scholarly journals Mending Disconnects in Cancer Care: Setting an Agenda for Research, Practice, and Policy

2020 ◽  
pp. 539-546 ◽  
Author(s):  
Catherine M. Alfano ◽  
Deborah K. Mayer ◽  
Ellen Beckjord ◽  
David K. Ahern ◽  
Michele Galioto ◽  
...  
Keyword(s):  
Public Discourse ◽  
Premature Mortality ◽  
The United States ◽  
Data Systems ◽  
Prescriptive Analytics ◽  
The Future ◽  
Functional Learning ◽  
Lost Work Time ◽  
Care Costs

Cancer in the United States accounts for $600 billion in health care costs, lost work time and productivity, reduced quality of life, and premature mortality. The future of oncology delivery must mend disconnects to equitably improve patient outcomes while constraining costs and burden on patients, caregivers, and care teams. Embedding learning health systems into oncology can connect care, engaging patients and providers in fully interoperable data systems that remotely monitor patients; generate predictive and prescriptive analytics to facilitate appropriate, timely referrals; and extend the reach of clinicians beyond clinic walls. Incorporating functional learning systems into the future of oncology and follow-up care requires coordinated national attention to 4 synergistic strategies: (1) galvanize and shape public discourse to develop and adopt these systems, (2) demonstrate their value, (3) test and evaluate their use, and (4) reform policy to incentivize and regulate their use.

scholarly journals Meaningful, but effective? A critical evaluation of Ireland’s citizens’ dialogues on the future of Europe

Politics ◽  
2021 ◽  
pp. 026339572199148
Author(s):  
Anthony Costello
Keyword(s):  
European Union ◽  
Public Relations ◽  
Public Discourse ◽  
Critical Evaluation ◽  
Participatory Approach ◽  
Decision Makers ◽  
Deliberative Process ◽  
Political Will ◽  
The Future

On the 25 March 2017, leaders of the EU27 and European Union (EU) institutions ratified the Rome Declaration. They committed to invite citizens to discuss Europe’s future and to provide recommendations that would facilitate their decision-makers in shaping their national positions on Europe. In response, citizens’ dialogues on the future of Europe were instituted across the Union to facilitate public participation in shaping Europe. This paper explores Ireland’s set of dialogues which took place during 2018. Although event organisers in Ireland applied a relatively atypical and more systematic and participatory approach to their dialogues, evidence suggests that Irelands’ dialogues were reminiscent of a public relations exercise which showcased the country’s commitment to incorporating citizens into the debate on Europe while avoiding a deliberative design which could have strengthened the quality of public discourse and the quality of public recommendations. Due to an absence of elite political will for a deliberative process, as well as structural weaknesses in design, participants’ recommendations lacked any clear and prescriptive direction which could shape Ireland’s national position on the future of Europe in any constructive or meaningful way.

RHETORIC OF THE STANDARDS: THE DEBATE OVER GOLD AND SILVER IN THE 1890s

2014 ◽  
Vol 14 (1) ◽  
pp. 49-68 ◽  
Author(s):  
Wyatt Wells
Keyword(s):  
United States ◽  
Political Parties ◽  
Future Development ◽  
Precious Metal ◽  
Public Discourse ◽  
The United States ◽  
The Political ◽  
Economic Implications ◽  
The Future

AbstractIn the 1890s, questions about whether to base the American currency upon gold or silver dominated public discourse and eventually forced a realignment of the political parties. The matter often confuses modern observers, who have trouble understanding how such a technically complex—even arcane—issue could arouse such passions. The fact that no major nation currently backs its currency with precious metal creates the suspicion that the issue was a “red herring” that distracted from matters of far greater importance. Yet the rhetoric surrounding the “Battle of the Standards” indicates that the more sophisticated advocates of both sides understood that, in the financial context of the 1890s, the contest between gold and silver not only had important economic implications but would substantially affect the future development of the United States.

The Road Ahead for America's Colleges and Universities

2017 ◽  
Author(s):  
Robert B. Archibald ◽  
David H. Feldman
Keyword(s):  
Higher Education ◽  
Public Discourse ◽  
Returning Students ◽  
The United States ◽  
Colleges And Universities ◽  
Higher Education System ◽  
The Road ◽  
The Future ◽  
Four Year Institutions ◽  
Age Range

This book evaluates the threats—real and perceived—that American colleges and universities must confront over the next thirty years. Those threats include rising costs endemic to personal services like higher education, growing income inequality in the United States that affects how much families can pay, demographic changes that will affect demand, and labor market changes that could affect the value of a degree. The book also evaluates changing patterns of state and federal support for higher education, and new digital technologies rippling through the entire economy. Although there will be great challenges ahead for America’s complex mix of colleges and universities, this book’s analysis is an antidote to the language of crisis that dominates contemporary public discourse. The bundle of services that four-year colleges and universities provide likely will retain their value for the traditional age range of college students. The division between in-person education for most younger students and online coursework for older and returning students appears quite stable. This book provides a view that is less pessimistic about the present, but more worried about the future. The diverse American system of four-year institutions is resilient and adaptable. But the threats this book identifies will weigh most heavily on the schools that disproportionately serve America’s most at-risk students. The future could cement in place a bifurcated higher education system, one for the children of privilege and great potential and one for the riskier social investment in the children of disadvantage.

scholarly journals Demographic Change and the Future of Congress

2010 ◽  
Vol 43 (02) ◽  
pp. 235-238 ◽  
Author(s):  
Kathryn Pearson
Keyword(s):  
United States ◽  
Demographic Change ◽  
Ethnically Diverse ◽  
The United States ◽  
United States Population ◽  
Legislative Agenda ◽  
The Future

The United States population is changing in significant ways: it is growing larger, older, and more racially and ethnically diverse, and these changes are regionally concentrated. How will these changes affect the future of Congress? In this article, I show that demographic change has significant implications for the quality of representation, the legislative agenda, party coalitions, and the diversity of congressional membership in the future, even as change inside Congress will proceed more slowly than change outside it.

scholarly journals Health Educators as Problem Solvers/Policy Advocates

2006 ◽  
Vol 4 (1) ◽  
pp. 134-140 ◽  
Author(s):  
Kathy DeBarr
Keyword(s):  
Nutrition Education ◽  
Premature Mortality ◽  
The United States ◽  
Overweight And Obesity ◽  
Health Educators ◽  
Psychological Pain ◽  
Television Programming ◽  
Adults And Children ◽  
Problem Solvers

In the United States many children are malnourished. We very rarely think of over-nutrition as malnutrition, but it is. Furthermore, our children are suffering because of it. No one would tell their child to go play in the street, because imminent harm and perhaps death would ensue. Yet we fail to recognize the threats posed by overweight and obesity. Not only is one’s quality of life greatly diminished, but morbidity and premature mortality from Type II diabetes, hypertension, and cardiovascular disease are the consequences. Obese persons are the subject of ridicule in television programming and the motion picture industry. This negative attention contributes to the stigma and resulting psychological pain endured by adults and children alike. Health educators must actively pursue resolution of the obesity crisis, not only through education, but through policy advocacy for PE standards, recess, school vending machine policies, nutrition education, and improved nutrition within our schools. Individual intervention has not proven effective, and it is time to address the environmental forces at work.

scholarly journals A study of the Japanese translation of Huckleberry Finn

1958 ◽  
Author(s):  
◽  
Shozo Nakada
Keyword(s):  
United States ◽  
Exploratory Study ◽  
The United States ◽  
Point Of View ◽  
Sole Purpose ◽  
The Future ◽  
Representative Work ◽  
Japanese Translation ◽  
Huckleberry Finn

"The purpose of this investigation is to make an exploratory study of certain phases of a Japanese translation of Huckleberry Finn, in order (1) to find the method used in the translation; (2) to determine the qualities of the language in the translation; (3) to determine the stylistic qualities of the sentences; (4) and to form an evaluation of the Japanese translation by considering . its context from the point of view of style. A study of this type is important primarily because the information thus derived can make a definite contribution to an understanding of the quality of Japanese translations of Huckleberry Finn. There have been many Japanese translations of Mark Twain's works since 1916, but none of them has ever been introduced to the United States. Although it is a hasty judgment to apply the result of this study to other Japanese translations of Mark Twain's works, the study of the translation of Huckleberry Finn as Mark Twain's most representative work in the original can do much to lead to a better understanding and appreciation of the quality of the Japanese translations. This evaluation of the quality of the translation, however, is not the sole purpose of the study. This study will also show the differences of language between English and Japanese and hence the difficulties involved in the translation. The language and style of Huckleberry Finn are so peculiar that the reproduction into Japanese is extremely difficult. This study, therefore, deals with the language and style in the original and in the translation. Conceivably it may help improve the quality and method of Japanese translation in the future. "--Page viii-ix

The quality of childhood: problems and approaches to resolving them

2020 ◽  
Vol 22 (5) ◽  
pp. 6-11
Author(s):  
Anna Yu. Kuznetsova ◽  
Keyword(s):  
Quality Of Life ◽  
Public Discourse ◽  
Well Being ◽  
The United States ◽  
World Health ◽  
General Description ◽  
Development Fund ◽  
The World ◽  
Childhood Problems

Childhood problems need to be studied to timely identify and resolve them at an early stage, with the interaction of both the state and society. The author gives a general description of the main approaches to assessing the quality of childhood. The author considers the world experience of comparative analysis of child well-being, which is reflected in the concept of social exclusion suggested by the United Nations Children’s Fund (UNICEF); it is based on parameters similar to the Child Well-being Index developed in 2004 by the United States Child Development Fund. We also examine the approach proposed by the World Health Organization to the specifics of the population’s quality of life. The essence of this approach relates to the individual’s perception of position in life in the context of the cultural environment and the value system in which this individual lives, considering his/her goals, expectations, standards, and views. The article mentions both the strengths and weaknesses of these approaches in the context of protecting the interests and rights of minors. It is noted that due to the lack of common criteria for understanding the well-being and quality of life of children, there is a variability in the proposed definitions, within which researchers mainly focus on two approaches: the first uses the category of «well-being», the second - the category of «quality». In public discourse, the category of «well-being» is mainly applied to families of certain type or to deviant behavior of adolescents. At the same time, terminological blurring and evaluative character are observed, which translate the discussion into a moral and ethical plane. The author sees the reason for this shift in the absence of legal definition for the «well-being of childhood.» The quality of life, and childhood in particular, can be determined through integrated approach that combines an objective assessment based on official data and a subjective one that reflects the opinion of the people themselves. Taking into account the existing practical experience in the protection of the rights and freedoms of minors, the author proposes her own multidimensional model of “Quality of childhood”. It is a system for structural assessment of state policy in the sphere of childhood to create conditions for the realization of rights and legitimate interests of minors in the Russian Federation, which also considers objective and subjective indicators in this sphere.

Reading, in a Digital Archive of One's Own

PMLA ◽  
2013 ◽  
Vol 128 (1) ◽  
pp. 207-212 ◽  
Author(s):  
Jim Collins
Keyword(s):  
Public Discourse ◽  
The United States ◽  
The State ◽  
First Century ◽  
Literary Fiction ◽  
Portable Devices ◽  
The Public ◽  
The Future ◽  
Reading Culture ◽  
Digital Cultures

WHAT ARE WE REALLY TALKING ABOUT WHEN WE TALK ABOUT THE STATE OF READING? AND WHAT DO WE HOPE TO LEARN FROM THE Answers to that question? Confirmation of deeply held prejudices, or a better understanding of what reading means in digital cultures? We need to pose those questions right up front because the debate about the state of reading has been precipitated by the increasing ubiquity of the e-book, even though reading culture has been undergoing massive infrastructural changes for over a decade in the United States. The public discourse on the state of reading and on whether it has a viable future has focused on the future of the book and of literary reading now that e-books have apparently changed everything. The state of reading, as such, is not at stake because it doesn't seem likely that firemen from Ray Bradbury's Fahrenheit 451 will be swinging by your place anytime soon to torch your books and replace them with a well-appointed wall screen, eliminating reading forever in favor of mindless viewing. People will keep reading, if only to take in the endless text that comes at them on their various screens, from the ones on the wall to the ones they carry around with them everywhere on their portable devices. Try looking at those screens without reading. No, it's clear from the assumptions that underpin the end-is-near pronouncements about the e-book that there's reading and then there's reading and that when people talk about the future of reading, they're worried about whether readers worthy of the name will continue reading literary fiction in the twenty-first century. But that isn't a very interesting question because it imagines the act of reading in such an ahistorical manner, curled up in a well-upholstered time warp, far from the unruliness of contemporary reading cultures.

This is (not) Detroit: projecting the future of Germany’s Ruhr region

2017 ◽  
Author(s):  
Julia Sattler
Keyword(s):  
United States ◽  
Public Discourse ◽  
The United States ◽  
Cultural Transformation ◽  
Economic Transformation ◽  
Role Of The State ◽  
The Future ◽  
History Of ◽  
Ruhr Region

Using the example of Germany’s Ruhr region, this chapter discusses Detroit’s relevance outside of the United States. Like Detroit, the Ruhr has gone through a massive process of economic transformation and de-industrialization. While the role of the state in this process is significantly different in Germany when compared to the United States, the Ruhr’s decline in public discourse often gets connected and compared to Detroit, all the way to using ‘Detroit’ as a threatening example of what could potentially happen to the Ruhr. The chapter addresses the Ruhr’s history of urban and cultural transformation due to de-industrialization and analyzes in detail two projects that build on the idea of ‘Detroit’, helping to point out both, significant tensions in the population and the idea that the future for this region is not fixed as of yet.

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