13,214 research outputs found
Consent and the Construction of the Volunteer: Institutional Settings of Experimental Research on Human Beings in Britain during the Cold War
This study challenges the primacy of consent in the history of human experimentation and argues that privileging the cultural frameworks adds nuance to our understanding of the construction of the volunteer in the period 1945 to 1970. Historians and bio-ethicists have argued that medical ethics codes have marked out the parameters of using people as subjects in medical scientific research and that the consent of the subjects was fundamental to their status as volunteers. However, the temporality of the creation of medical ethics codes means that they need to be understood within their historical context. That medical ethics codes arose from a specific historical context rather than a concerted and conscious determination to safeguard the well-being of subjects needs to be acknowledged. The British context of human experimentation is under-researched and there has been even less focus on the cultural frameworks within which experiments took place. This study demonstrates, through a close analysis of the Medical Research Council's Common Cold Research Unit (CCRU) and the government's military research facility, the Chemical Defence Experimental Establishment, Porton Down (Porton), that the `volunteer' in human experiments was a subjective entity whose identity was specific to the institution which recruited and made use of the subject. By examining representations of volunteers in the British press, the rhetoric of the government's collectivist agenda becomes evident and this fed into the institutional construction of the volunteer at the CCRU. In contrast, discussions between Porton scientists, staff members, and government officials demonstrate that the use of military personnel in secret chemical warfare experiments was far more complex. Conflicting interests of the military, the government and the scientific imperative affected how the military volunteer was perceived
Implementing Health Impact Assessment as a Required Component of Government Policymaking: A Multi-Level Exploration of the Determinants of Healthy Public Policy
It is widely understood that the public policies of ‘non-health’ government sectors have greater impacts on population health than those of the traditional healthcare realm. Health Impact Assessment (HIA) is a decision support tool that identifies and promotes the health benefits of policies while also mitigating their unintended negative consequences. Despite numerous calls to do so, the Ontario government has yet to implement HIA as a required component of policy development. This dissertation therefore sought to identify the contexts and factors that may both enable and impede HIA use at the sub-national (i.e., provincial, territorial, or state) government level.
The three integrated articles of this dissertation provide insights into specific aspects of the policy process as they relate to HIA. Chapter one details a case study of purposive information-seeking among public servants within Ontario’s Ministry of Education (MOE). Situated within Ontario’s Ministry of Health (MOH), chapter two presents a case study of policy collaboration between health and ‘non-health’ ministries. Finally, chapter three details a framework analysis of the political factors supporting health impact tool use in two sub-national jurisdictions – namely, Québec and South Australia.
MOE respondents (N=9) identified four components of policymaking ‘due diligence’, including evidence retrieval, consultation and collaboration, referencing, and risk analysis. As prospective HIA users, they also confirmed that information is not routinely sought to mitigate the potential negative health impacts of education-based policies. MOH respondents (N=8) identified the bureaucratic hierarchy as the brokering mechanism for inter-ministerial policy development. As prospective HIA stewards, they also confirmed that the ministry does not proactively flag the potential negative health impacts of non-health sector policies. Finally, ‘lessons learned’ from case articles specific to Québec (n=12) and South Australia (n=17) identified the political factors supporting tool use at different stages of the policy cycle, including agenda setting (‘policy elites’ and ‘political culture’), implementation (‘jurisdiction’), and sustained implementation (‘institutional power’).
This work provides important insights into ‘real life’ policymaking. By highlighting existing facilitators of and barriers to HIA use, the findings offer a useful starting point from which proponents may tailor context-specific strategies to sustainably implement HIA at the sub-national government level
Building body identities - exploring the world of female bodybuilders
This thesis explores how female bodybuilders seek to develop and maintain a viable sense of self despite being stigmatized by the gendered foundations of what Erving Goffman (1983) refers to as the 'interaction order'; the unavoidable presentational context in which identities are forged during the course of social life. Placed in the context of an overview of the historical treatment of women's bodies, and a concern with the development of bodybuilding as a specific form of body modification, the research draws upon a unique two year ethnographic study based in the South of England, complemented by interviews with twenty-six female bodybuilders, all of whom live in the U.K. By mapping these extraordinary women's lives, the research illuminates the pivotal spaces and essential lived experiences that make up the female bodybuilder. Whilst the women appear to be embarking on an 'empowering' radical body project for themselves, the consequences of their activity remains culturally ambivalent. This research exposes the 'Janus-faced' nature of female bodybuilding, exploring the ways in which the women negotiate, accommodate and resist pressures to engage in more orthodox and feminine activities and appearances
The interpretation of Islam and nationalism by the elite through the English language media in Pakistan.
The media is constructed and interpreted through what people 'know'. That knowledge is, forthe most part, created through day to day experiences. In Pakistan, Islam and nationalism aretwo components of this social knowledge which are intrinsically tied to the experiences of thePakistani people. Censorship and selection are means through which this knowledge isarticulated and interpreted.General conceptions of partially shared large scale bodies of knowledge and ideas reinforce,and are reinforced by, general medium of mass communication: the print and electronic media.Focusing on the govermnent, media institutions and Pakistani elites, I describe and analyse thedifferent, sometimes conflicting, interpretations of Islam and Pakistani nationalism manifest inand through media productions presented in Pakistan.The media means many things, not least of which is power. It is the media as a source ofpower that is so frequently controlled, directed and manipulated. The terminology may beslightly different according to the context within which one is talking - propaganda, selection,etc. - but ultimately it comes down to the same thing - censorship. Each of the three groups:government, media institutions and Pakistani elites - have the power to interpret and censormedia content and consideration must be taken of each of the other power holders consequentlyrestricting the power of each group in relation to the other two. The processes of thismanipulation and their consequences form the major themes of this thesis
A review of the S.C. Department of Health and Environmental Control Certificate of Need Program
This report evaluates the certificate of need program administered by the S.C. Department of Health and Environmental Control. The objectives for this audit were: Examine potential areas for reform of the certificate of need program ; Review the certificate of need process ; Review the role of staff in administering the certificate of need program ; Review COVID-19 pandemic related issue pertaining to the certificate of need program ; Review the role providers play in the certificate of need process
Cooking the wild: the role of the Lundayeh of the Ulu Padas, (Sabah, Malaysia) in managing forest foods and shaping the landscape
This thesis provides an account of the Lundayeh subsistence system as found in the villages of Long Pasia and Long Mio, situated in the Ulu Padas, Sabah. The research focuses on Lundayeh food and diet, describing the diversity of resources used and the importance of forest foods. Comparison with studies from elsewhere in Borneo suggests that there are many similarities between Lundayeh practices and those of other highland peoples. These data are used to critically examine the concepts of 'wild' and 'wilderness', considering whether these concepts are meaningful, either analytically or for the Lundayeh. Investigation of the way in which the Lundayeh manipulate and manage their resources suggests that they have had a profound influence on their environment. Consequently, the Ulu Padas cannot be described as a wilderness, nor its resources as wild. The extent to which the Lundayeh themselves construct the categories of 'wild' and 'cultivated' foods is investigated through examining how these resources are owned, and their different roles in the diet. These data suggest that the Lundayeh recognise that there is no simple dichotomy of 'wild' and 'cultivated', but rather, that there is a gradation between these two categories. There is also evidence to suggest that the Lundayeh do not consider any resources as wild, in the sense of being uninfluenced by people. The environmental perceptions of the Lundayeh are also investigated, and how these have been shaped by their particular way of life, history, beliefs and knowledge systems. It is apparent that for the Lundayeh, the Ulu Padas is a cultural landscape. However, this is changing, as a result of recent social and environmental changes. This thesis concludes by examining the impact of changing perceptions on how the Lundayeh are managing their environment, and on their attitudes towards conservation
Studies of strategic performance management for classical organizations theory & practice
Nowadays, the activities of "Performance Management" have spread very broadly in actually every part of business and management. There are numerous practitioners and researchers from very different disciplines, who are involved in exploring the different contents of performance management. In this thesis, some relevant historic developments in performance management are first reviewed. This includes various theories and frameworks of performance management. Then several management science techniques are developed for assessing performance management, including new methods in Data Envelopment Analysis (DEA) and Soft System Methodology (SSM). A theoretical framework for performance management and its practical procedures (five phases) are developed for "classic" organizations using soft system thinking, and the relationship with the existing theories are explored. Eventually these results are applied in three case studies to verify our theoretical development. One of the main contributions of this work is to point out, and to systematically explore the basic idea that the effective forms and structures of performance management for an organization are likely to depend greatly on the organizational configuration, in order to coordinate well with other management activities in the organization, which has seemingly been neglected in the existing literature of performance management research in the sense that there exists little known research that associated particular forms of performance management with the explicit assumptions of organizational configuration. By applying SSM, this thesis logically derives some main functional blocks of performance management in 'classic' organizations and clarifies the relationships between performance management and other management activities. Furthermore, it develops some new tools and procedures, which can hierarchically decompose organizational strategies and produce a practical model of specific implementation steps for "classic" organizations. Our approach integrates popular types of performance management models. Last but not least, this thesis presents findings from three major cases, which are quite different organizations in terms of management styles, ownership, and operating environment, to illustrate the fliexbility of the developed theoretical framework
Working in ministries or public organizations in Saudi Arabia : A study of career development and job satisfaction of the Saudi Arabian middle managers
Career development and job satisfaction studies carried out in developing countries are very limited in number. Saudi Arabia is one of those developing countries which appeared on the political scene quite recently, but striving hard to develop its human resources due to its heavy dependence on expatriate labour to initiate and execute its development plans. The genesis of the study began when General Civil Service Bureau officials noticed a large movement of employees from ministries to other sectors (i.e. public organizations and the private sector). The purpose of this dissertation is to examine and analyze the factors behind this movement and relate this to the studies of career development and job satisfaction. The position of government organizations in Saudi Arabia is rather unique. Most of their employees are drawn from Universities due to the regulations of the GCSB of compelling them to work in ministries for a period equivalent to that spent in their University education until graduation. This situation has prevented such graduates from choosing their own occupations and seem to hinder their career development. As a consequence, this study, not only analyzes career development and job satisfaction in Saudi Arabia, but (v) job satisfaction in Saudi Arabia, but also makes a comprehensive evaluation of economic, social and organisational environments which seem to have an effect of the occupational choice of the Saudis. We take the assumption that the ideology of free occupational choice is not properly applied in Saudi Arabia due to some cultural variables (e.g. nepotism and strong family ties). Hence, this thesis will develop a definition of the concept of occupational choice and career development and the process of personnel flow and the ways in which such movement can be influenced within the Saudi context. The study will be primarily concerned with middle managers in two types of organization - government ministries and public organizations. This will hopefully give a profile of the Saudi situation as far as occupational choice, career development and job satisfaction are concerned
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