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1 – 10 of 34G. Caleb Alexander and Matthew K. Wynia
Surveys about ethically important topics, when successfully conducted and analyzed, can offer important contributions to bioethics and, more broadly, to health policy and clinical…
Abstract
Surveys about ethically important topics, when successfully conducted and analyzed, can offer important contributions to bioethics and, more broadly, to health policy and clinical care. But there is a dynamic interplay between the quantitative nature of surveys and the normative theories that survey data challenge and inform. Careful attention to the development of an appropriate research question and survey design can be the difference between an important study that makes fundamental contributions and one that is perceived as irrelevant to ethical analysis, health policy, or clinical practice. This chapter presents ways to enhance the rigor and relevance of surveys in bioethics through careful planning and attentiveness in survey development, fielding, and analysis and presentation of data.
Matthew E. Sarkees and M. Paula Fitzgerald
Off-label drug prescribing by healthcare providers is a growing practice. Yet, the US Food and Drug Administration bans the marketing of drugs for off-label uses. In recent years…
Abstract
Purpose
Off-label drug prescribing by healthcare providers is a growing practice. Yet, the US Food and Drug Administration bans the marketing of drugs for off-label uses. In recent years, legal challenges by the pharmaceutical industry have chipped away government restrictions on off-label drug promotion. Although the changing legal landscape has been discussed, this paper aims to examine how key stakeholders and policy-makers might interact to provide a more transparent marketing environment for off-label drug discussions in the patient–provider relationship.
Design/methodology/approach
Drawing on a variety of sources, the authors assess the current marketing landscape of off-label drugs and some of the issues that challenge the healthcare provider–patient relationship. The authors then examine opportunities to improve the off-label promotion environment and the relevant decision-making theories that key stakeholders need to consider when formulating marketing efforts and policies.
Findings
The authors suggest that fewer restrictions on truthful, non-misleading off-label drug promotion provide an opportunity to improve drug knowledge and, importantly, healthcare provider and consumer decision-making. Key stakeholders should consider, among other solutions, criteria for defining truthful information on off-label drugs, alternative methods of approval of off-label uses and ubiquitous icons to identify off-label prescribing to all stakeholders.
Originality/value
Rather than rehash the legal landscape of off-label drug promotion, this paper focuses on how the healthcare provider–patient relationship is impacted and how stakeholders can improve information flow in this changing environment.
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G. ALAN HICKROD, RONALD L. LAYMON and BEN C. HUBBARD
As interest in the “politics of education” continue to mount in the United States it becomes important to try to explicate the fundamental political ideology which continues to…
Abstract
As interest in the “politics of education” continue to mount in the United States it becomes important to try to explicate the fundamental political ideology which continues to shape current developments in school finance in that country. In this article it is argued that there is an identifiable “democratic theory of school finance” and that the roots of this political theory can be found in the works of such “classical” authors as Aristotle, Thucydides, Thomas Jefferson, Alex de Tocqueville, Caleb Mills, and others. A body of current professional educational literature and some court opinions are then summarized and illustrations are provided to show that the basic political values of the “classical” authors are still very much present in the newer professional literature and in the court opinions. Finally a postscript is provided to bring the reader even closer to additional school finance literature in the United States. Students of the politics of education might be interested to learn that this was a bipartisan effort. Professors Hickrod and Hubbard are normally associated with the Democratic Party in the United States, while Professor Laymon customarily finds himself on the Republican side of the aisle. The article thus provides some evidence that there can be agreement on principles of democracy and constitutional government that transcends political party affiliation.
Arianne Maraj, Domenique Sherab, Milagros Calderon-Moya and Ratna Ghosh
Transnational shifts experienced by Syrian refugee young adults disrupt their lives. Many start their journey as children, transition into adolescents often in countries of…
Abstract
Transnational shifts experienced by Syrian refugee young adults disrupt their lives. Many start their journey as children, transition into adolescents often in countries of asylum, and resettle as young adults in countries such as Canada with the dream to rebuild their lives. Too old (+16) for the traditional school cycle, they are encouraged into adult education (AE) as their only choice to complete their high school diplomas to obtain minimum wage jobs or continue to higher education. Their progress through AE continues their destabilization, particularly in terms of their aspirations, hopes and dreams. The authors focus on the educational journeys of this population who have largely been forgotten by policies and programs for refugee integration. Drawing upon 29 interviews with Syrian refugee young adults in Quebec, using a theoretical framework of migration/aspirations and critical race theory, the authors highlight how disruption is perpetuated in their education after their arrival rather than stability.
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John S. Goldkamp and E. Rely Vîlcicã
Following in the footsteps of critics of the 1920s and 1930s, Caleb Foote's 1954 study of the bail system in Philadelphia set the agenda for bail reform in the United States…
Abstract
Following in the footsteps of critics of the 1920s and 1930s, Caleb Foote's 1954 study of the bail system in Philadelphia set the agenda for bail reform in the United States focusing on judicial discretion and the inequities of a predominantly financially based pretrial detention system. This article argues that the bail reform movement originating in the 1960s fell short of its objectives in its failure to engage judges in the business of reform. From Foote's study on, Philadelphia has played a role historically in studies of bail, detention, and reform. The article considers the experience of Philadelphia's judicial pretrial release guidelines innovation from the 1980s to the present and its implications as an important contemporary bail reform strategy in addressing the problems of bail, release, and detention practices. The implications of the judge-centered pretrial release guidelines strategy for addressing pretrial release problems in urban state court systems are discussed in light of the original aims and issues of early bail reform.
Charles D. Wrege, Ronald G. Greenwood and Regina Greenwood
Outlines a new method of discovering original documents related to management history. Uses seemingly insignificant statements in books, articles or original documents to locate…
Abstract
Outlines a new method of discovering original documents related to management history. Uses seemingly insignificant statements in books, articles or original documents to locate documents not listed on any computer database or public archive records, but which are undiscovered in attics or basements. The method involves the use of sources not commonly used by management scholars: obituaries, wills, cemetery records, deeds, land‐ownership maps, city directories and court records. Provides two examples to illustrate the discovery of actual documents: (1) the discovery of ten years of correspondence between F.W. Taylor and S. Thompson on the time required to do work, and (2) new evidence on F.W. Taylor’s interest in high‐heat treatment of tool steel leading to high‐speed steel and in shovels and shovelling. Finally presents new evidence on Taylor’s secret agreement with Bethlehem Steel to give favourable testimony in a patent case in exchange for a free licence for the high‐speed steel process Taylor had sold to Bethlehem for more than $50,000 in 1901.
Karon N. LeCompte and Michelle Bauml
We present an instructional strategy in which children utilize critical thinking skills to interpret images related to social studies concepts. To illustrate, we focus on teaching…
Abstract
We present an instructional strategy in which children utilize critical thinking skills to interpret images related to social studies concepts. To illustrate, we focus on teaching First Amendment freedoms; however, we encourage teachers to apply the strategy with other social studies concepts. Using visual media such as paintings and photographs to teach abstract social studies concepts can be especially helpful for teachers working with English language learners and young children. Suggested resources for locating images for classroom use are provided.
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