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Reduced access to dementia healthcare services by elders from ethnic minority backgrounds is often a manifestation of underlying systemic disadvantages within dementia assessment and treatment services. In this narrative review of current literature on UK dementia healthcare services we identify risk factors contributing to the inequalities faced by people with dementia from ethnic minorities, point to major knowledge gaps in dementia diagnosis, management and long-term care for these groups and highlight clinical challenges arising in delivering services to them. We describe the inequity in diagnostic rates, their poorer treatment outcomes and the lack of culture-specific support for people from ethnic minority communities. We present proposals for South Asian and the Black ethnic minority groups by which local healthcare systems may minimise some of these disadvantages. This will enhance our understanding of the aetiology and management of long-term conditions such as dementia by improving access to and dialogue with ethnic minority communities and healthcare providers.
Threat sensitivity, an individual difference construct reflecting variation in responsiveness to threats of various types, predicts physiological reactivity to aversive stimuli and shares heritable variance with anxiety disorders in adults. However, no research has been conducted yet with youth to examine the heritability of threat sensitivity or evaluate the role of genetic versus environmental influences in its relations with mental health problems. The current study addressed this gap by evaluating the psychometric properties of a measure of this construct, the 20-item Trait Fear scale (TF-20), and examining its phenotypic and genotypic correlations with different forms of psychopathology in a sample of 346 twin pairs (121 monozygotic), aged 9–14 years. Analyses revealed high internal consistency and test-retest reliability for the TF-20. Evidence was also found for its convergent and discriminant validity in terms of phenotypic and genotypic correlations with measures of fear-related psychopathology. By contrast, the TF-20’s associations with depressive conditions were largely attributable to environmental influences. Extending prior work with adults, current study findings provide support for threat sensitivity as a genetically-influenced liability for phobic fear disorders in youth.
The 1920s to 1950s was a period of significant transformation and conflict in South and East Asia, marked by the forces of (anti-)imperialism, nationalism, and militarism, eventually escalating into the Second Sino-Japanese War and the Second World War. For a long time, internationalist initiatives hoped that de-escalation and peace could be achieved through diplomacy and exchange. Part of this approach included Asian Christians moving in the milieu of Protestant internationalism, a movement long dominated by American organizations and actors, which after the First World War saw a shift towards Asia—both in terms of representation from and interest in the region.
Between the 1920s and the 1950s, numerous international conferences, organized by missionary associations and organizations such as the World Student Christian Federation or the international Young Men’s Christian Association, debated the political future of Asia in a changing and increasingly belligerent world. The period also witnessed numerous exchanges of Christian delegations between individual countries. By analysing the interrelated histories of three Asian Protestant internationalists—T. Z. Koo of China, Kagawa Toyohiko of Japan, and Augustine Ralla Ram of India—the article offers an examination of the mechanics of Christian diplomacy before, during, and after war. It shows that Protestant internationalist diplomacy, fellowship, and solidarity were often overshadowed by national and political ideologies. However, the article further argues that, despite its shortcomings, which challenged transnational solidarity and fellowship, Christian diplomacy was characterized by a resilience and reach that allowed its Asian protagonists a remarkable international operating space by providing useful networks, opportunities, and resources.
Terrestrial vascular plants affect Earth’s long-term geological processes, contributing to carbon cycling, chemical weathering and soil formation. Plants transport elements from the soil to their above-ground structures, accumulating a range of macroelements including Na, K, Mg, Ca, Si, S, P and Cl. Wildfire combustion concentrates these macroelements into inorganic ash. This ash is dominated by oxides, carbonates, halides, sulfates and phosphates of Na, K, Mg and Ca. This work describes K₂Ca₂(CO₃)₃, which occurs abundantly in the ash of the desert spoon (Dasylirion wheeleri), a plant native to the Sonoran Desert. Electron microprobe analysis, powder X-ray diffraction Rietveld refinement and Raman spectroscopy confirm that this phase matches synthetic rhombohedral (R3) K₂Ca₂(CO₃)₃. This phase forms during the smouldering combustion of D. wheeleri trunks, producing friable, decimetre-sized, porous, ash lumps that pseudomorphically preserve the plant’s fibrous structure. This ash occurs as glassy, sintered, porous aggregates, dominated by K₂Ca₂(CO₃)₃, with sylvite, calcite, fairchildite, arcanite and minor hydroxyapatite and periclase. Several double K–Ca carbonates form under surficial pressures and temperatures below ~800°C, including K₂Ca₂(CO₃)₃, and bütschliite (K₂Ca(CO₃)₂) and its dimorph, fairchildite. The occurrence of rhombohedral K₂Ca₂(CO₃)₃ and fairchildite are consistent with smouldering between 518 and 780°C. Upon exposure to water, K₂Ca₂(CO₃)₃ rapidly decomposes, leaving calcite. The occurrence of K₂Ca₂(CO₃)₃ as a major phase in the plant ash expands our understanding of Earth’s mineral diversity, provides new insights into the widespread geological process of wildfire ash formation and highlights the role that these fires play in forming mineral phases that are rare in other geological settings. Though K₂Ca₂(CO₃)₃ was first identified in Dasylirion wheeleri, this phase probably forms in other fire-adapted plant species. The occurrence of K₂Ca₂(CO₃)₃ in plant ash is an example of an inorganic phase that bridges the gap between biomineralisation and geological mineral formation.
Epidemiological studies have reported an association between the planetary health diet (PHD), diet-related greenhouse gas emissions (GHGEs), and mortality. However, data from individuals from non-Western countries was limited. Therefore, we aimed to examine this association among Japanese individuals using a cross-sectional ecological study of all 47 prefectures in Japan. Prefecture-level data were obtained from government surveys. The dietary amount was estimated based on the weight of food purchased (211 items) from the 2021–2023 Family Income and Expenditure Survey. Adherence to PHD was scored using the EAT-Lancet index (range, 0 [worst] to 42 [best]) and categorised into four groups: ≤ 24 (n = 14, low), 25 (n = 17, medium-low), 26 (n = 10, medium-high), and 27 points (n = 6, high). Diet-related GHGEs were estimated using previously developed GHGE tables for each food item. Mortality data were obtained using the 2022 Vital Statistics. Mortality rate ratio (RR) was calculated using a multivariate Poisson regression model. After adjusting for confounders, compared to the prefecture in the medium-low group of adherence score, those in the low and high groups were associated with a higher mortality RR for all-cause (low group: RR = 1.03 [95% CI (confidence interval) = 1.01–1.05]; high group: RR = 1.03 [95% CI = 1.00–1.07]) and pneumonia. Moreover, although a higher adherence score was inversely associated with GHGE, it was linked to an increased mortality risk from heart disease and stroke. Our findings indicate a reverse J-shaped association between adherence to PHD and mortality.
Organismal metabolic rate is linked to environmental temperature and oxygen consumption, and as such, may be a useful predictor of extinction risk. This is especially true during major climate-driven extinctions, given the tightly linked stressors of warming and hypoxia. However, metabolic attributes can be quantified in different ways, highlighting differing aspects of organisms’ ecology. Here, we estimate resting whole-body and mass-specific metabolic rates in post-Carboniferous bivalve taxa using body size, seawater paleotemperature, and a taxon-specific adjustment factor to assess how metabolic rate correlates with survival both during and outside intervals of rapid climate warming, or “hyperthermals.” Accounting for the effects of geographic range size, we find a pattern of preferential extinction of bivalves with lower total calorific needs, consistent with increasing body size and the postulated ramping up of ecosystem energetics over the Meso-Cenozoic. Contrary to expectations, extinction selectivity based on total calorific needs, which emphasizes body size, does not differ between hyperthermals and other time intervals. However, a higher metabolic rate per gram of tissue—which is more strongly determined by environmental temperature than by body size—consistently increases the probability of extinction during hyperthermals relative to baseline conditions, particularly within the paleotropics. This serves to highlight the potential significance of environmental temperature on metabolic performance, particularly in organisms that are already living close to their thermal limits. In tandem with previously documented patterns of extinction selectivity based on relative activity levels, including motility and feeding style, these results enhance our understanding of the role of metabolic rate through time and during climate-driven extinctions. When standardized by mass, metabolic rate may represent a useful metric through which to predict the effects of anthropogenic climate change on modern marine faunas.
The COVID-19 pandemic and associated restrictive measures affected the mental health and well-being of individuals globally. We assessed non-modifiable and modifiable factors associated with the change in well-being and mental health from before to during the COVID-19 pandemic in South Africa.
Methods:
A cross-sectional online survey was conducted from 26 April, 2020, to 22 April, 2021. Paired samples t-tests were conducted to assess change in well-being (measured on The World Health Organization-Five Well-Being Index (WHO-5)) and mental health (a validated composite psychopathology p-score). Sociodemographic, environmental, clinical, and behavioural factors associated with change in outcomes were examined.
Results:
The sample comprised of 1866 adults (M age = 44.26 ± 17.36 years, female = 78.9%). Results indicated a significant decrease in well-being (p < 0.001) and increase in p-score (p < 0.001) from before to during the pandemic. Having a prior mental health condition was associated with a worsening well-being score, while being female was associated with a worsening p-score. Being of Black African descent was associated with improved p-score and higher socio-economic status (SES) was associated with improved well-being. Factors associated with worsening of both well-being and the p-score included adulthood adversity, financial loss since COVID-19, and placing greater importance on direct contact/interactions and substance use as coping strategies. Higher education level and endorsing studying/learning something new as a very important coping strategy were associated with improved well-being and p-score.
Conclusion:
Findings inform the need for targeted interventions to reduce and prevent adverse well-being and mental health outcomes during a pandemic, especially among vulnerable groups.
The present article focuses on a place-based repertoire of contention known as Punto de Encuentro, designed to defend a rural-urban territory against racialized processes of economic globalization and armed conflicts in Colombia. The article suggests that citizenship becomes meaningful when Afro-Colombians exercise their rights to their territories. To support this argument, the article delves into the 2017 civic strike mobilizations that reclaimed the city space of Buenaventura as a territory of life where Afro-Colombians can live with dignity and in peace. As the article describes, the civic strike activists created four crucial social participation processes: the crafting of a social movement, the production of a place-based knowledge from past struggles, the construction of a common ethical and political framework, and Puntos de Encuentro as places of social and cultural resistance.
Kwalitatieve interviews onder 100 verdachten in Nederlandse strafzaken bieden inzicht in de vraag of ervaren procedurele rechtvaardigheid ertoe doet voor verdachten en, zo ja, welke componenten van procedurele rechtvaardigheid voor hen van belang zijn. Het epistemologische vertrekpunt van dit onderzoek verschilt van de kwantitatieve studies die het onderzoeksveld domineren, doordat dit onderzoek nagaat welke componenten van procedurele rechtvaardigheid respondenten eventueel zelf ter sprake brengen in plaats van respondenten te vragen naar vooraf bepaalde componenten van procedurele rechtvaardigheid. De grote meerderheid van de respondenten bracht zelf kwesties ter sprake die met procedurele rechtvaardigheid te maken hebben. Zes componenten vormden de kern van hun rechtvaardigheidspercepties: (1) informatie waarop beslissingen zijn gebaseerd, (2) bejegening, (3) gepaste aandacht, (4) neutraliteit, (5) inspraak en (6) zorgvuldigheid. Hoewel deze componenten overeenkomen met de literatuur over procedurele rechtvaardigheid, noemden respondenten sommige componenten vaker – en andere juist minder vaak – dan men op basis van de literatuur zou verwachten. In het bijzonder speelt neutraliteit een belangrijke rol in de Nederlandse rechtbankcontext die hier werd onderzocht.
Appeals to “decolonize” now range widely, from decolonizing the university to decolonizing Russia. This article poses the question of what work the concept of decolonization can and cannot do. It underscores how much can be learned about how decolonization came about if one explores the different goals that activists sought in their time. It suggests that if instead of looking for a colonial “legacy,” we explore historical trajectories of colonization and decolonization, we can reveal how political, economic, and social structures in both ex-colonies and ex-metropoles were shaped and reshaped over time. Finally, it brings into conversation with the literature on the decolonization of the empires of Western European states more recent scholarship on Russia and the Soviet Union, pointing to different forms of imperial rule and imperial collapse and also to the possibility of “reimperialization,” of reconstituting empire in new contexts.
The development of externalizing behavior in young children is shaped by the complex interaction of temperament, neural mechanisms, and environmental factors. This study explored how child frontal alpha asymmetry (FAA) and child negative affect jointly moderate the relationship between mindful parenting and child externalizing behavior. The sample, drawn from families in the Netherlands, included reports from 128 mothers and 103 partners on mindful parenting, and on children’s negative affect and externalizing behavior. FAA was measured in 95 four-year-old children during an EEG session while they watched an animated video. Results indicated that children with high negative affect and greater left-sided FAA displayed the most externalizing behavior when maternal mindful parenting was low, but the least when mindful parenting was high. In contrast, no significant effects were found for children with lower negative affect or in partner-reported data. These findings suggest that children with both high negative affect and greater left-sided FAA are more sensitive to the quality of mindful parenting, particularly from mothers, aligning with the environmental sensitivity framework. Future research should replicate these findings, ideally in a larger sample, and further examine the long-term, cumulative impact of FAA and negative affect on the development of behavioral problems.
This reflection article examines the trajectory of health law — using scholarly work by George Annas, Wendy Mariner, and Fran Miller as a platform.1 These three health law scholars have been analyzing the complications of health law in the U.S. economy for decades, and each of them has been prescient in anticipating what the future of health care delivery will look like and how we might improve it.
This paper draws together the connections between the concepts of critical human security and state capacity and explores their relevance as a novel analytical framework for exploring the global pandemic and its aftermath, with a particular focus on Europe and East Asia. The paper highlights the relevance of integrating a ‘state capacity for human security’ analytical lens and policy philosophy to inform an understanding of human (in)security as well as its relevance for concerns around social protection, sustainability, and inequality. We argue that the long-held and taken-for-granted assumption that larger, high-spending welfare states produce greater well-being security can no longer be an automatic supposition given the nature and sources of risk and insecurity in the contemporary world. We argue that that widening the parameters and focus of social policy analysis towards state capacity for critical human security might better highlight the multi-dimensional challenges that welfare states should seek to address.
This foreword introduces the inaugural International and Comparative Law Quarterly (ICLQ) Forum, a new initiative designed to provide in-depth analysis of a particular field of law within the ICLQ’s sphere of interest. The first Forum focuses on the law of the sea, a subject with which the journal has been closely associated since its inception. The choice of theme reflects both the ICLQ’s historic contributions to maritime scholarship and the renewed urgency of ocean-related legal challenges. The collected contributions examine contemporary developments, including the implementation of the Agreement on Marine Biological Diversity of Areas Beyond National Jurisdiction, climate change and sea-level rise, maritime security, fisheries governance and human rights at sea. Together, they assess the continuing vitality of the United Nations Convention on the Law of the Sea as a ‘living treaty’ and interrogate its capacity to respond to shifting geopolitical, environmental and technological realities. Beyond charting doctrinal evolution, the Forum highlights the law of the sea’s systemic significance for the development of international law more broadly. It invites reflection on whether the traditional State-centric framework can sustain effective ocean governance in the face of accelerating global pressures.
This article examines Dao Yin (Saying Vagina), a feminist play produced by the Beijing-based theatre collective Vagina Project, focusing on textile theatrical objects representing the vagina, such as cloth, plush puppets and woven fabric scenery. Sharing methodological foundations with Eve Ensler’s The Vagina Monologues, Dao Yin engages in feminist myth making through textile art. By analysing both onstage and offstage female textile work, this study highlights a dual dynamic: the visible artistic labour animating textile props onstage and the inert woven vaginal scenery that obscures the labour of its fabrication. Situating this work within a global commodity meshwork, the article foregrounds the weaving labour of female migrant workers and its translation to symbolic representation. Drawing on Eve Sedgwick’s concepts of texture and ‘texxture’, the analysis surfaces effaced histories of textile labour, the corporeal vulnerability it entails, and the material traces entangled in a theatre of feminist vaginal symbolism.
A fundamental and widely recognized inequity at the core of the existential climate crisis facing the planet today is that those who have contributed the least to climate change are also the most affected. The United States, European Union-28, Russia, Japan, and Canada, according to some accounts, are together responsible for 85 percent of global greenhouse gases (GHG) emissions thus far.1 Yet it is the climate vulnerable—least developed countries, low lying, and small island states among others—that are at the frontlines of climate impacts. There is widespread scientific and diplomatic consensus on the multiple causes and devastating impacts of climate change but so far justice for vulnerable states has proven elusive.
Law enforcement authorities (LEAs) increasingly need to obtain digital evidence that is stored or controlled across borders. As a result, States increasingly exercise enforcement jurisdiction extraterritorially by imposing investigative measures on service providers that possess or control data outside the territory, without the State’s LEAs physically entering another State’s territory. This exercise of ‘investigative jurisdiction’ seemingly conflicts with the longstanding prohibition of the exercise of extraterritorial enforcement jurisdiction in international law. This article argues that given the development of State practice, longstanding jurisdictional principles should adapt to global technologies. Consistent with the principle of comity, this article conceptualises a limited form of investigative jurisdiction that respects sovereignty and minimises conflicts of law.
Least-squares problems are a cornerstone of computational science and engineering. Over the years, the size of the problems that researchers and practitioners face has constantly increased, making it essential that sparsity is exploited in the solution process. The goal of this article is to present a broad review of key algorithms for solving large-scale linear least-squares problems. This includes sparse direct methods and algebraic preconditioners that are used in combination with iterative solvers. Where software is available, this is highlighted.