We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save 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 saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
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 saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved 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.
The past few years have witnessed an emergent growth of both academic and practical works on English medium instruction (EMI) teachers' professional development. This paper presents a critical analysis of 30 empirical studies on EMI teacher development in a wide range of higher educational settings from 2018 to 2022. Through a systematic process of paper selection and review, we have identified three general routes to EMI teacher development, namely: (1) formal training activities; (2) opportunities for teacher collaboration; and (3) self-initiated practices. For each route, we presented a critical appraisal of their design and implementation, as well as reported gains and challenges. Meanwhile, we also conducted a critical analysis of the methodological issues pertaining to the selected papers. Overall, we argue that EMI teacher development in higher education is largely construed as a hybrid, contested, and transformative enterprise featured by EMI teachers' constant boundary-crossing at different levels to seek professional growth in linguistic, pedagogical, cultural, and psychological domains. During this process, EMI teachers may encounter conflicted dispositions, power asymmetries, and individual contradictions. Such a process thus requires EMI teachers to rethink, reexamine, and reflect critically on their accustomed preconceptions and practices, in order to facilitate transformation and achieve sustainability in the long run. The review also presents implications for EMI teachers, teacher educators, policymakers, and researchers on effectively facilitating EMI teacher development in higher education.
While the fate of a multigenerational interstellar population cannot be predicted with anything approaching certainty, the many dangers presented by the instantaneously lethal environment of space, plus the interpersonal pressures and conflicts that might result in social breakdown, make it doubtful that a successful transit to another star system with all the successive onboard generations remaining safe, healthy, and happy across time, is a realistic possibility. It is far more likely that the crew would suffer one or another kind of irremediable catastrophe en route than that everyone aboard would survive, and that the final, arriving generation would get there intact. But if that is true, then the question arises whether it would be morally justifiable to launch such an expedition to begin with, given its immense costs, high probability of failure, and lack of any benefit accruing to the sponsors back on Earth who had paid for it all.
Although the criteria that support reimbursement decisions for medicines are often set by legislation, as is the case in Spain, in many cases neither the definition nor the measurement methods for these criteria are provided. Our goal was to elicit the views of a large sample of Spanish technical specialists on how to evaluate each one of the criteria that inform pricing and reimbursement decisions in Spain. Professionals from various stakeholder groups involved in health economics, health technology assessment, and industry participated in a survey. Participants recommended that reimbursement decisions should take specific account of unmet medical need and rare diseases. Health benefit should be measured using quality-adjusted life-years. There should be an explicit cost-effectiveness threshold, and this threshold should take account of population groups and special situations.
‘De-risking’ is the latest buzzword in the China strategy of the United States and its allies. It means limiting dependence on and engagement with China in select strategic sectors. One of such sectors concerns critical minerals (CMs) which are essential for the ongoing green economic transition. To secure access to CMs and reduce reliance on China, the US and its allies have been developing networks for ally-shoring supply chains. A major problem with the ‘de-risking’ strategy in this regard is that it treats China as the risk and hence excludes China from the discussions and collaboration on global supply chain issues. In this paper, we argue that this strategy fails to consider China's strategies and policies regarding CMs. We therefore offer a detailed analysis of China's policies which shows that they have been primarily aimed at addressing internal challenges and policy priorities in China rather than dominating, weaponizing, or causing disruptions in global supply chains. To address supply chain risks most effectively, international collaborative frameworks should engage with, rather than exclude, China. Confrontational strategies with ‘China being the risk’ at the core might themselves be a risk by undermining rational policymaking and leading to disruptive policies.
In his 2019 essay, Arthur Kleinman laments that medicine has become ever-competent at managing illness, yet caring for those who are ill is increasingly out of practice. He opines that the language of ‘the soul’ is helpful to those practicing medicine, as it provides an important counterbalance to medicine’s technical rationality that avoids the existential and spiritual domains of human life. His accusation that medicine has become soulless merits considering, yet we believe his is the wrong description of contemporary medicine. Where medicine is disciplined by technological and informational rationalities that risk coercing attention away from corporealities and toward an impersonal, digital order, the resulting practices expose medicine to becoming not soulless but excarnated. Here we engage Kleinman in conversation with Franco Berardi, Charles Taylor, and others to ask: Have we left behind the body for senseless purposes? Perhaps medicine is not proving itself to be soulless, but rather senseless, bodyless – the any-occupation of excarnated souls. If so, the dissension of excarnation and the recovery of touching purpose seems to us to be an apparent need within the contemporary and increasingly digitally managed and informationally ordered medical milieu.
With the recent passage of the Carbon Border Adjustment Mechanism (CBAM), the free allocation of emission permits under the EU Emissions Trading System (EU ETS) that currently acts as a safeguard against emissions leakage and industrial relocation will progressively be phased out. Because the CBAM only covers imports, however, European goods exported into global markets stand to become more vulnerable to emissions leakage. Different policy options have been discussed to counter such export-related leakage, but they variously face concerns regarding their environmental, political, and legal implications. We describe and evaluate the three most important policy options based on their potential to reduce export-related leakage, support the net-zero transformation in Europe as well as globally, ensure conformity with international trade law, secure administrative feasibility, and foster political acceptance by affected trade partners. While no single option outperforms its alternatives on all criteria, our analysis identifies targeted innovation support as a promising option because it minimizes legal and political risks while also offering climate benefits beyond leakage protection for European industry. We then discuss the sectors that are most likely to require innovation support, the policy instruments that could serve to operationalize such support, and potential funding sources. We conclude with guiding principles for technology support measures, reflecting on the implications of the current surge in industrial policy within Europe and beyond.
Environmental features of a patient’s room depend on the patient’s level of acuity and their clinical manifestations upon admission and during their hospital stay. In this study, we wish to apply statistical methodology to explore the association between room features and hospital onset infections caused by Clostridioides difficile (HO-CDI) while accounting for room assignment.
Method
We conducted a nested case–control study using retrospective electronic health record (EHR) data of patients hospitalized at the Ohio State University Wexner Medical Center (OSUWMC) between January 2019 and April 2021. We collected clinical information and combined that with room-based information, collected as surveys. Data were analyzed to assess the association between room factors and HO-CDI.
Results
2427 patients and 968 unique rooms were included in the study. Results indicated protective effects for rooms with cubical curtains near the patient (OR = 0.705, 95% CI = 0.549–0.906), rooms with separate shower units (OR = 0.674, 95% CI = 0.528–0.860), rooms with wall-mounted toilets (OR = 0.749, 95% CI = 0.592–0.950), rooms with sliding bathroom doors (OR = 0.593, 95% CI = 0.432–0.816), and sliding door knobs (OR = 0.593, 95% CI = 0.431-0.815). Rooms with manual paper towel dispensers had increased odds of HO-CDI (OR = 1.334, 95% CI = 1.053–1.691) compared to those with automatic towel dispensers.
Conclusion
Results suggest possible association between specific room features and HO-CDI, which could be further investigated with techniques like environmental sampling. Moreover, findings from the study offer valuable insights for targeted intervention measures.
Phosphorus (P) is a non-renewable resource that limits plant productivity due to its low bioavailability in the soil. Large amounts of P fertilizer are required to sustain high yields, which is both inefficient and hazardous to the environment. Plants have evolved various adaptive responses to cope with low external P availability, including mobilizing cellular P through phosphate (Pi) transporters and recycling Pi from P-containing biomolecules to maintain cellular P homeostasis. This mini-review summarizes the current research on intracellular P recycling and mobilization in response to P availability. We introduce the roles of Pi transporters and the P metabolic enzymes and expand on their gene regulation and mechanisms. The relevance of these processes in the search for targets to improve phosphorus use efficiency and some of the current challenges and gaps in our understanding of P starvation responses are discussed.
The amphipod Ampithoe bizseli Özaydinli and Coleman, 2012 is a cryptogenic species that was recently described in Turkey. Although to date it has only been recorded in the Mediterranean Basin, it is potentially native to the Red Sea and Indian Ocean. During a macrozoobenthos sampling campaign carried out in the Canary Islands in 2023, 25 individuals of A. bizseli were found in association with some fish farm facilities. This work represents the first report of this amphipod in European Atlantic waters and increases knowledge of the ecology of this non-indigenous species.
A gravitationally bound two-body system (if the two bodies are spheres of constant mass) shows simple periodic motion. We have seen that a three-body system, even if we install restrictions for computational simplicity, can show a rich variety of behaviors. Tadpole orbits, horseshoe orbits, and ZLK oscillations are just a sampling of what can happen.
Early childhood obesity (ECO) significantly increased in the United States. ECO interventions lack focus on the prevention of ECO for infants under two. Caregiver’s feeding styles (CFS) has shown to affect ECO development, but studies on CFS are limited. This study examined socioecological factors associated with CFS for infants under two in Nevada.
Design:
This cross-sectional study utilizing a survey, examined the five CFS-constructs: Responsive (RP), Non-Responsive (NRP) laissez-faire, NRP-pressuring, NRP-restrictive, and NRP-indulgent. Descriptive analysis and logistic regression following a hierarchical modeling approach were used to determine the associations between the CFS-constructs and socioecological factors (e.g., household, maternal mental health, and infant feeding).
Setting:
Clark County, Nevada.
Participants:
304 caregivers with infants under two.
Results:
NRP feeding styles were associated with low-income households (e.g., NRP-restrictive (AOR=2.60, 95% CI [1.01-6.71])), water insecurity (e.g., NRP-pressuring (AOR=2.46, 95% CI [1.00-6.06]), young mothers (e.g., NRP-laissez-faire (AOR=2.39, 95% CI [1.00-5.84])), lower maternal education (e.g., RP (AOR=0.58, 95% CI [0.33-1.00])), mild risk for depression (e.g., NRP-restrictive (AOR=0.50, 95% CI [0.28-0.90])) and a moderate to severe risk for anxiety (e.g., NRP-pressuring (AOR=0.32, 95% CI [0.14-0.74])). There were no associations between infant feeding factors and RP feeding.
Conclusion:
Our study identified socioecological factors associated with dissimilarities in CFS in Nevada. These findings can be used to tailor educational approaches to address disparities in early childhood obesity.
Beyond the task of developing a realistic and workable propulsion system that would make interstellar travel possible and practical, there is the prior challenge of identifying an extrasolar planet that would be suitable for long-term human habitation. Any planet that is a candidate for human colonization has to satisfy a surprisingly large number of requirements stemming from the fact that human biology has evolved on Earth and nowhere else, and is therefore fit to survive only in an environment that is substantially similar to our own. As Daniel Deudney has said in his book Dark Skies, “Humans are sprung from the Earth, have never lived anywhere but on Earth, and the features of this planet have shaped every aspect of human life .… Life is not on Earth, it is of Earth.” And for that reason, a planet fit for human colonization elsewhere must be earthlike in several important respects.
Researchers proposed ever larger and yet more implausible designs for interstellar vehicles. And so in 1996, writing in the journal Nanotechnology, one Thomas L. McKendree discussed what would be possible if materials provided by molecular nanotechnology were used to build spacecraft in place of then current structural building materials such as aluminum, steel, and titanium. Molecular nanotechnology was the theoretical ability to design and build products to atomic precision. Such a technology, which does not exist as yet and might never, would allow the use of diamondoid materials that had much higher strength-to-density ratios than those that are now used to build structures. In his paper “Implications of Molecular Nanotechnology Technical Performance Parameters on Previously Defined Space System Architectures,” McKendree argued that the use of diamondoid structural materials would make possible extremely large space colonies. The classic cylindrical colony, for example, if made of diamondoid structural elements could have a radius of 461 kilometers and a length of 4,610 kilometers, or 2,865 miles.
This glycopeptide antibiotic, like vancomycin, has bactericidal activity against both aerobic and anaerobic Gram-positive bacteria: Staphylococcus aureus, including MRSA, Streptococcus spp., Listeria spp. and Clostridium spp. It is only bacteriostatic for most Enterococcus spp. It does not cause ‘red man’ syndrome through histamine release and is less nephrotoxic than vancomycin. However, due to the variation between patients, effective therapeutic levels for severe infections may not be reached for a number of days using the most commonly recommended dosage schedules. Serum monitoring of pre-dose levels can be undertaken, particularly for severe infections.
Amidst initiatives and international agreements that call for a stronger consideration of sustainable development in international investment law, there is a need to assess whether the concept has found its way in decisions rendered by investment arbitration tribunals. References to the concept of sustainable development in investment arbitration can eventually make the adjudication of investment disputes more consistent with an increasingly important aspect of the context in which the terms of international investment agreements are embedded. Have arbitration tribunals acknowledged the relevance of the concept of sustainable development when adjudicating international investment disputes? To answer this question, this article adopts an exploratory research design and relies on a content analysis of 91 decisions that include at least one reference to the term ‘sustainable development’. It argues that the use of sustainable development by tribunals is both marginal and problematic, thus showing a strong disconnect from efforts deployed in investment policymaking and international adjudication. The article proceeds in three steps. First, it focuses on international initiatives encouraging the consideration of sustainable development in investment policymaking. Second, it briefly explores the reliance on sustainable development that has emerged in international adjudication, outside investment arbitration. Third, by analysing express references to sustainable development in international investment arbitration, it shows that these decisions demonstrate a general lack of engagement with the concept in the tribunals’ findings and a failure to fully acknowledge its integrative nature.