Questions regarding making and implementing care preferences through advance directives have become increasingly significant as the greying population grows with rising numbers of people experiencing incapacity. Currently, there is no consensus in the format for making advance directives. Recent developments highlighted the use of recording technology as an option to counter the challenges of written forms. Services offering video and audio recording available for online and offline storage are emerging in the United States. These services presumably strengthen a person’s expression of care preferences for healthcare providers in making treatment decisions compared to written advance directives. This article examines the role video advance directives play in advance decision-making and their legal and practical implications to the existing framework. An appreciation of the legal challenges presented by this development facilitates an understanding of their use in contemporary advance directives and enables appropriate recommendations for implementing safeguards in their use.
The Myitsone Dam suspension is an asymmetric negotiation between Naypyitaw and Beijing. The bilateral agreement of the hydropower project was concluded in 2009. However, Myanmar's civil society started to oppose the dam when political opportunities expanded in 2011. The quasi-civilian government in Myanmar was caught in an ‘audience cost dilemma': either to disappoint domestic constituents by fulfilling international obligations, or to compensate the Chinese dam developer for breaching the contract. In September 2011, Myanmar President Thein Sein declared the suspension of the dam throughout his tenure. Unexpectedly, China's state-owned dam company did not sue Naypyidaw. Moreover, Beijing even engaged with societal actors in Myanmar to seek their support for the project. How could Naypyitaw defy Beijing in this Myitsone Dam case? Drawing from 35 interviews with anti-dam campaigners and other stakeholders, as well as secondary data, this article argues that the rise of civil society successfully conditioned Naypyitaw's diplomatic options in the controversy. The change of Beijing's diplomatic strategy confirms that domestic constraint in Myanmar is not rhetorical. The Myitsone Dam case is an example that shows bilateral agreement without domestic endorsement can become China's business risk. Presumably, the dispute has wider implications for other Chinese overseas projects outside Myanmar. 相似文献
The two goals of the 1998 State Council organizational streamlining were personnel reduction and a change of government functions. It is argued that the methods being used to achieve personnel reduction do not constitute a real reduction but largely involve transferring staff to other public institutions. Real personnel reduction could not be achieved without a major change of government function. Institutional reforms of both the central and local governments since the 1980s have been adaptations to the changing economic structure from a planned to a market economy. Government functions have served both existing economies. Cadres cannot be reduced unless the government function of direct management of state-enterprises is completely severed. The major contents of the 1998 institutional reform are examined and evaluated. The prospects for the success of the reform are also assessed. 相似文献
It has been argued that environmental management is in an administrative trap. Numerous factors leading to this trapped situation have already been identified in the literature: institutional rigidity, lack of co-ordination, formalization, non-accountability and political interference. This study focusses on the organizational, cultural dimension of the administrative trap and argues that in order to reform administrative structures, the organizational culture must also be reformed. On the basis of several face-to-face interviews with street-level environmental regulators in Hong Kong, the study claims that a role-oriented, hierarchical culture exists. While such an organizational culture is in perfect agreement with existing administrative arrangements, it may, in the end, hamper the effectiveness of environmental management. 相似文献
Depressive symptoms of 621 Grade 7 to Grade 12 secondary school students were assessed and described in terms of dimensions of disturbances in mood, self-image, behavior, hedonic capacity, and self-efficacy using the Childrens Depression Inventory (CDI). Using the cutoff score of 20, 24% of the adolescents would be in the depressed range. In a subsample of 319 students who also completed the Self-Perception Profile for Adolescents, depressive symptom levels tended to be highest among students who perceived themselves to be relatively incompetent academically and socially, and lowest among students who perceived themselves to be academically and socially competent, supporting the cumulative effects of perceived academic and social incompetence on depressive symptoms. The relatively more elevated CDI scores and subscores among Chinese adolescents compared with US adolescents and the choice of a cutoff score for screening in the Hong Kong school population are discussed.This study was supported in part by a Chinese University of Hong Kong RGC direct grant for research. 相似文献
Singapore is well known internationally for its uncompromising stance towards law and order and its use of the death penalty in particular for murder and drug trafficking. Until 2012, it was one of the few countries in the world where the death penalty was mandatory for persons convicted of these two crimes. The law was amended in 2012 to give a judge the choice to impose the death penalty or life imprisonment (with caning) for non-intentional murder and drug trafficking in some situations. What do Singaporeans think of the use of the death penalty in their own country? This article reports on some findings of a survey conducted in 2016 on 1500 Singaporeans to assess their knowledge and support of the death penalty. 相似文献