Evaluating quality of life in hip and knee replacement: psychometric properties of the World Health Organization Quality of Life short version instrument

Objective: To evaluate the psychometric properties of the World Health Organization Quality of Life short version instrument (WHOQOL-BREF), and to determine its responsiveness in assessing early outcome after total hip or knee replacement surgery.

Methods: At baseline (entry to an orthopedic waiting list), 279 participants completed the WHOQOL-BREF instrument, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Assessment of Quality of Life (AQOL) instrument, Kessler Psychological Distress (K10) scale, and the modified Health Assessment Questionnaire (MHAQ). A total of 74 patients completed reassessments 3 months after surgery.

Results: The WHOQOL-BREF demonstrated acceptable internal consistency for all domains (Cronbach's = 0.76-0.84) and moderate concurrent validity for the physical and psychological domains (r = 0.67 for physical versus AQOL; r = -0.71 for psychological versus K10). Minimal ceiling or floor effects were identified at baseline or 3 months, except for the social relationships domain. The disease-specific WOMAC subscales were most responsive to change (relative efficiency [RE] 0.66-1.00). Apart from social relationships, all WHOQOL-BREF scores improved significantly after surgery. The physical domain was more responsive than the AQOL (RE 0.50 versus 0.42) and was similar to the MHAQ (RE 0.55 for MHAQ). The responsiveness of the psychological domain was similar to that of the K10 scale (RE 0.11 versus 0.08).

Conclusion: The WHOQOL-BREF has good psychometric properties for use in persons with severe joint disease, and by providing complementary information, it offers clinicians and researchers an additional tool for comprehensively assessing quality of life in this patient group.

When the logics of the world collapse – Žižek with and against Arendt on 'totalitarianism'

Despite Žižek's polemical attacks on Hannah Arendt, their writings on totalitarianism share significant similarities. Žižek's Lacanian analysis of the distortion of the elementary symbolic coordinates of human sociability in Stalinism refines Arendt's controversial account of the role of ideologies in totalitarian regimes; it brings to the political field an account of subjectivity and its relation to language derived from (Lacanian) psychoanalysis. Reading Žižek's analyses of Stalinist and fascist ideologies preserves – by psychoanalytically reframing – the radical philosophical register of Arendt's understanding of twentieth-century totalitarian regimes as attempting the systematic destruction of ‘world’ – the in-between public space of shared political human experience and action. Žižek's psychoanalytic framework allows us to address the tendency in Arendt's Origins of Totalitarianism to conflate fascism and Stalinism and also to question the motives for these regimes’ political and ontological violences.

Gorbachev and the end of the Cold War : interpretations and implications for international relations theory

By arguing that international relations scholarship fails to explain adequately the end of the Cold War because it gives insufficient consideration to the role performed by Mikhail Gorbachev, the thesis makes a case for the systematic examination of the part played by individual political actors in international affairs.

A preliminary evaluation of the world's largest skills enhancement program for entrepreneurs

Start and Improve Your Business (SIYB) is an entrepreneurial training program created, sponsored and disseminated by the International Labour Organization. SIYB is, arguably, the world’s largest skills enhancement program for entrepreneurs. SIYB has been in operation since the early 1970s and currently operates in almost 80 countries. During the last decade, more than 100,000 entrepreneurs, thousands of trainers and hundreds of small enterprise development organizations around the world have participated in it (Samuelsen 2003). Surprisingly for an education program of this magnitude and potential global importance, there has been relatively little program evaluation performed. What evaluation has been conducted has been unsystematic, qualitative and unsatisfactory (Harper 1985).

Meanwhile, in the nation of Botswana, since the mid seventies, there has been a huge growth in programs devoted to the training of small and medium entrepreneurs. The SIYB program has formed a significant component of this entrepreneurial training effort in Botswana (ILO 1996). SIYB training was initially supported by the United Nations and later by the Botswana government. Since its introduction into Botswana in1983, the SIYB program has been evaluated only once, in 1993 (Samuelsen 2003). The methods used (subjective questionnaire administered to an unsystematic sample of past participants) fails to provide a satisfactory evaluation of the program. So, in Botswana and worldwide, the world’s largest entrepreneurial training program continues to run in the absence of any knowledge concerning its efficacy. This paper describes the various elements of the SIYB program and places it in the context of the data-rich Botswanan environment. The descriptive work is a necessary predicate to creation of a research design capable of providing the detailed, critical program evaluation that has been so conspicuously lacking throughout the history of the SIYB initiative.

‘Coded in a code of the world' : minor literature and the time-image hidden in Janet Frame’s late fiction?

This article seeks to demonstrate how Janet Frame’s late fiction can be read as a theoretical engagement with the conceptual investigations of Gilles Deleuze and Félix Guattari, especially the notions of minor literature and the in her late novels Living in the Maniototo (1981) and The Carpathians (1989). For this reason, my approach must be sharply distinguished from a more commonplace analogical framing of Frame or a simple one-to-one translation of her fiction into alternative terms. By weaving theory through her fiction, Frame makes a significant contribution to literature that responds to the still-emerging field of Deleuzean literary critical theory.

Cultural landscapes in Asia and the Pacific : implications of the world heritage convention

The notion of cultural landscape has been accepted in the World Heritage Convention since 1992 but the adoption for World Heritage inscription is different among regions. This paper aims to address the issues of applying the concept of cultural landscape in Asia and the Pacific. The article first takes an overview of the World Heritage List and current issues related to the cultural landscape. This is followed by a discussion of the cultural landscape by referring to previous studies, with detailed analysis pointing out the major characteristics of the listed cultural landscapes in Asia and the Pacific, which are tabulated using the numerical data. The final discussion concludes by addressing the discourse on applying the World Heritage Convention and the current issues on cultural landscape conservation in Asia and the Pacific.

Adaptation and self-undermining postmodern views of the world

This paper examines the artistic construction of fictional and non-fictional characters and worlds and shows how adaptation changes non-fiction into fiction. This is illustrated with two films, Adaptation (Spike Jonze, 2002) and American Splendor (Shari Springer Berman and Robert Pulcini, 2003). These films are examples of self-reflexive intertextuality, in which the film chronicles the process of its own making and contains multiple portrayals of the characters and story world that inform reading/viewing. Postmodern irony is implicated in this process, which is shown to be self-undermining. The self-loathing of the characters Laroche, Orlean, Kaufman and Pekar is related to the self-loathing arising from Schopenhauer's view of the world, in which the will to life must be renounced to achieve equanimity. The dialogue that results from reading/viewing informed by differences and switching undermines the interpretation of critics that the non-fiction works and film adaptations reflect the postmodern world view, in which a person's self is created by the rush of phenomena, where persons do not change and nothing is resolved.

How easy can the barley brie : drinking culture and accounting failure at the end of the nineteenth century in Britain

Purpose – This paper seeks to extend the development of the historical accounting research agenda further into the area of popular culture. The work examines the discourses that surrounded the drinking of alcohol in nineteenth century Britain and explores how an accounting failure disrupted the tension between the two established competing discourses, leading to a significant impact on UK drinking culture at the end of the nineteenth century.

Design/methodology/approach – The paper employs both primary and secondary sources. Secondary sources are used to develop the main themes of the discourses deployed by the temperance societies and the whisky companies. Primary sources derived from the contemporary press are employed, as necessary, in support.

Findings – The paper demonstrates that accounting, although it may not be central to a discourse or other social structure, can still have a profound impact upon cultural practices. The potential for research into culture and accounting should not therefore be dismissed if no immediate or concrete relationship between culture and accounting can be determined. Further support is provided for studies that seek to expand the accounting research agenda into new territories.

Originality/value – The study of popular culture is relatively novel in accounting research. This paper seeks to add to this research by exploring an area of cultural activity that has hitherto been neglected by researchers, i.e. by exploring how an accounting incident impacted upon the historical consumption of Scotch whisky in the UK.

The end of the Keating-Howard-Rudd-Gillard era?

Australian political discourse is dominated by ahistorical hyperbole, every election defeat is a landslide, every consecutive electoral loss indicates complete political marginalisation, every poll slump is a crisis, and every struggling leader is the worst ever. Australian Labor is not faring well but we need to distinguish between the ebbs and flows of the political cycle and the fundamentals. Australian politics may be approaching a fundamental break. The political era that began in the early 1990s may be coming to an end and with it Labor's hegemonic position in Australian politics that has endured since Gough Whitlam.

An empirical study of the world price of sustainability

The core goal of this study is to empirically investigate whether there is a “world price” of corporate sustainability. This is assessed in the context of standard asset pricing models—in particular, by asking whether a risk premium attaches to a sustainability factor after controlling for the Fama–French factors. Both time-series and cross-sectional tests are formulated and applied. The results show that (1) global Fama–French factors have strong power to explain global equity returns and (2) sustainability investments have no significant impact on global equity returns. The absence of a significant relationship between sustainability and returns implies that large institutional investors are free to implement sustainability mandates without fear of breaching their fiduciary duties from realising negative returns due to incorporating a sustainability investment process.

The end of the rainbow

The End of the Rainbow is a documentary film about music, about community and a very special place. When the live music venue “The Rainbow Hotel” in the Melbourne suburb of Fitzroy is forced to close down publican Chickk sets out to accommodate the many musicians and customers grieving its closure with a final week of musical activity in which there is organisational chaos, dancing, laughs, beer (lots of), and great music. It is a week of celebration as musicians pay homage to mark “the End of an Era”, but it is also a statement about community places and a protest against property development at the expense of cultural heritage, specifically Australian live music. It’s also a love story with a dramatic twist...