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Many localities in the United States are, or have been at some point in their past, economically dependent on a single industry. This leaves local governments vulnerable to capture by dominant firms. In such places, business interests may shape not only policy outcomes, but the size, structure, and capacity of government itself. Focusing on the case of eastern coal country in the twentieth century United States, this paper presents evidence that the coal industry hindered the growth of local government capacity where it was dominant. A difference-in-differences design and instrumental variables analysis show that coal-dependent counties employed fewer public workers, collected less tax revenue, and spent less on government services than comparable areas, with the latter two effects persisting long after the industry’s decline. These findings illustrate that local political economy in the early phases of institutional development can shape the trajectories of governance in lasting ways.
Since Foucault’s seminal work in the 1960s on the consequences of eighteenth-century discursive shifts in medicine, the establishment of hospitals during this period has often been interpreted as a progressive innovation driven primarily by medical scientists. However, less attention has been given to the ways in which the founding of hospitals was intertwined with domestic traditions and the practical challenges inherent in their implementation. By examining the establishment of the Seraphim Hospital in Stockholm, along with subsequent hospital foundations in Sweden, the practical difficulties involved become evident. Some of these challenges, particularly those related to funding difficulties, bear a striking resemblance to contemporary discussions on enhancing the efficiency of healthcare, despite the differing historical contexts. In the Swedish eighteenth-century context, ecclesiastical authority in medical matters persisted and played a role in the establishment process, while the military character of the kingdom also influenced hospital development. The conclusion drawn is that both national and local conditions shaped how medical reforms were conceived and practised. The historiographical emphasis on novelty and change may, at times, obscure the continuity of past practices, which undeniably played a crucial role in shaping the new. The concept of path dependency is thus employed not only to trace these historical connections but also to explore the ways in which they influenced the Swedish context, ultimately shaping the trajectory of hospital development in the country.
Developments such as the opening of the first psychiatric outpatient clinic, the emergence of psychiatric social work, the surge of interest in psychology and psychiatry, and the tightening of notions about sexual hygiene, intersected with the rise of the mental hygiene movement in India from 1930s. There exists little to no discussion on how mental hygiene developed in the colonies. This study is the first to shed light on the lesser-known chapter of psychiatry in India. The dynamics of family, childhood, and nation-state when merged with ideas about racism, caste, and communalism were critical in the making of new nation-states like India. Moreover, the trajectory of India’s participation in international health movements, such as psychoanalysis and mental hygiene, allowed for exchange and participation. India’s participation in the mental hygiene movement allowed the growth of psy-disciplines in innumerable ways. This paper fills in a major lacuna in historical writing by providing an outline of the number of interconnected developments in the colonies, which are often sidelined. The international visibility of India also permitted India to take centre stage in many significant studies that were conducted by the World Health Organization after the Second World War.
What economic system does a Kantian ideal of freedom entail? In Living with the Invisible Hand, Waheed Hussain argues it entails intermediated capitalism. Here, I investigate these arguments within the framework of a Kantian theory of right. I sketch a Kantian theory of equal democratic government where we have the right to make together through equal democratic processes decisions that structure our rightful relationships with one another. I argue that any plausible Kantian view of the natural determinacy of property rights justifies extensive government intervention in the economy, creating space to argue for alternative economic systems such as intermediated capitalism.
Following the decisions of the scientific session ‘For the further flourishing of Pavlov’s doctrine’ of the Academy of Sciences and the Academy of Medical Sciences of the USSR in 1950, important reforms were introduced under political control in the USSR and the Eastern Bloc countries. Research plans of science institutions and medical university curricula were changed according to these decisions. Scientists and university professors were forced to adopt courses in Pavlovian doctrine. The reforms affected the work of hospitals and sanatoriums, whose staff was instructed to reform the everyday practice. Regarding the clinical work, the session had two main consequences: the introduction of the so-called Curative-Protective Hospital Regime and the introduction of sleep therapy for the treatment of psychiatric diseases, hypertension, ulcers, rheumatism, and other diseases. As a widespread therapeutic method, it was established in the 1950s in the USSR and in the countries of the Eastern Bloc as a general reform of health politics. Political (Soviet influence), ideological (dialectical materialism), theoretical (Pavlovian teaching), and practical medical considerations intersected in the implementation of the therapeutic methods which made patients objects of this treatment. This study explores the process of dissemination and establishment of sleep therapy in Bulgarian hospital practice based on the hospital documentation of the Pediatrics Clinic at the Medical Academy and the Clinic of Cardiac Diseases in Sofia in 1952–1953.
To map the scope, methods and focus areas of qualitative research in paediatric otolaryngology.
Methods
A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic mapping review searched MEDLINE, Embase, CENTRAL and PsycInfo (August 2025) for qualitative or mixed-methods studies with a qualitative component related to paediatric otolaryngology. Two reviewers independently applied the inclusion criteria. Key study characteristics were extracted; no formal risk-of-bias assessment was performed, in line with the aims of a mapping review.
Results
Eighty-nine studies were included. Publications rose sharply after 2015, with nearly three-quarters from the USA, Canada and the UK. Otology (49 per cent) and laryngology (40 per cent) predominated; common topics were hearing loss, tonsillectomy and tracheostomy. Interviews, mainly semi-structured (73 per cent), were the dominant method, and caregivers were the most frequent participants (62 per cent).
Conclusions
Qualitative research in paediatric otolaryngology is growing but remains geographically and methodologically narrow. Broader stakeholder inclusion and methodological diversity are needed to deepen understanding and support patient-centred care.
Elites in the antebellum U.S. South faced persistent protest by enslaved Americans. Elites sought to quell that threat through policing, but success relied on the participation of non-slaveholding Whites. I hypothesize that elites encouraged non-slaveholders’ compliance by offering policy concessions, specifically, school funding. Novel data from North Carolina show that the state distributed more school funds to counties where more enslaved people lived, and that elites in those counties raised more school taxes. I then proxy for slave escape with the location of escape routes and find that elites also raised more taxes in densely enslaved counties containing escape routes. Alternative explanations rooted in electoral incentives or education preferences cannot account for the funding patterns, and data from the 1850 U.S. census suggest that the theory may extend to the rest of the South. The paper illustrates how elites can leverage public funds to preserve power in ethnically diverse settings.
The UK fiscal framework, especially the fiscal rules in place, has faced widespread criticism. Since the current system was introduced, the UK’s fiscal arithmetic has worsened. The article examines practices in other countries and, going beyond rules, looks at other dimensions of their fiscal frameworks, then suggests a ‘menu’ of possible changes to improve the UK approach. Scrutiny and a variety of governance features also deserve attention. While not all practices elsewhere can be directly adopted in the UK institutional setting and some would encounter political sensitivities, many can.
Vertical division of competences as a limit for the Court’s interpretation of EU law – Distinction between Union competences and institutional powers – Distinction between ‘Verbandskompetenz’ and ‘Organkompetenz’ – Principles of conferral, subsidiarity, and proportionality – Article 5 TEU – Retained powers – ‘Compétences encadrées’ – Jurisdiction – Judicial function – Difference between legislating and adjudicating – Judicial development of the law – ‘Rechtsfortbildung’ – Deference – Margin of appreciation
Substantially extending previous results of the authors for smooth solutions in the viscous case, we develop linear damping estimates for periodic roll-wave solutions of the inviscid Saint-Venant equations and related systems of hyperbolic balance laws. Such damping estimates, consisting of $H^s$ energy estimates yielding exponential slaving of high-derivative to low-derivative norms, have served as crucial ingredients in nonlinear stability analyses of traveling waves in hyperbolic or partially parabolic systems, both in obtaining high-frequency resolvent estimates and in closing a nonlinear iteration for which available linearized stability estimates apparently lose regularity. Here, we establish for systems of size $n\leq 6$ a Lyapunov-type theorem stating that such energy estimates are available whenever strict high-frequency spectral stability holds; for dimensions $7$ and higher, there may be in general a gap between high-frequency spectral stability and existence of the type of energy estimate that we develop here. A key ingredient is a dimension-dependent linear algebraic lemma reminiscent of Lyapunov’s Lemma for ODE that is to our knowledge new.
We compare Alfred Marshall, Vilfredo Pareto, and Knut Wicksell on the relation of family size to poverty, considering their (1) views on Thomas Robert Malthus, (2) contributions to statistical studies of population and standards of living, and (3) theories of poverty. While they shared the conclusion that to reduce poverty required decreasing the family sizes of the poor and working classes, they diverged on how this should be accomplished. Marshall rejected the use of contraceptives and argued that family limitation should arise from delayed marriage and restraint within marriage. Pareto thought such recommendations unscientific and unrealistic. Statistically, it was clear that people practiced preventative checks to varying degrees across countries and across classes; privately, Pareto supported the use of birth control as a responsible choice. Wicksell took the most radical position, publicly advocating for legal contraceptives and sex education for everyone regardless of class or marital status. We show how their working out of the problem of poverty subsumed additional questions of positive and normative science and the role and status of moral judgment in policy. Their discussion of the public interest in private reproductive choices reflects many of the same tensions that characterize contemporary discussions, indicating the continuing relevancy of the topic.
This paper scrutinizes an early childhood education institution introduced by the Justice and Development Party (AKP) in Turkey in the early 2000s. Making Quran kindergartens public, which were previously run only by private enterprises and religious sects, marked a new development for the country. In an effort towards building its cultural hegemony, the AKP established Turkey’s first public Islamic kindergartens as a part of its “raising a new pious generation” policy. This article explores the emergence of these public Islamic kindergartens, referred to as “Quran kindergartens,” and analyzes how these institutions form the concept of the “Muslim child” through their educational practices while also contributing to the transformation of the role of mosques in Turkey. The study was based on qualitative research, comprising interviews with educators and parents.
Impaired consciousness is a topic lying at the intersection of science and philosophy. It encourages reflection on questions concerning human nature, the body, the soul, the mind and their relation, as well as the blurry limits between health, disease, life and death. This is the first study of impaired consciousness in the works of some highly influential Greek and Roman medical writers who lived in periods ranging from Classical Greece to the Roman Empire in the second century CE. Andrés Pelavski employs the notion and contrasts ancient and contemporary theoretical frameworks in order to challenge some established ideas about mental illness in antiquity. All the ancient texts are translated and the theoretical concepts clearly explained. This title is also available as open access on Cambridge Core.
Though the US Supreme Court is famous for ideological disagreements among its Justices, agreement may in fact be the norm: most appeals are not politically salient, unanimous rulings are common, and even divided rulings require at least five Justices to agree. Because nearly all speaking turns of Justices in oral arguments are in the form of questions to an attorney, any linguistic evidence of agreement would have to be in the ways that these questions are asked. In this study, I review an oral argument for evidence of agreement, with a focus on supportive alignment, that is, when one party ratifies or approves of another’s conversation turn. I analyze two questions from Justices that were later repeated and endorsed by other Justices, and I argue that these reuses are a form of supportive alignment driven by the unique interactional constraints of the setting. (Institutional discourse, legal discourse, US Supreme Court, multiparty interaction, alignment)
It is a well-known empirical phenomenon that natural axiomatic theories are pre-well-ordered by consistency strength. Without a precise mathematical definition of “natural,” it is unclear how to study this phenomenon mathematically. We will discuss the significance of this problem and survey some strategies that have recently been developed for addressing it. These strategies emphasize the role of reflection principles and ordinal analysis and draw on analogies with research in recursion theory.
Despite growing front-of-pack labelling (FOPL) policy implementation in low-and middle-income countries (LMIC), research approaches for evaluating these policies remain poorly characterized, hindering evidence-based policy development and methodological gaps. This study explored research approaches, frameworks, and methods used in assessing FOPL policy implementation and response in LMIC.
Design:
Systematic search of five databases, including Medline, Web of Science, Scopus, Global Health, and CINAHL, for peer-reviewed articles published between 2014–2025. Studies on FOPL policy implementation or response in LMIC were included. Data on study characteristics, methods, and findings were extracted and synthesized.
Setting:
LMIC.
Participants:
All populations.
Results:
Thirty-one studies revealed significant research imbalances. Implementation studies (n 3) used qualitative approaches with policy theories, while response studies (n 28) predominantly employed quantitative methods including surveys, experiments, and modeling. Pronounced geographical bias emerged, with 24 studies conducted in Latin America while other LMIC regions remained underrepresented. Common limitations included non-representative sampling, self-reported data, and short timeframes. Mandatory FOPL policies achieved higher compliance than voluntary schemes, though implementation faced challenges including inadequate monitoring, limited resources, and industry resistance. Consumer awareness was generally high but varied significantly across population groups, revealing substantial equity gaps.
Conclusions:
This review reveals critical gaps in FOPL implementation research in LMIC, with evidence heavily skewed toward consumer responses and geographically concentrated in Latin America. Future research should prioritize implementation science approaches, geographical diversity, and understanding policy processes in resource-constrained settings to develop effective, context-appropriate FOPL policies.
Addressing the human-made problems of the 21st century requires rethinking the aims of social and developmental psychology. It requires scholarship that seeks not merely to describe how humans develop but one that aims to intervene in how humans develop. More fundamentally, it requires resisting the widespread idea that there are causes of human behaviour (socialisation, history, culture) that push us mechanically from the past into the future, and instead focus on humans as world-makers. Either by accepting the status quo or resisting it, humans must take responsibility for the world of tomorrow. The question for social psychology is not what causes human behaviour or even how human behaviour changes and develops, but rather what type of people we want to be. Such a pragmatic and genetic social and developmental psychology would be doubly genetic: it is not only about change but also about enabling humans to critically reflect on and collectively guide these changes. Specifically, it needs to critically challenge and expand the possible, ensure that world-making tools are fairly distributed and create theories of human behaviour that encourage a richer humanity.