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Why, and to what extent, are states more or less likely to comply with international law? No overarching state compels compliance, and the international institutional context is thin, yet states seem largely to comply. How do we explain this behaviour? Developed through interviews with eighty State Department senior officials from across five recent administrations, Philip Moremen provides a qualitatively and quantitatively rich study of the extent to which and under what conditions the United States and other countries comply with international law. US policymakers consider legal issues, national interest, and other factors together when making decisions-law is not always dispositive. Nevertheless, international law constrains states. In State Department policymaking there is a strong culture of respect for international law, and lawyers play a highly influential role. In this context, the book concludes by investigating the effect of the Trump Administration on the culture and processes of the State Department.
To investigate healthcare workers’ perceptions of the integrated disease surveillance and response (IDSR) strategy.
Methods
A cross-sectional survey of healthcare workers (HCWs) was conducted from December 2021 to June 2022 to assess their perceptions of the IDSR system attributes.
Results
Of the 409 respondents, 12 (2.9%) reported no prior training on disease surveillance. The IDSR was deemed simple, acceptable, useful, and timely by most participants. There were sharp differences in perceptions of flexibility and simplicity between doctors and the other healthcare professionals. However, acceptability, timeliness, and usefulness were uniformly perceived. Healthcare workers with at least 11 years of experience perceived the usefulness of the IDSR system significantly higher than those with lesser years of experience. However, work experience did not have an impact on HCWs perceptions of the simplicity, timeliness, and flexibility of the IDSR system.
Conclusions
Most healthcare workers have positive perceptions of the IDSR approach. However, there are reservations about how well the system can adapt to changing conditions and demands (flexibility) and how well it simplifies the implementation processes. These findings demonstrate the necessity of adopting cutting-edge strategies for capacity building as well as ongoing professional development of healthcare professionals responsible for the implementation of the IDSR strategy.
Most Australian school students take a packed lunch to school(1). However, parents have reported many barriers to packing a healthy lunch(2). Subsequently, foods eaten during school hours are not consistent with the Australian Dietary Guidelines, with discretionary foods providing about 44% of energy consumed during this time(3). In addition, some children go to school without any food for lunch or money to buy lunch. The Tasmanian School Lunch Project provides free nutritious cooked lunches for Kinder to Year 10 students attending 30 government schools (15 commenced 2022, 15 commenced 2023) in areas of high socioeconomic disadvantage. The lunches were provided 1-3 days/week. The menu and recipes were designed by dietitians. This analysis aimed to describe parents’ perceptions of the School Lunch Project during the first year. Six of the 15 schools that commenced in term 2 2022 were invited, and agreed, to participate in the evaluation. During term 3 or 4 2022, parents completed online or written surveys (n = 159) and/or participated in discussion groups (n = 26) to share their thoughts on the menu, their concerns, likes, and willingness to pay. Survey data were analysed descriptively and open-ended survey responses and discussion group data thematically. During 2022, 78,832 nutritious cooked lunches were provided to 1,678 students. Most parents felt there was enough variety on the menu (66%) and the right amount of food was served (69%). Most students (79%) ate the lunches every day they were provided yet 52% of parents continued to provide a packed lunch. Parents enjoyed that their child was having a healthy lunch (66%) and trying new foods (74%). Some parents in the discussion groups indicated positive flow on effects at home with students trying new foods and sitting down together as a family to eat the evening meal. Half the parents (50%) had no concerns about the school providing lunches. The most commonly reported concerns were their child might not like the food (36%) or their child does not try new foods (8.6%). These concerns were also raised in the discussion groups. Most parents (93%) were prepared to pay for the lunches in future (median $3, range $1-$12) and 85% thought there should be a family discount. Parents acknowledged some payment was necessary for the sustainability of the program but some expressed concern for those who may struggle to pay. More direct communication with families about the meals offered, the availability of bread (from term 4 2022) for students who choose not to eat the cooked lunch or want more to eat, and allowing families time to adjust to the new lunch system, may address some of the concerns raised. Further data on parents’ perceptions of the school lunches will be collected during term 3 2023.
To synthesise current evidence on knowledge, perceptions and practices towards type 2 diabetes risk in sub-Saharan Africa
Design:
Mixed-methods scoping review, which included 101 studies (seventy-three quantitative, twenty qualitative and eight mixed methods) from seven electronic databases.
Setting:
Sub-Saharan Africa, 2000–2023.
Participants:
Men and women without diabetes with mean ages ranging from 20 to 63 years.
Results:
The majority of participants in most studies knew the three main diabetes modifiable risk factors – excess weight, unhealthy diet and physical inactivity. However, most people with excess weight in almost all studies underestimated their weight. Further, the self-described ideal body weight was between midpoint of normal weight and the upper limits of overweight in most quantitative studies and was described as not too skinny but not too fat in qualitative studies. In the majority of studies, participants reported low engagement in weight control, high regular sugar intake, and low regular fruit and vegetable intake but moderate to high engagement in physical activity. Barriers to reducing diabetes risk were social (e.g. societal perceptions promoting weight gain) and environmental (e.g. limited affordability of healthy foods, high accessibility of Western diets and lack of physical activity facilities).
Conclusion:
There is a need for multicomponent type 2 diabetes prevention interventions that increase knowledge of identifying diabetes risk (e.g. what constitutes excess weight) and create social and physical environments that support healthy lifestyles (e.g. societal perceptions that promote healthy living, increased availability and affordability of healthy foods and physical activity facilities).
The principle of distinction in International Humanitarian Law sets up two entities, the civilian and the combatant, and organises the relationship between them. This socio-legal chapter draws on original research from South Sudan to explore how this principle is operationalised in humanitarian–peacekeeper interactions. Humanitarian actors routinely invoke ‘distinction’ as they navigate operational dilemmas with respect to the use of military assets, and in their relationship with the UN Mission in South Sudan more generally. Two ‘ideal types’ of humanitarian actor emerge here. The first type takes a strict approach to distinction, thinking long term and eschewing military asset use that undermines distinction. The second type interprets distinction flexibly and balances it with other goals such as reaching people in need; this exposes a hidden conflict between the principles of distinction and humanity. Through these everyday interactions – which sometimes involve drawing lines within the civilian category – humanitarian actors produce distinction in law, in practice, and in perception.
To explore the perspectives, barriers and enablers on salt reduction in out-of-home sectors in Malaysia among street food vendors, caterers and consumers.
Design:
A qualitative study involving twenty-two focus group discussions and six in-depth interviews was conducted, recorded and transcribed verbatim. An inductive thematic analysis approach was employed to analyse the data.
Setting:
Two in-depth interviews and twenty-two focus group discussions were conducted face-to-face. Four in-depth interviews were conducted online.
Participants:
Focus group discussions were conducted among twenty-three street food vendors, twenty-one caterers and seventy-six consumers of various eateries. In-depth interviews were conducted among two street food vendors and four caterers, individually.
Results:
Consumers and food operators perceived a high-salt intake within Malaysia’s out-of-home food sectors. Food operators emphasised the necessity for a comprehensive salt reduction policy in the out-of-home sector involving all stakeholders. Consumers faced limited awareness and knowledge, counterproductive practices among food operators and challenges in accessing affordable low-Na food products, whereas food operators faced the lack of standardised guidelines and effective enforcement mechanisms and uncooperative consumer practices. Both groups expressed that food quality and price of salt were also the barriers, and they advocated for awareness promotion, enhanced regulation of manufactured food products and stricter enforcement targeting vendors. Consumers also suggested promoting and recognising health-conscious food premises, whereas food operators suggested on knowledge enhancement tailored to them, strategies for gaining consumers acceptance and maintaining food quality.
Conclusions:
These findings provide valuable insights that serve as foundational evidence for developing and implementing salt reduction policies within Malaysia’s out-of-home sectors.
Feeding by Critically Endangered forest elephants Loxodonta cyclotis in rural plantations is a conservation issue in Gabon, but studies characterizing drivers of spatiotemporal patterns of human–elephant interactions remain sparse, hindering mitigation. In this study, we use GPS tracking data from two elephants to characterize temporal patterns of village visitation, and surveys of 101 local farmers across seven villages to determine local patterns of crop planting and harvesting and of human–elephant interactions. Local farmers' perceptions of elephant visitations and empirical data on such visits were positively correlated with local crop availability. However, considering the two elephants separately revealed that the correlations were driven by just one individual, with the second elephant showing weak links between crop availability and visitation, highlighting the challenges in reliably predicting human–wildlife interactions. The most popular local perceptions of the drivers of elephant visitation were the presence of crops (53% of responses) and logging (39%). The most popular proposed interventions were letting the government find a solution (32%), killing problem elephants (30%) and providing compensation for lost crops (22%). We discuss the potential feasibility and efficacy of the proposed solutions in the context of human–elephant interactions. Future research efforts should focus on collaring elephants in zones with high potential for negative human–elephant interaction and expanding perception surveys to villages with contrasting ecological contexts (e.g. with and without logging in their surrounding forests), as these could influence local perceptions of conflicts and conservation initiatives.
The present chapter set out to complement the quantitative analyses in Chapter 3 with more qualitative analyses of L2 learners’ beliefs and assessment of advancedness. We analyzed the different metalinguistic descriptors they produced to describe their beliefs and other speakers’ actual use of language, its content, manner, and the L2 speaker’s identity. We found that our L2 learners were only partially explicitly aware of the language, the content, and the manner exhibited by our L2 speakers, but that they were implicitly sensitive to categorically different levels of intercultural competence among different L2 speakers. We concluded that our L2 listeners could only partially imagine L2 advancedness, and we hypothesized that the lack of a full understanding of advancedness, operationalized as a lack of language awareness, could inhibit their ability to develop an L2 identity. Consequently, we call for future research to examine how institutional intervention, through curricular design or student advising, may help to make students more explicitly aware of the multifaceted nature of advancedness, as well its empowering effect on their identity and agency as an L2 speaker.
The present chapter provides qualitative analyses of ideologies and practices toward the assessment of advanced L2 Spanish based on descriptors produced by L2 professionals. As a supplement to the quantitative findings in Chapter 6, we generated more nuanced descriptions of beliefs and practices. We found that advancedness goes beyond the scope of mainstream conceptualizations. In addition, different foci of assessment were not merely limited to constructs of functional communication, linguistic structure, and sophistication, but also extended to L2 speaker identity. We concluded that institutionalized methods of assessing advanced language use should evolve, and that professionals’ values should be free of biases toward specific learner identities. Among such values are the emphasis on language proficiency, on sophisticated language use, and on the L2 speaker’s identity as an autonomous L2 learner developing agency in socio- and intercultural interaction, rather than one that strives to be “nativelike.” We suggest that future research consider the construct of L2 identity as an essential component of advancedness, and that language departments emphasize L2 identity construction.
The International Criminal Court seeks to end impunity for the world’s worst crimes, in order to contribute to their prevention. But what is its impact to date? This book takes an in-depth look at four countries under scrutiny of the ICC: Afghanistan, Colombia, Libya and Uganda. It puts forward an analytical framework to assess the impact of the ICC on four levels: on the domestic legal systems (systemic effect); on peace negotiations and agreements (transformative effect); on victims (reparative effect); and on the perceptions of affected populations (demonstration effect). It concludes that the ICC, through its expressive function, is having a normative impact on domestic legal systems and peace agreements, but it has brought little reparative justice for victims and it does not necessarily correspond with affected populations view justice priorities. The book concludes that justice for the world’s worst crimes has no “universal formula” that can easily be captured in law.
Chapter 7 discusses the societal impact of Court on the affected communities, known as demonstration effect. Different elements are important to “demonstration effect,” including (1) whether the Court is perceived as impartial in a specific context, (2) whether the ICC’s interventions are perceived as relevant and responsive to local communities and their justice struggles, (3) whether the Court is viewed as a legitimate justice institution, and (4) whether it is perceived as independent. Relying on qualitative data, the chapter seeks identify trends in perceptions in Afghanistan, Colombia, Libya, and Uganda. The chapter concludes that the Court suffers from negative perceptions in all four countries. In Uganda and Libya, its failure to prosecute actors from different sides contributes to an impression that it is not impartial. In Afghanistan or Libya, it is perceived as Western-influenced and not independent. In different contexts including Afghanistan, Uganda, and Colombia, it was perceived as an external imposition, and not aligned with local justice priorities arising from many decades of conflict. The architecture of the Court, with limited capacity to conduct preliminary examinations to better contextualize its interventions, limited field offices and little outreach, hinders effectively addressing these negative perceptions.
The International Criminal Court seeks to end impunity for the world’s worst crimes, in order to contribute to their prevention. But what is its impact to date? This book takes an in-depth look at four countries under scrutiny of the ICC: Afghanistan, Colombia, Libya and Uganda. It puts forward an analytical framework to assess the impact of the ICC on four levels: on the domestic legal systems (systemic effect); on peace negotiations and agreements (transformative effect); on victims (reparative effect); and on the perceptions of affected populations (demonstration effect). It concludes that the ICC, through its expressive function, is having a normative impact on domestic legal systems and peace agreements, but it has brought little reparative justice for victims and it does not necessarily correspond with affected populations view justice priorities. The book concludes that justice for the world’s worst crimes has no “universal formula” that can easily be captured in law.
The International Criminal Court seeks to end impunity for the world's worst crimes, to contribute to their prevention. But what is its impact to date? This book takes an in-depth look at four countries under scrutiny of the ICC: Afghanistan, Colombia, Libya, and Uganda. It puts forward an analytical framework to assess the impact of the ICC on four levels: on the domestic legal systems (systemic effect); on peace negotiations and agreements (transformative effect); on victims (reparative effect); and on the perceptions of affected populations (demonstration effect). It concludes that the ICC is having a normative impact on domestic legal systems and peace agreements, but it has brought little reparative justice for victims, and it does not necessarily correspond with how affected populations view justice priorities. The book concludes that justice for the world's worst crimes has no 'universal formula' that can easily be captured in law by one institution.
Success semantics holds, roughly, that what it is for a state of an agent to be a belief that P is for it to be disposed to combine with her desires to cause behaviour that would fulfill those desires if P. J. T. Whyte supplements this with an account of the contents of an agent's “basic desires” to provide an attractive naturalistic theory of mental content. We argue that Whyte's strategy can avoid the objections raised against it by restricting “basic desires” to sensory inclinations that cause us to do things independently of our beliefs about their contents.
Allocation of water specifically to the environment (often dubbed ‘environmental water’ or ‘environmental flows’) can be contentious within government, among irrigators and between community members. The reduction in supply of fresh water has led to questions surrounding the efficiencies and ecological value of securing these adequate flows for waterways. This literature review examines the evidence on these perceptions of environmental water allocations, focusing foremost on general public, irrigator, Indigenous and decision-maker perspectives. Existing studies are predominantly in Global North areas such as Australia, Canada and the USA. Two themes featured strongly in the papers: the importance of personal values in the acceptance of environmental water and the perception of fairness in environmental water allocation processes. Although the research area has been expanding, there is still limited representation in types of study, disciplinary backgrounds and study locations, and as such many research opportunities remain.
Primary health care (PHC) physicians’ perceptions are vital to understand as they are the first-line health care providers in cardiovascular diseases (CVD) risk assessment and management. This study aims to explore PHC physicians’ perceptions on their roles and their perceptions on management and risk reduction approaches on CVD risk reduction and management in Fiji.
Methods:
This is a qualitative study conducted in the Suva Medical area among 7 health centers from 1 August to 31 September, 2021. Purposive sampling was used to recruit physicians who worked in the Suva medical area as PHC physicians with at least 6 months’ experience in the Special Outpatients Department clinics. In-depth interview were conducted using a semi-structured questionnaire over the telephone and recorded on a tablet device application. The interview content was then transcribed, and thematic analysis was done.
Results:
This study included 25 PHC physicians. From the thematic analysis, 2 major themes emerged with 6 subthemes. Theme 1 was CVD management skills with 3 subthemes including education, experience and trainings, beliefs and attitudes of physicians, self-confidence and effectiveness in CVD risk reduction and management. Theme 2 was roles and expectations with 3 subthemes including perceptions of effective treatment, perceptions of physicians’ roles and perceptions of patients’ expectations. Physicians generally see their role as central and imperative. They perceive to be important and leading toward combating CVDs.
Conclusions:
Physicians’ perceptions on their commitment to prevention and management of CVDs through their skills and knowledge, beliefs and motivation should be acknowledged. It is recommended that the physicians are updated on the current evidence-based medicine. Limitations include results that may not be the reflection of the entire physician and multidisciplinary community and the difficulties in face-to-face interviews due to the coronavirus diseases of 2019 pandemic.
China plays a critical role in global biodiversity conservation, as both a biodiversity hotspot and for its role in international and domestic animal trade. Efforts to promote wildlife conservation have sparked interest in the attitudes held by Chinese citizens towards animals. Using a questionnaire, we sought to investigate the attitudes of 317 Chinese nationals across 22 provincial-level administrative units regarding their uses of animals, their perceived emotional capacities and views on exotic pets. We reduced the variables related to perceived uses of animals via Principal Component Analysis and ran Generalised Linear Models and Structural Equation Modelling to test relationships between questionnaire-derived variables. Perceptions of animals were divided into two Kellert categories — Utilitarian and Humanistic uses — and 97% of participants believed in animals’ capacities to have and express emotions. We found few interactions, with exotic pets, ie playing with or taking photographs, but the acceptability of owning an exotic pet influenced the likelihood of purchasing one. A belief that animals express emotions encouraged people to look for them as pets but thinking that pets make people happy made exotic pet ownership less acceptable. The shift in attitudes to include humanistic perceptions of animals, a belief in animals as emotive beings and understanding of terminology changed from the previous utilitarian views of pre-reform China, suggesting a readiness to embrace further conservation efforts in China. This deeper understanding of Chinese attitudes toward animals and drivers of the exotic pet trade within China may enable conservation efforts to better target future campaigns.
Momentum is often cited in the media and in other sources as an important factor in performance over time in business, politics, sports and other areas. Yet, academic research on whether momentum actually exists is mixed. This study aims to assess momentum perceptions in a context in which momentum could be relevant, but where empirical data have shown that no momentum exists. In particular, we take the scenario of a basketball game that is tied at the end of regulation time. We designed questionnaires where one of the teams closed a moderate or a large score gap during the last few minutes of the fourth quarter (and in a control treatment, the score was balanced during these minutes). In the first study, 107 fans and 73 practitioners answered these questionnaires. Then, in the second study, 250 additional respondents completed questionnaires containing the same game scenarios but with additional “opposite-framing” versions and a set of questions regarding the reasons for momentum-based beliefs. The respondents also answered several questions about their level of knowledge and interest in basketball, which allowed us to categorize them to fans and laymen. The responses revealed that coming back into the game by reducing a significant score gap during the final minutes of regular time was perceived to increase the teams’ chances to win in overtime (which can be interpreted as a positive momentum). Fans exhibit stronger momentum beliefs compared to laymen. Overall, respondents’ perceptions contradict the existing empirical evidence that shows that the comeback team does not have higher chances to win the game in overtime. We discuss possible reasons for the discrepancy between the perceptions we observed and the empirical data.
It is known that presentation of a meaningful label (e.g., "The Teamwork Game") can influence decisions in economic games. A common view is that such labels cue associations to preexisting mental models of situations, a process here called frame selection. In the absence of such cues, participants may still spontaneously associate a game with a preexisting frame. We used the public goods game to compare the effect of such spontaneous frame selection with the effect of label framing. Participants in a condition where the public goods game was labeled "The Teamwork Game" tended to contribute at the same level as participants who spontaneously associated the unlabeled game with teamwork, whereas those who did not associate the the unlabeled game with teamwork tended to make lower contributions. We conclude that neutrally described games may be subject to spontaneous frame selection effects comparable in size to the effects of label framing.