Precision medicine (PM) encompasses various emerging, data-intensive healthcare and biomedical research initiatives aimed at tailoring care to individual patient characteristics. While “precision” primarily denotes an epistemological shift in how biomedical research is approached and care delivered, the conviction that PM empowers patients in clinical decision-making is central to its vision as it is taken up across policy contexts. In this paper, I critically assess these promises by drawing on recent engagements in agential epistemic injustice (Lackey 2020; Medina 2022). I suggest that the social, cultural, and epistemological conditions in which the epistemic practice of precision care unfolds are conducive to epistemic injustice. Despite PM’s explicit aims to address longstanding criticisms regarding the disease-centric nature of contemporary biomedical care practices by including person-centered, non-biomedical features in clinical consideration, exploring its underlying logic suggests its epistemic economy is stacked against patients’ epistemic interests. As such, despite its laudable aim of patient empowerment, the exacerbated risk of epistemic injustice might truncate patients’ (epistemic) agency, further disempowering them in clinical decision-making. To conclude, I suggest that the reliance on “empowerment”- and “person-centered care”-rhetoric dominating PM discourse is a case of epistemic appropriation (Davis 2018), further discouraging engagement with social, experiential, and phenomenological dimensions of illness, defanging critics of raising those concerns, and impeding the realization of epistemic justice in healthcare.

Climbing aroids, despite their abundance in tropical forests, remain underexplored. This study is focused on species richness, abundance, density, and distribution patterns of climbing aroid community in a lowland rainforest in Los Tuxtlas, Veracruz, Mexico. Over two years, two censuses were conducted across 14 plots, recording 12 aroid species from five genera and their potential hosts. Ontogenetic classes were defined and validated, showing a positive correlation between total plant length/apex height and ontogenetic stage, indicating distinct growth phases. Host size (DBH) was significant predictor of the establishment probability across ontogenetic classes. Vertical distribution varied significantly among species, ranging from Philodendron hederaceum (7 m) to Anthurium flexile (0.88 m), with some species predominantly distributed on specific host sizes. Tree falls impacted specific species. Although limitations, including a short study period, restrict broader generalizations, this research establishes a foundational understanding of climbing aroid ecology and underscores the need for standardized methods and long-term monitoring to elucidate their population dynamics and ecological strategies.

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention and/or hyperactivity-impulsivity, accompanied by deficits in executive function (EF). However, how the two core symptoms of ADHD are affected by EF deficits remains unclear. 649 children with ADHD were recruited. Data were collected from ADHD rating scales, the Behavior Rating Inventory of EF (BRIEF), and other demographic questionnaires. Regression and path analyses were conducted to explore how deficits in cool and hot EF influence different ADHD core symptoms. Latent class analysis and logistic regression were employed to further examine whether classification of ADHD subtypes is associated with specific EF deficits. EF deficits significantly predicted the severity of ADHD core symptoms, with cool EF being a greater predictor of inattention and hot EF having a more significant effect on hyperactivity/impulsivity. Moreover, person-centered analyses revealed higher EF deficits in subtypes of ADHD with more severe symptoms, and both cool and hot EF deficits could predict the classification of ADHD subtypes. Our findings identify distinct roles for cool and hot EF deficits in the two core symptoms of ADHD, which provide scientific support for the development of ADHD diagnostic tools and personalized intervention from the perspective of specific EF deficits.

Latin American countries have pioneered innovations in social protection, but their welfare institutions suffer from large and persistent gaps and inequalities in access and provision. This article reviews the substantive body of research addressing this anomaly. A focus on social protection offers a window on what is distinctive about social policy in the region. The social protection matrix in Latin America combines three core institutions: occupational insurance funds, personal pensions and social assistance. The article highlights the role of political realignments shaping current institutions. The critical review yields several pointers for a ‘general’ theory of welfare institutions.

The purpose of the South African Competition Act is to resolve the present problems of inequality by emphasizing its multiple goals, which differ from those of other countries. Its objectives broadly contain efficiency, state economic development and consumer welfare. In addition, the ideas of providing opportunities for small businesses and promoting a greater spread of ownership among different groups indicate its goal of favouring or protecting weak trading parties or certain groups of people. To achieve the aim of equity and fairness, South African competition law should be vigorously applied, but the existing substantive provisions may not fulfil the task of moving towards an equal and fair society. A comparative study of competition law may help to discover a proper model and a better solution for the problems of unequal economic power in South Africa.

With numerous applications of coilable masts in high-precision space application scenarios, there are also greater demands on the accuracy of their dynamic modelling and analysis. The modelling of hinges is a critical issue in the dynamic modelling of coilable masts, which significantly affects the accuracy of the dynamic response analysis. For coilable masts, the rotational effect is the most important problem in hinge modelling. However, few studies have focused on this topic. To address this problem, the concept of hinge equivalent rotational stiffness is proposed in this paper to describe the rotational effect of the coilable mast hinges. After that, a new coilable mast dynamic model containing the undetermined hinge equivalent rotational stiffness is introduced, and an identification method for the hinge equivalent rotational stiffness based on the hammer test is proposed. Finally, the dynamic modelling method is validated through an actual coilable mast example, and the analysis and test results show that the accuracy of the dynamic model established by the proposed method in this paper is greater than that of the traditional model.

Resource partitioning remains a central ecological issue for understanding the structures of animal communities. As members of the generalist New World Thraupidae bird family, tanagers can help reinforce knowledge of animal communities. Thus, to study bird trophic ecology and relationships, I followed six tanager species (Schistochlamys ruficapillus, Tangara desmaresti, Stilpnia cayana, Stephanophorus diadematus, Thraupis sayaca and Dacnis cayana) from the Ibitipoca State Park, south-eastern Brazil, for 12 months. I expected 1) more similarities among frugivorous behaviours when compared to the similarities in the frugivorous diet, 2) no differences between the predation behaviours on arthropods against the use of substrates to capture them, 3) no specialisation in the bird–fruit seed dispersal network and 4) similarities of frugivorous diet and substrate use equal those expected by chance due to the absence of specialisation in frugivory and limited use of substrates. Several ecological and behavioural factors seemed to determine the ways in which Ibitipoca tanagers consumed fruits to reduce similarities in diets and reveal network specialisation. On the other hand, the analysis of predation behaviour indicated that tanager species used similar tactics to reach arthropods randomly on substrates. In general, frugivory seems to be more relevant in trophic partitioning than foraging on arthropods in Ibitipoca tanagers.

This article examines socialist globalization from the perspective of technical-labor internationalism in Mozambique, focusing on the final stage of the Cold War. First, it analyzes the four main pathways through which international technicians arrived in Mozambique: Latin American exile, socialist intergovernmental cooperation, European postcolonial humanitarianism, and African regionalism. It offers a cosmopolitan perspective on the relations that socialist Mozambique forged with the world. It then provides an inventory of the models of integration of these international technicians into the Mozambican state apparatus, presenting a framework emphasizing organizational rather than ideological aspects. It concludes that, while these paths were singular, they were not mutually exclusive. More importantly, they were instrumental in shaping the political affinities and frictions between international technicians in that cosmopolitan universe.

This study assesses the validity and reliability of empirical strategies derived from the study of European populisms by applying them to the case of Canada. Using a dataset of 5,845 original tweets by Canadian federal party leaders in 2022, we compare the prevalence and intensity of three characteristic populist discourses: “people-centrism,” “anti-elitism” and “exclusion of others.” Our results raise questions about the role of party ideology in shaping populist communication styles, by revealing a convergence among opposition leaders around primarily economic representations of the “people” and political portrayals of the “elite.” We also confirm the hunch that Canada is “exceptional” with respect to the prevalence of “exclusion of others,” demonstrating that this discourse is rare and has not been embraced by mainstream politics. Finally, the study adds to the skepticism about the value of “people-centrism” to operationalizing populism, given the widespread nature of this discourse.