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Though the use of court documents as data is widespread within US sociolegal scholarship, their use remains surprisingly undertheorized as a methodological practice. This article, therefore, asks, what differentiates court materials from other forms of documentary data, and how do these attributes impact claimsmaking in law and society scholarship? Drawing on varied empirical examples from existing scholarship, we uncover five distinctive attributes: their multitemporality, their dialogic nature, the multiple truths they house, their multivocality, and their social productivity. Considering these attributes, we argue that court documents unite our diverse field of scholarship in two important ways. First, as an essential output of the legal system, they are arguably “our” data, shaping law and society as we know it today. Second, they both reify and obscure the power dynamics that make social inequality so durable, helping inequality appear “just.” Despite their underexploited promise for theory-building in sociolegal research, we also discuss the practical, epistemic, and ethical pitfalls to their use. Ultimately, ignoring these rich yet complex documents is to our field’s analytic peril.
Tenecteplase has been shown to be non-inferior to alteplase for the treatment of acute ischemic stroke within 4.5 hours of stroke onset. While not formally approved by regulatory authorities, many jurisdictions have transitioned to using tenecteplase for routine stroke treatment because it is simpler to use and has cost advantages.
Methods:
We report a three-phase time-series analysis over 2.5 years and the process for transition from use of alteplase to tenecteplase for the routine treatment of acute ischemic stroke from a system-wide perspective involving an entire province. The transition was planned and implemented centrally. Data were collected in clinical routine, arising from both administrative sources and a prospective stroke registry, and represent real-world outcome data. Data are reported using standard descriptive statistics.
Results:
A total of 1211 patients were treated with intravenous thrombolysis (477 pre-transition using alteplase, 180 transition period using both drugs, 554 post-transition using tenecteplase). Baseline characteristics, adverse events and outcomes were similar between epochs. There were four dosing errors with tenecteplase, including providing the cardiac dose to two patients. There were no instances of major hemorrhage associated with dosing errors.
Discussion:
The transition to using intravenous tenecteplase for stroke treatment was seamless and resulted in identical outcomes to intravenous alteplase.
In this article, I argue that the musical landscape in Panama during the nineteenth century was much more active, diverse and globally connected than previously observed by authors of traditionally accepted music historiography of the country. Particularly, I discuss the heightened activity in the second half of the century through primary sources concerning violinist Miguel Iturrado (d. 1879). I further argue that the violin culture fostered by Iturrado and his contemporaries became a solid platform for cultural exchange which allowed for the development of early-twentieth-century music production in Panama. I conclude that the flourishing of numerous fin-de-siècle concert violinists, as well as the advent of the violinist-composers of dance music now known as the Azuero School in the first third of twentieth-century Panama, are directly related to Iturrado’s –and his colleagues’– musical and cultural achievements.
Discourse on the existence of Ghanaian English (GhE) has provided several works leading to the descriptions of GhE pronunciations, especially vowels. However, the major challenge is that most of these studies, impressionistically, have provided different numbers of the English monophthongal vowels used in the Ghanaian context and often discount the existence of certain vowels used in GhE. Consequently, the present study employed the acoustic approach to investigate the English monophthongs produced by 40 educated Ghanaian speakers of English. The purposive sampling was used to select those with first degree to study. The descriptive research design was used to study the formant one and two of the vowels. The vowels were studied within three different contextual realisations: in citation, in sentences and in spontaneous speech. The results revealed that the Ghanaian speakers of English employed in this study realised the English vowels /iː, ɪ, e, a, ɑː, ɒ, ɔː, ʊ, uː ʌ, ə/. The /ɜː/ vowel was shortened while the /æ/ was replaced with the /a/ vowel. This suggests that most of the Ghanaian speakers of English in this study could produce more RP vowels, contrary to earlier studies.
Barricaded incidents, hostage-taking and sieges occur in the community, where police negotiators are usually called on to bring about a peaceful resolution. They occur also in prisons and psychiatric hospitals, where they will be managed by the institution’s staff, with police support if needed. Psychiatrists and other mental health professionals have been involved in providing training and on-call support for negotiators and decision makers in these crisis situations. This article describes definitions and goals in relation to such incidents, and outlines a five-phase framework for their management (training; first responders, preliminary interventions and inquiries; negotiations; resolution; aftercare), indicating the psychiatrist’s role during each phase. Ethical issues are also discussed.
A central question in foreign language (LX) learning is how vocabulary acquisition is affected by using image versus orthographic referents. According to the picture superiority effect (PSE) and bilingual/dual coding theory (b/DCT), images should lead to better novel word encoding and retrieval. We tested this prediction using behavioral and event-related potential (ERP) measures. Thirty Polish native speakers learned 40 LX (artificial language) words using either image or L1/orthographic referents. After 24 hours, participants were tested using a translational priming paradigm in congruent and incongruent training-testing modalities. Behavioral results showed higher accuracy and faster responses for LX words learned and tested with images, in line with the PSE and b/DCT. ERP results revealed smaller Late Positive Complex (LPC) amplitudes for words preceded by image compared to lexical primes, likely reflecting less cognitively demanding lexical retrieval. These results provide converging evidence that visual referents provide a more salient modality for L2 learning.
The long-term development of coral reef frameworks and the net vertical accretion of reefs fundamentally underpins the provisioning of most reef-related ecosystem services. One area of particular concern at present is how rates of reef accretion are changing under ecological decline and what the consequences of this may be for the capacity of reefs to keep pace with near-future sea-level rise (SLR). This may have major implications for the capacity of reefs to maintain their coastal protective functions and to support reef island stability. Both are issues relevant to understanding future tropical coastal risk. Long-term (millennial timescale) rates of reef accretion are relatively well constrained, including through past periods of sea-level fluctuations. However, widespread and persistent ecological degradation of coral communities has caused many reefs to diverge significantly from their past accretion trajectories. This renders historical analogues increasingly unreliable for projecting future accretion potential. Addressing this necessitates a reorientation towards considering reef accretion rates across shorter (ecological to geomorphic) timescales, i.e., over years to multi-decades. This is essential if we are to better constrain contemporary reef accretion rate and SLR interactions at timescales relevant to predicting emerging coastal risks and understanding future implications for reef-derived benefits. Here, we review existing approaches for quantifying vertical reef accretion rates of modern reefs. These methods span data recovered from fossil outcrops or core-derived records, the conversion of carbonate budget data, direct in situ measurements and emerging remote sensing and image-based techniques. The review explores the advantages and limitations of these different approaches and outlines options for developing an integrated framework to link past, present and future reef accretion potential.
Indigenous Studies seeks to affirm the distinct worth of “Indigenous Knowledge” and to question, as colonial, the privileging of Western Knowledge. How should Bruce Pascoe’s Dark Emu be taught, after it has been persuasively criticised by Peter Sutton and Keryn Walshe in Farmers or Hunter-Gatherers? The Dark Emu Debate. Australia’s “culture wars” have encouraged readings that sharply distinguish the two books’ theses, and this paper attempts to soften that polarity. After noting a point of convergence between Dark Emu and Farmers or Hunter-Gatherers? I outline two ways to think about knowledge that may help answer the question: How should Dark Emu be taught? Paul A. Cohen distinguishes among three ways that we can know the past: as event, as experience, and as myth. Martin Nakata considers the relationship between Indigenous experience and university-authorised critique. This paper seeks to draw out what is useful in each author: an acceptance that our thinking about the past is both mythical and critical. We can teach Dark Emu as “myth” without equating myth with error.
Disasters, both natural and human-made, pose significant challenges to public health systems worldwide. This Research Letter examines the latest strategies and interventions in disaster preparedness and response. Our study highlights key practices that enhance the readiness and resilience of healthcare professionals and communities against disasters. The strategies reviewed include comprehensive emergency planning, simulation exercises, continuous education, interagency coordination, community engagement, and technological advancements. Our findings underscore the importance of multifaceted approaches that significantly improve disaster preparedness and response outcomes. This research provides valuable insights into effective disaster management practices and establishes an important foundation for future studies.
Previous studies have shown that repetitive transcranial magnetic stimulation (rTMS) can treat suicidal symptoms; however, the effects of rTMS on suicidal ideation (SI) in late-life depression (LLD) have not been well-characterized, particularly with theta burst stimulation (TBS).
Methods
Data were analyzed from 84 older adults with depression from the FOUR-D trial (ClinicalTrials.gov identifier: NCT02998580), who received either bilateral standard rTMS or bilateral TBS targeting the dorsolateral prefrontal cortex. The primary outcome was change in the Beck Scale for Suicide Ideation (SSI). The secondary outcome was remission of SI. Demographic, cognitive, and clinical characteristics that may moderate the effects of rTMS or TBS on SI were explored.
Results
There was a statistically significant change in the total SSI score over time [χ2(7) = 136.018, p < 0.001], with no difference between the two treatment groups. Remission of SI was 55.8% in the standard rTMS group and 53.7% in the TBS group. In the standard rTMS group, there was no difference in remission of SI between males and females, whereas remission was higher in females in the TBS group (χ2(1) =6.87, p = 0.009). There was a significant correlation between time to remission of SI and RCI z-score for D-KEFS inhibition/switching [rs = −0.389, p = 0.012].
Conclusions
Both bilateral rTMS and bilateral TBS were effective in reducing SI in LLD. There may be sex differences in response to TBS, with females having more favorable response in reducing SI. There may be an association between improvement in cognitive flexibility and inhibition and reduction of SI.
To understand the scenarios where health care worker (HCW) masking is most impactful for preventing nosocomial transmission.
Methods:
A mathematical agent-based model of nosocomial spread with masking interventions. Masking adherence, community prevalence, disease transmissibility, masking effectiveness, and proportion of breakroom (unmasked) interactions were varied. The main outcome measure is the total number of nosocomial infections in patients and HCW populations over a simulated three-month period.
Results:
HCW masking around patients and universal HCW masking reduces median patient nosocomial infections by 15% and 18%, respectively. HCW-HCW interactions are the dominant source of HCW infections and universal HCW masking reduces HCW nosocomial infections by 55%. Increasing adherence shows a roughly linear reduction in infections. Even in scenarios where a high proportion of interactions are unmasked “breakroom” interactions, masking is still an effective tool assuming adherence is high outside of these areas. The optimal scenarios where masking is most impactful are those where community prevalence is at a medium level (around 2%) and transmissibility is high.
Conclusions:
Masking by HCWs is an effective way to reduce nosocomial transmission at all levels of mask effectiveness and adherence. Increases in adherence to a masking policy can provide a small but important impact. Universal HCW masking policies are most impactful should policymakers wish to target HCW infections. The more transmissible a variant in circulation is, the more impactful HCW masking is for reducing infections. Policymakers should consider implementing masking at the point when community prevalence is optimum for maximum impact.
Bipolar disorder (BD) affects over 1% of the population and is characterized by deficits in response inhibition. Response inhibition, a crucial component of executive functions, involves the ability to suppress or withhold a planned or ongoing response that is no longer required or appropriate in a given context. Response inhibition may be dissociated into three subcomponents: interference inhibition, action withholding, and action cancellation. These subcomponents are assessed using the hybrid response inhibition (HRI) task. Previous research has shown that inhibitory control is strongly lateralized to the right hemisphere. Specifically, the right inferior frontal gyrus (rIFG) is a key node underpinning response inhibition and might be amenable to neuromodulation using repetitive transcranial magnetic stimulation (rTMS). This proof-of-concept study aimed to investigate the effects of rTMS targeting the rIFG on response inhibition in individuals with BD and controls.
Methods
We investigated HRI performance scores in individuals with BD (n = 12) and sex-/age-matched controls (n = 12) immediately before and after intermittent theta-burst stimulation (iTBS) and continuous TBS to modulate cortical excitability of the rIFG.
Results
The response inhibition subcomponent “action withholding” was significantly improved in the HRI task following iTBS in the BD group. No other significant effects were observed in the results.
Conclusions
Our study is the first to show that iTBS to the rIFG neuromodulated a specific subcomponent of response inhibition in BD. Further research investigating the potential therapeutic effect of neuromodulation of the rIFG in BD is warranted.
Chronic pain and depression are common in older people, and creative activities may lower the perceived impact and distress related to the symptoms.
Aims
This study describes the co-development of a creative arts and crafts protocol for older people with chronic pain and depressive symptoms, and investigates its feasibility and potential effects.
Method
This study had two phases. In phase 1, a multidisciplinary expert panel (n = 10), consisting of professionals, patients and researchers, underwent iterative rounds to co-develop the protocol. In phase 2, a pilot study was conducted among 12 older adults (mean age 71.4 years). Mixed methods were used, including questionnaires at baseline, post-intervention and 3-month follow-up, assessing pain intensity and interference, depressive symptoms and quality of life; observational notes and focus groups. Descriptive and Wilcoxon signed-rank tests were applied to analyse quantitative data, and thematic analysis was used for qualitative data.
Results
Qualitative findings supported the programme’s feasibility. Participants reflected that the process was engaging and empowering and brought them a sense of achievement and recognition. The quantitative findings evidenced the programme’s potential effects in reducing depressive symptoms (Z = −2.60, P < 0.01) and improving mental health-related quality of life (Z = −2.67, P < 0.01) at 3-month follow-up.
Conclusions
Our results support the feasibility of a creative arts and crafts programme and provide preliminary evidence of its impact on reducing depressive symptoms and improving mental health-related quality of life. Given the promising results, a definitive trial is needed to reveal the effectiveness of creative activities in pain management.
This paper draws attention to the untapped potential of international law (IL) in understanding how security communities develop. It focuses, among others, on ‘transnational legal processes’ – a key overlooked variable – by highlighting what international relations (IR) theory can learn from IL. In so doing, the paper contributes to the literature in three ways. First, it proposes a definition and conceptualisation of regional norms in the study of security communities. Second, by pointing out legal and judicial factors that facilitate or hinder the legal internalisation of regional norms, and consequently affect the development of a security community, it suggests new important research questions that can help broaden the ontology of security communities and bring theoretical heft to the fundamental concept of peaceful change. Third, the paper discusses how and under what conditions regional norms contribute to maintaining reasonable expectations of peaceful change not only at the systemic or state elite level, but equally at the domestic societal level.
Indoor positioning systems (IPS) are essential for mobile robot navigation in environments where global positioning systems (GPS) are unavailable, such as hospitals, warehouses, and intelligent infrastructure. While current surveys may limit themselves to specific technologies or fail to provide practical application-specific details, this review summarizes IPS developments directed specifically towards mobile robotics. It examines and compares a breadth of approaches that vary across non-radio frequency, radio frequency, and hybrid sensor fusion systems, through the lens of performance metrics that include accuracy, delay, scalability, and cost. Distinctively, this work explores emerging innovations, including synthetic aperture radar (SAR), federated learning, and privacy-aware AI, which are reshaping the IPS landscape. The motivation stems from the’ increasing complexity and dynamic nature of indoor environments, where high-precision, real-time localization is essential for safety and efficiency. This literature review provides a new conceptual, cross-border pathway for research and implementation of IPS in mobile robotics, addressing both technical and application-related challenges in sectors related to healthcare, industry, and smart cities. The findings from the literature review allow early career researchers, industry knowledge workers, and stakeholders to provide secure societal, human, and economic integration of IPS with AI and IoT in safe expansions and scale-ups.
Some trials have evaluated peer support for people with mental ill health in high-income, mainly English-speaking countries, but the quality of the evidence is weak.
Aims
To investigate the effectiveness of UPSIDES peer support in high-, middle- and low-income countries.
Method
This pragmatic multicentre parallel-group wait-list randomised controlled trial (registration: ISRCTN26008944) with three measurement points (baseline and 4 and 8 months) took place at six study sites: two in Germany, and one each in Uganda, Tanzania, Israel and India. Participants were adults with long-standing severe mental health conditions. Outcomes were improvements in social inclusion (primary) and empowerment, hope, recovery, health and social functioning (secondary). Participants allocated to the intervention group were offered UPSIDES peer support.
Results
Of the 615 participants (305 intervention group), 337 (54.8%) identified as women. The average age was 38.3 (s.d. = 11.2) years, and the mean illness duration was 14.9 (s.d. = 38.4) years. Those allocated to the intervention group received 6.9 (s.d. = 4.2) peer support sessions on average. Intention-to-treat analysis showed effects on two of the three subscales of the Social Inclusion Scale, Empowerment Scale and HOPE Scale. Per-protocol analysis with participants who had received three or more intervention sessions also showed an effect on the Social Inclusion Scale total score (β = 0.18, P = 0.031, 95% CI: 0.02–0.34).
Conclusions
Peer support has beneficial impacts on social inclusion, empowerment and hope among people with severe mental health conditions across diverse settings. As social isolation is a key driver of mental ill health, and empowerment and hope are both crucial for recovery, peer support can be recommended as an effective component of mental healthcare. Peer support has the potential to move global mental health closer towards a recovery- and rights-based orientation.
The COVID-19 pandemic caused widespread disruption to early childhood education and care services worldwide, affecting children’s well-being and placing unprecedented caregiving burdens on families. This paper compares the childcare-related social policy responses in three countries representing distinct welfare regimes: South Korea (Productivist/East Asian), France (Conservative-Corporatist), and the UK (Liberal). Focusing on four key domains – ECEC services, family leave, work environment, and financial support – it examines how each country addressed childcare challenges during the pandemic. The findings show that, while some similarities emerged in responding to shared challenges, the policy responses diverged considerably. These differences were shaped not only by pandemic-specific health strategies but also by pre-existing welfare structures and childcare systems. France utilised its strong public infrastructure and introduced special childcare leave; Korea expanded temporary family leave and financial aid while relying heavily on informal care; and the UK prioritised employment protection with limited direct caregiving support. The study underscores the importance of institutional flexibility and multi-layered care systems in building crisis-resilient childcare policies.
State consent is the primary mechanism by which international legal rules are generated and amended and by which states undertake legal obligations. The focus on state consent is celebrated for its strong protection of state sovereignty and for expressing the will of states. The main purpose of this article is to raise some doubts about this understanding of the value of state consent. I argue that far from protecting state sovereignty, unrestricted state consent can undermine it. I show that it is false to think that the virtually unlimited freedom to act protected by state consent safeguards state sovereignty in an environment in which every other state possesses the same unlimited freedom to act. I suggest one possible way of reconceiving state consent in line with existing trends in international law to increase the scope of nonconsensual mechanisms for making international legal rules.
Youth suicidal ideation and behaviour are major significant concerns, with suicide being the third leading cause of death among youth. In recent years, the trend toward deinstitutionalisation has caused parents of high-risk youth to face increasing emotional and practical challenges, including managing lethal means restriction (LMR) to reduce suicide risk.
Aims
This qualitative study explores the experiences of parents instructed by mental health professionals to restrict their child’s access to lethal means in managing suicidal behaviours.
Method
Twelve Israeli parents of youth aged 12–21 years participated in in-depth interviews. Using interpretative phenomenological analysis, the study investigated the emotional, psychological and relational challenges parents face when implementing LMR.
Results
Findings indicate that parents struggle to understand and implement LMR guidance, experience emotional strain from their role as protectors, and face pervasive anxiety about their child’s safety. The study also highlights feelings of helplessness and the erosion of trust between parents and children. Many parents criticise LMR, viewing it as potentially harmful to their relationship with their child or ineffective at keeping their child safe.
Conclusions
This study underscores the emotional and practical challenges parents face when implementing LMR. To improve its effectiveness, guidance should be re-evaluated and communicated more flexibly, emphasising shared responsibility between the parent and child, and address the emotional toll on parents during this critical period.