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The article examines the drivers of migrant atypical employment in the manufacturing sector of Emilia-Romagna, an Italian region that is well known for its high-quality manufacturing productions and industrial relations. By drawing on administrative data based on mandatory communications, we document that, even in such an institutional context, migrants have a disproportionately higher likelihood of being hired through either fixed-term or agency contracts than native workers. We interpret this evidence through a set of different theories, including human capital theory, dual labour market processes, the use of precarious contracts as screening devices, and institutional segmentation theories. The empirical analysis reveals that while migrant employment through fixed-term contracts is consistent with dual processes and screening practices, the hiring of migrants with agency contracts is driven by processes of institutional segmentation, through which employers shift the costs of flexibility to the most vulnerable and less organized segments within the labour force, such as migrants. Managerial and policy implications are discussed.
Background: Efgartigimod, a human immunoglobulin (Ig)G1 antibody Fc fragment, blocks the neonatal Fc receptor, reducing IgGs involved in chronic inflammatory demyelinating polyneuropathy (CIDP). The multi-stage, double-blinded, placebo-controlled ADHERE (NCT04281472) and open-label extension ADHERE+ (NCT04280718) trials (interim analysis cutoff: February 16, 2024) assessed efgartigimod PH20 SC in participants with CIDP. Methods: Participants with active CIDP received open-label, weekly efgartigimod PH20 SC 1000 mg during ≤12-week run-in (stage-A). Responders were randomized (1:1) to efgartigimod or placebo for ≤48 weeks (stage-B). Participants with clinical deterioration in stage-B or who completed ADHERE entered ADHERE+. Week 36 changes from run-in baseline (CFB) in adjusted Inflammatory Neuropathy Cause and Treatment (aINCAT), Inflammatory Rasch-built Overall Disability Scale (I-RODS), and grip strength scores were evaluated. Results: Of 322 stage-A participants, 221 were randomized and treated in stage-B, and 99% entered ADHERE+. Mean CFB (SE) in aINCAT, I-RODS, and grip strength scores were -1.2 (0.15) and 8.8 (1.46) and 17.5 (2.02), respectively, at ADHERE+ Week 36 (N=150). Half the participants with clinical deterioration during ADHERE stage-B restabilized on efgartigimod from ADHERE+ Week 4. Conclusions: Interim results from ADHERE+ indicate long-term effectiveness of efgartigimod PH20 SC in clinical outcomes in participants with CIDP.
Background: Efgartigimod, a human immunoglobulin (Ig)G1 antibody Fc fragment, blocks the neonatal Fc receptor, reducing IgGs involved in chronic inflammatory demyelinating polyneuropathy (CIDP), a rare, progressive, immune-mediated disease that can lead to irreversible disability. The multi-stage, double-blinded, placebo-controlled ADHERE (NCT04281472) trial assessed efgartigimod PH20 SC in participants with CIDP. Methods: Participants with active CIDP received open-label, weekly efgartigimod PH20 SC 1000 mg during ≤12-week run-in (stage-A). Responders were randomized (1:1) to weekly efgartigimod or placebo for ≤48 weeks (stage-B). This posthoc analysis evaluated changes from run-in baseline (study enrollment) to stage-B last assessment and items of the Inflammatory Rasch-built Overall Disability Scale (I-RODS). Results: Of 322 participants who entered stage-A, 221 were randomized and treated in stage-B, and 191/221 had data for run-in baseline and post–stage-B timepoints. Mean (SE) I-RODS change at stage-B last assessment vs run-in baseline was 5.7 (1.88) and -4.9 (1.82) in participants randomized to efgartigimod and placebo, respectively. 37/97 (38.1%) and 24/92 (26.1%) participants randomized to efgartigimod and placebo, respectively, experienced ≥4-point improvements in I-RODS score. Efgartigimod-treated participants improved ≥1 point in I-RODS items of clinical interest. Conclusions: Participants who received efgartigimod in stage-B experienced improvements in I-RODS score from study enrollment to stage-B last assessment.
The water buffalo farm with intensive breeding techniques promotes the spread of lice (Haematopinus tuberculatus), leading to a reduction in meat and milk productions. Current control measures include the use of chemicals, which in the long-term lead to the development of resistance. Given the lack of alternative solutions, the aim of this study was to evaluate the repellent effect of a low impact by-product, the wood vinegar (WV), against H. tuberculatus using a new in vitro bioassay test. The test consisted of a glass Petri dishes subdivided in 3 separate areas. WV was tested at different concentrations (100%, 75%, 50%, 25%). Each of the 3 replicates was performed with 10 adults, at 27 °C and 75% relative humidity. Observations were made 5, 15, 30, 60, 90, 120 and 180 min after application to evaluate movement, the living/dead ratio and the ability to overcome the obstacle area of the lice, in terms of comparative avoidance (%). Additional in vitro cytotoxicity tests were performed. The test performed showed a repellent effect of 77% for the 100% WV concentration against lice of both sexes 30 min after exposure, similar (P < 0.05) to the repellent effect of deltamethrin (77%). The in vitro bioassay developed during the experiment proved to be reliable and can be used to evaluate the repellent effect of new molecules against lice before testing them in vivo. Furthermore, WV has a potential to be a valid tool for the control of buffalo pediculosis, although in vivo studies have to be undertaken.
Dirofilaria repens is the primary etiological agent of human dirofilariosis in the Old World, with Italy reporting the highest number of cases in Europe. This study describes two new cases of D. repens infection in humans, in southern Italy, where canine dirofilariosis is endemic. The first case involved a 33-year-old man from Caserta (Campania, Southern Italy) who presented with a subcutaneous mass on the upper eyelid. Surgical excision revealed an immature female D. repens worm measuring 14 cm, lacking microfilariae in both the uterus and peripheral blood. The second case was a 67-year-old man from Pozzuoli (Metropolitan City of Naples, Southern Italy) with an oval-shaped nodule in the left frontal scalp region. A live gravid female D. repens worm measuring 15–16 cm was extracted, also without microfilariae in the peripheral blood and no male worm detected. PCR sequencing confirmed a 100% match with D. repens. Both patients tested positive for D. repens antibodies by IgG ELISA. These cases underscore the continuous spread of human dirofilariosis in southern Italy and highlight diagnostic challenges due to variable clinical presentations. The discovery of a gravid female without microfilaremia suggests complexities in the parasite’s life cycle in humans, challenging the notion of humans as strict dead-end hosts. Given the rising prevalence in both humans and dogs, a comprehensive epidemiological study is recommended. Inclusion of dirofilariosis in the national surveillance system for notifiable diseases would improve case identification and tracking, aiding in better monitoring and control of this zoonotic infection.
Beyond psychosis prediction, clinical high-risk (CHR-P) symptoms show clinical relevance by their association with functional impairments and psychopathology, including personality pathology. Impaired personality functioning is prioritized in recent dimensional personality disorder models (DSM-5, ICD-11), yet underexplored in CHR-P, as are associations with cognitive biases, which early studies indicate as possibly linking CHR-P-symptoms and personality pathology.
Methods
A community sample (N = 444, 17–60 years, 61.8% female) was assessed via clinical telephone interview and online questionnaires. Using zero-inflated Poisson models, we explored associations of personality functioning, cognitive biases, current psychopathology, and psychosocial functioning with likelihood and severity of overall CHR-P, as well as perceptive (per-) and non-perceptive (nonper-)CHR-P-symptoms distinctly.
Results
Higher nonper-CHR-P-symptom likelihood was associated with more impaired personality functioning and psychosocial functioning, while more severe cognitive biases were associated with higher CHR-P- and per-CHR-P-symptom likelihood, alongside higher CHR-P- and nonper-CHR-P-symptom severity. Further, more axis-I diagnoses were linked to higher CHR-P-, per-CHR-P-, and nonper-CHR-P-symptom likelihood, and younger age to higher CHR-P- and per-CHR-P-symptom severity, with CHR-P-symptom severity appearing higher in females. In an exploratory analysis, personality functioning elements identity and self-direction, and cognitive biases dichotomous thinking, emotional reasoning, and catastrophizing, respectively, showed multifaceted associations with nonper-CHR-P-symptom likelihood and overall CHR-P-symptom expression.
Conclusions
Our study supports the association of CHR-P-symptoms with multiple mental health factors. Findings suggest intricate associations between personality functioning impairments and cognitive biases with CHR-P-symptom expression in non-help-seeking populations, possibly contributing to different per-CHR-P- and nonper-CHR-P-symptom expression patterns. Therefore, they should be targeted in future longitudinal studies, aiming at better understanding CHR-P-manifestations to inform preventive intervention.
Clinical high-risk for psychosis (CHR-P) states exhibit diverse clinical presentations, prompting a shift towards broader outcome assessments beyond psychosis manifestation. To elucidate more uniform clinical profiles and their trajectories, we investigated CHR-P profiles in a community sample.
Methods
Participants (N = 829; baseline age: 16–40 years) comprised individuals from a Swiss community sample who were followed up over roughly 3 years. latent class analysis was applied to CHR-P symptom data at baseline and follow-up, and classes were examined for demographic and clinical differences, as well as stability over time.
Results
Similar three-class solutions were yielded for both time points. Class 1 was mainly characterized by subtle, subjectively experienced disturbances in mental processes, including thinking, speech and perception (basic symptoms [BSs]). Class 2 was characterized by subthreshold positive psychotic symptoms (i.e., mild delusions or hallucinations) indicative of an ultra-high risk for psychosis. Class 3, the largest group (comprising over 90% of participants), exhibited the lowest probability of experiencing any psychosis-related symptoms (CHR-P symptoms). Classes 1 and 2 included more participants with functional impairment and psychiatric morbidity. Class 3 participants had a low probability of having functional deficits or mental disorders at both time points, suggesting that Class 3 was the healthiest group and that their mental health and functioning remained stable throughout the study period. While 91% of Baseline Class 3 participants remained in their class over time, most Baseline Classes 1 (74%) and Class 2 (88%) participants moved to Follow-up Class 3.
Conclusions
Despite some temporal fluctuations, CHR-P symptoms within community samples cluster into distinct subgroups, reflecting varying levels of symptom severity and risk profiles. This clustering highlights the largely distinct nature of BSs and attenuated positive symptoms within the community. The association of Classes 1 and 2 with Axis-I disorders and functional deficits emphasizes the clinical significance of CHR-P symptoms. These findings highlight the need for personalized preventive measures targeting specific risk profiles in community-based populations.
The widespread use of artificial intelligence technologies in border management throughout the European Union has significant human rights implications that extend beyond the commonly examined issues of privacy, non-discrimination and data protection. This article explores these overlooked impacts through three critical frameworks: the erosion of freedom of thought, the disempowerment of individuals and the politicization of human dignity. In uncovering these dynamics, the article argues for a broader conception of human rights to prevent their gradual erosion and safeguard the core principle of protecting human dignity.
Chapter 3 focuses on the figure of the jihadist in the context of the Syrian Civil War. Outlawed as a terrorist by the Security Council and perceived as a security threat in home states, this latest version of the enemy of humanity seems to have nothing in common with previous foreign fighters. The aim of the chapter is to re-inscribe this actor within the longer history of foreign volunteering. It shifts from domestic debates to national courtrooms, showing how the jihadist combatant gets constantly split in two: idealist and fanatic, hero and villain, martyr and freedom fighter. Based on previous images of the foreign fighter, these dichotomies highlight different conceptions of freedom and hence problematize its current conflation with terrorism. The chapter ends with a digression on the laws of war, revealing the persisting cultural bias used against certain foreign combatants through the domestic application of IHL.
It must be remembered, too, that the belief in spirits and ghosts, and the return of the dead is far from having disappeared among educated people, and that many who are sensible in other respects find it possible to combine spiritualism with reason. A man who has grown rational and sceptical, even, may be ashamed to discover how easily he may for a moment return to a belief in spirits under the combined impact of strong emotion and perplexity.
Chapter 2 explores the figure of the white mercenary in the context of decolonization by analysing the outcome of the Luanda trial and the response of the UK government to the indictment of its nationals in Angola. This is essential to highlight the fundamental distinction between these foreign fighters and the volunteers of the Spanish Civil War: fighting for personal profit as opposed to fighting for a noble cause, respectively. However, Western soldiers of fortune seem to be moved by certain political ideals: namely, to avoid a communist takeover of the African continent. The figure of the adventurer encountered in the interwar period reappears here, illustrating the ambivalent passions underlying attempts to ban or endorse mercenarism. The chapter ends with an analysis of the travaux of Art. 47 of API which frames the eventual exclusion of mercenaries from prisoner of war status in international armed conflicts.
Chapter 1 introduces the figure of the foreign fighter in the interwar period by focusing on the Spanish Civil War. It shows how the image of the nineteenth-century adventurer haunts the imaginary of the actors preoccupied with finding a legal status for the volunteers in Spain. This image is nonetheless constantly split in two: idealists and freebooters; heroes and opportunists; barbaric troops and brave highlanders. The chapter moves from the League to the Anglo-American doctrine, to domestic discussions and ends at The Hague in 1907. It is there that rules on foreign volunteers are codified in an international convention for the first time. The chapter further links the Brussels Conference of 1874 to those of Geneva in 1949 and offers a lens through which to understand how the shifting image of the adventurer reaches the decolonization period.