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85 result(s) for "Lionel Curtis"
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From empire to Atlantic 'system': the Round Table, Chatham House and the emergence of a new paradigm in Anglo-American relations
The aim of the article is to investigate the ideological and material influence by the Round Table Movement on the origins of the Royal Institute of International Affairs (Chatham House) in London, and the Council on Foreign Relations in New York, in the definition of a new paradigm in Anglo-American relations. The entrance of the United States into the forefront of world power politics had permanently changed the world's balance of power, which now required a direct and perpetual association of the United States in the maintenance of the world's economic and political stability. But in the United States there did not then exist the subjective conditions for their association to the direction of world politics. The interwar historical role played by the Round Table was to steer the transition from an Anglo-French to an Anglo-American dyarchy in the management of world power.
Effectiveness of road safety interventions: An evidence and gap map
Background Road Traffic injuries (RTI) are among the top ten leading causes of death in the world resulting in 1.35 million deaths every year, about 93% of which occur in low‐ and middle‐income countries (LMICs). Despite several global resolutions to reduce traffic injuries, they have continued to grow in many countries. Many high‐income countries have successfully reduced RTI by using a public health approach and implementing evidence‐based interventions. As many LMICs develop their highway infrastructure, adopting a similar scientific approach towards road safety is crucial. The evidence also needs to be evaluated to assess external validity because measures that have worked in high‐income countries may not translate equally well to other contexts. An evidence gap map for RTI is the first step towards understanding what evidence is available, from where, and the key gaps in knowledge. Objectives The objective of this evidence gap map (EGM) is to identify existing evidence from all effectiveness studies and systematic reviews related to road safety interventions. In addition, the EGM identifies gaps in evidence where new primary studies and systematic reviews could add value. This will help direct future research and discussions based on systematic evidence towards the approaches and interventions which are most effective in the road safety sector. This could enable the generation of evidence for informing policy at global, regional or national levels. Search Methods The EGM includes systematic reviews and impact evaluations assessing the effect of interventions for RTI reported in academic databases, organization websites, and grey literature sources. The studies were searched up to December 2019. Selection Criteria The interventions were divided into five broad categories: (a) human factors (e.g., enforcement or road user education), (b) road design, infrastructure and traffic control, (c) legal and institutional framework, (d) post‐crash pre‐hospital care, and (e) vehicle factors (except car design for occupant protection) and protective devices. Included studies reported two primary outcomes: fatal crashes and non‐fatal injury crashes; and four intermediate outcomes: change in use of seat belts, change in use of helmets, change in speed, and change in alcohol/drug use. Studies were excluded if they did not report injury or fatality as one of the outcomes. Data Collection and Analysis The EGM is presented in the form of a matrix with two primary dimensions: interventions (rows) and outcomes (columns). Additional dimensions are country income groups, region, quality level for systematic reviews, type of study design used (e.g., case‐control), type of road user studied (e.g., pedestrian, cyclists), age groups, and road type. The EGM is available online where the matrix of interventions and outcomes can be filtered by one or more dimensions. The webpage includes a bibliography of the selected studies and titles and s available for preview. Quality appraisal for systematic reviews was conducted using a critical appraisal tool for systematic reviews, AMSTAR 2. Main Results The EGM identified 1859 studies of which 322 were systematic reviews, 7 were protocol studies and 1530 were impact evaluations. Some studies included more than one intervention, outcome, study method, or study region. The studies were distributed among intervention categories as: human factors (n = 771), road design, infrastructure and traffic control (n = 661), legal and institutional framework (n = 424), post‐crash pre‐hospital care (n = 118) and vehicle factors and protective devices (n = 111). Fatal crashes as outcomes were reported in 1414 records and non‐fatal injury crashes in 1252 records. Among the four intermediate outcomes, speed was most commonly reported (n = 298) followed by alcohol (n = 206), use of seatbelts (n = 167), and use of helmets (n = 66). Ninety‐six percent of the studies were reported from high‐income countries (HIC), 4.5% from upper‐middle‐income countries, and only 1.4% from lower‐middle and low‐income countries. There were 25 systematic reviews of high quality, 4 of moderate quality, and 293 of low quality. Authors' Conclusions The EGM shows that the distribution of available road safety evidence is skewed across the world. A vast majority of the literature is from HICs. In contrast, only a small fraction of the literature reports on the many LMICs that are fast expanding their road infrastructure, experiencing rapid changes in traffic patterns, and witnessing growth in road injuries. This bias in literature explains why many interventions that are of high importance in the context of LMICs remain poorly studied. Besides, many interventions that have been tested only in HICs may not work equally effectively in LMICs. Another important finding was that a large majority of systematic reviews are of low quality. The scarcity of evidence on many important interventions and lack of good quality evidence‐synthesis have significant implications for future road safety research and practice in LMICs. The EGM presented here will help identify priority areas for researchers, while directing practitioners and policy makers towards proven interventions.
The clinical and cost effectiveness of group art therapy for people with non-psychotic mental health disorders: a systematic review and cost-effectiveness analysis
Background The majority of mental health problems are non-psychotic (e.g., depression, anxiety, and phobias). For some people, art therapy may be a more acceptable alternative form of psychological therapy than standard forms of treatment, such as talking therapies. This study was part of a health technology assessment commissioned by the National Institute for Health Research, UK and aimed to systematically appraise the clinical and cost-effective evidence for art therapy for people with non-psychotic mental health disorders. Methods Comprehensive literature searches for studies examining art therapy in populations with non-psychotic mental health disorders were performed in May 2013. A quantitative systematic review of clinical effectiveness and a systematic review of studies evaluating the cost-effectiveness of group art therapy were conducted. Results Eleven randomised controlled trials were included (533 patients). Meta-analysis was not possible due to clinical heterogeneity and insufficient comparable data on outcome measures across studies. The control groups varied between studies but included: no treatment/wait-list, attention placebo controls and psychological therapy comparators. Art therapy was associated with significant positive changes relative to the control group in mental health symptoms in 7 of the 11 studies. A de novo model was constructed and populated with data identified from the clinical review. Scenario analyses were conducted allowing comparisons of group art therapy with wait-list control and group art therapy with group verbal therapy. Group art-therapy appeared cost-effective compared with wait-list control with high certainty although generalisability to the target population was unclear; group verbal therapy appeared more cost-effective than art therapy but there was considerable uncertainty and a sizeable probability that art therapy was more cost effective. Conclusions From the limited available evidence art therapy was associated with positive effects compared with control in a number of studies in patients with different clinical profiles. The included trials were generally of poor quality and are therefore likely to be at high risk of bias. Art therapy appeared to be cost-effective versus wait-list but further studies are needed to confirm this finding in the target population. There was insufficient evidence to make an informed comparison of the cost-effectiveness of group art therapy with group verbal therapy. Trial registration HTA project no. 12/27/16; PROSPERO registration no. CRD42013003957 .
Lionel Curtis, Imperial Citizenship, and the Quest for Unity
Gorman examines the career of imperial publicist Lionel Curtis, one of many early-20th-century Britons who attempted to supply empire with a political purpose. Curtis's holistic program of empire called for the construction of a broad imperial citizenship, the goal being the procurement of international peace. Within this vision, however, he was unable to properly incorporate countervailing ideas of colonial nationalism and racial difference.
Richard Jebb, John S. Ewart and the Round Table, 1898–1926
During the early twentieth century the idea of imperial federation was revived by Lionel Curtis, the founder of the Round Table group. However, Curtis did not succeed in generating much support in the settler Dominions (which were central to his schemes) for either an imperial parliament or an imperial cabinet. Curtis's failure has often been interpreted as proof of an inevitable clash between British ‘imperialism’ and the ‘nationalism’ that was emerging in the Dominions at this time. However, it may be better understood as a reflection of the strength of a narrower, ‘patriotic’ determination in the Dominions to protect the autonomy of local state structures. ‘Britannic nationalist’ sentiment in the Dominions (which emphasised the existence of a community of culture encompassing Britain and the Dominions) was meanwhile far from opposed to other forms of closer imperial unity, forms that did not challenge the autonomy of member states. This claim is supported by an analysis of Canadian responses both to Curtis's schemes and to the alternative ideas championed by Richard Jebb, a British writer on imperial relations. Jebb developed a network of alliances with like-minded Britannic nationalists in Canada, and discussed with them how local autonomy could best be reconciled with the need for imperial co-operation. Examining the interaction between Jebb's ideas and those of Canadian thinkers such as Arthur Hawkes, John A. Cooper, J. W. Dafoe, and, most importantly, the Ottawa lawyer and constitutional expert John S. Ewart, helps show the true significance of the failure of Curtis's schemes, and reveals underlying continuities between pre- and post-First World War debates about imperial consultation.
From Empire to International Commonwealth: A Biography of Lionel Curtis
Voeltz reviews \"From Empire to International Commonwealth: A Biography of Lionel Curtis\" by Deborah Lavin.
Lionel Curtis: imperial citizenship as a prelude to world government
This chapter analyses the ideas of Lionel Curtis, co-founder of the imperial pressure group the Round Table, concerning imperial citizenship. Curtis' ideas concerning imperial citizenship point to one of the central strands of the imperial thought web—the idea of union consecrated in an imperial citizenship. He believed that imperial federation held the key to world peace and provided the buttress of civilization. Though Curtis struggled to reconcile the existence of multiple loyalties within the Empire with the formation of a unified imperial state, his ideas were influential in framing the political evolution of Empire in the mid-twentieth century. Perhaps of greatest significance was his concept of dyarchy, which epitomized the British style of informal Empire.