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This chapter traces out the substance of Brahman domination and Sudratisudra slavery, especially by way of the analogies Jotirao Govindrao Phule draws to American slavery. It analyses the influence of Thomas Paine's writings on Phule's diagnosis of Brahman oppression by conquest and priestcraft as well as Phule's representation of Sudratisudras as the once and future constituent power of Maharashtra. The chapter explores the politics of supplication and sentimentality in Phule's writing, and especially how these come together by way of his naive monarchist critique of intermediary authorities in the appeal to Queen Victoria. As a nameable phenomenon, naive monarchism is a product of twentieth century radical historiography. The chapter argues that the simultaneously real and surreal character of Slavery's political intervention, whose agency could only have arisen under British imperialism even as it points beyond it, derives from Phule's position between critique and catachresis.
Several collections of lesson books for practising mensural music published in Spain during the eighteenth century, known as canto de órgano, have been overlooked in musicological scholarship. These canto de órgano lessons allowed students to be trained in a wide variety of repertoire, from renaissance polyphony to modern-style monody. This article provides an initial overview of these printed collections and identifies noteworthy parallels with the didactic repertoires of other regions, such as Italian solfeggi. To that end, I present context and different Spanish opinions of the period on the usefulness of solfeggio collections and specific examples of collections that could serve as models of style. I analyse the way in which solfeo was practised, before proposing a classification. In assessing these works against other sources, I suggest that these lesson books were useful not only for the practice of reading music, but also for the cultivation of good taste in interpretation, improvisation and composition.
Much of economics is dedicated to studying conflicts of interest. What is less well studied is the question of how to make sense of conflicts of interest involving non-individuals like social institutions or social collectives. However, the latter is very important, too: from the occurrence of institutional corruption to the creation of workplaces with much internal conflict, understanding clashes between the interests of individuals and non-individuals is an important social phenomenon. How, though, can this phenomenon be studied? What, exactly, are the ‘interests’ of social institutions or collectives? To make progress with this, this paper uses recent work in social functionalism to develop a theory of cooperation and conflict involving non-individualist social entities. To make the discussion precise, the paper focuses on principal/agent problems (though it is not restricted to the latter). The paper ends by applying this theory to cases of internal conflicts in social collectives.
To analyze the dynamics of antimicrobial consumption and evaluate the clinical and economic outcomes of a comprehensive antimicrobial stewardship (AMS) program in a Ukrainian maternity hospital.
Design:
Retrospective observational study.
Methods:
The study was conducted at a tertiary referral maternity hospital in Kyiv, Ukraine, using two datasets. First, a longitudinal analysis of pharmacy dispensing records (2020–2024) was performed to assess consumption trends. Second, a comparative cohort analysis of 320 women undergoing gynecological surgery (preAMS [2018] vs postAMS [2023]; n = 160 per group) was conducted to evaluate the impact of stewardship interventions. The AMS program, implemented in 2020, utilized administrative “stop-orders” for postoperative prophylaxis and pharmacy gatekeeping for broad-spectrum agents. Economic outcomes were assessed using a patient-level micro-costing approach.
Results:
A profound structural shift occurred: consumption of ceftriaxone decreased from 72.4% of total prophylactic units in 2020 to 1.4% in 2024, replaced by cefazolin (0% to 44.0%). In the clinical cohorts, unjustified postoperative antibiotic use was eliminated (46.3% in 2018 to 0% in 2023; P < .001). The transition to single-dose prophylaxis reduced the mean direct antibiotic cost by 78.4% and coincided with a decrease in the mean length of stay from 9.85 to 4.68 days (P < .001). The program generated an estimated net saving of approximately $1,040 per surgical case.
Conclusions:
Institution-level stewardship interventions successfully shifted prescribing toward guideline-concordant use and generated substantial cost savings. This study demonstrates the resilience and feasibility of low-cost stewardship models in high-pressure, transitional healthcare environments.
This chapter interrogates the relationship between medievalist cultural memory and nationalism in Britain and Europe. Exploring work by the English poet Thomas Gray, the Welsh poet and critic Evan Evans, the Hungarian poet Janos Arany, the Icelandic scholar Grímur Jonsson Thorkelín and the Danish poet, historian and educator Nikolai Frederik Severin Grundtvig, this chapter explores how ideas of the medieval past are used to generate ideas of community and exclude some people, ideas and traditions from the future.
Academic and popular representations have coalesced to present a celebratory and romanticised overview of Italians in Scotland which serves to obscure historical incidences of racism and hostility. This chapter offers a brief overview of the migration patterns of the Italian diaspora. It explores the ways in which Italians and other immigrant groups in Scotland were racialised from the earliest days of settlement. The chapter also explores how long-enduring perceptions of racial difference shaped reactions to Italians at the outbreak of the Second World War. It provides an analysis of childhood narratives of 'difference', based on ethnicity, religion, language and appearance. The chapter shows how the wartime configuration of Italians as the 'enemy within' served to dramatically reinforce a sense of 'otherness' and not 'belonging' already prevalent amongst the children of Italian immigrants.
Poorer language ability is a known risk factor for elevated depressive symptoms. However, the cognitive mechanisms underlying this association remain underexplored. Utilizing data from a comprehensive pre-birth cohort in Singapore (N = 473; 49.9% boys; 57.3% Chinese, 27.9% Malay, 14.8% Indian), the present study examined whether (i) self-concept domains mediate the association between early language ability and depressive symptoms during preadolescence, and (ii) these indirect pathways differ by child sex. Children’s early language ability was assessed at ages 2 and 4 using standardized assessments of vocabulary and phonological processing. Self-concept and depressive symptoms were measured at ages 8.5 and 10, respectively. Results indicated that the domain of behavioral adjustment mediated the relationship between early language ability and subsequent depressive symptoms for girls (β = −0.07, 95% CI [−0.15, −0.01]), whereas happiness and satisfaction served as a key mediator for boys (β = −0.12, 95% CI [−0.24, −0.03]). After accounting for these mediators, there was no direct association between early language ability and depressive symptoms. These findings highlight potential sex-specific mechanisms through which early language ability is prospectively associated with depressive symptoms. Future research is necessary to determine whether enhancing self-concept can mitigate depressive symptoms in children with early language difficulties.
This first chapter introduces the issues of Humanitarianism and conflict in Afghanistan. Five commonly held assumptions are presented and Afghanistan and its wider relevance are discussed. As a foundation, a number of key concepts are outlined and the book’s structure is presented.