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How should the United States recalibrate its counterterrorism policy for an era of great power competition? With the end of unipolarity, the United States cannot fight terrorists and compete with Russia and China with equal energy, but must instead make hard choices about its priorities and resources. Among those hard choices are what to do with the web of counterterrorism partnerships with other governments that have formed in the post- 9/11 era. This article proposes three broad principles—linkages, license, and legitimacy—that the United States can use to evaluate its policy and these partnerships, with the aim of recasting U.S. counterterrorism policy for an era of great power competition. [ABSTRACT FROM AUTHOR]

Objective: Child and youth mental health problems are often assessed by parent self-completed checklists that produce dimensional scale scores. When converted to binary ratings of disorder, little is known about their psychometric properties in relation to classifications based on lay-administered structured diagnostic interviews. In addition to estimating agreement, our objective is to test for statistical equivalence in the test-retest reliability and construct validity of two instruments used to classify child emotional, behavioural, and attentional disorders: the 25-item, parent completed Ontario Child Health Study Emotional Behavioural Scales-Brief Version (OCHS-EBS-B) and the Mini International Neuropsychiatric Interview for Children and Adolescents-parent version (MINI-KID-P). Methods: This study draws on independent samples (n = 452) and uses the confidence interval approach to test for statistical equivalence. Reliability is based on kappa (κ). Construct validity is based on standardized beta coefficients (β) estimated in structural equation models. Results: The average differences between the MINI-KID-P and OCHS-EBS-B in κ and β were −0.022 and −0.020, respectively. However, in both instances, criteria for statistical equivalence were met in only 5 of 12 comparisons. Based on κ, between-instrument agreement on the classifications of disorder went from 0.481 (attentional disorder) to 0.721 (emotional disorder) but were substantially higher (0.731 to 0.895, respectively) when corrected for attenuation due to measurement error. Conclusions: Although falling short of equivalence, the results suggest on balance that the reliability and validity of the two instruments for classifying child psychiatric disorder assessed by parents are highly comparable. This conclusion is supported by the high levels of agreement between the instruments after correcting for attenuation due to measurement error. [ABSTRACT FROM AUTHOR]

Aplasia cutis congenita (ACC) is one of several congenital malformations associated with antithyroid/thiourylene drug use in pregnancy. While uncommon among the general population (1-3/100 000 cases), the risk among those on thiourylenes is between 1.6% and 3%. The scalp is the most common site for this congenital anomaly. We present the case of a male infant with multifocal ACC of the scalp discovered at birth and born to a mother with Graves disease that was controlled during pregnancy using carbimazole. Thyroid function tests were normal throughout the pregnancy. There was no involvement of underlying subcutaneous tissue or structures. At age 18 months, the single largest lesion remained with only partial coverage. Prospective management involved periodic surveillance with planned 2-stage repair. This case reinforces the association between the antithyroid drugs carbimazole (CMZ) and methimazole (MMI) and supports the proposition of an MMI/CMZ embryopathy. It adds to a literature of case reports in which malformations arise in offspring of such mothers whose thyrotoxicosis is controlled antenatally, thereby challenging the suggestion that ACC is attributable to poorly controlled disease rather than thiourylenes. As yet the underlying mechanism is not understood, nor is it known why MMI and CMZ may cause potentially significant embryopathy while congenital defects attributable to the structurally similar propylthiouracil are typically less severe. [ABSTRACT FROM AUTHOR]

In 2021, the International Union for Conservation of Nature (IUCN) introduced a novel method for assessing species recovery and conservation impact: the IUCN Green Status of Species. The Green Status standardizes recovery using a metric called the Green Score, which ranges from 0% to 100%. This study focuses on one crucial step in the Green Status method—the division of a species' range into so-called "spatial units"—and evaluates whether different approaches for delineating spatial units affect the outcome of the assessment (i.e., the Green Score). We compared Green Scores generated using biologically based spatial units (the recommended method) to Green Scores generated using ecologically based or country-based spatial units for 29 species of birds and mammals in Europe. We found that while spatial units delineated using ecoregions and countries (fine-scale) produced greater average numbers of spatial units and significantly lower average Green Scores than biologically based spatial units, coarse-scale spatial units delineated using biomes and countries above a range proportion threshold did not differ significantly from biologically based results for average spatial unit number or average Green Score. However, case studies focusing on results for individual species (rather than a group average) showed that, depending on characteristics of the species' distribution, even these coarse-scale delineations of ecological or country spatial units often over- or under-predict the Green Score compared to biologically based spatial units. We discuss cases in which the use of ecologically based or country-based spatial units is recommended or discouraged, in hopes that our results will strengthen the new Green Status framework and ensure consistency in application. [ABSTRACT FROM AUTHOR]