Dilated cardiomyopathy (DCM) is a leading cause of heart failure and the most common indication for a heart transplant. Guidelines are regularly based on studies of adults and applied to the young. Children and adolescents diagnosed with DCM face different lifestyle challenges from individuals diagnosed in adulthood that include medical trauma and are influenced by maturity levels and confidence with advocacy to adults.

Using a UK patient-scientist’s perspective, we reviewed the age-specific challenges faced by the young with DCM, evaluated current guidelines and evidence, and identified areas requiring further recommendations and research. We highlight the importance of (i) the transition clinic from paediatric to adult services, (ii) repeated signposting to mental health services, (iii) standardised guidance on physical activity, (iv) caution surrounding alcohol and smoking, (v) the dangers of illegal drugs, and (vi) reproductive options and health.

Further research is needed to address the many uncertainties in these areas with respect to young age, particularly for physical activity, and such guidance would be welcomed by the young with DCM who must come to terms with being different and more limited amongst healthy peers.

Despite its contested scientific validity, polygraph interviewing is now an established yet opaque practice within criminal justice in England and Wales, with statute law covering polygraph use in the context of probation for released offenders. In this paper, we highlight non-statutory uses of the polygraph by police forces in England and Wales by presenting analysis of responses to freedom of information (FOI) requests. The boundaries around police polygraph use are undefined and potentially elastic. The policies disclosed state that polygraph interviewing is conducted with regard to the Police and Criminal Evidence Act 1984 (PACE) and the Human Rights Act 1998; yet it is denied that a polygraph examination is a criminal interview conducted under PACE. Furthermore, there is a significant risk that the common law may not satisfy the quality of law requirement insofar as it is insufficiently clear who will be subject to polygraph testing, why and in what circumstances. Therefore, we argue that the legal basis for the police’s use of the polygraph is inadequate and imprecise. Without openness and scrutiny regarding the extent of this use, it is difficult to see how the key human rights principle of foreseeability can protect citizens from the risk of arbitrariness.

There is an ongoing debate in bioethics regarding the nature of suffering. This conversation revolves around the following question: What kind of thing, exactly, is suffering? Specifically, is suffering a subjective phenomenon—intrinsically linked to personhood, personal values, feelings, and lived experience—or an objective affair, amenable to impersonal criteria and existing as an independent feature of the natural world? Notably, the implications of this determination are politically and ethically significant. This essay attempts to bring clarity to the subjective versus objective debate in suffering scholarship by examining the history of the concept of “objectivity,” and putting that history in conversation with physician Eric Cassell’s famous theory of suffering. It concludes with a novel, albeit tentative, definition of suffering: suffering is the experience of a gap between how things are and how things ought to be.

Critiques of police brutality and dire warnings about public safety are a seemingly inescapable topic of controversy today, saturating headlines and political campaigns all over the world. In 2020, the murder of George Floyd in Minneapolis prompted huge protests across the United States, with activists denouncing yet another episode of excessive police violence against a Black man. As Covid-19 lockdowns kept people tethered to their homes, protests echoed globally, affirming solidarity in the value of Black lives and critiques of police violence. In Europe, marchers filled the streets everywhere from the United Kingdom to Poland, and, notably for this essay, in France. France, of course, did not need an American example to reckon with police misconduct. Since at least the 1970s, French activists have been calling attention to the way that police violence is directed disproportionately at economically marginalised banlieues and socially marginalised immigrant populations. In 2018, French citizens witnessed the brutal policing of the gilets jaunes, a populist movement that criticised economic inequality and President Macron's neoliberal policies. With horror, they read stories of protestors battered by police batons, grenades, and tear gas, losing hands and eyes in the fray. More recently, in June 2023, the police murder of Nahel Merzouk in Nanterre, following a routine traffic stop, reopened old wounds. ‘Who, exactly, do the police serve?’, protestors asked. Certainly not Nahel.

The reprocessing of personal protective equipment that is only intended for single use has been brought into focus by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, especially regarding respiratory masks.1–4

Les élections municipales de 2021 à la Ville de Québec ont été marquées par une forte compétition entre cinq candidats et une saillance des enjeux concernant la construction d'un tramway et d'un troisième lien autoroutier entre Québec et sa Rive-Sud. Ainsi, cette élection représente un contexte idéal pour étudier le comportement électoral au niveau local et plus spécifiquement le vote sur enjeu qui a été très peu étudié dans le contexte municipal. Nous soutenons que ces deux enjeux ont acquis une valeur symbolique et ont été exploités comme enjeu de brèche par le candidat à la mairie Jean-François Gosselin. À l'aide d'une analyse multivariée, nous testons la relation entre l'appui aux deux projets de transport et l'intention de vote. Nos résultats montrent que les attitudes des électeurs envers ces deux enjeux sont fortement corrélées avec leur choix de vote et suggèrent une continuité entre le comportement électoral municipal, provincial et fédéral, du moins lorsqu'il est question de vote sur les enjeux.

Established studies show that after the fall of the capital-based elites during the end of the Tang dynasty, the Northern Song literati became active in serving the central government. However, after the century-long Interregnum (878–978), during which literati from the South remained beyond the rule of the Central Plains dynasties, how did they establish a cooperative relationship with the emerging Song court? Taking Puyang in Fujian as an example, this article analyzes the writings of Puyang literati to illustrate how their narratives shaped political relationships between the center and periphery. It demonstrates how literati responded variously to specific political contexts, sometimes showcasing their own local identity and at other times extolling the rule of the Central Plains. The case of Puyang reveals that the challenging political environment of the Interregnum actually stimulated and accelerated cooperation between the Central Plains and the local literati through civil service examinations.

This article focuses on the early history of Northwestern European opinion polling (1940s–1950s), specifically the cases of the Netherlands and Sweden. The evolution of opinion polling and its influence on post-war politics and society should be understood in light of processes of international transfer and entanglement. The Dutch-Swedish comparison brings into focus the ways in which the national experiences of the Second World War influenced how opinion pollsters discursively linked the practice to ideas about democracy. Furthermore, the article highlights entanglements across the boundaries of science, as commercial survey methods were picked up by social scientists, and across national borders, as opinion pollsters across Western Europe were in frequent contact with each other.

At the entrance to this impressive exhibition stands Umberto Boccioni's dramatic bronze sculpture, Forms of Continuity in Space (1913), a Futurist piece filled with power, movement and innovation. It is a fitting introduction to what follows.