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John D. Lyons examines some of the most canonical works of the seventeenth-century Golden Age: Corneille’s Le Cid (1637) and Rodogune (1644–45), and Racine’s Britannicus (1669) and Phèdre (1677), proposing that the decisive actions of these plays often hinge on what women say, or do not say. This is far from surprising since these works are contemporaneous with two important interrelated cultural developments in the public lives of women: increasingly, they hosted Parisian salons and gaining increased importance in the political, cultural and social spheres; and in a century that witnessed attempts to standardize and refine the French language, these salons run by women became virtual workshops for formulating rules of discourse for a worldly, non-pedantic society. Tragedies from this period, perceived as the dramatic representation of the lives of kings, queens and princes, simultaneously display the sharp contrast between what can women say in public, what they conceal owing to the constraints on what they are allowed to say, and their awareness that what they say in public can have fatal consequences. These tragedies enable an appreciation of the aptness of Roland Barthes’ assertion that language, more than death, is the core of the tragic.
Estimates suggest that 1 in 100 people in the UK live with facial scarring. Despite this incidence, psychological support is limited.
Aims
The aim of this study was to strengthen the case for improving such support by determining the incidence and risk factors for anxiety and depression disorders in patients with facial scarring.
Method
A matched cohort study was performed. Patients were identified via secondary care data sources, using clinical codes for conditions resulting in facial scarring. A diagnosis of anxiety or depression was determined by linkage with the patient's primary care general practice data. Incidence was calculated per 1000 person-years at risk (PYAR). Logistic regression was used to determine risk factors.
Results
Between 2009 and 2018, 179 079 patients met the study criteria and were identified as having a facial scar, and matched to 179 079 controls. The incidence of anxiety in the facial scarring group was 10.05 per 1000 PYAR compared with 7.48 per 1000 PYAR for controls. The incidence of depression in the facial scarring group was 16.28 per 1000 PYAR compared with 9.56 per 1000 PYAR for controls. Age at the time of scarring, previous history of anxiety or depression, female gender, socioeconomic status and classification of scarring increased the risk of both anxiety disorders and depression.
Conclusions
There is a high burden of anxiety disorders and depression in this patient group. Risk of these mental health disorders is very much determined by factors apparent at the time of injury, supporting the need for psychological support.
The increased threat of natural disasters makes understanding the relationship between community resources and children’s mental health critical. Mental health care efficacy and access are crucial to assessing the quality of community mental health care availability.
Objectives:
The primary objective of this scoping review is to investigate the relationship between children’s mental health and community mental health resource efficacy and accessibility after a major disaster
Methods:
Conducted a systematic search to identify epidemiologic and health service utilization studies assessing the relationship between disasters and subsequent health service utilization amongst children and adolescents.
Results:
The research returned 1682 potentially relevant studies and 31 articles were selected based on identified criteria from pre-selected databases.
Conclusion:
The studies conclude a gender and age-based disparity in access and efficiency of children’s mental health services. The studies also identify the need for greater resource distribution and organizational structure.
The Goethe Yearbook is a publication of the Goethe Society of North America, encouraging North American Goethe scholarship by publishing original English-language contributions to the understanding of Goethe and other authors of the Goethezeit while also welcoming contributions from scholars around the world. Volume 21 contains eleven articles, including contributions by leading scholars David Wellbery and Katharina Mommsen; innovative work on the reception of Goethe's works around 1900, on women writers, and on Goethe's contemporary Albrecht von Haller; theoretically sophisticated interpretations, including articles on concepts of space in Alexis and Doraand on notions of sacrifice in Faust; and interdisciplinary pieces ranging from a discussion of contemporary psychological and medical theories of ill humor in relation to Goethe's Werther and an economic reading of Goethe's Faust to an analysis of illustrations of Goethe's works. The review section collects responses by eminent scholars to a wide swath of recent books on Goethe and his age, both in German and English. Contributors: Liesl Allingham, William H. Carter, Sarah Vandegrift Eldridge, John B. Lyon, Waltraud Maierhofer, Catherine Minter, Katharina Mommsen, David Pan, Michael Saman, Leif Weatherby, David E. Wellbery. Adrian Daub is Associate Professor of German at Stanford. Elisabeth Krimmer is Professor of German at the University of California Davis. Book review editor Birgit Tautz is Associate Professor of German at Bowdoin College.
To use interrupted time-series analyses to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on healthcare-associated infections (HAIs). We hypothesized that the pandemic would be associated with higher rates of HAIs after adjustment for confounders.
Design:
We conducted a cross-sectional study of HAIs in 3 hospitals in Missouri from January 1, 2017, through August 31, 2020, using interrupted time-series analysis with 2 counterfactual scenarios.
Setting:
The study was conducted at 1 large quaternary-care referral hospital and 2 community hospitals.
Participants:
All adults ≥18 years of age hospitalized at a study hospital for ≥48 hours were included in the study.
Results:
In total, 254,792 admissions for ≥48 hours occurred during the study period. The average age of these patients was 57.6 (±19.0) years, and 141,107 (55.6%) were female. At hospital 1, 78 CLABSIs, 33 CAUTIs, and 88 VAEs were documented during the pandemic period. Hospital 2 had 13 CLABSIs, 6 CAUTIs, and 17 VAEs. Hospital 3 recorded 11 CLABSIs, 8 CAUTIs, and 11 VAEs. Point estimates for hypothetical excess HAIs suggested an increase in all infection types across facilities, except for CLABSIs and CAUTIs at hospital 1 under the “no pandemic” scenario.
Conclusions:
The COVID-19 era was associated with increases in CLABSIs, CAUTIs, and VAEs at 3 hospitals in Missouri, with variations in significance by hospital and infection type. Continued vigilance in maintaining optimal infection prevention practices to minimize HAIs is warranted.
The paper explores the tale of two 'epicentres’ – metropolitan New York and Lombardy – and seeks to depict the socio-demographic patterns that characterise the worst cases of infection, hospitalisation, and death during the first six months of the Covid-19 pandemic in 2020. By drawing upon secondary data concerning sub-territorial units within the two regions – ZIP-code level and counties in New York and municipalities in Italy – the paper compares the characteristics of the two areas in an effort to understand both how they became the original major epicentres and how their experiences of the pandemic differed. We suspected initially that the pandemic in Lombardy was a function of a complex constellation of variables, such as the age of the population, the unexpected emergence of the virus, and features of the local health system. In New York, the pattern seemed to fit a more familiar dynamic, the kind one would expect from the course that most pandemics take: the poor suffer the worst. The paper tries to extend the understanding of the complex and not univocal mix of social variables that can facilitate the spread of a pandemic and make its effects extreme.
The Subglacial Antarctic Lakes Scientific Access (SALSA) Project accessed Mercer Subglacial Lake using environmentally clean hot-water drilling to examine interactions among ice, water, sediment, rock, microbes and carbon reservoirs within the lake water column and underlying sediments. A ~0.4 m diameter borehole was melted through 1087 m of ice and maintained over ~10 days, allowing observation of ice properties and collection of water and sediment with various tools. Over this period, SALSA collected: 60 L of lake water and 10 L of deep borehole water; microbes >0.2 μm in diameter from in situ filtration of ~100 L of lake water; 10 multicores 0.32–0.49 m long; 1.0 and 1.76 m long gravity cores; three conductivity–temperature–depth profiles of borehole and lake water; five discrete depth current meter measurements in the lake and images of ice, the lake water–ice interface and lake sediments. Temperature and conductivity data showed the hydrodynamic character of water mixing between the borehole and lake after entry. Models simulating melting of the ~6 m thick basal accreted ice layer imply that debris fall-out through the ~15 m water column to the lake sediments from borehole melting had little effect on the stratigraphy of surficial sediment cores.
A landmark orients, signals a turning point, indicates a boundary. Lafayette’s La Princesse de Clèves (1678) was immediately recognized, both by those who disliked it and those who appreciated it, as announcing a new approach to plot structure, representation of society, plausibility (or its lack), and character development. Later the terms ‘psychology’ and ‘analysis’ were used to point to the narrative’s approach to portraying the feelings and thoughts of the protagonist. One of the most obvious ways in which the text distinguishes itself from other novels of its period is its brevity. This quality gives it particular staying-power as a landmark, making it useful in school curricula as an example of the literature of its period—though this use risks skewing the view of seventeenth-century novels by presenting a striking, innovative exception, as the norm. Because landmarks indicate boundaries, they can serve as symbols of the territories they define. La Princesse de Clèves serves today as a marker of the cultural tradition of France itself. It is thus at the centre of debates about the literary canon and of national identity. For both the seventeenth century and for the twenty-first, Lafayette’s work fuels debate.
Psychological attachment to political parties can bias people’s attitudes, beliefs, and group evaluations. Studies from psychology suggest that self-affirmation theory may ameliorate this problem in the domain of politics on a variety of outcome measures. We report a series of studies conducted by separate research teams that examine whether a self-affirmation intervention affects a variety of outcomes, including political or policy attitudes, factual beliefs, conspiracy beliefs, affective polarization, and evaluations of news sources. The different research teams use a variety of self-affirmation interventions, research designs, and outcomes. Despite these differences, the research teams consistently find that self-affirmation treatments have little effect. These findings suggest considerable caution is warranted for researchers who wish to apply the self-affirmation framework to studies that investigate political attitudes and beliefs. By presenting the “null results” of separate research teams, we hope to spark a discussion about whether and how the self-affirmation paradigm should be applied to political topics.
Obtaining objective, dietary exposure information from individuals is challenging because of the complexity of food consumption patterns and the limitations of self-reporting tools (e.g., FFQ and diet diaries). This hinders research efforts to associate intakes of specific foods or eating patterns with population health outcomes.
Design:
Dietary exposure can be assessed by the measurement of food-derived chemicals in urine samples. We aimed to develop methodologies for urine collection that minimised impact on the day-to-day activities of participants but also yielded samples that were data-rich in terms of targeted biomarker measurements.
Setting:
Urine collection methodologies were developed within home settings.
Participants:
Different cohorts of free-living volunteers.
Results:
Home collection of urine samples using vacuum transfer technology was deemed highly acceptable by volunteers. Statistical analysis of both metabolome and selected dietary exposure biomarkers in spot urine collected and stored using this method showed that they were compositionally similar to urine collected using a standard method with immediate sample freezing. Even without chemical preservatives, samples can be stored under different temperature regimes without any significant impact on the overall urine composition or concentration of forty-six exemplar dietary exposure biomarkers. Importantly, the samples could be posted directly to analytical facilities, without the need for refrigerated transport and involvement of clinical professionals.
Conclusions:
This urine sampling methodology appears to be suitable for routine use and may provide a scalable, cost-effective means to collect urine samples and to assess diet in epidemiological studies.
Vance Byrd's monograph demonstrates how the panorama helped create a modern sense of identity for the bourgeoisie in nineteenth-century Germany. The panorama was a popular visual medium, yet most Germans experienced it not firsthand, but in printed texts. Germans could read descriptions of panoramas, purchase guides and keys to well-known panoramas, and find panorama-like perspectives and metaphors in the literature of their time. Consequently, Byrd treats the panorama as both medium and metaphor, as both physical object and as practices that advanced a “literary pedagogy of observation.” Panoramas and their literary manifestations created an immersive world in which to debate the potentialities of modern life.
The first chapter of this book analyzes the invention of the panorama and highlights the ephemera and material objects that accompanied it: advertisements, guidebooks, keys, etc. These tools made a panorama readable, but also made it less immediate; they interrupted the sense of visual engagement and immersion with the panorama itself. Hence, the panoramic experience was not an unfettered gaze comprehending a unified compositional field, but entailed the reconciliation of that visual field with accumulated information, details, and facts gained through reading. Such readings helped audiences transform visual experience into experiences of the imagination. “The cognitive and intellectual process of producing and seeing a panorama, the attempt at unifying nature, history, and politics under the same gaze, illustrates the totalizing ambition of this mode of representation” (32), an ambition that endured in literature of the nineteenth century.
The second chapter details the treatment of the panorama in fashion journals, most prominently in F. J. Bertuch's Journal des Luxus und der Moden (1786– 1827), and traces how the journal brought the panorama from the heterotopia of the popular fair to the bourgeois household. The journals made the panorama German (asserting its German rather than British provenance), bourgeois (linking panoramas to the bourgeois landscape garden), and domestic (panoramic images became fashionable entertainments within bourgeois households). Panoramas thus allowed Germans to envision themselves as bourgeois subjects of a potentially modern nation.
ON THE OCCASION of Theodor Fontane's two hundredth birthday, his reaction to an earlier birthday yields food for thought. Fontane describes his seventieth birthday celebration to Heinrich Jacobi on January 23, 1890:
Man hat mich kolossal gefeiert und—auch wieder gar nicht. Das moderne Berlin hat einen Götzen aus mir gemacht, aber das alte Preußen, das ich, durch mehr als 40 Jahre hin, in Kriegsbüchern, Biographien, Land- und Leute-Schilderungen und volkstümlichen Gedichten verherrlicht habe, dies “alte Preußen” hat sich kaum gerührt …
[I was celebrated colossally and—again not at all. Modern Berlin made an idol out of me, but old Prussia, which I had glorified throughout more than forty years—in war reports, biographies, descriptions of country and people, and in popular poems—this “old Prussia” hardly stirred …]
The disparity in perception between modern Berlin and old Prussia clearly troubles Fontane; one senses that, at some level, he longs to be acknowledged by traditional Prussia, much as he may despise it, and that his image of himself as a writer does not coincide with the image that the literary world has of him. This tension, even contradiction, mirrors the enigmatic reception of Fontane in subsequent generations and particularly in the English-speaking world. Fontane is sometimes an advocate for the declining landed nobility of Prussia, sometimes the pioneer of the modernist metropolis, the champion of rural Prussia and Brandenburg but also of cosmopolitan London and the world at large. Is he regressive or progressive, an advocate of provincialism or cosmopolitanism, a traditionalist or a modernist? Fontane's staying power comes in part from his resistance to easy classification according to such binaries. He still speaks to us today because he sustains a productive tension between both the modernist idol and the compassionate, albeit ironic, chronicler of “old Prussia.”
With this volume celebrating Fontane's two hundredth birthday, we engage the tension between the modern and the traditional, the contemporary and the historical in Fontane by offering a range of contributions from the world of English-language Fontane scholarship in the twenty-first century. Balancing the competing demands of fidelity to the author's history and literary production in the nineteenth century with the interests of our own era requires recognizing both the striking similarities and the stark differences between the late-nineteenth and the early-twenty-first centuries.
THEODOR FONTANE's 1892 NOVEL Frau Jenny Treibel foregrounds conflicts within the Prussian middle class, specifically between the Besitzbürgertum (propertied middle class) and the Bildungsbürgertum (educated middle class). Onto the divisions between these two subgroups Fontane projects binary oppositions such as modern and traditional, prose and poetry, and materialism and idealism, respectively. The subtitle of the novel, “Wo sich Herz zum Herzen find't” (14:3; When Heart to Heart Is Paired, 46), suggests that the novel might reconcile these polarities. Indeed, as Hugo Aust notes, resolution was an essential aesthetic criterion when Fontane reviewed literary works as a critic. Yet we do not find real resolution in this novel, for Fontane portrays these two groups as irreconcilably divided. If hearts are paired in the novel, then it occurs only within each subgroup of the Bürgertum, not across their boundaries.
What relevance might this unresolved nineteenth-century internecine class conflict have for the first half of the twenty-first century? In this novel Fontane stages a conflict with implications broader than the narrow temporal and geographical confines of nineteenth-century bourgeois Berlin society. He maps the distinctions within the Berliner bourgeoisie onto conceptions of both the nature and geography of Europe: on the one hand, a more modern, industrialized Europe, characterized by commerce and identified with Northern and Western Europe, England in particular; on the other, an ancient Europe, grounded in a rich cultural tradition and identified with Southern and Southeastern Europe, specifically Italy and Greece. The failed attempts to reconcile the differences between subgroups of the bourgeoisie reflect pessimism not only toward class reconciliation but also toward attempts at reconciliation and unity on a transnational scale. The inability to overcome the rift between Besitzbürgertum and Bildungsbürgertum, between materialism and culture, suggests that, in Fontane's perspective, attempts at transnational unity such as we find in the twentieth and twenty-first centuries will only perpetuate the failed attempts to reconcile these differences.
To some it might seem far-fetched to search for transnational and global issues in Fontane, who has been described as a Berlin author, a “particularist of the metropolis.” Yet Fontane was keenly aware of the world outside of Germany, not least from his time as a foreign correspondent in London (1855–59). In a recent article Roland Berbig offers a close historical reading of the first week of May during Fontane's 1858 visit to London as a demonstration in nuce of Fontane's international awareness and engagement.