Primacy of effective communication and its influence on adherence to artemether-lumefantrine treatment for children under five years of age: a qualitative study.

BACKGROUND\ud \ud Prompt access to artemesinin-combination therapy (ACT) is not adequate unless the drug is taken according to treatment guidelines. Adherence to the treatment schedule is important to preserve efficacy of the drug. Although some community based studies have reported fairly high levels of adherence, data on factors influencing adherence to artemether-lumefantrine (AL) treatment schedule remain inadequate. This study was carried-out to explore the provider's instructions to caretakers, caretakers' understanding of the instructions and how that understanding was likely to influence their practice with regard to adhering to AL treatment schedule.\ud \ud METHODS\ud \ud A qualitative study was conducted in five villages in Kilosa district, Tanzania. In-depth interviews were held with providers that included prescribers and dispensers; and caretakers whose children had just received AL treatment. Information was collected on providers' instructions to caretakers regarding dose timing and how to administer AL; and caretakers' understanding of providers' instructions.\ud \ud RESULTS\ud \ud Mismatch was found on providers' instructions as regards to dose timing. Some providers' (dogmatists) instructions were based on strict hourly schedule (conventional) which was likely to lead to administering some doses in awkward hours and completing treatment several hours before the scheduled time. Other providers (pragmatists) based their instruction on the existing circumstances (contextual) which was likely to lead to delays in administering the initial dose with serious treatment outcomes. Findings suggest that, the national treatment guidelines do not provide explicit information on how to address the various scenarios found in the field. A communication gap was also noted in which some important instructions on how to administer the doses were sometimes not provided or were given with false reasons.\ud \ud CONCLUSIONS\ud \ud There is need for a review of the national malaria treatment guidelines to address local context. In the review, emphasis should be put on on-the-job training to address practical problems faced by providers in the course of their work. Further research is needed to determine the implication of completing AL treatment prior to scheduled time

Reclaiming the Constitutional Text from Originalism: The Case of Executive Power

There are consequences to theories in a world questioning the power of the President. For decades, some originalists, including Justice Scalia, maintained that the President enjoys “all” executive power. Of course, this is not the Constitution’s actual text (which refers to “the” executive power, not “all” executive power)—but a highly contestable, and potentially dangerous, addition of meaning to the text. As I demonstrate in this Article, adding to the actual text of the Constitution is common in the originalist literature on executive power, whether the precise question is the President’s removal power, the President’s power to refuse to enforce the law, or the President’s obligations under the Emoluments Clause. Using elementary principles from the philosophy of language—principles that apply to all communication—I explain how originalist interpreters in this area “pragmatically enrich” the text, without articulating or justifying those additions and without seeking to test those meanings against the full text of the Constitution. Before one gets to history, the originalist has assumed a unit of textual analysis—a word, a clause, a paragraph—that may effectively enrich the meaning to reflect the interpreter’s preferred policy position. If this is correct, originalists must theorize the “interpretation zone,” a putatively neutral place from which historical inquiries are launched, and explain why interpreters may add meaning by pragmatic enrichment in this zone—particularly if those meanings are falsified by the rest of the Constitution. Perhaps more importantly, originalism’s opponents need to start talking about how to reclaim the actual text of the Constitution

The End of Law: The ISIL Case Study for a Comprehensive Theory of Lawlessness

This Article has five parts. Part I sets out and adopts the basic premises of the jurisprudential perspective championed by Professor Reisman and sketches his argument that legal solutions can always be fashioned in a meaningful and realistic manner. Part II discusses the development of ISIL in the Middle East. Part III analyzes the lawlessness problem created by ISIL for the affected local communities and explains how loss of control, left unattended, transforms into a loss of authority of prescription by destroying the social fabric needed for legal processes to have meaning. Part IV develops how municipal lawlessness has a contagion effect on the international plane through what this Article calls the transnational transference of lawlessness by comparing international legal reactions to ISIL’s putative establishment of a caliphate in Syria and Iraq. Part V sketches how the contagion effect can be stopped by means of the diagnostic tools developed in Parts III and IV. The Article demonstrates that both public debate and scholarly engagement so far have focused on the wrong question: whether or how to use force to wrest control of territory from ISIL. Given the progression of lawlessness from loss of control to loss of authority mapped in Part III of the Article, this incorrect focus is understandable. But to be effective, the debate instead must focus directly on how authoritative decision-making processes can be rekindled and protected in Syria, Iraq, and beyond. These structures were degraded not just by ISIL, which may well be a symptom of failing authority structures rather than its proximate cause; in fact, these structures were sabotaged by Western and Ottoman colonial powers long before ISIL sought its opportunity on Arabian soil. Perhaps counter-intuitively, use of force that does not also address and re-strengthen the social fabric in the region could well be worse long-term than no use of force at all. Given the human toll in the region—and the role as other than an innocent bystander of Western powers—the normative end of law should inspire us towards more effective—and more authoritative—forms of intervention

Twittering the Boko Haram Uprising in Nigeria: Investigating Pragmatic Acts in the Social Media

This paper investigates pragmatic acts in the discourse of tweeters and online feedback comments on the activities of Boko Haram, a terrorist group in Nigeria. The tweets and comments illustrate acts used to express revolutionary feelings and reflect what people say and imply in times of crisis. Tweets about Boko Haram are speech and pragmatic acts that denounce the Nigerian government, reject Western education, and call for support. Tweets and reactions from non-Muslims and nonradical Muslims condemn terrorism and denounce the terrorist group. While some tweets simply offer suggestions on how to curtail the Boko Haram insurgency, others seek the breakup of Nigeria, granting political and religious independence to the north and the southeast of the country

‘Pre-plan mapping’, networks, capital resources and community strategies in England

In this working paper we discuss current attempts to engage communities in planning policy formulation in the UK. In particular we focus on the preparation of Community Strategies (CS) in England to inform local public policy and the wider proposals recently published by the UK government to move towards enhanced community engagement in planning (DTLR, 2001). We discuss how such strategies could be operationalised with a conceptual framework developed following ideas derived from ANT (cf. Murdoch, 1997, 1998; Selman, 2000; Parker & Wragg, 1999; Callon, 1986, 1998) and the ‘capitals’ literature (Lin, 2002; Fine, 2001; Selman, 2000; Putnam, 1993). We see this as an expression of neo-pragmatic planning theory, (Hoch, 1996; Stein & Harper, 2000) to develop a form of ‘pre-plan mapping’

Universal Health Care, American Pragmatism, and the Ethics of Health Policy: Questioning Political Efficacy

[Excerpt] “This article will explore the conceptual implications of applying ethical critique and analysis to health policy. This is not to imply any reductionist conception of health policy in which ethics is absent. As Deborah Stone and John W. Kingdon both note, policy is fraught with ethical implications, and value prioritization is a sine qua non for health policy. Nevertheless, I wish to suggest that there are some conceptually significant distinctions in thinking of the ethics of health policy as opposed to thinking separately about ethics and about health policy. Moreover, these distinctions themselves are of value, both in thinking about some of the most intractable problems of health policy, and in generating health policy that expressly presents its ethical bases, as opposed to masking the value assumptions and beliefs that underpin such policy.

Are diplomatic assurances adequate guarantees of safety against torture and ill-treatment? The pragmatic approach of the strasbourg court

The use of diplomatic assurances against torture and other ill-treatment has increased in recent years in response to the continued growth of international terrorism. However, this practice is controversial because it engages the Contracting States’ obligation not to extradite or expel a person where there are substantial grounds for believing that he or she would face a real risk of being subjected to treatment contrary to Article 3 ECHR in the receiving State. The Strasbourg Court’s pragmatic approach suggests that in certain circumstances, following an analysis of the quality of the assurances and their practical effect, diplomatic assurances can be adequate guarantees of safety. As a result, it will be argued that the Strasbourg Court cannot be accused of circumventing the absolute prohibition found in Article 3 ECHR by accepting the diplomatic assurances policy of the Contracting States. The author will conclude by arguing that the Strasbourg Court’s approach is effective as it reinforces the absoluteness of Article 3 ECHR while at the same time allowing States to protect their national security from terrorism

e-Governance: Supporting pragmatic direct deliberative action through online communities of interest

Authors often report on the limited success of e-Government initiatives in developing nations. Top down, national strategies are developed to target improved government services, but maintain hierarchical, citizen-state conceptions of governance through representative democracy. An alternative conception, direct deliberative democracy, frames the potential role of the internet in governance differently. Web based platforms might support locally animated deliberations, which target pragmatic outcomes, while the resulting social networks afford collective learning through connections across traditional boundaries. This paper presents an investigation of direct deliberative governance as it occurs in online 'communities of interest', and is based on research with such a community in southern Africa. We investigate contributions to the online governance process and develop an action typology distinguishing between degrees of 'agency freedom'. Network analytic techniques are then used to understand how acts of varying degree are expressed in terms of the structure of a social network. The aim, more broadly, is to understand how the environment shapes acts of direct deliberative governance, and, in turn, how the acts shape the evolution and effectiveness of the community. The preliminary results suggest design considerations for online governance communities, and highlight their role to not only provide deliberative space, but to mediate social network connections

Disabilities in the Writing Center

Since writing centers serve communities of teachers and learners, they will inevitably serve people with disabilities. Ever since the 1980s, writing center workers have explored the issue of tutoring students with disabilities, people who may require different learning environments and may have learning needs that interact in complex ways with standard tutoring practices. In order to make accessing this scholarship easier, I have read and analyzed as many of the available articles in the literature as I could find. This article presents summaries in tabular form of both the research methods and tutoring suggestions contained in these sources. I also discuss and analyze these methods and go into detail on those studies that use empirical methods. My goal is not to rank the usefulness of studies based on methods used but simply to point out that studies based on empirical methods may assist tutors and practitioners in achieving Evidence-Based Practice (Babcock and Thonus). Another analysis that emerges from this research are the types of disabilities portrayed in the literature, and I make suggestions based on a comparison with the disabilities actually disclosed by college students.University Writing Cente