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"Barr, Michael"
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Who's afraid of China? the challenge of Chinese soft power
If China suddenly democratised, would it cease being labelled as a threat? This provocative book argues that fears of China often say as much about those who hold them as they do about the rising power itself. It focuses not on the usual trope of economic and military might, but on China's growing cultural influence and the connections between China's domestic politics and its attempts to brand itself internationally. Using examples from film, education, media, politics, and art, Who's Afraid of China? is both an introduction to Chinese soft power and a critical analysis of international reaction to it. It examines how the West's own past, hopes, and fears shape the way it thinks about and engages with China and argues that the rising power touches a nerve in the Western psyche, presenting a fundamental challenge to ideas about modernity, history, and international relations.
eBook
A Randomized Trial to Improve Patient-Centered Care and Hypertension Control in Underserved Primary Care Patients
BACKGROUND
African Americans and persons with low socioeconomic status (SES) are disproportionately affected by hypertension and receive less patient-centered care than less vulnerable patient populations. Moreover, continuing medical education (CME) and patient-activation interventions have infrequently been directed to improve the processes of care for these populations.
OBJECTIVE
To compare the effectiveness of patient-centered interventions targeting patients and physicians with the effectiveness of minimal interventions for underserved groups.
DESIGN
Randomized controlled trial conducted from January 2002 through August 2005, with patient follow-up at 3 and 12 months, in 14 urban, community-based practices in Baltimore, Maryland.
PARTICIPANTS
Forty-one primary care physicians and 279 hypertension patients.
INTERVENTIONS
Physician communication skills training and patient coaching by community health workers.
MAIN MEASURES
Physician communication behaviors; patient ratings of physicians’ participatory decision-making (PDM), patient involvement in care (PIC), reported adherence to medications; systolic and diastolic blood pressure (BP) and BP control.
KEY RESULTS
Visits of trained versus control group physicians demonstrated more positive communication change scores from baseline (−0.52 vs. −0.82, p = 0.04). At 12 months, the patient+physician intensive group compared to the minimal intervention group showed significantly greater improvements in patient report of physicians’ PDM (β = +6.20 vs. −5.24, p = 0.03) and PIC dimensions related to doctor facilitation (β = +0.22 vs. −0.17, p = 0.03) and information exchange (β = +0.32 vs. −0.22, p = 0.005). Improvements in patient adherence and BP control did not differ across groups for the overall patient sample. However, among patients with uncontrolled hypertension at baseline, non-significant reductions in systolic BP were observed among patients in all intervention groups—the patient+physician intensive (−13.2 mmHg), physician intensive/patient minimal (−10.6 mmHg), and the patient intensive/physician minimal (−16.8 mmHg), compared to the patient+physician minimal group (−2.0 mmHg).
CONCLUSION
Interventions that enhance physicians’ communication skills and activate patients to participate in their care positively affect patient-centered communication, patient perceptions of engagement in care, and may improve systolic BP among urban African-American and low SES patients with uncontrolled hypertension.
Journal Article
بناء سنغافورة : النخبوية والإثنية ومشروع بناء الأمة
لا تتمتع سنغافورة سوى بالقليل من الموارد الطبيعية، إلا أن تطورها وتحولها الاقتصادي والاجتماعي، في فترة زمنية قصيرة نسبيا، هو أمر استثنائي وجدير بالملاحظة. تعتبر سنغافورة اليوم النموذج الأكثر نجاحا في التطور المادي في جنوب شرقي آسيا وغالبا ما تجد نفسها موضع حسد الدول النامية. علاوة على ذلك، أشرف الحزب الحاكم خلال العقود الثلاثة والنصف الأخيرة على تشكيل مجتمع مزدهر من السنغافوريين الذين يحبون بلدهم ويفخرون به. في دراسة نقدية للسياسات الإثنية والنخبوية في سنغافورة، ينظر كتاب (بناء سنغافورة) في داخل نظام (حكم الأكفأ) المفترض، من رياض الأطفال إلى الجامعة وما بعدها، ما يفضي لخلق النخبة الإدارية والسياسية وبالتركيز على عمليتي اختيار النخبة وتشكيلها، تقدم الدراسة الحالية اهتماما أساسيا بالدور الذي يلعبه الانتماء العرقي الإثني في هذه العمليات ولكن أيضا مع الأخذ بعين الاعتبار المعطيات المتعلقة بالعلاقات الشخصية والنفوذ الشخصي والطبقة الاجتماعية.
Book
COMMENT: ACCOUNTABILITY AND INDEPENDENCE IN FINANCIAL REGULATION: CHECKS AND BALANCES, PUBLIC ENGAGEMENT, AND OTHER INNOVATIONS
Financial regulation attempts to balance two competing administrative goals. The financial crisis sparked innovations in substantive financial regulation and administrative law designed to balance independence and accountability, while improving the efficacy of financial oversight. In many respects, these innovations acknowledge that regulatory infrastructure is far from ideal, but they would be essential even in far simpler and perhaps more preferable regulatory structures.
Journal Article