Towards an English School Theory of Hegemony

English School (ES) writers have never developed a systematic account of hegemony, and most set out with assumptions that are `antihegemonial'. The writings of Hedley Bull, in particular, appeared to reject any notion of a legitimate hegemony. However, a social theory of hegemony that emphasizes its consensual nature does appear consistent with other ES positions, particularly on the role of the Great Powers. This article excavates an ES theory of hegemony. It develops the argument for hegemony as a potential institution of international society, by analogy with the role of the Great Powers, and by extension of other ES principles. This stresses not just the material power of the Great Powers, but their degree of social recognition. Accordingly, it suggests that such a view of hegemony is no more paradoxical than, say, ES acceptance of war as a similar institution. This fills a major void in ES theory which otherwise has nothing of interest to say about international order in conditions of primacy

Efficacy and safety of combination targeted therapies in immune-mediated inflammatory disease: the COMBIO study

International audienceBACKGROUND: Use of a combination of targeted therapies (COMBIO) in patients with refractory/overlapping immune-mediated inflammatory diseases (IMIDs) has increased, but reported data remain scarce. We aimed to assess effectiveness and safety of COMBIO in patients with IMIDs. METHODS: We conducted a French ambispective multicenter cohort study from September 2020 to May 2021, including adults' patients with 1 or 2 IMIDs and treated at least 3-month with COMBIO. RESULTS: Overall, 143 patients were included. The most common IMIDs were Crohn's disease (63.6%), axial spondyloarthritis (37.7%), and ulcerative colitis (14%). Half of patients had only one IMID, of which 60% were Crohn's disease. Mean duration of COMBIO was 274.5±59.3 weeks, and COMBIO persistence at 104 weeks was estimated at 64.1%. The most frequent COMBIOs combined anti-TNF agents with vedolizumab (30%) or ustekinumab (28.7%). Overall, 50% of patients achieved significant and 27% mild-to-moderate improvement in patient-reported outcomes. Extended duration of COMBIO (aOR=1.09; 95% CI: 1.03-1.14; p=0.002) and diagnoses of two IMIDs (aOR=3.46; 95%CI: 1.29-9.26; p=0.013) were associated with significant improvement in patient-reported outcomes. Incidence of serious infection during COMBIO was 4.51 per 100 person-years (95% CI 2.20-8.27) and 5 COMBIOs were discontinued due to adverse events. CONCLUSIONS: COMBIO can be effective and safe in patients with refractory/overlapping IMIDs

More than 10,000 pre-Columbian earthworks are still hidden throughout Amazonia

Indigenous societies are known to have occupied the Amazon basin for more than 12,000 years, but the scale of their influence on Amazonian forests remains uncertain. We report the discovery, using LIDAR (light detection and ranging) information from across the basin, of 24 previously undetected pre-Columbian earthworks beneath the forest canopy. Modeled distribution and abundance of large-scale archaeological sites across Amazonia suggest that between 10,272 and 23,648 sites remain to be discovered and that most will be found in the southwest. We also identified 53 domesticated tree species significantly associated with earthwork occurrence probability, likely suggesting past management practices. Closed-canopy forests across Amazonia are likely to contain thousands of undiscovered archaeological sites around which pre-Columbian societies actively modified forests, a discovery that opens opportunities for better understanding the magnitude of ancient human influence on Amazonia and its current state

Data from: Over 10,000 Pre-Columbian earthworks are still hidden throughout Amazonia

Dataset: This set of data and R computer codes were used to create the predictive model, figures, and develop analysis on the manuscript "Over 10,000 Pre-Columbian earthworks are still hidden throughout Amazonia" submitted to Science journal as a research article (DOI: ...ade2541). Please read the materials and methods sections on the manuscript supplementary materials, along with the data provided in the "Database" folder, to ensure reproducibility. Earthwork Predictive Model: The Inhomogeneous Poisson Process (IPP) model fit was performed using the 'fit_bayesPO' function of the 'bayesPO' library in R version 4.0.2. The model was developed by the author of the package Guido Alberti Moreira. Figures: Figures created from R computer codes presented on the Main text are inside the "MainText_figures" folder, and Supplementary material figures are inside the "SuppMaterial_figures" folder. Please utilize the instructions in the supplementary material in conjunction with the data in the "database" folder to ensure reproducibility. Dataset usage: It is free to use, but if you use this dataset in your work, please make sure to cite the repository and our paper properly. We also welcome users to invite us for collaboration. For the use of this dataset, please cite: Peripato, V. et al. Data from: Over 10,000 Pre-Columbian earthworks are still hidden throughout Amazonia (2023). DOI: 10.5281/zenodo.7750985. https://doi.org/10.5281/zenodo.775098