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This paper examines the impact of the Competition Commission's report on the competitiveness of the UK food retail sector. Although the report found little evidence of monopolistic behaviour, the findings indicated both significance of buyer concentration and need for voluntary regulation. Recent developments are examined along with current research perspectives. This evidence suggests that not only will buyer power continue to concentrate in the hands of the major retail players but also further concentration and consolidation in the food retail sector will continue to take place. The implications of these developments on the food supply chain are considered in regard to areas for immediate future concern.

Depression imposes substantial individual and societal economic costs, including lower productivity and higher healthcare use. However, while the relationship between employment and mental health has been explored, less is known about the potentially countervailing effects of different types of economic inactivity on depression among older individuals. The authors employ a series of models, including fixed effects panel data models and matching on rich data from the English Longitudinal Study of Ageing (ELSA) to investigate whether different types of inactivity might have heterogenous effects on depression. The authors find that whereas transitions to involuntary inactivity (unemployment) do not appear to have a perceivable effect on depression, transitions to voluntary inactivity (retirement) seem to decrease it.

The practice of transracial adoption often triggers strong emotions, effecting views on its ethical validity, both from individuals who are pro transracial adoption and those who strongly resist transracial adoption. This chapter will consider transracial adoption of children of African-Caribbean origin and its psychological impact along a continuum of psychological wellbeing, psychological adjustment and aspects of mental health. The chapter will draw on literature from the USA and, where available, from the UK.

One of the earliest publications on transracial adoption by Grow and Shapiro (1974) explored the psychological adjustment of African-American children placed within white American families. This study along with later studies (Silverman & Feigelman, 1981) concluded that the children were adjusting well in placement. Further early research appeared to suggest that transracial placements have little negative impact on issues of self-esteem, racial or self-identity or intellectual development (Curtis, 1996; Hayes, 1993; Hollingsworth, 1997, 1998; McRoy, 1994; Simon, Altstein & Melli, 1994; Vrogeh, 1997).

The undermining impact on mental health for transracial adoptees appears to be an argument related to the disconnect between the child’s developing racial identity and lack of preparation for racism and the cultural and ethnic group social devaluation likely to be experienced in a white racist society. The impact of loss of ethnic identity is said to be a key issue in the research on transracial adoption. Ethnic identity is the connection or recognition that one is a member of a specific ethnic or racial group and coming to adopt those associated characteristics into the group associated cultural and historical connections into oneself identity (Rotheram & Phinney, 1987). The establishment of a secure and accurate racial identity is said to be a protective factor in psychological adjustment. This chapter will explore issues and narratives related to this argument.

The interpersonal theory of suicide (ITS; Joiner, 2005) has gained empirical support as a framework for understanding why people die by suicide in the general population, and more recently, among American Indians (AIs). The purpose of this paper is to examine two key constructs of the theory, perceived burdensomeness and thwarted belongingness as mediators of depression and suicidal ideation within an AI sample.

In all, 156 self-identified AI students completed measures of depression symptoms, thwarted belongingness, perceived burdensomeness, and suicidal ideation online. Non-parametric bootstrapping procedures were conducted.

Results of bootstrapping analyses indicated that perceived burdensomeness had an indirect effect on the relationship between symptoms of depression and suicidal ideation; however, thwarted belongingness did not demonstrate an indirect effect between symptoms of depression and suicidal ideation. Findings suggest that the ITS construct of perceived burdensomeness may be relevant for the study of AI suicide. Implications for targeting perceptions of burdensomeness in preventative efforts against suicide among AIs are discussed.

This is the first study to examine perceived burdensomeness and thwarted belongingness as mediators of symptoms of depression and suicidal ideation in a sample of AI participants.

The purpose of this paper is to advance knowledge and obtain an understanding of the phenomenon of public sector external auditing (PSEA) in Tanzania.

The paper used a grounded theory method informed by a critical approach. It used data from multiple sources including interviews, observations and documents, to provide a theoretical and practical understanding of PSEA in Tanzania. The theoretical aspects were developed ‘in vivo’ and were also informed by the Habermasian concept of colonisation.

The principal research findings from the data concern the central phenomenon of managing colonising tendencies in PSEA which appeared to be the core strategy for both the government and external auditors. While the government appeared to manage the National Audit Office of Tanzania (NAOT) appearance and exploited the legitimising features of PSEA, external auditors manoeuvred within colonising tendencies and attempted to maintain the ‘audit supremacy’ image. PSEA in Tanzania encountered colonising tendencies because of weak working relationship between the NAOT and other accountability agencies, inconsistencies in governance and politics, the culture of corruption and secrecy, dependence on foreign financing and mimicking of foreign models. To coexist within this colonising environment, external auditors managed their relationship with auditees and the complexities of PSEA roles. Managing colonising tendencies resulted into obscured subordination of PSEA, contributing to cosmetic accountability and growing public interest in PSEA.

It is hoped that future research in other countries, in and beyond Africa, will be undertaken to broaden and deepen our understanding of the external auditing of public sector entities.

The paper combines grounded theory with a critical approach to understand PSEA in a developing country.

The purpose of this paper is to determine the impact of having a patient-designated caregiver remain overnight with ambulatory extended recovery patients on early postoperative clinical outcomes.

This was a retrospective cohort study of patients undergoing surgery requiring overnight stay in a highly resourced free-standing oncology ambulatory surgery center. Postoperative outcomes in patients who had caregivers stay with them overnight were compared with outcomes in those who did not. All other care was standardized. Primary outcomes were postoperative length of stay, hospital readmission rates, urgent care center (UCC) visits within 30 days and perioperative complication rates.

Among patients staying overnight, 2,462 (57 percent) were accompanied by overnight caregivers. In this group, time to discharge was significantly lower. Readmissions (though rare) were slightly higher, though the difference was not statistically significant (p=0.059). No difference in early (<30 day) complications or UCC visits was noted. Presence of a caregiver overnight was not associated with important differences in outcomes, though further research in a less well-structured environment is likely to show a more robust benefit. Caregivers are still recommended to stay overnight if that is their preference as no harm was identified.

This study is unique in its evaluation of the clinical impact of having a caregiver stay overnight with ambulatory surgery patients. Little research has focused on the direct impact of the caregiver on patient outcomes, especially in the ambulatory setting. With increased adoption of minimally invasive surgical techniques and enhanced recovery pathways, a larger number of patients are eligible for short-stay ambulatory surgery. Factors that impact discharge and early postoperative complications are important.

There's nothing very new about concessions: Selfridges have been hosting them for the past two decades. What is unusual is the recent growth in concessions, and more particularly, the use to which they have been put in certain stores, notably Bournes. RDM takes a look at the developing role of the shop within a shop.

This chapter focusses on the ethical issues raised by different types of surveillance and the varied ways in which surveillance can be covert. Three case studies are presented which highlight different types of surveillance and different ethical concerns. The first case concerns the use of undercover police to infiltrate political activist groups over a 40-year period in the UK. The second case study examines a joint operation by US and Australian law enforcement agencies: the FBI’s operation Trojan Shield and the AFP’s Operation Ironside. This involved distributing encrypted phone handsets to serious criminal organisations which included a ‘backdoor’ secretly sending encrypted copies of all messages to law enforcement. The third case study analyses the use of emotional artificial intelligence systems in educational digital learning platforms for children where technology companies collect, store and use intrusive personal data in an opaque manner. The authors discuss similarities and differences in the ethical questions raised by these cases, for example, the involvement of the state versus private corporations, the kinds of information gathered and how it is used.