BackgroundIn the 1970s, the Federal Trade Commission declared that allowing medical providers to advertise directly to consumers would be “providing the public with truthful information about the price, quality or other aspects of their service.” However, our understanding of the advertising content is highly limited.ObjectiveTo assess whether direct-to-consumer medical service advertisements provide relevant information on access, quality and cost of care, a content analysis was conducted.MethodTelevision and online advertisements for medical services directly targeting consumers were collected in two major urban (...) centres in Nevada, USA, identifying 313 television advertisements and 200 non-duplicate online advertisements.ResultsBoth television and online advertisements reliably conveyed information about the services provided and how to make an appointment. At the same time, less than half of the advertisements featured insurance information and hours of operation and less than a quarter of them contained information regarding the quality and price of care. The claims of quality were substantiated in even fewer advertisements. The scarcity of quality and cost information was more severe in television advertisements.ConclusionThere is little evidence that medical service advertising, in its current form, would contribute to lower prices or improved quality of care by providing valuable information to consumers. (shrink)

I have been proposing for ‘christo‐dao’ rather than traditional christo-logy or modern christo‐praxis as a more appropriate paradigm for the understanding of Jesus Christ in the new millennium. This christological paradigm shift solicits a radical change of its root-metaphor, from logos (Christ as the incarnate logos) or praxis (Christ as the praxis of God’s reign) to ‘dao’ (Christ as the embodiment of the Dao, the “theanthropocosmic” Way) with a critical new interpretation. For EastAsian Christians, the christological adoption of dao is (...) as inevitable and legitimate as that of logos for the Western church at the fourth century. This adoption has been operative since the beginning of Korean Christianity. As an example, in this paper, I introduce the intriguing thoughts of Dasŏk Ryu Young-mo 柳永模 (1890-1981). According to John 14:6, Ryu comprehended Jesus as the Dao, the way of the truth toward the life in God. Christ is the brightest way on which we can walk safely (the truth) to attain the unity with God (the life). It coincides with the goal of Confucianism, the anthropocosmic unity of Heaven and humanity. Fromthis vantage point, he further expressed a nobel East Asian definition of God; namely, God is the One who is ‘the Being in Non-Being’ (Ŏpshigyeshin-nim): He believed that this event of Being-in-Non-Being has been historically manifested in the crucifixion (the Non-Being) and the resurrection (Being) of Jesus Christ. Christ is both the Non-Being (the Non-Ultimate, Vacuity) and Being (Great Ultimate, Form). Finally, confessing Jesus as the embodiment of the Dao is none other than Ryu’s East Asian way of saying “the Word made flesh.”. (shrink)

With the introduction of general management and then of planned markets into the National Health Service (NHS), health care in the UK has gone through a massive amount of change. The effect on those working for the NHS has been ‘challenging’ and often confusing. This paper aims to clarify what is happening by taking an ideological perspective: what ideologies exist, how they are changing and the strategies being used to ensure their survival. Ideologies are basically about power. The relationship between (...) market, managerial and professional ideologies is analysed using charters, codes of conduct and other associated documents. A tentative conclusion is reached that professional ideologies are able to adjust to the overriding market/consumerist ideology. However, the managerial ideology is having difficulty in gaining any real ground against the professional ideology and is having to move strategically by using audit, not just of finance, but also of clinical judgement, to gain power. (shrink)

This review article discusses the relationship between deference and the presumption of constitutionality, as discussed in Brian Foley’s book, Deference and the Presumption of Constitutionality. Foley argues for the rejection of the presumption of constitutionality as it operates in the Irish Constitution, proposing instead a ‘due deference’ approach. This approach would require courts to give varying degrees of weight to the legislature’s conclusions that particular legislative provisions are constitutional. The article praises Foley’s book, particularly its stronger justification of due deference (...) which focuses on its ability to foster a culture of justification which, in turn, facilitates popular sovereignty. The review also provides a criticism of the argument made in the book and discusses its application to the UK constitution. First, the review argues that the focus on constitutional as opposed to institutional factors to determine deference may, in practice, undermine Foley’s justification of due deference. Second it argues that Foley’s justification of deference may be best served in the UK constitution by a theory of democratic dialogue as opposed to the application of due deference. (shrink)

The aim of this article is to explore the practical complexity of accountability in health care by focusing on a particular crisis affecting one NHS trust in the UK, that of insufficient beds to meet demand. It is presented through the eyes of five middle managers with nursing backgrounds. Although the focus is on their words, their expressions of distress and their awareness of conflict, these lead to a commentary highlighting some of the relationships between theory and practice, policy making (...) and implementation, and, in the final analysis, compulsion and choice. The managers seemed to work within four main patterns of provider accountability: public, professional, pecuniary and personal. These four Ps of accountability created incompatibilities in the accountability process, but the conclusion attempts to draw the threads together to suggest a possible way forward. In order to protect confidentiality, pseudonyms are used for the NHS trust and the interviewees, and some personal details have been disguised. (shrink)

The aim of this article is to explore the practical complexity of accountability in health care by focusing on a particular crisis affecting one NHS trust in the UK, that of insufficient beds to meet demand. It is presented through the eyes of five middle managers with nursing backgrounds. Although the focus is on their words, their expressions of distress and their awareness of conflict, these lead to a commentary highlighting some of the relationships between theory and practice, policy making (...) and implementation, and, in the final analysis, compulsion and choice. The managers seemed to work within four main patterns of provider accountability: public, professional, pecuniary and personal. These four Ps of accountability created incompatibilities in the accountability process, but the conclusion attempts to draw the threads together to suggest a possible way forward.In order to protect confidentiality, pseudonyms are used for the NHS trust and the interviewees, and some personal details have been disguised. (shrink)

Ketamine, a dissociative anesthetic commonly used by US physicians, has recently been shown to be a powerful anti-depressant and is also capable of eliciting transpersonal experiences that can be transformative. Although currently approved in the US only for use as an anesthetic, physicians there can legally prescribe it off-label to treat various psychological/ psychiatric problems and it has been used for these non-anesthetic purposes in Argentina, Iran, Mexico, Russia, and the UK, as well as in the US. The literature on (...) using ketamine psychotherapeutically is reviewed and two case studies using ketamine-enhanced psychotherapy for treating death anxiety in terminally-ill people are reported. The potential importance of beginning formal research on using KEP during end-of-life for those suffering death anxiety is emphasized. (shrink)

Although scholars have long acknowledged the importance of having effective networks in business, little is known about the role of women’s professional status in the effectiveness of their networks. Drawing on gender-status beliefs theory, we examine how a woman’s status affects levels of trust in the information that she shares with members of her professional network. We hypothesize that network members are likely to mistrust information from women because of a gender-status mismatch—a perceived mismatch between a woman’s work-related high status (...) and her low social status, due to widely held beliefs about women’s lack of competence. By measuring three types of status and analyzing trust levels in 3,842 dyads from communication networks in a UK railway construction project from 2014 through 2015, we find that network members trust information from women who are in supervisory positions and are connected with central contacts less than information from low-status women. Our study extends the literature on gender-status beliefs and effective networks, and discusses practical implications. (shrink)

In 2008 UK legislation was amended to enable the use of deferred consent for paediatric emergency care (EC) trials in recognition of the practical and ethical difficulties of obtaining prospective consent in an emergency situation. However, ambiguity about how to make deferred consent acceptable to parents, children and practitioners remains. In particular, little is known about practitioners’ views and experiences of seeking deferred consent in this setting.

The UK government has recently committed to adopting a new policy—dubbed ‘Martha’s Rule’—which has been characterised as providing patients the right to rapidly access a second clinical opinion in urgent or contested cases. Support for the rule emerged following the death of Martha Mills in 2021, after doctors failed to admit her to intensive care despite concerns raised by her parents. We argue that framing this issue in terms of patient rights is not productive, and should be avoided. Insofar as (...) the ultimate goal of Martha’s Rule is the provision of a clinical service that protects patient safety, an approach that focuses on the obligations of the health system—rather than the individual rights of patients—will better serve this goal. We outline an alternative approach that situates rapid clinical review as part of a suite of services aimed at enhancing and protecting patient care. This approach would make greater progress towards addressing the difficult systemic issues that Martha’s Rule does not, while also better engaging with the constraints of clinical practice. (shrink)

Background: An association between gaming disorder and the symptoms of common mental disorders is unraveled yet. In this preregistered study, we quantitatively synthesized reliability, convergent and discriminant validity of GD scales to examine association between GD and other constructs.Methods: Five representative GD instruments were chosen based on recommendations by the previous systematic review study to conduct correlation meta-analyses and reliability generalization. A systematic literature search was conducted through Pubmed, Proquest, Embase, and Google Scholar to identify studies that reported information on (...) either reliability or correlation with related variables. 2,124 studies were full-text assessed as of October 2020, and 184 were quantitatively synthesized. Conventional Hedges two-level meta-analytic method was utilized.Results: The result of reliability generalization reported a mean coefficient alpha of 0.86 and a mean test-retest estimate of 0.86. Estimated effect sizes of correlation between GD and the variables were as follows: 0.33 with depression, 0.29 with anxiety, 0.30 with aggression, –0.22 with quality of life, 0.29 with loneliness, 0.56 with internet addiction, and 0.40 with game playtime, respectively. The result of moderator analyses, funnel and forest plots, and publication bias analyses were also presented.Discussion and Conclusion: All five GD instruments have good internal consistency and test-retest reliability. Relatively few studies reported the test-retest reliability. The result of correlation meta-analysis revealed that GD scores were only moderately associated with game playtime. Common psychological problems such as depression and anxiety were found to have a slightly smaller association with GD than the gaming behavior. GD scores were strongly correlated with internet addiction. Further studies should adopt a rigorous methodological procedure to unravel the bidirectional relationship between GD and other psychopathologies.Limitations: The current study did not include gray literature. The representativeness of the five tools included in the current study could be questioned. High heterogeneity is another limitation of the study.Systematic Review Registration: [https://www.crd.york.ac.uk/PROSPERO/], identifier [CRD42020219781]. (shrink)

다석의 ‘가온찍기’ 리더십 정신은 자연을 훼손하면서 되돌려 받은 패닉 상태의 인류에게 이 위기를 벗어날 수 있는 바른 길의 대안을 제시한다. 이는 ‘늘 살림’[常道]의 정신을 통한 인간과 자연과의 조화를 이루는 방식이다. 자연과 인간의 관계를 친화적 관계로 회복하고 온갖 것을 본래의 자리로 되돌아오게 하는 리더십 정신이다. 도의 가온으로부터 일어나는 ‘늘 살림’의 무한 에너지는 무궁무진하고 ‘줄곧 하나’로 뚫려있어 생겨나지도 없어지지도 않 는다. 이는 아무리 써도 다 함이 없어 소모시킬 방법이 없다. 모든 것은 이러한 살림의 기운 이 솟아나는 도의 가온 자리로 돌아가야 본래의 자기(慈己)를 (...) 회복할 수 있게 된다. 천지만물은 ‘늘 살림’의 길을 따라 서로 돕고 화해하며 발전하고 스스로 성장한다. 인간 은 가온의 생명흐름이 온통하나로 이어지고 있음을 체득함으로써 ‘잘사는 삶’[善攝生]을 살 수 있다. 인간은 스스로 사는 것이 아니라 도의 늘 돕는 저절로 된길[常輔自然]을 따라 잘 사는 것이다. 이에 따른 인간 ‘속알’[德]은 천지상합에 따른 ‘고른 어울림’[自均自化]을 통하여 인간의 존재 의미를 지켜 살림의 길을 추구할 수 있는 길을 마련 할 수 있다. 그리 고 사회의 이로움을 되돌려 주는 공익의 ‘세상 본보기’[天下式]를 구현하게 된다. 이는 세 상의 흐름과 인간이 늘 살림줄로 이어짐을 알고 그것을 지켜 사회구성원간의 친화적 공생 사회를 만들어 나가는 것이다. 도가 펼치는 ‘늘 살림’의 본보기는 인간의 현묘하고 또 현묘한 삶의 과정에서 고른 변화 를 통하여 본래의 삶을 유지할 수 있게 그 근거를 제공한다. 만물의 존귀함을 알고 지켜 행함으로써 자연과의 공생을 이루는 리더십이다. 변혁의 중심에 서있는 자연과 인간을 조 화와 화해의 길로 이끌어 만물의 진정한 생명살림의 본보기를 세우는 것이다. 세상을 구성 하고 있는 모든 것들은 서로 뗄 수 없고 구별할 수도 없는 하나의 살림줄로 이어져 있다. 늘 살림의 가온찍기 리더십 정신은 도가 스스로 펼치는 자연함으로 우주의 모든 것의 마음을 단 하나로 묶는 총체적 개념이다. 그리고 꼬인 실타래와 같은 세상 일의 실마리를 찾 아 늘 살림줄로 잇고 사회 구성원 간의 공존의 살림살이를 구현하게 된다. (shrink)

Over the past few years we have witnessed a sharp resurgence in feminist activism as young women have become increasingly interested in feminist ideas as a means of making sense of their lives. This resurgence in feminist practice is evidenced by the formation of myriad groups and networks across Britain and the initiation of various feminist projects and campaigns, reported regularly and widely in local and national media. This article examines the renaissance of this new feminism through the example (...) of one of the most active and publicly visible organisations, UK Feminista. It draws on ethnographic research into young women’s feminist activism, exploring the emergence of UK Feminista as part of this new wave of feminist activism in Britain. We argue that the wave metaphor has multifarious meanings and that to understand how the political practice of a small feminist organisation contributes to the amplification of this wave of feminist activism it is helpful to draw on concepts developed within social movement theory such as cycles of protest, repertoires of action and collective identities. We show how UK Feminista mobilises young women and provides resources to existing and new feminist organisations and activist groups, commenting particularly on its use of the Internet and social media as a mobilising device. We explore the role of the Internet in young women’s engagement with feminism, the forms of activism in which they take part and the importance of feminist cultural memory to the construction of a collective feminist identity. Our analysis reveals the significant part played by a small mobilising structure, UK Feminista, in the resurgence of feminist activism in the UK. (shrink)

This paper extends the discourse on the importance of the relationship between practitioner and young person as a defining tenet of effective youth work practice, recognising the privileged position occupied by Youth Workers in the social ecology of the young people with whom they work. Reflecting the ethical obligations inherent in this relationship, particularly its focus on enhancing young people’s agency and developmental outcomes, the paper outlines how youth work practice infused with professional love aligns with conceptualizations (...) of an ethic of care. Reporting on interviews conducted with Youth Workers practicing in different settings across one local authority area in the UK, the paper articulates how practitioners’ ethic of care shapes their work with young people, and the extent to which love features as an element of their professional practice. Practitioners describe their motivation to express care that extends beyond legalistic interpretations of their ‘duty of care’ towards young people, using the language of care, love and nurture almost interchangeably. The paper demonstrates the importance of inclusion and reciprocity as fundamental elements of ethical practice, as well as the need to infuse practice with hope, suggesting the value of an affirmative ethic to complement a focus on love and care. (shrink)

This paper draws on 'views and visions' responses collected at the time of the Land Use-UK project in 1996. Surveyors were groups of school children with contributions in more remote locations from adults. As well as mapping the landscape participants were asked about their hopes and visions for the grid squares surveyed. One kilometre squares were identified by stratified random sampling techniques from the Ordnance Survey National Grid. The responses indicated varying levels of optimism and pessimism. The sample of responses (...) in this paper relates to rural key squares ( N = 424) and urban key squares ( N = 413). Young surveyors appeared to be the most pessimistic and there was some correlation of increasing pessimism with increasing land use intensity. (shrink)

This paper draws on 'views and visions' responses collected at the time of the Land Use-UK project in 1996. Surveyors were groups of school children with contributions in more remote locations from adults. As well as mapping the landscape participants were asked about their hopes and visions for the grid squares surveyed. One kilometre squares were identified by stratified random sampling techniques from the Ordnance Survey National Grid. The responses indicated varying levels of optimism and pessimism. The sample of responses (...) in this paper relates to rural key squares ( N = 424) and urban key squares ( N = 413). Young surveyors appeared to be the most pessimistic and there was some correlation of increasing pessimism with increasing land use intensity. (shrink)

Previous research has shown that the UK has low levels of financial literacy by international standards, particularly among those in lower socio-economic groups. This may have an impact upon young people, with social inequalities in financial attitudes, behaviours and skills perpetuating across generations. Using parent-child linked survey data from 3,745 UK families, we find sizeable socio-economic inequalities in young people’s financial capabilities, aspects of their mindset, and their financial behaviours. Sizeable differences are also observed in the financial education (...) that socio-economically advantaged and disadvantaged children receive at school, and how they interact with their parents about money. Parental interactions can account for part of the socio-economic gap in money confidence, money management, financial connections, and financial behaviours, but less so in boosting financial abilities. However, we find no evidence of differences in financial education in schools driving differences in young people’s financial capabilities. (shrink)

In this paper, we analyse the recent rapid growth of ‘binge’ drinking in the UK. This means the rapid consumption of large amounts of alcohol, especially by young people, leading to serious anti-social and criminal behaviour in urban centres. British soccer fans have often exhibited this kind of behaviour abroad, but it has become widespread amongst young people within Britain itself. Vomiting, collapsing in the street, shouting and chanting loudly, intimidating passers-by and fighting are now regular night-time features (...) of many British towns and cities. A particularly disturbing aspect is the huge rise in drunken and anti-social behaviour amongst young females. Increasingly, policy makers in the West are concerned about how not just to regulate but to alter social behaviour. Smoking and obesity are obvious examples, and in the UK ‘binge’ drinking has become a focus of acute policy concern. We show how a simple agent based model approach, combined with a limited amount of easily acquired information, can provide useful insights for policy makers in the context of behavioural regulation. We show that the hypothesis that the rise in binge drinking is a fashion-related phenomenon, with imitative behaviour spreading across social networks, is sufficient to account for the empirically observed patterns of binge drinking behaviour. The results show that a small world network, rather than a scale-free or random one, offers the best description of the data. (shrink)

In the UK, many have argued that the past five years or so have seen an increase in the radicalism and visibility of feminist activism, jarring somewhat with the strong emphasis on loss in much recent scholarship – as well as media commentary – on feminist politics. Against this backdrop, this article asks how, and to what extent, this resurgence of feminist activism has unsettled the centrality of loss within the affective economies of contemporary British feminism, by examining a range (...) of recent texts produced within academic, activist, publishing and media spheres. After arguing that attachments to loss remain remarkably intransigent, the latter part of the article draws on Sara Ahmed’s account of ‘sticky affects’ to provide a theoretical account of why notions such as ‘young women are not feminist’ and ‘feminist activism is a thing of the past’ continue to yield such force despite empirical evidence to the contrary. (shrink)

仁斎にとっての「学問」とは、世界の見え方を刷新させるものである。そして、そのような「学問」の道を開いたのが孔子であった。.

This paper analyses the development of the specialism of adolescent and young adult (AYA) cancer care via a Foucauldian lens to consider how knowledge and awareness have grown since questions were first raised about unmet needs of AYAs with cancer. The AYA specialism has gathered momentum over the last 30 years in the United Kingdom (UK) and is fast gathering pace internationally. Fundamental to this process has been the combined contribution from nursing and other health professionals, researchers, policy‐makers and (...) philanthropists. From an initial process of problematisation, through a gradual growth in empirical knowledge and resultant shifts in health policy, a new nexus of expertise has emerged that enabled AYA cancer care to become recognised as distinct from either child or adult oncology. Different stakeholders contributed to the discourses that have underpinned this development—a process likely to continue as it expands further. This paper draws on examples from the growth of the AYA specialism, the emergence of new professional roles and a growth in research. It illustrates how the coalescing of multiple perspectives allowed new discourses and, ultimately, new practices to be established that now have global impact. (shrink)

This report provides a summary of findings from an ethnographic study of work?based learning provision for 16?18?year?olds who would otherwise fall into the UK Government category of not in education, employment or training (NEET). The research project took place in the north of England during 2008?2009, and investigated the biographies, experiences and aspirations of young people and practitioners working on Entry to Employment (E2E) programmes in four learning sites. The detailed research findings are reported in four papers covering the (...) conceptual background to E2E, and the experiences of learners, tutors and Connexions personal advisers involved with the programme. This report highlights and synthesises some of the key issues raised by these papers and looks ahead to a three?year longitudinal study of NEET young people which is intended to continue and extend this work, providing an opportunity to follow this group during a period of far?reaching economic and political change. (shrink)

「士農工商は天下を治めるたすけとなる」―江戸期、都市化・経済化の流動的な波の中で、人々の生のつながりの公共的意義を説いた梅岩。広範な影響を及ぼしたその心学は、人々に希望を与え、世界のすべての存在が共に 幸福になることをめざす創造的・運動的な営みであった。.