Rural, remote, and northern Indigenous communities in Canada frequently face limited access to healthcare services with ongoing physician and staff shortages, inadequate infrastructure, and resource challenges. These healthcare gaps have produced significantly poorer health outcomes for people living in remote communities than those living in southern and urban regions who have timely access to care. Telehealth has played a critical role in bridging long-standing gaps in accessing healthcare services by connecting patients and providers across distance. While the adoption of telehealth (...) in Northern Saskatchewan is growing, its initial implementation faced several barriers related to limited and stretched human and financial resources, infrastructure challenges such as unreliable broadband, and a lack of community involvement and engaged decision-making. Emerging ethical issues during the initial implementation of telehealth in community contexts have been wide ranging including concerns around privacy that have also shaped patients’ experiences and particularly the need to consider place and space within rural contexts. Drawing from a qualitative study with four Northern Saskatchewan communities, this paper offers critical perspectives on the resource challenges and place-based considerations that are shaping telehealth in the Saskatchewan context and provides recommendations and lessons learned that could inform other Canadian regions and countries. This work responds to the ethics of tele-healthcare in rural communities in Canada and contributes perspectives of community-based service providers, advisors, and researchers. (shrink)

This paper puts forward an argument for stakeholder rights. It begins by exploring two major answers to the question, 'in whose interests should the commercial company function?'. One claims parity for other stakeholders alongside the shareholder on the basis of a theory of property rights, and another on a theory of citizenship. Each of these answers, it is argued, fail to convince. The way forward is to recast the initial question, not asking in whose interest the company should function, but (...) which type of interest, potentially located in any sort of person, might the company serve. That interest is identified and distinguished from others that people affected by corporations might have. These distinctions then provide the basis for an argument in favour of enfranchising two sorts of individual: sovereign stakeholders, in charge of monitoring the formulation and revision of company objectives; and secondary stakeholders, who along with those in the first category monitor the means used to achieve those objectives.The paper concludes that these distinctions should lead us to reconsider other elements in the corporate governance debate, such as the nature of a director's fiduciary duty; and the difference between democracy in corporations and democracy in the wider society. (shrink)

Biodiversity is a valuable resource that supports sustainability within agricultural systems, yet in contradiction to this agriculture is recognised as a contributor to biodiversity loss. Agricultural advisory services are institutions that support sustainable agricultural development, employing a variety of approaches including farmer discussion groups in doing so. This study evaluates the impact of a farmland biodiversity management (FBM) communication strategy piloted within Irish farmer discussion groups. A sensemaking lens was applied in this objective to gain an understanding of how this (...) strategy could create an actionable space for FBM promotion amongst farmers. The strategy was piloted with six Irish dairy farmer discussion groups, after which focus groups were conducted with members of these groups. Additionally, baseline and endline surveys were completed by the members to determine their knowledge, attitude and on-farm practices relating to FBM. Analysis of the focus group data identified that the communication strategy supported the affordance of sensemaking with respect to FBM. Analysis of the data from the baseline and endline surveys relating to knowledge, attitudes and practices found that engaging with the communication strategy promoted farmers to improve their attitude in relation to FBM. Results from this study provide important lessons for agricultural advisory services to support farmers in incorporating FBM into the overall management of their farms and, in turn, to promote the improvement of farmland biodiversity and contribute to a sustainable future. (shrink)

The author's aim is to find principles grounding and limiting toleration that are sufficiently sensitive to the variety of distinct settings in which concrete problems arise, and to produce principles which can appeal both to liberals and to non‐liberals. The range of settings is covered by fixing the nature of three distinct species of the genus right to toleration. Once these rights are analysed, an attempt is made to see what agreement about them can be reached by liberals and non‐liberals (...) if they have a common commitment to democracy. A definition of democracy is produced that, it is argued, liberals and non‐liberals would have difficulty rejecting. It is then explored as a definition that has definite consequences over the three rights to toleration, putting the opponents before a choice: either to accept their preferred content for the right to toleration, or to support a democratic policy. (shrink)

A fresh, thought-provoking and wide-ranging study of how mankind uses its hands Why do zombies walk with their arms outstretched? How can newborn babies grip an adult finger tightly enough to dangle unsupported from it? And why is everyone constantly texting, tapping and scrolling? For anyone curious about how human beings work, the answers are hidden in plain sight: in our hands. From early tools to machinery -- from fists to knives to guns -- from papyrus to QWERTY to a (...) swipeable screen -- the history of civilization is a history of what humans do with their hands. We have always kept our hands occupied, and if mankind's story is marked out by profound changes in how we use our hands, it is also marked by underlying patterns that never change. And as much as the things we do with our hands reflect our psychological state, they can also change that state profoundly... Drawing examples from popular culture, art history, psychoanalysis, modern technology and clinical research, Darian Leader presents a unique and fascinating odyssey through the history of what human beings do with their hands - and why. (shrink)

In The New Black, Darian Leader argues that mourning and melancholia lie at the heart of what we call depression, but that we neither fully understand nor appreciate the influence of either on our inner lives. By looking more deeply at how we respond to experiences of loss, he seeks to free us from the grip of feelings that, if we let them, may destroy us.

From the brilliant psychoanalyst behind Strictly Bipolar and What is Madness, a short and fascinating guide to the history of human sleep - and why we can't seem to sleep any more One in four adults sleeps badly. Sleeping pill prescriptions have increased dramatically over the last three decades, as have the incidence of sleep clinics. Sleep used to be a natural state, easy as breathing, but increasingly it is an insecure commodity....Isn't it? Our relationship to sleep surfaces and resurfaces (...) throughout human history, each time telling us something new about our indivudual and collective psychology. From the industrial revolution to blue-light on our phones, from the ancient art of dream interpretation to the modern science of Freud, sleep is connected to wider social patterns, to shifting norms and expectations. Weaving together cultural, social, economic and psychoanalytic influences, Darian Leader delves into the truth about this universal human experience. (shrink)