To send 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 sending content to .
To send content items to your Kindle, first ensure email@example.com
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 sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent 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.
Roma Rights and Civil Rights tackles the movements for - and expressions of - equality for Roma in Central and Southeast Europe and African Americans from two complementary perspectives: law and cultural studies. Interdisciplinary in approach, the book engages with comparative law, European studies, cultural studies, and critical race theory. Its central contribution is to compare the experiences of Roma and African Americans regarding racialization, marginalization, and mobilization for equality. Deploying a novel approach, the book challenges conventional notions of civil rights and paradigms in Romani studies.
Using as a starting point the work of internationally-renowned Australian scholar Sam Ricketson, whose contributions to intellectual property (IP) law and practice have been extensive and richly diverse, this volume examines topical and fundamental issues from across IP law. With authors from the US, UK, Europe, Asia, Australia and New Zealand, the book is structured in four parts, which move across IP regimes, jurisdictions, disciplines and professions, addressing issues that include what exactly is protected by IP regimes; regime differences, overlaps and transplants; copyright authorship and artificial intelligence; internationalization of IP through public and private international law; IP intersections with historical and empirical research, human rights, privacy, personality and cultural identity; IP scholars and universities, and the influence of treatises and textbooks. This work should be read by anyone interested in understanding the central issues in the evolving field of IP law.
The Germanic language family ranges from national languages with standardized varieties, including German, Dutch and Danish, to minority languages with relatively few speakers, such as Frisian, Yiddish and Pennsylvania German. Written by internationally renowned experts of Germanic linguistics, this Handbook provides a detailed overview and analysis of the structure of modern Germanic languages and dialects. Organized thematically, it addresses key topics in the phonology, morphology, syntax, and semantics of standard and nonstandard varieties of Germanic languages from a comparative perspective. It also includes chapters on second language acquisition, heritage and minority languages, pidgins, and urban vernaculars. The first comprehensive survey of this vast topic, the Handbook is a vital resource for students and researchers investigating the Germanic family of languages and dialects.
Spectral analysis is widely used to interpret time series collected in diverse areas. This book covers the statistical theory behind spectral analysis and provides data analysts with the tools needed to transition theory into practice. Actual time series from oceanography, metrology, atmospheric science and other areas are used in running examples throughout, to allow clear comparison of how the various methods address questions of interest. All major nonparametric and parametric spectral analysis techniques are discussed, with emphasis on the multitaper method, both in its original formulation involving Slepian tapers and in a popular alternative using sinusoidal tapers. The authors take a unified approach to quantifying the bandwidth of nonparametric spectral estimate. An extensive set of exercises allows readers to test their understanding of theory and practical analysis. The time series used as examples and R language code for recreating the analyses of the series are available from the book's website.
Starting as a civil uprising calling for liberal reforms in March 2011, the unrest in Syria rapidly deteriorated into a proxy-led armed conflict involving multiple state-sponsored and non-state actors, including foreign militias and local armed groups. The current state of affairs in Syria, and the uncertainty regarding its future, raise numerous questions for scholars and practitioners of both international law and politics about justice within the context of a changing political reality in Syria. This book contributes uniquely to the scholarship on the Syrian war, raising voices from the Middle East and beyond not often heard within this research context. The volume is divided into three sections: Part I sets the factual and legal framework for the Syrian conflict; Part II focuses on the implications of the conflict for the Syrian neighbourhood; and Part III analyses possible post-conflict scenarios. Together, they address the key themes and questions of the conflicts.
In the wake of the Bologna Declaration, the number of courses and programmes taught in English has been increasing continuously across European institutions of higher education (HEIs). Courses taught in the paradigm of English-Medium Instruction (EMI) or English as ‘the language of learning and teaching’ (LoLT; van der Walt and Klapwijk 2015) have begun to replace programmes taught in the national language(s) (cf. Björkmann 2013). The number of programmes taught entirely in English has increased by more than a factor of ten in Europe since 2001 and amounted to over 8,000 by 2014 (Wächter and Maiworm 2014: 36).
The United States has a multidimensional set of employment law protections. From minimum wage and health and safety standards to antidiscrimination and antiretaliation protections, the law provides specific standards and structures to shield workers from egregious employer behavior and remedy the harms inflicted. These mandatory protections dovetail with the organizational power that labor law is intended to confer. The National Labor Relations Act (NLRA) provides for worker representation and obligates employers to bargain with these representatives over terms and conditions of employment. Labor law specifically provides employees with representation and requires management to negotiate with those representatives. And labor law professors have marveled at the spare commands of the NLRA and the depth of the Board’s interpretive nuance, as refined over 80 years.
The fetal membranes (FM) are comprised of the amniotic membrane (AM), chorionic membrane (CM), and underlying maternal decidua. Together they provide a barrier towards ascending infection and enable amniotic fluid (AF) homeostasis. Preterm premature rupture of the membranes (PPROM) can occur spontaneously and complicates around 2% of all pregnancies, leading to preterm birth, chorioamnionitis, neonatal sepsis, limb position defects, respiratory distress syndrome, pulmonary hypoplasia, and chronic lung disease. Membrane separation is a common finding after open fetal surgery that leads to iatrogenic PPROM (iPPROM) and intrauterine infection, complicating over 30% of fetal surgeries. The subsequent associated preterm birth compromises the outcome of treatment, reducing the clinical effectiveness of fetal surgery . Spontaneous healing of the membranes does not occur after fetoscopic surgery, leaving a visible defect in the FM (Figure 50.1) that is prone to AF leakage and subsequent iPPROM . To date, there are no clinical solutions to improve healing of the FM after they rupture.
Medical interventions should ideally only be offered if we know that they help the patient in improving outcome by reducing morbidity and mortality. At present, there is consensus that their effectiveness should be evaluated before incorporation into guidelines.
A traumatized airway can be challenging and requires timely intervention. Improper management can result in high mortality and morbidity, especially in the younger age group. Airway injuries in children occur as a result of direct injury to the airway, or indirect, as in anaphylaxis. Direct injury to the airway can be the result of penetrating or blunt trauma to the upper torso (head, neck, and chest).
One-lung ventilation in children undergoing non-cardiac surgery presents unique challenges that frequently require specialized equipment and creative solutions to achieve success. At the time of writing, the infrequency of these cases at any one institution limits our ability to perform prospective trials to compare different devices and approaches. As a result, most of the primary literature on this topic is based on individual experience and cases series. Despite this issue, this area of practice still continues to brim with innovation and creativity with multiple approaches leading to success.
In this book, Katina Lillios provides an up-to-date synthesis of the rich histories of the peoples who lived on the Iberian Peninsula between 1,400,000 (the Paleolithic) and 3,500 years ago (the Bronze Age) as revealed in their art, burials, tools, and monuments. She highlights the exciting new discoveries on the Peninsula, including the evidence for some of the earliest hominins in Europe, Neanderthal art, interbreeding between Neanderthals and modern humans, and relationships to peoples living in North Africa, the Mediterranean, and Western Europe. This is the first book to relate the ancient history of the Peninsula to broader debates in anthropology and archaeology. Amply illustrated and written in an accessible style, it will be of interest to archaeologists and students of prehistoric Spain and Portugal.
Total Intravenous Anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique.
Presenteeism, or working while ill, by healthcare personnel (HCP) experiencing influenza-like illness (ILI) puts patients and coworkers at risk. However, hospital policies and practices may not consistently facilitate HCP staying home when ill.
Objective and methods:
We conducted a mixed-methods survey in March 2018 of Emerging Infections Network infectious diseases physicians, describing institutional experiences with and policies for HCP working with ILI.
Of 715 physicians, 367 (51%) responded. Of 367, 135 (37%) were unaware of institutional policies. Of the remaining 232 respondents, 206 (89%) reported institutional policies regarding work restrictions for HCP with influenza or ILI, but only 145 (63%) said these were communicated at least annually. More than half of respondents (124, 53%) reported that adherence to work restrictions was not monitored or enforced. Work restrictions were most often not perceived to be enforced for physicians-in-training and attending physicians. Nearly all (223, 96%) reported that their facility tracked laboratory-confirmed influenza (LCI) in patients; 85 (37%) reported tracking ILI. For employees, 109 (47%) reported tracking of LCI and 53 (23%) reported tracking ILI. For independent physicians, not employed by the facility, 30 (13%) reported tracking LCI and 11 (5%) ILI.
More than one-third of respondents were unaware of whether their institutions had policies to prevent HCP with ILI from working; among those with knowledge of institutional policies, dissemination, monitoring, and enforcement of these policies was highly variable. Improving communication about work-restriction policies, as well as monitoring and enforcement, may help prevent the spread of infections from HCP to patients.
Why do hosts vary so much in parasite burden, how does this variation translate to variation in host demographic rates and parasite transmission, and how does varied transmission intensity impact selection upon immune defence of individuals? The theoretical foundations of disease ecology provide predictions for the answers to these questions, yet testing such predictions with empirical data poses many challenges. We show how the long-term ecological and genetic study of the unmanaged Soay sheep of St Kilda has addressed fundamental questions in disease ecology, with longitudinal data on parasite burden, immune defence, condition, survival, and fecundity of >10,000 individuals. The rich individual-scale data are complemented by >30 years of data on sheep population dynamics and genetic diversity as well as parasite dynamics and diversity. Population-scale work has documented the range of parasite species present and the contribution of the most prevalent and virulent parasites to regulating sheep dynamics. Individual-scale work has identified drivers of variation in parasite burden and tested hypotheses about costs and benefits of defence in a quest to determine how natural selection has shaped immune function of the sheep.
To assess the relapse-free survival (RFS) and the factors influencing local recurrence in patients with desmoid fibromatosis (DF) treated at our centre and to determine the role of post-operative radiotherapy (RT) in improving local control.
A retrospective analysis of 51 patients treated for DF from January 2004 to December 2013 was undertaken. The RFS was calculated using the Kaplan–Meier curve. Univariate analysis was done to assess correlation with tumour size, site, the extent of surgery, margin status and adjuvant RT with RFS.
The median age was 28 years with a male:female ratio of 1:3. The most common location of the tumour was anterior abdominal wall (47%). The median tumour size was 10 cm. Wide local excision was done in most patients. Complete resection with negative margin was achieved in eight patients. Post-operative RT was indicated for 43 patients of whom 19 received RT. At a median follow-up of 37 months, RFS in the complete resection with margin negative group was 100%. RFS for the patients with positive or close margins who received RT was 79% and for those who did not receive RT, it was 87%.
Complete excision with negative margins gives the best local control in DF. The benefit of post-operative RT could not be ascertained.
Archaeobotanical studies tend to concentrate on the evidence for specialised agricultural food production, with less attention directed towards the use of plant foods within hunter-gatherer contexts. Here, the authors present evidence for the exploitation of Canarium nuts from four late hunter-gatherer sites in southern China. Canarium nuts contributed to the inhabitants’ diets from as early as 9000 cal BP. They also identify new uses of Canarium, c. 4500–4400 cal BP, as ritual offerings in the context of the introduction of rice and millet farming. The results are examined in the context of Canarium use across the wider Asia-Pacific region.
To promote good governance, citizens can inform governments directly and routinely about the implementation of policies and the delivery of public services. Yet citizens lack incentives to provide information when they do not expect governments to be responsive, and citizen disengagement in turn often prevents governments from providing public goods effectively. In two field experiments, we studied potential remedies to this dilemma related to solid waste services in Uganda. We randomly assigned reporters to be recruited by community nomination and to be recognized by community leaders in an attempt to select for and motivate information sharing. We also randomly assigned reporters to hear from the government about how their reports were used to make real improvements to waste services. Community nominations and public announcements did not increase reporting. However, responsiveness boosted participation over several months for reporters who had been recruited earliest and had been reporting longest, highlighting the critical role of timely government responsiveness in sustaining information flows from citizens.