VAR VORE FORFATNINGSFÆDRE DEMOKRATER?

ABSTRACTWere our Founding Fathers Democrats?It is widely believed that democracy was introduced in Denmark with the June Constitution of 1849. This article examines whether this belief is sustainable or a myth. This is done by examining what was then believed to be introduced by the June Constitution – that is the contemporary self-understanding: The investigation of whether our Founding Fathers saw themselves as democrats is conducted in part by a critical analysis of recent historical research partly by a systematic analysis of the debate on the Constituent Assembly. It is concluded that it is a myth that democracy was introduced in 1849 as the leading Founding Fathers neither claimed to establish a democratic constitution nor wanted to do so. The June Constitution introduced a constitutional monarchy, which was based on adivision of power between the king and an elected parliament and the election of the parliament included as well democratic as undemocratic elements

Demokrati og politisk deltagelse

Democracy and political participation are closely related, but both the understanding of them and their relationship is disputed. Two conceptions of democracy – in this article labeled ‘democratic revisionism’ and ‘participatory democracy’ – compete for attention. In the article it is shown how the rst conception of de- mocracy as elite competition developed after World War II. It is further explained how participatory democ- racy developed as a critique of the rst conception. It is also shown how the desirability and the functions of political participation are perceived di erently according to the two conceptions of democracy. Various forms of political participation are discussed, and it is shown how the concept of participation in political science and sociology has been developed to include an increasing number of activities. On this basis, the extent and social distribution of various forms of political participation in Denmark is examined. Finally, it is discussed whether the idea of participatory democracy forms the basis of Danish democracy today. It is concluded that the leaders of the main political parties are reluctant to give up power and that the self-perception of Danish democracy is mainly based on the idea of representative democracy that focuses on elite competition.

Multifactorial intervention to prevent cardiovascular disease in patients with early rheumatoid arthritis:protocol for a multicentre randomised controlled trial

INTRODUCTION: Cardiovascular morbidity is a major burden in patients with rheumatoid arthritis (RA). In this study, we compare the effect of a targeted, intensified, multifactorial intervention with that of conventional treatment of modifiable risk factors for cardiovascular disease (CVD) in patients with early RA fulfilling the 2010 American College of Rheumatology European League Against Rheumatism (ACR/EULAR) criteria. METHODS AND ANALYSIS: The study is a prospective, randomised, open label trial with blinded end point assessment and balanced randomisation (1:1) conducted in 10 outpatient clinics in Denmark. The primary end point after 5 years of follow-up is a composite of death from cardiovascular causes, non-fatal myocardial infarction, non-fatal stroke and cardiac revascularisation. Secondary outcomes are: the proportion of patients achieving low-density lipoprotein cholesterol <2.5 mmol/L, glycated haemoglobin <48 mmol/mol, blood pressure <140/90 mm  Hg for patients without diabetes and <130/80 mm Hg for patients with diabetes and normoalbuminuria (urinary albumin creatinine ratio <30 mg/g) after 1 year of follow-up and the proportion of patients in each treatment group achieving low RA disease activity after 1 year, defined as a disease activity score C-reactive protein (DAS28-CRP) <3.2 and a DAS28-CRP score <2.6 after 12, 24 and 60 months. Furthermore, all hospitalisations for acute and elective reasons will be adjudicated by the event committee after 12, 24 and 60 months. Three hundred treatment-naive patients with early RA will be randomly assigned (1:1) to receive either conventional treatment administered and monitored by their general practitioner according to national guidelines (control group) or a stepwise implementation administered and monitored in a quarterly rheumatological nurse-administered set-up of behaviour modification and pharmacological therapy targeting (1) hyperlipidaemia, (2) hypertension, (3) hyperglycaemia and (4) microalbuminuria (intervention group). ETHICS AND DISSEMINATION: This protocol is approved by the local ethics committee (DK-S-2014007) and The Danish Health and Medicines Authority. Dissemination will occur through presentations at National and International conferences and publications in international peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT0224625

When who and how matter: explaining the success of referendums in Europe

This article aims to identify the institutional factors that make a referendum successful. This comparative analysis seeks to explain the success of top-down referendums organized in Europe between 2001 and 2013. It argues and tests for the main effect of three institutional factors (popularity of the initiator, size of parliamentary majority, and political cues during referendum campaigns) and controls for the type of referendum and voter turnout. The analysis uses data collected from referendums and electoral databases, public opinion surveys, and newspaper articles. Results show that referendums proposed by a large parliamentary majority or with clear messages from political parties during campaign are likely to be successful