A little too much of the buchenwald touch? Military radiation research at the university of Cincinnati, 1960–1972

From 1960 through 1972, Dr. Eugene Saenger oversaw the experimental administration of lethal and near‐lethal doses of radiation to hospital patients at the University of Cincinnati. These experiments were funded by the US Department of Defense, and were specifically designed to acquire military information on the effects of radiation in combat soldiers. Although Saenger's research was terminated after public exposure in 1971, a full and detailed account has not been available until now. The account provided by the President's Advisory Committee on Human Radiation Experiments (ACHRE) in their Final Report of 1995 was incomplete. Our account is based on a reanalysis of all the material available to ACHRE, including highly critical peer reviews by U.C. faculty members. We also present, for the first time, several case histories taken from the medical records of Dr. Saenger's subjects.     

Accountability and academic freedom: The battle concerning research on cold fusion at Texas A&M university

abstract

The Massachusetts Task Force on Human Subject Research has so far been the only serious attempt to investigate radiation experiments on humans. No other federal, state or private agency has looked at a specific experiment in detail. The President's Advisory Committee on Human Radiation Experiments (ACHRE) provided an overview of the entire nationwide research project, but without a thorough evaluation of any single experiment. The Massachusetts Task Force examined a group of experiments using institutionalized children at two state facilities, the Fernald and Wrentham schools, from 1943 to 1973. The experiments were performed under supervision by scientists at Harvard and MIT, and were funded by several federal agencies. The Task Force found that these experiments were conducted according to the ethical and protocol standard of their day. This did not prevent the Task Force from judging that the experiments violated human rights, and recommending apology and compensation to the victims.     

II. Patients of the department of psychological medicine,guy's hospital,london 1

Abstract

Harvey Dean (1998) rejects my (Wakefield, 1988a; 1988b) argument that minimal distributive justice is the essential mission of social work and that treatment of mental disorder is not part of the profession's essential mission but rather a derived task. He argues that social work has broader ethical aims that encompass both pursuit of justice and treatment of mental disorder. In this article, 1 review my earlier position and respond to Dean's objections. I argue that Dean's narrativist account of the profession's ethical aims is overly broad and that he confuses non‐disordered psychological problems with mental disorders. I conclude that neither my “minimal distributive justice” view of social work's mission nor my exclusion of treatment of mental disorder from the profession's essential mission are disconfirmed by Dean's arguments.     

Ethical guidelines for research with children: A review of current research ethics documentation in New Zealand

Abstract

Children's rights to participate in matters affecting them, including research, have gained increasing recognition over recent decades. This recognition, and the growth in research with children as participants, has given rise to greater attention from researchers to ethical issues related to child research. This article reviews the current ethics documentation in New Zealand. The findings indicate that considerable variation exists between ethical codes and guidelines in relation to research with children. The dominant focus is on attending to issues of consent and protection from harm, at the outset of the research, rather than recognition of the ongoing nature of ethical issues throughout the research process. Although the findings indicate an increase in the consideration of ethical issues, the existing documentation is inconsistent and inadequate in attending to specific child‐related issues. Suggestions are made to enhance children's participation in research and demonstrate a respect for their participation rights.     

Toward increased public representation on bioethics committees: Lessons from Judging the cold war human radiation experiments∗

The process of judging the Cold War Human Radiation Experiments illuminates a need to develop a model for an appropriate public role on bioethics committees. A citizen representative was appointed to the President's Advisory Committee on Human Radiation Experiments, and the Committee solicited broad public participation in their investigation. However, many members of the affected and interested public desired further representation on the Committee, as they tended towards stronger ethical condemnations of the experiments than the Committee expressed. I offer an account of a testimony before the Committee by a radiation experiment subject's survivor to illustrate this contrast in moral perspective. I consider some the contributions that “non‐expert”; public members can add to committee deliberations, and suggest that concerns about public representatives may be overcome with the guidance of clearer principles for selecting public members. Further efforts to increase membership by the general and affected public on bioethics committees will enhance deliberations and help realize the democratic ideals of bioethics.     

“Koe wai hoki koe?!”, or “Who are you?!”: Issues of trust in cross‐cultural collaborative research

Abstract

Cross‐cultural research designs are increasingly employed in the New Zealand context to investigate a range of complex social and environmental issues. However, there is little guidance for researchers who work for mainstream organisations and hapū (subtribe(s)) and iwi (tribe(s)) on how to undertake cross‐cultural collaborative research. Trust is a key issue that makes cross‐cultural research possible and it is surprising that issues relating to trust have not featured widely in the literature. In this paper, we reflect on our experiences working cross‐culturally and collaboratively with a hapū in Northland, New Zealand. We discuss how a mainstream research organisation worked with a community health trust and developed a working relationship with a hapū, forming the basis of a community‐driven collaborative evaluation of a central government‐funded project. Key findings were the establishment of a tuākana‐tēina relationship (where teacher and learner are interchangeable) between the members of the collaborative research team and the employment of appropriate research methods to develop a research agenda that ensured everyone would benefit from the research.     

From Street‐level Bureaucrats to Street‐level Policy Entrepreneurs? Central Policy and Local Action in Lottery‐funded Community Cancer Care

Recent contributions to the policy implementation literature have applied Kingdon's model of ‘policy windows’ to the implementation of policy on health inequalities in the UK, and have identified the key role played by ‘policy entrepreneurs’ at local as well as national level. Despite this, the picture that emerges is of frustration of central policy intentions at the local level, alongside frustration of local aspirations by the centre. This article explores the relationship between central policy and local implementation in the context of a Lottery‐funded initiative to develop community cancer care in the UK. We examine the relationships: between the BIG Lottery Fund and central government; between BIG and the cancer care projects it funded; and between the projects and their local economy of cancer care. We found evidence of success both in vertical cascading of policy and in local policy innovation; 83 per cent of projects succeeded in obtaining continuation funding at the end of their Lottery funding. We suggest that this was due, in part, to two features of Lottery funding and accountability that combined to differentiate it from the other policy initiatives studied. They meant that projects were ‘buffered’ not just from national policy churn, but also from competing local priorities. In the ‘protected space’ that was thus formed, ‘street‐level policy entrepreneurs’ played a key role in developing cancer care innovations for adoption by mainstream funding agencies.     

Planning for future research participation: Ethical and practical considerations

This paper addresses the concept of advance planning for future research participation during episodic or permanent decisional incapacity. First, the concept and its historical origins are described. Second, the concept's ethical justifications are presented. Third, commentary raising ethical and practical concerns about advance research planning is discussed. The paper concludes with the author's views on advance research planning and on the relevant recommendations of the National Bioethics Advisory Commission.     

Developmental impact of combat exposure: Comparison of adolescent and adult Vietnam veterans∗

Abstract

This study was undertaken to find whether differences existed between two age groups of Vietnam veterans with PTSD, in terms of their social readjustment. A group of 57 men were divided by two age ranges to reflect two distinct periods of identity formation‐adolescence and early adulthood. The social readjustment measures which were examined included: (1) Substance abuse history; (2) history of legal infractions; (3) work history; (4) interpersonal relationships; and (5) peer relationships.

It was found that the younger soldiers have had a more difficult post‐Vietnam readjustment than their older cohorts. The results lend support to the idea that unsuccessful completion of Erikson's developmental phase of identity vs. role confusion may create problems with one's capacity for love, work and relationships. Specifically, when developmental tasks of late adolescence are not completed because of events such as war, one may suffer difficulties in handling adult responsibilities later in life.     

Policy Targets and Ethical Tensions: UK Nurse Recruitment

In July 2000 Britain's New Labour government set a target of 20,000 extra nurses for the NHS by 2004. In February 2002, two years ahead of schedule, the target was achieved. The government is to be congratulated on meeting its target but ethical questions over recruitment practices remain. Nurse registrations to the UK from the (then) fifteen EU countries remain flat despite government guidance making this the first priority for international recruitment. Registrations from developing countries with nursing shortages continue despite repeated guidance discouraging this. The government appears to have been caught in a policy bind. On the one hand it needed to be seen to be acting to prevent “poaching” while waiting for fresh intakes of trainees to come through; on the other, if it had succeeded it would have struggled to meet a key policy pledge and certainly not ahead of schedule. New Labour's stated commitment to an ethical foreign policy seems more apparent than real. The paper reports a clear dissonance between the thrust of national policy on nurse recruitment and current employment practices within the UK.     

Corporate corruption of medical literature: Asbestos studies concealed by W. R. Grace & Co.∗

In 1959, an X‐ray survey of 130 mine workers in Libby, Montana found that 48 had evidence of asbestos‐related lung disease. The ore they were mining contained up to 30% tremolite, an asbestiform mineral. In 1963, W.R. Grace acquired the mine and employee health problems at the mine became known to W.R. Grace executives and to Grace's insurance company, Maryland Casualty. In 1976, in response to tighter federal regulation of asbestos and asbestos‐containing products, W.R. Grace funded an animal study of tremolite toxicity. They hoped to prove that tremolite did not cause mesothelioma, the cancer uniquely associated with asbestos exposure. However, the study showed that tremolite did cause mesothelioma. W.R. Grace never disclosed the results of this animal study, nor did they disclose their knowledge of lung disease in the Libby workers, either to the workers themselves or to regulatory agencies. These actions were intentional, and were motivated by Grace's conscious decision to prioritize corporate profit over human health.     

Zelda Foster and Her Contributions to Social Work in End-of-Life Care

ABSTRACT

This article is both a memoir of one social worker's professional collaboration with Zelda Foster and a tribute to Zelda's legacy in the form of an educational resource on end-of-life care. It reviews achievements of Zelda Foster in social work practice and teaching related to death and dying. Resources presented in this article were supported by the Soros Foundation's Project on Death in America, a funded grant project to which Zelda contributed. The end-of-life care education, training and informational tools discussed in this article are examples of ongoing efforts in the social work profession to improve the lives of the dying and bereaved.     

From Baltimore to Bell Labs: Reflections on Two Decades of Debate about Scientific Misconduct

This essay proposes a new definition of scientific "misconduct," which is broader than the definition recently adopted by the U.S. government. According to the proposed definition, misconduct is a serious and intentional violation of accepted scientific practices, commonsense ethical norms, or research regulations in proposing, designing, conducting, reviewing, or reporting research. Punishable misconduct includes fabrication of data or experiments, falsification of data, plagiarism, or interference with a misconduct investigation. Misconduct does not include honest errors, differences of opinion, or ethically questionable research practices.     

The Effect of Financial Incentives and Access to Services on Self-funded Admissions to Long-term Care

With the growth in the numbers and proportion of older people in the population the funding and incentive structures around long‐term care are of international concern. A study of the circumstances of self‐funded admissions to care homes allowed the comparison of self‐funders with publicly funded admissions to care homes in the UK, the influences on self‐funders in their decision to move into a care home and resources on which they were able to draw. These findings contribute to our understanding of the impact of current policy on self‐funders and our thinking about the way that future policy and practice changes could improve the way we use society's resources in the provision of long‐term care.     

International research: Ethical imperialism or ethical pluralism? 1

Conflicts have arisen in international research when countries in which research is being carried out lack the ethical rules or mechanisms for review employed in the United States and Europe. It is objected that a requirement to adhere to regulations promulgated by the US government constitutes “ethical imperialism.”; But if researchers in some countries need not be bound by ethical standards widely accepted in the conduct of research, it could open the door to an ethical relativism allowing virtually any standard a country desires to accept. One example is the variations in informed consent, especially in countries that accord lesser importance to the individual than do the US and Europe. A recent controversy centered on a series of placebo‐controlled, HIV/AIDS trials sponsored by the United States and conducted in several developing countries. These trials could not ethically be carried out in the United States because a proven effective treatment exists. Attempts to avoid similar controversies in forthcoming HIV/AIDS vaccine trials have been initiated by the joint United Nations AIDS program, with a process of regional consultations in the countries where the research will be conducted.     

A method for considering the acceptability of novel biotechnologies for the control of brushtail possums

Abstract

Public acceptance and regulatory approval of biotechnologies is increasingly dependent on consideration of cultural, ethical and spiritual effects, and the opportunity for community involvement. The objective of this study was to articulate a means for researchers to identify relevant issues during the development of the technologies. It encompassed the substantive issues, such as safety, the provision of credible and adequate public information, and the opportunity for citizens, as well as stakeholders, to give society's informed consent. In this initial analysis of novel toxins and infertility or sterility-inducing agents being developed to manage pest populations of brushtail possums, several issues were identified. They included the risk associated with fertility controls entering the food chain, the severity of animal welfare compromise with toxins, and the adequacy of terminology used to describe pest control agents. This approach provides a means for researchers to acknowledge the issues contributing to public acceptance of biotechnologies during their development and with the involvement of those with interests in biotechnology.     

Exploring the Relationship Between Trust in Government and the Provision of Social Services in Countries of the Global South: The Case of Palestine

ABSTRACT

Using a data set combining two surveys that were conducted by Birzeit University in Palestine, the study investigates the role that trust in government plays in the provision of social services in Palestine (N= 1,314). The relationship between trust in government and selected sociodemographic characteristics is also explored. Results from the bivariate and regression analyses performed reveal that perceived trust in government is significantly related to government performance and a respondent's gender, income, education, and political affiliation. Implications for practice and future research are discussed.     

Government perspectives on housing,technology and support design within Australia's National Disability Strategy

Australia's National Disability Insurance Scheme (NDIS) is a significant disability reform and part of a 10‐year National Disability Strategy that aims to build well‐being and inclusion of Australians with disability. Housing is recognised as a key determinant of health. Transition of state‐funded supported accommodation to an NDIS, within the new Specialist Disability Accommodation framework, aims to deliver housing responses that positively influence NDIS participant outcomes. This study aimed to gather perspectives of government disability and housing representatives on current opportunities and issues for Australians with disability. The study investigated four key research questions, relating to built design; integrated technologies; the relationship between housing and support provision; and community precinct design. Nineteen government representatives from seven of the eight Australian states and territories participated in a roundtable focus group in Melbourne, Australia (March 2017). Focus group data were audiotaped, transcribed verbatim and thematically analysed. Twelve themes were identified in response to the research questions identified. Key policy and practice implications were highlighted. This research offers insights from government that can contribute to strategic housing, technology, support and community design decisions and Australia's National Disability Strategy, to deliver improved outcomes for people with disability.     

Development of Two Measures of Climate for Scientific Organizations

The aim of this article is to describe the development of two measures of ethical climate for scientific organizations. The first measure utilizes a traditional climate measurement approach and was developed in order to understand the various ethical and creative aspects of organizational climate, or academic departmental climate in university settings, in organizations where scientific and academic research is conducted. The second measure utilizes a biodata measurement approach, a set of career event scales applicable in university and research settings. Such a measure is intended to identify those experiences unique to scientific work that may influence research climate at the individual, group, and organizational levels. Specifically, these measures will be used to predict integrity in the early part of a scientist's career based on various situational influences that occur in scientific organizations.     

A Century of Korean Narrative in Chinese Literature

东亚睦邻关系源远流长,近百年来却遭到严峻的挑战。在民族国家的多事之秋,中国文学和中华民族一道承担苦难,思考出路,在关注自己启蒙、救亡、独立和振兴的同时,也关注对自己的命运发生过深刻影响的国际力量,对朝鲜半岛民族国家的关注和认知具有特殊的文化情感和命运体悟。一百多年来,中国文学对朝鲜的认知经历了四个阶段：以朝鲜的亡国为鉴镜,反省危机四伏的中国现状;引朝鲜人民为共同抗敌、休戚与共的战友;在南北朝鲜分裂的局面下,引北方为战友使南方处于缺席状态;在“华风”与“韩流”的互动中,把文学对韩国的认知推向穿透历史、牵连血性的深度。

关键词: 中国文学?朝鲜叙事?鉴镜?互动交流

The harmonious relationship among East Asian countries has a very long history. However, it has faced serious challenges in the past hundred years. In these eventful years for our nation, Chinese literature, like the Chinese people, has endured hardships and pondered ways of extricating the country from its malaise. In addition to being concerned over China's enlightenment, salvation, independence and rejuvenation, writers have also paid considerable attention to important international forces that had a strong influence on their country's fate. Concern over and understanding of the Korean nation had a particular emotional charge and relevance to their own fate. Over the course of a century, Chinese literature's awareness of Korea went through four stages. In the first, Korea's loss of independence served as a mirror of China's own dangerous position, menaced on all sides; in the second, the Korean people were seen as comrades‐in‐arms combating foreign foes; in the third, when the Korean Peninsula was divided, North Koreans continued to be regarded as comrades‐in‐arms while South Korea was not acknowledged; and in the final stage, amidst the interaction between “China style” and the “Korean wave,” Chinese literature's awareness of Korea expanded through a penetrating appreciation of Korean history involving deep ties of courage and uprightness.