Bismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for efficiency. Both Germany and the Netherlands have introduced competition among insurers to foster efficiency. However, the rationale of insurer competition in Germany is unclear because contracts are mostly concluded at a collective level and individual insurers have little power to influence health system efficiency. In the Netherlands, insurer competition is substantially more effective, but primarily focused on price and cost containment. In all three countries, the role of insurers has been transforming slowly to respond to common challenges of assuring care quality and continuity for an ageing population. To assure sustainability, they need to ensure that care providers cooperate with the same quality and efficiency objectives, but their capacity to do so has been limited by insufficient support to enforce public information on provider quality.

Will existing forms of artificial intelligence (AI) lead to genuine intelligence? How is AI changing our society and politics? This essay examines the answers to these questions in Brian Cantwell Smith's The Promise of Artificial Intelligence and Mark Coeckelbergh's The Political Philosophy of AI with a focus on their central concern with judgment—whether AI can possess judgment and how developments in AI are affecting human judgment. First, I argue that the existentialist conception of judgment that Smith defends is highly idealized. While it may be an appropriate standard for intelligence, its implications for when and how AI should be deployed are not as clear as Smith suggests. Second, I point out that the concern with the displacement of judgment in favor of “reckoning” (or calculation) predates the rise of AI. The meaning and implications of this trend will become clearer if we move beyond ontology and metaphysics and into political philosophy, situating technological changes in their social context. Finally, I suggest that Coeckelbergh's distinctly political conception of judgment might offer a solution to the important boundary-drawing problem between tasks requiring judgment and those requiring reckoning, thus filling a gap in Smith's argument and clarifying its political stakes.

Unmet need for family planning is a valuable concept to indicate the discrepancy between women’s fertility preferences and contraceptive use. Unmet need may lead to unintended pregnancies and unsafe abortions. These may result in health deterioration and reduced employment opportunities for women. The 2018 Turkey Demographic and Health Survey report indicated that the estimated unmet need for family planning doubled from 2013 to 2018, returning to the high levels of the late 1990s. Considering this unfavourable change, this study aims to investigate the determinants of unmet need for family planning among married women of reproductive age in Turkey by using the 2018 Turkey Demographic and Health Survey data. Logit model estimations revealed that women who were at older ages, more educated, wealthier, and had more than one child were less likely to have unmet need for family planning. Employment statuses of women and their spouses and place of residence were significantly associated with unmet need. Results emphasised that training and counselling to enhance the use of family planning methods should effectively target young, less educated, and poor women.

The social sciences and humanities in general and International Relations (IR) specifically are organised around what has been called ‘analytic bifurcation’. Analytic bifurcations artificially structure and divide analytic spaces into, for example, Europe/non-Europe, inside/outside, state/empire, and metropole/colony. Recently, these bifurcations have been problematised within IR and adjacent fields. Our article contributes to and extends these discussions by foregrounding two interrelated aspects that have not received sufficient attention: first, connections between colonies rather than between metropole and colony and, second, the construction and reproduction of the bifurcation of Europe/non-Europe. We explore how technologies of power, in our case mapping and the use of ‘blank spaces’, were used to create imaginaries of colonisable land. To do so, we trace two episodes from nineteenth-century German colonial discourse. The first episode analyses imaginaries of exploration in the Humboldtian tradition and how these imaginaries depict spaces outside of Europe, namely in Africa, as blank spaces. The second episode reconstructs the cartographic work of Paul Langhans, who focused on mapping ‘Germandom’ (Deutschtum) in Central and Eastern Europe. Juxtaposing these two episodes shows the interconnectedness between these spaces (Africa and the European East) and how techniques such as blank spaces were applied to create colonisable land.

In this paper, I develop an algorithmic impossible-worlds model of belief and knowledge that provides a middle ground between models that entail that everyone is logically omniscient and those that are compatible with even the most egregious kinds of logical incompetence. In outline, the model entails that an agent believes (knows) $\phi $ just in case she can easily (and correctly) compute that $\phi $ is true and thus has the capacity to make her actions depend on whether $\phi $ . The model thereby captures the standard view that belief and knowledge ground are constitutively connected to dispositions to act. As I explain, the model improves upon standard algorithmic models developed by Parikh, Halpern, Moses, Vardi, and Duc, among other ways, by integrating them into an impossible-worlds framework. The model also avoids some important disadvantages of recent candidate middle-ground models based on dynamic epistemic logic or step logic, and it can subsume their most important advantages.

Everolimus is a mTOR inhibitor that has been increasingly used in high-risk cardiac rhabdomyomas in recent years. There are questions regarding the optimal dose and duration of therapy with everolimus for cardiac rhabdomyomas. The purpose of this study was to examine retrospectively the dosage-efficacy relationship in seven babies diagnosed with rhabdomyoma treated with different everolimus dose regimens retrospectively. Cardiac rhabdomyoma diagnosis was made in six of seven babies during the prenatal period. Indication of everolimus was an obstruction in six patients and supraventricular tachycardia which is resistant to antiarrhythmic drugs in the remaining one patient. The median age was 8 days (range; 2–105 days) at the time of starting everolimus. It was administered at a dose of 0.25 mg twice a day for two days a week in four patients; 0.1 mg/day in two and 0.4 mg/day in one patient. Serum everolimus level was kept between 5 and 15 ng/ml. All seven cases showed significant regression of cardiac rhabdomyoma within four weeks, and supraventricular tachycardia was controlled in two weeks after everolimus administration.

This study demonstrates that everolimus was effective in accelerating regression of the cardiac rhabdomyoma. Dose with 2 × 0,25 mg/day, 2 days a week, seems appropriate. However, lower doses such as 0.1 mg/day are also effective. But dose adjustment should be made according to serum level monitoring.

Initially known as “the Turkish Godfather,” Turkish TV series Çukur (2017–2021) occasionally received criticism from government ministers and the government’s media regulatory board. This was surprising because Turkey’s and Çukur’s cultural universes converged around the masculinist protection of family and territory. So, why this political backlash despite the convergence? Wouldn’t that convergence of masculinity produce similar political imaginations? In this article we argue that in shaping the family and urban space, Çukur’s masculinities remain precarious vis-à-vis the hegemonic masculinity in “New Turkey.” Rather than being the society’s building blocks, Çukur’s families are suffocating spaces. At the same time, as opposed to cultivating neoliberal responsibility, Çukur’s familialism emerges as a space of solidarity in a precarious neighborhood to which state forces can hardly enter. Therefore, the neighborhood (mahalle) is not a space of consumption and surveillance but a haven against urban precarities. Despite their hierarchies and authoritarianism, Çukur’s men reject unquestioned political loyalty, conspicuous consumption, and entrepreneurship while endorsing the various impasses in family and urban life. Showing that absolute political obedience and economic dependence is not the only way out of neoliberal authoritarianism, Çukur confirms popular culture’s power in representing liminal spaces outside the state’s oppressive power and the markets’ commodifying logics.

Studies have demonstrated an association between CHD and neurodevelopmental delay. This delay is associated with many factors like reduced blood flow and oxygen, cardiac catheterisations, and genetic factors. Apo E gene polymorphism is one of these genetic factors. This study aims to show the effect of Apo E gene polymorphism on neurodevelopmental process in children having CHD. A total of 188 children having CHD were admitted to the study. Apo E gene polymorphism of these patients was determined, and psychometric evaluation was performed. The relationship between psychometric test results and gene polymorphism was evaluated. This study shows that, similar to the literature, patients having cyanotic CHD have worse scores than acyanotic patients, and the children with CHD are under risk in terms of neuropsychiatric disorders. Other novel and important findings of this study were the lower verbal scores of ε2 allele carriers than ε4 carriers in Wechsler Intelligence Scale for Children-Revised group and the worse test score of patients having VSD than other acyanotic patients. Besides, some special disorders may be seen in this patient group.

Virtual exchange (VE) is an ideal venue for digital literacy skills development (Fuchs, Hauck & Müller-Hartmann, 2012) and for critical digital literacy (CDL) (Hauck, 2019). Yet literacy is a fluid, deictic term, the meaning of which is context dependent, and digital literacies need to be defined and conceptualised within a specific context. Recent CALL literature highlights the interest in CDL from various perspectives, but how CDL is conceptualised by the VE participants themselves is not explored. Participants of this study were 37 trainee English language teachers in the UK and Turkey who joined a 6-week VE. Their ongoing reflections on CDL were captured through reflective e-portfolio entries following each VE task. Thematic analysis revealed four components of CDL in this specific VE: (1) participants’ awareness of digital affordances for self-expression, (2) semiotic and interactional means to build connections, (3) ensuring inclusiveness of all community members, and (4) implications of socio-political contexts of each participant for meaning-making and interaction. We conclude that in future pedagogical implementations of VE, facilitators can foster trainee teachers’ CDL development through more closely guided and informed reflection on the four themes presented in this paper. As such, this study makes a novel contribution to our understanding of CDL in VE settings for ELT teacher education by offering a social semiotic second language acquisition orientation within an interpretivist paradigm.

Although the literature on informal care-giving for older parents shows that daughters have a higher tendency to provide care compared with sons, only a few studies have focused on the gender composition of all children or parents’ entire range of care options. Our study examines the effect of children's gender composition on informal and formal care types, as well as the informal care network. Using data from the 2015 Survey of Health, Ageing and Retirement in Europe (N = 40,312), we found that parents with daughters tended to use less formal care because daughters take on additional informal care-giving responsibilities. Daughters were the main care-givers among parents’ informal care networks. Further analysis indicated that daughters-in-law play an important role in the care-giving process when parents have only sons. We concluded that the presence of a daughter among the children reduces the use of formal care. The results indicated that children's gender composition is an important factor in explaining the allocation of informal care to parents.