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Why do soldiers engage in unauthorized atrocities? This article explores this question by analyzing the use of postmortem mutilation by American soldiers during the Vietnam War. I show that such acts were remarkably frequent, despite being explicitly prohibited by military policy, and argue that individual-level variation in participation in such violence is explained by social dynamics within military units. Soldiers used mutilation mostly as a means of avenging enemy atrocities or deaths among comrades. Revenge motives were stronger when soldiers shared particularly strong social bonds. Whether these motives resulted in unauthorized atrocity, however, depended on the extent to which discipline was maintained within military units. In units characterized by “deviant cohesion”—strong social ties and weak discipline—informal combatant norms diverged from organizational policies and promoted unauthorized atrocities as a unit-level practice. Evidence for this theory comes from a combination of archival sources and survey data gathered from a representative sample of Vietnam War veterans. A case study of a single Army unit illustrates the mechanism implied by the theory.
Complex post-traumatic stress disorder (CPTSD) was adopted as a new diagnosis in ICD-11. Trauma-focused cognitive–behavioural therapy (CBT) is effective in treating PTSD but with CPTSD being a recently defined diagnosis, the evidence for its effectiveness in that disorder is not as clear, but it is still promising. This article reviews the diagnosis, psychopathology and some key differential diagnoses, and looks at the two CBT approaches that are currently used in clinical practice: the phase-oriented approach and the unimodal approach. The key aims of this article are to clarify the concept of CPTSD, its differentiation from borderline personality disorder and prominent comorbidities, how it develops and how CBT is used to treat it.
With drastic changes in borders and regimes in the post-World War I period, what meaning did home have for those on the ground? How can we understand different conceptualizations of “home” and “homeland”? The 1923 Greek-Turkish population exchange enshrined a notion of “unmixing” that rested on a presumed overlap between religion and ethnicity: Orthodox Christians in Anatolia would be deported to Greece and Greek Muslim nationals would be deported to Turkey. The reduction of identity left other communities that necessarily did not understand themselves as “Turks” or “Greeks” vulnerable to deportation. This article examines the case of an Albanian-speaking Muslim village in Greece, Vinan (Vineni), and the people from there who were deported to Turkey as part of the exchange process. This case illuminates the ways refugees navigated consulates and new national regimes in an attempt to return to their original village. New migration pathways and concepts of home and homeland were negotiated through the process with and for the refugees. This article takes the 1923 Greek-Turkish population exchange as an ongoing process of forging new migration pathways and conceptions of home, as opposed to understanding the 1923 Greek-Turkish population exchange as a singular event.
Pathogenic CACNA1A mutations can result in paroxysmal attacks of encephalopathy, hemiplegia and cerebral edema. We report two patients with CACNA1A-associated encephalopathy, hemiplegia and contralateral hemispheric cerebral edema treated successfully with intravenous magnesium sulfate and dexamethasone. One patient met the clinical criteria for familial hemiplegic migraine. There is a paucity of guidance in the literature on how to manage these patients. Despite some discrepancies in the treatment protocols in our two cases, they indicate that magnesium and dexamethasone could be part of the treatment algorithm for these patients. Further research to delineate appropriate dosing and duration of therapy is needed.
This essay examines the relationship between race, work, and exclusion during the Long Red Summer of 1919. I focus on several “transportation towns” of railroad employees in Appalachia to argue for the combined importance of labor history and racial ideology in attempts to understand wartime violence. Academic and federal government investigations inform my analysis, as does the robust body of scholarship on railroad labor. After examining racism embedded in railroad work, unions, and community life, the essay then turns to the Wilson administration’s nationalization of the roads during the war. Wartime changes resulted in higher wages for Black workers and many perceived threats to the racialized labor hierarchy. What was once white railroaders’ effort to exclude African Americans from certain jobs became one to expel them from the industry entirely. In several transportation towns that experienced wartime migration, however, this impulse transformed into a campaign to remove Black people from their communities once and for all. I cite testimony from a grand jury trial of an expulsion, railroad union journals, and newspaper accounts of mob violence that made it clear that the transportation towns belonged to white labor at the end of the Long Red Summer.
This article presents a novel approach to explain ethnopolitical mobilization among Kosovo Albanian miners during the winter of 1988–1989. Based on a close reading of the mining enterprise’s journal, it identifies three factors accounting for the rising politicization of ethnicity in microlevel dynamics within the Trepça mining enterprise. First, the article points at ethnic grievances in intra-elite managerial tensions and miners’ unrest. It relates these to structural conditions generated by the shifting cultural divisions of labor in Kosovo mining. Second, the article looks at counter-mobilizational dynamics among Kosovo Albanian miners, which were directly provoked by Serbian ethnopolitical mobilization during Slobodan Milošević’s rise to power. In a final step, the article reconstructs socio-occupational realignments taking shape in the particular decision-making structures of the mining enterprise. Against a background of internal power struggles and reorganizations, the executive management and the miners found themselves on the defensive against party representatives and managerial competitors. Making use of the enterprise’s institutional setup, they established a strong ethnopolitical alliance, which culminated in the underground strike of February 1989. The article suggests that this approach can be valuable to study other cases of intersecting social and ethnopolitical mobilization.
Adenylate kinases (AKs) are important enzymes involved in cellular energy metabolism. Among AKs, AK5 (adenylate kinase 5), a cytosolic protein, is emerging as a significant contributor to various diseases and cellular processes. This comprehensive review integrates findings from various research groups on AK5 since its discovery, shedding light on its multifaceted roles in nucleotide metabolism, energy regulation, and cellular differentiation. We investigate its implications in a spectrum of diseases, including autoimmune encephalitis, epilepsy, neurodegenerative disorders such as Alzheimer’s and Parkinson’s, diabetes, lower extremity arterial disease, celiac disease, and various cancers. Notably, AK5’s expression levels and methylation status have been associated with cancer progression and patient outcomes, indicating its potential as a prognostic indicator. Furthermore, AK5 is implicated in regulating cellular processes in breast cancer, gastric cancer, colorectal carcinoma, prostate cancer, and colon adenocarcinoma, suggesting its relevance across different cancer types. However, a limitation lies in the need for more robust clinical validation and a deeper understanding of AK5’s precise mechanisms in disease pathogenesis, despite its association with various pathophysiological conditions. Nonetheless, AK5 holds promise as a therapeutic target, with emerging evidence suggesting its potential in therapy development.
Clozapine is the most effective antipsychotic for treatment-resistant psychosis. However, clozapine is underutilised in part because of potential agranulocytosis. Accumulating evidence indicates that below-threshold haematological readings in isolation are not diagnostic of life-threatening clozapine-induced agranulocytosis (CIA).
Aims
To examine the prevalence and timing of CIA using different diagnostic criteria and to explore demographic differences of CIA in patients registered on the UK Central Non-Rechallenge Database (CNRD).
Method
We analysed data of all patients registered on the UK Clozaril® Patient Monitoring Service Central Non-Rechallenge Database (at least one absolute neutrophil count (ANC) < 1.5 × 109/L and/or white blood cell count < 3.0 × 109/L) between May 2000 and February 2021. We calculated prevalence rates of agranulocytosis using threshold-based and pattern-based criteria, stratified by demographic factors (gender, age and ethnicity). Differences in epidemiology based on rechallenge status and clozapine indication were explored. The proportion of patients who recorded agranulocytosis from a normal ANC was explored.
Results
Of the 3029 patients registered on the CNRD with 283 726 blood measurements, 593 (19.6%) were determined to have threshold-based agranulocytosis and 348 (11.4%) pattern-based agranulocytosis. In the total sample (75 533), the prevalence of threshold-based agranulocytosis and pattern-based agranulocytosis was 0.8% and 0.5%, respectively. The median time to threshold-based agranulocytosis was 32 weeks (IQR 184) and 15 (IQR 170) weeks for pattern-based agranulocytosis. Among age groups, the prevalence of pattern-based agranulocytosis and threshold-based agranulocytosis was highest in the >48 age group. Prevalence rates were greatest for White (18%) and male individuals (13%), and lowest for Black individuals (0.1%). The proportion of people who were determined to have pattern-based agranulocytosis without passing through neutropenia was 70%.
Conclusions
Threshold-based definition of agranulocytosis may over-diagnose CIA. Monitoring schemes should take into consideration neutrophil patterns to correctly identify clinically relevant CIA. In marked contrast to previous studies, CIA occurred least in Black individuals and most in White individuals.
A Sustainable Food System needs to be implemented through a legal framework balancing measures concerning all the aspects of sustainability (the social, economic and environmental ones), as defined by the Farm to Fork strategy.
Since environmental issues are considered a structural part of CAP regulations, a special attention shall be paid both to social and economic sustainability of agricultural and food system, as fundamental pillars for a resilient and competitive development of the primary sector.
A new “social” approach of agricultural policy takes into consideration the position of farmers (in particular, a fair revenue of their activity) and workers involved in the agricultural sector (in particular, the rights to protection and safety at work). It also involves the comprehensive rural areas, ie the social context that represents the premise to reach environmental goals of sustainability in rural territories, realised by the farmers themselves as main actors of the rural economy.
Therefore, for the future of food law, a strategic consideration of the legal framework related to people working in agriculture and agri-food sector should concern two main aspects.
On one hand, the introduction of social conditionality, establishing compliance with labour law rules, including work safety and transparency of employment conditions in agricultural labour contracts in order to receive CAP subsidies – becomes a component of the process for “safe food” through an “ethical and legal food production.”
On the other hand, it is important to consider the improvement of life conditions and services in rural areas in favour of resident citizens, the attractiveness of young farmers as well as the implementing measures for an inclusive growth.
These aspects, which make up a “social sustainability model” in the agri-food chain are strongly linked together and require a comprehensive policy regulation. This policy perspective includes a new perception of entrepreneurs and workers employed in rural areas intended for the production of food and related to the environmental protection.
EU food law is built on two paradigms – food safety and consumer choice. Consumers should have access to any food they like, provided that it is safe for consumption and that consumers are made aware of the products’ characteristics through adequate information. Growing emphasis on sustainability has not challenged these foundations. On the contrary, the law is intended as a tool to further empower consumers to make a healthy and environmentally responsible choice. However, it will be argued that this information centric approach is no longer a tenable position. The regulatory solutions characteristic of the consumer empowerment logic are of limited effectiveness and do not challenge the biggest obstacles to the sustainable transition of food systems – the commodification of food and the lack of regulation of the food environment. This contribution sketches out some far-reaching yet realistic food law reforms to genuinely address sustainability issues. Mindful of the special status of food and the growing discontent towards the EU and the green transition, this contribution also argues for some changes in the making and design of EU food law, leading towards greater involvement of citizens and local communities, and, ultimately, for truer empowerment of individuals.
This paper considers the legality of the UK practice of prosecuting trans people for sexual offences on the basis of deception as to gender history, a practice unknown in other member states. It argues that such prosecutions may constitute an unjustified violation of Article 8 of the European Convention on Human Rights. Moreover, it argues that where criminal prosecution falls within the scope of Article 8 but is viewed as objectively justified under Article 8(2), it may constitute a violation of Article 14. The paper will proceed as follows. Part 2 will provide some background context regarding prosecution of trans people for deception as to gender history in the UK. Part 3 will set out the current law pertaining to sexual fraud in England and Wales. Part 4 will present two arguments as to why prosecutions based on current English law, or Crown Prosecution Service interpretations of it, may violate Article 8: (1) a right to respect for privacy is undermined by lack of legal certainty regarding the threshold of criminal liability; and (2) deception as to gender history ought not to be considered a material deception serving to vitiate consent as a matter of law. Part 5 will consider the issue of potential discrimination under Article 14.
The Covid-19 crisis provided an opportunity for the European Union to offer an alternative regulatory response to the crisis of values by systemically linking European funding to respect for the rule of law. A rule of law conditionality mechanism for spending was introduced in the Recovery and Resilience Facility and in Regulation 2020/2092. It is both positive – in that it encourages Member States to implement reforms and investments aimed at improving the rule of law – and negative – in that it takes the form of financial sanctions. However, the development of the rule of law conditionality is leading to an economisation of the concept of the rule of law, insofar as it mainly concerns those dimensions of the rule of law that are conducive to growth – such as justice systems and the fight against corruption. As a result, it could paradoxically exacerbate the very crisis it is designed to resolve.
The physical health comorbidities and premature mortality experienced by people with mental illness has led to an increase in exercise services embedded as part of standard care in hospital-based mental health services. Despite the increase in access to exercise services for people experiencing mental illness, there is currently a lack of guidelines on the assessment and triage of patients into exercise therapy.
Aims
To develop guidelines for the pre-exercise screening and health assessment of patients engaged with exercise services in hospital-based mental healthcare and to establish an exercise therapy triage framework for use in hospital-based mental healthcare.
Method
A Delphi technique consisting of two online surveys and two rounds of focus group discussions was used to gain consensus from a multidisciplinary panel of experts.
Results
Consensus was reached on aspects of pre-exercise health screening, health domain assessment, assessment tools representing high-value clinical assessment, and the creation and proposed utilisation of an exercise therapy triage framework within exercise therapy.
Conclusions
This study is the first of its kind to provide guidance on the implementation of exercise therapy within Australian hospital-based mental healthcare. The results provide recommendations for appropriate health assessment and screening of patients in exercise therapy, and provide guidance on the implementation and triage of patients into exercise therapy via a stepped framework to determine (a) the timeliness of exercise therapy required and (b) the level of support required in the delivery of their exercise therapy.
One of the pillars on which product liability law is based is the defence for development risks. According to this defence, the producer is not liable for the damage caused to the injured party if, at the time the product was put into circulation, the state of scientific and technical knowledge did not allow the existence of the defect to be discovered. The Proposal for a Directive drafted by the European Commission and published on 28 September 2022 continues to provide, in Article 10.1.e), the defence for development risks. The Proposal for a Directive refers to this particular issue in Recital 39, which introduces some requirements for the assessment of such defence.
However, despite this recognition, does this defence fit into the digital paradigm, and how can it be applied to damage caused by defects in products with digital elements that incorporate artificial intelligence?
Many studies on China-Africa encounters have demonstrated the significance of ethnic and racial identities in these encounters. I reverse this perspective and ask: in what circumstances are China-Africa encounters shaped by identities other than racial and ethnic ones? Drawing on my ethnographic research in the construction industry in Congo-Brazzaville, I argue that the actions of many Chinese are often more influenced by their economic roles, such as workers, managers, and entrepreneurs than by their ethnic identity. Their identities are thus realigned in the economic encounters which I term “project assemblages.” This concept highlights the fluidity of multiple identities in economic encounters and shows that China-Africa encounters are a fertile ground for producing theories, beyond the China-Africa framework, on lived experiences of economic relationships.
Inverse probability weighting is a common remedy for missing data issues, notably in causal inference. Despite its prevalence, practical application is prone to bias from propensity score model misspecification. Recently proposed methods try to rectify this by balancing some moments of covariates between the target and weighted groups. Yet, bias persists without knowledge of the true outcome model. Drawing inspiration from the quasi maximum likelihood estimation with misspecified statistical models, I propose an estimation method minimizing a distance between true and estimated weights with possibly misspecified models. This novel approach mitigates bias and controls mean squared error by minimizing their upper bounds. As an empirical application, it gives new insights into the study of foreign occupation and insurgency in France.
Several disciplines, such as economics, law, and political science, emphasize the importance of legislative quality, namely well-written legislation. Low-quality legislation cannot be easily implemented because the texts create interpretation problems. To measure the quality of legal texts, we use information from the syntactic and lexical features of their language and apply these measures to a dataset of European Union legislation that contains detailed information on its transposition and decision-making process. We find that syntactic complexity and vagueness are negatively related to member states’ compliance with legislation. The finding on vagueness is robust to controlling for member states’ preferences, administrative resources, length of texts, and discretion. However, the results for syntactic complexity are less robust.
What could be called a digital turn has amplified conversations around publics, literary cultures, and African literature’s broadened genres. Drawing on conceptual frameworks and debates from literary, cultural, and media studies, Adeoba examines the literary imaginations and ekphrastic practices that emerge from the digital cultures of African Twitter users. Adeoba argues that crowdsourced verse demonstrates the creative agency of digitally connected everyday people and newer modes of sociality enabled by African poetry in digital contexts. Crowdsourced verse presents opportunities to examine the digital publics of African literature and their contributions to the body of literary works circulating in digital spaces.
This work has the aim of dissecting the legal and policy dress designed for the new “Green” Common Agricultural Policy (CAP 2023–27) across the proposed CAP Strategic plans (CSPs) of the EU member states. The analysis is carried out through the lens of a special inquiry: the consistency and coherence between the CAP and the perspective of the Green Deal and its satellite strategies, among all the Farm to Fork Strategy (F2F) and Biodiversity Strategy for 2030, for transition to a resilient and Sustainable food system. The F2F proposes a roadmap of interventions and sets specific goals to reach such a transition. Within these interventions, a renewed CAP is the first stage through which the direction undertaken by the EU can be measured. Following the new CAP delivery model, this work will investigate the national CSPs and address the consistency of the CAP financial instruments utilised to fulfill the social, economic and environmental objectives of the CAP according to the ambition of the F2F and other key strategies.