Business and Society Review, Volume 126, Issue 1, Page 69-99, Spring 2021.

Background At the point of cancer diagnosis, practitioners may wrestle with ethical dilemmas associated with medico-legal implications of diagnosis, treatment options and disclosure to family members. The patient's perspective can take a different route, focusing on ethical and existential questions about the value and purpose of life, culminating in the question: how do I lead my life after diagnosis? Objective To explore the ethical and existential challenges associated with a cancer diagnosis from the perspective of cancer survivors. Design Qualitative design (...) using specifically phenomenological methods to enable focus on subjective experience. Two in-depth interviews were conducted over a 6-month period. Setting Bendigo, Victoria, Australia. Participants 15 participants (n=11 women and n=4 men) volunteered to be interviewed. Age ranged from 32 to 85 years of age; length of survival 0.5–25 years; with a range of cancer diagnoses. Results Findings demonstrated that participants experienced existential and ethical challenges associated with a cancer diagnosis and subsequent survivorhood. These challenges were present regardless of cancer stage or diagnostic type and pervaded throughout length of survival. The existential challenges included the experience of anxiety and uncertainty about recurrence and metastatic disease. In particular, participants reported iatrogenic uncertainty induced by tests and treatment with follow-up regimes underscoring the fragility of survivor status. Uncertainty served as a ‘wake-up call’ and precipitated ethical challenges. Such challenges involved making meaning of survivorhood and questioning of morals, values and relationships. At times these questions were painful and difficult, creating unease about leading a ‘good’ and purposeful life. Entering ethically rocky terrain was also considered identity enhancing, with reports that a cancer diagnosis could have benefits as well as challenges. Conclusion This study identified a number of challenges associated with a cancer diagnosis; these have implications for the preparation of medical, nursing and social work practitioners and should be considered during the design of follow-up support for cancer patients and those in recovery. (shrink)

This series of articles systematizes the events of settlement and economic development of vast spaces of North America, Australia, South Africa and North Asia, which are related to the movement of gold and diamond hunters. A chronological survey of the events is offered, the general phenomenon analyzed as well as specific aspects of its historical, mining, geological and organizational constituents covered. The material is divided into three separate but thematically united parts which describe the phenomenon of gold rush-spontaneous large-scale gold (...) mining at newly discovered deposits in remote parts of the world in the second half of the 19th century - the early 20th century. The impact of gold rushes in North America and Australia on the processes of global economic and financial transformations is shown. Large outputs resulted in setting a monetary gold standard which had been in place up to World War I: a wide turnover of gold coins, displacement of silver which began to act as token money as well as free exchange of paper money for gold coins. The above contributed to a sustainable development of world money relations which gave rise to a global financial system in the modern sense; a significant banks' influence on economic transformations as well as establishment of international centers for financial capital. Huge gold reserves were purposefully accumulated in the USA which, extracting an ample quantity of gold in its territory, bought up a considerable part of the world gold output, which eventually secured the key status of the American currency in world trade. Extracted gold played a key role in provision of financial resources for large-scale industrial development of the industrial epoch. Numerous migrations of working people from gold mining sites promoted the development and settlement of remote territories as well as the utilization of their natural resources in the global economic development. (shrink)