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The cognitive deterioration of politicians is a critical emerging issue. As professions including law and medicine develop and implement cognitive assessments, their insights may inform the proper strategy within politics. The aging, lifetime-appointed judiciary raises legal and administrative questions of such assessments, while testing of older physicians experiencing cognitive decline provides real-life examples of implementation. In politics, cognitive assessment must contend with the field’s unique challenges, also taking context-dependent interpretations of cognitive-neuropsychological status into account. These perspectives, from legal and medical experts, political scientists, and officeholders, can contribute toward an equitable, functioning, and non-discriminatory system of assessing cognition that educates the public and enables politicians to maintain their public responsibilities. With proper implementation and sufficient public knowledge, we believe cognitive assessments for politicians, particularly political candidates, can be valuable for maintaining properly functioning governance. We offer recommendations on the development, implementation, and execution of such assessments, grappling with their democratic and legal implications.
As discussed extensively elsewhere in this volume, the recolonisation of Europe by wolves means that the UK increasingly becomes an outlier in its lack of apex predators. If the UK was not physically detached from mainland Europe, wolves would likely soon cross our borders (Gwynn and Symeonakis 2022). In this chapter we discuss the case for reintroducing wolves to the UK, and we draw on a now nearly 20-year-old paper by Charles Wilson (2004), who reviewed the case for large carnivore reintroductions to the UK. In the original paper, Wilson considered four main questions: Do we have enough room for large carnivores? Are large carnivores a threat to people? Would their impact on livestock, game or wildlife be unacceptable? Would the British public support reintroductions? To these four questions we have added a fifth: What is the legal context for a reintroduction?
Pioneering 18th-century English naturalist, the Reverend Gilbert White (1720–93), knew that large carnivores would have populated prehistoric Selborne. He set the scene in the opening sentences of Letter I in The Natural History and Antiquities of Selborne (White 1789):
It is reasonable to suppose that in remote ages this woody and mountainous district was inhabited only by bears and wolves. Whether the Britons ever thought it worthy [of ] their attention, is not in our power to determine: but we may safely conclude, from circumstances, that it was not unknown to the Romans.
A high point of 210m (689ft) for Selborne Hill hardly makes this a mountainous district. Possibly due to the discoveries of many hundreds of Roman copper coins at nearby Woolmer Pond in 1741, White seems to suggest that it was the Romans that first settled this landscape rather than returning hunter-gatherers in the post-glacial landscapes of the Holocene (Crane 2016). However, he made a reasonable assumption that the area was home to wolves and bears that had re-colonised Britain 13–9,900 years ago from southern refugia (Montgomery et al 2014).
Much of this book has focused on the return of wolves to areas of the world where they had been extirpated (eg grey wolves in Germany, red wolves in the south-eastern states of America). I was invited to write this Afterword as an appeal for action in returning wolves to Britain, one of the few countries in the northern hemisphere where wolves are still missing.
Britain's complement of terrestrial wild nature was set by the engulfing of the land bridge to mainland Europe 9000 years ago (Walker et al 2020). Thus any species that was determinedly extirpated afterwards could not return by dispersal over land, only by the agency of humans. This is why I am envious of those countries in Europe that have recently seen the voluntary return of wolves as they have moved steadily westward across the continent. Reinstatement of large carnivores such as the wolf as a former native species is therefore contestable in Britain, with humans having the choice rather than it be left to wild nature.
The history in Britain is of an ever-downward spiral of destruction of wild nature from the elimination of predators inconvenient to land users (Lovegrove 2007). This led to the judgement by the Addison Committee, the first Parliamentary Committee on National Parks, in 1931, that there was no need of the types of National Park seen in North America that gave free, unfettered space to wild nature, because Britain was ‘a country where the fauna is practically limited to birds, insects and the smaller mammals’ (HMSO 1931). In what would be a well-rehearsed objection since then to reinstatement of large carnivores, the Committee went on to say: ‘Great Britain is small, densely populated, and highly developed and has relatively little land which is not already put to some economic or productive use.’ In effect, the report repudiated the notion that the depauperate state of Britain's wild nature could be reversed.
I wasn't aware of the Addison Committee report back in 2003 when I wrote and circulated a personal manifesto for the rewilding of Britain (Fisher 2003).
Predation of sheep and cattle by the dingo (Canis lupus dingo) is implicated in significant stock losses throughout much of mainland Australia. Leg-hold traps are commonly used for dingo control and ways are sought to improve the humaneness of these devices. We evaluated the performance of the tranquilliser trap device (TTD) attached to Victor Soft-Catch® traps for their ability to deliver a sedative and anxiolytic drug to trapped dingoes. A trapping programme was conducted in south-west Queensland where traps were set alternatively with a TTD containing either 800 mg of diazepam (drug TTD) or a placebo (placebo TTD). All TTDs included 20 mg of the bait marker iophenoxic acid (IPA) to ascertain dosing success. Each trap was fitted with an activity-monitoring data logger that recorded time of capture and subsequent dingo activity. In 41 out of 48 (85.4%) captures the TTD was ruptured and released its contents. No elevation in serum iodine levels above I mg ml-1 resulting from the ingestion of IPA occurred in 8 out of 36 (22.2%) captures, which suggests a higher rate of dosage failure. Dingo activity was highest in both groups immediately after capture, but declined after the first hour in each. The activity of dingoes that accepted a drug TTD was significantly reduced compared to those that took the placebo. However, tooth and limb damage scores did not differ significantly between the drug and placebo group. Much of the physical trauma may have occurred within the first hour of capture when activity was intense and before drug onset in the TTD drug group. The use of TTDs containing sedative and anxiolytic drugs has the potential to reduce anxiety and distress associated with prolonged captivity, but the delivery of a lethal agent that is rapidly acting and humane may result in better welfare outcomes.
Exclusion of special populations (older adults; pregnant women, children, and adolescents; individuals of lower socioeconomic status and/or who live in rural communities; people from racial and ethnic minority groups; individuals from sexual or gender minority groups; and individuals with disabilities) in research is a pervasive problem, despite efforts and policy changes by the National Institutes of Health and other organizations. These populations are adversely impacted by social determinants of health (SDOH) that reduce access and ability to participate in biomedical research. In March 2020, the Northwestern University Clinical and Translational Sciences Institute hosted the “Lifespan and Life Course Research: integrating strategies” “Un-Meeting” to discuss barriers and solutions to underrepresentation of special populations in biomedical research. The COVID-19 pandemic highlighted how exclusion of representative populations in research can increase health inequities. We applied findings of this meeting to perform a literature review of barriers and solutions to recruitment and retention of representative populations in research and to discuss how findings are important to research conducted during the ongoing COVID-19 pandemic. We highlight the role of SDOH, review barriers and solutions to underrepresentation, and discuss the importance of a structural competency framework to improve research participation and retention among special populations.
This chapter examines the New York Times’ representation of the Elián González custody case in 1999 within the broader context of the conflict between the United States and Cuba. The central question that frames this work is the extent to which the ideas that underpin the conflict can be shown to influence the Times’ coverage of this specific episode – i.e., the extent to which the coverage of an episode can be influential on the broader conflict. The results point to support for the hypotheses that the discourses represented by the New York Times in its coverage of the González case corresponded with the themes of the broader conflict between the United States and Cuba and that American sources represented in the coverage exemplified predictable attitudes about Cuba and Communism.
Many triage algorithms exist for use in mass-casualty incidents (MCIs) involving pediatric patients. Most of these algorithms have not been validated for reliability across users.
Study Objective:
Investigators sought to compare inter-rater reliability (IRR) and agreement among five MCI algorithms used in the pediatric population.
Methods:
A dataset of 253 pediatric (<14 years of age) trauma activations from a Level I trauma center was used to obtain prehospital information and demographics. Three raters were trained on five MCI triage algorithms: Simple Triage and Rapid Treatment (START) and JumpSTART, as appropriate for age (combined as J-START); Sort Assess Life-Saving Intervention Treatment (SALT); Pediatric Triage Tape (PTT); CareFlight (CF); and Sacco Triage Method (STM). Patient outcomes were collected but not available to raters. Each rater triaged the full set of patients into Green, Yellow, Red, or Black categories with each of the five MCI algorithms. The IRR was reported as weighted kappa scores with 95% confidence intervals (CI). Descriptive statistics were used to describe inter-rater and inter-MCI algorithm agreement.
Results:
Of the 253 patients, 247 had complete triage assignments among the five algorithms and were included in the study. The IRR was excellent for a majority of the algorithms; however, J-START and CF had the highest reliability with a kappa 0.94 or higher (0.9-1.0, 95% CI for overall weighted kappa). The greatest variability was in SALT among Green and Yellow patients. Overall, J-START and CF had the highest inter-rater and inter-MCI algorithm agreements.
Conclusion:
The IRR was excellent for a majority of the algorithms. The SALT algorithm, which contains subjective components, had the lowest IRR when applied to this dataset of pediatric trauma patients. Both J-START and CF demonstrated the best overall reliability and agreement.
Children with conduct problems and high callous-unemotional (CP+CU) traits are characterized by dampened emotional responding, limiting their ability for affective empathy and impacting the development of prosocial behaviors. However, research documenting this dampening in young children is sparse and findings vary, with attachment-related stimuli hypothesized to ameliorate deficits in emotional responding. Here we test emotional responsiveness across various emotion-eliciting stimuli using multiple measures of emotional responsiveness (behavioral, physiological, self-reported) and attention, in young children aged 2–8 years (M age = 5.37), with CP+CU traits (CP+CU; n = 36), CPs and low CU traits (CP−CU; n = 82) and a community control sample (CC; n = 27). We found no evidence that attachment-related stimulus ameliorated deficits in emotional responding. Rather, at a group level we found a consistent pattern of reduced responding across all independent measures of responsiveness for children with CP+CU compared to the CC group. Few differences were found between CP+CU and CP−CU groups. When independent measures were standardized and included in a regression model predicting to CU trait score, higher CU traits were associated with reduced emotional responding, demonstrating the importance of multimodal measurement of emotional responsiveness when investigating the impact of CU traits in young children.
This article reinterprets Thucydides's analysis of the post-Periclean turn in Athenian politics by reading it within the context of contemporary “tragic” and “scientific” explanatory traditions. It finds in this analysis an ambitious attempt to reinvent the traditional, tragic pattern of hubris-driven reversal by reinterpreting its underlying causal logic according to a scientific perspective in which the overdetermining effects of deities are replaced by the variable power dynamics of democratic deliberation. The resultant analysis identifies a change in the relative standing of leaders as the determining cause of democratic reversal, not the absolute decline in leadership, thus tracing the Athenian turn towards hubris, great error, and civil discord to the egalitarian ordering of the post-Periclean assembly. In so doing, it shows how Thucydides's analysis posed a powerful challenge to previous attempts, both tragic and scientific, to prognosticate the fate of imperial democracy, as well as offering an exemplary moment of Thucydides's synthetic approach towards tragic and scientific explanatory perspectives.
In recent decades, political theorists have significantly revised their understanding of Athenian democratic thinking. By opening up the canon, shifting their focus from abstract principles to democratic practices, and employing an increasingly diverse range of interpretive approaches, they have collectively reconstructed a more robust and multi-faceted account of the Athenian democratic public sphere. Despite its ecumenical ambitions and manifest successes, however, this project has been fettered by a singular focus on language as the medium of democratic politics. As can be seen in the gloss of one of its contributors, this body of work effectively limits the democratic public sphere to ‘the domain in which judgments and public opinion are shaped and formed through speech’. This logocentric demarcation of democratic practice does not harmonize well with our own experience of modern politics, however, where public monuments, political imagery, and civic spaces play a critical role in the formation of political understanding and judgment, as well as starting points for discussion, debate, and disagreement. It seems similarly out of tune with what we know about the ancient Greeks, who demonstrated a readiness to move between visual and verbal content in reflecting on political and ethical life, and who developed the very idea of theôria out of an extension of the process of seeing. If, as political theorists, we can temper our habitual logocentrism and learn to attend more closely to the visual culture of Athenian democracy, we stand to add new dimensions to our collective reconstruction of the democratic public sphere and, in turn, to enhance our understanding of those texts that have long preoccupied our attention.
Protest is ubiquitous in contemporary societies, as is illustrated by any review of recent news headlines. Tarrow and Meyer (1998) refer to the proliferation of protest and its diffusion into everyday life as characteristics of "the social movement society." Social networks are integral to understanding social movement processes. This chapter provides a broad overview of the SNA methodological toolkit, with a focus on ego-networks, so that social movements scholars better understand how networks shape social movement recruitment and support, communication, and social-political influence. The chapter is structured as followed. First, we provide a contextual overview of research on networks, collective action and social movements that underlines the importance of SNA approaches to social movement research. Second, we introduce a set of standard ego-network approaches to social movements and discuss some of the attendant challenges of these approaches. Third, we discuss less well-established qualitative and mixed-methods network approaches to social movements research. Fourth, we describe and discuss some consideration relevant to conducting longitudinal social network analysis, and modeling network dynamics. Finally, we discuss virtual networks as sources of social movements data collection and analysis.
We summarize some of the past year's most important findings within climate change-related research. New research has improved our understanding of Earth's sensitivity to carbon dioxide, finds that permafrost thaw could release more carbon emissions than expected and that the uptake of carbon in tropical ecosystems is weakening. Adverse impacts on human society include increasing water shortages and impacts on mental health. Options for solutions emerge from rethinking economic models, rights-based litigation, strengthened governance systems and a new social contract. The disruption caused by COVID-19 could be seized as an opportunity for positive change, directing economic stimulus towards sustainable investments.
Technical summary
A synthesis is made of ten fields within climate science where there have been significant advances since mid-2019, through an expert elicitation process with broad disciplinary scope. Findings include: (1) a better understanding of equilibrium climate sensitivity; (2) abrupt thaw as an accelerator of carbon release from permafrost; (3) changes to global and regional land carbon sinks; (4) impacts of climate change on water crises, including equity perspectives; (5) adverse effects on mental health from climate change; (6) immediate effects on climate of the COVID-19 pandemic and requirements for recovery packages to deliver on the Paris Agreement; (7) suggested long-term changes to governance and a social contract to address climate change, learning from the current pandemic, (8) updated positive cost–benefit ratio and new perspectives on the potential for green growth in the short- and long-term perspective; (9) urban electrification as a strategy to move towards low-carbon energy systems and (10) rights-based litigation as an increasingly important method to address climate change, with recent clarifications on the legal standing and representation of future generations.
Social media summary
Stronger permafrost thaw, COVID-19 effects and growing mental health impacts among highlights of latest climate science.
A recent suicidal drive hypothesis posits that psychotic experiences (PEs) may serve to externalize internally generated and self-directed threat (i.e., self-injurious/suicidal behavior [SIB]) in order to optimize survival; however, it must first be demonstrated that such internal threat can both precede and inform PEs. The current study conducted the first known bidirectional analysis of SIB and PEs to test whether SIB could be considered as a plausible antecedent for PEs. Prospective data were utilized from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative birth cohort of 2232 twins, that captured SIB (any self-harm or suicidal attempt) and PEs at ages 12 and 18 years. Cross-lagged panel models demonstrated that the association between SIB at age 12 and PEs at age 18 was as strong as the association between PEs at age 12 and SIB at age 18. Indeed, the best representation of the data was a model where these paths were constrained to be equal (OR = 2.48, 95% CI = 1.63–3.79). Clinical interview case notes for those who reported both SIB and PEs at age 18, revealed that PEs were explicitly characterized by SIB/threat/death-related content for 39% of cases. These findings justify further investigation of the suicidal drive hypothesis.
The Sort, Access, Life-saving interventions, Treatment and/or Triage (SALT) mass-casualty incident (MCI) algorithm is unique in that it includes two subjective questions during the triage process: “Is the victim likely to survive given the resources?” and “Is the injury minor?”
Hypothesis/Problem:
Given this subjectivity, it was hypothesized that as casualties increase, the inter-rater reliability (IRR) of the tool would decline, due to an increase in the number of patients triaged as Minor and Expectant.
Methods:
A pre-collected dataset of pediatric trauma patients age <14 years from a single Level 1 trauma center was used to generate “patients.” Three trained raters triaged each patient using SALT as if they were in each of the following scenarios: 10, 100, and 1,000 victim MCIs. Cohen’s kappa test was used to evaluate IRR between the raters in each of the scenarios.
Results:
A total of 247 patients were available for triage. The kappas were consistently “poor” to “fair:” 0.37 to 0.59 in the 10-victim scenario; 0.13 to 0.36 in the 100-victim scenario; and 0.05 to 0.36 in the 1,000-victim scenario. There was an increasing percentage of subjects triaged Minor as the number of estimated victims increased: 27.8% increase from 10- to 100-victim scenario and 7.0% increase from 100- to 1,000-victim scenario. Expectant triage categorization of patients remained stable as victim numbers increased.
Conclusion:
Overall, SALT demonstrated poor IRR in this study of increasing casualty counts while triaging pediatric patients. Increased casualty counts in the scenarios did lead to increased Minor but not Expectant categorizations.
Electroconvulsive therapy (ECT) is the passing of an electric current between two scalp-applied electrodes to produce a short generalised seizure, repeated two or three times weekly. ECT was introduced to psychiatry in 1938 by Cerletti, and was quickly adopted around the world because of its effectiveness and the lack of other good treatments at that time [1]. While the use of ECT has declined over the last 30 years owing to the availability of pharmacological and psychotherapeutic treatments, it retains a critical place in the management of patients resistant to pharmacotherapy or those who are severely unwell.
Infections are an important contributor to maternal and perinatal morbidity and mortality rates. The relative immunosuppression that occurs during pregnancy may alter the natural course of many infectious diseases. Higher attack rates for a variety of bacterial and viral infections are seen in pregnancy. Furthermore, many of these infections may be associated with adverse outcomes, including preterm labor and delivery, low birth weight, and stillbirth. This chapter addresses a large group of infectious diseases and conditions not discussed in other chapters, including streptococcal infections, listeriosis, common sexually transmitted infections (STIs), and vaginitis.
Objectives: Treatments for childhood brain tumors (BT) confer substantial risks to neurological development and contribute to neuropsychological deficits in young adulthood. Evidence suggests that individuals who experience more significant neurological insult may lack insight into their neurocognitive limitations. The present study compared survivor, mother, and performance-based estimates of executive functioning (EF), and their associations with treatment intensity history in a subsample of young adult survivors of childhood BTs. Methods: Thirty-four survivors (52.9% female), aged 18 to 30 years (M=23.5; SD=3.4), 16.1 years post-diagnosis (SD=5.9), were administered self-report and performance-based EF measures. Mothers also rated survivor EF skills. Survivors were classified by treatment intensity history into Minimal, Average/Moderate, or Intensive/Most-Intensive groups. Discrepancies among survivor, mother, and performance-based EF estimates were compared. Results: Survivor-reported and performance-based measures were not correlated, although significant associations were found between mother-reported and performance measures. Survivors in the Intensive/Most-Intensive treatment group evidenced the greatest score discrepancies, reporting less executive dysfunction relative to mother-reported F(2,31)=7.81, p<.01, and performance-based measures F(14,50)=2.54, p<.05. Conversely, survivors in the Minimal treatment group reported greater EF difficulties relative to mothers t(8)=2.82, p<.05, but not performance-based estimates (ps>.05). Conclusions: There may be a lack of agreement among survivor, mother, and performance-based estimates of EF skills in young adult survivors of childhood BT, and these discrepancies may be associated with treatment intensity history. Neuropsychologists should use a multi-method, multi-reporter approach to assessment of EF in this population. Providers also should be aware of these discrepancies as they may be a barrier to intervention efforts. (JINS, 2016, 22, 900–910)