A New Methodology for Reporting the Status of Community Health Improvement in the United States

Objective To assure that Healthy Communities are achieved, a tracking methodology is proposed using four health improvement categories. Methods Counties are classified as having met or not met nine HP2010 mortality targets and as improving or not improving, creating four categories of community health improvement – static, progressing, exemplary, and maintaining. Results Exemplary counties make up 1.7%32.7% of counties, counties have both improved and met the HP2010 target during the period. Across all indicators, a large proportion remains of counties that have neither met the HP2010 target nor improved (33.572.8%). Conclusions Understanding why, how, and in what ways communities move from static to maintaining categories is necessary to guiding every local public health system to community health improvement.     

The UK Hybrid Embryo Controversy: Delegitimising Counterpublics

The UK Human Fertilisation and Embryology Act of 1990 was revised in 2008 in response to legal challenges, societal changes and clinical advances since 1990. A provision permitting the creation of animal–human hybrid embryos was the subject of an extremely effective public relations (PR) campaign by embryo scientists and other supporters of such experimentation. In response, science correspondents of the ‘serious’ or ‘quality’ press commented favourably on these PR activities; this validation supplemented key messages in their press releases. The approval conferred on attempts to shape public opinion was explicitly contrasted with the public consultation exercise conducted by the UK Department of Health in 2005. Press coverage of the campaign demonstrated asymmetrical framings of the representativeness of public opinion and scientists' accounts of their proposed research. Scientists' views were represented as objective and therefore a legitimate basis for policymaking, in contrast with subjective views of putatively uninformed or opposed publics. Such opponents were cast as a counterpublic. The public interest was limited to evaluating the science on its own terms, thus pre-empting consideration of the possibility that public interests and scientists' interests may not coincide.     

Dis-inviting the Unruly Public

Abstract

Recently, Welsh and Wynne have argued that policy efforts to include ‘the public’ in dialogue about technoscience have been accompanied by a simultaneous rise in control over uninvited publics, particularly protestors. Research with a group of knowledge-based activists in the UK suggests a further category between invited and uninvited. The concept of an ‘unruly public’ functions within the sociotechnical imaginary to disinvite those whose response is unwanted or unpredictable, while still appearing to be engaging with ‘the public’ as a whole. Listening to the unexpected questions of the unruly public may in fact support, rather than hinder, efforts to incorporate social concerns into frameworks for responsible innovation at both national and European levels.     

Lost in Translation? The Need for ‘Upstream Engagement’ with Nanotechnology on Trial

Nowadays, the criticism of the so-called ‘deficit model’ and the need for ‘upstream engagement’ in science and technology are becoming part of the master narratives of public policies in many countries, especially concerning nanotechnology. This may be considered as a major success for STS scholars, whose research results have largely contributed to this change, especially those concerning the GMO controversies. Some STS scholars thus move from a position of distant and critical observers to the role of experts in social engineering or advisers of policy-makers. However, in their enthusiasm concerning the expected benefits of upstream engagement, institutions, TA practitioners and social scientists seem to ignore some important limitations as well as the implicit framing assumptions of the concept. Based on an experience made by a group of social scientists in the Grenoble area—one of the major ‘nanodistricts’ in Europe—our paper shows that the ‘upstream engagement’ concept is still embedded in a linear model of innovation and is not very useful to anyone pursuing the co-production of innovations. It is especially true when socio-technical networks are already aligned by powerful actors and a worldwide agenda as in the case of nanotechnology. In order to give an opportunity for public engagement to have a larger impact on decision-making, we propose an alternative approach, which combines Actor–Network Theory (ANT), as an analytical tool, with the reflexive and ongoing implementation of public participation. Public engagement is probably one of the critical loci where STS scholars must reflect on the articulation between the knowledge they produce and public policies in action.     

Perception,Judgment and Individuation: Towards a Metaphysics of Particularity

Abstract

The aim of this paper is to develop a new theory of particularity. In so doing it redefines the concepts ‘perception’ and ‘judgment’. The redefinition occurs once perception is understood as recognition. The move to recognition entails the centrality of repetition. Recognition, it is argued, is a form of repetition. Allowing for repetition necessitates changing the way the relationship between universals and particulars is understood. This is developed via an engagement with Hume and Plato. The article concludes with the outline for a rethinking of the metaphysics of particularity.     

人乳头瘤病毒疫苗带来的伦理问题

人乳头瘤病毒疫苗的问世使宫颈癌的预防进入崭新的时代,自其问世以来便饱受伦理争议.通过分析目前全球医学文献中比较重视和争议的伦理问题,如Gardasil与Cervarix哪种更为有效,能否在发展中国家顺利推广,应当“强制接种”还是“自愿接种”,男性是否应常规接种等.基于伦理学的基本原则,提出正确的宣教是解决的经由之路.     

情绪作为道德判断的“催化剂”：道德判断中的评价倾向与特异性效应

在不同领域的道德判断中,情绪可能起着“催化剂”的作用。一种特定情绪对应一种核心评价;一种情绪只影响某一道德领域的判断,不同情绪的影响是特异性的;进化心理学和具身认知对道德判断中存在的评价倾向和特异性效应进行了解释。未来研究需要探索评价倾向与特异性效应的内在心理机制。以及进一步探讨文化等第三变量对不同情绪与特定领域道德判断的影响。     

恐惧管理对道德五基准及道德判断的影响

本研究探讨恐惧管理理论对道德五种基本准则以及道德判断的影响。85名被试随机分配到实验组与控制组。全部被试首先完成道德五基准问卷。实验组被试接受死亡凸显提示后观看短片并完成一系列道德两难问题的判断;控制组接受一般负性事件提示。研究结果显示,相对于控制组而言,实验组被试倾向于作出直觉而非理性判断,并且死亡凸显对道德直觉判断的影响受到厌恶情绪的中介作用。同时,当故事情节发生转换时,实验组被试倾向于作出与原有道德直觉规范相一致的道德判断。本研究从恐惧管理理论出发,为道德判断的情理之争提供了启示。     

社会距离知觉对道德判断的影响研究

理论上,人们对不同个体行为是否违背道德的判断是完全一致的。本研究提出,人们对社会距离线索的知觉会影响对道德行为的判断。研究设计了两个实验,分别从社会距离直接启动和社会距离线索启动的角度对这一假设进行了检验。结果发现,较近的社会距离启动及社会距离线索都能促使个体采取更温和的道德判断,功利主义的色彩比较浓厚,而较远的社会距离启动促使个体采用更加严格的道德判断,表现出道义论倾向。文章最后讨论了这一结果对未来研究的意义。     

Between an Example and a Precept,Which Has Greater Importance? A Comparison of the Channels of Socialization in Military Ethics

In this study, I examined what channels of socialization influence the moral behavior of cadets. We conducted a regression analysis of the effects of parents' attitudes to moral education, the standard and potential curriculum of schools, peer groups, and communication media on individual ethics and discipline using 399 sample participants. The participants were recruited through a questionnaire survey on cadets from academy of military, naval, and air force, and four-year based students from R.O.C. National Defense University. The analysis results showed that the cultivation of morality among cadets was directly influenced by the school's potential curriculum (i.e., intern cadres and officers in company) and their parents' attitudes to moral education during early childhood. The results also indicated that the influence of teaching by example was more significant than that of teaching by precept.