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This paper dicusses the experience of a team in Sheffield who have established a 3‐year programme, the FACTS project, which aims to develop a framework for changing clinical practice in primary care. The lessons learnt from the project, which involves a variety of change techniques, are described including the need to tailor programmes to local needs and cultures as well as the use of marketing as a strategy for change.

There is widespread recognition that simply publishing research findings is not enough to ensure that they are carried into clinical practice. One response to this has been the burgeoning “guidelines movement” of recent years, which has now reached the stage of generating guidelines for the production of guidelines. Argues that guidelines, and other forms of intervention to change clinical practice in an evidence‐based direction, will succeed only to the extent that they engage actively with the real world of clinical decision making. This world is more complex than guidelines writers acknowledge, and includes economic, administrative, professional and personal incentives as well as those provided by research evidence. Engaging with this real world may be difficult, but it opens up new possibilities for understanding how clinicians act and how evidence may be used to inform clinical practice. Such possibilities include social influences, educational outreach, providing information to patients, negotiating local coalitions on specific issues and changing the administrative environment.

Killing Eve (BBC 2018–2022) has been hailed as a feminist television show. Its cinematic production values call upon a history of espionage on screen, encompassing international intrigue and glamorised hyperviolent action sequences. Is this violent aesthetic a cathartic reference to newly visible feminist discourse or are we just being sold a new version of old fantasies?

In this chapter Killing Eve is examined in relation to a history of violent women spies on screen, from Emma Peel (The Avengers 1961–1969) to Sydney Bristow (Alias 2001–2006). While Villanelle (Jody Comer) appears to present an amoral account of postfeminist ‘empowerment’, Eve (Sandra Oh) carries echoes of second-wave feminist concerns with community, morality and ethics. With each season the differences between Villanelle and Eve unravel, raising questions about what constitutes ‘quality’ television and how that might intersect with old-fashioned ideas about women's liberation. While the show depicts each character as ‘liberated’ in some respects, they are both entangled in corporate nets which repeatedly put them in danger and pull them back into violence as a form of labour.

In the words of the song, ‘Money Makes the World go Round’. In the business of investigating and prosecuting serious and complex financial fraud, especially the international variety, the money goes around the world pretty effectively as well. And the more it can do so without the movement of the funds being detected, the more effective is the flow of mis‐appropriated money and the less likely the fraud will be detected and the fraudster brought to book.

Briefly reviews previous literature by the author before presenting an original 12 step system integration protocol designed to ensure the success of companies or countries in their efforts to develop and market new products. Looks at the issues from different strategic levels such as corporate, international, military and economic. Presents 31 case studies, including the success of Japan in microchips to the failure of Xerox to sell its invention of the Alto personal computer 3 years before Apple: from the success in DNA and Superconductor research to the success of Sunbeam in inventing and marketing food processors: and from the daring invention and production of atomic energy for survival to the successes of sewing machine inventor Howe in co‐operating on patents to compete in markets. Includes 306 questions and answers in order to qualify concepts introduced.

This article’s principle aim is the investigation into the underdeveloped field of lesbian audience research. It theorises the relationship between the text of Xena Warrior Princess a television programme and a fanclub called Xenasubtexttalk that evolved on the Internet. The researcher has drawn on evidence from a case study and participant observation over a twelve month period, the gathering of postings from bulletin boards and continuing interviews lasting between one and two hours conducted over the Internet. This has revealed some of the practices and rituals of two self‐identified lesbians who participated in this fanclub. Informed by a postmodernist feminist framework several issues of methodology are discussed. The main theme in this study’s findings is that these fans have produced through the appropriation of this particular text, biographies that represent a “coming out narrative”.

Communication systems are structured by economic forces which use them to optimise sales, and politicians who increasingly live by slogans and repeated sound bites. Both want people to act without much reflection, and may threaten to turn human beings into imitiations of the computers they use. Theorists first noticed that communication systems channeled goods and services, structured political geography, and created their own pictures of the world. They went on to describe communications devices which act as extensions of human senses. Now communication systems try to structure our inner lives. This paper examines reflective consciousness and its relation to civilisation. It suggests countervailing forces which make for thought and turn the ordinary aspects of life into art.