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.     

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.     

Water as a Commons: An Exploratory Study on the Motives for Collective Action Among Italian Water Movement Activists

In many communities, supplying water and sanitation is a huge task, and the fact that these essential services can be carried out by the private sector is a debated issue. This article presents an exploratory study aimed to identify the range of motives for collective action shared by activists of the Italian Movement for ‘Public Water’. In‐depth interviews were conducted with 28 activists and were qualitatively analysed. Five main motivational categories emerged: defending the right to water, preserving community ties, opposing to the Government and ‘water sellers’, preserving the environment and money interests. Each motive is based on a specific representation of the issue of water and privatization process. Findings provide further support for the importance of moral convictions and sense of community in collective action development and suggest a critical reconsideration of the role played by collective efficacy. The results are discussed in the framework of the psychosocial literature on collective action and community psychology perspectives on participatory processes. Copyright © 2012 John Wiley & Sons, Ltd.     

Acceptance of Evolution and Support for Teaching Creationism in Public Schools: The Conditional Impact of Educational Attainment

Public acceptance of evolution remains low in the United States relative to other Western countries. Although advocates for the scientific community often highlight the need for improved education to change public opinion, analyses of data from a national sample of American adults indicate that the effects of educational attainment on attitudes toward evolution and creationism are uneven and contingent upon religious identity. Consequently, higher education will only shift public attitudes toward evolution and away from support for teaching creationism in public schools for those who take non‐“literalist” interpretive stances on the Bible, or to the extent that it leads to fewer people with literalist religious identities.     

A Multiphasic Personality Schedule (Minnesota): III. the Measurement of Symptomatic Depression

La Fave's habit lag construct, which specifies conditions under which previously automatized motor responses become disruptive of subsequent performance, was tested. Performance under stress was also examined as a possible factor in the occurrence of habit lag. Following a visual discrimination task, 48 women performed motor responses simultaneously: (a) repeating an invariant lever movement and (b) pushing one of two keys. The habit lag construct was supported, as Ss who had automatized responses produced more errors than nonautomatized Ss. Performance under stress, by calling attention to the risk of habit lag, reduced errors. Habit lag accounts for an intrusive type of error often found in motor performance where negative transfer fails to do so.     

Perspectives of Adults Living With Autism Spectrum Disorder: Psychosocial and Occupational Implications

The incidence of Autism Spectrum Disorder (ASD) has increased over the past decade suggesting a need for further research. This article describes a two phase phenomenological study which explored the lived experience of ASD and its psychosocial effects on relationships, socialization, and occupational participation. Phenomenological interviews were given to three women and three men with high functioning ASD. Phase two of the research included two additional individual interviews and four focus groups. Results indicated themes regarding participants' desires to engage in social occupations, and barriers caused by the nature of the ASD which may successfully be addressed by occupational therapy.     

Aspects of Activity Participation as Risk Factors for Conduct Problems in Children and Adolescents: A Literature Review Using Ecological Systems Theory

This article reviews a wide range of risk factors associated with the development of conduct problems in children, with a particular focus on the influence of time spent engaged in different types of activities. The review reveals the behavioral benefits to children and adolescents of participation in activities with physical, social, and restful properties and those that can be described as structured. Further highlighted is the need for parents and occupational therapists to be aware of children's time use and daily activity participation, and the potential for these activities to be harnessed to facilitate positive behavioral outcomes for children.