98 research outputs found

    Slaves out of context: domestic slavery and the Anglo-Indian family, c. 1780–1830

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    This paper explores the place of domestic slaves in British families resident in India, c. 1780–1830, and the ways in which the presence of slaves within these Anglo-Indian households challenged British understandings of slavery as a practice. Drawing upon probate data, private correspondence and the Parliamentary Papers, it suggests that the history of slavery in the British empire must be situated within wider histories of family, household and kin. Located within the family and often conflated with servants, domestic slaves in Anglo-India came to be seen as dependent female subordinates whose gender and status placed them outside the emerging politics of emancipation

    Colonial gifts : family politics and the exchange of goods in British India, c.1780 –1820

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    This paper situates Anglo-Indian gifts within a spectrum of emotionally-charged exchange mechanisms through which material objects circulated in British India. At one end of this spectrum was the market, perhaps best exemplified by the public auctions at which the personal possessions of deceased Anglo-Indians were sold to any buyer who could pay the purchase price set at probate. At the other end of the spectrum of exchange were gifts, commissions and bequests, forms of exchange that offered the British colonial elite mechanisms for combating the powerful centrifugal forces that operated within Anglo-Indian families—most notably disease, death and distance

    Law’s empire : English legal cultures at home and abroad [Review Article]

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    The past few decades have witnessed a welcome expansion in historians’ understanding of English legal cultures, a development that has extended the reach of legal history far beyond the boundaries circumscribed by the Inns of Court, the central tribunals of Westminster, and the periodic provincial circuits of their judges, barristers, and attorneys. The publication of J. G. A. Pocock’s classic study. The ancient constitution and the feudal law, in 1957 laid essential foundations for this expansion by underlining the centrality of legal culture to wider political and intellectual developments in the early modern period. Recent years have seen social historians elaborate further upon the purchase exercised by legal norms outside the courtroom. Criminal law was initially at the vanguard of this historiographical trend, and developments in this field continue to revise and enrich our understanding of the law’s pervasive reach in British culture. But civil litigation – most notably disputes over contracts and debts – now occupies an increasingly prominent position within the social history of the law. Law’s empire, denoting the area of dominion marked out by the myriad legal cultures that emanated both from parliamentary statutes and English courts, is now a far more capacious field of study than an earlier generation of legal scholars could imagine. Without superseding the need for continued attention to established lines of legal history, the mapping of this imperial terrain has underscored the imperative for new approaches to legal culture that emphasize plurality and dislocation rather than the presumed coherence of the common law

    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

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    IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

    When the other is another other : British orientalism in an East African context

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    Analogies, homologies and the body economic

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    Catherine Gallagher’s astute and innovative reevaluation of the interplay between fiction and economic thought, The Body Economic: Life, Death, and Sensation in Political Economy and the Victorian Novel (2006) represents a major contribution to literary studies and intellectual history

    A history of the county court, 1846-1971

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    The social conscience of the early Victorians

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