scholarly journals Politics of birth places

JAHR ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 61-82
Author(s):  
Aireen Grace Andal
Keyword(s):  
Informed Choice ◽  
Moral Authority ◽  
The State ◽  
Ethical Aspects ◽  
Best Interest ◽  
Medical Decisions ◽  
Institutional Failure ◽  
Medical Institutions ◽  
And Control

This work examines the ethical aspects of restricting homebirth. It focuses on how restricting homebirth can breach the principle of autonomy because pregnant citizens1 not only risk losing control over the medical decisions facing them, but also autonomy over their actions and control over their bodies. Using Berlin’s discussion on freedom, this work discusses the rather hidden oppressive nature of birth restrictions that appears when it is framed as helping pregnant individuals choose a moral option as per the advice of medical authorities at the expense of seeing an institutional failure to provide informed choice or options for birthing places for their so-called “best interest”. Three main arguments are offered why restricting homebirth can potentially violate autonomy: (1) imposing the authority to decide on the maternal body issues; (2) imposing standards on motherhood and pregnancy; and (3) imposing how to ascribe value to risk. These arguments highlight how the state and medical institutions have established authorities in the birthing process to justify restricting homebirth. When the state and medical institutions are framed as the moral authority for birth places, contrasting preferences of pregnant individuals are bound to be judged with guilt-ridden sentiments, shame and other value-laden labels related to one’s choice rather than be seen as a reflection of the quality of institutional support. Homebirth restriction reflects that a pregnant person’s decision of birthplace is not isolated from the availability of one’s choice. Indeed, there is an ethical interest in restricting homebirth, as this could be benevolent at best and discriminatory at worst.

Analysis and control of non-financial assets of state and municipal budgetary institutions

2020 ◽  
pp. 38-47
Author(s):  
Sergey Nechaev ◽  
Elena Fedchenko
Keyword(s):  
Comparative Analysis ◽  
Financial Statements ◽  
The State ◽  
Financial Control ◽  
Financial Assets ◽  
Budgetary Institutions ◽  
And Control

The article considers the algorithm developed by the authors for a comparative analysis of state and municipal institutions, which allows, based on a comparison of the calculated indicators of the state of non-financial assets and the efficiency of their use, to highlight the most priority objects for state (municipal) financial control. In order to apply this algorithm, an analysis was also made of various approaches to assessing the quality of managing non-financial assets and a general scoring methodology for assessing institutions on the basis of accounting (financial) statements was formed.

Establishing the Criteria for the Quality of Elderly Medical Care From the Multiple Perspectives

2018 ◽  
Vol 9 (4) ◽  
pp. 44-54
Author(s):  
Wan-I Lee ◽  
Chun-Chi Chen ◽  
Yu-Bin Huang
Keyword(s):  
Medical Care ◽  
Physical Environment ◽  
Older Patients ◽  
Medical Personnel ◽  
Care Process ◽  
Medical Services ◽  
Multiple Perspectives ◽  
Medical Decisions ◽  
Medical Institutions

In 1993, Taiwan has transformed into an aged society. Compared with general patients, older patients differ considerably in body functionality, mentally, and mobility-wise. The primary customers of medical institutions are adult patients in Taiwan, and the needs of older patients are often ignored; however, older patients visiting the case hospital in this study accounted for nearly 30% of the total number of outpatients. This indicates that the needs of older patients are a matter requiring the serious attention of medical personnel. This is a common issue for all countries that were entered an aging structure of the population. This study investigated the attention paid by supervisors and medical personnel involved with medical decisions to the quality of medical services received by older outpatients. An analytic hierarchy process (AHP) was employed to interview 10 experts in older medical care providing age-friendly medical care at the case hospital, medical staff including senior physicians, nursing department supervisors, administration department supervisors, and certified managers. The results indicate that the supervisors and medical personnel considered the “communication and services” provided to older patients during their medical treatments to be the most crucial factor in their treatment process, rating it twice as important as the next most important criteria, the care process and physical environment. Medical personnel paid great attention to communicate with and servicing older patients; listening to their needs and concerns was deemed the most critical, followed by being able to empathize with them to solve problems. Asking patients about their problems when they visited the hospital was considered the most crucial aspect of the care process; in the physical environment, it was spatial planning and traffic flow design. The results of this study enable other countries' medical institution managers and relevant competent authorities to gain insight into the attention paid by front-line employees in promoting age-friendly medical care. If supervisors and medical personnel involved with medical decisions share a similar attitude toward promoting medical service quality, government authorities and medical institutions can implement and enhance an age-friendly medical treatment environment for older patients, as well as increase quality of patient-centered medical services.

scholarly journals Unique Factors of Best Value Procurement from the Perspective of Nigerian Construction Professionals

2020 ◽  
Vol 7 (2) ◽  
pp. 1-14
Author(s):  
Gumgaro Simon-Peter Buba ◽  
Razali Adul Hamid ◽  
Zuhaili Mohamad Ramly ◽  
Tchad Sharon Jatau ◽  
James David Jatau
Keyword(s):  
Construction Industry ◽  
Cost Effective ◽  
Best Interest ◽  
Best Value ◽  
Quality Of Products ◽  
Procurement System ◽  
Procurement Method ◽  
And Control ◽  
Poor Working Condition

The construction industry is vital to the economic development of any country. It has a major role in providing built infrastructures in an innovative and cost-effective way using an effective procurement approach. In contrast, the most widely used procurement method in Nigeria is the traditional procurement approach which is known for plaguing the industry with the poor working condition and poor performances thus, reducing the sustainability and quality of products and services. For this reason, there is a need for a procurement approach which utilises expertise to minimise the risk of non-performance and create a win-win environment for both client and contractors, while increasing transparency and add value to the project such like, the Best Value Procurement. Against the background, this paper aims to establish the perception of the Nigerian construction professionals on the unique factors of the Best Value Procurement. The paper outlines the following objectives: To identify the unique factors of the Best Value Procurement and, to establish the perception of the Nigerian construction professionals on the Best Value Procurement unique factors. Using a questionnaire survey, data was collected form 314 construction professionals involving Quantity Surveyors, Architects, Builders and Civil Engineers. Kruskal Wallis Test and mean score ranking was used for data analysis. The findings show that the professionals generally agree that the Best Value Procurement unique factors can bring about transparency, accountability, increase project performance and the contractor is the best to control risk and adds value to the project. This paper derives its significance from the need to stabilise the procurement system in Nigeria by transferring the risk and control to contractors who must act in the best interest of the client. 

Voices of moral authority: parents, doctors and what will actually help

2018 ◽  
Vol 44 (7) ◽  
pp. 458-461 ◽  
Author(s):  
Richard David William Hain
Keyword(s):  
Moral Authority ◽  
Doctor Who ◽  
Correct Decision ◽  
Medical Decisions ◽  
The Public ◽  
Respect For Autonomy ◽  
The Face ◽  
Children's Interests

The public often believes that parents have a right to make medical decisions about their child. The idea that, in respect of children, doctors should do what parents tell them to do is problematic on the face of it. The effect of such a claim would be that a doctor who acted deliberately to harm a child would be making a morally correct decision, providing only that it is what the child’s parents said they wanted. That is so obviously nonsense that it cannot be what people who claim it actually mean. In this paper, I suggest that the claim actually represents either or both of two misunderstandings. It can be a result of wrongly appealing to the principle of respect for autonomy, or a belief that doctors are not committed to acting in the interests of the child. In this paper, I show that, while neither belief is entirely justified, there are elements of truth in both. I argue that if ethically correct decisions are those that are directed to improving the quality of a child’s existence, then neither parents nor doctors are in a position to make ethically correct decisions about a child except in discussion with one another. Where such discussion is not possible, I suggest there should be a national Children’s Interests Panel to agree on the child’s interests. The panel should include, but not be limited to, paediatricians and lawyers and its decisions should be legally binding on all parties.

FOOD SECURITY AS AN OBJECT OF PROGRAM-TARGET MANAGEMENT

2021 ◽  
Author(s):  
Рустам Раулевич Гумеров
Keyword(s):  
Food Security ◽  
Strategic Planning ◽  
The State ◽  
Modern State ◽  
Monitoring And Control ◽  
Target Management ◽  
And Control

Обеспечение продовольственной безопасности (ПБ) - одна из важнейших функций современного государства. Эффективность ее выполнения в существенной степени зависит от качества стратегического планирования, мониторинга и контроля состояния ПБ. Ensuring food security (FS) is one of the most important functions of a modern state. The effectiveness of its implementation significantly depends on the quality of strategic planning, monitoring and control of the state of the FS.

scholarly journals Register of patients with diabetes mellitus in Moscow: possibilities of analysis and control of clinical and epidemiological parameters

2021 ◽  
Vol 1 (2) ◽  
pp. 8-19
Author(s):  
Mikhail B. Аntsiferov ◽  
Nikolay A. Demidov
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Medical Care ◽  
Medical Institutions ◽  
Patients With Diabetes ◽  
Quality Of Medical Care ◽  
And Control ◽  
Epidemiological Parameters

Database of patients with diabetes mellitus (Federal Register of Diabetes Mellitus) allows to track changes in the epidemiological parameters of a cohort of patients with diabetes mellitus (prevalence, morbidity), to assess indicators of glycemic control, prevalence of complications and concomitant diseases, as well as long-term dynamics. The data obtained allow assessing the quality of medical care in Moscow in general and in individual districts and medical institutions, and to plan measures to improve glycemic control and reduce the risk of developing complications of diabetes mellitus.

Resistance Monitor and Control for Vacuum Evaporation of Metals and Carbon

1976 ◽  
Vol 34 ◽  
pp. 572-573
Author(s):  
Russell L. Steere ◽  
Eric F. Erbe ◽  
J. Michael Moseley
Keyword(s):  
Electronic Device ◽  
Point Sources ◽  
High Contrast ◽  
Variable Resistor ◽  
Quality Of Results ◽  
Low Contrast ◽  
Evaporation Source ◽  
And Control ◽  
At Will

We have designed and built an electronic device which compares the resistance of a defined area of vacuum evaporated material with a variable resistor. When the two resistances are matched, the device automatically disconnects the primary side of the substrate transformer and stops further evaporation.This approach to controlled evaporation in conjunction with the modified guns and evaporation source permits reliably reproducible multiple Pt shadow films from a single Pt wrapped carbon point source. The reproducibility from consecutive C point sources is also reliable. Furthermore, the device we have developed permits us to select a predetermined resistance so that low contrast high-resolution shadows, heavy high contrast shadows, or any grade in between can be selected at will. The reproducibility and quality of results are demonstrated in Figures 1-4 which represent evaporations at various settings of the variable resistor.

Manajemen Ekonomi Outopilot: Kegagalan Negara Mencari Identitas?

Liquidity ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. 142-152
Author(s):  
Mukhaer Pakkanna
Keyword(s):  
Economic Development ◽  
National Economy ◽  
The State ◽  
Political Democracy ◽  
Economic Democracy ◽  
Quality Of Democracy ◽  
Economic Disparities ◽  
National Economic ◽  
Production And Distribution

Political democracy should be equivalent to the economic development of the quality of democracy, economic democracy if not upright, even the owner of the ruling power and money, which is parallel to force global corporatocracy. Consequently, the economic oligarchy preservation reinforces control of production and distribution from upstream to downstream and power monopoly of the market. The implication, increasingly sharp economic disparities, exclusive owner of the money and power become fertile, and the end could jeopardize the harmony of the national economy. The loss of national economic identity that makes people feel lost the “pilot of the state”. What happens then is the autopilot state. Viewing unclear direction of the economy, the national economy should clarify the true figure.

Lifting the Veil

2014 ◽  
Vol 91 (4) ◽  
pp. 43-55
Author(s):  
Scott Pittman
Keyword(s):  
Los Angeles ◽  
State Government ◽  
The State ◽  
University Of California ◽  
Red Scare ◽  
National Archives ◽  
The Veil ◽  
Hiring And Firing ◽  
And Control ◽  
California Schools

The story of anti-communism in California schools is a tale well and often told. But few scholars have appreciated the important role played by private surveillance networks. This article examines how privately funded and run investigations shaped the state government’s pursuit of leftist educators. The previously-secret papers of Major General Ralph H. Van Deman, which were opened to researchers at the National Archives in Washington, D.C., only a few years ago, show that the general operated a private spy network out of San Diego and fed information to military, federal, and state government agencies. Moreover, he taught the state government’s chief anti-communist bureaucrat, Richard E. Combs, how to recruit informants and monitor and control subversives. The case of the suspicious death of one University of California, Los Angeles student – a student that the anti-communists claimed had been “scared to death” by the Reds – shows the extent of the collaboration between Combs and Van Deman. It further illustrates how they conspired to promote fear of communism, influence hiring and firing of University of California faculty, and punish those educators who did not support their project. Although it was rarely successful, Combs’ and Van Deman’s coordinated campaign reveals a story of public-private anticommunist collaboration in California that has been largely forgotten. Because Van Deman’s files are now finally open to researchers, Californians can gain a much more complete understanding of their state bureaucracy’s role in the Red Scare purges of California educators.

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