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The year 2024 marked a century since socialist leader Giacomo Matteotti's assassination. Widely commemorated in Italy, he's often remembered within a national narrative of antifascist resistance. But how was this narrative built and how has the far right responded? This Element traces the construction and mobilisation of Matteotti's memory over the last century, analysing the role of grief in the early antifascist movement, and identifying the role memory played in bringing together Allies, partisans and political parties during the construction of the democratic Republic. Based on primary sources from international archives, it also adds a transnational lens to the study of a figure so often thought of in national terms. The Element closes by examining how far-right parties whose lineage traces back to Mussolini's regime have engaged with the afterlife of a man whose murder is an evergreen reminder of the centrality of violence to Fascism in its earliest days.
The idea of “self-reliance” has endured in Chinese political discourse for nearly a century, transcending profound changes in China’s political, economic and strategic circumstances. Although it is frequently misinterpreted as economic isolation or autarky, the idea of self-reliance in China has always acknowledged the country’s engagement with the global economy. Drawing on the discursive institutionalist concept of ideational resilience, we show that self-reliance comprises three interlocking elements: autonomy, interdependence and order-shaping. While these sit in tension with one another, they have also accommodated one another since the earliest articulations of the idea. This tripartite structure has enabled Chinese leaders since the Republican era to reinterpret and usefully deploy the idea of self-reliance. Our findings underscore the resilience of Chinese foreign economic policy ideas, as well as the ideational logic behind Xi Jinping’s seemingly contradictory pursuit of technological self-reliance, open global markets and greater connectivity with the developing world.
National foodborne outbreaks of gastrointestinal disease often require rapid case–control investigations to identify the source. Online market panels offer a potential alternative to traditional control recruitment. We compared market panel controls to traditional controls in case–control recruitment during a 2024 UK outbreak of STEC O145. Two case–control studies were conducted for two different control groups (a) Salmonella cases as case–controls and (b) online market panel members. Timeliness, cost, and resources were compared, and a logistic regression compared findings in a control–control analysis. In total, 43 cases of STEC O145, 63 Salmonella case–controls, and 93 panel controls were recruited. Neither control group reached the recruitment target for the younger adult age group. Salmonella case–controls had a ninefold greater staff time to recruit and cost five times more than panel controls (£25.82 vs. £4.99 per control), partially due to interviewer-administered questionnaires compared with self-completion by panel controls. Both analytical approaches identified the same outbreak source, with no significant differences in exposures between the control groups. The cost and resource savings associated with panel controls justify their use as a standard procedure in outbreak investigations. We recommend exploring engagement with age groups that are difficult to recruit and assessing alternative strategies to reach them.
The Second Sino-Japanese War (1937–45) and its aftermath presents a challenge to systemic-level International Relations theories about the relationship between economic interdependence and war. Critiquing that literature and turning instead to the domestic level, the chapter shows how Chinese and Japanese conceptions of the relationship between economics and security – first developed in response to the crisis of nineteenth-century Western imperial coercion in East Asia, and later amplified in the context of Cold War East Asia – fused the Chinese and Japanese economies in the lead up to, during, and in the decades following the Second Sino-Japanese War. In so doing, the chapter demonstrates that economic interdependence between China and Japan has grown explosively during, after, and because of war, and that perceptions of insecurity have motivated closer economic ties between China and Japan.
This study explores the impact of heatwaves on emergency calls for assistance resulting in service attendance in the Australian state of Queensland for the period from January 1, 2010 through December 31, 2019. The study uses data from the Queensland Ambulance Service (QAS), a state-wide prehospital health system for emergency health care.
Methods:
A retrospective case series using de-identified data from QAS explored spatial and demographic characteristics of patients attended by ambulance and the reason for attendance. All individuals for which there was an emergency call to “000” that resulted in ambulance attendance in Queensland across the ten years were captured. Demand for ambulance services during heatwave and non-heatwave periods were compared. Incidence rate ratio (IRR) and 95% confidence intervals (CI) were constructed exploring ambulance usage patterns during heatwaves and by rurality, climate zone, age groups, sex, and reasons for attendance.
Results:
Compared with non-heatwave days, ambulance attendance across Queensland increased by 9.3% during heatwave days. The impact of heatwaves on ambulance demand differed by climate zone (high humidity summer with warm winter; hot dry summer with warm winter; warm humid summer with mild winter). Attendances related to heat exposure, dehydration, alcohol/drug use, and sepsis increased substantially during heatwaves.
Conclusion:
Heatwaves are a driver of increased ambulance demand in Queensland. The data raise questions about climatic conditions and heat tolerance, and how future cascading and compounding heat disasters may influence work practices and demands on the ambulance service. Understanding the implications of heatwaves in the prehospital setting is important to inform community, service, and system preparedness.
In these notes, we share our experiences of researching and co-authoring a recent article on the comparative treatment of Japanese residents and internees by the Soviet Union and the People's Republic of China in the first decade following World War II. This collaboration started from our surprising realization that despite their shared ideology and friendly relations, Moscow and Beijing adopted different approaches to dealing with Japanese citizens under their control. Here we recount the decade-long path our collaborative research took as we consulted multilingual government archives, survivor interviews, and memoirs to reconstruct the early years of Sino–Soviet cooperation and to argue for a more comprehensive, empirical approach to the evolution of early Cold War international relations in East Asia. The article, ‘“Japan Still Has Cadres Remaining”: Japanese in the USSR and Mainland China, 1945–1956‘, was published by the Journal of Cold War Studies in its Summer 2022 issue.
We examine a variant of ultimatum bargaining in which principals may delegate their proposal decision to agents hired from a competitive market. Contrary to several prior studies, we find that when principals must use agents, the resulting proposals are significantly higher than when principals make proposals themselves. In reconciling our results with prior findings, we conclude that both the rejection power afforded to responders and the structure of principal-agent contracts can play significant roles in the nature of outcomes under delegated bargaining.
Shiga toxin-producing Escherichia coli (STEC) is a group of bacteria that causes gastrointestinal illness and occasionally causes large foodborne outbreaks. It represents a major public health concern due to its ability to cause severe illness which can sometimes be fatal. This study was undertaken as part of a rapid investigation into a national foodborne outbreak of STEC O145. On 22 May 2024, United Kingdom (UK) public health agencies and laboratories identified an increase in stool specimens submissions and patients testing positive for Shiga toxin-producing E. coli (STEC). Whole genome sequencing (WGS) identified serotype O145:H28 stx2a/eae belonging to the same five single nucleotide polymorphism (SNP) single linkage cluster as the causative agent. By 3 July 2024, 288 cases had been linked to the cluster. Most cases were adults (87%) and females (57%), 49% were hospitalized with a further 10% attending emergency care. Descriptive epidemiology and analytical studies were conducted which identified consumption of nationally distributed pre-packed sandwiches as a common food exposure. The implicated food business operators voluntarily recalled ready-to-eat sandwiches and wraps containing lettuce on 14 June 2024.
Translational research needs to show value through impact on measures that matter to the public, including health and societal benefits. To this end, the Translational Science Benefits Model (TSBM) identified four categories of impact: Clinical, Community, Economic, and Policy. However, TSBM offers limited guidance on how these areas of impact relate to equity. Central to the structure of our Center for American Indian and Alaska Native Diabetes Translation Research are seven regional, independent Satellite Centers dedicated to community-engaged research. Drawing on our collective experience, we provide empirical evidence about how TSBM applies to equity-focused research that centers community partnerships and recognizes Indigenous knowledge. For this special issue – “Advancing Understanding and Use of Impact Measures in Implementation Science” – our objective is to describe and critically evaluate gaps in the fit of TSBM as an evaluation approach with sensitivity to health equity issues. Accordingly, we suggest refinements to the original TSBM Logic model to add: 1) community representation as an indicator of providing community partners “a seat at the table” across the research life cycle to generate solutions (innovations) that influence equity and to prioritize what to evaluate, and 2) assessments of the representativeness of the measured outcomes and benefits.
To examine the association of co-morbidity with home-time after acute stroke and whether the association is influenced by age.
Methods:
We conducted a province-wide study using linked administrative databases to identify all admissions for first acute ischemic stroke or intracerebral hemorrhage between 2007 and 2018 in Alberta, Canada. We used ischemic stroke-weighted Charlson Co-morbidity Index of 3 or more to identify those with severe co-morbidity. We used zero-inflated negative binomial models to determine the association of severe co-morbidity with 90-day and 1-year home-time, and logistic models for achieving ≥ 80 out of 90 days of home-time, assessing for effect modification by age and adjusting for sex, stroke type, comprehensive stroke center care, hypertension, atrial fibrillation, year of study, and separately adjusting for estimated stroke severity. We also evaluated individual co-morbidities.
Results:
Among 28,672 patients in our final cohort, severe co-morbidity was present in 27.7% and was associated with lower home-time, with a greater number of days lost at younger age (−13 days at age < 60 compared to −7 days at age 80+ years for 90-day home-time; −69 days at age < 60 compared to −51 days at age 80+ years for 1-year home-time). The reduction in probability of achieving ≥ 80 days of home-time was also greater at younger age (−22.7% at age < 60 years compared to −9.0% at age 80+ years). Results were attenuated but remained significant after adjusting for estimated stroke severity and excluding those who died. Myocardial infarction, diabetes, and cancer/metastases had a greater association with lower home-time at younger age, and those with dementia had the greatest reduction in home time.
Conclusion:
Severe co-morbidity in acute stroke is associated with lower home-time, more strongly at younger age.
Homeless persons with dogs are often the subject of stigma, with the public criticising them for not having a proper lifestyle to care for a pet. There is solid documentation of how dogs enhance a homeless person’s life, but there are few publications that address the welfare of the dog. This descriptive study assesses the physical and behavioural health of dogs belonging to homeless persons through a One Welfare lens by observing animal/human well-being, environment, and “a life worth living”. A survey was carried out along with a visual assessment of the condition of the dog for 100 human-dog dyads in the Western United States. Results showed that dogs of homeless persons were well cared for and physically healthy (which was consistent with other studies), and had few behavioural problems, but did display evidence of separation distress while the owner was away. Results from this study can provide information that may lead to policy and practice changes, including, for example, changes to policies and practices prohibiting dogs from being kept with their owner while staying at a homeless shelter. Typically, shelters report that they do not have the resources to care for a person with a dog.
This national pre-pandemic survey compared demand and capacity of adult community eating disorder services (ACEDS) with NHS England (NHSE) commissioning guidance.
Results
Thirteen services in England and Scotland responded (covering 10.7 million population). Between 2016–2017 and 2019–2020 mean referral rates increased by 18.8%, from 378 to 449/million population. Only 3.7% of referrals were from child and adolescent eating disorder services (CEDS-CYP), but 46% of patients were aged 18–25 and 54% were aged >25. Most ACEDS had waiting lists and rationed access. Many could not provide full medical monitoring, adapt treatment for comorbidities, offer assertive outreach or provide seamless transitions. For patient volume, the ACEDS workforce budget was 15%, compared with the NHSE workforce calculator recommendations for CEDS-CYP. Parity required £7 million investment/million population for the ACEDS.
Clinical implications
This study highlights the severe pressure in ACEDS, which has increased since the COVID-19 pandemic. Substantial investment is required to ensure NHS ACEDS meet national guidance, offer evidence-based treatment, reduce risk and preventable deaths, and achieve parity with CEDS-CYP.
Despite becoming increasingly represented in academic departments, women scholars face a critical lack of support as they navigate demands pertaining to pregnancy, motherhood, and child caregiving. In addition, cultural norms surrounding how faculty and academic leaders discuss and talk about tenure, promotion, and career success have created pressure for women who wish to grow their family and care for their children, leading to questions about whether it is possible for these women to have a family and an academic career. This paper is a call to action for academia to build structures that support professors who are women as they navigate the complexities of pregnancy, the postpartum period, and the caregiving demands of their children. We specifically call on those of us in I-O psychology, management, and related departments to lead the way. In making this call, we first present the realistic, moral, and financial cases for why this issue needs to be at the forefront of discussions surrounding success in the academy. We then discuss how, in the U.S. and elsewhere, an absence of policies supporting women places two groups of academics—department heads (as the leaders of departments who have discretion outside of formal policies to make work better for women) and other faculty members (as potential allies both in the department and within our professional organizations)—in a critical position to enact support and change. We conclude with our boldest call—to make a cultural shift that shatters the assumption that having a family is not compatible with academic success. Combined, we seek to launch a discussion that leads directly to necessary and overdue changes in how women scholars are supported in academia.
The Passive Surveillance Stroke Severity (PaSSV) Indicator was derived to estimate stroke severity from variables in administrative datasets but has not been externally validated.
Methods:
We used linked administrative datasets to identify patients with first hospitalization for acute stroke between 2007-2018 in Alberta, Canada. We used the PaSSV indicator to estimate stroke severity. We used Cox proportional hazard models and evaluated the change in hazard ratios and model discrimination for 30-day and 1-year case fatality with and without PaSSV. Similar comparisons were made for 90-day home time thresholds using logistic regression. We also linked with a clinical registry to obtain National Institutes of Health Stroke Scale (NIHSS) and compared estimates from models without stroke severity, with PaSSV, and with NIHSS.
Results:
There were 28,672 patients with acute stroke in the full sample. In comparison to no stroke severity, addition of PaSSV to the 30-day case fatality models resulted in improvement in model discrimination (C-statistic 0.72 [95%CI 0.71–0.73] to 0.80 [0.79–0.80]). After adjustment for PaSSV, admission to a comprehensive stroke center was associated with lower 30-day case fatality (adjusted hazard ratio changed from 1.03 [0.96–1.10] to 0.72 [0.67–0.77]). In the registry sample (N = 1328), model discrimination for 30-day case fatality improved with the inclusion of stroke severity. Results were similar for 1-year case fatality and home time outcomes.
Conclusion:
Addition of PaSSV improved model discrimination for case fatality and home time outcomes. The validity of PASSV in two Canadian provinces suggests that it is a useful tool for baseline risk adjustment in acute stroke.
When considering the question of China’s external economic relations during the Mao era, the dominant narrative in the literature underscores the following view: Mao’s China pursued a foreign economic policy that was autarkic, isolated from the global economy, and locked into a Soviet-inspired planned economy that provided limited incentives for economic interdependence with the outside world. For some, China’s isolation from the global economy was the result of its position in the Soviet bloc, which was “heavily biased against foreign trade,” and from its adoption of a centrally planned, socialist economic model that prohibited private interests from pursuing foreign investment or trade. For others, Mao-era policies of autarky were inspired by a form of xenophobia that stemmed from the country’s experience of Western predations during the nineteenth century, resulting in fear of economic dependence on foreign powers. Finally, others emphasize the role of Mao’s revolutionary ideology in explaining China’s isolation from the global economy; Mao’s tendency to view major international economic institutions and norms as counterrevolutionary and “hostile” to the Chinese state led him to disengage from international trade and other economic opportunities.
Diagnosis of CHD substantially affects parent mental health and family functioning, thereby influencing child neurodevelopmental and psychosocial outcomes. Recognition of the need to proactively support parent mental health and family functioning following cardiac diagnosis to promote psychosocial adaptation has increased substantially over recent years. However, significant gaps in knowledge remain and families continue to report critical unmet psychosocial needs. The Parent Mental Health and Family Functioning Working Group of the Cardiac Neurodevelopmental Outcome Collaborative was formed in 2018 through support from an R13 grant from the National Heart, Lung, and Blood Institute to identify significant knowledge gaps related to parent mental health and family functioning, as well as critical questions that must be answered to further knowledge, policy, care, and outcomes. Conceptually driven investigations are needed to identify parent mental health and family functioning factors with the strongest influence on child outcomes, to obtain a deeper understanding of the biomarkers associated with these factors, and to better understand how parent mental health and family functioning influence child outcomes over time. Investigations are also needed to develop, test, and implement sustainable models of mental health screening and assessment, as well as effective interventions to optimise parent mental health and family functioning to promote psychosocial adaptation. The critical questions and investigations outlined in this paper provide a roadmap for future research to close gaps in knowledge, improve care, and promote positive outcomes for families of children with CHD.