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LF v SCRL and the CJEU’s failure to engage with the reality of Muslim women in the labour market
Get PDFThis article analyses LF v SCRL, a case from the Court of Justice of the European Union (CJEU) regarding the wearing of the Islamic headscarf in the workplace. LF was turned down for an internship with SCRL because she refused to take of her headscarf, which she was wearing for religious reasons. The article places this case within the previous CJEU cases concerning headscarves and the critique raised against these cases. One of these - that the CJEU does not engage with the effect of bans on the wearing of religious symbols in the workplace on the employment opportunities and wider integration of Muslim women – is examined in more detail. It is submitted that this failure clashes with a number of EU values
Sisters! Question Every Aspect of Our Lives
No full textKeynote by four founding members of the collective including Robinson.
Part of a one day symposium on the work of See Red Women's Workshop, of which Robinson was a member and co-author of book and exhibition materials, in context including contemporary research and exhibitions
Workforce diversity in specialist physicians: implications of findings for religious affiliation in Anaesthesia & Intensive Care
Get PDFBackground
Minority ethnic identification between physician and patient can reduce communication and access barriers, improve physician-patient relationship, trust, and health outcomes. Religion influences health beliefs, behaviours, treatment decisions, and outcomes. Ethically contentious dilemmas in treatment decisions are often entangled with religious beliefs. They feature more in medical specialties such as Anaesthesia & Intensive Care, with issues including informed consent for surgery, organ donation, transplant, transfusion, and end-of-life decisions.
Methods
We investigate diversity in religious affiliation in the UK medical workforce, using data from the General Medical Council (GMC) specialist register and Health Education England (HEE) trainee applications to medical specialties. We performed conservative Bonferroni corrections for multiple comparisons using Chi-squared tests, as well as normalised mutual-information scores. Robust associations that persisted on all sensitivity analyses are reported, investigating whether ethnicity or foreign primary medical qualification could explain the underlying association.
Findings
The only significant and robust association in both GMC and HEE datasets affecting the same religious group and specialty was disproportionately fewer Anaesthesia & Intensive Care physicians with a religious affiliation of “Muslim”, both as consultants (RR 0.57[0.47,0.7]) and trainee applicants (RR 0.27[0.19,0.38]. Associations were not explained by ethnicity or foreign training. We discuss the myriad of implications of the findings for multi-cultural societies.
Conclusions
Lack of physician workforce diversity has far-reaching consequences, especially for specialties such as Anaesthesia and Intensive Care, where ethically contentious decisions could have a big impact. Religious beliefs and practices, or lack thereof, may have unmeasured influences on clinical decisions and on whether patients identify with physicians, which in turn can affect health outcomes. Examining an influencing variable such as religion in healthcare decisions should be prioritised, especially considering findings from the clinician-patient concordance literature. It is important to further explore potential historical and socio-cultural barriers to entry of training medics into under-represented specialties, such as Anaesthesia and Intensive Care
The use of video remote interpreting (VRI) in a medium secure psychiatric setting during the COVID-19 lockdown
No full textPurpose
The COVID-19 pandemic significantly disrupted the lives of the deaf community, and the implementation of restrictions on face-to-face meetings resulted in the trial introduction of video remote interpreting (VRI) in a secure psychiatric setting. This study aims to use a qualitative research paradigm to explore user experiences to inform potential future technological developments in this area.
Design/methodology/approach
Twelve deaf patients and three interpreters took part in structured face-to-face interviews and discussed their experiences of the use of VRI, with the results being assessed using thematic analysis.
Findings
Seven main themes were identified: resource availability, ease of use, technical issues, misunderstandings, medium secure-specific issues, preferences and human factors. All participants agreed that they did not like the VRI technology in the health-care environment in its current format, and their main concern was the difficulty in understanding the information being communicated. It was considered that this had the potential to incur potentially serious medico-legal and safety implications for both staff and patients alike.
Practical implications
This study has provided detailed users’ feedback about the potential future use in this communication tool and can help guide service developers to review the technology design to tailor it towards the users’ needs. While the existing technology is not currently suitable for this deaf population, particularly because of the potential for error, there is potential scope for further research in this area.
Originality/value
The COVID-19 pandemic provided a unique opportunity to explore the potential use of VRI for a deaf patient population within a secure psychiatric setting, where such technology is unlikely to have otherwise been used
Validity of a smartphone app using artificial intelligence for the real-time measurement of barbell velocity in the bench press exercise
No full textThe purpose of this study was to explore the validity and within-session reliability of the newly developed My Jump Lab application (app), which uses artificial intelligence techniques to monitor barbell velocity in real time. Twenty-seven sport science students performed 5 repetitions at 50 and 75% of their self-reported bench press 1 repetition maximum (1RM) during a single testing session, whereas barbell velocity was concurrently measured using the app (installed on an iPhone 12 Pro) and the GymAware linear position transducer (LPT). A very high correlation was observed between devices at each loading condition (50% 1RM: r = 0.90 [0.82–0.97]; 75% 1RM: r = 0.92 [0.86–0.98]). Results showed trivial differences between the app and LPT at both 50% 1RM (g = −0.06) and 75% 1RM (g = −0.12). Bland-Altman analysis showed a bias estimate of −0.010 m·s−1 and −0.026 m·s−1 for the 50 and 75% 1RM, respectively. Finally, similar levels of reliability, as revealed by the coefficient of variation, were observed for both devices (50% 1RM: LPT = 6.52%, app = 8.17%; 75% 1RM: LPT = 12.10%, app = 13.55%). Collectively, the findings of this study support the use of My Jump Lab for the measurement of real-time barbell velocity in the bench press exercise
New Math and the South Slavs
No full textYugoslavia was a young country when the Royaumont Seminar took place in 1959, a seminar that emerged from the New Thinking in School Mathematics initiative. This chapter, on Yugoslavia, seeks to illuminate that part of the mathematics education history of the country by looking at the three mathematicians who all contributed to a specific view of mathematics, mathematics education, and its practical manifestations. The contributions of Đuro Kurepa, Miloš Radojčić, and Judita Cofman are explored, and their lasting impact on mathematics education in the framework of the New Math in Yugoslavia and further away, on a global scale. Kurepa’s influence and prominence are explored through his role with the ICMI and his global networks; Cofman’s influence through her work in Europe: Germany and England—as much as her work in Yugoslavia; and Radojčić’s work reached Africa through the non-aligned movement. Their contributions to mathematics education were diverse. Kurepa concentrated mostly on delineating the principles of teaching and learning and had leading roles in many institutions, nationally and internationally. Radojčić’s contribution to the philosophy of mathematics education was deeply colored by his epistemology based on anthroposophical principles. Finally, and perhaps the most enduring, was Cofman’s contribution to mathematics education in Serbia, England, and Germany, on structuring the learning of mathematics around problem solving
Living with and beyond Cushing’s disease
Get PDFCushing’s disease is a rare endocrine condition caused by a benign hormone secreting tumour on the pituitary gland. By secreting Adrenocorticotropic hormone (ACTH), the tumour causes cortisol overproduction which leads to multiple physical and psychological symptoms including extreme weight gain, rounded face, skin thinning, depression and mood swings. Treatment for Cushing’s disease often involves surgical removal of the tumour and medical therapy to lower cortisol; however, symptoms and sequelae of the condition persist. Literature on the subjective experience of Cushing’s disease focuses on the impact of the condition on Quality of Life (QoL), and qualitative first-person research on lived experience is scarce.
The aim of this study was to shed light on the phenomenon of living with and beyond Cushing’s disease through an existential-phenomenological exploration and heuristic analysis of the embodied experience beyond treatment. Six female participants including the researcher took part in unstructured interviews that explored the lived experience of Cushing’s disease and framed these within the four dimensions of existence: physical, social, psychological, and spiritual. The findings of this heuristic inquiry demonstrate that Cushing’s disease is a multidimensional phenomenon felt across all four layers of human experience. Themes also highlight the temporality of the illness experience and findings have been presented under a spatiotemporal framework integrating a temporal world interwoven with the four dimensions of existence. Implications of this research on medical and psychological practice are discussed and it is argued that subjective first-person accounts of illness should remain central to ensure holistic care. The research concludes that embedding existentially and phenomenologically informed psychological support within multidisciplinary services would serve towards ensuring that care for Cushing’s disease patients addresses the totality of the illness experience rather than focusing solely on the functional impact of disease
A TD-MD: Transdisciplinary Double-Doctor, a journey to post-traumatic growth
Get PDFThe context in which my public works were created has been and continues to be complex environments that include diversity, conflict, trauma, deprivation, colonialism and, more recently, while writing this thesis—a global pandemic and the war in Ukraine. I have chosen an autoethnographic lens to this critique. I open with a critical reflection of the shaping of my agency in the world through the formative years of childhood in Canada that account for some of the ways that I have, in turn, shaped my environments and how they have shaped me to have the positionality I have today. This leads onto my professional accomplishments and personal growth as I engage myself and the reader in narrative discourse. I chose autoethnography as a lens for its capacity to embrace both the evocative nature of personal and professional practice and analytic autoethnography which guides the evocative and the experiential towards contributions beyond self and one’s profession that have something to say about the human condition and how humans have interacted with the world both constructively and destructively. Both these dimensions are intrinsic to understanding the dichotomous skills and understanding that I possess and the diverse works I have both created and conducted, which are manifestations of my agency in and on the world. At this transition point in my life, I felt the need to subject them to a critical gaze. Three themes had arisen in my own works which I wanted to look at more closely through this opportunity to engage more critically in my own outputs. First: Global Health; my work as executive Director and founder of Global Familymed Foundation as well as an article written with colleagues from Nepal and Myanmar and a podcast series I have run with global partners. I question whether the work conducted was through a colonial paradigm. Second: Social Innovation, where I use the Adaptive Cycle metaphor to analyse different facets of my career representing each phase. Artefacts in this chapter include the two non-profits, the Cooperative, and the corporation I founded as well as programming I conducted in other organizations. Third: Trauma, both the intense study I conducted to become an integrated traumatologist as well as the demonstration of my critical questioning through TikTok-style self-psychoanalysis around my motivations to create my social media channel and write my book The Modern Trauma Toolkit. The insights which have emerged for me are profound; offering future directions related to social justice, education, innovation, and post-traumatic growth
Importance of the sustainability tourism marketing practices: an insight from rural community-based homestays in Malaysia
No full textPurpose
This study explored the antecedent and consequent relationship between information and communication technology (ICT) competency, sustainability tourism marketing and brand equity in rural community-based homestays in Malaysia. This study also examined how the political support by local authorities benefitted this sustainable rural tourism product development.
Design/methodology/approach
Homestays operators from three states in Malaysia–Kuala Lumpur/Selangor, Pahang and Pulau Pinang–participated in the study. Self-administered questionnaires were used to collect responses and to test research hypotheses.
Findings
The study's model empirically demonstrated ICT competency, sustainability tourism marketing practices and political support by local authorities' construct which are essential explanatory variables of homestay brand equity. The model shows high levels of consistency between the theoretical design and the empirical results of its constructs, contributing as a new step in the tourism sustainability literature.
Research limitations/implications
This study enables us to explain the “triple bottom line” theory when applied in combination with ICT competency, brand equity and newly introduced construct “political support by local authorities”.
Practical implications
The study results in evidence of crucial implications for policymakers. Policymakers should enhance cost-effectiveness, policy integration (integration of economic, environmental and social goals), and transparency and accountability to achieve United Nations' and Malaysia's sustainable tourism goals.
Originality/value
This study is an early attempt to highlight the importance of sustainable tourism marketing and brand equity in rural community-based homestays in Malaysia. This study also emphasizes that the local political authorities are the most crucial rural tourism stakeholders, and they play a key role in sustainable rural tourism transformation
Migrant narratives: storytelling as agency, belonging and community
No full textWith a focus on migrant narratives, or the storytelling about migration, this volume considers the ways in which migration is and has been shaped by individual and collective experiences of agency, belonging and community.
Driven by an agenda of deep listening, each chapter presents a narrative directly derived from qualitative research, an outline of the methodological framing as well as narrative analysis. Through close attention to the narrative, its performative aspects and its ruptures and silences, authors identify patterns and material in the fabric of such telling and retelling of stories that open up new perspectives on the migrant experience. This book develops a methodology of "dwelling with stories" that allows for sustained and slow interrogation of the migrant experience and the accompanying decisions that shape narratives around mobility across borders. Its structure is innovative by emphasising the migrant voice and reflecting on the scholars’ positionality, while also offering new theoretical contributions that will advance the field of narrative analysis