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Between January 29 and February 11, 2019, the Townsville region in Australia experienced a major flooding event. This study explored impacts on affected community pharmacies. Semi-structured phone interviews were conducted with six pharmacists who worked in affected Townsville community pharmacies during this flood. De-identified transcript data were analyzed using reflexive thematic analysis. The thematic analysis yielded six themes – “financial impact on pharmacy owners,” “engagement with Local Disaster Coordination Center (LDCC) important,” “workload pressures,” “preparedness,” “medication supply impacts,” and “communication and collaboration.” Financial impacts to owners included loss of property (two pharmacies were completely flooded), purchase or hire costs of generators when power was lost, and loss of revenue from complete or early closure of pharmacies and when patients could not pay or did not have a prescription and did not return to the pharmacy after the event. Engagement with the LDCC assisted pharmacy responsiveness. Medication supply issues were experienced by patients whose houses had flooded, or who had left their prescriptions with pharmacies that had flooded. Opioid Replacement Therapy (ORT) program patients were also impacted due to communication difficulties between them, their clinics, and their pharmacies. Increased customer numbers by those whose regular pharmacy was closed, reduced staff numbers, and austere working conditions increased workload pressures. Pharmacists collaborated to consolidate resources with those whose pharmacy had closed, working in pharmacies that were open. This research highlights a critical need for improved flood preparedness among Townsville pharmacists. Regardless, they collaborated to ensure there were minimal critical medication delays.
On May 1, 2025, the Canadian Supreme Court rejected an appeal by the Government of Ontario in a youth-driven climate case in which seven youth plaintiffs brought a constitutional challenge to the Government’s lack of action with respect to climate change. As reported by JURIST, the plainfiffs argued that Ontario’s use of Section 16 of the 2018 Cap and Trade Cancellation Act to modify the 2016 Climate Change Mitigation and Low-Carbon Economy Act resulted in a watering down of the requirments in the Climate Change Act and effectively subjects youth and indigenous communities to dangerous and arbitrary levels of CO2 emissions. They seek an order declaring that their rights under sections 7 and 15 of the Canadian Charter of Right and Freedoms have been violated. The Ontario Court of Appeal concluded in October 2024 that government climate change targets must comply with the Charter and affirmed that the government’s actions are putting people at risk. The refusal by the Supreme Court to take the appeal confirms the judgment of the Court of Appeal means the case will return to the Ontario Superior Court of Justice, which had previously dismissed the plaintiffs’ application.
Understanding the developmental and occupational histories of Ancestral Maya settlements is crucial for interpreting their roles in broader social, political, and economic dynamics. This article presents 62 new accelerator mass spectrometry (AMS) 14C dates from residential groups in the outlying settlement zone at Alabama, a major inland Ancestral Maya center in East-Central Belize. Alabama is a rare example of a “boomtown” in the Maya lowlands, experiencing rapid development primarily during the 8th and 9th century CE, corresponding to the Late to Terminal Classic periods. Using Bayesian stratigraphic sequence models, we construct detailed developmental and occupational histories for the townsite, clarifying the timing of its development, occupation, and abandonment. Our analysis reveals complex residential histories, confirming a rapid tempo of Late and Terminal Classic settlement growth and indicating continuities in occupation into the 10th century CE and beyond. Furthermore, we identify two separate periods of occupation during the Early Classic (cal AD 345–545) and the Late Postclassic (cal AD 1325–1475), demonstrating that parts of the settlement were inhabited at different intervals over many centuries. These results offer the first detailed deep-history perspective for the East-Central Belize region, establishing a framework that addresses challenges in chronology-building posed by poor pottery preservation and the complexities of earthen-core architecture at the site and enabling future chronological modeling in this lesser-known frontier of the eastern Maya lowlands.
To evaluate the indications, outcomes, and recurrence rates of elective paediatric functional endoscopic sinus surgery at a tertiary centre, and to highlight the continued importance of multidisciplinary management.
Methods
A retrospective review included 65 patients (age range 5–17 years) undergoing elective paediatric functional endoscopic sinus surgery from January 2017 to December 2024. Data on demographics, surgical details, additional procedures, and revision rates were collected. Logistic regression identified predictors of revision.
Results
Chronic rhinosinusitis was the most common indication (45/65), with 62 per cent requiring polypectomy and 84 per cent undergoing middle meatal antrostomy. Fifteen percent had cystic fibrosis; cystic fibrosis status significantly predicted revision (odds ratio 8.5, p = 0.007). A multidisciplinary approach was crucial for the 20 per cent needing additional procedures. No major complications were reported.
Conclusion
Paediatric functional endoscopic sinus surgery is safe and effective for paediatric sinonasal disease, particularly where balloon sinuplasty is insufficient for polyposis. Multicentre collaborations will help refine selection criteria and enhance long-term outcomes.
The aims of this study were to field and pilot test the Korean version of the Household Emergency Preparedness Instrument (K-HEPI) and perform psychometric testing of the instrument’s reliability and validity.
Methods
The English to Korean translation followed a symmetrical translation approach utilizing a decentered process (i.e., both the source and target languages were considered equally important) focusing on the instruments remaining loyal to the content. After translation, the K-HEPI was field tested with 30 bilingual participants who all reported that the instructions were easy to understand and the items aligned closely with the original English version. The K-HEPI was then pilot tested with 399 Korean-speaking participants in a controlled, before-after study utilizing a disaster preparedness educational intervention.
Results
Confirmatory factor analyses supported the K-HEPI retaining the factor structure of the original English version. The K-HEPI was also found to be psychometrically comparable to the original instrument.
Conclusions
The K-HEPI can validly and reliably assess the disaster preparedness of Korean-speaking populations, enabling clinicians, researchers, emergency management professionals, and policymakers to gather accurate data on disaster preparedness levels in Korean communities, identify gaps in preparedness, develop targeted interventions, and evaluate the effectiveness of disaster preparedness interventions over time.
There are several examples of collective action/social movements for the environmental cause in India. The literature on environmental governance and environmental economics, identifies a significant role of the nature of environmental goods with respect to the twin classifying criteria of rivalry in consumption and excludability. The common pool resource and public good nature of environmental property require varied governance approaches. These economic theory-based classifications can be associated with diverse types of property rights regimes in the legal realm. By developing an analytic narrative, this article attempts to identify how common individuals related with environmental movements, identify some of these nuances with respect to nature of environmental goods and associated property rights regimes and develop strategies for improvements. This article utilises secondary qualitative data to examine the perspective of common individuals, groups, and leaders of environmental movements to infer theoretical learnings from a few cases in India.
This article traces the origins of “big” tobacco, that is, international, multinational companies, in Cyprus during the British colonial period. It explores how the tobacco and cigarette industries developed from the 1920s until the end of colonial rule in 1960, and how “big” tobacco companies united and came to control these industries. The article shows that from the 1920s, and especially from the 1940s, the prevalence of smoking in Cyprus was exceedingly high. This corresponded to the large-scale importing of foreign-made cigarettes and the manufacture of cigarettes by local companies, before the first international company began to manufacture cigarettes in the island in 1951. The article explores how the British colonial governments and civil society did little to make the Cypriot people aware of the dangers of cigarette smoking, despite medical research linking cigarette smoking to the increase in lung cancer in 1950 and the debates and warnings in the UK. Ultimately, the origins and evolution of “big tobacco” companies in Cyprus had a profound impact on the local industry and the prevalence of cigarette smoking in Cyprus.
Parent depression is a well-established prospective risk factor for adverse offspring mental health. Multiple lines of evidence suggest that improvements in parent depression predicts improved offspring mental health. However, no systematic review has examined the impact on offspring of psychological treatment of purely parent depression after the postnatal period.
Aims:
To systematically review the literature of randomised controlled trials examining the impact on offspring mental health outcomes of psychological interventions for parental depression after the postnatal period.
Method:
We pre-registered our systematic review on PROSPERO (CRD42023408953), and searched the METAPSY database in April 2023 and October 2024, for randomised controlled trials of psychological interventions for adults with depression, which also included a child mental health or wellbeing outcome. We double screened 938 studies for inclusion using the ‘Paper in a Day’ approach. All included studies would be rated using the Cochrane Risk of Bias tool.
Results:
We found no studies that met our inclusion criteria.
Conclusions:
Robust research into psychological therapy for depression in adults outside the postnatal period has failed to consider the potential benefits for the children of those adults. This is a missed clinical opportunity to evaluate the potential preventive benefits for those children at risk of adverse psychological outcomes, and a missed scientific opportunity to test mechanisms of intergenerational transmission of risk for psychopathology. Seizing the clinical and scientific opportunities would require adult-focused mental health researchers to make inexpensive additions of child mental health outcomes measures to their evaluation projects.
Front-line workers mediate law on the books and law in action, translating higher-level laws into local policy. One important mediating institution is the police. Whereas most research analyzes how the law empowers police to label certain denizens “criminals” – both within and outside criminal legal contexts – this article demonstrates how policing also affects who is recognized as an innocent crime victim. Synthesizing existing scholarship, I theorize three paths through which police can affect legal recognition of crime victims: criminalization, minimization, and legal estrangement. I then test the extent to which these processes affect victims’ access to public benefits provided under victim compensation law. Drawing on never-before-analyzed administrative data from 18 U.S. states (N = 768,382), I find police account for more than half of all victim benefits denials. These denials are racialized and gendered: Police are significantly more likely to criminalize and be estranged from Black male victims and significantly more likely to minimize the injuries of Black female victims. Additional qualitative data suggest police systematically perceive Black men as not truly innocent and Black survivors of gender-based violence as not truly victims. These findings advance our understanding of the expansive role of police in society as well as the porous boundary between social provision and social control.
This article examines interactions facilitated by legal pluralism in contemporary urban India. Employing a framework of semi-autonomous social fields, I focus on use rights exercised over “Waqf” properties and the role social fields so generated play in facilitating access to property rights for groups without social and economic capital. Viewing property through a relational lens and relying on the method of examining “trouble” disputes, I discuss two long-term disputes in a Sufi shrine of an urban village called Mehrauli, Delhi. I will advance two main arguments in the article. First, the operation of formal and informal legal orders forms a generative ground making access to resources more equitable. Second, formal and informal legal orders interact to form a dialectical relationship, such that it becomes difficult to tell which of the two is superior.
We show that the ring of regular functions of every smooth affine log Calabi–Yau surface with maximal boundary has a vector space basis parametrized by its set of integer tropical points and a $\mathbb {C}$-algebra structure with structure coefficients given by the geometric construction of Keel and Yu [The Frobenius structure theorem for affine log Calabi–Yau varieties containing a torus, Ann. Math. 198 (2023), 419–536]. To prove this result, we first give a canonical compactification of the mirror family associated with a pair $(Y,D)$ constructed by Gross, Hacking and Keel [Mirror symmetry for log Calabi–Yau surfaces I, Publ. Math. Inst. Hautes Ètudes Sci. 122 (2015), 65168] where $Y$ is a smooth projective rational surface, $D$ is an anti-canonical cycle of rational curves, and $Y\setminus D$ is the minimal resolution of an affine surface with, at worst, du Val singularities. Then, we compute periods for the compactified family using techniques from Ruddat and Siebert [Period integrals from wall structures via tropical cycles, canonical oordinates in mirror symmetry and analyticity of toric degenerations, Publ. Math. Inst. Hautes Ètudes Sci. 132 (2020), 1–82] and use this to give a modular interpretation of the compactified mirror family.
The COVID-19 pandemic caused massive disruptions in the job market. It also put the gig economy in the spotlight since many workers began seeing it as a viable career option to their 9-to-5 jobs. Even before the pandemic, the gig economy was forming a significant portion of the workforce in different countries. In light of these changes, this paper has sought to understand the journey and experiences of both location-dependent and purely online gig economy workers in the Philippines. We conducted focus group discussions (FGDs) to explore the experience of those working in the gig economy in the Philippines, with two out of the four groups working as location-dependent gig workers while the remaining two groups working as purely-online gig workers. The study revealed that while gig workers appreciated the flexibility of managing their own time, they also expressed the need for greater government support and regulation to ensure that their welfare is protected. Moreover, while gig work has created additional opportunities for many, certain drawbacks have also emerged over time. It is essential for the government to intervene to safeguard the well-being of these workers, and ensure that labour laws and regulations are adapted to these new circumstances.