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Research on patient-centred professionalism in pharmacy is scarce compared with other health professions and in particular with pharmacists early in their careers. The purpose of this paper is to explore patient-centred professionalism in early career pharmacists and to describe reported behaviours.

This study explored patient-centred professional values and reported behaviours, taking a qualitative approach. In all, 53 early-career pharmacists, pharmacy tutors and pharmacy support staff, practising in community and hospital pharmacy in England took part; the concept of patient-centred professionalism was explored through focus group interviews and the critical incident technique was used to elicit real-life examples of professionalism in practice.

Triangulation of the data revealed three constructs of pharmacy patient-centred professionalism: being professionally competent, having ethical values and being a good communicator.

It is not known whether our participants’ perspectives reflect those of all pharmacists in the early stages of their careers. The data provide meaning for the concept of patient-centred professionalism. The work could be extended by developing a framework for wider application. Patient-centred professionalism in pharmacy needs further investigation from the patient perspective.

The findings have implications for pharmacy practice and education, particularly around increased interaction with patients.

The data contribute to a topic of importance to patients and in relation to UK health policy, which allocates more directly clinical roles to pharmacists, which go beyond the dispensing and supply of medicines.

The methods included a novel application of the critical incident technique, which generated empirical evidence on a previously under-researched topic.

Panel discussions as a pedagogical tool allow students to engage with topics of leadership and deliver conceptual understanding in leadership education. Although undergraduate leadership development students have reported a preference for the instructional method, the use of panel discussions as a teaching practice has not been prevalent among leadership educators. For this exploratory, non-experimental study, a retrospective pre- post test evaluation questionnaire was utilized to capture changes in student perceptions related to key topics following a Women in Agricultural Leadership panel discussion. Perceptions and awareness toward women agricultural leaders were shown to increase significantly after participation in the panel discussion, thereby generating further opportunities for positive and insightful discussion.

Preface The functions of business divide into several areas and the general focus of this book is on one of the most important although least understood of these—DISTRIBUTION. The particular focus is on reviewing current practice in distribution costing and on attempting to push the frontiers back a little by suggesting some new approaches to overcome previously defined shortcomings.

Student-led project-based teams are widely used by faculty but do we really understand the process that students experience as a result of participating in a team? This study sought to understand the team process by examining leadership practices exhibited by assigned leaders and their team culture. Using a mixed-methods case study design it was found that students perceived team leaders to be strongest in the leadership practice-enable others to act described as fostering collaboration and sharing power and weakest in the leadership practice-encourage the heart described as recognizing individual contributions and celebrating team successes. Two of the teams were identified as a clan culture and the third team was determined to be a market culture. It was recommended that instructors who use teams to enrich learning examine the relationship between specific team cultures and enhanced team performance.

Even the best advertising campaign may fail if the price of the product is not appropriate, yet retail prices are still determined more by rules of thumb than systematic study.

“All things are in a constant state of change”, said Heraclitus of Ephesus. The waters if a river are for ever changing yet the river endures. Every particle of matter is in continual movement. All death is birth in a new form, all birth the death of the previous form. The seasons come and go. The myth of our own John Barleycorn, buried in the ground, yet resurrected in the Spring, has close parallels with the fertility rites of Greece and the Near East such as those of Hyacinthas, Hylas, Adonis and Dionysus, of Osiris the Egyptian deity, and Mondamin the Red Indian maize‐god. Indeed, the ritual and myth of Attis, born of a virgin, killed and resurrected on the third day, undoubtedly had a strong influence on Christianity.

In sending forth the first number of a new volume of the Library World it is natural that we should desire to review the happenings of the year that has closed, and our own relation to them. We curb our desire, partly for lack of the necessary space, and partly because we wish to give attention to other matters. It is not superfluous, however, to repeat that 1919–20 will stand out in the history of libraries as no other year since 1850. We have gained what the Honorary Secretary of the Library Association has rightly called “our charter of liberty”; we are now breathing an atmosphere which is not bounded by the walls of a penny rate limitation; and our future is, relatively speaking, infinite. Liberty, nevertheless, has its own problems.

The findings of the Steering Group on Food Freshness in relation to the compulsory date marking of food contained in their Report, reviewed elsewhere in this issue, has brought within measurable distance the Regulations which were, in any case, promised for1975. The Group consider that the extension of voluntary open date marking systems will not be sufficiently rapid (or sufficiently comprehensive) to avoid the need or justify the delay in introducing legislation.

The puzzle of hot and cold issue markets has attracted substantial interest in the academic community. The behavior of IPO volume and initial returns over time is well documented. Few studies, however, investigate the dynamic interrelationship between these two variables. This paper aims to fill this gap. In addition, the technological innovations hypothesis of hot issue markets is tested. Welch and Hoffmann‐Burchardi suggest that the clustering of new issues is caused by IPO volume spikes in industries that have recently experienced technological innovations or favorable productivity shocks.

This paper employs a sample of 8,160 initial public offerings filed in the USA between January 1972 and December 2001. A simultaneous equation approach is used to examine the endogenous relationship between IPO volume and initial returns. In addition, the paper analyzes the industry correlation matrix of new issue activity and estimates a fixed‐effects model based on industry‐level data to examine the impact of technological innovations on new issue activity.

It is found that higher IPO volume causes higher initial returns, but not vice versa. In addition, evidence is found against the technological innovations hypothesis. The findings suggest that economy‐wide rather than industry‐specific factors are responsible for the observed variations in IPO volume.

As with any empirical study, the results may be sample‐specific.

The paper extends the prior literature on the relationship between IPO volume and initial returns by applying two‐stage and three‐stage least squares models that go beyond prior methodological approaches used in the extant literature. In addition, the paper provides some of the first empirical evidence on the effect of technological innovations and productivity shocks on IPO activity.

The unsatisfactory conditions which are created by the total lack of official standards, or indeed of any figures or definitions relating to food and some drug products is well illustrated in the report of a prosecution which appeared in last month's issue of the Journal. This case in question was dismissed by the Bench. The Bench was tendered some highly technical and very conflicting evidence. In view of this the defendants received the benefit of the doubt ; and they received this benefit because in the absence of any standard the Bench were unable to decide what was “ the nature, substance and quality demanded by the purchaser ” of the invalid wine—non‐alcoholic meat and malt wine—which was the subject of the prosecution. Wine may be defined as the juice of the grape which has been fermented under control conditions. The term has been extended in meaning and is now applied to a variety of substances which have had nothing to do with the grape and frequently contain very little or no alcohol, but may, as in this case, contain substances entirely foreign to the idea of wine, if the term be used in its original and restricted sense. A well known variety of ginger wine has an alcohol content of about 26 per cent. of proof spirit. So far as the alcohol content goes this liquid may be correctly described as a wine. It has, within its limits, the stimulating properties that are usually associated with an alcoholic drink and its value as an aid to digestion or a warm drink in winter cold has never been questioned. It appears that non‐alcoholic meat and malt wine also has virtues peculiar to itself dependent not on alcohol, but on other substances whose nature and quantity determine its characteristics. The term “ demand ” as used in the Act connotes the idea of a purchaser who well knows what he ought to get and furthermore will vigorously insist on getting it. The fact is, as everyone knows, that the purchaser is in a state of profound ignorance as to “ the nature, substance and quality ” of what he wishes to buy, and as a result he is in a sufficiently humble state of mind to accept without hesitation almost anything that may be told him about his prospective purchase from the other side of the shop counter. It is this state of mind on the part of the average purchaser and the desire to profit by it on the part of some food vendors that led to the passing of the Food and Drugs Act. The underlying idea being to protect the ordinary man and woman in health and pocket against the result of their purchasing adulterated material or inferior material described as being of superior quality. To enable the Act to be satisfactorily administered certain officers were appointed, known as Public Analysts. They were the officials of the old Local Government Board. They are the officials of the Ministry of Health. Their wide experience, special knowledge, and impartiality combine to make their services of peculiar value to the community so that they may, without unduly stretching language, be described as part trustees for the public health. Everyone will readily admit that there is scarcely anything, if anything, more complex than any one of our ordinary and unsophisticated food products. This complexity is, so to speak, raised to the second power by the variations that naturally occur in the essential constituents of these. The process of administering the acts directed against adulteration and similar offences has been frequently enlivened by the lively controversies to which this fact has given rise in the past and which it will no doubt do in the future. Another consideration must be taken into account. It is this. Since the year 1875 when the Food and Drugs Act became law the knowledge of food chemistry, in common with other kinds of knowledge, has increased rapidly in kind and in amount. This knowledge is now freely drawn on by those whose financial and business interests are bound up with food manufacture. As a result of this all kinds of more or less elaborately processed foods in immense variety and in many cases of a kind unthought of or impossible of manufacture sixty years ago have been put on the market. Among these processed products may be counted in considerable variety foods for the use of invalids or those convalescing from illness. Very large claims are made for these by the manufacturers, and it is only fair to say that these claims are to a considerable degree substantiated in the case of the better class of these substances prepared by reputable firms. All will agree that foods and stimulants which are said to have been specially prepared for the relief and more rapid recovery of a patient during the critical period of convalescence should be in every respect of such a nature as to be above suspicion and entirely beyond challenge by reasonable and expert opinion. This is unfortunately not always the case. Trade competition is acute. Official standards are non‐existent. Practically no official definitions exist, and no official figures to declare what shall be the minimum quantity of an essential constituent. The result is that nature is “ improved ”—to borrow a term which is in frequent and objectionable use among certain manufacturers—and the variation in the proportions of essential constituents depends on the taste and fancy of the manufacturer rather than on the needs of the consumer. Hence it comes about that to obtain a footing in a lucrative branch of trade a cheap product may be put on the market. It is cheap because it is made of inferior or adulterated materials, or what may be described as a vanishing quantity of an essential constituent is introduced. The quality of this constituent need not be in question. It is probably perfectly wholesome, but almost useless in such microscopic doses. For example, a mixture called “ chicory and coffee ” may be sold. The maker may please himself as to how much or how little coffee he uses, but as long as the coffee is not a purely subjective phenomenon he is on the right side of the law if he describes it as a mixture. Cheaper jams, it has been said, may be filled up with apple pulp. We may even suggest spent apple pulp which is certainly cheap and very filling at the price. As to the amount of essential constituent in the somewhat grandiloquently named “ Full Fruit Standard ” jams we may refer readers to the back numbers of this Journal. “ In bismuth tablets the amount of bismuth may become almost negligible because the law does not demand that there should be a fixed minimum present.” Many other instances could be given, and they would be found to relate to nearly every food and drink. In every case where the prosecution alleges that the nature or the substance, which is the basis of the prosecution, is below any reasonable standard the prosecuting authority finds itself heavily penalised by having no official standards to quote. The defence, on the other hand, gains what the prosecution has lost. It finds itself in a much stronger position if the case should be dismissed than when the proceedings commenced. The local authority has been put to great and perhaps useless expense in their endeavours to protect the public. The particular case of the meat and malt wine referred to appears to be an excellent instance of this kind of practice. The Public Analyst affirmed that a wine‐glassful of this “ wine ” contained 8¾ grains of meat extract, 52½ grains of malt extract, 150 grains of sugars (invert, etc.). The concoction was diastatically inactive. It contained no vitamins. It is further pointed out that the total cost of the contents of a pint bottle would be about three half‐pence. It is sold for four shillings and sixpence ! The report of the proceedings says that this “ wine ” was declared by the vendors to contain the juice of the finest grapes. The Public Analyst, however, certified that there was no grape juice in it. These facts and figures have not been called in question, and it is really somewhat difficult to speak with restraint of a transaction of this nature, especially when it is remembered that this, and other such “ wines ” and stimulants have been compounded for the alleged benefit of convalescents and of invalids. It is regrettable that experts can be found willing to support the doubtful claims of the manufacturers so far as it appears that they relate to the proportion of meat and malt extract in the “ wine.” The Public Analyst for the prosecuting authority stated that in his opinion such an article should contain a minimum of 4 per cent. of meat extract and 25 per cent. of malt extract. Another Public Analyst, called for the defence, said that in his opinion the proportions of these ingredients should be one and four respectively. Here are huge discrepancies in the ratio of about four to one in the essential constituents of an invalid food or stimulant. It is impossible, in the face of such wide differences of opinion among experts, to avoid drawing a comparison between the make up of the medical prescriptions which determine the nature of the drugs administered during illness and the nature of the stimulants, such as this “ wine,” which is to be taken during the period of convalescence. In the one case the prescription is drawn up by a medical man and the medicine compounded by a qualified pharmacist from drugs whose “ nature, substance and quality ” are rigidly defined in the pharmacopoeia. In the other case the stimulants which are presumably intended to help the patient on his road to recovery are, it appears, primarily made to sell, and have been compounded by the manufacturers to enable them to put money into their pockets. We can only say that if the same differences in composition existed in the same medicine and the same differences of opinion existed among medical men as to the efficacy of such medicine the patient would in all probability not reach the stage of convalescence at all. The only thing that might conceivably give trouble under the circumstances would be the wording of the death certificate. If medical men and analysts in official positions are to be regarded as joint trustees of the public health let them play the part. What would be thought of a trustee in the ordinary sense of the term who would recommend investment in a concern as to whose soundness there was considerable doubt? His good faith need not be called in question, but his judgment might certainly be described as faulty. It would be worse than a crime, it would be a mistake. A remedy for this unsatisfactory state may, in our opinion, be found in the setting up of standards for foods and drugs. The difficulties, of course, are great and a serious objection, or one of the objections, would be the inevitable lowering of the quality of most foods to the level of the minimum requirements of the law. There really seems to be no other way out of the difficulty, and if a beginning is to be made there seem to be very good reasons to begin with some of these invalid foods and stimulants. It is as much a matter for the medical man in cases of this kind as it is for the public analyst. If the medical man has succeeded in putting his patient after a serious illness on the high road to recovery he does not want to see him made to “ stand and deliver ” at the demand of anyone who has the necessary assurance to play such a part. With regard to standards in general a well known public analyst has recently observed : “ The Public Analyst should be umpire certainly, but if he is he should take into consideration the whole question of standards for any particular article ; long custom of the trade ; and also give weight to the needs and desires of the public.” He adds, “ The whole question of standards requires the attention of a small, but very competent, body—not a crowd.” This seems to be a complete statement of the case in few words. Some of the difficulties are suggested by the phrases “ custom of the trade ” and “ needs of the public.” It is the first of these that presents by far the most difficulty. The manufacturer well knows what “ custom ” would be of most benefit to him. He will fight for this by every means in his power. The fact that the public is extremely hazy as to its needs operates powerfully in favour of the manufacturer. It may also be added that while the manufacturers are almost always a well organised community, the members of the public are not, nor are they ever likely to be. It has been suggested that the public should be made “ food conscious.” It should “ take an interest in what it is buying ” and ask “ what do I expect to get when I buy this article? ” The meat and malt “ wine ” case is a sufficient answer. The purchaser paid four shillings and sixpence for what was stated to be “ three ha'porth of stuff ” made up to half a pint, and he was unconscious of the fact. This may be taken as a measure of the interest and knowledge shown by him when he was content to let the manufacturers make a profit of some three thousand per cent. on material that the Public Analyst is reported to have said was “ comparatively worthless.” While the magistrates were unable to accept the Public Analyst's standards as proved in view of the conflicting evidence, they added that the case had been most properly instigated by the West Riding County Council, and the defence was made to pay its own costs ! The whole case affords a clear demonstration of the urgent necessity of a small Standing Committee which could act and put its views into force without delay.