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This study explored how social exclusion predicted adolescent wellbeing via stress, academic self-efficacy, and school satisfaction. Data were collected from 328 adolescents in Turkey. Mediation analyses revealed that the negative effects of social exclusion on wellbeing were partially mediated by stress, academic self-efficacy, and school satisfaction. Given its important role in students’ social, academic, and psychological development, researchers and practitioners may need to give more attention to social exclusion as a key risk factor for decreased wellbeing.
Compared to the general population, people with schizophrenia have a substantially higher risk of premature mortality which translates into a 10–15 year reduction in life expectancy. The aim of this investigation was to determine if symptoms (including aggression, hallucinations or delusions, and depression) or the environmental and functional status of people with schizophrenia contribute to the high mortality risk observed in this patient group.
We identified cases of schizophrenia, aged ≥15 years in a large secondary mental healthcare case register linked to national mortality tracing. We modelled the effect of specific symptoms, activities of daily living (ADLs), living conditions, occupational and recreational activities (Health of the Nation Outcome Scale [HoNOS] subscales) on all-cause mortality over a 4-year observation period (2007-10) using Cox regression.
We identified 4270 schizophrenia cases (170 deaths) in the observation period. After controlling for a broad range of covariates, mortality was not significantly associated with hallucinations and delusions or overactive-aggressive behaviour, but was associated with subclinical depression (adjusted HR 1.5; 95% CI 1.1-2.2) and ADL impairment (adjusted HR 1.8; 95% CI 1.2-2.9).
Severity of symptoms, such as delusions and hallucinations, was less important in predicting mortality than subclinical depression and difficulties carrying out activities of daily living. The overall picture appears to be one where the highest all-cause mortality risk is in service users who are least visible to clinical teams.
Dietary patterns describe the combination of foods and beverages in a diet and the frequency of habitual consumption. Better understanding of childhood dietary patterns and antenatal influences could inform intervention strategies to prevent childhood obesity. We derived empirical dietary patterns in 1142 children (average age 6·0 (sd 0·2) years) in New Zealand, whose mothers had participated in the Screening for Pregnancy Endpoints (SCOPE) cohort study and explored associations with measures of body composition. Participants (Children of SCOPE) had their diet assessed by FFQ, and dietary patterns were extracted using factor analysis. Three distinct dietary patterns were identified: ‘Healthy’, ‘Traditional’ and ‘Junk’. Associations between dietary patterns and measures of childhood body composition (waist, hip, arm circumferences, BMI, bioelectrical impedance analysis-derived body fat % and sum of skinfold thicknesses (SST)) were assessed by linear regression, with adjustment for maternal influences. Children who had higher ‘Junk’ dietary pattern scores had 0·24 (sd 0·08; 95 % CI 0·04, 0·13) cm greater arm and 0·44 (sd 0·05; 95 % CI 0·01, 0·10) cm greater hip circumferences and 1·13 (sd 0·07; 95 % CI 0·03, 0·12) cm greater SST and were more likely to be obese (OR 1·74; 95 % CI 1·07, 2·82); those with higher ‘Healthy’ pattern scores were less likely to be obese (OR 0·62; 95 % CI 0·39, 1·00). In a large mother–child cohort, a dietary pattern characterised by high-sugar and -fat foods was associated with greater adiposity and obesity risk in children aged 6 years, while a ‘Healthy’ dietary pattern offered some protection against obesity. Targeting unhealthy dietary patterns could inform public health strategies to reduce the prevalence of childhood obesity.
A large and growing body of research suggests that maternal depressive symptoms and child externalizing behaviors are strongly associated. Theoretical arguments supported by these findings led to the question of whether maternal depressive symptoms are transactionally associated with child externalizing behaviors. Using 5-year nationally representative longitudinal data from Turkey (N = 1,052), we estimated a transactional bivariate autoregressive latent trajectory model addressing this question. This model disaggregated the association of the two processes into two components: (a) the association of the interindividual differences in the trajectories; and (b) the intradyad association of the changes in maternal depressive symptoms with the changes in child externalizing behaviors. Although maternal depressive symptoms were robustly associated with child externalizing behaviors at age 3, the transactional associations of the two processes were small prior to age 5 and absent at ages 5 to 7. Furthermore, maternal harsh parenting did not have a mediating role in the limited transactional association of maternal depressive symptoms with child externalizing behaviors.
To assess interdependent effects of autonomous motivation to limit sugar-sweetened beverage (SSB) consumption in relation to SSB and healthy beverage (HB) intake in mother–adolescent and father–adolescent dyads.
Adopting a dyadic cross-sectional design, the actor–partner interdependence modelling (APIM) approach was used to construct and analyse two APIM for mother–adolescent and father–adolescent dyads. The first model assessed actor effects (individual’s autonomous motivation associated with his/her own beverage intake) and partner effects (individual’s autonomous motivation associated with another family member’s beverage consumption) of autonomous motivation on SSB consumption. The second model assessed actor and partner effects of autonomous motivation on HB intake.
Two Internet-based surveys were completed in participant households.
Data from a demographically representative US sample of parent–adolescent dyads (1225 mother–adolescent dyads, 424 father–adolescent dyads) were used.
In the first model (autonomous motivation on SSB consumption), actor effects were significant for adolescents, but not for parents. Partner effects were significant for mother–adolescent, but not father–adolescent dyads. In the second model (autonomous motivation on HB intake), actor effects were significant for adolescents and parents in all dyadic combinations. Regarding partner effects, adolescent autonomous motivation had a significant effect on HB intake for mothers and fathers. In addition, maternal autonomous motivation had a significant effect on adolescent HB intake. No partner effects for HB were identified for fathers.
We found significant interdependent effects of autonomous motivation in relation to SSB and HB intake in mother–adolescent and father–adolescent dyads for eleven out of sixteen pathways modelled.
This article describes a CDI outbreak in a long-term care (LTC) facility that used molecular typing techniques and whole-genome sequencing to identify widespread dissemination of the clonal strain in the environment which was successfully removed after terminal cleaning.
This study was conducted in a long-term care facility in Texas.
A recently hospitalized LTC patient was diagnosed with CDI followed shortly thereafter by 7 subsequent CDI cases. A stool specimen was obtained from each patient for culturing and typing. An environmental point-prevalence study of the facility was conducted before and after terminal cleaning of the facility to assess environmental contamination. Cultured isolates were typed using ribotyping, multilocus variant analysis, and whole-genome sequencing.
Stool samples were available for 5 of 8 patients; of these specimens, 4 grew toxigenic C. difficile ribotype 027. Of 50 environmental swab samples collected throughout the facility prior to the facility-wide terminal cleaning, 19 (38%) grew toxigenic C. difficile (most commonly ribotype 027, 79%). The terminal cleaning was effective at reducing C. difficile spores in the environment and at eradicating the ribotype 027 strain (P<.001). Using multilocus variance analysis and whole-genome sequencing, clinical and environmental strains were highly related and, in some cases, were identical.
Using molecular typing techniques, we demonstrated reduced environmental contamination with toxigenic C. difficile and the eradication of a ribotype 027 clone. These techniques may help direct infection control efforts and decrease the burden of CDI in the healthcare system.
The present study examined the prevalence of and risk factors for malnutrition in a population-based cohort of women of childbearing age in rural Bangladesh.
A cross-sectional study that collected pre-pregnancy weight, height, and data on selected risk factors for nutritional status of women.
The study was conducted in Sylhet District of Bangladesh.
Study subjects included 13 230 non-pregnant women of childbearing age. Women were classified into underweight (<18·5 kg/m2), normal (18·5–24·9 kg/m2) and overweight/obese (≥25·0 kg/m2) using BMI; and into moderate to severe stunting (<150 cm), mild stunting (150–<155 cm) and normal (≥155 cm) using height. Two multinomial logistic regression models were fitted for BMI: model 1 examined individual and household factors associated with BMI, and model 2 additionally examined the association of community variables. The same analysis was conducted for height.
Prevalence of underweight, overweight/obesity and moderate to severe stunting was 37·0, 7·2 and 48·6 %, respectively. Women’s education and household wealth were inversely related to both underweight status and stunting. Underweight rate was significantly lower in the post-harvest season. Women with any education and who belonged to households with higher wealth were more likely to be overweight/obese.
The study documented high underweight and stunting, and moderate overweight/obesity rates among rural Bangladeshi women; and recommends design and implementation of a multidimensional intervention programme based on individual-, household- and community-level risk factors that can address underweight, stunting and overweight/obesity to improve the nutritional status of women of childbearing age in Bangladesh.
Almost the full range of 16 haemagglutinin (HA) and nine neuraminidase subtypes of avian influenza viruses (AIVs) has been detected either in waterfowl, land-based poultry or in the environment in Bangladesh. AIV infections in Bangladesh affected a wide range of host species of terrestrial poultry. The highly pathogenic avian influenza (AI) H5N1 and low pathogenic AI H9N2 were found to co-circulate and be well entrenched in the poultry population, which has caused serious damage to the poultry industry since 2007. By reviewing the available scientific literature, the overall situation of AIVs in Bangladesh is discussed. All Bangladeshi (BD) H5N1 and H9N2 AIV sequences available at GenBank were downloaded along with other representative sequences to analyse the genetic diversity among the circulating AIVs in Bangladesh and to compare with the global situation. Three different H5N1 clades, 2.2.2, 188.8.131.52 and 184.108.40.206, have been detected in Bangladesh. Only 220.127.116.11a is still present. The BD LP H9N2 viruses mostly belonged to the H9 G1 lineage but segregated into many branches, and some of these shared internal genes with HP viruses of subtypes H7N3 and H5N1. However, these reassortment events might have taken place before introduction to Bangladesh. Currently, H9N2 viruses continue to evolve their HA cleavage, receptor binding and glycosylation sites. Multiple mutations in the HA gene associated with adaptation to mammalian hosts were also observed. Strict biosecurity at farms and gradual phasing out of live-bird markets could be the key measures to better control AIVs, whereas stamping out is not a practicable option in Bangladesh. Vaccination also could be an additional tool, which however, requires careful planning. Continuous monitoring of AIVs through systematic surveillance and genetic characterisation of the viruses remains a hallmark of AI control.
Both internal factors (e.g., nonverbal intelligence) and external factors (e.g., input quantity) are claimed to affect the rate of children's vocabulary development. However, it remains an open question whether these variables work similarly on bilingual children's dual language learning. The current paper examined this issue on 805 Singapore children (4 years, 1 month to 5 years, 8 months) who are learning English (societal language) and an ethnic language (Mandarin/Malay/Tamil). Singapore is a bilingual society; however, there is an inclination for English use at home in recent years, resulting in a discrepancy of input between English and ethnic languages in many families. In this study, internal and external factors were examined comprehensively with standardized tests and a parental questionnaire. Regression analysis was used to address the questions. There were statistically significant differences in language input quantity, quality, and output between English and ethnic language learning environments. Singapore children are learning English in an input-rich setting while learning their ethnic language in a comparatively input-poor setting. Multiple regressions revealed that while both sets of factors explained lexical knowledge in each language, the relative contribution is different for English and ethnic languages: internal factors explained more variance in English language vocabulary, whereas external factors were more important in explaining ethnic language knowledge. We attribute this difference to a threshold effect of external factors based on the critical mass hypothesis and call for special attention to learning context (input-rich vs. input-poor settings) for specific bilingual language studies.
Recently, in the United States (US) there has been increasing interest in and advocacy for developing research and policies that identify and address what has, in the European context, been called child and forced marriage, in which migrant parents, typically from the Middle East, North Africa and South Asia (MENASA) impose marital choices on their Western-raised children, through coercion, psychological pressure, or the threat of violence. Despite widespread international concern, there remains little research-based empirical knowledge about the problem in the United States. Drawing on interviews with 100 City University of New York students from MENASA families, this study documents significant intergenerational conflict over honour, sexuality, and marital choice and suggests a high likelihood that coercive marital situations are present in the US. However, the different socio-political environment encountered by migrant families in the US may not effectively accommodate European style anti-forced marriage policy constructions and criminal justice responses.
Livestock depredation has particular significance in pastoral societies across the Himalayas. The dynamics of depredation by the snow leopard Panthera uncia and wolf Canis lupus were investigated by means of household surveys in the Hushey Valley, in the Karakoram Mountains of Pakistan. During 2008–2012 90% of the households in the valley lost livestock to snow leopards and wolves, accounting for 0.8 animals per household per year. The cost of depredation per household was equivalent to PKR 9,853 (USD 101), or 10% of the mean annual cash income. The majority (41%) of predation incidents occurred in summer pastures, predominantly at night in open spaces. Of the total number of predation incidents, 60% were attributed to snow leopards and 37% to wolves; in 3% of cases the predator was unknown. As an immediate response to predation the majority of the local people (64%, n = 99) opted to report the case to their Village Conservation Committee for compensation and only 1% preferred to kill the predator; 32% did not respond to predation incidents. The perceived causes of predation were poor guarding (77%), reduction in wild prey (13%), and livestock being the favourite food of predators (10%). The most preferred strategies for predator management, according to the respondents, were enhanced guarding of livestock (72%), followed by increasing the availability of wild prey (18%), and lethal control (10%). Livestock depredation causing economic loss may lead to retaliatory killing of threatened predators. For carnivore conservation and livestock security in this area we recommend improved livestock guarding through collective hiring of skilled shepherds and the use of guard dogs.
Robots have the potential to both enable older adults with dementia to perform daily activities with greater independence, and provide support to caregivers. This study explored perspectives of older adults with Alzheimer's disease (AD) and their caregivers on robots that provide stepwise prompting to complete activities in the home.
Ten dyads participated: Older adults with mild-to-moderate AD and difficulty completing activity steps, and their family caregivers. Older adults were prompted by a tele-operated robot to wash their hands in the bathroom and make a cup of tea in the kitchen. Caregivers observed interactions. Semi-structured interviews were conducted individually. Transcribed interviews were thematically analyzed.
Three themes summarized responses to robot interactions: contemplating a future with assistive robots, considering opportunities with assistive robots, and reflecting on implications for social relationships. Older adults expressed opportunities for robots to help in daily activities, were open to the idea of robotic assistance, but did not want a robot. Caregivers identified numerous opportunities and were more open to robots. Several wanted a robot, if available. Positive consequences of robots in caregiving scenarios could include decreased frustration, stress, and relationship strain, and increased social interaction via the robot. A negative consequence could be decreased interaction with caregivers.
Few studies have investigated in-depth perspectives of older adults with dementia and their caregivers following direct interaction with an assistive prompting robot. To fulfill the potential of robots, continued dialogue between users and developers, and consideration of robot design and caregiving relationship factors are necessary.
Conservation agriculture (CA) is inadequately developed for rice-based cropping systems widely practiced in Bangladesh. The current drawback is the implementation of CA for all crops including rice (Oryza sativa L., ecotype ‘transplanted aman’ [T. aman]) to increase rice–wheat (Triticum aestivum L.) rotation productivity. It is important to identify the best combination of tillage types and cropping systems to achieve a high yield of component crops and improve soil health. Three tillage practices, assigned to main experimental plots [namely, zero tillage (ZT), conventional tillage using a rotary tiller (CT) and deep tillage using a chisel plough (DT)] and three different cropping systems, assigned to sub-plots [namely, WFT: wheat–fallow–T. aman, WMT: wheat–mungbean (Vigna radiata L. Wilczek)–T. aman and WDT: wheat–dhaincha (Sesbania rostrata)–T. aman], were tested. After 4 years, ZT under WDT and WMT significantly increased soil organic matter (SOM) at 0–150 mm depth, and these replicates also held the highest levels of total organic carbon. Soil organic carbon (C) increased at a rate of 1.17 and 1.14 t/ha/y in ZT under WDT and WMT, respectively, while CT and DT under WFT were almost unchanged. After 4 years, SOM build-up by the three-crop system (WDT and WMT) under ZT helped conserve soil moisture and improve other soil properties, such as reduction in soil strength and bulk density and increase plant available water content, thus maintaining an optimum soil water infiltration rate. Zero tillage under WMT and WDT showed significant improvements in root mass density of rice and wheat at increased soil depth. The WDT and WMT plots under DT consistently gave the highest yield followed by WDT and WMT under CT, in contrast with ZT under WMT or WDT, which showed the highest improvement in crop yields over the years. In summary, minimum soil disturbance together with incorporation of a legume/green manure crop into the rice–wheat system as well as the retention of their residues increased soil C status, improved soil properties and maximized grain yields.
This paper addresses the transformation that has occurred in livelihoods in the Nordic Arctic, showing how it affects gender equality among the region's older people. The region's population includes the Sámi, an indigenous people, who have traditionally relied for their livelihood on activities such as reindeer herding, making handicrafts, farming, fishing, hunting, trapping and gathering. In recent years these have faced enormous challenges because of the rapid transformation of the region in the wake of climate change and globalisation. Overall, these and other processes have precipitated socio-economic, cultural, environmental and infrastructural changes that are transforming the local economies and severely impacting older people in particular. The main research question examined in this article is whether gender inequality has arisen among older people because of the ongoing transformation of livelihoods. To this end, the paper provides an empirical analysis based on experiences gathered from field studies conducted by the author in Finnish and Swedish Lapland. The research also presents the experiences of older persons in light of the standard set by General Recommendation 27 of the Committee on the Elimination of Discrimination against Women, which oversees the United Nations Convention on the Elimination of All Forms of Discrimination Against Women. The Recommendation sets out the right of older women to equality and non-discrimination. The findings of the present research contribute to filling a gap in the literature on the topic.
Foucauldian analyses and studies in the sociology of knowledge have provided vibrant accounts of the effects and lives of knowledge practices, yet they have been less attuned to their unexpected consequences upon reception in disparate settings. This article examines the employment of survey methodology as a means to enact modernization theory in non-Western areas during the early phases of the Cold War. An examination of the original questionnaires employed in sociologist Daniel Lerner's seminal text, The Passing of Traditional Society: Modernizing the Middle East, reveals an alignment between the ideal subject of modernization theory and the expectations placed upon the respondent. These expectations included familiarity with the conditions of the survey setting, impersonal relationships, the promise of anonymity, and the capacity for having and voicing opinions regarding otherwise improbable situations. Lerner's work and the studies it spawned did not merely measure and describe the attitudes of peasants, students, and administrators; they were intended to be performative: the interviews were designed to occasion the forms of subjectivity and interpersonal relations articulated and idealized by modernization theory. However, the researchers’ interest in the very activity of survey-taking as a modernizing edifice was undercut by skeptical respondents, disorderly interviewer behavior, and the relentless remaking of coding procedures. In this reading, the questionnaires and their specific stipulations surface as artifacts of knowledge practices that nonetheless overflow the intentions of their coders, sponsors, and creators.