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Examines the political and ideological significance of measures of quality of life, specifically Quality Adjusted Life Years (QALYs). Briefly reviews recent developments in the debate surrounding the economic and political functions of quality of life measures. The dialectic between conceptions of the quality of life and the implicit realpolitik of socio‐economic pressures, ecological conditions, political ethos and cultural norms and expectations, is conceived as a powerful means for the critique of our aspirations concerning health. Argues that existing approaches to assessing quality of life, in denying this dialectic, have jeopardized their potential contribution to the planning, implementation and evaluation of health care policy. Resource allocation challenges us to develop openly ideological strategies and measures.

The purpose of this paper is to describe the patterns of self-disclosure of long-term conditions at work by health professionals in a large regional health service. Recent research by the authors has reported on the self-reported long-term conditions of nursing, medical and allied health staff within a large regional hospital and health service in North Queensland, Australia. Data regarding self-disclosure of health information were gathered during those two previous studies, but has yet to be reported. This current study thus offers the opportunity to explore and describe patterns of self-disclosure by a multi-disciplinary cohort of health professionals within that regional health service.

This current study was a component of two larger studies, reported elsewhere, which explored long-term conditions among health professional staff at a large regional health service in North Queensland, Australia. A cross-sectional survey design was used.

Decision-making associated with self-disclosure of long-term conditions by health professional staff in the workplace is multifactorial, and affected by considerations of age, gender, workplace circumstances and nature of the health condition. It also differs according to professional grouping. The medical profession were less likely than nurses and allied health workers to disclose to their work colleagues. Respondents with a mental health condition were more cautious and selective in their disclosures, and alone in being more likely to disclose to their supervisor than to colleagues; they were also most likely to value the sympathy and understanding of their colleagues and managers.

This study was conducted across only one large regional health service; a fuller picture of patterns of self-disclosure of long-term conditions by health professional staff would be gained by expanding the number of sites to include metropolitan hospitals, smaller rural or remote health services and non-hospital settings.

Healthcare organizations need to develop support strategies and communication processes so that staff with one or more long-term condition, particularly those that have associated stigma, are empowered to disclose information to line managers and colleagues without fear of discrimination, ostracism, incivility or bullying.

There is a paucity of evidence about self-disclosure of long-term conditions by health professionals and this study therefore makes an important contribution to the extant literature. The findings raise important questions about the culture and dynamics of health care organizations in respect to the patterns of self-disclosure of health professional staff.

The young man in the library folded up his list, turned away with a disgruntled look, and muttered something about there not being a single thing to read. I am not given to speaking to strangers, but his muttered remark was so obviously wrong that I could not let it pass. “Well”, he said, “perhaps it is an exaggeration, but there's nothing available in my line. None of the books I want ever seems to be in”.

This chapter looks at how various scholars have attempted to structure the “infinite field” by defining the appropriate theory and methods. These efforts have centered on a conception of what it would take to make comparative education a “science,” and how one could achieve “objective knowledge.” While these concerns were important for comparative educationists throughout the nineteenth century, who mostly favored a historical approach, the debate became more heated and more urgent in the 1960s when a number of key players published competing positions. This coincided with a time when the claim to a basis in science was being used to introduce a range of new subjects to higher education and establish disciplines like sociology on a firm institutional footing. Subsequently some of the heat went out of the debate about theory and method. A number of possible causes can be identified, including (i) that it became apparent comparative education was not going to achieve disciplinary status on a par with sociology; (ii) de facto comparative educationists handed the palm to Bereday, and carried on doing comparative education as he had described it; and (iii) the appetite for global theorizing waned to be replaced by partial theories, many of them based on general concerns for social justice and drawing on a broadly Marxist definition of “science.” The chapter concludes with reflections on the fact that healthy debate about methodology and theory can drive the development of the field, and that in the absence of explicit debate there is the danger that certain assumptions, especially assumptions that do not recognize the importance of context, can come to dominate the field by stealth.

Over the last decade there has been considerable growth in the role that psychiatric nurses play in providing care for the mentally disordered offender (MDO). Yet there has been little written about this specialty from a global perspective. Examination of the literature illustrates a large body of research and development programmes reporting the development of services to the MDO, for example, self‐harm and clinical risk assessment. Such service development is growing at a rapid pace, yet training and education to meet the needs of this patient group is something that is added onto post registration courses. Furthermore, the lack of vision and career pathways into forensic care is stifling a growing profession, which is subject to continual permanent change and investigation. Leaders and professional associations have contributed little to this unique nursing group which plays a major role in the multidisciplinary care of a very demanding set of patient needs.

LOOKING BEFORE AND AFTER : BEFORE Opening, as we do, a new volume of THE LIBRARY WORLD, especially as with it we reach the venerable age of sixty‐one, does suggest retrospective and prospective view. The magazine is the oldest amongst independent library journals, though others existed before 1899 in different forms or under other titles than those by which they are known to‐day. When at the end of last century it was felt that utterances were needed about libraries, unfettered by uncritical allegiance to associations or coteries, librarianship was a vessel riding upon an official sea of complacency so far as its main organisation was concerned. It was in the first tide, so far as public libraries were concerned, of Carnegie gifts of buildings, not yet however at the full flood. The captains were men of the beginnings of the library voyage; who were still guided themselves by the methods and modes of the men who believed in libraries, yet feared what the public might do in its use of them. Hence the indicator, meant to show, as its name implies, what books were available, but even more to secure them from theft, and to preserve men and women from the violent mental reactions they would suffer from close contact with large numbers of books. There were rebels of course. Six years earlier James Duff Brown has turned his anvil shaped building in Clerkenwell into a safeguarded open access library in which he actually allowed people, properly vetted, to enter and handle their own property. This act of faith was a great one, because within a mile or so some 5,000 books had been lost from the Bishopgate Institute Library, which has open shelves, too, not “safeguarded”. Brown's “cave of library chaos” as a well‐known Chairman, who by one visit was convinced of its good sense and practicability, called it, focused the attention of scores of librarians—so much so that Brown had to beg them to keep away for about a year, so that the method might be better judged after sufficient trial. It also focused the attention of the inventors of the indicator, who, presumably, had more than a benevolent interest in its sales. So there was war against this threat and for several years this childish contention raged at conferences, in private conversations amongst library workers, and in letters to the press aimed to convict Brown and all his satellites of encouraging dishonesty, mental confusion and other maladies public. Hence Brown, L. Stanley Jast, William Fortune and others initiated this journal to teach librarians and library committees how libraries were to be run. That, in extreme brevity, is our genesis. For sixty years it has encouraged voices, new and old, orthodox or unorthodox, who had something to say, or could give a new face to old things, to use its pages. Brown was its first honorary Editor, and with some assistance in the later stages remained so for the thirteen years he had yet to live. Nearly every librarian of distinction in his day has at some time or other contributed to these pages. So much of our past may be said and we hope will be allowed.

Planning is logically applied to address negative externalities, but an alternative is financial compensation to the victim of negative spillover effects. This paper aims to examine the rent discount required to compensate tenants in an African city for a negative externality of the location of a grave within the bounds of their home. It also assesses the suitability of this as a remedy.

This study adopts a discrete choice experiment to analyse tenants’ acceptability of the level of rent discounts when a grave is imposed on their home.

The study estimates that tenants in the Nigerian city of Akure require between 15 per cent and 20 per cent reduction in the rental value of a residential property to compensate for the imposition of a grave. However, many households would prefer to move elsewhere rather than negotiate a discount. Others, especially those on low incomes, were likely to suffer the loss of welfare without a rent discount. The study concludes that a compensatory approach is not an acceptable solution for welfare issues caused by the planning failure.

The investigation is based on a hypothetical choice experiment. However, the results obtained are subject to a series of validation processes.

As reductions in the rent to compensate for the effect of a grave in a private home are unlikely in a market with excess demand, it is a clear argument for effective planning and environmental law.

This study is the first to assess the impact of negative externalities on the housing market of an African city.

There is a wealth of literature on the financing structure of a company. For this reason, the authors considered it useful to present a theoretical and empirical literature review of classical and new theories of the financial structure. The purpose of this study is to realize on a panel of 15 nonfinancial Moroccan companies listed on the Casablanca Stock Exchange, over a period of 11 years.

The results obtained indicate that only a few variables from financial theory have an important role in the financing policy of Moroccan companies. The authors have presented the positive role of size and self-financing on the debt ratio. The analysis of the effects of profitability shows in this study that it is negative related on the debt ratio which asserts the predictions of the pecking order theory. Also, the age of the company and the growth opportunities explain the level of indebtedness.

Econometric analysis is used to ascertain the nature of the financial structure of listed companies. For this purpose, a large number of companies listed on the Casablanca stock exchange were used.

The authors have presented the positive role of size and self-financing on the debt ratio. Regarding the influence of profitability, this analysis shows that it is negative related on the debt ratio which asserts the predictions of the pecking order theory. Also, the age of the company and the growth opportunities explain the level of indebtedness.