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Physician-based transparency approaches have been advanced as a strategy for informing patients of the likely financial consequences of using services. The structure of health care pricing and insurance coverage, and the low uptake of existing tools, suggest these approaches are likely to be unwieldy and unsuccessful. They may also generate new ethical challenges.
This study examined the effectiveness of an intervention program to enhance the self-confidence of kindergarten teachers who address radiation-related health concerns among parents following the Fukushima Daiichi Nuclear Power Plant accident in March 2011, wherein radiation anxiety among mothers with young children was high. Kindergarten teachers are expected to address the concerns of these parents
Methods:
Participants from 2 private kindergartens in Fukushima City were assigned to either the intervention group (n = 10), which received an intervention program comprising lectures, group discussions, and presentations, or the control group (n = 16), which received only written materials used in the intervention program. Changes in the measured scores post-intervention were calculated, and the mean values were compared between both groups using the Student’s t-test.
Results:
The primary outcome was self-confidence, and the difference-in-differences approach was used to assess the effectiveness of the intervention program. The study found a more significant difference between pre- and post-intervention self-confidence in the intervention group compared to the control group (P < 0.01).
Conclusions:
The intervention program effectively enhanced the self-confidence of kindergarten teachers in dealing with radiation-related health concerns of parents with young children.
Glucagon-like peptide-1 receptor agonists are effective for treating obesity, but the high cost of these medications endangers the financial viability of our health care system. To ensure that these drugs are available to Medicare beneficiaries, pharmaceutical manufacturers must lower their prices.
How do leaders select their top-level foreign policy appointees? Through a formal model of the domestic and intragovernmental politics surrounding an international crisis, I investigate the trade-offs shaping leaders’ appointment strategies. In the model, a leader selects a foreign policy appointee, anticipating how the appointment will affect the advice he receives in the crisis, the electorate's evaluation of his performance, and ultimately the policies that he and his foreign counterparts pursue as a consequence. The analysis uncovers a fundamental tension in the leader's ability to use appointments to advance his core political and policy objectives of deterring foreign aggression, obtaining accurate advice, and maximizing domestic approval: any appointment that advances one of these objectives invariably comes at the cost of another, and the leader's appointment strategy must balance across these trade-offs. Analyzing cross-national appointment patterns to the offices of ministers of defense and foreign affairs, I find descriptive evidence consistent with the model's predictions: leaders from dovish parties are more than twice as likely as leaders from hawkish parties to select cross-partisan and politically independent appointees, and such appointments are less likely for leaders of either party as they approach re-election.
Tonic immobility is considered an anti-predator defence, wherein prey adopts a motionless state in a characteristic posture elicited by external stimuli. The marine isopod Cleantiella isopus exhibits tonic immobility with an arch-like posture and motionless state lasting several seconds or minutes in response to external stimuli such as predatory attacks by fish. In this study, we describe tonic immobility by wild-caught C. isopus and examine the influence of body size, sex, and colour morph on the frequency and duration of tonic immobility. All individuals exhibited tonic immobility regardless of body size, sex, or colour morph, suggesting that the behaviour plays a major role in predator avoidance following detection by a predator. In males, smaller individuals exhibited more prolonged tonic immobility than larger individuals, whereas the relationship between the duration of tonic immobility and body size was unclear in females. Colour morph had no effect on the duration of tonic immobility. These findings provide a detailed documentation of tonic immobility in C. isopus and suggest that the factors affecting tonic immobility differ between males and females.
With the Solicitors Qualifying Examination (SQE) having been introduced in 2021 the training of solicitors has changed. But what impact will its legal research assessment have on their ability to do this sort of work? Here Greg Bennett, who works at BPP in London – where in addition to being a law librarian he is also studying the LPC – gives an overview of the situation and outlines his own concerns.
Recent years have witnessed the theorizing of international order from a global, rather than purely Western, perspective. We contribute to this approach by reviewing recent book-length theorizations by four prominent contemporary Chinese scholars. We outline how these conceptions of international order converge and diverge, identify their contributions and limitations, and compare them with Western paradigms of international order, such as realism and liberalism. We then demonstrate how insights from these Chinese approaches enrich existing international relations debates and shed light on contemporary Chinese foreign policy.
Many scholars and judges attempt to harmonize legal practices of contracting with the social practice of promising in ordinary life. This article explores an alternative genealogy of contract in traditional social practices that track many of contract's core norms: taking vows and oaths. Without denying that promissory morality infiltrates modern contract, contract-as-vow-or-oath can expose by way of a supplementary account why some contract rules work as they do and can take some pressure off of a more unitary promissory theory in justifying, explicating, and reforming contract law.