacities. The model operationalizes the resilience response as a set of concrete actions that facilitate adaptive reorientation and reorganization in the face of challenge, mobilize relevant assets and resources, and leverage social connections to navigate adversity. Evidence-based applications of strength-based pedagogy, mindfulness practices, expressive writing, and inclusive group process in the course structure are described, and empirical validation of model efficacy is reviewed.
The greatest progress so far in decarbonising the global economy has been made by governments that ignored the advice of economists. Investing in new technologies turns out to be a more effective way of changing things than taxing the incumbents. We need to stop being surprised by this and start replicating those successes.
Despite solar and wind power generating the cheapest electricity in history, around forty countries are still building new coal-burning power plants – the worst thing anyone can do for climate change. How two years of campaigning led to twenty countries committing to phase-out coal power, and what needs to happen next.
Change in the economy, just as in the climate, can be self-reinforcing, sudden, and irreversible. The world’s fastest transitions to renewable energy and electric vehicles are happening in countries where economic tipping points have been crossed in these sectors. By deliberately targeting these thresholds, we can achieve large-scale change much more quickly than we might expect. To find these opportunities, we need to move away from traditional cost–benefit analysis and adopt a very different approach to decision-making.
The “suicidal transition” from ideation to an act has become a specific topic of research. However, rates in the general population, variations across time and risk factors are unclear.
Methods
Data were collected from the phone survey Baromètre Santé among 18–75-year-olds in France. Seven independent samples interviewed between 2000 and 2021 (total N = 133,827 people; 51.3% females) were questioned about suicidal ideation and attempts over the previous 12 months. Transition was calculated as the weighted ratio of attempt on ideation 12-month rates.
Results
Mean 12-month rates of suicidal ideation, attempts and transition were 4.7% (95% Confidence Interval (CI) (4.6–4.8)), 0.5% (95% CI (0.4–0.5)) and 7.7% (95% CI (6.8–8.6)), respectively. Transition rates varied between 4.5 and 11.9% across surveys. In multivariable analyses, higher transitions rates were associated with a previous suicide attempt (adjusted Odds Ratio (aOR) = 11.1 95% CI (7.9–15.6)); 18–25 vs 26–55-year-olds (1.8 95% CI (1.2–2.8)); lower vs higher income (1.7 95% CI (1.0–2.7); and lower vs higher professional categories (aOR around 1.9). No significant association was found with gender, education level, employment status, living alone, urbanicity, current major depression, daily smoking, weekly heavy drinking, cannabis use, and body mass index.
Conclusions
Most people with suicidal ideation do not attempt suicide. These findings emphasize the need to avoid generic terms such as “suicidality”, and to increase research on suicidal transition to improve prevention and prediction. They may also inform the organization of suicide prevention in the general population.
In the African Studies literature “transformation” emerges as a capacious discursive field and project of state power. In this Keyword article, I move from postindependence questions of transformative social change to violence as a transformative project of the nation-state, examining its imbrication with questions of transition and state aftermaths. I analyze transformation as a promise of worldmaking around horizons of the “post”: postapartheid, postconflict, and postcolonial. I then consider textures of transformative urbanism in changing African cities, and analyze processes implicated in reclaiming forms of discard, positing transformation as recuperation. Transformation is ultimately a multidirectional conceptual field capable of remaking personal worlds and theoretical orientations.
Animal experimentation raises value conflicts between animal protection and other goods, such as freedom of inquiry or health and safety. If governments can phase out the practice by non-prohibitive incentive-setting, the pro tanto moral rationale for doing so is obvious. So why should they not? This article first sketches a fictional scenario in which a government adopts a phase-out plan for animal experimentation. It then considers two moral objections to this plan: First, the plan unduly restricts freedom of inquiry, and second, it merely displaces animal experimentation across borders and thus fails to reduce animal suffering. Both arguments are refined premise by premise to articulate their strongest versions. The two objections can help to narrow down desiderata for good phase-out plans. However, they do not provide a compelling case against phase-out planning as such because they miss its incremental and constructive nature. Unless better arguments can be provided, it appears that government inaction on phasing out animal experimentation lacks moral justification.
This chapter focuses on the transition process, called the Expert Transition Cycle, which an individual goes through each time they make a transition. It reviews the more traditional models including vocational models, career anchors, psychometric models, work adjustment theories, and psychologically based models as well as ecologically and socially embedded models. It then reviews more contemporary transition process models, focusing on two models, working identity and identity status, which inform the study of identities in transition in the research. Finally, it presents the Expert Transition Cycle, which is the basis for determining how identity changes during a transition. This model includes five stages: Intention, Inquiry, Exploration, Commitment, and Integration.
The landscape of reuse and repair (R&R) activities for manufactured products is vibrant: new European laws, research projects, local initiatives. Our aim is to capture the current and future challenges of the field through an industrial workshop held at the ICED23 conference. A collective reflection was conducted with three French stakeholders: a Product Responsibility Organization, a social and solidarity organization, and a private company producing water-driven dosing pumps. The study results in a multi-level perspective on the R&R value chain and four R&R future scenarios.
Aquatic ecosystems - lakes, ponds and streams - are hotspots of biodiversity in the cold and arid environment of Continental Antarctica. Environmental change is expected to increasingly alter Antarctic aquatic ecosystems and modify the physical characteristics and interactions within the habitats that they support. Here, we describe physical and biological features of the peripheral ‘moat’ of a closed-basin Antarctic lake. These moats mediate connectivity amongst streams, lake and soils. We highlight the cyclical moat transition from a frozen winter state to an active open-water summer system, through refreeze as winter returns. Summer melting begins at the lakebed, initially creating an ice-constrained lens of liquid water in November, which swiftly progresses upwards, creating open water in December. Conversely, freezing progresses slowly from the water surface downwards, with water at 1 m bottom depth remaining liquid until May. Moats support productive, diverse benthic communities that are taxonomically distinct from those under the adjacent permanent lake ice. We show how ion ratios suggest that summer exchange occurs amongst moats, streams, soils and sub-ice lake water, perhaps facilitated by within-moat density-driven convection. Moats occupy a small but dynamic area of lake habitat, are disproportionately affected by recent lake-level rises and may thus be particularly vulnerable to hydrological change.
Adults with anorexia nervosa experience high levels of relapse following in-patient treatment. ECHOMANTRA is a novel online aftercare intervention for patients and carers, which provides psychoeducation and support to augment usual care.
Aims
To explore patient and carer experiences of receiving the ECHOMANTRA intervention.
Method
This is part of the process evaluation of the ECHOMANTRA intervention as delivered in the TRIANGLE trial (ISRCTN: 14644379). Semi-structured interviews were conducted with 20 participants randomised to the ECHOMANTRA (ten patients and ten carers). Thematic analysis was used to analyse the interview transcripts.
Results
Five major themes were identified: (1) Mixed experience of the intervention; (2) tailoring the intervention to the stage of recovery; (3) involvement of carers; (4) acceptability of remote support; and (5) impact of self-monitoring and accountability.
Conclusions
Participants were mostly positive about the support offered. The challenges of using remote and group support were counterbalanced with ease of access to information when needed. Components of the ECHOMANTRA intervention have the potential to improve care for people with eating disorders.
An increase in the prevalence of obesity due to lockdown and confinement linked to COVID-19 is observed. Variations in the nutritional status of schoolchildren from Jujuy are analyzed in relation to confinement due to COVID-19 (2019–2021) and its relationship with socio-demographic variables and the school environment. This is an observational, descriptive study. Data from 56,695 schoolchildren aged 6–18 years old is analyzed based on two temporary cuts (2019 pre-confinement and 2021 post-confinement). The nutritional status of schoolchildren (underweight, overweight, and obese) was established using the IOTF (International Obesity Task Force) criterion. The prevalence of each nutritional phenotype was estimated by sex and age group, considering the following independent variables: setting (rural/urban), school management system (public/private), geographic altitude, and percentage of households with unmet basic needs (UBN) in the place where they attend school. Multiple proportions contrast was performed using Fisher's test, a transition matrix ws produced and a statistical model of proportional odds was fitted. It was observed that between 2019 and 2021, the prevalence of underweight decreased and the prevalence of overweight and obesity increased significantly. In 2021, 67% of schoolchildren maintained the same nutritional category that they had in 2019, 21% gained weight and 12% lost weight. The model explains about 52% of the total variability observed. The factors that are significantly correlated in the model are school cycle, age, geographic altitude, school setting, and % of households with UBN. The results indicate that during the COVID-19 pandemic, there was a shift to the right in the distribution of the nutritional status categories of the schoolchildren population in Jujuy, with a decrease in the prevalence of underweight and an increase in the prevalence of overweight and obesity with variations related to age, school location, geographic altitude, and socioeconomic characteristics of the households in the place where the children attended school.
Worldwide, the division between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) has frequently resulted in fragmented care with an unprepared, non-gradual transition. To improve continuity of care and other service transition experiences, service user input is essential. However, such previous qualitative studies are from a decade ago or focused on one mental disorder or country. The aim of the present study was to learn from service users’ transition experiences and suggested improvements.
Methods:
Semi-structured interviews were held with young people aged 18–24 and/or parents/caregivers in the United Kingdom, Ireland, the Netherlands and Croatia. Inclusion was based on the experience of specialist mental health care before and after turning 18. Thematic analysis of transcribed and translated interview transcripts was performed using ATLAS.ti 9.
Results:
Main themes of service user experiences included abrupt changes in responsibilities, various barriers and a lack of preparation, communication and ongoing care. Young people expressed a great need for continuity of care. Their suggestions to improve transitional care included early and adequate preparation, joint working, improved communication from and between services, overlapping services, staying at CAMHS for longer and designated youth mental health teams.
Conclusions:
Young people who experienced care before and after turning 18 suggested either altering the age limits of services or ensuring early preparation and communication regarding the transition and finding AHMS. This communication should include general changes when turning 18. Further considerations include increasing collaboration and overlap between CAMHS and AMHS.
Mild cognitive deficits (MCD) emerge before the first episode of psychosis (FEP) and persist in the clinical high-risk (CHR) stage. This study aims to refine risk prediction by developing MCD models optimized for specific early psychosis stages and target populations.
Methods
A comprehensive neuropsychological battery assessed 1059 individuals with FEP, 794 CHR, and 774 matched healthy controls (HCs). CHR subjects, followed up for 2 years, were categorized into converters (CHR-C) and non-converters (CHR-NC). The MATRICS Consensus Cognitive Battery standardized neurocognitive tests were employed.
Results
Both the CHR and FEP groups exhibited significantly poorer performance compared to the HC group across all neurocognitive tests (all p < 0.001). The CHR-C group demonstrated poorer performance compared to the CHR-NC group on three sub-tests: visuospatial memory (p < 0.001), mazes (p = 0.005), and symbol coding (p = 0.023) tests. Upon adjusting for sex and age, the performance of the MCD model was excellent in differentiating FEP from HC, as evidenced by an Area Under the Receiver Operating Characteristic Curve (AUC) of 0.895 (p < 0.001). However, when applied in the CHR group for predicting CHR-C (AUC = 0.581, p = 0.008), the performance was not satisfactory. To optimize the efficiency of psychotic risk assessment, three distinct MCD models were developed to distinguish FEP from HC, predict CHR-C from CHR-NC, and identify CHR from HC, achieving accuracies of 89.3%, 65.6%, and 80.2%, respectively.
Conclusions
The MCD exhibits variations in domains, patterns, and weights across different stages of early psychosis and diverse target populations. Emphasizing precise risk assessment, our findings highlight the importance of tailored MCD models for different stages and risk levels.
This final chapter looks ahead to the role of creativity and motivation, collaboration, and the locus of control within business and education contexts.