Medical Negligence and Resource Allocation in the NHS

The recent growth in medical malpractice claims and in awards for damages has created concern both amongst doctors and health administrators. Steps which have been taken by the Review Body on Doctors’and Dentists’Remuneration and policy now advocated by the BMA suggest a movement away from the current system of negligence and towards a stricter no-fault system of liability. Under the current system, medical negligence occurs when doctors have not met the standards of treatment expected by reference to current professional standards. Under a no-fault system patients would be entitled to compensation for losses which arise from treatment, irrespective of whether negligence had occurred; although the implication is that the amounts of compensation would necessarily be limited. While there are reasons to believe that financial difficulties for doctors and pressures on NHS budgets may be ameliorated by a no-fault system, there are other criteria against which the current system of negligence should be judged. This article attempts to provide a framework within which a negligence system may be assessed. In particular, attention is drawn to the educative role of a negligence system and to the provision of information which may improve decisions on resource allocation. A critique of the current system of medical negligence in the UK suggests that a package of reforms to improve the system would be better than further movements towards non-market solutions.     

Australian University Students' Views of the Nuclear Arms Race: Comparative and Qualitative Analyses

Australian university students' views of the nuclear arms race were analysed in two studies. A sample comparison study used Nuclear Arms Race Questionnaire (NARQ) and Position on Nuclear Weapons (PNW) scales to compare university students' views with those of high school students and community groups. University students' views were more strongly anti-nuclear than middle income and Middle European migrant groups, but not more than high school student and church member groups'. Females' attitudes were more strongly anti-nuclear than males. A qualitative analysis of ten university students' formulations of the arms races problem and Australia's involvement revealed the complex dimensions of perceived relationships between global and national interests and personal nuclear issues. Students' solutions were directly related to their formulations of the major aspects of the arms race problem, with six students who represented the nuclear problem in terms of superpower conflict, seeing individuals as powerless to influence solutions. Quantitative trends are interpreted in light of the varied representations of the problem and the association of students' generally anti-nuclear attitudes with lack of involvement in the peace movement.     

An Experimental Test of the Effects of Fictional Framing on Attitudes*

Objectives. Most studies of media effects in political communication focus on news media. A smaller body of work extends theories of news media effects to fictional entertainment media. Just as news media engage in priming and agenda setting, these studies suggest that fictional media do as well. In this study, we deal with fictional media's framing of issues. No research has sought to test the effects of framing in explicitly fictional media on political opinions. We develop the outlines of a theory we call “fictional framing” and test it in an experiment. Methods. Participants in our treatment group watched the film Cider House Rules. The movie frames the issue of abortion in the case of incest in a pro‐choice way, and frames morality in terms of following one's own conscience. Results. The film influenced opinions in ways consistent with the framing of these issues. Conclusions. Since abortion opinions and moral values tend to be entrenched, we consider this a strong first test of the effects of fictional framing.     

李栗谷天人观研究——以人的命运问题为中心

李栗谷在对天、命观的研究中,从天人关系的角度思考了人性命运的问题。他以圣人与天的经历为基础,力图把传统的重要经典联成一个整体,证明了天与人,天道与人事之间存在着密切的关系:天与道遥相呼应,人对于人性有积极作用;人所应循之道是通过圣人来传递的,圣人与天相通。另外,在关于命运的看法上,儒学和基督教的观点体现出更多的互补性,而不是相异性。     

Globalization: Myths and Realities1

Abstract The current decline of the developmentalist paradigm, and its view of the rural as increasingly residual, revitalizes rural sociology. The blossoming of studies of rurality and ecology is paralleled by the growing currency of globalization as an object of analysis. This is more than a coincidence—in fact, globalization crystallizes local diversity. The two phenomena go hand in hand. But each needs to be understood as an historical construct; that is, they need to be problematized. In problematizing “globalization,” I argue that it must be understood as a post-developmentalist construct. The postwar goal of national development, institutionalized in the international Bretton Woods regime, has run its course—dramatized by the assault on developmentalist states and institutions in the monetarist regime established under the auspices of the 1980s debt crisis. The nationally oriented institutions of the developmentalist era are now being replaced by globally oriented institutions under the legitimizing cloak of efficiency and financial credibility. Related to this trend, producing communities scramble to reposition themselves either through finding niches in a new global economy or through resistance to global pressures. Either way, there is a new emphasis on defining the local. This article explores the conjunction of global and local definition.     

Child Survival and Fertility of Refugees in Rwanda

In the 1960s and 1990s, internal strife in Rwanda has caused a mass flow of refugees into neighbouring countries. This article explores the cumulated fertility of Rwandan refugee women and the survival of their children. To this end, we use a national survey conducted between 1999 and 2001 and covering 6,420 former refugee and non-refugee households. The findings support old-age security theories of reproductive behaviour: refugee women had higher fertility but their children had lower survival chances. Newborn girls suffered more than boys, suggesting that the usual sex differential in child survival observed in most populations changes under extreme living conditions.     

Determinants of executive compensation in small business development centers

We develop and test a model of nonprofit executive compensation based on theories of organizational science, economics, and agency theory. Our sample consisted of 114 directors of small business development centers in the United States. Consistent with our model, we find significant effects for human capital, organizational size, and organizational affiliation. We find tentative support for a significant pay‐for‐performance relationship. We find that when education, tenure, size, performance, and affiliation are held constant, female executives are compensated significantly less than male executives.