Implementing the ecological approach in tobacco control programs: results of a case study

The ‘new public health’ has stimulated calls to adopt an ecological approach for action aimed at improving population health. However, the implementation of ecological programs has often remained a challenge. The objective of this study was to identify factors facilitating the implementation of ecological tobacco control programming in two Public Health Departments in Québec (Canada) using Scheirer's model of program implementation as a conceptual framework and an exemplary case study design. Analysis revealed two distinct configurations of environmental, organizational and professional characteristics that were related to equally successful implementations of the framework. Key roles for factors such as provincial ministerial guidelines and financial resources, human resources, and relationships and alliances with other organizations, were highlighted. These results replicate findings from quantitative surveys and allow better understanding of the conditions required for planning ecological programming.     

Intervention sociology: history and foundations

Our intention is to state the main characteristics of intervention sociology, from its origins, the beginnings of which can be situated in Frédéric Le Play's monographic work carried out 150 years ago, to its present forms. Rather seldom mentioned in sociological literature or if so in the course of a paragraph or in methodological appendixes, intervention sociology, although widely practised outside the academic field, today still lacks legibility and institutional recognition. By proposing a thorough reading of the main theories and conceptions developed during the past two centuries, our article aims at explaining, through the sociological prism, the fundamental concepts of intervention sociology.     

The proximity filter: the effect of distance on media coverage of the Christchurch mosque attacks

ABSTRACT

The intense media coverage in New Zealand and Australia of the Christchurch mosque attacks exhibited significant disparity in editorial decision-making between the two countries. This research interrogates the different approaches taken in newsrooms and how these differences were manifested in broadcasts and publications. New Zealand media were focused largely on empathetic coverage of victims and resisted the alleged gunman's attempts to publicise his cause while their Australian counterparts showed no such reluctance and ran extended coverage of the alleged perpetrator, along with material ruled objectionable in New Zealand. It finds the editorial focus in each case exhibits the effect of proximity, identified in literature on empirical ethical decision-making as a factor in applied ethicality. The authors conclude that a proximity filter was used by New Zealand media who identified the victims as part of their own community, but the events of 15 March 2019 were seen as ‘foreign’ by Australian journalists who used perceived distance as justification for extremely graphic content.     

Dissemination to research subjects: operationalizing investigator accountability

Recent articles have argued from principles of bioethics for the right of research subjects to receive the results of the studies in which they have participated. We argue that accountability is a powerful tool of meso-level analysis appropriate to reasoning about answerability in research ethics, and that it captures the responsibility of researchers to disseminate study results to research subjects. We offer the following features of the research situation as relevant to the manner of dissemination to study subject, in addition to factors already proposed in the literature (risk and impact on health outcome): (a) features of the research subject in relation to identity, personal investment, disease, and community; (b) characteristics of the research study and field of inquiry in relation to certainty and significance; and (c) relationships among the research subjects and the healthcare workers involved in their care and in the research.     

FORRIDGE - Principles of good practice in material flow

The post World War II Industrial Revolution has driven production away from the old 'economies of scale' to the new 'economies of scope'. Apparently Japanese led, the associated roots of present good practice on material flow can be traced back in the USA to Jay Forrester and in the UK to Jack Burbidge. Specifically, in the supply chain scenario, Forrester exposed the importance of system structure in relating and integrating information flow with material flow. Similarly Burbidge led the way in exploiting cycle time reduction, synchronization of orders throughout the chain, simplified product structures, and streamlined component flows. This paper unites their contributions to material flow engineering and shows how present day system design methodologies incorporate their ideas on best practice. These principles are particularly relevant to the product delivery process (PDP) which governs material flow in supply chains.     

Pitch and Communicative Intent in Mother's Speech: Adjustments for Age and Sex in the First Year

This study investigated pitch and communicative intent in mothers' infant‐directed speech spoken to their infants at birth, 3, 6, 9, and 12 months. Audio recordings of mothers (6 with female, and 6 with male infants) talking to another adult and to their infant at 5 ages were low‐pass filtered and rated by 60 adults on 5 scales (Positive or Negative Affect, Express Affection, Encourage Attention, Comfort or Soothe, and Direct Behavior). Mean fundamental frequency (F₀) and pitch range of utterances were also measured. Utterances associated with positive affect tend to peak at 6 and 12 months, whereas more directive utterances peaked at 9 months. Mean F₀ followed the age trend for affective utterances, and pitch range followed the trend for directive utterances. The results suggest mother speech patterns reflect, complement, and perhaps facilitate infant development.     

Uncertainty and Sensitivity Analysis in Assessment of the Thyroid Cancer Risk Related to Chernobyl Fallout in Eastern France

The increase in the thyroid cancer incidence in France observed over the last 20 years has raised public concern about its association with the 1986 nuclear power plant accident at Chernobyl. At the request of French authorities, a first study sought to quantify the possible risk of thyroid cancer associated with the Chernobyl fallout in France. This study suffered from two limitations. The first involved the lack of knowledge of spontaneous thyroid cancer incidence rates (in the absence of exposure), which was especially necessary to take their trends into account for projections over time; the second was the failure to consider the uncertainties. The aim of this article is to enhance the initial thyroid cancer risk assessment for the period 1991-2007 in the area of France most exposed to the fallout (i.e., eastern France) and thereby mitigate these limitations. We consider the changes over time in the incidence of spontaneous thyroid cancer and conduct both uncertainty and sensitivity analyses. The number of spontaneous thyroid cancers was estimated from French cancer registries on the basis of two scenarios: one with a constant incidence, the other using the trend observed. Thyroid doses were estimated from all available data about contamination in France from Chernobyl fallout. Results from a 1995 pooled analysis published by Ron et al. were used to determine the dose-response relation. Depending on the scenario, the number of spontaneous thyroid cancer cases ranges from 894 (90% CI: 869-920) to 1,716 (90% CI: 1,691-1,741). The number of excess thyroid cancer cases predicted ranges from 5 (90% UI: 1-15) to 63 (90% UI: 12-180). All of the assumptions underlying the thyroid cancer risk assessment are discussed.