bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparing Nasopharyngeal Swab and Early Morning Saliva for the Identification of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
Authors: Rao Mohan , Rashid Fairuz A , Sabri Fashihah S A H , Jamil Nur Nadia , Zain Rozainanee , Hashim Rohaidah , Amran Fairuz , Kok Huey Tean , Samad Md Anuar Abd , Ahmad Norazah
Published: August 2020

Background

The ideal severe acute respiratory syndrome coronavirus 2 (SARs-CoV-2) testing method would be accurate and also be patient-performed to reduce exposure to healthcare workers. The aim of this study was to compare patient-performed testing based on a morning saliva sample with the current standard testing method, healthcare worker-collected sampling via a nasopharyngeal swab (NPS).

Methods

This was a prospective single center study which recruited 217 asymptomatic adult male participants in a coronavirus disease 2019 (COVID-19) quarantine center who had tested positive for SARS-CoV-2 8–10 days prior to isolation. Paired NPS and saliva specimens were collected and processed within 5 hours of sample collection. Real time reverse transcription polymerase chain reaction (RT-PCR) targeting Envelope (E) and RNA-dependent RNA polymerase (RdRp) genes was performed and the results were compared.

Results

Overall, 160 of the 217 (74%) participants tested positive for COVID-19 based on saliva, NPS, or both testing methods. The detection rate for SARS-CoV-2 was higher in saliva compared to NPS testing (93.1%, 149/160 vs 52.5%, 84/160, P < .001). The concordance between the 2 tests was 45.6% (virus was detected in both saliva and NPS in 73/160), whereas 47.5% were discordant (87/160 tested positive for 1 whereas negative for the other). The cycle threshold (Ct) values for E and RdRp genes were significantly lower in saliva specimens compared to NP swab specimens.

Conclusions

Our findings demonstrate that saliva is a better alternative specimen for detection of SARS-CoV-2. Taking into consideration, the simplicity of specimen collection, shortage of PPE and the transmissibility of the virus, saliva could enable self-collection for an accurate SARS-CoV-2 surveillance testing.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load in the Upper Respiratory Tract of Children and Adults With Early Acute Coronavirus Disease 2019 (COVID-19)
Authors: Baggio Stéphanie , L’Huillier Arnaud G , Yerly Sabine , Bellon Mathilde , Wagner Noémie , Rohr Marie , Huttner Angela , Blanchard-Rohner Géraldine , Loevy Natasha , Kaiser Laurent , Jacquerioz Frédérique , Eckerle Isabella
Published: August 2020

The factors that contribute to transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by children are unclear. We analyzed viral load at the time of diagnosis in 53 children and 352 adults with coronavirus disease 2019 (COVID-19) in the first 5 days post symptom onset. No significant differences in SARS-CoV-2 RNA loads were seen between children and adults.
Linear processes on complex networks
Authors: Jokić Ivan , Van Mieghem Piet
Published: August 2020

This article studies the dynamics of complex networks with a time-invariant underlying topology, composed of nodes with linear internal dynamics and linear dynamic interactions between them. While graph theory defines the underlying topology of a network, a linear time-invariant state-space model analytically describes the internal dynamics of each node in the network. By combining linear systems theory and graph theory, we provide an explicit analytical solution for the network dynamics in discrete-time, continuous-time and the Laplace domain. The proposed theoretical framework is scalable and allows hierarchical structuring of complex networks with linear processes while preserving the information about network, which makes the approach reversible and applicable to large-scale networks.
Illuminating the Marshall: novel techniques highlighted in an atrial tachycardia case report
Authors: Margato Renato , Tampakis Konstantinos , Albenque Jean Paul , Combes Stephane
Published: August 2020

Background

Electroanatomic mapping is usually required in order to obtain a precise diagnosis and guide the ablation of atrial tachycardias (ATs) after ablation for atrial fibrillation (AF). However, epicardial connections may limit the interpretation of the endocardial activation sequence as well as the efficacy of endocardial radiofrequency ablation.

Case summary

A 53-year-old man with history of AF ablation 2 years ago was admitted for ablation of a recurrent AT (cycle length 275 ms). Ultra-high-density mapping with the Rhythmia™ system revealed a challenging activation map with two focal points of early activation in the left atrium. The use of an advanced mapping software allowed the rapid reanalysis and reannotation of the activation map and suggested epicardial involvement of the Marshall bundle (MB). Subsequent ethanol infusion in the vein of Marshall (VOM) immediately terminated the tachycardia. Six months post-ablation, the patient had no recurrence of arrhythmias.

Discussion

This case highlights the role of novel diagnostic and treatment methods in the management of a post-AF ablation AT. By developments in cardiac mapping systems, the rapid editing of a high-density activation map and clarification of the arrhythmia origin can be facilitated overcoming the limitations of conventional techniques. Moreover, ethanol infusion in the VOM was shown to be an effective alternative method in the management of MB-related tachycardias.
Hospital practices for the implementation of patient partnership in a multi-national European region
Authors: Scholtes Beatrice , Breinbauer Mareike , Rinnenburger Mirko , Voyen Madeline , Nguyen-Thi Phi Linh , Ziegler Oliver , Germain Lucie , Böhme Philip , Baumann Michèle , Le Bihan Etienne , Repplinger Jean-Jacques , Spitz Elisabeth , Voz Bernard , Ortiz-Halabi Iness , Dardenne Nadia , Donneau Anne-Françoise , Guillaume Michèle , Bragard Isabelle , Pétré Benoit
Published: August 2020

Background

The extent to which patients are involved in their care can be influenced by hospital policies and interventions. Nevertheless, the implementation of patient participation and involvement (PPI) at the organisational (meso) level has rarely been assessed systematically. The aim of this study was to assess the occurrence of PPI practises in hospitals in Belgium, France, Germany and Luxembourg and to analyze if, and to what extent, the hospital vision and the presence of a patient committee influence the implementation of PPI practises.

Methods

A cross-sectional study was carried out using an online questionnaire in hospitals in the border regions of the four countries. The data were analyzed for differences between regions and the maturity of PPI development.

Results

Full responses were obtained from 64 hospitals. A wide range of practices were observed, the degree of maturity was mixed. A majority of hospitals promoted patient partnership in the hospital’s philosophy of care statement. However, the implementation of specific interventions for PPI was not found uniformly and differences could be observed between the countries.

Conclusions

Hospitals in the region seem to be motivated to include patients more fully, however, implementation of PPI interventions seems incomplete and only partially integrated into the general functioning of the hospitals. The implementation of the concept seems to be more mature in the francophone part of the region perhaps due, in part, to a more favourable political context.
Team-based primary care program for disabled people and changes in rate of unmet health care needs
Authors: Kim Jung Ae , Choi Yong-jun , Heo Myung-Seok , Oh Chun-Hee , Choi Kyung-Hwa
Published: August 2020

Background

Few studies have been conducted on the application of specific and practical methods, such as interventions, for reducing the unmet health care needs (UHCN) of disabled people.

Objectives

The study aims to evaluate the impact of the team-based primary care program (TPCP) for disabled people on UHCN.

Method

In 2017, we surveyed 696 disabled people who were enrolled in the TPCP at one of the 11 institutions belonging to the Korea Health Welfare Social Cooperative Federation from 2015 to 2017 to assess their unmet needs before and after enrolment. We conducted a logistic regression analysis before and after the program to evaluate the relationship between participation period and unmet needs after adjusting for physician type, gender, age, drinking, monthly income, disability type, personal assistance services and living alone.

Result

After using the service, the proportion of disabled people with unmet needs decreased from 42.9% to 20.4% for a medical doctor and 43.6% to 18.6% for a Korean medical (KM) doctor. After adjusting for related factors and stratifying with type of physician, the proportion of disabled people with unmet needs decreased significantly in response to the participation period for the medical doctor-involved program (P-trend < 0.001); this was not observed in the KM counterpart (P-trend = 0.6).

Conclusion

The TPCP for disabled people provides disease prevention, health care and health promotion activities and is crucial for solving the unmet needs.
Health promotion capacity and institutional systems: an assessment of the South African Department of Health
Authors: Rwafa-Ponela Teurai , Christofides Nicola , Eyles John , Goudge Jane
Published: August 2020

Health promotion (HP) capacity of staff and institutions is critical for health-promoting programmes to address social determinants of health and effectively contribute to disease prevention. HP capacity mapping initiatives are the first step to identify gaps to guide capacity strengthening and inform resource allocation. In low-and-middle-income countries, there is limited evidence on HP capacity. We assessed collective and institutional capacity to prioritize, plan, deliver, monitor and evaluate HP within the South African Department of Health (DoH). A concurrent mixed methods study that drew on data collected using a participatory HP capacity assessment tool. We held five 1-day workshops (one national, two provincial and two districts) with DoH staff (n = 28). Participants completed self-assessments of collective capacity across three areas: technical, coordinating and systems capacity using a four-point Likert scale. HP capacity scores were analysed and presented as means with standard deviations (SDs). Thematic analysis of verbatim transcripts of audio-recorded group discussions that provided rationale and evidence for scores were conducted using deductive and inductive codes. At all levels, groups revealed that capacity to develop long-term, sustainable HP interventions was limited. We found limited collaboration between national and provincial HP levels. There was limited monitoring of HP indicators in the health information system. Coordination of HP efforts across different sectors was largely absent. Lack of capacity in budgeting emerged as a major challenge, with few resources available to conduct HP activities at any level. Overall, the capacity mean score was 2.08/4.00 (SD = 0.83). There is need to overcome institutional barriers, and strengthen capacity for HP implementation, support and evaluation within the South African DoH.
3. Europeanization: Concept, Theory, and Methods
Authors: Exadaktylos Theofanis , Graziano Paolo R. , Vink Maarten P.
Published: August 2020

This chapter explores a number of fundamental issues that arise when studying Europeanization. It first explains what Europeanization is and what it is not, why some parts of political life seem more affected by the process of European integration than others, and how to interpret variation between member states of the European Union. It then considers the theoretical debates about the relevance of Europeanization, focusing on new institutionalism, goodness of fit, mediating factors, and domestic compliance. It also provides examples of Europeanization studies. It reviews main trends in Europeanization research on policy domains, politics, and polity. Finally, the chapter considers research design issues in Europeanization studies.
11. The United Kingdom: Towards a Parting of the Ways
Authors: Menon Anand , Scazzieri Luigi
Published: August 2020

This chapter examines the history of the United Kingdom’s relationship with the European integration process. The chapter dissects the long-term trends in public opinion and the more contingent, short-term factors that led to the referendum vote to leave the European Union. The UK was a late joiner and therefore unable to shape the early institutional development of the EEC. British political parties and public opinion were always ambiguous about membership and increasingly Eurosceptic from the early 1990s. Yet the UK had a significant impact on the EU’s development, in the development of the single market programme and eastward enlargement. If Brexit goes through, Britain will nevertheless maintain relations with the EU in all policy areas from agriculture to energy and foreign policy. Europeanization will remain a useful theoretical tool to analyse EU–UK relations even if the UK leaves the Union.
12. Contrasting States of Europeanization?
Authors: Bulmer Simon , Lequesne Christian
Published: August 2020

This chapter examines recurrent themes in the experiences of the countries discussed earlier in terms of European Union membership. It first considers the contribution of Europeanization as an analytical tool for understanding EU member state relations on a country-by-country basis before discussing emergent themes and issues. In particular, it assesses the significance of timing of accession for the member states’ Europeanization experience, showing how timing has often interacted with a geographical focus to each enlargement wave. It also asks whether the Europeanization experience is different for large states rather than small states, or whether the embeddedness of member states’ political systems plays a role. The chapter concludes by identifying different impacts of Europeanization along the dimensions of politics, polity, and policy, including the politicization of the 2010s.
13. Europeanization and Member State Institutions
Authors: Kassim Hussein , Buth Vanessa
Published: August 2020

This chapter examines the impact of Europeanization on member state institutions. Membership in the European Union imposes a variety of constraints and burdens on countries, but it also affords important opportunities and makes available significant resources. Integration initially reinforced the decline of national legislatures, but they have fought back in the last decade. National courts have assumed new functions and become part of a wider Community of law. At the same, the precise effects of the EU have varied cross-nationally as the demands of membership have interacted with differing constitutional arrangements, legal traditions, and political cultures. Moreover, national institutions such as governments, parliaments, and courts have left their mark on the EU and determine to a large extent the capacities of the Union as a system. The chapter considers how EU membership has affected national governments, national parliaments, and national courts.
15. The Europeanization of Interest Groups and Social Movements
Authors: Saurugger Sabine
Published: August 2020

This chapter examines the dynamics of Europeanization of interest groups and social movements in European Union member states. European integration has influenced interest groups and social movements since the beginning of the process in the 1950s. However, transformation has been induced by other elements such as globalization or the transformation of the state. Drawing on findings from empirical studies, this chapter analyses the change in interests, strategies, and internal organizational structures of interest groups and social movements, both in the ‘old’ and ‘new’ member states. It shows that the Europeanization of interest groups and social movements is highly differentiated, according to public policy areas, group types, and national origins. It concludes in analysing more recent developments such as interest group and social movement reactions to austerity politics as well as Brexit.
Conclusion
Authors: Bulmer Simon , Lequesne Christian
Published: August 2020

This chapter focuses on the current state of the EU and the prospects for Europeanization. Resistance to Europeanization exists, yet the EU still exercises continued attraction to states on its periphery that are waiting for the opportunity of EU membership. In reviewing the academic debate on forms of resistance to Europeanization we first explore the literature on EU disintegration, before turning to concrete examples of member state resistance. Prompted by Brexit, as a concrete manifestation of such resistance, we then assess the difficulty for a member state to leave the EU and its sphere of influence completely. Finally, we turn to the state of play with enlargement, also highlighting the impact of Europeanization upon European states outside the EU.
2. Two Worlds East and West, 1945–8
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines how the world was divided into two opposing blocs, East and West, during the period 1945–8. It begins with a discussion of the Marshall Plan, focusing on its implementation and its Cold War consequences, and the Western economic system. It then considers the Soviet Union’s takeover of Eastern and Central Europe, with emphasis on the split between Soviet leader Joseph Stalin and Marshal Tito of Yugoslavia. It also looks at the struggle for influence in East Asia and concludes with an assessment of the division of Germany. The chapter suggests that the Berlin crisis was in many ways a symbolic crisis in a city which came to epitomize Cold War tensions until 1989; the crisis has also been regarded as an important cause of the militarization of the Cold War and the formation of NATO.
3. Empire, Cold War, and Decolonization, 1945–53
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines decolonization and the changes that took place within the European empires during the early years of the Cold War. Decolonization constituted a crucial element of the new international order after the Second World War and formed part of the broader shift in the global balance of power. The war marked the end of the European-dominated system of nation states and was followed by the decline of the major European powers, with international dominance lying for a quarter of a century with the United States, challenged only by the Soviet Union. The chapter considers the challenges to colonial rule that were evident in both Africa and Asia during the inter-war years. It also discusses the imperialism and the struggles against it that have formed part of a post-war landscape in the Middle East.
5. Soviet–American Relations: Avoiding Hot War and the Search for Stability
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines US–Soviet relations during the Cold War as well as the question of the genuineness of efforts by the United States and the Soviet Union to achieve disarmament and resolve troublesome disputes. It begins with a discussion of the German question, noting that Germany’s future position was vital to the future of Europe and a particular concern of the Soviets. It then considers the progress of arms control and peace efforts by the United States and the Soviet Union, before concluding with an analysis of the relationship of arms control to the use of armaments in hot war and to some aspects of fighting the Cold War.
6. Maintaining the Spheres of Influence
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines how the United States and the Soviet Union tried to maintain their respective spheres of influence during the Cold War, especially in three regions: Eastern Europe, Western Europe, and Latin America. The death of Joseph Stalin and the assumption of power by the triumvirate of Lavrenti Beria, Nikita Khrushchev, and Georgi Malenkov resulted in a fresh approach to domestic issues and to the nature of Soviet control over its European satellites. The apparent change produced a new Soviet approach to East–West relations. The chapter first considers how the new Soviet leadership addressed the crisis in East Germany before analysing American influence in Western Europe and US relations with Latin America. The discussion covers themes and events such as the Soviet policy on Hungary and Poland, the Messina Conference and the Spaak Committee, nuclear cooperation and multilateral force, and the US response to the Cuban Revolution.
7. Fighting the Cold War: The Offensive Strategies
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines the offensive strategies employed by the United States and the Soviet Union in fighting the Cold War. It begins with a discussion of US covert operations and its revised national security strategy, focusing on Operation Solarium, the search for a post-Solarium national security policy, and subversion and intelligence gathering. It then considers the Berlin Crises, noting that Berlin was at the heart of the Cold War, the heart of the German question, and on several occasions became the focus of tension between the two blocs in Europe. The airlift of 1948–9 to preserve the Western position in the city, which was an island in East Germany, had become a potent Cold War symbol. The chapter concludes with an analysis of the Offshore Islands Crises and the Cuban Missile Crisis.
8. Collapsing Empires: The Cold War Battle for Hearts and Minds, 1953–63
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines how the United States and the Soviet Union sought to win the hearts and minds of people in various parts of the world as empires began to collapse during the period 1953–63. It begins with a discussion of the end of the French Empire, taking into account the loss of French Indo-China and the start of American involvement in Vietnam, along with the collapse of French rule in Morocco and Tunisia. It then considers the crises in the Congo, Angola, and the Middle East, focusing on the zenith of the Cold War in Black Africa, Britain’s declining power, and the Suez Crisis. It concludes by looking at the end of the British Empire in Africa.
10. The Vietnam War
Authors: Young John W. , Kent John
Published: August 2020

This chapter focuses on US involvement in the Vietnam War. Lyndon B. Johnson inherited the Vietnam conflict in difficult circumstances. He had not been elected president in his own right and so, perhaps, believed that he should carry on with John F. Kennedy’s policies. It was unclear what exactly Kennedy would have done in Vietnam, but Johnson retained his predecessor’s foreign policy team and did not question the basic principle of America’s foreign policy, which called for communism to be resisted. The chapter first considers the escalation of US involvement in Vietnam during the period 1963–5 before discussing the conflict between the US and North Vietnam in the succeeding years, along with the Tet offensive and its implications. It concludes with an assessment of Richard Nixon’s decision to restart large-scale US bombing of North Vietnam.
12. An Era of Negotiations, 1972–3
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines the negotiations pursued by the United States and the Soviet Union in the early 1970s. The most dramatic change in international diplomacy in the early 1970s was the rapprochement between Beijing and Washington. After two decades of enmity, it was announced on 15 July 1971 that Richard Nixon was to visit China. The ‘Opening to China’ was in accord with the Nixon–Kissinger hope of maintaining a favourable position vis-à-vis the Soviets despite America’s problems in Vietnam. The chapter first considers the so-called ‘triangular diplomacy’ involving the US, USSR, and China as well as the East Asian balance, before discussing the Moscow Summit and Strategic Arms Limitation Talks (SALT I). It concludes with an assessment of the Nixon administration’s Vietnam settlement in 1972–3 via the Paris peace accords.
18. Instability in Latin America
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines the reasons for the instability in Latin America during the Cold War. The oil crisis of 1973–4, followed by trade deficits, depression, and high inflation, helped promote revolutionary ideas among the landless peasants and urban poor of many Latin American countries. Under Jimmy Carter, with his interest in promoting human rights, a more active and enlightened US policy towards Latin America might have been expected. However, his aims were inconsistent, as the moral cause of human rights clashed with local realities and other American interests. The chapter first considers the Reagan Doctrine and Ronald Reagan’s meddling in El Salvador before discussing the involvement of the US in Nicaragua and the ‘Contragate’ scandal. It concludes with an assessment of the US invasions of Grenada and Panama.
21. US Predominance and the Search for a Post-Cold War Order
Authors: Young John W. , Kent John
Published: August 2020

This chapter focuses on the predominance of the US and the search for order in the post-Cold War period. George H. W. Bush, who came to power in January 1989, concentrated on world affairs and had a series of foreign successes before the end of 1991. Bush’s cautious, pragmatic, approach carried both advantages and disadvantages. On one hand, he escaped any major disasters abroad and avoided antagonizing the Soviet Union or rekindling the Cold War. On the other, he seemed to be undynamic and at the mercy of events—he failed to provide a sense of overall direction to US foreign policy once the Cold War ended. The chapter first considers US foreign policy in the 1990s, before discussing the Gulf War of 1990–1, US–Soviet relations in the 1990s, US policy towards the ‘rogue states’ during the time of Bill Clinton, and ‘humanitarian intervention’ in Somalia and Haiti.
22. Stability and Instability in the Less Developed World
Authors: Young John W. , Kent John
Published: August 2020

This chapter focuses on stability and instability in less developed countries in the post-Cold War period. One of the signs, alongside the end of the Cold War, that old enmities were breaking down and that a more liberal-democratic world order might be emerging, was the end of apartheid in South Africa. This development followed a long period in which White supremacy had been in decline in southern Africa, leaving the home of apartheid exposed to strong external pressures. After discussing the end of apartheid in Southern Africa, the chapter considers developments in Central Africa, in particular Rwanda and Zaire, as well as the Middle East and East Asia. It concludes with an assessment of the rise of the Association of South-East Asian Nations (ASEAN) in 1967–89, the emergence of the ‘tiger’ economies in the 1990s, and the post-1997 economic crisis.
24. The War in Iraq
Authors: Young John W. , Kent John
Published: August 2020

This chapter focuses on the Iraq war of 2003–11 and the troubles in the Middle East. George W. Bush’s advisers, led by Dick Cheney and Don Rumsfeld, had been considering an attack on Iraq well before 9/11. At the same time, many experts within the government pointed to the lack of any evidence for Iraqi-sponsored terrorism directed against the United States. The threats to US national security were outlined to Bush in a briefing just prior to his inauguration; these threats came primarily from al-Qaeda’s terrorism and the proliferation of nuclear arms and other weapons of mass destruction (WMDs). The chapter first considers the US decision to invade Iraq, before discussing the war, taking into account the US’s Operation Iraqi Freedom and the war’s costs to the US and to Iraq. It also examines the Israeli–Palestinian conflict and concludes with an assessment of the ‘Arab Spring’.
26. Conflict and Chaos in the Middle East
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines the unrest across the Middle East in the 2010s. The first section focuses on the civil war in Syria and the role of so-called Islamic State., examining the causes of the Syrian uprising and the development of protests against President Assad into civil war. It describes the growth of Jihadism, formation of Ahrar al-Sham, and emergence of ISIS, and the subsequent declaration of a Caliphate. The escalation and destructive impact of the conflict is examined in the context of increasing international intervention and the involvement of foreign powers in both exacerbation of the conflict and efforts to restore peace. The second section describes the growing regional importance of Iran alongside the 2015 nuclear deal and tensions with Saudi Arabia. The chapter concludes with the Arab Spring in Tunisia and Egypt, conflict in Yemen, and the downfall of Gaddafi in Libya.
27. Threats to the Existing Global Order: Instability in the West
Authors: Young John W. , Kent John
Published: August 2020

This chapter examines significant challenges to the status quo in the West. President Obama’s domestic success was the extension of health care, while the fallout from the 2008 financial crisis resulted in heavy electoral losses for the Democrats in 2010. Nevertheless, he secured a second term in 2012 after some foreign policy successes, including arms reduction with Russia and the death of Osama bin Laden. Ultimately, Obama’s preference for diplomacy over force allowed Russia and Iran to fill the vacuum in Syria. Donald Trump became the oldest US president following the 2016 election. Controversially, he challenged conventional wisdom on climate change, free trade, and NATO, while sympathising with Brexit and Vladimir Putin. The aftermath of the 2008 crash, the failure of neo-liberalism, UK austerity, and Eurozone instability are examined in the second section. The chapter concludes with the reasons for the Brexit referendum, the result, and its consequences.
4. The Nation-State
Authors: Poggi Gianfranco
Published: August 2020

This chapter examines how the nation-state came into being and how it became dominant as a political unit. It first presents a general and streamlined portrait of the state—a concept that sociologists inspired by Max Weber might call an ideal type. In particular, it considers some of the characteristics of a nation-state, including monopoly of legitimate violence, territoriality, sovereignty, plurality, and relation to the population. The chapter proceeds by discussing a more expansive concept of the nation-state, taking into account the role of law, centralized organization, the distinction between state and society, religion and the market, the public sphere, the burden of conflict, and citizenship and nation. The chapter also describes five paths in state formation and concludes with an assessment of three main phases which different European states have followed in somewhat varying sequences: consolidation of rule, rationalization of rule, and expansion of rule.
5. Democracies
Authors: Pérez-Liñán Aníbal
Published: August 2020

This chapter examines the key features of modern democracy, as well as its origins. It first explains what democracy means in the field of comparative politics, before discussing different models of democracy, including presidential democracy, parliamentary democracy, and democracies oriented towards consensus or majoritarian rule. It then describes the conditions—economic and political, domestic, and international—that allow some countries to become democratic but preserve others under the rule of dictatorships. In particular, it analyses the variables that facilitate the democratization of dictatorships and the factors that place democracies at risk of becoming authoritarian regimes. Finally, it reflects on the future of democracy and looks at the challenges that lie ahead for new generations of citizens.
6. Authoritarian Regimes
Authors: Lindstaedt Natasha
Published: August 2020

For many years, the concept of an authoritarian regime was considered to be one large category, with little understanding of how these regimes differed. The study of authoritarian regimes has come a long way since. Though all authoritarian regimes share in common that there is no turnover in power of the executive, there are considerable differences that distinguish autocracies. Authoritarian regimes today are increasingly attempting to use ‘democratic’ institutions to prolong their rule. This has led to a rise in competitive authoritarian regimes, or hybrid regimes. In spite of these changes, authoritarian regimes are more robust than ever. This chapter explains the different ways in which authoritarian regimes are categorized. The chapter then explains how the different types of authoritarian regimes perform, and what factors make them more durable. As the chapter demonstrates, autocratic regimes have become increasingly better equipped to maintain themselves.
11. Multilevel Governance
Authors: Hooghe Liesbet , Marks Gary , Schakel Arjan H.
Published: August 2020

This chapter examines multilevel governance, the dispersion of authority to jurisdictions within and beyond national states. It summarizes the tremendous growth of multilevel governance since World War II, and reviews the major theories that seek to explain this. Whereas economists and public policy analysts explain multilevel governance as a functionalist adaptation to the provision of public goods, sociologists and political scientists focus on the effects of territorial identity and distributional conflict. These approaches complement each other, and today researchers draw on them to explain variation over time and across space. The chapter concludes by discussing three topics that have been affected by multilevel governance: democratic representation, ethno-territorial conflict, and social policy.
12. Political Parties
Authors: Katz Richard S.
Published: August 2020

This chapter examines the role that political parties play in the working of democracy. Political parties are among the major actors in democratic politics. Whether or not in power as the result of victory in free and fair elections, the governments of most countries have effectively been in the hands of party leaders. When governments were not in the hands of party leaders, most often it was because party government was interrupted by a military takeover. The chapter first considers various definitions of a political party, before tracing the origins of political parties. It then describes the functions of parties and the ways in which parties are organized, regulated, and financed. It concludes with an analysis of the role of parties in the stabilization of democracy in the late twentieth and early twenty-first centuries, as well as challenges confronting parties in the new millennium.
14. Interest Groups
Authors: Erne Roland
Published: August 2020

This chapter examines the role that interest groups play in political systems across time and space. Many scholars define interest groups as voluntary organizations that appeal to government but do not participate in elections. In a comparative context, however, this formal definition is problematic as the form of interest representation varies across countries. An alternative suggestion is to distinguish ‘public’ and ‘private interest groups’, but the term ‘public interest’ is problematic because of its contentious nature. The chapter begins with a review of different definitions of interest groups and the problems associated with each. It then considers the legacies of competing theoretical traditions in the field, namely republicanism, pluralism, and neocorporatism. It also discusses the role of interest associations in practice, distinguishing different types of action that are available to different groups, including direct lobbying, political exchange, contentious politics, and private interest government.
16. Social Movements
Authors: Rucht Dieter
Published: August 2020

This chapter presents the major theories and approaches in social movement research, highlighting four constitutive elements. Next, in a more descriptive approach, it outlines some general patterns and profiles of contemporary social movements, stressing the need to interpret social movements in relation to their key reference groups of which, besides movements’ opponents, allies, third parties, and bystanders play a crucial role. Another section is devoted to comparative aspects and findings in social movement studies, including the more recent trend towards the transnationalization of some movements. Finally, a typology of the basic functions and effects of social movements is presented. The general theme is that the structural context, the shared perceptions and experiences, as well as the dynamic interactions between social movements and their reference groups are crucial for a better understanding of the functions and effects of social movements as potential creators of social change.
17. Political Culture
Authors: Welzel Christian , Inglehart Ronald
Published: August 2020

This chapter examines the role that the concept of political culture plays in comparative politics. In particular, it considers how the political culture field increases our understanding of the social roots of democracy and how these roots are transforming through cultural change. In analysing the inspirational forces of democracy, key propositions of the political culture approach are compared with those of the political economy approach. The chapter first provides an overview of cultural differences around the world, before tracing the historical roots of the political culture concept. It then tackles the question of citizens’ democratic maturity and describes the allegiance model of the democratic citizen. It also explores party–voter dealignment, the assertive model of the democratic citizen, and political culture in non-democracies. It concludes with an assessment of how trust, confidence, and social capital increase a society’s capacity for collective action.
22. The Impact of Public Policies
Authors: Andersen Jørgen Goul
Published: August 2020

This chapter examines the effects of public policy. It first considers economic paradigms and approaches to welfare and documents the overriding historical changes in approaches to the economy, from Keynesian ideas of macro-economic steering to more market-oriented economic perspectives. It then explores the idea of institutional complementarity, as expressed in the typologies of welfare regimes, varieties of capitalism, and flexicurity. It also looks at some of the empirical analyses of the effects of welfare policies and the tension between welfare and economic efficiency. Finally, it looks at policy feedback, path dependence, policy learning, social learning, policy transfer and policy diffusion, and policy convergence.
23. The EU as a New Political System
Authors: Hix Simon
Published: August 2020

This chapter examines the development and operation of the European Union from a comparative politics perspective. It first considers the evolution of the EU, from the signing of the Treaty of Paris in 1951 that established the European Coal and Steel Community (ECSC) to the admission of Lithuania in 2015 as the nineteenth member of the Eurozone, and the UK’s decision to leave the EU in 2016. The chapter then explores the process of European integration and goes on to explain what it means to think of the EU as a political system. It also describes the two basic dimensions of the EU system: the vertical dimension (the EU as a ‘regulatory state’) and the horizontal dimension (the design and operation of EU decision-making). The chapter concludes by analysing the ‘missing link’ in the EU system— the lack of genuine democratic politics.
Introduction to Comparative Politics
Authors: Caramani Daniele
Published: August 2020

This text provides a comprehensive introduction to comparative politics. Comparative politics is an empirical science that deals primarily with domestic politics. It is one of the three main subfields of political science, alongside international relations and political theory. Comparative politics has three goals: to describe differences and similarities between political systems and their features; to explain these differences; and to predict which factors may cause specific outcomes. This edition compares the most important features of national political systems and contains chapters on integration, globalization, and promotion of democracy in non-Western parts of the world. This introductory chapter explains what comparative politics is, and discusses its substance as well as method.
Introduction to Politics
Authors: Garner Robert , Ferdinand Peter , Lawson Stephanie
Published: August 2020

Combining theory, comparative politics, and international relations, Introduction to Politics provides an introduction to the subject. It covers both comparative politics and international relations, and contextualises this material with a wide range of international examples. The text takes a balanced approached to the subject, serving as a strong foundation for further study. The material is explored in an accessible way for introductory study, but takes an analytical approach which encourages more critical study and debate. Topics range from political power and authority to democracy, political obligation, freedom, justice, political parties, institutions and states, and global political economy
2. Politics and the State
Authors: Garner Robert
Published: August 2020

This chapter explains why the state and sovereignty are relevant to the study of politics. It first provides an empirical typology of the state, ranging from the minimalist night-watchman state, approximated to by nineteenth-century capitalist regimes at one end of the spectrum, to the totalitarian state of the twentieth century at the other. It then examines the distribution of power in the state by focusing on three major theories of the state: pluralism, elitism, Marxism, as well as New Right theory. The chapter seeks to demonstrate that the theories of the state identified can also be critiqued normatively, so that pluralism, for instance, can be challenged for its divisive character, as exemplified by identity politics. It then goes on to review different views about what the role of the state ought to be, from the minimalist state recommended by adherents of classical liberalism, to the pursuit of distinctive social objectives as recommended, in particular, by proponents of communitarianism. Finally, it discusses empirical and normative challenges to the state and asks whether the state’s days are numbered.
3. Political Power, Authority, and the State
Authors: Garner Robert
Published: August 2020

This chapter examines the notion of power in relation to authority and the state. Power and authority are central concepts in politics. Politics is about competing interests and values, and this requires knowing something about power, since those who have power over others can determine which interests and values will be adopted by political decision-makers. The chapter first considers the link between power and authority before discussing the classic threefold typology of authority proposed by Max Weber: traditional authority, charismatic authority, and legal–rational authority. It then explores some conceptual questions about power; for example, whether it is the same as force, or whether it must be exercised deliberately. It also evaluates the methodological problems inherent in the measurement of power, particularly in relation to the different theories of the state such as pluralism, elitism, and Marxism.
5. Freedom and Justice
Authors: Garner Robert
Published: August 2020

This chapter examines two related, but distinct, political concepts — justice and freedom. It first considers various possible constraints on freedom before discussing the degree to which freedom is desirable. It then explores various alternative values that might conflict with freedom, mainly in the context of John Stuart Mill’s political thought; these include equality, paternalism, and happiness. The chapter proceeds by analysing the concept of justice and various criteria for determining its meaning in the context of the major competing theories of justice provided by John Rawls and Robert Nozick. Finally, it evaluates alternative theories of justice which challenge the conventional liberal view that theories of justice should focus only on the nation-state and are applicable only to human beings.
7. Challenges to the Dominant Ideologies
Authors: Garner Robert
Published: August 2020

This chapter examines a range of contemporary ideologies which challenge the traditional ones identified in ~Chapter 5. They differ from traditional ideologies in a number of ways. They are, first, less optimistic about the ability of ideologies to construct an overarching explanation of the world, not surprisingly since they emerged in the aftermath of the catastrophic impact of some traditional ideologies. They also respect difference and variety. This is a product of social and economic change which has eroded the ‘Fordist’ economy, brought into being a number of powerful identity groups based on gender, culture, and ethnicity, and raised question marks over the environmental sustainability of current industrial practices. Two modern political currents – postmodernism and populism – are considered and it is questioned whether they can be properly described as ideologies. The chapter then considers a number of contemporary ideologies such as feminism, environmentalism, multiculturalism, and religious fundamentalism.
8. Institutions and States
Authors: Ferdinand Peter
Published: August 2020

This chapter deals with institutions and states. Institutions are essentially regular patterns of behaviour that provide stability and predictability to social life. Some institutions are informal, with no formally laid down rules such as the family, social classes, and kinship groups. Others are more formalized, having codified rules and organization. Examples include governments, parties, bureaucracies, legislatures, constitutions, and law courts. The state is defined as sovereign, with institutions that are public. After discussing the concept of institutions and the range of factors that structure political behaviour, the chapter considers the multi-faceted concept of the state. It then looks at the history of how the European type of state and the European state system spread around the world between the seventeenth and twentieth centuries. It also examines the modern state and some of the differences between strong states, weak states, and democratic states.
9. Political Culture and Non-Western Political Ideas
Authors: Ferdinand Peter
Published: August 2020

This chapter begins by outlining the importance of poltical culture in structuring, but not determining, the behaviour of actors within individual political systems. It illustrates the persistence of its impact with the failure of Mao Zedong to eliminate traditional Chinese ways of thinking and create a wholly new political culture in the Cultural Revolution. On the other hand it cites fluctuations in Russian political culture over centuries to show that the perceived content of a particular political culture can be fundamentally contested and malleable, so that it does evolve. And it notes the recent claims of political leaders in Russia, China and India, amongst others, that their nations’ historical achievements raise them to the status of ‘civilization states’. One feature of a nation’s political culture is the recurring trends of issues and preoccupations in political thinking there. Then it goes on to examine issues in thinking in non-Western countries, that structure political attitudes and political behaviour differently from the West. It begins by looking at traditional notions of legitimate political authority in other regions of the world, particularly Asia, that preceded the arrival of Western colonialists. These often assumed more ‘organic’ and more segmented communities than would be associated with Western individualist ones influenced by the legacy of the French revolution. Then it considers more recent non-Western political thinking.