Macroeconomic Volatility, Institutional Instability and the Incentive to Innovate

This study investigates the channels through which macroeconomic and institutional instability hinders innovative investment undertakings financed by the domestic private sector. The analysis is based on a sample of 44 countries and considers various instability dimensions. The results suggest a negative impact of real, monetary and political instability on the aggregate level of R&D financed by the business sector. Thus, highlighting the importance of stable macro‐institutional environments in preventing avoidance or abandonment of private innovation undertakings

The psychological and psychosocial interventions offered to forensic mental health in-patients: a systematic review

Objective: To examine the evidence for the use of psychological and psychosocial interventions offered to forensic mental health in-patients. Design: CINAHL, MedLine, PsycINFO, ScienceDirect, and Web of Science databases were searched for research published in English between 1 January 1990 and 31 May 2018. Outcome measures: Disturbance, mental well-being, quality of life, recovery, violence/risk, satisfaction, seclusion, symptoms, therapeutic relationship and ward environment. There were no limits on the length of follow up. Eligibility criteria: We included randomised controlled trial (RCT) studies of any psychological or psychosocial intervention in an in-patient forensic setting. Pilot or feasibility studies were included if a RCT design was used. We restricted our search criteria to in-patients in low, medium, and high secure units aged over 18. We focused on interventions considered applicable to most patients residing in forensic mental health settings. Data extraction and synthesis: Two independent reviewers extracted data and assessed risk of bias. Results: 17,232 citations were identified with 195 full manuscripts examined in detail. Nine papers were included in the review. The heterogeneity of the identified studies meant that meta-analysis was inappropriate. The results were presented in table form together with a narrative synthesis. Only 7 out of 91 comparisons revealed statistically significant results with no consistent significant findings. The most frequently reported outcomes were violence/risk and symptoms. 61% of the violence/risk comparisons and 79% of the symptom comparisons reported improvements in the intervention groups compared to the control groups. Conclusions: Current practice is based on limited evidence with no consistent significant findings. This review suggests psychoeducational and psychosocial interventions did not reduce violence/risk but there is tentative support they may improve symptoms. More RCTs are required with: larger sample sizes, representative populations, standardised outcomes and control group interventions similar in treatment intensity to the intervention

Experiences and implications of the first wave of the COVID-19 emergency in Italy: a social science perspective

Background Italy was among the first countries in the world to experience the devastating consequences of the COVID-19 emergency and suffered its consequences to a devastating scale. Understanding how the country got there in spite of a relatively well-resourced public and private health system in at least part of the country, is imperative to be able to operationalise any lessons learnt for future epidemics in Italy and beyond. Methods The paper reports the findings from a research scoping exercise conducted in Italy in 2020. We conducted extensive archival research and collected 29 testimonies either in writing or as semi-structured interviews. We sampled purposively with a stratification strategy in mind, specifically aiming to gain testimonies from different social groups, classes, ages, and nature of employment. Our sample also reflects the different experiences between the Northern and Southern regions, a divide that has long been economically and politically salient in the country. Results Evidence and considerations of epidemiological nature normally guide public health responses to crises. This study supports the idea that socio-economic, cultural and political factors also affect transmission outcomes. We highlight specifically the role that socioeconomic and health inequalities play in this respect, through factors such as overcrowded dwellings, lack of alternatives to in-person work, informal work set-ups, pervasive organised crime presence, poorly planned social support and communication strategies. Conclusions A socio-economic and political lens is needed in addition to an epidemiological one to fully understand the social experiences and implications of public health crises such as the COVID-19 pandemic and to devise effective response measures that are locally relevant and acceptable. Thus insights provided by multi-disciplinary task forces can render policymaking and social support interventions as well as communication strategies more effective

Improving Financial Inclusion through the Delivery of Cash Transfer Programmes: The Case of Mexico’s Progresa-Oportunidades-Prospera Programme

This paper follows a quasi-experimental research design to assess the impact of the electronic payment system of Mexico’s Progresa-Oportunidades-Prospera (POP) programme. The switch from cash payments to electronic payments delivered via savings accounts is found to have medium-term effects on savings decisions, transaction costs, and coping strategies. Overall, the study finds that, following the intervention, a substitution effect emerged between saving portfolio choices, with the poor favouring bank accounts over informal saving arrangements. It also found that the Oportunidades savings account led to an increase in remittance reception, which in turn had important implications for household consumption smoothing and risk management decisions. The study also reveals impact heterogeneity depending on household composition and the rural-urban divide, with important implications for replicability of similar policy innovations in other countrie

Indigenous Medicine and Biomedical Health Care in Fragile Settings: Insights from Burundi

This study contributes to the health policy debate on medical systems integration by describing and analysing the interactions between health care users, indigenous healers, and the country’s biomedical public health system, in the so far rarely documented case of post-conflict Burundi. We adopt a mixed-methods approach combining (1) data from an existing survey on access to health-care, with 6,690 individuals, and (2) original interviews and focus groups conducted in 2014 with 121 respondents, including indigenous healers, biomedical staff, and health-care users. The findings reveal pluralistic patterns of health-care seeking behaviour, which are not primarily based on economic convenience or level of education. Indigenous healers’ diagnosis is shown to revolve around the concept of ‘enemy’ and the need for protection against it. We suggest ways in which this category may intersect with the widespread experience of trauma following the civil conflict. Finally, we find that, while biomedical staff displays ambivalent attitudes towards healers, cross-referrals occasionally take place between healers and health centres. These findings are interpreted in light of the debate on health systems integration in Sub-Saharan Africa. In particular, we discuss policy options regarding healers’ accreditation, technical training, management of cross-referrals as well as of herb-drug interactions; and we emphasise healers’ psychological support role in helping communities deal with trauma. In this respect, we argue that the experience of conflict, and the experiences and conceptualizations of mental and physical illness, need to be taken into account when devising appropriate public or international health policy responses

Labour Standards in the Ghanaian Construction Sector: an investigation of the governance landscape

Purpose This paper aims to investigate the governance of labour standards in the less-studied yet rapidly globalising Ghanaian construction sector. While incorporation into international production networks generates several opportunities for workers, the drivers of adverse incorporation originate at multiple levels of analysis. The study offers an investigation into such drivers and their interconnections. Design/methodology/approach The authors utilise a multi-scalar framework and mixed methods of analysis. Both the qualitative and multi-level quantitative analyses rely on a primary dataset collected among 30 firms and 304 respondents, through semi-structured interviews. Findings A composite yet unbalanced labour standards governance configuration emerges, where the absence of social governance combined with a weak role of the State leaves labour standards subject to the variegated landscape of firms' embeddedness in the sector. Originality/value The construction industry is acquiring ever-increasing relevance in the economic trajectory of Ghana as well as that of several other African economies, not least for its large employment generation potential. Research on the governance of labour standards in the sector is, however, largely missing. The authors argue that labour incorporation dynamics represent a complex under-investigated regulatory challenge as well as a policy-making priority. The analysis is one of the first to offer a reconstruction of the governance landscape determining the challenges workers face in the Ghanaian construction sector, from both a qualitative and quantitative perspective

Phonons and structures of tetracene polymorphs at low temperature and high pressure

Crystals of tetracene have been studied by means of lattice phonon Raman spectroscopy as a function of temperature and pressure. Two different phases (polymorphs I and II) have been obtained, depending on sample preparation and history. Polymorph I is the most frequently grown phase, stable at ambient conditions. A pressure induced phase transition, observed above 1 GPa, leads to polymorph II, which is also obtained at temperatures below 140 K. Polymorph II can also be maintained at ambient conditions. We have calculated the crystallographic structures and phonon frequencies as a function of temperature, starting from the configurations of the energy minima found by exploring the potential energy surface of crystalline tetracene. The spectra calculated for the first and second deepest minima match satisfactorily those measured for polymorphs I and II, respectively. All published x-ray structures, once assigned to the appropriate polymorph, are also reproduced.Comment: 8 pages, 5 figures, RevTeX4, update after referees report

A randomised trial of a medium-chain TAG diet as treatment for dogs with idiopathic epilepsy

Despite appropriate antiepileptic drug treatment, approximately one-third of humans and dogs with epilepsy continue experiencing seizures, emphasising the importance for new treatment strategies to improve the quality of life of people or dogs with epilepsy. A 6-month prospective, randomised, double-blinded, placebo-controlled cross-over dietary trial was designed to compare a ketogenic medium-chain TAG diet (MCTD) with a standardised placebo diet in chronically antiepileptic drug-treated dogs with idiopathic epilepsy. Dogs were fed either MCTD or placebo diet for 3 months followed by a subsequent respective switch of diet for a further 3 months. Seizure frequency, clinical and laboratory data were collected and evaluated for twenty-one dogs completing the study. Seizure frequency was significantly lower when dogs were fed the MCTD (2·31/month, 0–9·89/month) in comparison with the placebo diet (2·67/month, 0·33–22·92/month, P=0·020); three dogs achieved seizure freedom, seven additional dogs had ≥50 % reduction in seizure frequency, five had an overall <50 % reduction in seizures (38·87 %, 35·68–43·27 %) and six showed no response. Seizure day frequency were also significantly lower when dogs were fed the MCTD (1·63/month, 0–7·58/month) in comparison with the placebo diet (1·69/month, 0·33–13·82/month, P=0·022). Consumption of the MCTD also resulted in significant elevation of blood β-hydroxybutyrate concentrations in comparison with placebo diet (0·041 (sd 0·004) v. 0·031 (sd 0·016) mmol/l, P=0·028). There were no significant changes in serum concentrations of glucose (P=0·903), phenobarbital (P=0·422), potassium bromide (P=0·404) and weight (P=0·300) between diet groups. In conclusion, the data show antiepileptic properties associated with ketogenic diets and provide evidence for the efficacy of the MCTD used in this study as a therapeutic option for epilepsy treatment