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In 2021, the International Monetary Fund (IMF) moved to integrate climate risks into its Article IV surveillance of member states. While the IMF has not traditionally been at the forefront of climate change efforts, this decision involved defining climate change as a risk to macro-economic stability. I argue that the integration of climate change into IMF surveillance can be understood as a case of international organisation (IO) boundary work taking place via the mechanism of economisation: an economic institution addressing a (traditionally non-economic) issue as an economic issue. The study identifies crucial factors shaping this boundary expansion, particularly the agency of IMF staff, as well as preferences within the IMF Executive Board, and institutional ideas. The straightforward integration of physical and transition climate risks is in contrast to the contestation surrounding the integration of mitigation policy. The findings contribute to the literature on IOs and their boundaries, change within the IMF, and the environmental political economy. The analysis reveals the role of IMF staff in this boundary work and, in addition, that institutionalised ideas and the heterogeneous preferences among member states acted as scope conditions limiting how far this economisation could go.
Cervical cancer, closely linked to human papillomavirus (HPV) infection, is a major global health concern. Our study aims to fill the gap in understanding HPV vaccine awareness and acceptance in the Middle East, where national immunization programs are often lacking and cultural perceptions hinder acceptance. This systematic review and meta-analysis adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search across several databases was conducted on 5 September 2023. We included quantitative studies on HPV vaccine awareness and acceptance in Middle Eastern countries. Data extraction and quality assessment were conducted independently by multiple reviewers to ensure accuracy. Statistical analyses, including subgroup analyses, were performed using R to calculate pooled estimates, assess heterogeneity, and publication bias. We reviewed 159 articles from 15 Middle Eastern countries, focusing on 93,730 participants, predominantly female and healthcare workers. HPV vaccine awareness was found to be 41.7% (95% CI 37.4%–46.1%), with higher awareness among healthcare workers. The pooled acceptance rate was 45.6% (95% CI 41.3%–50.1%), with similar rates between healthcare and non-healthcare workers. Our study highlights the critical need for increased HPV vaccine awareness and acceptance in the Middle East, emphasizing the importance of integrating the vaccine into national immunization programs and addressing cultural and religious factors to improve public health outcomes.
The expanding application of advanced analytics in insurance has generated numerous opportunities, such as more accurate predictive modeling powered by machine learning and artificial intelligence (AI) methods, the utilization of novel and unstructured datasets, and the automation of key operations. Significant advances in these areas are being made through novel applications and adaptations of predictive modeling techniques for insurance purposes, while, concurrently, rapid advances in machine learning methods are being made outside of the insurance sector. However, these innovations also bring substantial challenges, particularly around the transparency, explanation, and fairness of complex algorithmic models and the economic and societal impacts of their adoption in decision-making. As insurance is a highly regulated industry, models may be required by regulators to be explainable, in order to enable analysis of the basis for decision making. Due to the societal importance of insurance, significant attention is being paid to ensuring that insurance models do not discriminate unfairly. In this special issue, we feature papers that explore key issues in insurance analytics, focusing on prediction, explainability, and fairness.
Our emotions do not always surface into our awareness, making it difficult to manage them and communicate them to others. Even when emotions do not reach our awareness, they still express themselves as physiological changes, often unperceived by ourselves and others. To aid in emotion self-regulation and increase the bandwidth of emotion communication, I designed a programmable affective sleeve that translates physiological aspects of emotions into material haptic action. The affective sleeve has been developed as a case study for Affective Matter. Affective Matter suggests a method for human-material interaction that enhances health and wellbeing.
I first discuss the three foundations of Affective Matter underlying the design of the affective sleeve: Embodiment, Entrainment, and Material Intelligence. I then proceed to the methods and results of an exploratory study I developed and conducted that tests the psychophysiological impact of the sleeve on 36 participants. The study results suggest that the pace of the affective sleeve’s haptic action can be programmed to regulate the wearer’s breathing pace to either have a calming or a stimulating impact on the wearer. The results also show varied affective responses to distinct haptic stimuli. Discussion of the results suggests future research directions and therapeutic applications for the benefit of individuals with mental health and neurodevelopmental disorders.
Since Key and Allport, scholars have argued that racial context affects political behavior, with some finding out-group contact increases intergroup hostility and others showing the opposite. We argue that Americans exist in multiple racial contexts simultaneously that may overlap or conflict, helping to explain past discord. Using novel data, we document in-group embeddedness among the four largest U.S. ethnoracial groups for three kinds of racial context: geographic, social, and psychological. These three contexts are only weakly correlated, we find, with social ties exhibiting distinctly high rates of in-group segregation. We next examine the relationship between racial contexts and political attitudes, showing that individuals who are highly embedded across contexts express notably different views than those who experience cross-cutting pressures. Our results underscore a need for greater care and specificity when examining the relationship between “racial context” and political phenomena.
There is a lack of large-scale studies exploring labor market marginalization (LMM) among individuals diagnosed with bipolar disorder (BD). We aimed to investigate the association of BD with subsequent LMM in Sweden, and the effect of sex on LMM in BD.
Methods
Individuals aged 19–60 years living in Sweden with a first-time BD diagnosis between 2007 and 2016 (n = 25 231) were followed from the date of diagnosis for a maximum of 14 years. Risk of disability pension (DP), long-term sickness absence (SA) (>90 days), and long-term unemployment (>180 days) was compared to a matched comparison group from the general population, matched 1:5 on sex and birth year (n = 126 155), and unaffected full siblings (n = 24 098), using sex-stratified Cox regression analysis, yielding hazard ratios (HRs) with 95% confidence intervals (CIs).
Results
After adjusting for socioeconomic factors, baseline labor market status, and comorbid disorders, individuals with BD had a significantly higher risk of DP compared to the general population (HR = 16.67, 95% CI 15.33–18.13) and their unaffected siblings (HR = 5.54, 95% CI 4.96–6.18). Individuals with BD were also more likely to experience long-term SA compared to the general population (HR = 3.19, 95% CI 3.09–3.30) and their unaffected siblings (HR = 2.83, 95% CI 2.70–2.97). Moreover, individuals diagnosed with BD had an elevated risk of long-term unemployment relative to both comparison groups (HR range: 1.75–1.78). Men with BD had a higher relative risk of SA and unemployment than women. No difference was found in DP.
Conclusions
Individuals with BD face elevated risks of LMM compared to both the general population and unaffected siblings.
To outline the life and work of Greek physician Asclepiades of Bithynia (124–40 BC), especially his contributions to thinking about mental illness.
Methods:
Review and discussion of relevant fragments of Asclepiades’ work that survive and review of secondary literature, supplemented by relevant systematic literature searches (e.g. PubMed).
Results:
Asclepiades challenged the long-standing Hippocratic doctrine of the four humours and developed an approach to physical and mental illness that was humane, reasoned, and a forerunner of later developments in psychiatry. Asclepiades argued that the human body, like everything in the universe, comprised tiny, imperceptible particles, which he called önkoi, seamless masses in perpetual motion. In consequence, Yapijakis describes Asclepiades as ‘the father of molecular medicine’. Asclepiades held that good health was maintained by free, balanced motion of önkoi through theoretical pores, while disease resulted from blockage or impaction of önkoi passing through pores in various body parts (e.g. brain). Based on this idea, Asclepiades recommended releasing people with apparent mental illness from confinement and using judicious combinations of diet, exercise, massage, bathing, and music to treat ‘phrenitis’ (delirium) and melancholia. He suggested that the physician act ‘safely, swiftly and pleasantly’ (‘cito, tutu, jucunde’) for both physical and mental illness.
Conclusions:
Asclepiades belongs to the historical tradition of progressive medical approaches to mental illness, not least because he applied his principles for the treatment of physical illness to mental illness. His ideas about psychiatry set the scene for further evolution of attitudes to mental illness and its treatment over subsequent centuries.
We give a mathematically precise statement of the SYZ conjecture between mirror space pairs and prove it for any toric Calabi-Yau manifold with the Gross Lagrangian fibration. To date, it is the first time we realize the SYZ proposal with singular fibers beyond the topological level. The dual singular fibration is explicitly written and proved to be compatible with the family Floer mirror construction. Moreover, we discover that the Maurer-Cartan set of a singular Lagrangian is only a strict subset of the corresponding dual singular fiber. This responds negatively to the previous expectation and leads to new perspectives of SYZ singularities. As extra evidence, we also check some computations for a well-known folklore conjecture for the Landau-Ginzburg model.
The World Health Organization (WHO) has defined Post-COVID-19 Condition (PCC) as the onset of symptoms within three months after resolution of an acute SARS-CoV-2 infection, wherein symptoms persist for at least two months and cannot be explained by another medical/psychiatric condition. Persons living with PCC report debilitating symptoms including, but not limited to, depressive symptoms and motivational deficits. The aim of this post-hoc analysis was to evaluate the association between depressive symptoms and motivation in adults with PCC.
Methods
We conducted a post-hoc analysis of an 8-week, double-blind, randomized, placebo-controlled trial evaluating adults (18 years or older) in Canada with WHO-defined PCC and cognitive symptoms. This post-hoc analysis is comprised of baseline data that evaluates the association between depressive symptom severity measured by the 16-item Quick Inventory of Depressive Symptomatology-Self Report (QIDS-SR-16) and motivational systems measured by the Behavioral Inhibition System/Behavioral Activation System Questionnaire (BIS/BAS).
Results
There was a statistically significant association between depressive symptoms and BIS (β = -0.041 95% CI [-0.066, -0.016], p<0.05), BAS reward responsiveness (β = 0.043 95% CI [0.012, 0.074], p<0.05), sex (β = -0.137 95% CI [-0.266, -0.008], p<0.05), and confirmed COVID-19 infection (β = 0.196 95% CI [0.061, 0.332], p<0.05).
Conclusions
Depressive symptoms were associated with motivational deficits in persons living with PCC. Optimizing treatment for depressive symptoms may potentially improve aspects of motivational impairment amongst persons with PCC. All patients presenting with MDD and a history of COVID-19 infection should be assessed for the presence of PCC.
In the winter of 2022–2023, hundreds of the Atlantic puffins (Fratercula arctica) appeared dead in the coast of the Canary Islands, a rare event considering their cold-living habits, normally occupying the North Atlantic Ocean. In this work, investigation about the parasites present in the Atlantic puffins found in the biggest islands of the Archipelago was carried out from a population portion. Necropsies of 39 birds were made and, during the examination of the urinary tracts, helminths were found. Morphoanatomical analysis under microscope allowed to identify them into Renicola genus with high similarity to Renicola sloanei. After that, DNA was extracted and NADH dehydrogenase subunit 1 gene were amplificated by a polymerase chain reaction method followed by sequencing and phylogenetic analysis. The molecular results demonstrated that in fact R. sloanei was the helminth parasite present in the urinary tracts of the Atlantic puffins found in the Canary Islands.
In May 2024, the European Union adopted the Directive on violence against women and domestic violence, marking the first EU-wide binding legislation to address various forms of sexualized and gendered harm. This Article provides the first comprehensive analysis of the Directive’s provisions on image-based sexual abuse (“IBSA”), encompassing the non-consensual taking, creating, and sharing of intimate materials, as well as threats to distribute them. While acknowledging the aim to harmonize legislation at the Union level, the Article identifies a range of limitations and the failure to fully reflect the diverse experiences of victims. Additionally, the Article evaluates the complementary roles in combating IBSA of the Digital Services Act and the AI Act which impose obligations on online platforms, search engines, and AI developers. Overall, the current EU framework represents a promising but partial approach. If the EU is to comprehensively address IBSA and safeguard victims’ rights, implementation beyond the minimum will be required together with proactive, effective regulation.
A widespread view has it that qualitative research in the social sciences is of poor quality because it lacks effective debiasing methods. In this paper, I zoom in on researcher bias in qualitative data collection. First, I provide a brief outline of qualitative data collection and develop a suitable account of bias. On that basis, I argue that qualitative researchers may mitigate researcher bias through the combined use of two strategies that capitalize on main characteristics of qualitative data collection. Lastly, I defend the two debiasing strategies against possible objections to their effectiveness.
Honeybees (Apis mellifera) and native bee species have ecological, economic, social, and cultural importance to smallholder coffee farmers. While the ecological contributions of bees to the sustainability of coffee systems are well documented, particularly in relation to the coffee crop, fewer studies have examined socio-economic dimensions of beekeeping for honey as an agroecological diversification strategy for coffee producers. Yet, understanding the multiple values of different diversification strategies is important as many coffee farmers in different parts of the world are finding it increasingly difficult to make a living on coffee alone and are adopting alternative strategies, such as on-farm diversification. In this Participatory Action Research (PAR) study, we examined the opportunities, limitations, and trade-offs of beekeeping (with A. mellifera) as an agroecological diversification option for smallholder coffee farmers in Chiapas, Mexico. We applied a mixed-methods approach, which consisted of monthly surveys with 25 beekeepers of Campesinos Ecológicos de la Sierra Madre de Chiapas (CESMACH)/Apicultores Miel Real del Triunfo (ART) producer cooperatives for 12 months and five focus groups between 2018 and 2019. We found that beekeeping is less labor-intensive than coffee, and there are opportunities to integrate beekeeping into the annual farming cycle of coffee and maize production without causing competing labor demands or additional time pressures. We also found that beekeeping could generate economic gains for peasant families; however, profitability hinged on various factors, such as the price for honey, yield per hive, and the number of beehives. Our results further show that beekeeping yielded multiple non-monetary benefits by contributing to the nutrition and health of farmer families and their communities, serving as a vehicle for horizontal learning and relationship building, and contributing to the emotional well-being of beekeepers. Finally, producers who hoped to gain economically from beekeeping were generally interested in growing their apiaries but expressed concerns about limited technical knowledge and the impacts of climate change. Given the multiple social, economic, and ecological benefits of beekeeping, it has great promise as a part of agroecological food and farming systems. We argue that efforts to promote beekeeping as a diversification strategy should take a holistic approach, underscoring the potential of apiculture to enhance the well-being and resilience of beekeeping families and strengthen food sovereignty and local economies (including solidarity economies) in peasant communities. These findings can be useful in supporting beekeepers and their organizations in strategic planning for enhancing the long-term sustainability of beekeeping.
There is growing interest in lifestyle interventions as stand-alone and add-on therapies in mental health care due to their potential benefits for both physical and mental health outcomes. We evaluated lifestyle interventions focusing on physical activity, diet, and sleep in adults with severe mental illness (SMI) and the evidence for their effectiveness. To this end, we conducted a meta-review and searched major electronic databases for articles published prior to 09/2022 and updated our search in 03/2024. We identified 89 relevant systematic reviews and assessed their quality using the SIGN checklist. Based on the findings of our meta-review and on clinical expertise of the authors, we formulated seven recommendations. In brief, evidence supports the application of lifestyle interventions that combine behavioural change techniques, dietary modification, and physical activity to reduce weight and improve cardiovascular health parameters in adults with SMI. Furthermore, physical activity should be used as an adjunct treatment to improve mental health in adults with SMI, including psychotic symptoms and cognition in adults with schizophrenia or depressive symptoms in adults with major depression. To ameliorate sleep quality, cognitive behavioural informed interventions can be considered. Additionally, we provide an overview of key gaps in the current literature. Future studies should integrate both mental and physical health outcomes to reflect the multi-faceted benefits of lifestyle interventions. Moreover, our meta-review highlighted a relative dearth of evidence relating to interventions in adults with bipolar disorder and to nutritional and sleep interventions. Future research could help establish lifestyle interventions as a core component of mental health care.
The “Danish cartoons controversy” has often been cast as a paradigm case of the blindness of liberal language ideologies to anything beyond the communication of referential meaning. This article returns to the case from a different angle and draws a different conclusion. Following recent anthropological interest in the way legal speech grounds the force of law, the article takes as its ethnographic object a 2007 ruling by the French Chamber of the Press and of Public Liberties. This much-trumpeted document ruled that the Charlie Hebdo magazine’s republication of the cartoons did not constitute a hate speech offense. The article examines the form as well as the content of the ruling itself and situates it within the entangled histories of French press law, revolutionary antinomianism, and the surprisingly persistent legal concern with matters of honor. The outcome of the case (the acquittal of Charlie Hebdo) may seem to substantiate a view of liberal language ideology as incapable of attending to the performative effects of signs. Yet, a closer look challenges this now familiar image of Euro-American “representationalism,” and suggests some broader avenues of investigation for a comparative anthropology of liberalism and free speech.
More than 1,100 studies have been published that examine the effects of democracy using cross-national data since 2000. This article examines whether these analyses have sufficient statistical power to detect an effect of democracy. Using Monte Carlo simulation and examining consensus effects previously reported in the literature, the article finds that studies are only powered to detect very strong effects of democracy when examining countries over time. This raises questions about what sort of relationships can be analyzed using cross-national data.
Dryland cities are important locations for human–environmental interactions and differ in many key characteristics from cities in wetter environments. Defined by chronic water deficit, these cities face challenges that include securing essential resources, reducing vulnerability to hazards and conserving threatened species. The resilience of dryland cities depends on interactions across the entire urban continuum, from urban cores and suburban areas to teleconnected zones and wildland–urban interfaces. Resilience solutions must enhance the well-being of residents and institutions while fostering adaptive capacity throughout the urban continuum. Key axes of solutions include hydrologic integration, including stormwater capture and reuse, nature-based solutions, including expanding urban tree cover for cooling and health benefits, and landscape sustainability, including the incorporation of spatial heterogeneity into planning and development. Addressing the large uncertainties in ensuring more resilient cities requires convergence research, the integration of theoretically driven science that brings researchers and stakeholders together to identify problems, solutions and opportunities for action. While convergence approaches look to address pressing scientific uncertainties, they also are inherently place-based and address compelling case studies to understand system dynamics and improve decision-making and land management. New research is needed to address the trade-offs resulting from decision-making and urban management activities, to meet the needs of diverse stakeholders and to ensure that policies do not marginalize underserved communities. By leveraging innovative technologies, sustainable practices and community involvement, dryland cities can overcome the challenges posed by chronic water limitations and thrive in their diverse environments.
Affordable, good quality childcare creates opportunities for many parents to better reconcile work and care or reduces family care to enable other valuable contributions to society. However, childcare studies often overlook parents of children with additional or complex care needs. These parents spend a greater amount of time on caregiving, providing care that goes beyond that of parents of typically developing children. As such, their opportunities beyond caregiving can be limited. Resources, like childcare services, can be crucial in supporting the reconciliation of care with other valued activities in life. This article contributes to the cross-national childcare policy literature by conceptualizing comparative indicators to assess the availability, accessibility, and affordability of childcare policy design for children with additional or complex care needs. It then applies these indicators to a comparison of childcare policy design in England and the Netherlands, providing an operationalization for further empirical analysis.