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In Stratification Economics and Disability Justice, Adam Hollowell and Keisha Bentley-Edwards explore how the work of Black disabled activists can and should inform economic analysis of inequality in the United States. Presenting evidence of disability-based inequality from economics, sociology, disability studies, and beyond, they make a case for the inclusion of ableism alongside racism and misogyny in stratification economics' analysis of intergroup disparity. The book highlights the limitations of traditional economic analyses and elevates quantitative and qualitative intersectional research methods across four key areas in stratification economics: employment, health, wealth, and education. Chapters also recommend public policies to advance fair employment, healthcare access, and equal education for Black disabled people in the US Incisive and compelling, Stratification Economics and Disability Justice follows the lead of Black disabled activists pursuing intersectional advancement of economic justice.
Mental health is deteriorating quickly and significantly globally post-COVID. Though there were already over 1 billion people living with mental disorders pre-pandemic, in the first year of COVID-19 alone, the prevalence of anxiety and depression soared by 25% worldwide. In light of the chronic shortages of mental health provider and resources, along with disruptions of available health services caused by the pandemic and COVID-related restrictions, technology is widely believed to hold the key to addressing rising mental health crises. However, hurdles such as fragmented and often suboptimal patient protection measures substantially undermine technology’s potential to address the global mental health crises effectively, reliably, and at scale. To shed light on these issues, this paper aims to discuss the post-pandemic challenges and opportunities the global community could leverage to improve society’s mental health en masse.
The COVID-19 pandemic in 2020 significantly impacted Australia’s resources sector, particularly mining, oil, and gas industries, posing challenges for operational leaders. This study applied Adaptive Crisis Management Theory (ACMT) to understand how these leaders adapted during the crisis. Through interviews with 32 operational leaders, it was found that their roles evolved as crisis demands changed. Initially, they addressed immediate needs, then shifted focus to remote work facilitation and digital transformation, and finally emphasised recovery, trust, and resilience. These adaptations influenced leaders’ behaviours, highlighting the importance of flexibility in supporting employee wellbeing and organisational continuity during crises.
Cultural inheritance is a central issue in archaeology. If variation were not inherited, cultures could not evolve. Some archaeologists have dismissed cultural evolutionary theory in general, and the significance of inheritance specifically, substituting instead a view of culture change that results from agency and intentionality amid a range of options in terms of social identity, cultural values and behaviours. This emphasis projects the modern academic imagination onto the past. Much of the archaeological record, however, is consistent with an intergenerational inheritance process in which cultural traditions were the defining characteristics of behaviour.
We appreciate the respondents’ comments on our debate article ‘Cultural evolution as inheritance, not intentions’ (Bentley & O'Brien 2024). We all agree that traditional cultural practices—such as manufacturing Acheulean handaxes—often take considerable amounts of time to learn; as Gladwell (2008) popularly proposed, it takes 10 000 hours of practice to make an expert. We also appear to agree that cultural practices are intergenerational. As Frieman (2024: 1421) notes, ideas and practices persist because they are “valued, recreated, manipulated, instrumentalised and enacted generation after generation”; and as Ingold (2024: 1417) puts it, traditional tasks “are not subject to the free will of the individual but fall upon practitioners as part of their responsibilities” to their communities. Drawing on the practice of Bronze Age metallurgy, Pollard (2024) asks the million-dollar questions: how does innovation occur, and what causes it? As both Prentiss (2024) and Pollard note, for example, the pace of technological change is often punctuated, an observation common across the natural and social sciences, but one that defies easy explanation (e.g. Duran-Nebreda et al. 2024; O'Brien et al. 2024).
Avoidable disasters are both saddening and baffling. In 2022, 159 people, mostly in their 20s, and 30s were crushed to death in Itaewon’s narrow alleyway amid South Korea’s first pandemic-restrictions-free Halloween celebration. What is particularly sobering about this tragedy is that although many people called police hotlines as crowds became cramped and static, their calls went unheeded for hours. Rather than order independent investigations into the catastrophe (as of January 2024), the President of South Korea at the time focused on superficial issues such as asking the public to refer to the disaster as an “accident” (which it was not, it was an avoidable disaster) and the casualties as “the dead” (who are casualties indeed, instead of victims of a preventable tragedy). In this paper, we examine how officials’ complacency about public health and safety dangers, ineffective disaster prevention, and preparedness systems, as well as the government’s chronic lack of prioritization of public health and safety may have contributed to the disaster. Furthermore, we discuss the importance of creating integrated public health and safety protection systems to prevent similar tragedies from happening.
A substantial international body of evidence links housing to health outcomes. In 2021, the World Health Organisation (WHO) evaluated a small selection of policies from its six geographic regions and found that, in Australia as in the rest of the world, existing healthy housing measures fall short of the systemic response required to address health impacts and inequities. This paper takes the novel step of applying Bacchi’s (2009) ‘What is the Problem Represented to Be?’ approach to a wide-ranging thematic analysis of over 300 Australian policies across the domains of health and housing and related policy areas. In so doing, it offers an overview of existing healthy housing policy as well as illuminating the conceptual understandings and priorities of policy makers, shedding light on the policy paradigms that see housing under-utilised as a preventive health and health equity measure.
The resurgence of industrial policy is reshaping the global political economy and creating emergent formations that could help create green states. Such green states can seed a world after growth. Growth is often taken for granted as a natural purpose of states and an appropriate basis of public policy. However, it has a recent political-economic and cosmological history. This suggests that an age after growth is not only possible but likely. In the current conjuncture of crises and challenges, industrial strategies that bring together environmental, social justice, and pro-growth coalitions offer the best chance to meet climate goals and improve the prospects for inclusive prosperity globally. In addition, there is evidence that industrial policy is providing a platform to build active states, rebalance state–business relations, forge new systems of calculation, and gather cosmological resources for new action.
The resurgence of industrial policymaking—particularly for emerging low-carbon industries—challenges social science theories that expect such interventions from centralized states or suggest that different kinds of states specialize in various forms of innovation policy. Interventionist forms of industrial policy have made a comeback among liberal economies. Coordinated economies now make use of market-driven strategies. This paper argues that the new generation of industrial strategies is shaped by the industrial development challenges that policymakers face at the sectoral level. It proposes a new theoretical framework that distinguishes between the policy orientation (targeted or open-ended) and the central agents driving financial and technological decision-making (governments or firms). We show that the choice of strategy is shaped by the level of uncertainty and the position of the domestic industry in global supply chains, that is, whether global supply chains are emerging or mature and whether the domestic industry is an entrant or incumbent.
This chapter explores the tension between mobility and immobility in the performance of Wagner’s works in the late nineteenth century, highlighting how their production beyond Europe (often by touring companies) and the growth of global Wagnerism took place alongside the growth of the Bayreuth enterprise, which increasingly fixed them in place, at least on an imaginative level. The chapter touches on key premiere dates for Wagner’s works beyond Europe, as well as Wagner’s own engagement with projects to present his works globally. It then turns to the touring opera companies that took Wagnerian music drama on the road (or rail, or wave), examining the challenges they faced in doing so.
Georgia lies to the northeast of Türkiye, having a western border on the Black Sea. With a population of some 3·73 million, Georgia has a tradition of gastronomic excellence dating back millennia. However, changing lifestyles and external influences have, as elsewhere, led to problems of suboptimal nutrition, and lifestyle-related diseases and disorders prevail. There is considerable scope for improving the focus on public health (PH) and nutrition in Georgia. With this in mind, the Georgian Nutrition Society teamed up with The Nutrition Society of the UK and Ireland and the Sabri Ülker Foundation, a PH charity based in Istanbul, Türkiye, to host a conference and workshops in Tbilisi, Georgia. The primary purpose was to review the current status of PH and nutrition in Georgia with reference to the situation elsewhere, to share examples of best practice and to identify opportunities for improvement. A particular highlight was the presentation of a programme of nutrition education for family physicians recently implemented in Türkiye. This summary of the proceedings is intended as a blueprint for action in Georgia and also to inspire others to consider how PH might be improved via a focus on balanced nutrition.
Carnap’s naturalism evidently differs from Quine’s, but the precise nature of this difference has proven elusive. This chapter focuses on what Quine defends as his “provincial” naturalism against a Carnapian “cosmopolitan” alternative. The problem with this contrast, however, is that Quine does not represent a pure form of what he calls a “provincial” view. This is illustrated by his tergiversations about analyticity; after initially denying that there was even an explicandum worth bothering about, he later offered his own ordinary-language-based account of analyticity, without feeling any need to supply a more exact explication; there would appear to be no way to resolve the resulting stand-off with the cosmopolitan standpoint. This paper suggests a more robust explicandum for analyticity (and cosmopolitanism more generally). We come back, in the end, to the confrontation between Carnap and Quine in Chicago in 1950, where Carnap convinced Quine that their differences did not concern any question about which there could be right or wrong, correct or incorrect; it is regretted that Quine soon lost this lesson from sight.
This book traces the transition to the graduate labour market of a cohort of middle-class and working-class young people. Using personal stories and voices, it provides fascinating insights into their experience of graduate employment and how their life-course transitions are shaped by their social backgrounds and education.
Non-motor symptoms, such as mild cognitive impairment and dementia, are an overwhelming cause of disability in Parkinson’s disease (PD). While subthalamic nucleus deep brain stimulation (STN DBS) is safe and effective for motor symptoms, declines in verbal fluency after bilateral DBS surgery have been widely replicated. However, little is known about cognitive outcomes following unilateral surgeries.
Participants and Methods:
We enrolled 31 PD patients who underwent unilateral STN-DBS in a randomized, cross-over, double-blind study (SUNDIAL Trial). Targets were chosen based on treatment of the most symptomatic side (n = 17 left hemisphere and 14 right hemisphere). All participants completed a neuropsychological battery (FAS/CFL, AVLT, DKEFS Color-Word Test) at baseline, then 2, 4, and 6 months post-surgery. Outcomes include raw scores for verbal fluency, immediate and delayed recall, and DKEFS Color-Word Inhibition trial (Trial 3) completion time. At 2, 4, and 6 months, the neurostimulation type (directional versus ring mode) was randomized for each participant. We compared baseline scores for all cognitive outcome measures using Welch’s two-sample t-tests and used linear mixed effects models to examine longitudinal effects of hemisphere and stimulation on cognition. This test battery was converted to a teleneuropsychology administration because of COVID-19 mid-study, and this was included as a covariate in all statistical models, along with years of education, baseline cognitive scores, and levodopa equivalent medication dose at each time point.
Results:
At baseline, patients who underwent left hemisphere implants scored lower on verbal fluency than right implants (t(20.66) = -2.49, p = 0.02). There were not significant differences between hemispheres in immediate recall (p = 0.57), delayed recall (p = 0.22), or response inhibition (p = 0.51). Post-operatively, left STN DBS patients experienced significant declines in verbal fluency over the study period (p = 0.02), while patients with right-sided stimulation demonstrated improvements (p < .001). There was no main effect of stimulation parameters (directional versus ring) on verbal fluency, memory, or inhibition, but there was a three-way interaction between time, stimulation parameters, and hemisphere on inhibition, such that left STN DBS patients receiving ring stimulation completed the inhibition trial faster (p = 0.035). After surgery, right STN DBS patients displayed faster inhibition times than patients with left implants (p = 0.015).
Conclusions:
Declines in verbal fluency after bilateral stimulation are the most commonly reported cognitive sequalae of DBS for movement disorders. Here we found group level declines in verbal fluency after unilateral left STN implants, but not right STN DBS up to 6 months after surgery. Patients with right hemisphere implants displayed improvements in verbal fluency. Compared to bilateral DBS, unilateral DBS surgery, particularly in the right hemisphere, is likely a modifiable risk factor for verbal fluency declines in patients with Parkinson’s disease.
Written by a CLIL expert, this course covers the four key areas of the test: knowledge of CLIL and principles of CLIL, lesson preparation, lesson delivery, and assessment. It will also be useful for anyone seeking an introduction to CLIL theory and practice, as well as teachers working with English as an Additional Language (EAL) learners. The TKT Course CLIL Module introduces teachers to the concepts and terminology central to CLIL and introduces its main theories, approaches, and support strategies. Teachers are then encouraged to apply these to their own teaching contexts and analyse their usefulness for their own learners.
BACKGROUND: Local algorithms are in place which outline the required process for arranging a Mental Health Act assessment. It requires one doctor from the patient's allocated care team or Trust on-call consultant during the working hours and one doctor from the on-call team (registrar/Consultant- if no registrar) during out of hours. Concerns were raised that on-call doctors were not always asked to participate in assessments in accordance with Trust protocol. AIMS: To improve the on-call assessment process at Northstaffs Combined Healthcare NHS Trust (NSCHT). OBJECTIVES: To determine: Whether NSCHT doctors from the on-call rota participate in Mental Health Act assessments, as appropriate. Any patterns relating to day, time of day or location of assessment which correlate with on-call doctors not participating in assessments appropriately. Any areas where the required standards relating to on-call assessments are not being met. As well to take this opportunity to note down how long was admission following mental health act assessment and if any role of substance misuse.
Methods
All assessments undertaken during November and December 2020 were identified by the Mental Health Law Team. This resulted in a total for analysis of n=141 cases. Data collection was undertaken by Working Group members using a form devised by the Clinical Audit Department and entered online for analysis. Analysis was subsequently undertaken using SPSS and validated according to departmental protocol.
Results
MHAA was done 35% inpatient, 30% Section 136 Suite, 14% community, 12% UHNM, 3% access, 2% police custody and 4% in other areas/ out of areas. Outcome were that 45% detained under section 2 MHA, 35% on section 3 MHA, 2% admitted informally and 18% neither detained nor admitted. 26% of the time substance misuse (acute / chronic) formed part of assessment.
Conclusion
• Overall results showed that at least one NSCHT doctor was involved in 91% of assessments undertaken, with roughly two thirds of doctors being Consultants and one third Registrars.
• Focusing on assessments undertaken in the Section 136 suite, at least one NSCHT doctor was involved in 92% of assessments undertaken, with roughly half of doctors being Consultants and half Registrars.
• Focusing on out of hours assessments, at least one NSCHT doctor was involved in 89% of assessments undertaken, with roughly two thirds of doctors being Consultants and one third Registrars.
Recommendations:
• To amend the Section 136 form to add the role of the doctor in the assessment.
• Results to be presented and discussed at the Mental Health Law Governance Group-completed.
• Results to be presented to the Acute and Urgent Care Directorate-completed.
• Executive Summary to be presented to the Clinical Effectiveness Group-completed.
This chapter focuses on the significance of ‘home’ for graduate mobility and the ways in which home contributes to capacities to navigate graduate futures. For young people who participate in higher education in England, the dominant narrative is one of leaving behind the family home and becoming geographically mobile. The ‘student experience’ is structured around a normative assumption of moving away to live in student accommodation and become immersed in university life (Patiniotis and Holdsworth, 2005; Christie, 2007; Holdsworth, 2009), despite the considerable number of students who do not leave the parental or guardian home to attend university (HESA, 2021). On completion of higher education study, there has been a similar normative expectation that graduates should be self-reliant and readily move away from their home place to locations where high-skilled work is situated (Christie and Burke, 2021). Yet, recent research indicates that it is those from privileged class backgrounds who move long distances for graduate employment (Hecht et al, 2020). Moreover, return migration to the parental home has recently become an accepted coping strategy for graduates from all social class backgrounds in a context of much less certain graduate futures (Sage et al, 2013; Stone et al, 2014).
The chapter examines how these dominant narratives of spatial mobility play out in the lives and experience of participants in the Paired Peers project. The project followed students studying at the two universities in Bristol from the start of their undergraduate degrees through to four years after graduation (2010– 17) (for further details on methods, see Chapter 2). The two graduates at the heart of the chapter both studied English: Ruby, from a working-class background, who studied at the mediumtariff modern UWE; and Elliot, from a middle-class family background, who attended the high-ranking and prestigious UoB. English is a ‘traditional’ university discipline in England, which is particularly popular with young women. There is a perception that those who choose it tend to do so because of their love of literature, rather than for career reasons, though many may have aspirations towards working in the media or becoming a writer, while others aspire to teaching. Ruby and Elliot reflect these contrasting career aspirations and subsequent occupational pathways.