Analizuojant centralizuoto šilumos tiekimo (CŠT) problemą ir stringantį jos sprendimo būdą – daugiabučių namų renovacijos programą didžiausia problema tampa ne CŠT infrastruktūra, kuri, naudojant naujausias technologijas, galėtų tapti efektyvia ir ekonomiška sistema, bet socialinės kliūtys, neleidžiančios greitai rekonstruoti sistemos bei prisitaikyti prie socialinių ir ekonominių liberalios rinkos sąlygų. Straipsnyje aptariama, kaip iš sovietinių laikų paveldėtos specifinės CŠT infrastruktūros technologinių, ekonominių ir socialinių (socialinio kapitalo) veiksnių kompleksas liberalios kapitalizmo rinkos demokratinėje visuomenėje įgyja specifinį ir energetinio saugumo atžvilgiu ypač nesaugų pavidalą.

This piece, included in the drift special issue of continent. , was created as one step in a thread of inquiry. While each of the contributions to drift stand on their own, the project was an attempt to follow a line of theoretical inquiry as it passed through time and the postal service(s) from October 2012 until May 2013. This issue hosts two threads: between space & place and between intention & attention . The editors recommend that to experience the (...) drifiting thought that attention be paid to the contributions as they entered into conversation one after another. This particular piece is from the BETWEEN SPACE & PLACE thread: April Vannini, Those Between the Common * Laura Dean & Jesse McClelland, Ballard: A Portrait of Placemaking * Amara Hark Weber, Crossroad * Isaac Linder & Berit Soli-Holt, The Call of the Wild: Terro(i)r Modulations * Ashley D. Hairston, Momma taught us to keep a clean house * Sean Smith, The Garage (Take One) * * * * Momma taught us to keep a clean house. Dust the wood furniture every two weeks. Clean the bathrooms once a week. Wipe down the baseboards once a season (Those damn baseboards. I still got bruises on my knees from scrubbing those things). Sweep away the cobwebs—and pray that those spiders are either dead or delirious (Livin in the country don’t mean you like bugs, especially the ones with too many legs ). Didn’t matter that the house was full of stuff: Great-Grandma’s heirloom dresser, that weird Mammy salt shaker and matching Uncle Tom pepper grinder (Where the hell did Momma get those P.O.S.’s?), the outdated drapes from Belks, Dad’s favorite wooden TV tray, and that uuuuugly love seat that some crazy uncle thought was a glorious find from the Salvation Army (Momma tried to make it pretty with some pillows, but no amount of love could help that seat). Spring Cleaning meant pullin all that furniture away from the walls and holdin your breath to see what time collected in the crevices. Then you gotta be careful not to breathe out too heavy cause the dust would go flying fore you got a chance to catch it. If you didn’t, you’d quickly find out if you’re allergic to dust. Quarter cup of lemon Lysol in a bucket of steaming water and an old wash rag. Maybe two. A dust towel and citrus-scent Pledge. Me and my brothers would fight over who cleaned what. Somehow the twins always got the easy stuff: vacuuming or moving dirt around with the feather-duster. Finishing in enough time to fly down the street on their bikes with the neighborhood kids. Older sister never got off that easy. Each of my stubby fingers morphed into plump, lemon-fresh golden raisins by the time that whole damn house was done. I would finish just in time to sit with Nadine on the porch, counting the seconds til the sun turned off and the fireflies fluttered on. The craziest thing: despite all that cleaning, the house still smelled like Momma’s cookin. That Old House. Might have been some of Grandma’s and Great-Grandma’s cookin mixed in there too. Pork chops. Ham hock soaked in collards. Pinto beans and mustard greens. Corn bread and my Auntie’s famous macaroni and cheese. Didn’t matter if the oven was cold and the valve of the gas stove had been shut for days. A stranger woulda thought someone’d been slavin away in that kitchen for a week straight. No Sweet Citrus & Zest Fabreze back then. Lysol would mask the odors for a little while. Not long enough to overpower the 50 years of goodness marinated in buttermilk, kneaded with lard, and fried in Crisco that’d been embedded in the wallpaper and window treatments. All that grime—dead skin, hair follicles, Carolina clay, carpet lint, yippee-little-dog fur—was evidence of life. We were a socially-awkward newly-minted teenager, two rowdy twin boys, a multi-tasking mother, and a road-warrior father. Eventually a strangely-feline Yorkie was added to the mix. And don’t forget about the stray distant relative stopping by unannounced. No corner of that damn house was unmarked. Hand-sewn pillows in the living room that we were forbidden to breathe on somehow had tiny burnt orange paw prints on them (sneaky little dog). It drove Momma crazy. And tore up my fingernails. They still won’t grow back right. Wipe all that shit off just for it to build up again. But that house was inherited and fully paid for. No reason to move. I did move. I was ready to move on. Move up. Move out. Over that small town. Into the big city. Here the streets take on the smells of Momma’s house. Plus piss, shit, and unbathed skin. A hot day means everything cooks and stews in its own juices, making the stench 10x more intense. The apartment is another story. 11 floors up. Big, east-facing windows. Great view of the skyline dotted with some green foliage. And the great lake. Immaculate. Odorless. Not even a trace of tobacco from the previous tenant’s bad habits. No lingering scent of lemon Lysol. No street stench seeping through the window panes. No stray cat hairs. Or dog fur. Not a speck of dust. Futon. Throw pillows. Photos. Knickknacks. Bowls of fresh citrus. Cursedly-assembled desk set from IKEA. Yet the void is too big to fill. Too clean. (shrink)

A bioclimatic eco-renovation project can be implemented in every cell of the city, both in the existing buildings and in the new ones. Reducing the demand for energy can result in the creation of zero-energy houses. Implementing a bioclimatic eco-renovation project is a courageous and innovative initiative. The heat exchange through the building envelope should be controlled since in the early stage of design. The passive design strategies depend on the orientation of the different areas of the (...) building, considering also the glazing areas, the use of different shading devices, the thermal trap zone, thermal masses, ventilation strategies, etc. Greenhouses as one of the basis systems of passive strategies, are designed to conduct desired air to other spaces via direct opening adding special materials for conduction. Greenhouses are constructed to connect inner spaces as a heat transferor. They have the character of a transitional space, located between the indoor and outdoor environment. During the winter their inner temperature is higher as a consequence of the thermal trap meanwhile during summer such structures must be ventilated. Thermal mass is generally applied to the floor or masonry. The use of shading devices is also important during summer in order to reduce the penetration of solar radiation into the building as well as planting vegetation. The applied green houses in Tirana case study are sized according to the international normative, considering also the climate characteristics of the zone. The implementation of the solar chimneys (another passive system) is necessary in order to subtract the fresh air form the anti-bombing underground tunnels, bringing it to the customers (residents). The benefits of such strategy are enormous. The combination of them with the anti-bombing tunnels located in the selected neighborhood in Tirana is crucial, in order to subtract the cool air from the underground due to temperature and air pressure differences. The aim is to include the existing buildings within the comfort zone without the use of mechanical systems. There are also undermined temperature measurements of the underground and ground surface, very close to the zone during winter and summer, in order to better clarify the temperature differences between the areas. It is found that the temperatures of the underground area are relatively constant compared to the ground surface. Photovoltaics panels implemented in the project can convert sunlight into electricity and are considered as solar systems. According to the electricity demand of the inhabitants, specific calculations using Canadian RETScreen expert application in order to fulfill their electricity requirements for one of the buildings located in the neighborhood are undermined. It is observed that the implementation of the PV panels will reduce the GHG emission compared to the base case and also the gross annual GHG will be reduced too. The recycling of the rain water and wastewater is considered too, using reed bed strategy and fertilizing bathing tubes. The solar tube is another technology applied in all the dwellings, which turned to have a very good performance, saving a lot of electrical energy. A specific and unique proposal is designed in order to fulfill graphically the proposed ideas in combination with a software simulation application, MEEC (Montenegrin Energy Efficiency Certification) which is finally used as a tool of better understanding the thermal performance of the considered building as part of the neighborhood. Two scenarios are involved in order to draw conclusions and enhance the building thermal performance category. It is revealed that the added greenhouses involved in the second scenario contribute massively improving the thermal performance of the building. (shrink)

Although there is a consensus about the representative parliamentary system throughout Europe, it is in a state of crisis.To renovate Parliament means to restore the essential functions of that institution : budgetary power, legislative action and control of the government.In the field of budget a reform to institute a general budget on expenditure and to impose stricter rules on the funds as well as a very tight budgetary schedule for the government, beside the budget on revenues, was passed by the (...) House at the end of March 1989.In the legislative sphere new approaches should be considered so as to enable Parliament to reduce the complexity of the legislation, to correct badly written texts and to get rid altogether of superfluous texts.The citizens' rights can only be fully safeguarded by a well functioning legislative assembly. A rationalisation of the control on governmental action is necessary in the field of parliamentary commissions and particularly the commissions of enquiry, petitions and the scrutiny of State expenditure.To conclude it should be noted that the renovation of Parliament must go hand in hand with better relations with the common citizen. (shrink)

OBJECTIVE: To examine the long-term effects of an innovative curriculum on medical house officers' (HOs') knowledge, confidence, and attitudes regarding medical ethics. DESIGN: Long term cohort study. The two-year curriculum, implemented by a single physician ethicist with assistance from other faculty, was fully integrated into the programme. It consisted of monthly sessions: ethics morning report alternating with didactic conferences. The content included topics such as ethics vocabulary and principles, withdrawing life support, informed consent, and justice. Identical content was offered simultaneously (...) at the largest affiliated community hospital. SETTING: A multi-hospital university training programme from July, 1992 to June, 1994. PARTICIPANTS: Thirty-nine HOs responded in 92. Thirty HOs from the same cohort responded in 94 (response rates = 83% v 71%; P = 0.19). RESULTS: The curriculum was well received, with 96% of HOs finding the sessions stimulating. Previously validated scales of knowledge and confidence were administered at baseline and at follow-up. The average knowledge score improved 14% (P < 0.001). Confidence also improved, rising from 3.3 to 3.8 on a 5-point Likert scale (P < 0.001). These findings were independent of age, gender, religion, and prior education. The only attitudinal change was an increase in the proportion of residents who thought that ethics should be a required part of residency training (57% v 80%, P = 0.05). CONCLUSION: This curriculum appears practical, popular, and effective. It should be readily transferable to other institutions. (shrink)

Despite projected devastating impacts on human communities, the US still lacks comprehensive national policies aimed at reducing greenhouse gas emissions. This vacuum has provided the space for a surge of promising sustainability and climate action planning efforts at the state and local level. Meanwhile, according to the National Low Income Housing Coalition’s (2015) Out of Reach Report, ‘there is no state in the US where a minimum wage worker working full time can afford a one-bedroom apartment at the fair (...) market rent’. We are calling for a reimagining of local climate action planning that encourages policies and programs designed to reduce GHG emissions from the built environment while explicitly and comprehensively addressing the affordability component. With equitable local climate action planning, we can address both environmental and social justice issues. (shrink)

While lawyers' independence initially developed as a way of protecting lawyers and their clients from the power of the state, it is now also associated with the protection of the public interest from lawyers who are too close to their clients. In this context independence is seen as a way of ensuring that lawyers act ethically, that is, with regard to their overriding duty to the court and the administration of justice rather than according to sectional, personal or economic interests. (...) It has been noted in various contexts that lawyers who work closely with powerful clients may be less able to withstand client pressure and uphold their obligations to the administration of justice. In-house lawyers are seen as particularly vulnerable due to their position within the client's organisational structure. On the other hand some have argued that the position of in-house lawyers gives them greater potential to exercise independent judgment and influence the ethical behaviour of their organisation. This paper argues that the concept of independence is multi-faceted with the essential aspect being the capacity for independent judgment or independence of mind. This is supported by status, power and structural protections. The paper goes on to critically consider the courts' interpretations of independence of in-house counsel in the context of claims of client legal privilege (also known as legal professional privilege). The paper argues that the judicial tests reveal a number of different approaches with limited connection to core concepts of independence. (shrink)

With the stages completion of the office buildings at the Government Office Precincts, staff have been relocating themselves from the previous office complex in Kuala Lumpur to Putrajaya and tend to let themselves as full time Putrajaya residents. Thus, with the careful planning of having sufficient housing units to cater the influx Government staff, Precinct 9 is among the few pioneer sections of Putrajaya’s new Malaysia Federal Government Administrative Center to reside such an important administrators of the nations. Specially designed (...) high rise apartment and link houses been formulated to cater the need of the Government staff with the millennium concept of garden city’s ‘live-work’ environment. The completion of the terrace double storey garden houses with the nation’s first fenceless housing concept create a unique identity to this new millennium planned community. The study will just simply to study the impact of the designed houses that can be as a model where we think that the initiative of the Malaysian Federal Government in creating the new concept of borderless housing with such a high class accommodation just to cater their Government servants. (shrink)

Concern is growing as research continues to find evidence of academic misconduct among medical students. There is, however, paucity of information on this issue among medical students and medical graduates in Africa. We determined the perceptions and attitude of house officers on academic misconduct within Nigerian medical schools. We conducted 7 focus group discussions among pre-registration house-officers working in a Nigerian Teaching hospital between October and November 2013. A FGD guide containing 7 broad questions related to their perception and attitude (...) on academic misconduct was employed. Ethnographic content analysis and manual coding were adopted in identifying themes, issues and representative quotations. A total of 58 participants out of an eligible pool of 76 PRHOs were recruited. All the groups associated academic misconduct chiefly with cheating in examinations, and perceived it as a commonplace problem. “It is a part of school life”, admitted one PRHO. Copying during exam appeared to be the commonest form of cheating. Another respondent opined that “The lecturers should be more concerned with helping students understand better. They should not make passing an exam a do-or-die affair.” The perception and attitudes towards academic misconduct may be a reflection of the prevailing moral decline in the contemporary Nigerian society. Underlying the reasons adduced by the participants for getting involved in academic misconduct is the fear of failure in examinations. Apart from consolidating formal and informal medical ethics education, the medical schools should ensure that the opportunities and pressures to indulge in academic misconduct are minimized. (shrink)

In this paper, I use hooks' idea of the homeplace to analyze what may look like a retreat into the home as an act of resistance to the multiple gazes that moderate- and low-income Black women face in their everyday lives as residents of a low-income Black neighborhood in Chicago. This research employs ethnographic methods to explore the lived experiences of African American women living in Lake Parc Place, a mixed-income public housing development.Five years of participant observation data, a series (...) of longitudinal in-depth interviews with seven women, and 29 in-depth semi-structured interviews are used to analyze the meanings that these women attached to their homes and how these interacted with and shaped their social relationships with their neighbors asthey negotiated several sources of surveillance and scrutiny once they left their apartments. (shrink)

This paper examines the first reptile house (1849) at the Zoological Gardens in London as a novel site for the production and consumption of knowledge about snakes, stressing the significance of architectural and material limitations on both snakes and humans. Snakes were familiar and ambiguous, present at every level of British society through the reading of Scripture and as recurrent characters in imperial print culture. For all that snakes engendered feelings of disgust as the most distinctive representatives of a lowly (...) class of animals, they exerted an equivalent fascination over diverse publics spanning the social spectrum. Building on work showing a consideration for the multi-sensory nature of visits to menageries, this paper considers animal display beyond the visual. It explores the emotional economy of encountering snakes in person and the bodily phenomena this engendered. Vicarious visits were offered up to readers of periodicals and newspapers and the reptile house was harnessed as a controversial pedagogical resource for teaching moral, as well as scientific, lessons. (shrink)

This article focuses on referential practices at a Japanese midwife house, where at prenatal examinations, a midwife palpates a pregnant woman’s abdomen with her hands, without any assistance from an ultrasound scanner. The midwife often refers to spots on the abdomen in palpation with locative demonstrative expressions. I demonstrate that ways in which references to spots on the pregnant woman’s abdomen are accomplished are subtly different, depending on the action sequence in which they are embedded. The description of referential practices (...) in which the touching plays an important role has consequences for the re-conceptualization of human interaction in general, and interaction between medical professionals and their clients in modern medical settings in particular. (shrink)

While more conventional art can be tucked neatly away on gallery walls, houses have a much larger footprint. And when a home outlives its most basic function of providing shelter, a decision has to be made as to whether it is ultimately worth saving. Modernist homes like those designed by Paul Rudolph face an additional challenge as products of a stark, concrete-laden brutalist style now seen by many to be cold and uninviting. Photographer Chris Mottalini visited three abandoned Rudolph (...) homes awaiting demolition. His photos present these onetime symbols of opulence and power at their most vulnerable and defeated. Rich, full-color photos show sunlight playing across shattered windows, dusty stairs, and ruined living rooms, presenting a view of modernism that few have seen before. The photos speak to the ephemeral nature of contemporary taste, and its uneasy relationship with history, as well as the consequences of modernism on our visual lexicon. And in a final coda, the pictures themselves serve to preserve these masterpieces long after time and tastes move on. (shrink)

This Collision explores the relationship between Object-Oriented Ontology theory, the “aesthetic experience” of a contemporary artwork (Iris Haussler’s He dreamed overtime from 2012) and the creeping hand of fiction. OOO is a useful theory to apply to contemporary art, as it charts a philosophical return to all things as objects, rather than their relations or networks. It is also timely for understanding the changing nature of multi-media art, wherein experience, interactivity, spectatorial agency and contingent narratives are key.

Advancements in fetal assessment and therapeutic intervention in medical practice and clinical research call for corresponding progress in regulatory and ethical guidance. In “A new ethical framewo...

The initial questions about God -- The attributes of God -- The names of God -- The trinity and intrapersonal relationship of God -- Early heresies relating to God and how the church responded to them -- What the ancient church taught about God -- The true and living God and other gods.

There is increasing recognition that sustainable diets need to be ‘culturally appropriate’. In relation to food consumption, however, it is often unclear what cultural appropriateness–or related terms, such as cultural or social acceptability–actually means. Often these terms go undefined, and where definitions are present, they vary widely. Based on a systematic literature review this paper explores how cultural appropriateness of food consumption is conceptualised across different research literatures, identifying six main themes in how cultural appropriateness is understood and applied. The (...) paper then critically analyses these themes in relation to sustainable food system transformation. We explore how the themes conceptualise change, finding that cultural appropriateness is viewed in two main ways: either as a relatively static obstacle to be overcome, or as a dynamic and negotiated process. Both perspectives, we argue, entail different scientific, practical and political effects. Each perspective offers particular affordances for understanding and governing sustainable food system transition, although between perspectives there is likely to be a trade-off between theoretical sophistication and practical operationalizability. Based on this analysis we argue that researchers, policymakers and practitioners should be explicit about their commitment to a particular understanding of cultural appropriateness, as this will have implications for scientific and societal applications of their work. This is particularly the case, we suggest, in relation to the transdisciplinary collaborations necessary to effectively address the ‘wicked problem’ of food system sustainability. We conclude by offering a tentative general definition of cultural appropriateness as it relates to food consumption. (shrink)

A volume in Evaluation and Society Series Editors, Jennifer C. Greene, University of Illinois at Urbana-Champaign and Stewart I. Donaldson, Claremont Graduate University In this book, Ernie House reframes how we think about evaluation by reconsidering three key concepts of values, biases, and practical wisdom. The first part of the book reconstructs core evaluation concepts, with a focus on the origins of our values and biases. The second part explores how we handle values and biases in practice, and the third (...) shows how we learn practical wisdom and use it in evaluations. Value is the central concept in this volume, yet it's a fuzzy concept. In Part I, Ernie clarifies the concept of value by addressing basic questions: What are values? Where do they come from? Why do we have them? Why is our conception so confused? How do we handle values in evaluations? In Part II, another central concept is added, that of biases. Prominent evaluation frameworks have focused on biases, including Campbell and Stanley's (1963) framework for validating causal inferences and Scriven's (1972) conception of objectivity, which is achieved by correcting for biases in general. In addition, research on thought processes has made progress by focusing on cognitive biases (Kahneman, 2011). Even so, through a case example, Ernie demonstrates that the concept of biases is under-appreciated and not well engaged in evaluation practice. The third important concept, featured in Part III, is practical wisdom, which is the knowledge that evaluators acquire through experience. Practical wisdom informs what we do, possibly as much as theory. Experienced evaluators often conduct evaluations in similar ways, regardless of their theory, because practical wisdom determines much of what they do. Ernie provides concrete examples of practical wisdom and how we employ it. Throughout the book, he draws on the empirical research on thinking processes, especially Kahneman's Thinking Fast and Slow (2011). This book will be of interest and relevance to all evaluation scholars and practitioners, as it thoughtfully engages core constructs of the field. The book can also well serve as a supplementary text in multiple evaluation courses, as it offers valuable conceptual and practical perspectives on our craft. (shrink)

In ‘Do Animals Feel Pain?’ Peter Harrison argues that there are no good reasons to think that animals feel pain, that there are good reasons to think they do not feel pain, and that they should be treated well in order to promote not animal, but human, welfare. This is a provocative, and implausible, thesis. It has succeeded in provoking me, to rage and to rejoinder, but it has failed to convince me that a monkey shrieking as it is mutilated (...) is not feeling pain and that feelings of concern for the monkey should play no part in my attempt to stop the mutilation. (shrink)

In this review, I will focus on how William Irwin’s The Free Market Existentialist manages to take a broad definition of existentialism and narrow it into dogma. Such narrowing limits the appeal of this book and causes an interesting discussion to fall short of its promised goal: a demonstration that libertarianism is compatible, and perhaps a natural fit, with existentialism.

"Without God or His Doubles" offers a sympathetic but critical interpretation of the philosophy of Richard Rorty.

This true account provides a summary of a firm and its CEO caught up in the housing market frenzy that occurred in the mid to late 2000s. Although confronted with a number of economic, strategic management, human resource, ethical, and legal challenges, the owners make decisions that cause the firm to grow at an exponential rate. The case documents the eventual results of many of those decisions. Readers are challenged to identify ethics issues involved and the business decisions that precipitated (...) those ethical issues. Some issues include working with business partners who have different ethical stances from your own, whistle blowing for illegal actions, the impact of problem employees on ethical and legal issues, and being transparent and honest when informing the board of directors about business conditions. Teaching notes include lessons learned by the CEO. Ways to avoid similar mistakes in the future are provided. (shrink)

We report on the deliberations of an interdisciplinary group of experts in science, law, and philosophy who convened to discuss novel ethical and policy challenges in stem cell research. In this report we discuss the ethical and policy implications of safety concerns in the transition from basic laboratory research to clinical applications of cell-based therapies derived from stem cells. Although many features of this transition from lab to clinic are common to other therapies, three aspects of stem cell biology pose (...) unique challenges. First, tension regarding the use of human embryos may complicate the scientific development of safe and effective cell lines. Second, because human stem cells were not developed in the laboratory until 1998, few safety questions relating to human applications have been addressed in animal research. Third, preclinical and clinical testing of biologic agents, particularly those as inherently complex as mammalian cells, present formidable challenges, such as the need to develop suitable standardized assays and the difficulty of selecting appropriate patient populations for early phase trials. We recommend that scientists, policy makers, and the public discuss these issues responsibly, and further, that a national advisory committee to oversee human trials of cell therapies be established. **NB we did not reccommend a NAC, we think it might be appropriate**. (shrink)

After witnessing extraordinary scientific and regulatory efforts to speed development of and access to new COVID-19 interventions, patients facing other serious diseases have begun to ask “where’s...

Volume 19, Issue 6, June 2019, Page 22-25.

Deciding whether to grant an expanded access request for a child whose sibling is enrolled in a gene therapy trial involves a number of complex factors: considering the best interests of the child, the psychosocial and economic impact on the family, and the concerns and obligations of researchers. Despite the challenges in coming to a substantively fair outcome in cases of discordant eligibility, creating a procedurally fair decision-making process to adjudicate requests is essential.

In 2012, New York City Mayor Michael Bloomberg proposed capping the size of sugary beverages that could be sold in the city’s restaurants, sporting and entertainment facilities and food carts. After a lawsuit and multiple appeals, the proposal died in June 2014, deemed an unconstitutional overreach. In dissecting the saga of the proposed soda cap, we highlight both the political perils of certain anti-obesity efforts and, more broadly, the challenges to public health when issues of consumer choice and the threat (...) of paternalism are involved. (shrink)

The protection of human research subjects in clinical studies is regulated by international guidelines and national laws. Research Ethics Committees play an important role here, as they review the documentation for clinical studies under consideration of ethical aspects. This documentation includes an exclusion or wash-out period which designates when study subjects may not have participated in another study or be allowed to take part in a future one within a specified time period. However not all research subjects comply with their (...) applicable exclusion period. This prohibited multi-participation in clinical studies is known as ‘research subject tourism,’ ‘clinical study overlapping’, or ‘guinea-pigging’. This practice brings with it additional risks for the research subject and the integrity of the research being conducted. No comprehensive data are available to demonstrate exactly how many research subjects participate in overlapping multiple studies. However, the number of them who ‘travel’ from one study to another seems to be significant. Preventing this practice is a matter of concern for ethics committees, but the responsibility for protecting research subjects in this respect apart from approving the ethics of a wash-out period and recruiting from a specific pool or database of patients is solely that of the investigating physician. But how can the investigating physician be certain that a research subject complies with their exclusion period? An international data bank for research subjects who have participated, or are participating, in clinical studies, is a measure that would serve to prevent prohibited multi-participation in clinical studies and thereby protect the research subject, the investigating physician and their institution. VIP Check, International, which was founded by the author in 1990, is an example of such a data bank. This article examines the existence of prohibited multi-participation in clinical studies, the additional risk this practice of itself poses to the research subjects and the integrity of clinical studies, and how this practice might best be reduce or even eliminated through use of an international data bank of research subjects such as that of VIP Check. (shrink)

In a diversity course for pre-service teachers, we explored coursework by students of color to uncover instances in which they resisted the existence systemic oppression in K12 schools. First, we examined the written responses from three students of color (Asian-Indian, Asian immigrant, and Latina) who were largely agreeable to the existence of different forms of oppression presented in the course content. Our work illuminated instances of what we have described as narrative-based resistance. Students initially referred to narratives of rugged individualism (...) or the American Dream to resist the existence of systemic barriers. As the course progressed, students shifted to deeply entrenched responses that rejected the course content to refute systemic oppression. Secondly, we developed a case study for one student, a biracial female that self-identified as White who consistently rejected systemic oppression during class interactions to the point of displaying openly defiant behaviors. The examples of resistance we encountered served as a reminder that students of color along with their White peers must be able to critically examine and understand systems of oppression that are pervasive throughout education. Furthermore, the underlying sources of the resistance were closely associated with indoctrination in Whiteness, limited understanding of systemic oppression, deeply held beliefs and understandings and the lived experiences of individuals. While we agree that teacher education must recruit and retain more teachers of color for an increasingly diverse US K12 student population, we add that preparation that meets the needs of teachers of color is essential. -/- . (shrink)