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The rise of nationalist and populist candidates worldwide provides compelling evidence that parties win elections, not by appealing to voters’ policy preferences alone, but rather by connecting those preferences to group identities. This state-of-the-field article argues that party scholars need to integrate constructivist insights from neighboring fields to better understand the role of group identities in party competition. We review recent demand- and supply-side studies on the role of group identities in elections and bring them into conversation with the literature on ethnic politics and nationalism and political economic models of identity politics. On this basis, we suggest a research agenda that models voters as having both policy preferences and desires for self-esteem and self-consistency, which are mediated by their identification with social groups. Voters want to benefit others they see as being similar to themselves, to raise the status of the groups they identify with, and to maintain self-consistency by narrowing the gap between themselves and members of groups with which they identify. Political parties strategically combine policy offers with group appeals to address – and shape – all these motivations. Shifting from a ‘policy-only’ towards a ‘policy-cum-identity’ paradigm will enable the field of party politics to better understand the dynamics of real-world electoral competition and to reconcile its models with the latest developments in the political theory of representation.
In the US, cardiovascular diseases (CVD) are the leading cause of death and disability. Cost-related medication non-adherence (CRMN) can have serious consequences and worsen CVD outcomes. We examined the relationship between CVD risk factors and CRMN among US adults.
Methods:
CDC’s 2019–2021 National Health Interview Survey (NHIS) data were used to examine CRMN among adults, categorized into three groups based on reported risk factors. We used chi-square tests, and logistic regression to determine factors associated with CRMN.
Results:
Among 49,464 participants, young, unmarried individuals, females, less educated, and participants from the South had higher CRMN than older, married individuals, males, and those with higher education residing in the other regions. Current smokers and those with more CVD risk factors also reported higher CRMN than former and never-smokers. Conversely, those aged 65 or older, with high-income, and excellent self-rated health had lower CRMN than younger participants, low-income families, and those with poor self-rated health. Public insurance and Medicaid participants had lower CRMN than uninsured (OR 0.13, 95% CI, 0.04–0.45, and OR 0.24, 95% CI, 0.15–0.36). Stratified analysis by diabetes, hypertension, and hyperlipidemia, revealed participants with high-income had lower odds of CRMN (OR 0.38, 95% CI, 0.28–0.50; OR 0.39, 95% CI, 0.28–0.58; OR 0.37, 95% CI, 0.27–0.51 respectively) than those with lower- incomes.
Conclusion:
Adults under 65 with more CVD risk factors and lacking insurance coverage are at higher risk of CRMN. Therefore, strengthening prescription drug coverage and targeted interventions are necessary to reduce CRMN among those with cardiovascular risk factors.
This chapter reads the absence of representations of maritime punishment as meaningful in relation to a distinction between the violentiae theatrum, on the one hand, and a dramatic application of violence, on the other. The argument in the chapter is historically anchored, and it connects not only to the practical way in which order on ships had to be maintained but also to the praxis of seventeenth-century state formation and the role of subjects and subjection in that formation. The chapter reviews analysis of the issue of the legitimacy and acceptability of torture, which was a distinctly uneasy one in the context of the history of Christianity and its institutionalisation. As a re-presentation the painting is a remarkable celebration ordered by a conspirator who keeps boasting, with hindsight, about the success of his attempts to murder the political leaders of the country.
The study is one of the first in its field to be grounded in extensive, original qualitative data on the lived experiences of senior managers in financial firms. Its principal aim is to construct a comprehensive, empirically-based typology of culture in finance, drawing on findings from 29 semi-structured interviews with current and former senior managers in UK financial firms and regulatory personnel. The study employs a rigorous participant selection and thematic analysis process that reflects the diverse array of financial firms, sectors, roles and perspectives on culture. It does so by applying appropriate theoretical frameworks on organisational culture to unearth the nuances and typology of culture in the UK finance industry. Our findings indicate that financial firms are in a state of transition between two distinct types of culture, from an old and heavily criticised archetype (which still holds sway) towards a not yet fully realised vision of a new transformed culture. Beyond its theoretical interest, our analysis reveals ways to improve culture in finance and provides recommendations for the development of financial regulation and broader policymaking, aiming for a whole-hearted shift from principles-based regulation to outcomes-based regulation.
This paper addresses the challenge of balance control for the underactuated triple pendulum robot (UTPR) using a model-free reinforcement learning (RL) strategy. A curriculum-based Soft Actor-Critic strategy, with a quadratic form and an integral term in the reward function (CSAC-QI), is proposed. By incorporating the integral of cumulative joint angle errors into the reward function, the CSAC-QI method significantly reduces steady-state errors and enhances control precision. CSAC-QI improves convergence efficiency through an adaptive curriculum learning (CL) framework that enables a structured transition from simpler to more complex tasks. To enhance control robustness, motor friction identification and domain randomization are implemented during training, thereby equipping the UTPR to cope with real-world uncertainties. Simulation experiments demonstrate superior performance of the CSAC-QI method in handling larger initial joint deviations, achieving accurate end-effector positioning, and maintaining balance under dynamic randomization, sensor noise, and external disturbances. Notably, the trained policy is directly deployed on the UTPR prototype, where it successfully maintains balance in real-world conditions.
This chapter focuses on how certain kinds of images and stories were mobilised by communities, city administrators and marketers to form a totalising imaginary of 'city zones' such as Manchester's Gay Village. These images concealed the lived experiences of many and prevented an appreciation of the dangers and affective realities of such users of urban space. It is a tension drawn from the kind of Cartesian mapping critiqued by Doreen Massey who argues that space, rather than being composed solely of the physical plane, is best conceived of as relational in aspect. The chapter shows a story of the village produced in collaboration with Peter Dalton, a nineteen-year-old man who 'did business. The spoken negotiations involved in doing business often involved a measure of ambiguity between what was said and what was implied.
This chapter examines how Dreamfields' 'high expectations' are steeped in raced and classed norms that extirpate heterogeneity. Belief is cultivated through the use of repetition and morality tales that smooth over the various contradictions and ambiguities inherent in Dreamfields' approach. Culford's position as principal and archetypal masculine figurehead is paramount due to his dictatorial management style and his embodiment of the ethos. Culford symbolises Dreamfields' mission, embodying its mantra as a self-made, mixed-race man of modest working-class origins who has made it to the top. Dreamfields aligns its mission with the pursuit of equality, while simultaneously refuting the structuring importance of race and class on positioning. Dreamfields chose a traditional uniform aligning the student body with 'smart' middle-class professional bodies, signifying normality and announcing that Dreamfields students were just like other Goldport professionals heading to work.
This chapter outlines the general scope and aim of an investigation into Gothic sensibilities in the Renaissance period, situating the project with regard to historical contexts as well as existing scholarly discourses of early modern and of Gothic studies. What does it mean to postulate a Gothic Renaissance, to attribute a Gothic sensibility to both dramatic and non-dramatic texts written in early modern England? This introduction approaches the workings of Gothic sensibilities and proposes their existence avant la lettre, pointing out the English Renaissance period with its emerging emphasis on individual subjectivity and national identity as an apt starting point for a historically specific investigation into connections with the Gothic.
This chapter reviews the Adam Smith's statement, "Though our brother is on the rack, as long as we ourselves are at our ease, our senses will never inform us of what he suffers", to approach the difficult problem of the extent to which the perception of pain and suffering can indeed be shared. The contemporary demographic accounts of pain incidence and pain management may give a peculiarly modern twist to the familiar etymological observation that pain has long been connected to punishment in deep-rooted even if unquantifiable ways. The 'intensive theory' of pain, which first arose in the eighteenth century, has now been superseded by quite different ideas of pain perception. 'I feel your pain' has become a phrase used to mock the fake or inauthentic expression of pretended empathy.
To describe the development, delivery, and outcome of an action-oriented intervention comprising an awareness-raising educational video and workshop designed to support general practice teams to identify and plan decarbonization actions, delivered from May-September 2024.
Background:
Healthcare services internationally are committing to net zero targets. General practice is recognized as having a pivotal role in achieving these ambitions. However, limited awareness of decarbonization initiatives and insufficient support for implementation highlight the need for an educational resource to facilitate action planning.
Methods:
Principles of organizational change, video-design, and barriers to decarbonization informed the intervention’s development. The video included modules featuring resource materials and ideas to support the development and implementation of decarbonization actions in general practice. Prompts for a facilitated workshop discussion were developed to support action planning. The intervention was delivered to 64 multidisciplinary staff across 12 general practices in England. A conceptual content analysis was conducted on completed practice green action plans (GAPs) and data from an online participant feedback form were analysed using descriptive statistics to assess perceptions of the intervention. Free-text comments were thematically analysed.
Results:
Across the 12 GAPs, each practice planned between three and eight decarbonization actions. ‘Managing waste’ was the most frequently addressed area, appearing in 10 practice GAPs, and most planned actions mapped onto those presented within the video. Thirty (46.9%) participants completed the evaluation survey. The intervention was well received, with 28 (93.3%) survey respondents rating the overall usefulness of the video as 4 or 5 (1 ‘not at all useful’ to 5 ‘very useful’). Free-text comments for suggested improvements related to time for consolidating learning, and concerns about the video’s audio quality and duration.
Conclusions:
The educational workshop successfully facilitated the development of structured GAPs with explicit timescales and intended outcomes. This study did not assess the implementation of planned actions.
This chapter provides an overview of the unfolding understanding of the psychological impact of the violence, with reference to key studies, research reviews and other key reports published between 1969 and 1999. One of the earliest studies to investigate the mental health impact of communal violence in Northern Ireland was reported upon shortly after the large-scale violence began. The study focused on three family doctor practices in west Belfast, one of the areas most affected by the early violence. The parties to the Belfast Agreement looked forward to the results of the work of the Northern Ireland Victims' Commission. In 1999, Lost Lives, a chronicle of the deaths associated with the Troubles in Northern Ireland, was published. The form and approach of studies that have investigated the mental health impact of the Troubles varies considerably.
This introduction presents an overview of the key concepts discussed in the subsequent chapters of this book. The book looks closely at the bitter dispute over intervention between two of European anarchism's most important figures, both marooned in British exile, Peter Kropotkin and Errico Malatesta, which split the global anarchist movement in 1914. It examines the politics of internationalism and anti-militarism in order to explain this division and consider how it contributed to the reshaping of post-war anarchist politics. The book shows how the combination of war and revolution brought well-honed anarchist conceptions of violence, state power and mutual aid into sharp relief, stimulating new approaches to resistance, transformation and social relationships that were shaped by anti-militarism. Antimilitarists were divided in their ethical responses to war. Some linked anti-militarism to pacifism while others, like Karl Liebknecht, called for the creation of a citizen army.