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Equitable representation of minority groups is a challenge for democratic government. One way to resolve this dilemma is for majority-group voters to support minority-group candidates, but this support is often elusive. To understand how such inter-group coalitions become possible, this paper investigates the case of white Democratic Americans’ growing support for Black political candidates. I show that as white Democrats’ racial attitudes have liberalized, an increasing number of majority-white districts have elected Black congressional representatives. White Democratic survey respondents have also come to prefer Black candidate profiles, as demonstrated in a meta-analysis of 42 experiments. White Democratic respondents in a series of original conjoint experiments were most likely to prefer Black profiles when they expressed awareness of racial discrimination, low racial resentment, and dislike towards Trump. Additional tests underscore the association between majority-group voters’ concern about racial injustice and their support for minority-group candidates.
Drug and alcohol users have been suggested to face disproportionate exclusion from mental health services, but data on any such exclusion are not readily available. This study examined the clinical records of those excluded from an NHS Talking Therapies service due to drug or alcohol use, focusing on (1) quantitative levels of alcohol consumption, and (2) the rationales documented by clinicians for excluding these individuals. Our results suggest that over half (57%) of those excluded due to alcohol use were consuming below the 15-unit daily threshold recommended for signposting to specialist alcohol assessment. Clinicians cited various rationales for exclusion, including the potential for poor treatment outcomes and health risks associated with concurrent use. Due to being based on a single service, these findings may be limited in their generalisability, but they offer an initial signal that there is potential over-exclusion of some alcohol users from NHS Talking Therapies, and that rationales for exclusion may not consistently align with best practice principles. We discuss implications for NHS Talking Therapies clinicians, and for the development of future clinical guidance.
Key learning aims
(1) To understand how different levels of drug or alcohol use may affect the outcomes of psychological therapy.
(2) To learn why individuals with drug or alcohol use experience exclusion from mental health services.
(3) To examine how clinical practice within an NHS Talking Therapies service aligns with best practice principles.
(4) To explore skills and clinical principles that can lead to optimal treatment planning for these individuals.
(5) To explore how integrated working between NHS Talking Therapies and local drug and alcohol services can enhance service-user experiences.
Facing dwindling birthrates, East Asia has shown unprecedented fertility-oriented family policy expansion. Despite this shared objective, this research argues that East Asian family policy has varied in ‘inclusiveness’, namely, the extent to which it equally promotes all births, irrespective of familial socioeconomic status in particular. Firstly, from an inclusiveness-centred perspective, this article builds three different ideal pronatalist family policy approaches: the ‘inclusive’, where pronatalist family support is provided for almost everyone; the ‘selective’, where it is more accessible to middle-/upper-income households; and the ‘residual’, where it is concentrated on low-income classes. Guided by this conceptual framework, it compares Japan, South Korea, Singapore and Taiwan. It reveals that Japan and Singapore promoted a selective path, and Taiwan favoured a residual one, whilst South Korea pioneered more inclusive support. However, it also suggests that the other three societies recently adopted more inclusive pronatalist family policies, especially during and after the COVID-19 pandemic.
This paper systematically explores incompatibilities between nuclear weapons and democracy. Based on a procedural definition of democracy, it argues that nuclear weapons’ relationship with democracy is defined both by inherent limitations stemming from the features of nuclear weapons and by assumptions about the requirements of nuclear strategy. It concludes that although ideas on the requirements of nuclear strategy modify the level of compatibility between nuclear weapons policy and democracy, none allow for sufficient compatibility. Excessive power concentration with executives, limitations on advance agreement on nuclear strategy, and secrecy can all be avoided with different assumptions about the requirements of nuclear strategy, in particular nuclear deterrence. However, the destructivity and speed of nuclear wars mean that they inherently cannot be subject to adequate control. Equally, they cannot be subject to control by a sufficiently inclusive demos. Thus, nuclear weapons are incompatible with democracy, but significant democratization of nuclear policy is possible.
This article interrogates the positioning of British colonial meteorology in Malaysia and Singapore from the 1940s to 1960. This period spanned a global conflict and an internecine war, effecting profound sociopolitical changes from which neither Malaysia nor Singapore would emerge the same. The meteorological services were essential to Britain’s armed conflicts, providing vital weather information to the army, navy and, especially, the air forces, as well as supporting the aviation and shipping industry often in difficult and dangerous circumstances. This article argues that British military policy in South East Asia and the specific concerns of the colonial government in Malaya directly commanded the meteorological agenda on the ground during this period, with a secondary but significant impact on tropical climate and weather research. It thus addresses the interplay of science, colonialism and military interest from the perspective of a region that has featured little in the history of science.
In this article we ‘read against the grain’ of the archive to explore the sound world of an Indigenous rebellion against Spanish colonial rule in Chiapas in 1712. Although this topic has often interested historians and anthropologists, none of them explicitly engage the rebellion’s sonorities. Contending that a focus on sound may allow new features of the rebellion to come to light, we explore the use of sonorous objects and musical instruments in the rebels’ religious worship and military practices. Building on this analysis, we emphasize the place of ideas about ‘quietude’ within practices for violently reasserting colonial power.
Extraordinary finds from the Store Frigård cremation cemetery on the Danish island of Bornholm suggest that the society that used the site played a key role in supra-regional contacts and in the distribution of goods and people across the Baltic Sea between the Continent and Southern Scandinavia during the Iron Age.
As higher education increasingly embraces internationalisation, the surge in demand for English as the medium of education (EME) poses significant challenges for stakeholders. This keynote places disciplinary literacies (DLs), defined as the ability to appropriately participate in the communicative practices of a discipline (Airey, 2011), centre stage as a crucial construct for effective teaching and learning within specific subjects. Despite their critical role in facilitating comprehension and production of discipline-specific practices and texts, their integration into EME settings often remains overlooked, raising concerns about students’ mastery of disciplinary content. Against this backdrop, with the help of the ROAD-MAPPING framework (Dafouz & Smit, 2020) as a conceptual and analytical tool, and drawing on data from the SHIFT research project, I will illustrate how ROAD-MAPPING can be used to examine comprehensively and in a socially situated way the role of DLs in students’ learning experiences. The paper advocates for the importance of supporting students (and lecturers) in the development of DLs in EME underscoring the pivotal role ESP (English for Specific Purposes) and EAP (English for Academic Purposes) professionals play in facilitating effective EME implementation.
To retrospectively observe procalcitonin (PCT) and antibiotic ordering practices in patients hospitalized with community-acquired pneumonia (CAP).
Design:
Retrospective, exact matched, multicenter cohort study from October 1, 2018 – March 31, 2023.
Setting:
All hospitals across the Mayo Clinic Enterprise.
Participants:
Adult patients with CAP, identified using pneumonia diagnosis codes and receipt of systemic antibiotics with an indication of “respiratory tract infection” within 48 hours of hospitalization.
Methods:
PCT testing within the first 7 days of hospitalization was compared to non-PCT care (nPCT). The primary outcomes were treatment duration, antibiotic days of therapy (DOT), and length of stay (LOS).
Results:
15364 patients met inclusion criteria. PCT testing occurred in 42.4% (6515/15364) of encounters, totaling 8214 PCT results. 12880 unique patient encounters were matched 1:1, 6440 in each group. Treatment duration was longer in the PCT group compared to the nPCT group (5.1 vs 4.6 days, respectively, P < 0.001). Patients in the PCT group also received more DOT (8.6 vs 7.6 DOT, P < 0.001) and had a longer LOS (6.8 vs 5.9 days, P < 0.001), respectively. There was no difference in 30-day all-cause mortality or C. difficile infection between groups. In a sensitivity analysis of nPCT patients compared to those with a peak value <0.25 ng/mL (i.e. normal result) there was no difference in treatment duration (4.6 days nPCT vs 4.7 days normal PCT, P = 0.104) or LOS (5.9 days nPCT vs 6.0 days normal PCT, P = 0.134).
Conclusion:
PCT testing in patients hospitalized with CAP was not associated with reduced antimicrobial utilization, LOS, or 30-day all-cause mortality.
Young learners' attitudes and motivation are important indicators of foreign language learning success and have thus attracted increasing attention over the last decades. As a large country where English is taught as a foreign language (EFL) and children generally start learning English at an early age, China provides an ideal context to study the attitudes and motivation of young EFL learners. Drawing upon the socio-educational model, this study surveyed 521 Chinese parents using an online questionnaire and interviewed eight of them to examine their perspectives on their children's attitudes and motivation towards EFL learning. The findings suggest that parental factors – socioeconomic status and parental involvement – influence young learners' EFL attitudes and motivation, as perceived by their parents. Parental factors, age at the onset of English language learning and intensity of exposure explained a significant amount of the variation in parents’ reports on the attitudes and motivation of young learners. Furthermore, the parents reported that their children's EFL attitudes and motivation were constantly changing, and that family, school and extracurricular training appeared to play different roles in this process of change.
Let $F:\; {\mathscr {C}} \to {\mathscr {E}} \ $ be a functor from a category $\mathscr {C} \ $ to a homological (Borceux–Bourn) or semi-abelian (Janelidze–Márki–Tholen) category $\mathscr {E}$. We investigate conditions under which the homology of an object $X$ in $\mathscr {C}$ with coefficients in the functor $F$, defined via projective resolutions in $\mathscr {C}$, remains independent of the chosen resolution. Consequently, the left derived functors of $F$ can be constructed analogously to the classical abelian case.
Our approach extends the concept of chain homotopy to a non-additive setting using the technique of imaginary morphisms. Specifically, we utilize the approximate subtractions of Bourn–Janelidze, originally introduced in the context of subtractive categories. This method is applicable when $\mathscr {C}$ is a pointed regular category with finite coproducts and enough projectives, provided the class of projectives is closed under protosplit subobjects, a new condition introduced in this article and naturally satisfied in the abelian context. We further assume that the functor $F$ meets certain exactness conditions: for instance, it may be protoadditive and preserve proper morphisms and binary coproducts—conditions that amount to additivity when $\mathscr {C}$ and $\mathscr {E}$ are abelian categories.
Within this framework, we develop a basic theory of derived functors, compare it with the simplicial approach, and provide several examples.
A convex body R in the hyperbolic plane is called reduced if any convex body $K\subset R$ has a smaller minimal width than R. We answer a few of Lassak’s questions about ordinary reduced polygons regarding its perimeter, diameter, and circumradius, and we also obtain a hyperbolic extension of a result of Fabińska.
This article develops an approach to music history that centres performers and their artistic work, drawing on insights from musical performance studies. It responds to criticisms of the practice turn and builds on recent scholarship on Soviet music to contextualize the life of pianist Maria Yudina in the years 1959–63, in which she dedicated herself (at great cost) to new, avant-garde music. Case studies include Yudina’s key role in performing the first Soviet twelve-tone composition in 1961 — Andrei Volkonsky’s Musica Stricta: Fantasia Ricercata — and her advocacy of Igor Stravinsky in the build-up to his homecoming in 1962.
Saponite-like materials have a wide range of potential applications, especially in heterogeneous catalysis. Despite the simplicity of the synthesis, the mechanisms of the formation of saponite are not well understood yet. The aim of the present study was to investigate a possible correlation between the coordination of Al in the solid phase and in the solution. For this, samples were prepared by varying the initial OH:Si molar ratio from 0.18 to 2.14, leading to a pH in the supernatant after the hydrothermal treatment of 6.7 to 12.7, respectively. The characterization of the material was performed by combining nuclear magnetic resonance (NMR) and X-ray absorption near edge structure (XANES) spectroscopies, and good agreement was obtained between the two techniques. Between pH7 and pH10, 60–65% of aluminum was found to be in tetrahedral coordination, while this percentage increased above pH10 (up to 81%). These results correlated with the speciation of the aluminum in aqueous solution. Indeed, above pH10, all available aluminum was in the soluble form Al(OH)4–.
The international recognition of the Armenian genocide is the most prominent issue shaping Turkish-Armenian relations today. Nevertheless, the academic literature lacks empirical analyses of people’s perceptions of the genocide in Turkey. To address the gap, the article provides an exploratory investigation into people’s online comments regarding the genocide on the most popular Turkish forum website, Eksisozluk. Guided by Cohen’s (2001) theoretical approach, the study explores online entries on the topic spanning from 2002 to 2018 (N = 2127). The findings reveal eleven attitudes that individuals adopt in the debate. The article examines the diversity in responses by utilizing Cohen’s typology, which helps to define and categorize individuals’ rationales for denial. Further, it shows that Cohen’s approach could contribute to explaining non-denying responses to the recollection of past suffering. The study concludes that people do not uniformly follow the official line concerning the Armenian genocide in Turkey.
‘Complex emotional needs’ has emerged in the UK as a label to refer to individuals given a diagnosis of a personality disorder. We argue that this name change is insufficient to address the harms associated with the personality disorder construct; rather, it risks broadening its scope, and thereby the construct’s harms.