Bad news about bad news: the disclosure of risks to insurability in research consent processes

One of the phenomena associated with research is "incidental findings," that is, unexpected findings made during the research, and outside the scope of the research, which have potential health importance. One underappreciated risk of incidental findings is the potential loss of the research subject's insurability; or if a research subject fails to disclose incidental findings when applying for insurance, the insurance contract may be voidable by the insurer. In this article, we seek to explain the insurability risks associated with incidental findings and to make recommendations for how researchers and research ethics committees should address the issue of disclosure of these risks.     

Influenza-Like Illness Among University Students: Symptom Severity and Duration Due to Influenza Virus Infection Compared to Other Etiologies

Abstract

Objective: University students with influenza-like illness (ILI) were assessed to determine whether symptom severity, duration, or missed days of school or work varied according to etiology. Participants: Sixty persons presenting to a university health clinic with ILI symptoms during 3 consecutive influenza seasons completed baseline survey and viral testing; 51 (85%) completed follow-up. Methods: Influenza viral culture and polymerase chain reaction and respiratory virus immunofluorescence assay testing were performed. Information collected at baseline and follow-up included symptom occurrence, severity, duration, and numbers of days of work and school missed. Results: Influenza virus was confirmed in 63% of participants. Influenza-positive individuals were no more likely to report any symptom or miss more days of school or work. Self-reported severity and durations of symptoms were similar between groups. Conclusions: Students with influenza-associated ILI were similar to those with noninfluenza ILI with respect to severity, duration, and numbers of days of school and work missed.     

Re-Thinking Illegality as a Violence Against, not by Mexican Immigrants, Children, and Youth

Sociohistorical theory was used to examine illegality as a form of state violence that bears upon the formation of undocumented Mexican immigrants. This article proposes a theory of dialectical violence that integrates societal with personal enactments of violence through case illustrations of Mexican youth. In a grassroots association defending immigrants' rights, youth develop within conflicting discourses about undocumented immigrants proposed by society, family, and community. Methods included ethnographic analysis of the association's documents, a workshop in which five participants authored a booklet with texts and illustrations about their lives in the city, and an interview with their mothers. Findings illustrate how Mexican youth enter a cycle of violence as a result of their undocumented status, socioeconomic class, language and ethnic-racial memberships.     

The Processes of Social Construction in Talk

Sociologists have paid a great deal of attention to the idea that many aspects of human life are socially constructed. However, there has been far less attention to the concrete interactional processes by which this construction occurs. In particular, scholars have neglected how consensual meaning is constructed in verbal interaction. This article outlines nine generic construction tools used in everyday talk, based on a review and synthesis of past work. These tools fall into three general categories: building blocks, linking devices, and finishing devices. The authors argue that scholars must pay greater attention to the interactional nature of social construction, and discuss three interactional processes that are central to the social construction of meaning in talk: challenge, support, and non‐response. The article presents concrete illustrations of these processes using examples from focus group discussions about gender and violence. These micro‐interactional processes often reproduce, sometimes modify, and (more rarely) resist larger institutions and structures, and thus are indispensable to understanding social life.     

What gives? Cross-national differences in students’ giving behavior

This study is targeted to understanding the giving of time and money among a specific cohort - university students across 13 countries. It explores predictors of different combinations of giving behaviors: only volunteering, only donating, neither, as compared to doing both. Among the predictors of these four types of giving behavior, we also account for cross-national differences across models of civil society. The findings show that students predominantly prefer to give money than to volunteer time. In addition, differences in civil society regimes provide insights into which type of giving behavior might dominate. As expected, in the Statist and Traditional models of civil society, students consistently were more likely to be disengaged in giving behaviors (neither volunteering nor giving money) in comparison to students in the Liberal model who were more likely to report doing ‘both’ giving behaviors. An important implication of our findings is that while individual characteristics and values influence giving of time and money, these factors are played out in the context of civil society regimes, whose effects cannot be ignored. Our analysis has made a start in a new area of inquiry attempting to explain different giving behaviors using micro and macro level factors and raises several implications for future research.     

The Cost of Low Fertility in Europe

We analyze the effect of fertility on income per capita with a particular focus on the experience of Europe. For European countries with below-replacement fertility, the cost of continued low fertility will only be observed in the long run. We show that in the short run, a fall in the fertility rate will lower the youth dependency ratio and increase the working-age share, thus raising income per capita. In the long run, however, the burden of old-age dependency dominates the youth dependency decline, and continued low fertility will lead to small working-age shares in the absence of large migration inflows. We show that the currently very high working-age shares generated by the recent declines in fertility and migration inflows are not sustainable, and that significant drops in the relative size of the working-age population should be expected. Without substantial adjustments in labor force participation or migration policies, the potential negative repercussions on the European economy are large.     

Finance organizations, decisions and emotions

Analyses of global financial markets are dominated by atomized models of decision-making and behavioural psychology ('exuberance' or 'panic'). In contrast, this paper argues that overwhelmingly, finance organizations rather than 'individuals' make decisions, and routinely use emotions in formulating expectations. Keynes introduced emotion (business confidence and animal spirits) but in economics, emotion remains individualistic and irrational. Luhmann's system theory lies at the other extreme, where emotions like trust and confidence are central variables, functional in the reduction of complexity in sub-systems like the economy. The gap between irrational emotions aggregated to 'herd' behaviour in economics, and 'system trust' applied to finance and money as a 'medium of communication' in sociology, remains largely unfilled. This paper argues that while organizations cannot be said to 'think' or 'feel', they are rational and emotional, because impersonal trust, confidence and their contrary emotions are unavoidable in decision-making due to fundamental uncertainty. These future-oriented emotions are prevalent within and between organizations in the financial sector, primarily in generating expectations. The dynamic of corporate activities of tense and ruthless struggle is a more plausible level of analysis than either financial 'manias' in aggregate or 'system trust'.