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Parkinson’s disease, the second most prevalent neurological disorder, is a multisystem neurodegenerative disease characterized by both motor and non-motor symptoms. Transcranial direct current stimulation (tDCS) is a non-invasive brain neuromodulation technique that has been shown to be effective in some neurological conditions and for some clinical outcomes. To evaluate the efficacy of tDCS combined with gait training in Parkinson’s disease, compared to placebo, absence of treatment, conventional therapy, or other therapies. A systematic review and meta-analysis were performed in accordance with the PRISMA guidelines and registered in PROSPERO CRD42024542552. The literature search was conducted in PubMed, CINAHL, SPORT Discus, Web of Science, Scopus, MEDLINE, and Academic Search Ultimate (EBSCO) databases up to May 2024, limited to trials from the last 10 years. A total of 600 articles were identified; 9 were included in the systematic review and 8 in the meta-analysis. Significant intra-group changes were observed, but in the meta-analysis, no significant differences were seen between tDCS + gait training and tDCS placebo + gait training, although variables such as motor function slightly favored the combination (MD = −0.49; 95% CI [−1.55; 0.57], I2 = 0%). The combination of tDCS and gait training could provide significant motor benefits in terms of gait speed, functional mobility, cadence, motor function, quality of life, 6MWT, coordination and dynamic balance, flexibility, and stretch resistance in patients with Parkinson’s disease, but not in a more effective way than the same training without stimulation.
Blood 25-hydroxyvitamin D (25(OH)D) concentrations vary considerably by season and sex. The present study aimed to determine associations between vitamin D deficiency and mortality in Japanese adults and identify risk thresholds according to 25(OH)D concentrations. This was a cohort study with an 11-year follow-up. Participants were 8285 community-dwelling Japanese adults aged 40–74 years. Plasma 25(OH)D concentrations were measured by chemiluminescent immunoassay at baseline and divided into quintiles for each of the subgroups stratified by season and sex (denoted as season- and sex-stratified quintiles). The main outcome was all-cause mortality. Hazard ratios (HR) were calculated using a Cox proportional hazards model. Mean age and 25(OH)D concentration were 59·9 years (sd = 9·1) and 50·1 nmol/l (sd = 18·1), respectively. Lower season- and sex-stratified quintiles were associated with higher hazards of all-cause mortality (Pfor trend = 0·0015), with the first quintile (median = 28·2 nmol/l) having a higher HR (HR = 1·46, 95 % CI, 1·13, 1·88) than the highest quintile (reference). When crude quintiles were used, the overall association was similar (Pfor trend = 0·0027), with the first (median = 28·0 nmol/l) and second (median = 39·7 nmol/l) quintiles having higher HR (HR = 1·40, 95 % CI, 1·06, 1·85 and 1·38, 95 % CI, 1·07, 1·77, respectively) than the reference. The risk threshold difference was estimated to be approximately 10 nmol/l. In conclusion, low blood 25(OH)D concentrations are associated with high mortality risk. Crude blood 25(OH)D concentration may modulate the estimated risk threshold for vitamin D deficiency associated with mortality.
Sex and gender are often overlooked factors in the delivery of mental healthcare, resulting in a gender blindness that ignores the specific needs of women and, in some circumstances, men. A lack of gender-disaggregated data and balanced sex and gender representation in clinical research has led to knowledge gaps in women’s health overall. This article explores the influence of gender bias across a spectrum of conditions where disparities in diagnosis, treatment and research exist, including psychosis, mood disorders, neurodevelopmental disorders, eating disorders and substance use disorders. The influence of female reproductive hormones (oestrogen and progesterone) on symptom onset, presentation and treatment response is also discussed where clinically relevant. Gender-aware approaches to delivering mental healthcare are needed, including trauma-informed care, in order to deliver equitable and effective mental healthcare for all.
This study examines how changes in political leadership and rising U.S. polarization flow through societal culture to corporate culture. Using quasi-experimental methods, we find that executives adjust culture messaging in earnings calls on extensive and intensive margins across varying political contexts. These changes follow two pathways: under political alignment, executives emphasize their firm’s culture, motivated by pride; and under political misalignment, executives reduce cultural messaging—particularly innovation, quality, and respect—due to lower perceived growth opportunities. Additional tests reveal these changes reflect strategic communication rather than fundamental cultural changes. Our findings highlight how cultural messaging varies with political context.
Traditional pastoral practices have maintained Alpine grasslands over thousands of years, and Alpine biodiversity now depends on these practices. Grasslands are also central to the identity of pastoral communities: They are biocultural landscapes. Across the Alps, these landscapes are now threatened by high rates of agricultural land abandonment as traditional, labor-intensive agricultural methods become uneconomic, and small-scale development increases. The Autonomous Province of Bozen/Bolzano-South Tyrol, Italy, experiences some of the lowest rates of land abandonment and high rates of grassland retention. The case study explores the functions of regulatory intervention and coordination, two of the regulatory functions advanced by this book’s CIRCle Framework of regulatory functions for addressing cumulative environmental problems. It investigates how a diverse set of regulatory interventions provides for maintaining and restoring grasslands in South Tyrol, and how diverse forms of coordination – links between areas of laws, coordinating institutions, and dispute resolution processes – facilitate implementation in a context of deep multilevel governance.
In the course of seeking indigenous documentation in a European-centered colonial archival repository, we uncovered a collection of African sources that highlight the literary work of African and Asian literate agents. The research enabled us to identify numerous indigenous African and Asian writings within an archive originally intended to support the Portuguese colonial administration. This article presents an archival survey on African documentation from Mozambique held in the Overseas Historical Archive (Arquivo Histórico Ultramarino), in Lisbon, Portugal.
Chapter 1 sets out the methodology of the work-task approach in more detail before providing an overview of the findings. It introduces the sources used, the challenges they present, and the methods adopted to mitigate those challenges, as well as presenting the overall results of our research.
This chapter is the first of three examinations of dominant copyright reversion traditions (UK, US, EU) throughout this book. It traces how reversion rights were present in the very first copyright statute, the 1710 Statute of Anne. It demonstrates how different iterations of reversion rights were hamstrung by poor design and undermining by rightsholders (e.g. by contracting around the intended effects of these provisions). It then canvasses modern developments in reversion rights across the Commonwealth (like in Canada and South Africa).
What determines the outcomes of negotiations is a central question in political science, and such negotiations are crucial in coalition systems where political parties distribute policy payoffs during coalition negotiations. In this paper, we argue that due to the combination of the non-separability of most public policies and the shared responsibility for policy outcomes under coalition governments, which policies a party manages to get included in a coalition agreement will reflect these policies’ popularity among the other governing coalition parties, rather than policy payoffs being driven by proportionality or relative salience. Using a unique dataset containing novel data on the budgetary impact of every measure proposed in election manifestos and coalition agreements over five government formations, we can directly observe the policy payoffs extracted by each party for participating in government, using a measure that is directly comparable across parties, policy areas, and time. The results have substantial implications for our understanding of the formation process and functioning of coalition governments.
Cumulative environmental impacts are a central problem that contemporary environment-related laws must face, from laws that allocate natural resources such as forests and water, to rights-based approaches to nature and human health. This introduction sketches the basic characteristics of a cumulative environmental problem – accumulating, incremental harms at different scales, caused by many and diverse actors, with the added complexity of interacting and uncertain effects addressed by multiple legal regimes. It explains why addressing cumulative environmental problems requires reaching across disciplines, legal contexts, and jurisdictions. The CIRCle Framework is introduced - a Framework of four integrated functions of formal rules for responding to cumulative environmental problems – conceptualization, information, regulatory intervention, and coordination. The chapter also introduces case studies of laws addressing environmental justice concerns related to groundwater in the Central Valley of California, cumulative harms to the biodiversity of the Great Barrier Reef, Australia, and cumulative impacts to grasslands as biocultural landscapes in South Tyrol, Italy.
This chapter provides a bird’s eye view of the landscape of laws that can deliver the CIRCle Framework functions of conceptualization, information, regulatory intervention, and coordination to address cumulative environmental problems. Its scope is broad, covering traditional and customary laws; environmental impact assessment and strategic environmental assessment; natural resources, land use planning, conservation, pollution, and other environment-related laws; and broader areas of public law, including constitutional environmental rights. It also discusses the way international treaties and development bank policies deal with cumulative impacts. The chapter provides a simple compass for navigating this landscape: considering whether the dominant focus of the law is a matter of concern that is threatened by cumulative impacts (e.g., environmental justice, national parks), impacts (e.g., environmental impact assessment, water pollution), or activities (e.g., road construction, mining), or whether it instead indirectly influences a cumulative environmental problem (e.g., laws for intergovernmental coordination).
Australia’s World Heritage-listed Great Barrier Reef experiences cumulative impacts from diverse activities, including regional catchment-sourced water pollution and the impacts of climate change. Regulating these threats engages a wide range of laws for intervention, which have been influenced by a regulatory mechanism for information – a strategic environmental assessment (SEA) undertaken a decade ago at the request of UNESCO. This chapter explores how the strategic assessment and associated interventions influence impacts from two major activities that contribute to water pollution and climate change – cattle grazing and coal mining. It shows that regulatory SEA can provide for entrenching and integrating ongoing information collection, analysis, and sharing. Moreover, SEA can directly influence diverse regulatory interventions to address cumulative impacts. It can link the functions of information and intervention, two of the regulatory functions advanced by this book’s CIRCle Framework. At the same time, opportunities remain to build stronger links between interventions for water quality and climate adaptation, and between climate change mitigation interventions and the Reef context.
The findings of this book offer suggestions for future research as well as new directions for advocacy. The concluding chapter of the book presents a research agenda for understanding the strategic adaptation of international norms. The chapter also suggests policy prescriptions for those committed to advancing the accountability of states and holding government perpetrators of violence accountable for their actions.
The Hector Galaxy Survey is a new optical integral field spectroscopy (IFS) survey currently using the Anglo-Australian Telescope to observe up to 15 000 galaxies at low redshift ($z \lt 0.1$). The Hector instrument employs 21 optical fibre bundles feeding into two double-beam spectrographs, AAOmega and the new Spector spectrograph, to enable wide-field multi-object IFS observations of galaxies. To efficiently process the survey data, we adopt the data reduction pipeline developed for the SAMI Galaxy Survey, with significant updates to accommodate Hector’s dual-spectrograph system. These enhancements address key differences in spectral resolution and other instrumental characteristics relative to SAMI and are specifically optimised for Hector’s unique configuration. We introduce a two-dimensional arc fitting approach that reduces the root-mean-square (RMS) velocity scatter by a factor of 1.2–3.4 compared to fitting arc lines independently for each fibre. The pipeline also incorporates detailed modelling of chromatic optical distortion in the wide-field corrector, to account for wavelength-dependent spatial shifts across the focal plane. We assess data quality through a series of validation tests, including wavelength solution accuracy (1.2–2.7 km s$^{-1}$ RMS), spectral resolution (FWHM of 1.2–1.4 Å for Spector), throughput characterisation, astrometric precision ($\lesssim$ 0.03 arcsec median offset), sky subtraction residuals (1–1.6% median continuum residual), and flux calibration stability (4% systematic offset when compared to Legacy Survey fluxes). We demonstrate that Hector delivers high-fidelity, science-ready datasets, supporting robust measurements of galaxy kinematics, stellar populations, and emission-line properties and provide examples. Additionally, we address systematic uncertainties identified during the data processing and propose future improvements to enhance the precision and reliability of upcoming data releases. This work establishes a robust data reduction framework for Hector, delivering high-quality data products that support a broad range of extragalactic studies.