This article describes our efforts to screen and enrol clinical trial participants conscientiously in the COVID-19 pandemic setting. We present the standard screening and enrolment process prior to, and our process of adapting to, the pandemic. Our goal was to develop a way to screen and enrol people for clinical trials that was both equitable and effective. In addition, we outline the steps our research department took to ensure that ethical, clinical and logistical factors were considered when matching a patient (...) to a clinical trial. (shrink)

Digital communication between a patient and their clinician offers the potential for improved patient care, particularly for young people with long term conditions who are at risk of service disengagement. However, its use raises a number of ethical questions which have not been explored in empirical studies. The objective of this study was to examine, from the patient and clinician perspective, the ethical implications of the use of digital clinical communication in the context of young people living with long-term conditions. (...) A total of 129 semi-structured interviews, 59 with young people and 70 with healthcare professionals, from 20 United Kingdom -based specialist clinics were conducted as part of the LYNC study. Transcripts from five sites were read by a core team to identify explicit and implicit ethical issues and develop descriptive ethical codes. Our subsequent thematic analysis was developed iteratively with reference to professional and ethical norms. Clinician participants saw digital clinical communication as potentially increasing patient empowerment and autonomy; improving trust between patient and healthcare professional; and reducing harm because of rapid access to clinical advice. However, they also described ethical challenges, including: difficulty with defining and maintaining boundaries of confidentiality; uncertainty regarding the level of consent required; and blurring of the limits of a clinician’s duty of care when unlimited access is possible. Paradoxically, the use of digital clinical communication can create dependence rather than promote autonomy in some patients. Patient participants varied in their understanding of, and concern about, confidentiality in the context of digital communication. An overarching theme emerging from the data was a shifting of the boundaries of the patient-clinician relationship and the professional duty of care in the context of use of clinical digital communication. The ethical implications of clinical digital communication are complex and go beyond concerns about confidentiality and consent. Any development of this form of communication should consider its impact on the patient-clinician-relationship, and include appropriate safeguards to ensure that professional ethical obligations are adhered to. (shrink)

More than 200 million children under the age of 5 years are affected by malnutrition worldwide according to the World Health Organization. The Barbados Nutrition Study (BNS) is a 55-year longitudinal study on a Barbadian cohort with histories of moderate to severe protein-energy malnutrition (PEM) limited to the first year of life and a healthy comparison group. Using quantitative electroencephalography (EEG), differences in brain function duringchildhood(lower alpha1 activity and higher theta, alpha2 and beta activity) have previously been highlighted between participants (...) who suffered from early PEM and controls. In order to determine whether similar differences persisted intoadulthood, our current study used recordings obtained during a Go-No-Go task in a subsample of the original BNS cohort [population size (N) = 53] at ages 45–51 years. We found that previously malnourished adults [sample size (n) = 24] had a higher rate of omission errors on the task relative to controls (n= 29). Evoked-Related Potentials (ERP) were significantly different in participants with histories of early PEM, who presented with lower N2 amplitudes. These findings are typically associated with impaired conflict monitoring and/or attention deficits and may therefore be linked to the attentional and executive function deficits that have been previously reported in this cohort in childhood and again in middle adulthood. (shrink)

This article examines contemporary representations of sakura (cherry blossom) in cosmetics marketing. Since the Heian period, sakura has been loved and regarded as having tangible and metaphorical significance in Japan. Imagery of sakura is rich in ambiguity and has a complex history as evident in its use in the militaristic promotion of heroism, especially related to the Second World War. However, in recent decades, sakura imagery has proliferated across a range of popular culture both inside and out of Japan. In (...) this article we focus on the circulation and meanings of sakura imagery accessible and appropriated in Australia with specific attention to cosmetics. Sakura offers not only aesthetic pleasure but also potentially some health benefits. Our discussion draws on data from surveys and interviews with participants in Australia about their perspectives of sakura aesthetics related to colour symbolism. This is accompanied by close analysis of colour symbolism in recent perfume, skincare and cosmetic marketing, branding and packaging which use sakura imagery. We argue that, using the complex symbolism associated with the wide colour spectrum, sakura imagery has now been refashioned as a versatile promotional tool in the global market, as exemplified by the brand engagement of sakura-themed cosmetics. (shrink)

Purpose The purpose of this paper is to highlight the importance of the ethical investigation of the emerging practice of people analytics (PA) within human resource (HR) management through charting the development of PA before during and after the COVID-19 pandemic. Design/methodology/approach This paper is designed as a short review of the current thinking in the ethics of PA, a practical journey through the progression of PA across the pandemic and a theoretical exploration of PA through three lenses: virtue ethics, (...) critical social theory and actor network theory. Findings The authors suggest that PA raises novel ethical issues in terms of personal impact, increased penetration into working and home lives and the punch delivered in terms of organisational and behavioural change. Research limitations/implications This study provides a short review of three theoretical approaches to PA. Detailed research and reflection is required to develop and extend an ethics of PA. While engagement with the ethics of PA requires gaining an understanding of the discipline, ideas and jargon of HR management, it is essential that ethicists engage with PA as HR departments take on greater influence and adopt executive roles. Practical implications PA is now at the top of the HR management agenda, but there is limited understanding of the technology, the ethics and the new responsibilities it brings for HR management. This paper raises the profile of an ethical agenda, which practitioners should engage with. Social implications The ethical consequences of PA have social implications as work practices change and hybrid working becomes prevalent. It has the potential to change the relationship between home and the workplace. Originality/value This paper provides a unique synthesis of theory and practice in a new area of ethical importance. (shrink)

Anthropology's approach to answering the question of the role of suffering in our lives is limited to empirical data and at best describes an individual's capability to endure it and make sense of it. Levinas was at odds to find meaning in suffering once it had exceeded certain proportions. Various cultures demonstrate greater and lesser capacities for integrating corporate suffering when it has crossed a significant threshold. What is the role of ritual and productive suffering in revealing meaning in suffering? (...) Some examples are drawn from the experiences of pilgrims on the Camino de Santiago de Compostella. Drawing from Dr. Eleonore Stump's exploration of second-person narratives and relationships, a Christian philosophical-theological response is provided. (shrink)

Bryce, Ian As part of the CAHS Convention in May this year, I organised a Panel discussion entitled 'Ethics Education Initiatives in Australia'. It was to take advantage of the presence in Sydney of Humanist Society delegates from interstate, and acquaint them with the success story of the NSW Primary Ethics program.

The enduring failure of financial institutions to identify and deal with risk events continues to have serious repercussions, whether in the form of small but significant losses or major and potentially far-reaching scandals. Using a mixed-methods approach that combines an innovative version of the classic dictator game to inform prosocial tendencies with the survey-based Theory of Planned Behaviour, we examine the risk-escalation behaviour of individuals within a large financial institution. We discover evidence of purely selfish behaviour that explains the lack (...) significance in pressure to adhere to the Subjective Norms of colleagues around intention to report risks. A finding that has potentially important implications for efforts to instil a high-error management climate and incentivise risk reporting within organisations where risk, if ignored or unchecked, could ultimately have consequences that extend far beyond the institutions themselves. (shrink)

Bryce, Ian Robertson's talk was an analysis of the legal positions around many of the crimes of organised religion, and consequent legal actions already in progress or possible in the future.

Bryce, Ian At a World Humanism Day seminar held at Parliament House, Sydney, the theme was the role of the Enlightenment in the development of humanist thought. My new role as President of HSNSW has led me to reflect further on the journeys many made from the physical sciences to the social sciences.

Bryce, Ian There has been vigorous discussion between State Humanist societies, about whether ethics should be taught by volunteers, and in the Religious Instruction timeslot, if that is the only option.

Edward W. Said’s Orientalism has attained canonical status as the key study of the cultural politics of western representation of the East, specifically the imaginative geographies underwriting constructions such as the Middle East and the Islamic world. The Ottoman Empire overlapped both European and exteriorized Oriental space during much of the period that Said dealt with, yet while the existence of the empire is referred to in Said’s study, the theoretical implications of that presence for his critique of Orientalist discourse (...) are not. The material presence of the Ottoman state, in the Arabic-speaking lands, but also crucially, and for a longer period, much of south-east Europe and Anatolia, highlights long-standing Oriental geopolitical and cultural agency in the face of unidirectional narratives of western encroachment. Attention to the specific discursive manoeuvres undertaken by the West to handle that disruptive, intrinsic Ottoman presence in Europe itself may add traction to the notion that the Orient was imagined as a radically exterior point of comparison. It is argued that the history of western representation of the Ottoman Empire constitutes a pre-Orientalist discourse, whose dual, perennial purpose is to make pragmatic accommodation for an Ottoman Oriental material presence in Europe yet never to fully acknowledge its discursive presence as being of Europe. I argue that by supplementing Said’s critique with a full consideration of the Ottoman legacy, a reformulation is possible that integrates the Islamic Orient as an intrinsic component of historically informed notions of European space, while dissolving notions of the absolute distinction of that latter construct from the wider milieus in which it is embedded. (shrink)

A scholarly edition of a work by Adam Smith. The edition presents an authoritative text, together with an introduction, commentary notes, and scholarly apparatus.

The starting point for this paper is the ongoing debate about the relation between research and policy in education. Recent developments in England and Scotland are reviewed in the context of political and academic arguments about the nature and function of research activity. The defensiveness of the research community in the face of professional and political attacks is examined critically. A case study of the Higher Still programme is used to illustrate the complexity of the relationships between evidence, ideology, values (...) and professional practice. It is argued that the research community needs to become more politically sophisticated and to advance a clearer vision of its social function in advanced democratic societies if its potential contribution to educational development is to be realised. The dangers of a retreat to a narrow empirical role are highlighted. (shrink)

A scholarly edition of a work by Adam Smith. The edition presents an authoritative text, together with an introduction, commentary notes, and scholarly apparatus.