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Twin fetuses show a physiologically slower growth rate in the third trimester compared to singletons. Therefore, it has been suggested that the anthropometric evaluation of twins at birth should be performed using twin-specific charts. To be reliable, anthropometric charts need to fulfil certain methodological criteria to systematically review studies that have developed neonatal twin-specific anthropometric charts and assess their methodological quality. A comprehensive search was conducted across Cinahl, Embase, Global Index Medicus, PubMed, Scopus, Web of Science, Google Scholar, and relevant preprint repositories, followed by a predefined snowballing search. Two reviewers independently screened studies for eligibility, selecting those that have developed cross-sectional anthropometric charts for twins at birth, published since January 1990. Articles were excluded if they did not use anthropometric measurements at birth to construct charts. Two reviewers independently extracted data and performed quality assessment with a 16-item grading system. Sixty-eight studies were included, with all but one constructed reference, not standard, charts. Most studies did not meet the quality criteria: only 9% were prospectively designed, 34% reliably estimated gestational age, 19% reported standardized instruments, 28% described measurement techniques, and 26% did not stratify centiles by sex. This review reveals considerable methodological limitations in existing twin-specific neonatal anthropometric charts.
The EU Artificial Intelligence Act (AI Act) establishes a novel risk-based regulatory model for AI systems, categorising uses into four tiers: unacceptable (prohibited), high-risk (tightly regulated), limited-risk (transparency obligations), and minimal-risk (largely unregulated). This article develops a rigorous conceptual framework to analyse the Act’s logic of risk, reasonableness, and residual harm. It explains how the principles of precaution and proportionality shape the AI Act’s ex ante controls, requiring providers to anticipate reasonably foreseeable misuse and apply measures that reflect the state of the art.1 We propose criteria for calibrating key requirements (data governance, transparency, human oversight, robustness or cybersecurity) to the severity and uncertainty of risks, drawing on risk-regulation theory (e.g., Baldwin and Black’s responsive regulation and Sunstein’s cost-benefit rationality). The analysis also situates the EU approach within a comparative context, noting alignments and divergences with US and OECD AI frameworks – for example, the EU’s precautionary bans on biometric mass surveillance contrast with the US reliance on voluntary risk management guidelines. Specific high-impact use cases (biometric identification in public spaces, AI in critical infrastructure) illustrate how risk severity triggers stricter controls. The article concludes by discussing policy implications for implementation, including the role of harmonised standards and presumptions of conformity, the interface with parallel cybersecurity regimes (NIS2, DORA) as “risk multipliers,” and the need for further guidance and delegated acts to ensure that the AI Act’s proportional safeguards remain effective in the face of technological change.
Solidarity is generally emphasized as a social good, particularly by international lawyers keen to stress its integrative function for the international community. This chapter will explore the possibility that solidarity might, on the contrary, occasionally be unwelcome, understood as both objectively and subjectively undesirable. Solidarity constructs certain social bonds through “imaginaries of solidarity” (who one imagines oneself to be in solidarity with) in ways that may be problematic. The chapter will examine different sites of international solidarity, including the inter-state and the transnational. It will distinguish between solidarity that is unwelcome on account of its effects (when solidarity actually makes things worse), on account of who it is offered by (the “intuitu personae” of solidarity), and on account of the burden of gratitude it creates (as part of an economy of gift and counter-gift). Overall, the chapter will refocus attention away from obligations to provide solidarity in favor of a more nuanced appreciation that not all solidarity is equally opportune. It also hopes to be a contribution to understanding what might be welcome solidarity based on a renewed understanding of its non-welcome variant.
Edited by
Filipe Calvão, Graduate Institute of International and Development Studies, Geneva,Matthieu Bolay, University of Applied Sciences and Arts Western Switzerland,Elizabeth Ferry, Brandeis University, Massachusetts
Transparency is increasingly promoted as a necessary step to achieve various social and environmental sustainability goals. And yet, the pervasive idea that more transparency leads to more sustainability relies on an assumption that the market can and will transform information about corporate activities into a positive sustainability outcome. Reflecting on Traidcraft Exchange’s “Who picked my tea?” campaign and some of the responses to it, this chapter uncovers some of the assumptions that motivate transparency initiatives and shows how these assumptions serve the interests of powerful actors such as corporations and their investors. In doing so, they reinforce an understanding of sustainability that rewards companies for doing little more than disclosing information they themselves have decided is appropriate to share.
The chapter asks how fertility was managed at home in early modern England. Conception and pregnancy were a source of fascination and gossip for elite and middling families, and were seen as having a direct relationship to the godliness of the family line. The stakes, therefore, were high and there was considerable pressure placed on newly married couples to announce that they were expecting shortly after marriage. Medical texts and records of medical practice reveal that men and women often altered their behaviours to ensure they were fertile and able to conceive. Despite this, previous histories have emphasised that early modern people thought only women could be infertile. Challenging this narrative, the chapter finds that although both men and women sought treatments to increase their fertility, male efforts were minimised in paperwork because it was perceived as especially embarrassing and emasculating to not conceive easily.
Edited by
Filipe Calvão, Graduate Institute of International and Development Studies, Geneva,Matthieu Bolay, University of Applied Sciences and Arts Western Switzerland,Elizabeth Ferry, Brandeis University, Massachusetts
Edited by
Filipe Calvão, Graduate Institute of International and Development Studies, Geneva,Matthieu Bolay, University of Applied Sciences and Arts Western Switzerland,Elizabeth Ferry, Brandeis University, Massachusetts
Organic certification programs aim to promote transparent economic, environmental, and social trade relationships as part of their social mission. Yet, these programs often produce forms of knowledge and accountability that, while more transparent for some groups, are less transparent for others. With a focus on the vanilla supply chain in Madagascar, I ethnographically examine interactions between smallholder vanilla farmers and organic certifying agents. I note how the organic certification process privileges certain practices as transparent, and thus desirable. These include written, quantifiable, and formalized representations of vanilla fields. This focus ignores or undermines local forms of transparency, which often rely on spoken, indirect, and informal market mechanisms. The forms of transparency favored by certification projects have economic consequences, as they open spaces for additional external actors – including certification agencies themselves – to capture profit and value from the vanilla market.
This chapter examines Northern Ireland’s literary culture from the 1930s to the 1960s, highlighting how writers identifying as ‘Irish’ engaged with British institutions like the Left Book Club (LBC) and the Workers’ Educational Association (WEA). This reflects the complex identities characterising Protestant identity before and after the Second World War. During this period, the Belfast and broader Ulster context of the ‘Progressive bookmen’ represented a vibrant yet overlooked literary environment, challenging the narrow perceptions of a bigoted provincial atmosphere.Louis MacNeice (1907–63) was the most prominent of the writers discussed, alongside other influential figures like John Boyd (1912–2002), W. R. ‘Bertie’ Rodgers (1909–69), and John Hewitt (1907–87). All were steeped in leftist thought and opposed the Ulster Unionist establishment. The passing of the Flags and Emblems Act of 1954, codifying British symbols, and the rising tide of Irish nationalism posed significant challenges.Despite this, these Protestant writers advanced their values in union halls, WEA classes, pubs, and media outlets. The chapter explores their connections to local publications, the Labour movement, the Spanish Civil War, nationalism, and the BBC. Ultimately, while the Northern Irish conflict overshadowed the Progressive Bookmen, this chapter highlights their rich literary heritage and complex identities.
Sinusitis is a leading cause for outpatient antibiotics. An interruptive electronic health record alert was implemented to promote optimal antibiotic selection and duration for acute bacterial sinusitis when suboptimal treatment is ordered. After implementation, optimal antibiotic prescribing significantly increased 7% preintervention versus 30% postintervention, (unadjOR, 5.69; 95% CI, 2.36 – 13.72; P < .001).
Patients with non-English language preference (NELP) face significant barriers to safe and effective communication in palliative and supportive care. These barriers compromise quality, delay care, and heighten the risk of unmet psychosocial needs, particularly when compounded by health literacy concerns and limited access to translated resources.
Methods
We describe two Spanish-speaking patients with advanced cancer whose inpatient and outpatient supportive care was complicated by language barriers, leading to communication gaps, including symptom misinterpretation and inadequate family discharge education. These factors contributed to significant distress and safety risks.
Results
Interdisciplinary interventions, including professional interpreter use, bilingual supportive care psychology, teach-back education, medication relabeling in Spanish, and culturally tailored communication, helped restore trust, alleviate suffering, and align care with patient and family values. In one case, a lack of validated Spanish versions of the Edmonton Symptom Assessment System within the electronic medical record (EMR) hindered symptom self-reporting and safety. Following multiple requests, the EMR team initiated development of a Spanish-language template to facilitate future integration.
Significance of the results
Structural gaps in language accessibility compound distress, reduce autonomy, and threaten safety. These cases underscore that interpreter services alone are insufficient. Integrating validated multilingual tools into EMRs, standardizing translated discharge instructions, and expanding access to in-person interpreters are critical steps toward equitable care. Institutionalizing linguistically responsive systems is essential for ensuring safety, equity, and dignity in palliative care for patients with NELP.
Who is the audience for social criticism? What goals does it seek to achieve? How do we evaluate performances within this genre? These seemingly simple questions uncover complexities beyond the scope of a single essay, yet they frame the issues addressed here, particularly through the concept of ‘performance’. Social critics often adopt a self-consciously dissident voice, presenting themselves as lonely ‘outsiders’ to emphasise their stance. However, this identity is never straightforward; criticism inherently presupposes a community of potential allies, and every act of dissent simultaneously asserts an alternative authority. One might argue that within every ‘outsider’ lies an ‘insider’ trying to emerge, but this perspective risks solidifying rather than challenging existing categories.This phenomenon is particularly prominent in twentieth-century political writing, where there is a heightened focus on the systemic social and economic forces that reinforce conformity. However, conventional scholarly approaches often overlook the diverse literary expressions of this dynamic, favouring an analysis centred on propositional content. This view assumes that political writing comprises closely argued propositions aimed at securing agreement, dismissing non-propositional elements as decoration or distraction. This chapter’s aim is not to validate or dismiss the dissident voice but to explore the literary strategies that navigate its implicit logic.
This paper studies efficiency in the housing market in the presence of search frictions and endogenous entry of buyers and sellers. These two features are essential to explain the housing market stylized facts and to generate an upward-sloping Beveridge Curve in the housing market. Search frictions and endogenous entry create two externalities in the market. First, there is a congestion externality common to markets with search frictions. Sellers do not internalize the effect of listing a house for sale on other sellers’ probability of finding a buyer. Second, the endogenous entry of buyers leads to a participation externality, as new entrants in the market raise search costs for all buyers. The equilibrium is inefficient even when the Hosios-Mortensen-Pissarides condition holds. Using a calibration to the US housing market, we quantify the size of these externalities and how far the housing market is from the optimal allocation. The optimal vacancy rate and time-to-sell are about half their equilibrium counterparts, whereas the optimal number of buyers and homeowners are above their decentralized equilibrium values. Finally, we investigate how housing market policies restore efficiency in the housing market.
Ireland showcases the full spectrum of policy triage outcomes, driven by varied institutional setups and organizational cultures. Independent regulators at the central level—the Environmental Protection Agency and the Pensions Authority — manage their tasks with minimal triage. Their status as independent agencies limits blame-shifting, while formal accountability frameworks and political clout help secure resources. Moreover, both agencies foster strong organizational cultures that emphasize collaboration and flexibility, enhancing their ability to absorb additional workloads without undermining core functions. By contrast, the Department of Social Protection exhibits moderate triage frequencies, mostly occurring during sudden workload spikes or seasonal surges. Although the organization’s integrated policy formulation and implementation model shields it from excessive blame-shifting, centralized budgetary controls can hinder its resource mobilization efforts. The National Parks and Wildlife Service, however, grapples with severe, routine triage, largely due to chronic underfunding, weak structural ties to its parent department, and a fragmented internal culture in combination with an increasing implementation load. Finally, Irish City and County Councils also face frequent triage, contending with uncapped policy accumulation yet limited authority to negotiate additional support.
Digital health services in Kenya comprise mobile health applications (mHealth apps), electronic health records, telehealth and telemedicine, which form part of an expanding digital health assemblage. These are shaped by transnational development agendas and donor-driven public health interventions. This paper discusses the for-profit turn in the digitalisation of health care – what I term the ‘appisation’ of health – as a site of intensified commodification where users are reconfigured as digitised health consumers. While other scholars have argued that digitalisation functions as extractive in deepening market penetration into spheres of life we rely on, I extend these arguments by claiming that, far from enhancing access, these technologies exploit vulnerabilities through opaque governance mechanisms and algorithmic decision-making, while transferring responsibility for health from the state to the individual, thus creating new dependencies on market-mediated platforms. Using discursive interface analysis of two health apps in Kenya, I examine how consumer health apps embed vulnerabilities while consumer law remains structurally limited in confronting the collective harms they generate.
We present the discovery of 15 well-resolved giant radio galaxies (GRGs) with angular sizes $\ge$5 arcmin and physical sizes $\gt$1 Mpc in wide-field Phased Array Feed 944 MHz observations on the Australian Square Kilometre Array Pathfinder (ASKAP). We identify their host galaxies, examine their radio properties as well as their environment, and classify their morphologies as FR I (4), FR II (8), intermediate FR I/II (2), and hybrid (1). The combined $\sim$40 deg$^2$ ASKAP image of the Sculptor field, which is centred near the starburst galaxy NGC 253, has a resolution of 13″ and an rms sensitivity of $\gtrsim$10 $\unicode{x03BC}$Jy beam$^{-1}$. The largest GRGs in our sample are ASKAP J0057–2428 ($z_{\mathrm{phot}}$ = 0.238), ASKAP J0059–2352 ($z_{\mathrm{phot}}$ = 0.735), and ASKAP J0107–2347 ($z_{\mathrm{phot}}$ = 0.312), for which we estimate linear projected sizes of 2.7, 3.5, and 3.8 Mpc, respectively. In total, we catalog 232 extended radio galaxies of which 77 (33%) are larger than 0.7 Mpc and 35 (15%) are larger than 1 Mpc. The radio galaxy densities are 5.8 deg$^{-2}$ (total) and 0.9 (1.9) deg$^{-2}$ for those larger than 1 (0.7) Mpc, similar to previous results. Furthermore, we present the ASKAP discovery of a head-tail radio galaxy, a double-lobe radio galaxy with a spiral host, and radio emission from several galaxy clusters. As the ASKAP observations were originally conducted to search for a radio counterpart to the gravitational wave detection GW190814 ($z \sim 0.05$), we highlight possible host galaxies in our sample.
This chapter explores the poetry of G. D. H. Cole (1889–1959) as a medium for expressing political ideas, highlighting his dual identity as a socialist intellectual and poet. While Cole is best remembered for promoting guild socialism and contributing to economic history and the Fabian Society, he also published poetry, which he saw as part of his political life. His early and middle-age works, including New Beginnings (1914) and The Crooked World (1933), reflect a serious literary approach, aspiring to integrate historical verse forms within socialist thought. Cole’s poetic output also embraced satire, with The Bolo Book (1921) parodying hymns and popular songs to critique political figures and issues humorously. This blend of literary and satirical genres allowed him to engage readers in socialist discourse through varied tones and forms. By examining both the poetry itself and its cultural reception, this chapter illuminates how Cole’s verse contributed to and reflected British socialist culture in the early twentieth century, offering insight into how poetry served as a vehicle for political engagement in his era.