Revolution or evolution:the challenges of conceptualizing patient and public involvement in a consumerist world

Background Changing the relationship between citizens and the state is at the heart of current policy reforms. Across England and the developed world, from Oslo to Ontario, Newcastle to Newquay, giving the public a more direct say in shaping the organization and delivery of healthcare services is central to the current health reform agenda. Realigning public services around those they serve, based on evidence from service user's experiences, and designed with and by the people rather than simply on their behalf, is challenging the dominance of managerialism, marketization and bureaucratic expertise. Despite this attention there is limited conceptual and theoretical work to underpin policy and practice. Objective This article proposes a conceptual framework for patient and public involvement (PPI) and goes on to explore the different justifications for involvement and the implications of a rights-based rather than a regulatory approach. These issues are highlighted through exploring the particular evolution of English health policy in relation to PPI on the one hand and patient choice on the other before turning to similar patterns apparent in the United States and more broadly. Conclusions A framework for conceptualizing PPI is presented that differentiates between the different types and aims of involvement and their potential impact. Approaches to involvement are different in those countries that adopt a rights-based rather than a regulatory approach. I conclude with a discussion of the tension and interaction apparent in the globalization of both involvement and patient choice in both policy and practice. © 2009 Blackwell Publishing Ltd.

Indentation of elastically anisotropic half-spaces by cones and parabolae of revolution

Indentation of ceramic materials with smooth indenters such as parabolae of revolution and spheres can be conducted in the elastic regime to relatively high loads. Ceramic single crystals thus provide excellent calibration media for load-and depth-sensing indentation testing; however, they are generally anisotropic and a complete elastic analysis is cumbersome. This study presents a simplified procedure for the determination of the stiffness of contact for the indentation of an anisotropic half-space by a rigid frictionless parabola of revolution which, to first order, approximates spherical indentation. Using a similar approach, a new procedure is developed for analysing conical indentation of anisotropic elastic media. For both indenter shapes, the contact is found to be elliptical, and equations are determined for the size, shape and orientation of the ellipse and the indentation modulus.

The fevered novel from Balzac to Bernanos:frenetic Catholicism in crisis, delirium and revolution

Book Review: The Fevered Novel from Balzac to Bernanos: Frenetic Catholicism in Crisis, Delirium and Revolution. By Francesco Manzini. (IGRS Books). London: Institute of Germanic and Romance Studies, 2011. 264 pp. Full text: This monograph is an important and compelling account of a novelistic tradition that stretches from Georges Bernanos back to Balzac, by way of Léon Bloy, Joris-Karl Huysmans, and Barbey d'Aurevilly. Depending on a master plot that evokes Maistrean themes of blood, sacrifice, and redemption, working in a feverish female body, this canon combines Romantic freneticism and anti-Enlightenment religion to create a compound that Francesco Manzini calls ‘frenetic Catholicism’. The theme of fever, Manzini tells us, was commented on by Huysmans in writing about Barbey d'Aurevilly. When André Gide read Bernanos's Sous le soleil de Satan, he dismissed it as a rehash of Bloy and Barbey. In this present work Manzini aims to make us aware once more of the gradually intensifying themacity of fever in writings more usually classed in theologo-literary categories. His analysis encompasses (though is not restricted to) Balzac's Ursule Mirouët, Barbey d'Aurevilly's Un prêtre marié, Huysmans's En rade, Bloy's Le Désespéré and La Femme pauvre, and Bernanos's Nouvelle histoire de Mouchette. Thus, as Manzini argues in his conclusion, between the freneticism of the Romantics and that of the surrealists this corpus represents an intermediary wave of freneticism, foregrounding fever, hyperconsciousness, dreamlike episodes, and female automatism. Manzini's knowledge of, and ease amidst, the sources is constantly impressive. Much like Richard Griffiths before him (The Reactionary Revolution: The Catholic Revival in French Literature, 1870–1914 (London: Constable, 1966)), he has read both the bad novels and the good ones. For that we are in his debt. His commentary thrives on the oddities of his subjects. He points quite rightly to the peculiar hubris of writers whose contempt for the secular excesses of scientism leads them down a cul-de-sac of primitive medical quackery. Likewise, he underlines how Zola's attempt to unwrite Barbey — exorcising the former's anti-Romantic animus, as much as scratching his anticlerical itch — leads him to recapitulate Barbey's religious authoritarianism in the secular vernacular of patriarchy. Les espèces qui se rapprochent se mangent, to paraphrase Bernanos (Les Grands Cimetières sous la lune). In spite of all Manzini's tightly organized analysis, however, this reader wonders whether the fevered novel ‘best allowed contemporaries — and now […] literary critics and historians — to imagine the issues at stake in the amorphous scientistic, religious, and political debates’ of the period (p. 17). Below the ideological clashes of nineteenth-century science and religion, the two contending dynamics of anthropocentrism and theocentrism are attested and, it can be argued, even more perfectly dramatized in other Catholic literature (Charles Péguy's poetry, for example). In these terms, what distinguishes the Catholic frenetics from their Romantic or surrealist counterparts is that their fevered subject represents an attempt to build a road out of what Canadian philosopher Charles Taylor calls ‘buffered’ individuality, and back towards the theocentric porous subject who is open to divine influence. By way of minor corrections, nuns do not take holy orders (p. 94) but make religious profession by taking vows. Also, the last Eucharistic host is not extreme unction (p. 119) but viaticum.

Empire's children: Soviet childhood in the age of revolution

Ideas of childhood and citizenship stood at the center of the Soviet Union's empire-building project during the 1920s and 1930s. After the 1917 Revolution the Bolsheviks were faced with the challenge of establishing a new state structure and governing a vast territory inherited from its tsarist predecessor. In the early years of the Soviet project, new leaders enlisted a cadre of professionals tasked with not only creating the norms of childhood and the everyday, but also implementing policies to modernize habits and values of the empire's younger citizens. ^ To understand how children became a prime focus of Soviet imperial and ethno-cultural politics, my dissertation employs discourse analysis and compares the ways in which Soviet imperial policies were implemented in two ethnically different regions: the Buddhist Republic of Kalmykia as the colonial case study and Moscow as the Metropole. The current project examines newspapers, treatises, and inspectors' reports over the span of twenty years. It finds that the Bolsheviks' initial values and discourses in the realm of children's education, health, leisure and nutrition, all which were scientifically designed to transform children into ideal Soviet and modern citizens, changed over time as a result of the competing ideologies among local elites and the challenges they faced while intervening in children's everyday lives. ^ The most significant conclusion in this dissertation reveals that, contrary to previous scholarly arguments, the modernization projects that took place in Moscow and Kalmykia were more similar in the challenges and outcomes that local officials faced when implementing state policies.^

Volf Roitman:From MADI to The Ludic Revolution

Catalog of an exhibition at the Patricia & Phillip Frost Art Museum. Curated by Carol Damian and Klaudio Rodriguez.

A New History of the Cuban Revolution: An Independent Interpretation , Lecture by Luis Martínez-Fernández

This flyer promotes the event "A New History of the Cuban Revolution: An Independent Interpretation : Lecture by Luis Martínez-Fernández" cosponsored by the FlU Department of History and the Department of History Graduate Student Association.

Sugar and Revolution ( A Requiem) , Lecture by Duanel Díaz Infante

This flyer promotes the event "Sugar and Revolution ( A Requiem) : Lecture by Duanel Díaz Infante", cosponsored by FlU's Cuban Research Institute, Latin American and Caribbean Center, and the FlU Libraries.

Cuba: La revolución que no fue (Cuba: The Revolution That Wasn't) , Book Presentation by Author Emilio Guede

This flyer promotes the event "Cuba: La revolución que no fue (Cuba: The Revolution That Wasn't) : Book Presentation by Author Emilio Guede" cosponsored by the School of International and Public Affairs and the Department of Modern Languages and Florida International University. The event was held and Books & Books in Coral Gables.

Between the Colony and the Revolution: The Formation of the Cuban Nation through Children's Literature of the Republic (1902-1958}), Lecture by Zeila Frade

This flyer promotes the event "Between the Colony and the Revolution: The Formation of the Cuban Nation through Children's Literature of the Republic (1902-1958} Lecture by Zeila Frade".

Exile and Revolution: José D. Poyo, Key West, and Cuban Independence, Book Presentation by Gerald E. Poyo

This flyer promotes the event "Exile and Revolution: José D. Poyo, Key West, and Cuban Independence, Book Presentation by Gerald E. Poyo" cosponsored by FIU's Department of History and the San Carlos Institute. The event was held at Books & Books in Coral Gables.

Exile and Revolution: José D. Poyo, Key West, and Cuban Independence, Book Presentation by Gerald E. Poyo

This flyer promotes the event "Exile and Revolution: José D. Poyo, Key West, and Cuban Independence, Book Presentation by Gerald E. Poyo" cosponsored by FIU's Department of History and the San Carlos Institute. This event was held at the San Carlos Institute in Key West.

Czechs Look Back on 1989, a Revolution Betrayed: A Reflection on the Mythology of the Velvet Revolution

Twenty-five years ago today the Velvet Revolution kicked off in what was then Czechoslovakia to bring an end to the one-party government of the Communist Party. This exclusive translation of a feature from the Czech journal A2 Cultural Bi-Weekly explains that the events of 1989 were about more than just Václav Havel, a playwright and leader in the revolution who was elected president in 1990. A generation of unfulfilled promises later, Czechs are struggling to revive the spirit of not only democracy and humanism, but also socialism. This article originally appeared in Ricochet, November 17, 2014.

Revolution in Translation- The Plays of Augusto Boal in a Post 9-11 World Pt.1

Dr. Robert Moser, Associate Professor of Portuguese, Brazilian and Lusophone African Literature and Culture at the University of Georgia, lectures on the late Brazilian playwright Augusto Boal, who was known for developing the Theater of the Oppressed. Lecture held at Green Library, Modesto Maidique Campus, Florida International University.