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This article sketches an answer to the call for a normative foundation for the paradox perspective on corporate sustainability and also enriches an understanding of firm objectives that ought to be otherwise than profit by offering a rendering of Aristotelian virtue ethics—what I call the virtuous life of pleasure—that highlights how contemplative activity or theorein cultivates, and is essential to, virtue and eudaimonia. My claim is that the virtuous life of pleasure not only characterizes how to live the most meaningful and pleasant life, rendering it good and thus worth pursuing, but it is also, as a flourishing life, the normative foundation for safeguarding the intrinsic value of nonfinancial corporate aims, as the paradox perspective prescribes. It does so by establishing a principle of enough, which seeks to preserve integral, interdependent parts as ends in themselves and as constitutive of a larger ecosystem.
Advancements in healthcare have significantly improved the prospect of patients with CHD, with over 97% now surviving adulthood. This growing population requires lifelong care and support to manage their condition. Digital health innovations, such as the “Ask Me Anything” (AMA) tool, aim to empower patients and improve collaboration with clinicians.
Methods:
In this pilot study, 70 patients were invited to participate, and 58 completed the questionnaire (response rate: 82.9%). Patients completed a digital question prompt list (QPL) prior to their consultations to select key topics from a predefined list of questions. Permission from the institution was obtained before conducting the pilot study.
Results:
Patients frequently selected questions related to prognosis, ageing, emotional well-being, lifestyle, and potential future interventions. The tool allowed for more personalised consultations and promoted active patient participation.
Conclusions:
The AMA tool demonstrates feasibility in engaging ACHD patients and supporting shared decision-making. Further research is needed to optimise system integration and evaluate long-term outcomes.
Scholars have extensively studied the diffusion of criminal laws across the American states, and this paper examines an overlooked story of penal diffusion: the mid-twentieth-century spread of habitual offender laws. These laws, which escalated sentences for repeat offenders, proliferated across the states decades before the enactment of the three-strikes laws to which they bore remarkable resemblance. But whereas prior research has traced the legislative diffusion of habitual offender laws, this article alternatively explores how state courts’ interpretations of habitual offender laws diffused across jurisdictions. Using an innovative theoretical framework blending judicial diffusion research with literatures in neo-institutional theory, this article reveals how state courts borrowed legal decisions from other states to interpret, legitimize, and alter laws within their own jurisdictions. This reveals how state courts can shape the trajectory of legislative diffusion in enduring and profound ways. This study’s unique theoretical framework uses the history of habitual offender laws as a case study to explore underappreciated features and dynamics of the diffusion process that have shaped the development of American criminal law.
In the past decade, there has been increasing scholarly interest in language teachers’ emotional experiences, how they regulate and manage their emotions, and how their experiences and emotion-related practices are related to their cognition, practice, well-being, and professional development. A systematic and critical review is needed to help language teaching professionals to benefit from the insights generated by these studies. This review aims to explore this growing body of research on the emotions of language teachers published between 2015 and 2024 by outlining four major research themes: 1) emotional experience; 2) emotion labour; 3) emotion regulation; and 4) emerging emotion-related concepts. This review critically discusses these themes and draws on relevant research findings to visualise the results in an emotion-focused map of language teachers’ professional development. It concludes by proposing a research agenda to stimulate further inquiry into the emotions of language teachers.
Chickpea (Cicer arietinum L.) is a vital legume crop with significant global importance, yet its productivity is highly sensitive to environmental variability. This study employed advanced statistical modelling to identify key environmental drivers of chickpea yield and water-use efficiency (WUE). Field trial data from 29 experiments across 10 Australian locations were analysed, focusing on 19 climatic variables across four growth stages: sowing to flowering, flowering to podding, podding to maturity, and the critical period around flowering. Using correlation analysis and Exclusive LASSO regression, the study quantified relationships between environmental factors, growth stages, and chickpea performance metrics. Key findings identified soil evaporation and soil moisture supply-demand ratio during the sowing-to-flowering stage, along with frost during the critical period, as significant determinants of yield. Frost negatively impacted WUE across multiple growth stages, while mean photothermal quotient during early growth positively influenced transpiration-based WUE. Predictive models developed using daily climate data demonstrated strong performance (R2 > 0.68–0.72) for yield and WUE predictions. The study provides actionable insights for optimizing chickpea production under varying environmental conditions, offering practical tools for farmers and agronomists to enhance crop management strategies, supporting sustainable and profitable chickpea farming in Australia and beyond.
This article presents an analytical framework for studying implementation failure in minimum income programs targeted against poverty and applies it to a case study focused on the recent introduction in Spain of the first national minimum income programme, the Minimum Living Income (MLI). The framework combines two criteria (the type of agent potentially triggering failure, and the type of administrative challenge) to produce four types of implementation problems in targeted minimum income schemes: identification failure, administrative incapacity, nontake-up, and overpayments. We apply this framework in the case of MLI by conducting an exhaustive review of empirical research on its implementation problems. This evidence suggests that the special political circumstances in which the MLI was approved, some features of its design, and its insertion into a complex institutional landscape of regional minimum incomes, explain part of these problems. We conclude with some final remarks and recommendations.
Antimicrobial resistant infections are expected to increase the rate of antibiotic treatment failure in patients during a mass casualty incident. We aim to examine the potential impact of rising antimicrobial resistance (AMR) on medical preparedness and response to a nuclear detonation in the United States (U.S.) using a model to estimate the number of casualties with secondary bacterial infections overlaid with real-world data on the burden of antibiotic-resistant pathogens.
Methods
The population of injured individuals needing treatment was estimated from a simulation involving a 100-kiloton nuclear detonation in a major U.S. metropolitan area. Contemporary antibiotic resistance rates for eight key bacterial pathogens were derived from the SENTRY Microbiology Visualization Platform.
Results
Our model estimated that up to 65% of the casualties could be at risk to develop a secondary bacterial infection requiring antibiotic treatment which, when combined with the increasing burden of AMR in U.S., could result in up to one third of those patients who are injured and infected being at risk for treatment failure due to antibiotic resistance.
Conclusions
The burden of AMR on the emergency response to a mass casualty incident, as described, could be a significant hinderance to efforts to treat infections and protect lives.
This Review has occasionally taken note of the passing of individuals who have made seminal contributions to the public international law of international trade.1 When Frieder Roessler died on 25 July 2024, the editors undertook to memorialize Frieder's legacy with a Symposium about Frieder the international civil servant, Frieder the scholar and teacher, Frieder the institution builder in advocacy for the legal rights of developing countries, and Frieder the friend to admirers around the world and over the course of several decades.
How can populist authoritarian incumbents justify remaining in power when the golden age they promised remains unrealized? We argue that audiovisual products such as videos are particularly suited to enlivening the histories that so many populists evoke in seeking to legitimize their rule. Political science’s traditional focus on speech-based legitimation, however, leaves audiovisual tools largely overlooked. The few studies that do engage these tools test for audience effects, but the content itself and the political strategies behind its curation and dissemination remain undertheorized. By adding an audiovisual lens to studies of authoritarian legitimation, we identify a regime durability strategy we term selective revivification. We specify the cognitive and affective characteristics of videos that quickly communicate information-dense, emotionally evocative messages, arguing that they engagingly distill specific historical elements to portray incumbent rule as not just legitimate but also necessary. In advancing our argument, we construct an original dataset of all existing narration-based YouTube videos shared by six regime institutions in Turkey from the establishment of YouTube in 2005 to 2022 (n = 134). We use quantitative analysis to identify when video usage emerges as a strategy, as well as patterns of dissemination and content elements. We then use intertextual analysis to extract common historical themes and production techniques. The audiovisual tools we specify and the selective revivification strategy they enable fill gaps in studies of authoritarian legitimation while adding to political scientists’ toolkits for wider inquiry.
Hallucinations and other unusual sensory experiences (USE) are common in people with psychosis. Yet access to effective psychological therapies remains limited. We evaluated if we can increase access to psychological therapy by using a brief treatment, focused only on understanding and dealing with hallucinations (Managing Unusual Sensory Experiences; MUSE), delivered by a less trained but more widely available workforce that harnessed the benefits (engaging content, standardisation) afforded by digital technology. The delivery of this in a real-world setting was considered within the non-adoption, abandonment, scale-up, spread, and sustainability (NASSS) framework.
Method:
Thirty-eight people with psychosis and distressing hallucinatory experiences were offered sessions of MUSE, delivered by trained and supervised assistant psychologists. MUSE was evaluated within an uncontrolled study conducted in routine clinical practice. Assessments pre- and post-treatment enabled consideration of the impact of the real-world intervention.
Results:
There was good uptake (88.4%), and receipt of MUSE (89% received four or more sessions). On average participants received 8.69 sessions. The participants reported significant reductions in voice hearing, paranoia, as well as improved quality of life. The feedback from the participants indicated that MUSE delivered by a less trained workforce was acceptable and beneficial.
Conclusions:
In a real-world setting we were able to offer and deliver sessions of a brief psychological psycho-education and coping skills enhancement package to people with distressing USE in the context of psychosis. The delivery of MUSE when considered against the NASSS framework appears to be a good candidate for adoption in services.
The endogenous money approach has a long history and development, but the proponents of Modern Monetary Theory point out that it can be extended by Chartalism and the leading role it gives to money created by the State. In this paper, we test this assertion by making a critical analysis of their contributions and reviewing the opposing positions. We conclude that, indeed, the integration of the endogenous money and state money views in a same theorical framework seems to offer a coherent explanation of monetary phenomena.
Individuals with childhood experience of out-of-home care (OHC) face elevated risks of criminal behavior and poor mental health compared with the majority population. Evidence on how trajectories of offending and psychiatric disorders covary among individuals with experience of OHC is needed. This study is based on a cohort of 14,608 individuals (n = 1,319 with OHC experience) born in the Stockholm metropolitan area in 1953 (49% women) from birth to age 63 (2016). Group-based multi-trajectory modeling among those with at least one offense or psychiatric disorder (40.5% of the men, 16.6% of the women) identified four co-occurring trajectories for both sexes. Multinomial regression analyses showed that adolescent OHC placement, particularly in institutions and for behavioral reasons, was linked to higher odds of early-adulthood-limited or decreasing offending and psychiatric trajectories. Most individuals recover from offending and psychiatric disorders by retirement, but placed individuals in particular remain at high risk for offending, alongside psychiatric disorders, throughout early adulthood. Early assessment and tailored attention to needs and risk levels is important when designing long-term care services to mitigate this. Research on underlying mechanisms, and on collaboration between the welfare, justice, and psychiatric care systems, can help to design effective intervention strategies and policies.
This study revisits the relationship between household consumption and its economic (income, wealth, and interest rates) and behavioural drivers. We specify this relationship while allowing for a threshold effect and a switching regime, which help capture further asymmetry, time-variation, and nonlinearity in this relationship. To this end, we specify a vector logistic smooth transition regression (VLSTR) model, which allows modelling the consumption–income relationship in a nonlinear system and provides more concise estimators. We obtain two interesting results. First, the consumption–income relationship is time-varying, regime-dependent, and it exhibits asymmetry and nonlinearity. Second, while household consumption remains driven by usual factors (income, financial wealth, interest rate, and exchange rate), it is also statistically sensitive to factors (consumer sentiment), and this sensitivity is regime-dependent.
To evaluate the impact of reported β-lactam allergy on the risk of surgical site infections (SSIs), given that most reported cases are unverified and may lead to suboptimal antibiotic prophylaxis.
Design:
Systematic review and meta-analysis.
Methods:
Four databases were systematically searched for studies reporting SSI rates in patients with and without β-lactam allergy. The primary outcome was SSI incidence; secondary outcomes included mortality, length of hospital stay (LOS) and adverse events. Subgroup analyses were conducted to explore potential sources of heterogeneity. Risk ratios (RRs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Risk of bias was assessed using the ROBINS-I tool.
Results:
Twenty-five retrospective observational studies comprising 460,284 patients were included. Reported β-lactam allergy was associated with a significantly increased risk of SSI (RR = 1.55, 95% CI = 1.24–1.94). This association remained consistent across sensitivity and subgroup analyses, particularly in studies relying on self-reported allergies. Patients receiving β-lactam antibiotics had a significantly lower SSI risk than that of patients receiving non-β-lactam alternatives (RR = 0.63, 95% CI = 0.42–0.94). No significant differences were found in LOS or hypersensitivity reaction rates. Mortality was not reported in any of the included studies.
Conclusions:
Reported β-lactam allergy is associated with an increased risk of SSI, highlighting the importance of accurate allergy assessment. Selective administration of β-lactam agents, such as cefazolin, may offer a safe and effective option for preoperative prophylaxis in patients without a history of severe hypersensitivity.