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The contribution that coal miners made to the reconstruction of Europe is hard-wired into popular memory, with widespread tales of the selfless sacrifice that saw miners conduct extra shifts and work longer hours for the nation. This article compares three conflicts that arose when miners were ordered to go the extra mile: the campaign to have miners in the Nord-Pas-de-Calais basin (France) make up public holidays in early 1945, the extension of the Saturday shift in the coal mines of the Ostrava-Karviná basin (Czechoslovakia) in late 1946, and the calls on miners in the Ruhr basin (Germany) to conduct extra shifts to provide the population with coal for the winter of 1946/47. Where trade unionists invoked patriotic sentiments and, when that failed, ethnic resentments to motivate miners to go the extra mile, this article shows that generational conflict between old and young miners was the driving force behind these disputes.
Algorithmic management (AM) is reshaping work in many industries. However, what is done to redress potential risks is little understood. This study explores how trade unions, employers, and government actors assess AM-related occupational safety and health (OSH) risks and their strategies to understand how industrial relations could influence the safety and health of workers managed by digital technologies. Drawing on the Pressure, Disorganisation and Regulatory failure (PDR) model and interview and document data from Sweden, we find a gradually increasing interest in AM in the early 2020s among the government and the social partners. Unions learn, inform, and bargain about AM; employers enact ‘healthy discipline’; and government agencies inspect digital risks in workplaces. Moreover, economic and reward pressures contribute to AM-associated OSH risks. Disorganisation manifests as a lack of knowledge about the OSH effects of AM, leading to ineffective OSH management. Regulatory failure is reflected in new EU regulations stalling national-level initiatives, since the overlapping regulations complicate the enforcement of existing OSH regulations. This study highlights the crucial role of trade unions in advancing the agenda on AM-related OSH risks. It also makes a theoretical contribution by extending the PDR model, offering insights into the driving forces shaping AM and compromising OSH beyond the workplace level – highlighting wider politico-economic and institutional dynamics influencing OSH.
We consider the Maxwell–Schrödinger equations in the Coulomb gauge describing the interaction of extended fermions with their self-generated electromagnetic field. They heuristically emerge as mean-field equations from nonrelativistic quantum electrodynamics in a mean-field limit of many fermions. In the semiclassical regime, we establish the convergence of the Maxwell–Schrödinger equations for extended charges toward the nonrelativistic Vlasov–Maxwell dynamics and provide explicit estimates on the accuracy of the approximation. To this end, we build a well-posedness and regularity theory for the Maxwell–Schrödinger equations and for the Vlasov–Maxwell system for extended charges.
Mobile health (mHealth) interventions offer promising ways to enhance access and continuity of mental health services in low-resource settings. However, little is known about the perspective of end users in routine primary care in Nigeria regarding the role of mHealth in mental health care. This qualitative study explored the perspectives of patients, caregivers and healthcare providers on the use of mHealth tools to support access to and continuity of mental health care in Nigeria. Seventeen participants, including persons with lived experience of depression (n=7), caregivers (n=3), and primary healthcare workers (n=7), were purposively recruited from nine primary health clinics in Ibadan. Interviews were conducted in Yoruba, transcribed, translated into English, and analysed inductively using NVivo 15. Participants identified phone calls, Short Message Service (SMS) reminders, and audiovisual content as key facilitators of engagement, self-care and adherence. Caregivers valued direct communication with providers, while healthcare workers used mobile tools for reminders, follow-up and patient education. Flexible use of next-of-kin contacts helped overcome digital barriers. The findings demonstrate that user-friendly mHealth tools are feasible for supporting mental health care in Nigeria, but their success depends on coupling technology with human-centred communication to ensure equitable and continuous care.
This article addresses the expansion of urban public services in major Nordic cities, from 1850 to 1920. We argue that changes in political discourse were the driving force that prompted politicians to act on behalf of the urban public, significantly before the rise of the universal welfare state. The discursive changes are explored through three analytic concepts: publicness, urban citizenship and the welfare city. We start by presenting a short overview of the development of urban public services. Then we demonstrate how these concepts may be used in conjunction to explain the historical changes. Finally, the material effects are discussed in three case-studies, addressing freshwater pipes, public transport and municipal health care, respectively.
Successful coordination around a Duvergerian equilibrium requires accurate and consistent information about parties’ expected electoral support. In practice, such information is often unreliable and rarely available at the local level, thus hindering voters’ coordination. In this paper, we leverage Argentina’s Open, Mandatory, and Simultaneous Primary Elections as a large-scale survey of voter preferences. Using data from 135 municipalities in the province of Buenos Aires (2011–23), we show that a narrower margin between the top-two placed parties in the primary increases both turnout and the proportion of positive votes in the general election, while decreasing electoral fragmentation. We further show that the second-placed party in the primary is substantially more likely to win the election than the third-placed one. Also consistent with theory, these effects are more pronounced (a) in concurrent elections; (b) in smaller municipalities; and (c) when the second-placed party is closer to the first-placed one.
Why do some events catch fire in the news, producing a media storm, while many similar events go all but unnoticed? This Element uses a fire triangle analogy to explain the necessary conditions of media storms. The “heat” is the spark: a dramatic event or discovery. The “fuel” is the political and cultural landscape, including similar items in recent news, and current debates that allow the event to be framed in a resonant way. The “oxygen” is the available news agenda space, plus attention the event receives beyond the news (by activists, politicians, people on social media, etc.). Media storms are not easily predictable; it takes the right event, at the right time, with the right momentum of attention. But when the political stars align and a media storm erupts, it can be a window of opportunity for change. This Element is also available as Open Access on Cambridge Core.
This paper presents an actuarially oriented approach for estimating health state utility values using an enhanced EQ-5D-5L framework that incorporates demographic heterogeneity directly into a Generalised Linear Model (GLM). Using data from 148 patients with Stage IV non-small cell lung cancer (NSCLC) in South Africa, an inverse Gaussian GLM was fitted with demographic variables and EQ-5D-5L domain responses to explain variation in visual analogue scale (VAS) scores. Model selection relied on Akaike Information Criterion, Bayesian Information Criterion, and residual deviance, and extensive diagnostic checks confirmed good calibration, no overdispersion, and strong robustness under bootstrap validation. The final model identified age, gender, home language, and financial dependency as significant predictors of perceived health, demonstrating that utility values differ meaningfully across demographic groups. By generating subgroup-specific estimates rather than relying on uniform value sets, the framework supports more context-sensitive cost-effectiveness modelling and fairer resource allocation. Although developed in the South African NSCLC setting, the methodology is generalisable and offers actuaries and health economists a replicable tool for integrating population heterogeneity into Health Technology Assessment, pricing analysis, and value-based care.
To determine associations between spiritual well-being (faith and meaning dimensions) with emotional suffering (anxiety, depression, hopelessness, and quality of life) in Latinos with advanced cancer and examine themes of existential coping.
Design
In a mixed-methods study, participants were recruited from cancer clinics in New York and Puerto Rico. Measures included the Functional Assessment of Chronic Illness Therapy – Spiritual Well-Being Scale, the Hospital Anxiety and Depression Scale, and the Beck Hopelessness Scale. A subset of participants completed in-depth semi-structured interviews exploring the roles of existential and religious factors in adjustment to cancer. Correlations were conducted, and the interviews were analyzed with a thematic analysis approach.
Results
A sample of 142 Latinos with advanced cancer participated (67.6% stage IV and 32.4% stage III). The spiritual well-being, faith and meaning factor were associated with anxiety and depression symptoms. Meaning was associated with lower hopelessness and showed stronger associations with emotional suffering than the faith dimension. Lower acculturation was associated with higher hopelessness but not with depression/anxiety. In semi-structured interviews (n = 24), recurrent themes were: (1) receiving existential support from counselors; (2) receiving spiritual support from family and/or friends; (3) focusing on being spiritual and finding purpose rather than on a specific religion or faith; (4) religious coping; and (5) spiritual coping, focused on self-growth, finding meaning, and helping others to cope. Patients identified sources of meaning, including helping others, having a fighting spirit, a spirit of learning, enjoying work, enjoying life, family and children, confidence in providers/treatment, God/faith, and spirituality.
Significance of results
Meaning had a more significant influence than faith on emotional suffering. Participants emphasized the importance of finding meaning and purpose, self-growth, and helping others as ways to cope with an advanced diagnosis. Interventions with a meaning-making approach, emphasizing finding purpose and growth, are needed for Latinos with advanced cancer.
To describe the revised APSIC Environmental Hygiene Guidelines for prevention of healthcare-associated infections inclusive of surface cleaning, air and water quality.
Design:
The revised guideline was developed by Infection Prevention and Control key opinion leaders from Asia Pacific.
Setting:
This guideline emphasizes on practical implementation of environmental hygiene for prevention of healthcare-associated infections inclusive of surface cleaning, air and water quality relevant to Asia Pacific settings.
Patients or participants:
Any patients hospitalized in healthcare setting.
Interventions:
Literature search was done for recent international updates in environmental hygiene inclusive of surface cleaning, air and water quality. Recommendations were evaluated for practical and feasible recommendation in low-resourced settings in Asia Pacific.
Results:
The key recommendations are listed in the best practices for cleaning patient care areas. Additional measures are recommended to improve the air and water quality in healthcare settings.
Conclusions:
Implementation of environmental hygiene in Asia Pacific should take into consideration of the air and water quality in addition of surface cleaning. Measures to assess the cleanliness should be performed using conventional visual assessment, environmental cleaning and disinfection checklist, auditing, and additional measures (e.g., environmental culture or fluorescence).
Using metric techniques introduced by Berndtsson, we show a result on the constancy of families dominated by a constant variety and, on the opposite side, results on the strong non-isotriviality of certain families of surfaces with positive index and, in arbitrary dimension, in terms of the complex conjugate of a suitable representative of the Kodaira–Spencer class. We also give a metric interpretation of the liftability of relative volume forms.
To describe and assess the overall results of the La Caixa Foundation and the ICO/UVIC Chair of Palliative Care (Former WHO Collaborating Centre) Program “Comprehensive Care of People with Advanced Chronic Conditions” at 15 years (2008–2023).
Methods
We used qualitative and quantitative methods, such as prospective, quasi-experimental, and pre-post test designs, to evaluate the effectiveness of the interventions led by psychosocial teams providing support to existing healthcare services. Data were collected from the Program’s unique shared online information system, retrieving output and outcomes information, including data obtained from validated psychosocial evaluation instruments and semi-structured interviews with patients, relatives, professionals and other stakeholders, focusing on effectiveness, satisfaction, and perceived quality of different aspects of the Program, as well as outputs.
Results
From 2008 to 2022, the Program implemented 65 teams in Spain and 11 in Portugal across all the provinces, with 379 full-time professionals. They saw 286,644 patients and 371,023 relatives, with a median intervention duration of 2.3 weeks. Patients’ mean (SD) age was 73.2 (14.9) years; 52.3% were women, and most had a cancer diagnosis (60.1%). After 3 consecutive interventions, patients showed significantly improved psychosocial parameters, according to the Assessment of PSS Needs (ENP-E) and Existential Loneliness Detection Scale (EDSOL). Patients, relatives, and stakeholders were highly satisfied. The Program has developed a Master’s degree that has trained over 250 professionals and conducted 371 courses/workshops and 302 lectures. The Program developed tools, manuals, and protocols that were published, available, and common to all professionals involved. It also developed innovative approaches responding to special settings and needs.
Significance of results
A care program within a collaborative framework between public health services and non-profit foundations is an effective, efficient, and feasible model for organizing the psychosocial and spiritual dimension of care for patients with advanced chronic conditions and their relatives.
This article discusses the characterization of a shell as labyrinthine in Theodoridas, Anth. Pal. 6.224 (= 3524–9 Gow–Page, HE). It contextualizes the description in relation to a myth about Daedalus on Sicily, Theodoridas’ probable homeland. It then reappraises the implications of the phrase for the aesthetics of the epigram.
Surrogate models have gained widespread popularity for their effectiveness in replacing computationally expensive numerical analyses, particularly in scenarios such as design optimization procedures, requiring hundreds or thousands of simulations. While one-shot sampling methods—where all samples are generated in a single stage without prior knowledge of the required sample size—are commonly adopted in the creation of surrogate models, these methods face significant limitations. Given that the characteristics of the underlying system are generally unknown prior to training, adopting one-shot sampling can lead to suboptimal model performance or unnecessary computational costs, especially in complex or high-dimensional problems. This paper addresses these challenges by proposing a novel, model-independent adaptive sampling approach with batch selection, termed Cross-Validation Batch Adaptive Sampling for High-Efficiency Surrogates (CV-BASHES). CV-BASHES is first validated using two analytical functions to explore its flexibility and accuracy under different configurations, confirming its robustness. Comparative studies on the same functions with two state-of-the-art methods, maximum projection (MaxPro) and scalable adaptive sampling (SAS), demonstrate the superior accuracy and robustness of CV-BASHES. Its applicability is further demonstrated through a geotechnical application, where CV-BASHES is used to develop a surrogate model to predict the horizontal deformation of a diaphragm wall supporting a deep excavation. Results show that CV-BASHES efficiently selects training samples, reducing the dataset size while maintaining high surrogate accuracy. By offering more efficient sampling strategies, CV-BASHES streamlines and enhances the process of creating machine learning models as surrogates for tackling complex problems in general engineering disciplines.
Why do communist countries sign bilateral investment treaties (BITs)? This article explores this question through the case of Yugoslavia, the first communist state to do so. In 1974, Yugoslavia signed a BIT with France, paving the way for further investment treaties – both in Yugoslavia and, soon after, in other communist countries. These developments sparked intense debate within the Yugoslav Communist Party, with some factions viewing them as a betrayal of Marxist–Leninist principles. While Western powers welcomed the move, it was strongly criticized by Eastern Bloc countries, particularly the Soviet Union, as ideological heresy. This paper analyses the complex motivations behind Yugoslavia’s foreign investment policy in the 1960s and 1970s, arguing that it was driven by domestic political, geopolitical, and ideological factors – not just economic considerations. Domestically, BITs were linked to the Communist Party’s efforts to maintain political power and stability. Geopolitically, they served as tools to secure international allies. Ideologically, the policy sought to promote a distinct Yugoslav model of socialism – one that blended socialist principles, workers’ self-management, market economics, and coexistence with both capitalist and socialist states. This ideological dimension, overlooked in the literature, highlights how BITs were not merely economic instruments but also tools for advancing a hybrid economic and foreign policy that challenged both capitalist and Soviet orthodoxies.
In considering the charges brought against Al Hassan Ag Abdoul Aziz Ag Mohamed Ag Mahmoud, the ICC has been forced to address the question of Islamic criminal law. Following the reasoning of the Prosecution, Trial Chamber X considered Sharia punishments mandated by the Islamic court and implemented by the Islamic police to be evidence of the existence of an organizational policy to commit a widespread or systematic attack against a civilian population with the aim of denigrating and subjugating the community in Timbuktu. Trial Chamber X also accepted the Prosecution’s conclusion that applying different forms of Sharia punishments amounted to the crime of torture. Such an expansive view of core international crimes has the potential to send an alienating message to Muslim communities around the world and particularly those countries that apply Sharia criminal law. The overriding narrative of the article does not diminish the harm caused by Ansar Eddine but rather presents an alternative to the Trial Chamber’s and the Prosecution’s reasoning, campaigning for more active engagement with the principles of Sharia. As discussed at length, the duty of an international court is to adapt a multicultural and diverse interpretative guidelines by considering more traditional systems of justice. In that regard, the ICC has yielded to the universalists and Eurocentric agenda by deciding to dismiss Islamic traditions in their entirety. While Sharia based punishments remain shocking for the Western societies, their spiritual, religious, and exonerating value remains poignant for the Muslim majority states and communities. The practices cannot be therefore dismissed, and if looked at in line with the Third World Approaches to International Law could enrich the legal reasoning for future investigations and trials.
This article examines how intersectional ideologies and experiences of marginalization affect the extent to which African Americans support or oppose the marginalization of LGBTQ+ communities. We posit that awareness of the race-gender positionality of African American women, as well as the unique positionalities of other marginalized African American subgroups, is critical to understanding the conditions under which Black Americans embrace LGBTQ+ rights and communities. Using the Black respondent subsample of the 2016 Collaborative Multiracial Post-Election Study, we test the extent to which intersectional theories explain African American cross-group consciousness with LGBTQ+ persons and support for LGBTQ+ rights and communities. In doing so, we distinguish multiple mechanisms through which identity intersections affect African American1 political attitudes, and we find that, though intersecting marginalized identities can be critical to fomenting African Americans’ support for the rights and concerns of LGBTQ+ communities, not all intersections lead to a more inclusive Black politics.
This article conceives of the prevalence of death occurring during the COVID-19 pandemic in older people’s care homes in the United Kingdom (UK) through the lens of necrocapitalism. There is significant evidence that pre-pandemic marketisation policies have structured endemic neglect in the sector, but these generalised failures are frequently not highlighted in the debates around the causes of COVID-19 deaths. The article seeks to specify the way caring has been re-fashioned through a specific form of necrotic privatisation, resting on degrading the intensity of caring, institutionalised via market-orientated regulation. COVID-19 fatalities in older people’s services are necrocapitalist as pre-existing the pandemic the sector was defined by forms of slow violence, exacerbated during the crisis. The de-regulation and cost-saving at the heart of commodified care denigrate older people’s existence, reorienting the value of care in terms of its potential to generate profit.