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In recent years the Commonwealth Government has passed legislation implementing international conventions on diplomatic and consular relations. Australia now has a legislative framework regulating the grant of privileges and immunities to diplomatic missions, consular posts, international organizations and the personnel of all of them. In this article Mr O'Keefe describes this legislation, explains how it operates and examines the relationship between the various Acts.
During the first five years of the twenty-first century the Howard Government took on a more activist role in the South Pacific. This trend was influenced by the ‘war on terror’, particularly the Bali bombings, which struck home in a manner that the 11 September attacks could not, but it also firmly reflected policy orthodoxies. This is not to say that responding to terrorism closer to home has not become a justification for intervention in the region, but it must be acknowledged that declaratory policy was not always matched by operational realities. The ‘war on terror’ opened up the political space in which increased intervention in the South Pacific could be undertaken, but events within the region itself were the central factor contributing to intervention. In particular, domestic crises in Solomon Islands and Papua New Guinea, and to a lesser extent Nauru, presented major challenges for Australia, and the creation and maintenance of an environment conducive to intervention was a significant foreign policy shift by the government.
OBJECTIVES/GOALS: Real-world data (RWD) may offer insights into mental health treatment as usual and illuminate targets for implementation and translation. This requires strong research-community partnerships (RCP). In this presentation, we will highlight key components of an ongoing RCP in leveraging RWD to advance translational science. METHODS/STUDY POPULATION: The RCP was formed to develop an infrastructure for NAMI Chicago, a community-based organization that oversees a city-wide social services helpline, to support collection of RWD data to understand whether NAMI helpline support services and referrals meet callers’ emotional and physical needs. This RCP includes three entities: NAMI Chicago, UIC’s Center for Clinical and Translational Science’s Community Engagement and Collaboration (CEC) Core, and UIC’s Institute for Health and Research Policy’s Data Management Core (DMC). From a preliminary review of case notes, this case study details concrete examples that fit into Brookman-Frazee etal. (2012)’s RCP framework to illustrate the trajectory of this partnership through its formation, execution of activities, and sustaining NAMI Chicago’s data capacity. RESULTS/ANTICIPATED RESULTS: In the formation of this RCP, we identified our joint goal of creating a database infrastructure to link NAMI Chicago’s existing helpline data with a database co-created in REDCap through APIs. Based on the identified joint goal, we defined our roles/responsibilities that best aligned with our own individual expertise to execute the necessary operational processes. The RCP is currently executing the activities to create this data infrastructure. Barriers included delays in securing a computing environment and enablers included an established long-standing relationship between NAMI Chicago and CEC. Distal outcomes of this RCP include increasing NAMI Chicago’s capacity to systematically use RWD to better inform their practices and identify barriers in accessing social service resources in Chicago. DISCUSSION/SIGNIFICANCE: The identification of enablers, barriers, and the necessary operational processes and activities will outline a “blueprint” for other institutions and community organizations to successfully utilize RWD to understand mental health practices and advance translational research.
Developed in 2014, the Systematic Review (SR) Toolbox has played a critical role in helping researchers to identify appropriate tools to support systematic reviews. Since the resource was launched, the systematic review and wider evidence synthesis process has evolved considerably. The way in which the SR Toolbox originally classified tools at launch had become dated. We updated and rebuilt the SR Toolbox in 2022 underpinned by a novel taxonomy to reflect the latest review and evidence synthesis landscape.
Methods
All guidance and software tools contained within the SR Toolbox were manually extracted in February 2022. Information contained from tool records were extracted by a single reviewer into an Excel spreadsheet, with a second reviewer checking a sample. The spreadsheet was translated to a Microsoft Access database underpinned with a new taxonomy to reflect the expansion of evidence synthesis methods and new review types (or ‘families’). A brief analysis of the remapped tools was conducted to identify current gaps in software and guidance support for evidence synthesis. A new user interface was also developed.
Results
The updated version of the SR Toolbox was launched 13 May 2022. At that time, the resource included records on 235 software tools and 112 guidance tools. Regarding ‘review families’, most software tools (n = 223) and guidance documents (n = 78) were applicable to supporting systematic reviews. Fewer software (n = 66) and guidance (n = 22) tools were applicable to reviews of reviews, while qualitative reviews were less served by guidance documents (n = 19). In terms of ‘review stages’, most guidance documents were associated with quality assessment (n = 70), while most software was related to searching (n = 84) and synthesis (n = 82). To-date, there is a lack of software (n = 2) and guidance (n = 3) tools to support stakeholder engagement.
Conclusions
The SR Toolbox has received a significant update to ensure that tools are classified and shared based on the latest systematic review and evidence synthesis methods. As part of the update, analysis of the contents of the toolbox highlighted potential gaps in tool support for certain review types/stages.
The ICJ’s contribution to the law on jurisdictional immunities is elucidated by Professor Roger O’Keefe. He argues that, through its case law in this area, the ICJ has affirmed basic aspects of the international law of jurisdictional immunities, clarified a few more specific points, and variously crystallised, consolidated, and catalyzed the further development of important customary rules on controversial issues in relation to civil and criminal proceedings respectively. Through its work in this field, the Court has reasserted an orthodox, possibly conservative vision of the role of jurisdictional immunities in the international legal order.
This paper examines the privatisation of Sydney Airport and the regime of ‘light-handed’ monitoring of service quality and airport charges that followed the sale in 2002. The arguments for privatisation are reviewed, in particular the need for increased competition and/or appropriate regulation where a former public monopoly, such as Sydney Airport, is sold. The aftermath of the privatisation of the airport has led to complaints by the major airlines and consumers of ever increasing charges for use of the airfield and for car parking and other services. This highlights that the ‘light-handed’ monitoring regime has not constrained the airport’s ability to charge monopoly rents. The aftermath of privatisation has resulted in labour shedding, outsourcing and a focus on cost minimisation by the airport’s management.
This urgent book brings our cities to the fore in understanding the human input into climate change. The demands we are making on nature by living in cities has reached a crisis point and unless we make significant changes to address it, the prognosis is terminal consumption. Providing a radical new argument that integrates global understandings of making nature and making cities, the authors move beyond current policies of mitigation and adaption and pose the challenge of urban stewardship to tackle the crisis. Their new way of thinking re-orients possibilities for environmental policy and calls for us to reinvent our cities as spaces for activism.
The first part of this paper looks into the question of Lucretius’ philosophical sources and whether he draws almost exclusively from Epicurus himself or also from later Epicurean texts. I argue that such debates are inconclusive and likely will remain so, even if additional Epicurean texts are discovered, and that even if we were able to ascertain Lucretius’ philosophical sources, doing so would add little to our understanding of the DRN. The second part of the paper turns to a consideration of what Lucretius does with his philosophical sources. The arguments within the DRN are not original. Nonetheless, the way Lucretius presents these arguments establishes him as a distinctive philosopher. Lucretius deploys non-argumentative methods of persuasion such as appealing to emotions, redeploying powerful cultural tropes, and ridicule. These methods of persuasion do not undercut or displace reasoned argumentation. Instead, they complement it. Lucretius’ use of these methods is rooted in his understanding of human psychology, that we have been culturally conditioned to have empty desires, false beliefs and destructive emotions, ones that are often subconscious. Effective persuasion must take into account the biases, stereotypes and other psychological factors that hinder people from accepting Epicurus’ healing gospel.
Introduction: There are few large-scale studies assessing the true risk of epinephrine use during anaphylaxis in adults. We aimed to assess the demographics, clinical characteristics, and secondary effects of epinephrine treatment and to determine factors associated with major and minor secondary effects associated with epinephrine use among adults with anaphylaxis. Methods: From May 2012 to February 2018, adults presenting to the Hôpital du Sacré-Coeur de Montréal (HSCM) emergency department (ED) with anaphylaxis were recruited prospectively as part of the Cross-Canada Anaphylaxis Registry (C-CARE). Missed cases were identified through a previously validated algorithm. Data were collected on demographics, clinical characteristics, and management of anaphylaxis using a structured chart review. Multivariate logistic regression models were compared to estimate factors associated with side effects of epinephrine administration. Results: Over a 6-year period, 402 adult patients presented to the ED at HSCM with anaphylaxis. The median age was 38 years (Interquartile Range [IQR]: 27, 52) and 40.4% were males. The main trigger for anaphylaxis was food (53.0%). A total of 286 patients (71.1%) received epinephrine treatment, of which 23.9% were treated in the pre-hospital setting, 47.0% received treatment in the ED, and 5.0% received epinephrine in both settings. Among patients treated with epinephrine, major secondary effects were rare (1.4% of patients), including new changes to electrocardiogram, arrhythmia, and neurological symptoms. Minor secondary effects due to epinephrine were reported in 50.0% of patients, mainly inappropriate sinus tachycardia (defined as a rate over 100 beats/minute in 30.1%). Major cardiovascular secondary effects were associated with regular use of beta-blockers (aOR 1.10 [95%CI, 1.02, 1.18]), regular use of ACE-inhibitors (aOR 1.16 [95%CI, 1.07, 1.27]), and receiving more than two doses of epinephrine (aOR 1.09 [95%CI, 1.00, 1.18]). The model was adjusted for age, history of ischemic heart disease, trigger of anaphylaxis, presence of asthma, sex, and reaction severity. Inappropriate sinus tachycardia was more likely in females (aOR 1.18 [95%CI, 1.04, 1.33]) and palpitations, tremors, and psychomotor agitation were more likely in females (aOR 1.09 [95%CI, 1.00, 1.19]) and among those receiving more than two doses of epinephrine (aOR 1.49 [95%CI, 1.14, 1.96]). The models were adjusted for age, regular use of medications, history of ischemic heart disease, triggers of anaphylaxis, presence of asthma, reaction severity, and IV administration of epinephrine. Conclusion: The low rate of occurrence of major secondary effects of epinephrine in the treatment of anaphylaxis in our study demonstrates the overall safety of epinephrine use.
There are many books on climate change and cities, so why another one? In this literature cities feature variously as victims (threatened by the rise of sea levels), solutions (compact living) and models (various new ‘green’ settlements), but always as adjuncts, effectively just add-ons, to the subject of climate change. The basic argument is that given climate change is happening, how are cities affected and what can be done about it?
Acknowledging Hassett's (2017: 14) wide-ranging evidence that cities have made us humans – as she states, ‘we haven't just built cities. Cities have built us’ – this book offers a completely different take: cities are the key human component in anthropogenic climate change. Our basic argument is that without cities, there would never have been anthropogenic climate change. So there – if you want to engage with this unique argument, read on. We think you should because to deal effectively with any emergency – and climate change is now an emergency – it is vital to understand the fundamental mechanism behind the crisis. And we might just be right.
Our book has been a long time in the making. The path to this text begins in 2010 when we three found ourselves together in the same academic home, the Department of Geography at Northumbria University in Newcastle upon Tyne. By coincidence we were in the process of researching and writing two books that were soon to be published: Taylor's Extraordinary Cities: Millennia of Moral Syndromes, World-Systems and City/State Relations (Edward Elgar, 2013) and O’Brien and O’Keefe's Managing Adaptation to Climate Risk: Beyond Fragmented Responses (Routledge, 2014). This book has its origins in our trying to bring together some of the core ideas of these two texts, the human potentials of urban agglomerations and connectivities, and the building of resilient communities to reduce risks from disruptive events. Although the original texts are very different, they shared common concern for holistic thinking, bottom-up practice and anthropogenic climate change. These starting points were consistent with others’ research agendas in the Department of Geography so that when The Leverhulme Trust invited bids to initiate a major research programme on climate change in 2013, we threw our hat into the ring.
Introduction: unthinking a thoroughly modern discourse
Without a sustained input from a critical social science, climate change science and policy-making have been condemned to being thoroughly modern. Whereas future scenarios – posited, projected or predicted – take humanity into uncharted waters (literally for many!), mainstream thinking about how we got into this predicament and how we might get out of it have been severely constrained by an embedded modern mindscape. Hence the need for a dose of Wallerstein's (1991) ‘unthinking’:
I believe we need to “unthink” nineteenth-century social science, because many of its presumptions – which in my view are misleading and constrictive – still have far too strong a hold on our mentalities. These presumptions, once considered liberating of the spirit, serve today as the central intellectual barrier to useful analysis of the social world. (Wallerstein, 1991: 1)
Our attempt at loosening these constraints involves confronting conventional modern theses on the framing of human activities in time (chronology) and space (chorography) with plausible antitheses, thereby pointing towards a different understanding of the ‘anthropo’ in anthropogenic climate change. For chronology this means developing a ‘trans-modern’ approach that brings the ‘pre-modern’ into play in order to understand the possibilities of a ‘post-modern’. The result is a break from the modern progress myth of humanity moving ever forward and upwards with its concomitant faith in technology to deliver a safe future. For chorography this means thinking outside the mosaic world created by nation-states that frame modern actions, economic and cultural, as well as political. Thus we break with modern state pre-eminence and its concomitant faith in good governments delivering a safe future. We view both dimensions of conventional thinking – progress/technology and state/policy – to be severely problematic: modern sinks dragging us into an abyss.
Our critical concerns are overtly manifest in the mainstream of climate science and policy-making, as represented by the IPCC and UN Climate Change Conferences (known as COP from ‘Conference of the Parties’ to the 1992 UNFCCC; the meeting in Paris in 2015 was COP 21) respectively. Quite overtly, these two remarkable global institutions epitomise state framing in both the science and policy-making.
Zipp and Storring (2016b: xvii–xviii) have made a powerful case for revisiting Jane Jacobs’ rich intellectual legacy:
There's no doubt … that this is just the right time for “more Jane Jacobs” … to reimagine Jacobs herself as more than a symbol of urban sorrow or urban triumph. Always idiosyncratic and unorthodox, often to risk being wrong if it means reorienting stale conventional wisdom, she pushes beyond the familiar alarms to see urban transformation as a source of radical possibility and opportunity.… Jacobs was perhaps our greatest theorist of the city not as a modern machine for living but as a human system, geared for solving its own problems.
The description of her as ‘greatest theorist of the city’ is probably derived from a Planetizen survey (Planetizen is a US urban planning news website) in 2009, where Jacobs was ranked first among the ‘Top 100 Urban Thinkers’ by a readers’ poll (Goldsmith and Lynne, 2010: xxiv). A similar survey from the same source in 2017 again ranked her first, this time as ‘The Most Influential Urbanist’ of all time (see www. planetizen.com/features/95189-100-most-influential-urbanists). The accompanying citation refers to two aspects of her work: the book The Death and Life of Great American Cities (Jacobs, 1961) and her battle with Robert Moses over New York planning issues in the 1950s and 1960s. This surely represents her prime legacy (Hirt, 2012a). Still in print today and always mentioned on the front cover of all her subsequent books, Death and Life catapulted Jacobs into literary stardom as an authority of things urban: the book is credited with igniting paradigmatic change in the theory and practice of city planning.
But Jacobs’ reputation rests on much more than her writing. She was a protestor and activist, defender of communities and advocate of civil disobedience. Her successful struggles to stop Moses physically destroying communities complemented her book and have become the stuff of legends, a modern David and Goliath story (Flint, 2009; Lang and Wunsch, 2009), even making its way onto the silver screen – see Altimeter Films’ Citizen Jane: Battle for the City.