Still blaming the consumer? Geographies of responsibility in domestic food safety practices

Drawing upon qualitative and ethnographic data collected in the UK, this paper discusses how public discourses and concerns about food safety are negotiated into everyday domestic kitchen practices. While many participants demonstrated ‘behaviours’ or ‘practices’ which could be seen to contravene or fall short of official guidelines, this does not necessarily indicate ‘ignorance’ or lack of responsibility on the part of consumers. Indeed, when explored in detail, participants presented a range of reasons for engaging in what the UK Food Standards Agency regard as ‘risky’ practices. Their explanations point toward an understanding of the distribution of domestic responsibility in which a number of stakeholders are implicated, while simultaneously acknowledging their role as final arbiters of food safety in the home.     

《医疗机构病历管理规定（2013年版）》立法技术缺陷初探

通过以立法技术角度对《医疗机构病历管理规定（2013年版）》进行分析,与2002年下发的《医疗机构病历管理规定》进行对比,从立法依据、适当的立法技术、条与款的关系、法律责任、与上位法的关系等方面入手,结合其他法律的规定和学者的研究成果,在对该规定给与充分肯定的基础上,深入探讨其在立法技术方面存在的缺陷,以期对其有更加深入、全面的认识;同时也希望促使立法者对立法技术给予应有的重视,在立法技术方面少犯错误,以利于立法工作更加完善。     

论法律视野中医患关系的性质

医患关系法律性质的准确界定是医患纠纷妥善解决的基本前提。目前,我国关于医患关系法律性质的四种主流观点往往把医患关系归属于某种法律关系,这样的做法都显得会以偏概全或牵强附会。医患关系的基本法律属性是民事法律关系,但具有区别于一般法律关系的特征,是特殊的民事法律关系,在医患纠纷阶段,是民事侵权关系。     

Can a Video Curriculum on the Social Determinants of Health Affect Residents' Practice and Families' Perceptions of Care?

IntroductionScreening and management of the social determinants of health (SDH) are critical for child health promotion. We sought to evaluate the impact of a facilitated video curriculum on resident SDH screening competence, parental perceptions of resident practice, resident-initiated referrals to a medical–legal partnership (MLP), and formula distribution to food-insecure families.MethodsThis was a pre–post study with concurrent control performed at a large pediatric residency program. Second- and third-year residents were assigned to control and intervention groups on the basis of their continuity clinic day. The curriculum included videotaped vignettes of screening for SDH and a “day in the life” series of families describing the impact of intervention on their lives. Residents completed self-assessments on screening competence and resource knowledge. After a well-child encounter, families (3 per resident) assessed their level of trust and respect for the resident and the number of SDHs screened for. MLP referral rates and formula distribution were compared.ResultsThe intervention group's self-assessed competence in screening for housing, benefits, and educational concerns was significantly higher compared to controls (each P ≤ .05). Parents' rating of trust and respect was high and did not differ between groups. Screening for each SDH was higher in the intervention group with domestic violence (odds ratio 2.16, 95% confidence interval 1.01–4.63) and depression (odds ratio 2.63, 95% confidence interval 1.15–5.99), reaching statistical significance. MLP referral rates increased (P = .06), and formula distribution (P = .02) reached statistical significance in the intervention group.ConclusionsThis SDH video curriculum improved resident self-assessed screening competence, parental perception of screening, and both MLP referrals and formula distribution.     

大学生社会责任感培养的几点思考

随着社会文明程度的提高,要求人们承担更多的社会责任,社会责任感的重要性在当今社会浮现出来。如何不断增强大学生的社会责任感,让大学生们更多地关心他人、关注社会,并与自身的发展紧密结合起来,这是需要认真思考的问题。本文剖析了当代大学生社会责任感的现状及成因,并就高校如何大力培育其社会责任感提出了具体的措施。     

Du parricide rêvé à l’infanticide réel,ou l’expertise mentale dans tous ses états

The authors describe at length the case of a 33-year-old woman who shot and killed her 9-year-old daughter and attempted suicide immediately afterwards. The judicial inquiry revealed that this infanticidal mother originally intended to kill her own father, who she accused of having sexually abused her in her own childhood and now her daughter, but that unforeseen circumstances changed the mode of operation. She was the subject of seven more or less contradictory psychiatric experts opinions over a period of more than three years before finally being found criminally irresponsible by the court of assizes. She was suffering from delusional psychotic mental disorders at the time of the homicide-suicide. The authors discuss and criticize the conclusions of the experts opinions and instead recommend a multidisciplinary criminological analysis that takes all the objective ans subjective aspects on the case into account.     

Racialized Risk in Clinical Care: Clinician Vigilance and Patient Responsibility

Racial/ethnic identity is contingent and arbitrary, yet it is commonly used to evaluate disease risk and treatment response. Drawing on open-ended interviews with patients and clinicians in two US clinics, we explore how racialized risk is conceptualized and how it impacts patient care and experience. We found that racial/ethnic risk was a common but poorly defined construct for both patients and clinicians, who intermingled concepts of genetics, biology, behavior, and culture, while disregarding historical or structural context. We argue that racializing risk embodies social power in marked and unmarked bodies, reinforcing inequality along racial lines and undermining equitable health care.     

当代境域中反腐倡廉工作的反思与探索

腐败的实质是对权力的滥用,为个人或小集团牟取私利.腐败现象同党的性质、宗旨是根本对立的.本文通过对我国腐败现象的现状与特点的分析以及腐败现象的本质及其滋生蔓延原因的探讨,进而对症下药,提出廉政建设的恩威并施举措,即以俸养廉与依法保廉相结合.只有这样,才能走出腐败活动屡禁不止的泥淖,我国的廉政工作才会搞得更好.