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The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery (WCPCCS) will be held in Washington DC, USA, from Saturday, 26 August, 2023 to Friday, 1 September, 2023, inclusive. The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery will be the largest and most comprehensive scientific meeting dedicated to paediatric and congenital cardiac care ever held. At the time of the writing of this manuscript, The Eighth World Congress of Pediatric Cardiology and Cardiac Surgery has 5,037 registered attendees (and rising) from 117 countries, a truly diverse and international faculty of over 925 individuals from 89 countries, over 2,000 individual abstracts and poster presenters from 101 countries, and a Best Abstract Competition featuring 153 oral abstracts from 34 countries. For information about the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery, please visit the following website: [www.WCPCCS2023.org]. The purpose of this manuscript is to review the activities related to global health and advocacy that will occur at the Eighth World Congress of Pediatric Cardiology and Cardiac Surgery.
Acknowledging the need for urgent change, we wanted to take the opportunity to bring a common voice to the global community and issue the Washington DC WCPCCS Call to Action on Addressing the Global Burden of Pediatric and Congenital Heart Diseases. A copy of this Washington DC WCPCCS Call to Action is provided in the Appendix of this manuscript. This Washington DC WCPCCS Call to Action is an initiative aimed at increasing awareness of the global burden, promoting the development of sustainable care systems, and improving access to high quality and equitable healthcare for children with heart disease as well as adults with congenital heart disease worldwide.
The COVID-19 pandemic has forced governments worldwide—many that previously prioritized austerity—to approve large relief packages. Political economy tells us that politicians will try to profit from this electorally, but much remains unknown about precisely how pandemic relief might influence voting intentions. Then-President Donald Trump foregrounded this question early in the pandemic by becoming the first US president to physically place his name on Internal Revenue Service relief checks mailed to citizens. By leveraging a nationally representative survey whose timing achieved quasi-experimental variation in the receipt of payments both with and without Trump’s name physically on them, this study asks: Can a president successfully win support through physical personalization of the payments? Yes, the study finds. Receiving a physically personalized check in the mail is associated with a much greater self-reported likelihood of voting for the president, with gains mainly from partisan outgroups. No clear effect is found for unpersonalized electronic transfers. These findings withstand multiple robustness checks.
When international conflict causes an authoritarian leader’s popularity to soar, extant theories lead us to treat such “rallying” as sincere preference change, the product of surging patriotism or cowed media. This study advances a theory of less-than-fully sincere rallying more appropriate for nondemocratic settings, characterizing it as at least partly reflecting cascading dissembling driven by social desirability concerns. The identification strategy combines a rare nationally representative rally-spanning panel survey with a list experiment and econometric analysis. This establishes that three quarters of those who rallied to Putin after Russia annexed Crimea were engaging in at least some form of dissembling and that this rallying developed as a rapid cascade, with social media joining television in fueling perceptions this was socially desirable.
A new wave of scholarship has made major advances in how we understand the politics of civilizational identity by drawing powerfully from conceptual tools developed over the years to study other forms of identity. What unites this wave is treating civilizations not as distinctive “things” that might “clash” but as meaningful social imaginings. This growing body of work is far from monolithic, generating alternative theories that should structure scholarly debate going forward. Central issues include whether civilizational identity is primarily elite led or mass driven, whether it inherently involves conflictual human impulses, what the role of religion and values are in driving it, what its relationship is to nationalism, and how similarly we can expect the countries and people who share civilizational identity to behave. We also find emerging debates on what this newly conceptualized civilizational identity explains in contemporary world politics. Social scientists are now only beginning to apply important tools of social science to this question, with even public opinion research in its infancy. Early findings suggest civilizational identity may be shaping not only elite foreign policy making but also patterns of domestic politics, including the recent rise of populism and levels of democracy and authoritarianism more generally.
“Civilization” is surely among those concepts that are the most widely used in world political discourse but taken least seriously by contemporary social science. We argue for jettisoning this concept’s Huntingtonian baggage, which has led scholarship into a dead end, and developing a new body of theory on a different foundation, one grounded strongly in recent nonprimordial theories of identity and micro-level research into how ordinary people actually understand the civilizational appeals made by their elites. In what we believe to be the first systematic survey-based study of individual-level civilizational identification, we establish proof-of-concept by asking a question: What influences individuals’ primary identification of their own country with particular civilizational alternatives offered up by their elites? Pooling survey data gathered in Russia from 2013–2014, we confirm that civilizational identity reflects the influence of situational considerations and social construction processes. Whether individuals see Russia as part of purported “European,” “Eurasian,” or “Asian” civilizations depends heavily on gendered and nongendered socialization during the USSR period and factors as contingent as perceived economic performance. Results also confirm our expectation that Huntingtonian concepts fit poorly with real-world patterns of civilizational identification.
Why would elites or masses in an ethnically distinct region ever opt for “alien rule” over national independence? While separatist movements tend to create the most drama and make the most headlines, mass media and most scholarly accounts pay far less attention to ethnic groups opting to stay in a union state dominated by other groups. Yet such unionist groups are surely more numerous than the separatist ones. Indeed, in the neighborhood of almost every separatist region in a given multi-ethnic state, one can find one or more unionist groups, such as the Yoruba during Nigeria's Biafran Civil War, the Ingush as Chechnya battled the Russian Federation, and the Kannadigas at the peak of Kashmir's struggle for independence from India. Sometimes, unionist groups advocate political integration despite seeming to have every reason to seek secession. Such groups are neglected by analysts only at great cost, because it is precisely these groups that are likely to hold the key to understanding how distinct groups can come to live together in peace.
Under what conditions do individuals withdraw support from dominant parties in nondemocratic regimes? Employing an original panel survey, we measure the same individuals’ support for Russia's dominant party first at the peak of its dominance in 2008 and again shortly after it suffered a cascading defection of regime supporters in 2011–12. This allows us uniquely to explore the microfoundations of theories of regime defection cascades, generally supporting the argument that they involve complex “informational” as well as “reputational” processes. Accordingly, we find that early and eager movers in such a cascade tend to come from less socially vulnerable segments of the population, to have greater need to rely on other people for interpreting events, to believe the regime has lower levels of popular support, and to come from more heterogeneous communities. We find little role for mass media (including social media) or democratizing zeal in driving Russia's regime defection cascade.
By some accounts, Russian politics is a realm of cynics, where everything is for sale, leaders rudely dismiss public opinion and politicians mainly pursue their own power and enrichment through a mix of repression and corruption (Gessen 2013; Dawisha 2014). In others, Russia's leadership is resolutely principled, driven at least in part by a nationalist goal of restoring Russian pride and recapturing the status and perhaps even the territory of the former USSR and Russian Empire before it (Aron 2008; Trenin 2014; Tsygankov 2014). If we assume that each perspective at least partly reflects at least some aspect of Russian politics, an interesting puzzle is framed. How precisely is it that these things fit together? In other words, how can a strong principle like nationalism play an important role in a political system where corruption is rife and elections are the preserve of the political machine?
The present chapter argues that we must understand the logic of what I have elsewhere called patronal presidentialism in order to explain how and why Russia's leadership is likely to be influenced by ideas like nationalism. Patronal presidentialism refers to a constitutionally strong presidency that exists in a particular social context, one in which political collective action takes place primarily through extensive networks of personal acquaintance, networks that tend to give presidents ‘informal’ power that extends far beyond the authority formally stipulated in the constitution. It turns out that even when such presidents use manipulation, coercion and fraud to win such elections, they run significant risks of losing power when they lose popular support. For this reason, presidents like those in Russia have been very sensitive to public opinion. Nationalism comes into play here.
The relationship between nationalism and political support in Russia is not straightforward, however, and for this reason the Kremlin has generally treaded very carefully on this issue. In fact, this chapter argues that President Vladimir Putin up until 2014 largely avoided making nationalism a central element of his popular appeal.
From May 2013 to November 2014, Russia's domestic and international environment underwent a tectonic shift. As hundreds of thousands of ordinary citizens in neighbouring Ukraine rose up against the Moscow-backed and increasingly authoritarian government of Viktor Yanukovych and ultimately ousted him in early 2014, the Kremlin and the media it controls ratcheted up anti-Western rhetoric, dramatically increased its use of nationalist themes, and even employed military force in a sudden operation to annex the Ukrainian peninsula of Crimea and its port of Sevastopol, which Ukraine had since independence rented out to the Russian Black Sea Fleet. The Kremlin then expanded its activity with a separatist insurgency in parts of eastern Ukraine. The Russian state, after almost a quarter century of retreat and recovery, finally appeared to be striking back to restore what many Russians saw as its rightful place in the world.
Theories of nationalism indicate that such events would have a profound effect on Russia's national and state identity among the general public – particularly given the intense use of state-backed symbolic politics (Suny 1993; Billig 1995; Kaufman 2001), the invocation of emotive mythology and rhetoric (Breuilly 1993), the direct contestation of state borders (Brubaker 1996), the putative need to respond to invasive international influences (Greenfeld 1992), the mobilisation of nationalist collective action (Hechter 1995; Wintrobe 1995), and changing social categorisations (Horowitz 1985). With these factors suddenly becoming more prominent during 2013 and 2014, one would expect significant shifts in support among the Russian public for various ‘institutionalized forms of [nationalist] inclusion and exclusion’ (Wimmer 2002: 9) – that is, attitudes as to which groups to include or exclude from the nation or the state. Indeed, there is a significant literature that argues state leaders often anticipate such upswells of nationalist and patriotic sentiment and sometimes even launch wars precisely in order to generate ‘rally-around- the- flag’ effects that can squelch dissent and boost support for a leadership whose popularity is flagging (see Levy 1989).
This book proposes a new way of understanding events throughout the world that are usually interpreted as democratization, rising authoritarianism, or revolution. Where the rule of law is weak and corruption pervasive, what may appear to be democratic or authoritarian breakthroughs are often just regular, predictable phases in longer-term cyclic dynamics - patronal politics. This is shown through in-depth narratives of the post-1991 political history of all post-Soviet polities that are not in the European Union. This book also includes chapters on czarist and Soviet history and on global patterns.
The most important actors in post-Soviet politics are not formal institutions such as “parliament,” “political parties,” or even “the KGB.” Nor are they well-defined social collectivities like “ethnic groups.” They are not even individual politicians, strictly speaking. Instead, the lead roles go to extended and loosely hierarchical networks led informally by powerful patrons. These patrons usually do boast prominent formal titles. They are the presidents and prime ministers of countries, the heads of prestigious state agencies, the owners of corporate megaconglomerates, the elders of “clans,” and the governors of provinces. But these titles, and the organizations to which they refer, do not define their networks.
Instead, their networks stretch far beyond and across formal institutional and identity boundaries. Ukraine’s “oligarchs,” formally businesspeople, spread their tentacles throughout society and the state, often claiming clients in all three branches of power through ties of family, friendship, and, of course, finance. The bosses of Russia’s regional machines, formally governors, often controlled major shares of their regions’ economies through kin or crony well into the 2000s. Top Azerbaijani ministers, formally civil servants, manage vast economic empires that often have little to do with their jurisdictions as listed on paper. Even networks frequently referred to as “clans” in Central Asia are neither coextensive with nor actually limited to kinship or ethnicity, a point that is frequently misunderstood by outsiders who take the local slang too literally. The collective “actors” that actually wield the most influence in these countries, then, are precisely these extended informal networks, networks that constitute institutions in their own right – just informal rather than formal ones. These networks are the building blocks of which post-Soviet Eurasia’s power pyramids are made, the stuff of its vertikals of authority, the moving parts in its regime dynamics.