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Pigs have played a central role in the subsistence and culture of China for millennia. The close relationship between pigs and people began when humans gradually domesticated wild pigs over 8,000 years ago. While pigs initially foraged around settlements, population growth led people to pen their pigs, which made them household trash processors and fertilizer producers. Household pigs were in daily contact with people, who bred them to fatten quickly and produce larger litters. Early modern Europeans found Chinese pigs far superior to their own and bred the two to create the breeds now employed in industrial pork production around the world, including China. In recent decades, industrial farms that scientifically control every aspect of pigs’ lives have spread rapidly. Until recently, most Chinese people ate pork only on special occasions; their ability in recent decades to eat it regularly exemplifies China's increasing prosperity. Meanwhile, vast areas of North and South American farmland are now devoted to growing soybeans to feed hundreds of millions of pigs in China, and the methane, manure, and antibiotic resistance they produce creates environmental and health problems on a global scale.
Depression contributes to persistent opioid analgesic use (OAU). Treating depression may increase opioid cessation.
Aims
To determine if adherence to antidepressant medications (ADMs) v. non-adherence was associated with opioid cessation in patients with a new depression episode after >90 days of OAU.
Method
Patients with non-cancer, non-HIV pain (n = 2821), with a new episode of depression following >90 days of OAU, were eligible if they received ≥1 ADM prescription from 2002 to 2012. ADM adherence was defined as >80% of days covered. Opioid cessation was defined as ≥182 days without a prescription refill. Confounding was controlled by inverse probability of treatment weighting.
Results
In weighted data, the incidence rate of opioid cessation was significantly (P = 0.007) greater in patients who adhered v. did not adhered to taking antidepressants (57.2/1000 v. 45.0/1000 person-years). ADM adherence was significantly associated with opioid cessation (odds ratio (OR) = 1.24, 95% CI 1.05–1.46).
Conclusions
ADM adherence, compared with non-adherence, is associated with opioid cessation in non-cancer pain. Opioid taper and cessation may be more successful when depression is treated to remission.
The papers in this volume are based on some of those given at a conference hosted by the Manchester Centre for Anglo-Saxon Studies in April 2006, entitled ‘Royal Authority: Kingship and Power in Anglo-Saxon England’. A volume devoted to this subject is welcome for, despite numerous earlier studies of kingship and of individual kings, it remains easy for students of the Old English period to take kings and their office for granted. There they are, at the pinnacle of their societies, unquestioned and unquestionable. Contemporaries might have opinions on the character and efficiency of particular kings, though these (if not effusively complimentary) were usually expressed retrospectively. No-one, however, seems to have queried the existence of kingship itself. Only the Icelanders, out of all the early European polities, adopted a different form of political organization, and even in Iceland the goðar might be taken for ‘kings’ in their own localities, rather like the kings of the many English provinciae eventually incorporated into the heptarchic realms.
This process of trout swallowing minnows and being swallowed in turn by pike, which eventually produced Englalond, used to be viewed as a natural progression, the first step on the road to nineteenth-century parliamentary sovereignty and the British Empire. Such attitudes are nowadays dismissed as laughable, but some of the attendant preconceptions remain; the expansion of West Saxon power in the tenth century, for instance, is still occasionally called a ‘reconquest’, though in fact it was no such thing.
This paper is intended to promote a more balanced view of the extent of the royal archives kept by and for Anglo-Saxon kings than either the national land registry postulated by Cyril Hart in 1970 or the minimalist entity suggested by Michael Clanchy in 1979 and 1993. Hart envisaged a centralized registry of title in Wessex from 854 onwards, postulating ‘first that the later Anglo-Saxon kings kept copies of the royal landbooks issued by them, and secondly that this royal collection was housed at Winchester, at least during the last century of the Anglo-Saxon state’. In marked contrast, Clanchy has stated that ‘It seems unlikely that England was governed by a bureaucracy using documents in its routine procedures before 1066.’ I shall return to Hart's theory in due course but, against Clanchy's view, while acknowledging the paucity of specific references to the deposition of documents for the future use of the monarch, I would argue that the range and sophistication of royal government by 1066 would certainly have been reflected in a similar range of records kept. This may seem axiomatic to Anglo-Saxonists, but is still not always apparent to others who prefer to stress the Norman contribution to English history.
The Records of Royal Administration
Anglo-Saxon officials involved in each of a number of royal activities or responsibilities would have had to create some records not merely for immediate convenience but also for future reference. From the late sixth century onwards, these would usually have been written on parchment but may sometimes have taken the form of wooden accounting tallies of the type used in the twelfth-century royal exchequer.
Detailed accounts must have been kept of the returns from national taxation, whether in the form of money payments or of tribute in kind. Although the earliest surviving manuscript of the list of peoples and their taxable values known as the Tribal Hidage is from the first half of the eleventh century, the text itself was (as argued by Nick Higham) probably originally composed in the seventh century for Edwin, king of Northumbria, as overlord of his southern neighbours. It would have been preserved on that king’s behalf, and probably by his heirs, as both a fiscal document and a political statement.
We have a complete record of the places of burial of the kings of Wessex and England from the reign of Æthelwulf (839–58) onwards (Table 5.1). For the earlier historic period the sequences are incomplete (Table 5.2), but we are still more likely to know where a king was buried than where he was born or married. Though most of the tombs themselves and their contents have been lost, some have been recovered through excavation and some written accounts give very precise details about the location of a king's burial, as will become apparent in the discussion below. There is therefore a valuable body of evidence surviving for one of the major rites of passage which all kings had to undergo. The problems in interpreting the evidence, of course, should not be underestimated as there is much we are never told. Who made the final decision about a king's resting-place? Sometimes, for instance, when the place of burial was a church which had enjoyed much patronage from the ruler during his lifetime, it may be safe to conclude that the choice was his, but this is unlikely to have always been the case, as evidence from later periods suggests. Nor did royal bodies necessarily remain where they were originally interred. Relatives might remove them to what was considered a more appropriate place, or rivals oust them altogether. Those kings who were also saints were particularly likely to have had their bodies translated from their original places of burial.
Throughout most of the period from which documentary records survive. Anglo-Saxon kingship is closely associated with law-giving. The earliest text in Old English is the law-code issued by Æthelberht I of Kent (c. 580–616) towards the end of the sixth or the beginning of the seventh century, inaugurating a tradition of written legislation which continued up until the eleventh. Other regional laws survive from the reigns of Æthelberht's successors Hlothhere (673/4–685), Eadric (685–686) and Wihtred (691–725), and from that of the West Saxon king Ine (688–725/6). The first national law-code was issued by Alfred the Great (871–899) between 887 and 893, and was followed by further sets of laws in the names of Edward the Elder (c. 900–925), Athelstan (c. 925–939), Edmund (c. 939–946), Edgar (c. 959–963), Æthelred (c. 978–1014) and Cnut (c. 1020–1023). Not all were intended to be comprehensive. The later seventh-century Kentish laws were issued to supplement rather than to replace those of Æthelberht, and some of those dating from the tenth century are short sets of clauses addressing specific topics, supplementing the domboc compiled by Alfred. The legal corpus as a whole is characterized by repetition, with later laws drawing on earlier ones, and contemporary codes borrowing from each other. This is important for many reasons, not least in leading to the successive recopying and hence preservation of texts which might otherwise have been lost.
The essays collected here focus on how Anglo-Saxon royal authority was expressed and disseminated, through laws, delegation, relationships between monarch and Church, and between monarchs at times of multiple kingships and changing power ratios. Specific topics include the importance of kings in consolidating the English "nation"; the development of witnesses as agents of the king's authority; the posthumous power of monarchs; how ceremonial occasions were used for propaganda reinforcing heirarchic, but mutually beneficial, kingships; the implications of Ine's lawcode; and the language of legislation when English kings were ruling previously independent territories, and the delegation of local rule. The volume also includes a groundbreaking article by Simon Keynes on Anglo-Saxon charters, looking at the origins of written records, the issuing of royal diplomas and the process, circumstances, performance and function of production of records. Gale R. Owen-Crocker is Professor of Anglo-Saxon Culture at the University of Manchester. Contributors: Ann Williams, Alexander R. Rumble, Carole Hough, Andrew Rabin, Barbara Yorke, Ryan Lavelle, Alaric Trousdale
Several of the ‘Anglo-Saxonists’ who originally formed the core of the Manchester Centre for Anglo-Saxon Studies – archaeologists, historians and Old English specialists – have, in the past, focused attention on individual Anglo-Saxon kings by organizing conferences about them, with publications arising. It seemed logical, therefore, when the lot fell to me to organize the MANCASS Easter conference of 2006, to attempt an investigation of the nature and functioning of Anglo-Saxon kingship itself. In the ‘Call for Papers’ for the proposed conference on ‘Royal Authority: Kingship and Power in Anglo-Saxon England’, I offered the following hint as to the way I envisaged the conference developing:
The objective is to replace the common approach to Anglo-Saxon kingship which focuses on ‘famous names’ and biographical details, in order to examine the wider concept of royal authority.
While it proved impossible entirely to divorce the concept of kingly power from the names and biographies of known rulers, laws and charters being associated with named kings, I was delighted by the original and detailed insights produced by viewing these sources through the lens of ‘Kingship and Power’. The majority of the conference papers based their arguments on Anglo-Saxon text, though Barbara Yorke's wide-ranging examination of the way in which kingly power was expressed publicly and posthumously through a study of the known burial sites of monarchs from pre-Christian times to the eleventh century considered physical manifestations of royal authority and some considered artefacts, including Gareth William's Guest Lecture on coins (published elsewhere).