Ethical Considerations in the Conduct of Electronic Surveillance Research

The extant clinical literature indicates profound problems in the assessment, monitoring, and documentation of care in long-term care facilities. The lack of adequate resources to accommodate higher staff-to-resident ratios adds additional urgency to the goal of identifying more cost-effective mechanisms to provide care oversight. The ever expanding array of electronic monitoring technologies in the clinical research arena demands a conceptual and pragmatic framework for the resolution of ethical tensions inherent in the use of such innovative tools. CareMedia is a project that explores the utility of video, audio and sensor technologies as a continuous real-time assessment and outcomes measurement tool. In this paper, the authors describe the seminal ethical challenges encountered during the implementation phase of this project, namely privacy and confidentiality protection, and the strategies employed to resolve the ethical tensions by applying principles of the interest theory of rights.     

Older African American Women and Barriers to Reporting Domestic Violence to Law Enforcement in the Rural Deep South

Victims of domestic violence are legally entitled to police protection, but multiple barriers exist in contacting law enforcement. In this study, we used Federal Bureau of Investigation data, key informant interviews, and focus groups to examine barriers to reporting domestic violence among older African American women in the rural Deep South. Three primary barriers were identified: gender roles, age dependency, and mistrust of law enforcement. The main finding was that reports of domestic violence were deterred by fears of being stigmatized by church, family, and community. The one compelling and feasible resolution is for law enforcement to take a leadership role in educating clergy and other community leaders about domestic violence as a crime against older women.     

Modules for modernisation: Colonial irrigation in India and the technological dimension of agrarian change

‘Water control’ is central to the political economy of water distribution in large‐scale irrigation in India. The changes in water distribution, irrigation technology, and agrarian development ‐through the introduction of the ‘block system’, technical devices called ‘modules’ and volumetric water pricing ‐ in the Nira Left Bank Canal (Bombay Presidency) in the period 1900–40, are discussed to show the relationship of the three dimensions of water control: technical, managerial and socio‐political. This analysis points to the crucial, but contradictory role of the state in triggering processes of agricultural modernisation through intervention in water management. The debate on the ‘success’ of the block system continues to the present day, but little progress has been made in designing solutions for inequality in water distribution. The article suggests that liberalisation policies create political and institutional space for changing accountability relations, and agricultural price regimes relevant to water management problems. It also argues that social scientists criticising present irrigation practices should position themselves within the engineering domain and try to ‘socialise’ the technical bias of the engineering establishment.