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The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that they are not sustainable. As a result, the USA is faced with an ethical dilemma. While egalitarian ethical principles and the provisions of the American Nurses Association (ANA) code of ethics require the provision of medical/nursing care to everyone regardless of age, severity of disease and productivity, utilitarians view that as impossible. Assuming that provisions ANA’s codes of ethics are the same as ethical principles, this paper aims to discuss the debate between those two sides in detail.

The paper, viewing the rise of health-care/nursing costs as the cause of the above ethical dilemma, discusses Daniel Callahan’s utilitarian argument that, given the ever-rising health/nursing costs as a percentage of GDP, the USA will be forced to ration health care/nursing on the basis of age. The ethical arguments opposing Callahan’s arguments will also be presented.

While the debate between those two viewpoints is bond to continue, some writers have tried to find a compromise, a solution by assuming that, through efficiency, health/nursing costs can be lowered, making Callahan’s age-based rationing unnecessary.

This paper is original as it, by including nursing costs as an inseparable component of health-care costs, makes the aforementioned debate applicable to nursing care.

The purpose of this paper is to investigate the correlates of suicidal ideation in offenders incarcerated in three Belgian prisons.

A cross-sectional questionnaire design was used. In total, 60 participants were recruited from three Belgian prisons. In addition to a questionnaire regarding demographic, social, institutional, and criminological factors, validated self-report instruments of psychological and psychiatric variables (coping, hopelessness, and depressive symptomatology) were administered. Associations with suicidal ideation were tested using regression analysis.

Coping style, life events, and social support were most strongly associated with suicidal ideation in prisoners. In particular, a passive coping style, feelings of loneliness, and the loss of a significant other contributed most to the presence of suicidal ideation, whereas a close partner relationship constituted a protective factor of suicidal thoughts.

This pilot study used a convenience sampling strategy, prone to sampling bias. Additionally, given the small sample size, results must be interpreted with caution, as they might not be representative of the general population of prisoners in Belgium.

Interventions focussing on improving coping skills and social support and on impeding the availability and accessibility of suicide methods are promising suicide prevention strategies in custodial settings.

To date, no studies have been conducted in Belgium focussing on suicidality in prisoners. Furthermore, the examination of suicidal ideation in prison settings has received relatively scant attention in international research.

Christmas markets have more recently become important tourist attractions in Europe. The purpose of this study is to understand how does this recurring event impact local businesses and residents. The research focuses on the city of Cluj-Napoca, Romania.

This study used both quantitative and qualitative methods. First, a survey was conducted with local residents to evaluate the impact of the Christmas market on the local community. Residents’ perception of social impacts was ascertained by using a five-point Likert scale. The data collected was then processed using the SPSS software. Second, to assess the impact of the Christmas market on the businesses located in the city’s historic central square, semi-structured interviews with managers and front-line employees were conducted. In total, 21 people were interviewed for this study. The interviews were then transcribed, and the content analysis was applied to the textual data.

The study found that both residents and local businesses have a positive attitude toward the Christmas market. The only negative impact, identified by a segment of the population and some companies, was crowding of public spaces (including parking problems and traffic jams).

This study is novel in that, with one exception, there are no studies on the community impacts of Christmas markets. Moreover, to the best of the authors’ knowledge, this is the first study on Christmas markets in Romania and one of the very few in Eastern Europe.

This paper questions the change in patterns of use of the balcony during lockdown. It investigates whether residents, specifically of apartment buildings in Cairo, used their balconies more frequently or for different activities during the lockdown.

The study was conducted through a mixed methods approach. More specifically, a sequential explanatory design was adopted where quantitative data were collected at first followed by qualitative data collection. The study proceeded in two stages. First, an online questionnaire with 160 respondents was conducted to depict the change in the frequency and use patterns of balconies pre/post lockdown in Cairo. The respondents were approached through snowball sampling. Second, in-depth semi-structured interviews with 20 participants, approached through convenience sampling, were done. The interviews aimed to provide interpretation and rationale for the responses, patterns and correlations identified from the questionnaire results.

The findings of this study confirm that there is a change in the pattern of use of balconies in terms of frequency and the types of hosted activities. The analysis revealed three key ideas that characterize those changes: the balcony as a found space, as a loose space and as a space of self-expression at home. It also expands on spatial qualities of balconies that promoted their use. The study emphasizes the significance of such outdoor private spaces in apartment buildings and puts forward balconies as an essential element of future dwellings design for the multiple benefits they behold.

The originality of the study stems from tackling such a timely and unprecedented situation, where still few studies investigating the relationship between pandemic and the architecture of homes have been conducted. Furthermore, this study focuses particularly on exploring the use of balconies in Cairo, one of the largest cities in both Africa and the Middle East, during lockdown. Its findings might ultimately help formulate, define and characterize new trends in the architecture of homes that would embrace human needs in times of prosperity and rising tensions alike.

The purpose of this paper is to quantify the characteristics of dual-harm behaviour in prison in comparison with sole self-harm or assault behaviour in prison, with an analysis of the distinguishing features.

Official data on in-prison incidents, demographic and offending information were analysed for 326 prisoners in two prisons in England.

Proportions of up to 42 per cent of offenders who assault others in prison will also engage in self-harm and vice versa. Dual-harm prisoners will engage in a broader and greater frequency of prison incidents than either sole group; with dual-harm prisoners reflecting greater proportions of damage to property and fire-setting. There were no differences in their time in prison or presence of serious violent current conviction, however, an index offence of drug supply was less likely in the dual-harm group, with minor violence slightly more likely in longer sentence prisoners. There was no difference for the dual-harm prisoners whether the first incident was self-harm or violence, with mean duration from sole to dual harm of less than three months.

In-prison behaviour can assist in the identification of prisoners at dual risk of harm. Greater inclusion of in-prison behaviour and awareness of dual harm in research methodologies may assist in improving risk management. A wider use of joint risk assessment and single case management approach is suggested for prisoners with dual-harm profile.

This is the first study on dual-harm behaviour in UK prisons and to evaluate their wider prison behaviour and offending characteristics.

The purpose of this paper is to examine the predictors of self-harm in male inmates.

Male inmates with and without a background of self-harm (i.e. suicidal and non-suicidal) were compared across two distal (static and trait) and two proximal (environmental and current/state psychological) domains. The factors from the four domains which may accurately classify self-harm history were also examined.

The two groups were significantly different across the four domains, particularly on psychological characteristics. The self-harm group was associated with childhood trauma, violent offences, institutional misconducts and lower levels of social support significantly more than the non-self-harm group. Being single, childhood abuse, impulsivity, antisocial personality disorder and global psychopathology were the five key predictors that contributed to 87.4 per cent of all cases being correctly classified.

The high levels of psychiatric morbidity and childhood trauma in the self-harm group indicated a need for interventions that address emotional and interpersonal difficulties and optimization of adaptive coping skills. Also, interventions may require a focus on the behavioural functions.

A novel approach was taken to the grouping of the variables. A comprehensive range of variables, was assessed simultaneously, including some not previously considered indicators, and in an understudied population, Australian male inmates. The lower levels of agreeableness, conscientiousness and generalized anxiety disorder which distinguished the self-harm and non-self-harm group, were newly identified for self-harm.

The purpose of this paper is to understand the needs and motivations of incarcerated men who self-harm with no apparent suicidal intent. These have received little attention in research and policy, despite men accounting for a high and increasing proportion of self-harm in prisons.

Semi-structured interviews were conducted with 20 adult male prisoners with a recent history or thoughts of non-suicidal self-harm. The interviews were analysed drawing on principles of thematic analysis and discourse analysis.

Against a backdrop of early traumatic experiences and more recent adverse events (including prison-related ones), self-harm was described by many as a desperate – but meaningful – coping strategy; both a means of releasing tension, sadness and frustration, and of being heard in an unresponsive system.

These findings echo those of research conducted with women (including women prisoners) who self-harm, but challenge some of the more negative ways in which non-suicidal male prisoner self-harm has been portrayed in the (scant) previous literature. As well as pointing to the need for greater awareness of the complex needs of men in prisons, they underscore the importance of (also) exploring – and perhaps addressing – the issue of self-harm separately from suicide, and of striving to make prisons, as well as prisoners, “healthier” and better able to cope with pressure.

This chapter examines disability rights movement's rejection of a right to physician-assisted suicide (PAS). Supporters of PAS frame the right to enlist a physician's help in determining the nature and timing of one's death as a fundamental liberty interest and as a right to privacy. The disability opposition counters this with disparate impact and slippery slope arguments and stories of disability pride as a rhetorical rejection of a right it deems dangerous and discriminatory. In examining this clash of rights talk, this chapter analyzes the legal and political consequences of anti-rights rhetoric by a movement that is grounded in notions of autonomy and self-determination.

A workplace bullying dynamic involving multiple individuals targeting victims can lead to the victim losing emotional bonds or affect-based trust with their colleagues, resulting in employee silence. The literature has largely ignored this negative aspect of social dynamics. This study aims to examine the relationship between workplace bullying and employee silence behaviors and determine whether affect-based trust mediates this relationship and whether climate for conflict management moderates the mediated relationship.

Hypotheses are tested using surveys and scenario-based experiments among faculty members in Indian Universities. There were 597 participants in the survey and 166 in the scenario-based experiment.

Results revealed that workplace bullying correlated positively with silence behaviors, and affect-based trust mediated the bullying-silence relationship. The hypothesized moderated mediation condition was partially supported as moderated the mediating pathway, i.e. indirect effects of workplace bullying on defensive silence and ineffectual silence via affect-based trust were weaker for employees with high climate for conflict management. However, the study failed to support the moderation of climate for conflict management in the relationship between workplace bullying and affect-based trust and workplace bullying and relational silence. The results of this moderated effect of climate for conflict management were similar in both studies.

This study is one of the few attempts to examine employee silence in response to workplace bullying in academia. Additionally, the study revealed a critical area of trust depletion associated with bullying and the importance of employee perceptions of fairness toward their institutions’ dispute resolution processes.