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Corporate boards, experts panels, parliaments, cabinets, and even nations all take important decisions as a group. Selecting an efficient decision rule to aggregate individual opinions is paramount to the decision quality of these groups. In our experiment we measure revealed preferences over and efficiency of several important decision rules. Our results show that: (1) the efficiency of the theoretically optimal rule is not as robust as simple majority voting, and efficiency rankings in the lab can differ from theory; (2) participation constraints often hinder implementation of more efficient mechanisms; (3) these constraints are relaxed if the less efficient mechanism is risky; (4) participation preferences appear to be driven by realized rather than theoretic payoffs of the decision rules. These findings highlight the difficulty of relying on theory alone to predict what mechanism is better and acceptable to the participants in practice.
The concluding chapter discusses the implications of Hong Kong’s contentious politics within the global context of democratic backsliding and spontaneous mass mobilizations. We highlight the contributions of our theoretical framework and the implications of Hong Kong’s contentious pathways for hybrid regimes and beyond.
In this chapter I return to the classics of bellicist theory to formalize their insights and derive concrete observational expectations for nineteenth-century Latin America. I first look at the work of Otto Hintze and Max Weber, who suggest a more holistic approach to the effects of war on the process of state formation which combines both pre-war and post-war phases in a single overarching theory. I then use the more modern concepts and logics of historical institutionalism to generate clearer predictions from their theories. I propose that, in a pre-war phase and when hostilities are taking place, mobilization will trigger taxation and repression—i.e., the extraction-coercion cycle. Yet, war outcomes will determine whether those contingent policies will become institutionalized after the critical juncture of war. While victory will consolidate a trajectory of state formation, defeat will render state institutions illegitimate and set losers into a path-dependent process of state weakening. Finally, I discuss actors and mechanisms specific to nineteenth-century Latin America and lay out the observational implications of my argument.
Why and how we age are deep and enduring questions. The quest for a theoretical framework explaining the evolutionary origins and proximate mechanisms of ageing has led to the elaboration of hundreds of theories of very diverse kinds. The aim of this chapter is twofold. First, it will provide an historical perspective of the numerous theories of ageing. Second, it will emphasize the need for a unified framework merging both evolutionary and mechanistic theories by demonstrating that such theoretical frameworks are required to promote innovative research projects involving the joint effort of multiple research disciplines.
Unconsolidated soils typically develop a physical surface crust after wetting and drying. We reproduced this process in the laboratory by wetting with fog and simulated rain on fallow agricultural soils from 26 locations, representing 15 soil types from Pinal County, Arizona. Through correlative analyses, we found that carbonate content was a strong predictor of physical crust strength with fog (p < 0.0001, R2 = 0.48) and rain (p = 0.004, R2 = 0.30). Clay content increased crust strength (p = 0.04) but was not a useful predictor. Our results extend the current understanding of the soil crusting process by highlighting the preeminence of carbonate cementation in desert agricultural soils. Consequently, we identify carbonate as a pragmatic tool for estimating crust strength, a surrogate measure of a soil’s potential to produce fugitive dust, which can help prioritize interventions to curb airborne dust in arid lands.
The introductory chapter (Chapter 1) introduces the empirical and theoretical puzzles that motivate this project and presents a brief overview of the book as a whole. I present and motivate the empirical puzzle at the heart of the book and situate the reclassification reversal as a case of identity change and politicization. I then provide an overview of the central argument and mechanisms, and discuss alternative explanations tied to affirmative action and other prevailing explanations that do not adequately explain the puzzle. Next, I discuss the research design, methods, and positionality. I conclude the chapter with an outline of what is to come.
Chapter 3 details the argument to explain the reclassification reversal and elaborates the causal mechanisms. I begin by defining the concept of “political identity” as I use it throughout this work, distinguishing it from related concepts like social identity. I then argue that institutional change in national-level social policies brought about unprecedented access to education for lower-class citizens (who are likely candidates for reclassification) and show the evolution in educational access from the 1980s to the 2010s. At the individual level, greater education increased the exposure of individuals to racial hierarchies and inequalities, leading them to develop racialized political identities and choose blackness. I identify three main causal pathways: greater exposure to (1) information, (2) social contacts and networks, and (3) labor market experiences and discrimination. I conclude by summarizing the novelty of the hypothesis and the observable implications I test empirically in the chapters that follow.
Wars and genocides only bring desolation. Of course, we first think about the dramatic psychological consequences of those who survived extermination or those who have witnessed their families and friends being killed or mutilated. Psychological and neuroscience research have shown that surviving a psychological trauma leaves long-lasting imprints on individuals with notable life-long post-traumatic stress disorder (PTSD) symptoms, which can also extend to the following generations. Importantly, the psychological disaster observed in the aftermath of a war or a genocide not only touches the victims, their relatives, or their descendants. It also has disastrous consequences on the mental health of the assailants. The chapter argues that in order to stop the cycle of conflicts, we must also understand how both victims and assailants are impacted at the psychological level by their respective experience, and how to help them overcome their demons and potential feelings of revenge. Taking care of their mental health is a step towards stopping cycles of conflict.
Nuclear and chemical weapons of mass destruction share both a tragic and beneficial legacy in mankind’s history and health. The horrific health effects of ionizing radiation and mustard gas exposures unleashed during disasters, wars, and conflicts have been harnessed to treat human health maladies. Both agents of destruction have been transformed into therapies to treat a wide range of cancers. The discovery of therapeutic uses of radiation and sulfur mustard was largely due to observations by clinicians treating victims of radiation and sulfur mustard gas exposures. Clinicians identified vulnerability of leukocytes to these agents and repurposed their use in the treatment of leukemias and lymphomas. Given the overlap in therapeutic modalities, it goes to reason that there may be common mechanisms to target as protective strategies against their damaging effects. This commentary will highlight oxidative stress as a common mechanism shared by both radiation and sulfur mustard gas exposures and discuss potential therapies targeting oxidative stress as medical countermeasures against the devastating lung diseases wrought by these agents.
This chapter provides an overview of the antiviral drugs currently available, including maraviroc, aciclovir, penciclovir, ganciclovir, amantadine, zydovudine, adefovir, ribavirin, indinavir , oseltamivir, zanamivir, interferon alpha, rituximab , palivizumab, cidofovir, brincidofovir, foscarnet, remdesivir and paxlovid with an indication of their modes of action for treating virus infections, including HIV, herpes viruses, respiratory viruses, HBV, HCV, CMV, adenoviruses , BK, EBV (especially for PTLD), RSV, poxviruses and SARS-CoV-2.
Edited by
David Kingdon, University of Southampton,Paul Rowlands, Derbyshire Healthcare NHS foundation Trust,George Stein, Emeritus of the Princess Royal University Hospital
The chapter describes the history, mechanisms and phases of drug treatment of antipsychotics including at-risk mental states (ARMS), first-episode psychosis (FEP), maintenance, treatment-resistant schizophrenia (TRS) and ultra-resistant psychosis. Specific treatments of schizoaffective disorder, catatonia and affective comorbidities of psychosis target negative symptoms and cognition. Rapid tranquilisation is described: general principles, de-escalation, routes of administration and medication selection. Management of organic psychotic disorders is discussed: general principles and specific conditions, epilepsy, Huntington’s, stroke, drug-induced, autoimmune encephalitis, inflammatory, CNS infections, thyroid disorders and traumatic brain injury. Side effects are elaborated: somnolence and sedation; hyperprolactinaemia and sexual dysfunction; motor, cardiac, metabolic and anticholinergic side effects; and also diabetes and impaired glucose tolerance and clozapine-specific side effects. Finally, potential drug interactions are explored.
We compared dissociative seizure specific cognitive behavior therapy (DS-CBT) plus standardized medical care (SMC) to SMC alone in a randomized controlled trial. DS-CBT resulted in better outcomes on several secondary trial outcome measures at the 12-month follow-up point. The purpose of this paper is to evaluate putative treatment mechanisms.
Methods
We carried out a secondary mediation analysis of the CODES trial. 368 participants were recruited from the National Health Service in secondary / tertiary care in England, Scotland, and Wales. Sixteen mediation hypotheses corresponding to combinations of important trial outcomes and putative mediators were assessed. Twelve-month trial outcomes considered were final-month seizure frequency, Work and Social Adjustment Scale (WSAS), and the SF-12v2, a quality-of-life measure providing physical (PCS) and mental component summary (MCS) scores. Mediators chosen for analysis at six months (broadly corresponding to completion of DS-CBT) included: (a) beliefs about emotions, (b) a measure of avoidance behavior, (c) anxiety and (d) depression.
Results
All putative mediator variables except beliefs about emotions were found to be improved by DS-CBT. We found evidence for DS-CBT effect mediation for the outcome variables dissociative seizures (DS), WSAS and SF-12v2 MCS scores by improvements in target variables avoidance behavior, anxiety, and depression. The only variable to mediate the DS-CBT effect on the SF-12v2 PCS score was avoidance behavior.
Conclusions
Our findings largely confirmed the logic model underlying the development of CBT for patients with DS. Interventions could be additionally developed to specifically address beliefs about emotions to assess whether it improves outcomes.
We argue that behavioural public policies (BPP) should be categorized by the kind of mechanism through which they operate, not by the kind of treatment they implement. Reviewing the energy consumption BPP literature, we argue (i) that BPPs are currently categorized by treatment; (ii) that treatment-based categories are subject to mechanistic heterogeneity: there is substantial variation of mechanisms within each treatment type; and (iii) that they also display mechanistic overlap: there is substantial overlap between mechanisms across treatment types. Consequently, current categorizations of BPPs do not reveal the conditions of their efficacy and should be revised to better reflect mechanistic information.
This book explores some implications of studying international relations from a systemic perspective. This chapter takes on the preliminary tasks of defining systems, identifying distinctive characteristics of systemic explanations, and situating systems approaches in a broader context of relational framings. A system is a bounded set of components of particular types, arranged in definite ways, operating in a specific fashion to produce characteristic outcomes, some of which are emergent. The arrangement and operation of the components produce “emergent” “systems effects;” properties and outcomes that cannot be fully understood through knowledge of the parts considered separately. I emphasize the relational character of systemic explanations and their reliance on mechanisms and processes, in order to foster developing a relational processual systemic perspective within a pluralistic IR.
Multilevel multicomponent complex adaptive systems are not reducible to the sum of the causal effects of independent variables. Causal inference, which has a privileged place in contemporary IR (and many other social sciences) cannot address systems effects, which arise from interdependent elements and operations (not the impact of independent variables on dependent variables). Systems effects explanations explain why by showing how. They identify mechanisms and processes of causation. They thus are able to establish causal efficacy; that is, show how processes produce – actually cause – outcomes (rather than merely identify some elements that are part of an unspecified causal process). Such an understanding leads us away from a “laws and theories” conception of science, which remains popular in Physics and Chemistry, towards a “models and mechanisms” understanding, which predominates in the life sciences (which, on their face, seem a much better model for the social sciences).
Boosts and nudges are two separate types of behavioral public policies, distinguished by the mechanisms through which they operate. We investigated whether this theoretical distinction translates into different effects when instances of these policy types are implemented in the context of energy consumption. In a long-term field randomized controlled trial, we competitively tested boosts against nudges. We found that boosts outperform nudges throughout a seven-month period in a student dormitory setting – both in terms of accumulated energy savings, as well as in keeping consumption consistently low during the experimental period. Furthermore, we explored the processes behind the boosts and nudges through a number of mechanistic markers and showed that the tested interventions indeed are instances of the respective types.
Prosociality is a multifaceted concept referring to the many ways in which individuals care about and benefit others. Human prosociality is foundational to social harmony, happiness, and peace; it is therefore essential to understand its underpinnings, development, and cultivation. This handbook provides a state-of-the-art, in-depth account of scientific, theoretical, and practical knowledge regarding prosociality and its development. Its thirty chapters, written by international researchers in the field, elucidate key issues, including: the development of prosociality across infancy, childhood, adolescence, and beyond; the biological, cognitive, emotional, and motivational mechanisms that underlie and influence prosociality; how different socialization agents and social contexts can affect children's prosociality; and intervention approaches aimed at cultivating prosociality in children and adolescents. This knowledge can benefit researchers, students, practitioners, and policy makers seeking to nurture socially responsible, caring youth.
One key objective of management research is to explain business phenomena. Yet understanding the nature of explanation is essentially a topic in philosophy. This is the first book that bridges the gap between a technical, philosophical treatment of the topic and the more practical needs of management scholars, as well as others across the social sciences. It explores how management phenomena can be explained from a philosophical perspective, and renders sophisticated philosophical arguments understandable by readers without specialized training. Covering virtually all the major aspects of the nature of explanation, this work will enhance empirical and theoretical research, as well as approaches combining the two. With many examples from management literature and business news, this study helps scholars in those fields to improve their research outcomes.
Observational research, mainly prospective cohort studies (PCS), has represented a long-standing challenge for those attempting to draw up consistent policy recommendations in the area of diet and health. This has been due to the inherent limitations in ascribing causality from observed associations due to problems of confounding of the findings and publication and citation bias. Developments in nutritional epidemiology research over the past 20–30 years have enabled causal criteria to be derived from observational studies and the totality of the primary literature to be reviewed objectively, reducing previous focus on narrative accounts of individual studies. The gold standard approach to assessing causal relationships is via randomised controlled trials (RCT), but neither RCT nor PCS provide direct evidence for biological plausibility, which is a key criterion for assessing causality. Although extensive mechanistic data are available in the literature, a systematic approach to select and assess quality and relevance of published studies has not been available. This limits their use in the development of diet and health policy. Recent studies have investigated a proposed two-step framework and novel methodologies for integrating heterogeneous data from cell, animal and human studies. Pilot and feasibility studies have shown this to be a useful novel approach to studies of diet and cancer, but further refinements are required, including development of appropriate quality criteria which are less dependent on RCT designs. Future studies are needed to fully verify the approach and its potential for use in other diet–disease relationships.
This Element introduces and critically reflects on the contribution of implementation science to healthcare improvement efforts. Grounded in several disciplines, implementation science is the study of strategies to promote the uptake of evidence-based interventions into healthcare practice and policy. The field's focus is threefold. First, it encompasses theory and empirical research focused on exploring, identifying, and understanding the systems, behaviours, and practices that influence successful implementation. Second, it examines the evaluation of strategies to address barriers or enablers to implementation in a given context. Last, it increasingly seeks to understand the process of implementation itself: what actually gets implemented, and when, why, and how? Despite the growing body of evidence, challenges remain. Many important messages remain buried in the literature, and their impact on implementation efforts in routine practice may be limited. The challenge is not just to get evidence into practice, but also to get implementation science into practice. This title is also available as Open Access on Cambridge Core.