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National Health Service (NHS) England conducts annual assurance of NHS bodies in England’s readiness to respond to emergencies using its Core Standards for emergency preparedness, resilience, and response (EPRR). This review assessed whether the first complete EPRR assurance after England’s coronavirus disease (COVID-19) pandemic national response was performed successfully.
Methods
The primary outcome of interest was the quantity of information regarding applicable Core Standards held by NHS England at the end of that assurance. Secondary outcomes were variations between the number of applicable Core Standards and information held by NHS bodies about the number of applicable Core Standards.
Results
NHS England recorded the correct number of applicable Core Standards for 88 of the 124 NHS trusts in England which provided general hospital accommodation and services in relation to accidents or emergencies. It recorded an incorrect number of standards for 13 trusts and did not record the number of standards for 23 trusts.
Conclusion
NHS England’s EPRR assurance resulted in correct data not being recorded for over a quarter of the above NHS trusts. This review may also be of interest to other state-level bodies that rely on the high-level assurance of their ability to provide health care during emergencies.
During the 1930s and 1940s, a group of right-wing intellectuals, sparked by the New Deal, mounted a sustained critique of American democracy and inherited democratic principles. Believing that the progressive democratization of the state had resulted in a decadent, inefficient and morally coarse society, they attacked democracy as the root cause of the nation's problems. Examining the reactionary conservative, libertarian and fascist critiques of democracy, this article suggests that each borrowed ideas from the other, and that their beliefs in autocratic rule or a broadly countermajoritarian politics have not been adequately studied by scholars.
This article examines the rhizomatic approach to political organizing developed by the Asian American Political Alliance (AAPA). AAPA, founded in 1968 in Berkeley, CA, is an organization of historical significance, having introduced the term “Asian American” to signify a new political identity and developed the first pan-Asian nationwide social movement. Yet the scholarly treatment of AAPA has been rather cursory. This article is one of the the most extensively researched studies of AAPA. In three parts, it examines AAPA’s (a) rhizomatic approach to political organizing, (b) model of collective leadership, and (c) community-centered pedagogy. First, the article conceptualizes AAPA’s rhizomatic mode, which fostered the decentralized, interconnected participation of many people. AAPA prioritized a participatory model that also created space for women to have influence. Second, examining AAPA’s activities shows an approach to community-based organizing that affirmed the knowledge produced by ordinary people gained through their lived experiences. Third, the article explores the importance of relationship building and rhizomatic networks in AAPA’s growth across the nation. While not exclusive of vertical structures, AAPA’s focus on egalitarian, collaborative organizing infused the national movement and helped to make collective leadership a hallmark of the broader Asian American movement.
This article investigates visual communication practices among members of a disabled people's organisation (DPO) in a market in Uganda. Deaf members and many of the hearing members are proficient in Ugandan Sign Language (UgSL) and use it daily. I examine three communicative settings within the market, identifying varied modes of visual communication in use, ranging from loosely conventionalised multimodal improvisation to standard UgSL. Deaf stallholders value the varied forms of linguistic community accessed through these different modes, which are complementary rather than opposing, except at key moments of tension. By combining ‘deaf space’ theory with Silverstein's distinction between speech and language communities, I link the visual communication practices of deaf and hearing marketgoers to the varying forms of solidarity that underly linguistic communities. Deaf marketgoers creatively articulate different visual communication potentialities and the communities they arise from and index, including negotiating linguistic access through strategically opposing deaf and hearing communities. (Deaf space, sign language, language communities)*
During the nineteenth century in Ireland, agents of the colonial state like the police, along with the administrators that they served, forged an association between political motivations and Irish agrarian violence. They did so not only through the policing of Irish violence, but through the methods used by the colonial state to categorize, process, record, and archive it. Central to this endeavor was the category of “outrage.” Using this category, the Irish Constabulary created a record that impressed an association between Irish violence or criminality and political resistance. Because the British colonial state had control over the production of the archive, it also dictated the metanarratives present in this “archive of outrages” that gave form and function to the colonial state's fears that Irish violence represented a budding insurrection or a desire to fracture the Union. By perpetuating this logic in document and archival form, Dublin Castle (the seat of the British government's administration of Ireland) helped create the very demon that it sought to exorcise—that of Irish nationalist action and sentiment.
Mutual support among residents in collaborative housing for older people presents an alternative care model to family or formal social care provided in individuals’ homes or specialised care facilities. This is particularly the case in cohousing, where residents commit to mutual support and exercise autonomy through self-governance. Cohousing also supports the ageing processes by fostering greater wellbeing and significantly lessening social isolation and loneliness. Further, it offers the potential for older people to collectively maintain greater agency in later life and manage age-related health decline. Despite a growing body of literature on ageing and collaborative housing, to date little research has explored how later-life transitions are negotiated among residents of collaborative housing. Drawing on longitudinal, qualitative research on collaborative housing communities in England between 2021 and 2023, this article examines age-related challenges residents face in cohousing, and how they respond to such changing care needs individually and collectively. Analysing data from two waves of fieldwork in three cohousing communities, it examines how the mutual-support functions of the communities act as an intermediary to facilitate communication with different parties, formal and informal care provision and decision-making. The intermediary role tends not to replace the need for formal social care or the involvement of family but provides a supportive buffer between the individual and the family and formal services. Despite the lack of built-in care services placing a potentially heavier burden on residents, the ‘intentional’ commitment to mutual support in cohousing contributes significantly to extending agency in later life.
Jellyfishes have ecological and societal value, but our understanding of taxonomic identity of many jellyfish species remains limited. Here, an approach integrating morphological and molecular (16S ribosomal RNA and cytochrome oxidase I) data enables taxonomic assessment of the blubber jellyfish found in the Philippines. In this study, we aimed to resolve doubt on the taxonomy of Acromitoides purpurus, a valid binomen at the time of our research. Our morphological findings confirm that this jellyfish belongs to the genus Catostylus, and is distinct from known species of the genus inhabiting the Western Pacific, such as Catostylus ouwensi, Catostylus townsendi, and Catostylus mosaicus. Detailed morphological and molecular analyses of the type specimens from the Philippines with the other Catostylus species revive the binomen Catostylus purpurus and invalidate A. purpurus. Genetic analysis also distinguishes this Philippine jellyfish from C. townsendi and C. mosaicus. Through this study, we arranged several Catostylidae taxa into species inquirendae (Catostylus tripterus, Catostylus turgescens, and Acromitoides stiphropterus) and one genus inquirenda (Acromitoides) and provided an identification key for species of Catostylus. This comprehensive study confirms the blubber jellyfish as C. purpurus, enriching our understanding of jellyfish biodiversity. The integration of morphological and genetic analyses proves vital in resolving taxonomic ambiguities within the Catostylidae family and in the accurate identification of scyphozoan jellyfishes.
In contemporary Italy, media and public actors frame the exploitation of migrant agricultural labourers as the outcome of caporalato. This concept – translated as labour brokerage or gang mastery – connotes the violent treatment of workers and their exploitation by powerful individuals, who are today increasingly racialised and understood as being Black and immigrants. However, our fieldwork in Apulia and Sicily uncovered a more complicated picture. This article considers a variety of sources to explore how caporalato is constructed and to what effect. Our argument is that, though rooted in real dynamics, caporalato is also a reductive, sensationalised, and racialising framing device that transposes historic tenets of Italy's ‘Southern Question’ onto ‘othered’ migrant workers. It affects policy by creating categories of people who are made ‘illegal’ and ‘deportable’. In also reinforcing derogatory stereotypes about the Italian South, it makes visible further South(s) of the Italian South(s) – offering insight into how and where borders are created and what their effects are.
Prenatal maternal anxiety is considered a risk factor for the development of child internalizing problems. However, little is known about potential mechanisms that account for these associations. The current study examined whether prenatal maternal anxiety was indirectly associated with toddler internalizing problems via prenatal maternal physiology and infant negative affectivity. We examined these associations in a longitudinal study of 162 expectant mothers from their third trimester until 18 months postpartum. Path analyses showed that higher prenatal anxiety was associated with higher infant negative affectivity at 7 months, which in turn was associated with higher toddler internalizing problems at 18 months. Prenatal anxiety was not indirectly associated with child outcomes via baseline or task-evoked respiratory sinus arrhythmia (RSA) in response to an infant cry while pregnant. However, pregnant women with greater decreases in task-evoked RSA had toddlers with greater internalizing problems, which was mediated by infant negative affectivity at 7 months. Findings suggest that prenatal anxiety and RSA reactivity to an infant cry may be independent risk factors for the development of infant negative affectivity, which in turn increases risk for toddler internalizing problems. These findings contribute to a growing literature on mechanisms that underlie intergenerational transmission of internalizing problems.
Little is known about the Chondrichthyes fauna of the state of Espírito Santo, southeastern Brazil, notably on the species composition, distribution, and biology. Historically, only a few studies have focused on these issues. Basic taxonomy is one of the main tools employed in cataloguing, organizing, and initiating other, more specific, assessments regarding regional diversity. In this context, this study presents the most comprehensive list of shark and ray species occurring in the state of Espírito Santo to date. The compiled data were obtained from specimens deposited in ichthyological collections, literature reviews, and samplings conducted at fisheries landings and onboard commercial fleet vessels. The findings indicate 79 species, comprising 51 sharks and 28 rays. A total of 53.2% of threatened Brazilian marine elasmobranch species occur in the area, indicating the importance of carrying out local studies focusing on this group. A first record for the Brazilian large-eyed stingray, Hypanus marianae, was also observed for the state, increasing the southern limit of the species known distribution, previously considered restricted to the North and Northeast coasts.
Soft robotic devices are designed for applications such as exploration, manipulation, search and rescue, medical surgery, rehabilitation, and assistance. Due to their complex kinematics, various and often hard-to-define degrees of freedom, and nonlinear properties of their material, designing and operating these devices can be quite challenging. Using tools such as optimization methods can improve the efficiency of these devices and help roboticists manufacture the robots they need. In this work, we present an extensive and systematic literature search on the optimization methods used for the mechanical design of soft robots, particularly focusing on literature exploiting evolutionary computation (EC). We completed the search in the IEEE, ACM, Springer, SAGE, Elsevier, MDPI, Scholar, and Scopus databases between 2009 and 2024 using the keywords “soft robot,” “design,” and “optimization.” We categorized our findings in terms of the type of soft robot (i.e., bio-inspired, cable-driven, continuum, fluid-driven, gripper, manipulator, modular), its application (exploration, manipulation, surgery), the optimization metrics (topology, force, locomotion, kinematics, sensors, and energy), and the optimization method (categorized as EC or non-EC methods). After providing a road map of our findings in the state of the art, we offer our observations concerning the implementation of the optimization methods and their advantages. We then conclude our paper with suggestions for future research.
This paper, with a focus on the status of tsunami disaster victims affected by the 2011 East Japan Earthquake, investigates into the status of private property rights in facing with the reviving legal instrumentalism in Japan, under the campaign of land law reform for the elimination of “land without identifiable owners” in the name of facilitating the disaster recovery, by means of the “special zone” method or the designation of lawless areas where the normal time law is excluded, with the particularly targeted area for such exclusion being the constitutional requirements of due process and fair compensation in public taking. Under the extraordinary setting of absolute majority of conservative party at the National Diet in the aftermath of the 2011 great disaster, legislations in Japan during this decade have been characterized by a manifestation of neo-liberal policy, driving the entire Japanese legal system into a corner. Facts observed in present Japanese society are not different from those observed in other authoritarian regimes in Asia, including the phenomenon of “land grabbing” by the governmental projects, which Asia once experienced a century ago for the colonial land enclosure by “wasteland management.”
Crises create opportunities for policy change, yet the extent to which they encourage redistribution is under-researched. We adopt a narrative approach to study how crisis frames are mobilised to support or oppose redistribution, and whether that redistribution is progressive or regressive. A typology of crisis narratives with different redistributive implications is presented: retrenchment narratives promote deregulation and cuts to welfare; Robin Hood narratives advocate progressive redistribution with expanded rights; and restoration narratives favour bringing back the status quo ex ante. We apply the Narrative Policy Framework to examine how Australian parliamentarians used the language of ‘housing crisis’ during and after COVID-19. Despite existing research suggesting crisis narratives mostly support retrenchment, Australia’s pandemic housing debates were dominated by Robin Hood and restoration narratives. We show that party ideology matters for the redistributive content of crisis narratives, but the effect of ideology is mediated by incumbency status. We conclude that shifts in the parliamentary balance of power lead to changes in political parties’ rhetorical support for redistribution.
Using evidence from the Sphakia Survey, a multiperiod archaeological project in south-west Crete, this article has two goals. The first is to contribute to a newly emerging field, the archaeology of sustainability. The investigation of sustainability in Sphakia uses five main kinds of evidence: environmental, archaeological/material, textual, oral, and patterns of activity that seem ‘difficult’ or ‘inconvenient’. Sphakia is a large area of highly dissected terrain with a wide altitudinal range – in many ways, a ‘tough’ landscape, where agropastoralism has been its main economy. The second goal is to introduce the concept of a Resource Package (RP), a combination of perceived resources in an area, as an analytical tool for landscape study. Evidence for identifying agropastoral RPs of various scales, used at a particular time, includes imports, such as pottery and obsidian, which can suggest exchange for a local resource or product; sacred sites; coins; texts and inscriptions; place-names and other toponyms; and maps. The concept of RPs can usefully be applied synchronically and diachronically to multiperiod projects like this, as well as more generally to other landscapes, ‘tough’ or not. Sustainable strategies (that is, maximising resources and RPs without exhausting them) were used in the Prehistoric, Graeco-Roman and Byzantine–Venetian–Turkish epochs in Sphakia; some may be relevant for the future.
Long-term marine monitoring programmes have provided numerous quantitative data on the composition of North Sea benthic communities and their changes over time, including species introductions. Particularly in the German Bight, the rapid environmental and hydrographical changes are promoting the spreading (usually anthropogenically mediated) of neobiota, with more than 150 species being registered to date. During routine seafloor monitoring, grab samples taken on the subtidal sandbank of the Borkum Reef Ground revealed the presence of the polychaete Streptosyllis nunezi in different years, a species previously unreported in the southern North Sea. In this paper, these individuals are described morphologically and the population status is discussed. Our finding demonstrates the importance of intensive and regular environmental monitoring programmes for the assessment of regional biodiversity and its potential changes.
The entrainment of ambient fluid into a variable-density jet is typically quantified using an entrainment coefficient $\alpha$. Here, we investigate the dependence of $\alpha$ on the ratio of the jet's density $\rho _m$ and that of the ambient fluid $\rho _0$. Current parametrisations of $\alpha$ rely on a scaling inferred from early laboratory experiments (Ricou & Spalding, J. Fluid Mech., vol. 11, 1961, pp. 21–32). We demonstrate analytically that the experiments preclude definitive conclusions regarding the dependence of $\alpha$ on $\rho _m / \rho _0$ and that the underlying physical processes therefore warrant closer attention. To investigate the physics behind the dependence of entrainment on the density ratio we use a Favre-averaged entrainment decomposition. The decomposition is applied to data from large-eddy simulations of jets characterised by density ratios $\rho _m / \rho _0$ spanning over two orders of magnitude that have been verified against experimental data. Changes in the shape of the velocity profile are a significant contributor to entrainment in the near field due to the breakdown of the potential core, and persist over larger streamwise distances in heavy releases than in light releases. Therefore, to focus exclusively on the effects of density ratio, we study the region where the shape changes have become small but the density ratio is still significant. We show that the dimensionless turbulent kinetic energy production and mean kinetic energy flux depend strongly on the density ratio, both for our large-eddy simulation data and for recent experiments. Despite this, the entrainment coefficient is practically constant in this region and has value $\alpha \approx 0.07$ for all simulations.
Recent work demonstrated that detection of SARS-CoV-2 on the floor of long-term care facilities is associated with impending COVID-19 outbreaks. It is unknown if similar results will be observed in hospitals.
Methods:
Floor swabs were prospectively collected weekly from healthcare worker-only areas (eg, staff locker rooms) at two hospitals in Ontario, Canada for 39 weeks. Floor swabs were processed for SARS-CoV-2 using quantitative reverse-transcriptase polymerase chain reaction. Results were reported as percentage of positive floor swabs and viral copy number. Grouped fivefold cross-validation was used to evaluate model outbreak discrimination.
Results:
SARS-CoV-2 RNA was detected on 537 of 760 floor swabs (71%). At Hospital A, overall positivity was 90% (95% CI: 85%–93%; N = 280); at Hospital B, overall positivity was 60% (95% CI: 55%–64%; N = 480). There were four COVID-19 outbreaks at Hospital A and seven at Hospital B during the study period. The outbreaks consisted of primarily patient cases (ie, 140 patient cases and 4 staff cases). For every 10-fold increase in viral copies, there was a 22-fold higher odds of a COVID-19 outbreak (OR = 22.0, 95% CI 7.3, 91.8). The cross-validated area under the receiver operating curve for SARS-CoV-2 viral copies for predicting a contemporaneous outbreak was 0.86 (95% CI 0.82–0.90).
Conclusion:
Viral burden of SARS-CoV-2 on floors, even in healthcare worker-only areas, was strongly associated with COVID-19 outbreaks in those hospital wards. Built environment sampling may support hospital COVID-19 outbreak identification, fill gaps in traditional surveillance, and guide infection prevention and control measures.