Co‐production in the epidemiological clinic: A decentred analysis of the tensions in community‐based,client‐facing risk work

Public health policies to prevent disease within populations are giving rise to shifting patterns of healthcare delivery in the late modern era. There is an inherent tension in modern medicine between evidence‐based standardisation, on the one hand, and patient‐centred specificity on the other. This tension manifests in recent policy narratives regarding public health risk (which we have characterised in terms of the epidemiological clinic) and co‐production. Drawing on co‐produced data with health trainers (lay health workers tasked with supporting behavioural change in patients at high risk of cardiovascular disease) in a deprived post‐industrial region of England, our decentred analysis focuses on three extended narratives from this data set. Our analysis builds on and develops emerging theories of risk work, informed by Habermas, and we explore the extent to which elite narratives of public health risk are resisted, absorbed, or bracketed off by client‐facing health workers—emphasising the heterogeneity of responses—and locate these responses within the context of the workers' employment conditions, their embodied experiences, and their wider beliefs and traditions. We argue that co‐production—albeit in a highly constrained form—is possible while delivering public health interventions. However, in the context of a community where health is so adversely affected by wider social problems and where task shifting has drawn lower status healthcare workers into these client‐facing roles, workers must find their own ways to negotiate and attempt to reconcile this context with the risk‐framed practices they are required to carry out.     

Shifting repertoires: understanding cultural plurality in policing

The police is one of the most prominent organizations in the frontline of public administration. In order to deal with high external expectations, the organization has been said to develop and nurture multiple police cultures. Applying Grid Group Cultural Theory, or GGCT, we address the following questions: what sets of values, beliefs and practices has the police organization developed to deal with high expectations stemming from their publics? How do cultural tensions play out in real-life practices of policing “under pressure”? We find that cultural patterns described in the general literature on policing can be plotted on the GGCT map. Zooming in on the case of policing in the Netherlands, cultural plurality appears to be not only prominent in the police organization as such, but can also be found in the form of continuous cultural “tap-dancing” – swift, flexible and improvisational shifting – at various levels of active policing.     

Measuring misalignment: The location of US multinationals’ economic activity versus the location of their profits

A major international effort—the Organisation for Economic Co‐operation and Development Base Erosion and Profit Shifting initiative—aims to reduce the extent of misalignment between the profits of multinational groups, and the location of their real economic activity. This article uses survey data on the international operations of US‐headquartered multinational groups to show major misalignments of profit. A small number of “profit‐haven” jurisdictions are seen to have captured a disproportionate share of total profits, resulting in serious disadvantages for most countries, regardless of income level.     

新闻传播学背景的“走转改”活动及其长效机制

“走转改”活动现阶段取得了一定成效,但要使其成为广大新闻工作者的自觉坚守和工作常态．就应当建立长效机制。构建“走转改”活动长效机制的关键在于使“走转改”活动制度化,从三个方面健全相应制度：建设舆情采集制度,确保走基层的常态化;改革媒体管理制度,确保转作风的常态化;改变新闻评价制度,确保改文风的常态化。     

长江三角洲地区产业结构与空间结构的演变

长三角区域经济一体化的主要动力是要素流动和产业转移,由此引起了长三角空间结构和产业结构的变动,推动了长三角区域经济一体化进程.20世纪80年代以来,浙江和上海之间发生的产业区域转移以及由此导致的区域经济产业结构和空间结构的演变,揭示了时间序列下上海和浙江之间存在的以制造业为中心的产业发展的"雁行形态".正是这种区域间产业发展的"雁行形态"的存在,推动了长三角制造业产业重心的迁移,进而在长三角内部形成相对合理的产业空间结构和产业分工结构,并使得以上海为地标的中国经济的中心区域扩展到了整个长三角地区.     

论阮籍前后期美学思想的转向——以其音乐美学思想为例

阮籍的美学思想由前期充满儒家经学实用的美学思想蜕变为后期庄学色彩浓厚的逍遥美学思想。它的蜕变与玄学思潮的影响以及魏晋朝代交替的残酷斗争息息相关。后期的逍遥美学思想是阮籍引庄入儒、引庄释儒,将乐的审美价值归结到实现个体心灵的自由,以庄子逍遥逸放的自由精神铸就魏晋风度的人格理想,从而为中国逍遥音乐美学抹上了浓重的一笔。     

邓小平为什么要发表《解放思想,实事求是,团结一致向前看》的讲话——对《邓小平的最后二十年》一书的两点质疑

在《邓小平的最后二十年》一书中,作者把邓小平发表《解放思想,实事求是,团结一致向前看》的讲话归因于中央工作会议形势的变化和工作重点转移问题的不突出,这是一种表面化和抽象化的理解。从邓小平批评"两个凡是"的整个过程和他发表《解放思想,实事求是,团结一致向前看》讲话的主题及内容来看,邓小平的讲话是为了深化对"两个凡是"的批评,是为了创造实现工作重点转移所需要的主体和社会条件。     

试论被执行人的变更和追加

被执行人的变更和追加,是一项重要的诉讼法律制度,本文系统论述了被执行人的变更和追加的法定条件和程序;同时对司法实践中过分强调执行效率而忽视程序的重要性,忽视当事人权益的保护,在执行过程中直接裁定变更或追加被执行人的做法提出了自己的不同看法。笔者认为,变更和追加被执行人的,首先应由申请执行人提出,由执行机构移送原审判庭依法审理予以认定。这样才能充分尊重当事人的处分权,也有利于人民法院进一步完善审执分立、分工负责、互相配合、互相制约的工作机制。     

农业劳动力转移问题的理论渊源及其启示

该文探讨了农业劳动力转移问题的理论渊源 ,并根据有关理论对我国农业劳动力转移的情况进行了分析 ,指出了调整农业产业结构、推进农业产业化、增加农民收入等举措对于解决我国农业剩余劳动力转移问题的重要意义。