No description available.

Bakgrund: Sjuksköterskor som arbetar på barnavårdcentral (BVC-sjuksköterskor) träffar 99,2 procent av alla barn. De har därför en viktig funktion när det gäller att upptäcka och rapportera barn som far illa. Trots anmälningsplikt är anmälningsfrekvensen låg. Det råder brist på studier kring hur det blir för BVC-sjuksköterskor efter att de har gjort en anmälan. Syfte: Att ur ett etiskt perspektiv undersöka BVC-sjuksköterskors upplevelser och erfarenheter efter att de har anmält till socialtjänsten att barn far illa. Metod: Semistrukturerade intervjuer genomfördes med sex BVC-sjuksköterskor. Intervjuerna analyserades med kvalitativ innehållsanalys på manifest nivå enligt Graneheim och Lundman. Resultat: BVC-sjuksköterskornas erfarenheter av samarbetet med socialtjänsten varierade. Alla informanterna menade dock att bristen på återkoppling var ett stort hinder. Relationen till föräldrarna kunde ibland bevaras eller fördjupas efter anmälan. Ibland skadades relationen och då ansågs byte av BVC-sjuksköterska som bra. Efter beslutet om anmälan fanns många känslor. Bland annat kände sig informanterna utsatta och var rädda för hot. Det fanns även en stor oro för barnet och moralisk stress förekom. Att anmäla upplevdes som att göra sin plikt. Stöd var viktigt och kunde göra tröskeln till ny anmälan mindre. Slutsats: BVC-sjuksköterskor upplever många svårigheter efter anmälan, vilket kan påverka anmälningsfrekvensen. Ett gott samarbete med socialtjänsten, handledning och tillräckligt med stöd efter anmälan, skulle kunna leda till fler anmälningar till socialtjänsten när barn far illa. / Background: Nurses working in primary child healthcare meet 99,2 percent of the children in Sweden. Therefore they have an important role in finding and reporting child abuse and neglect. Despite mandatory reporting according to the law, the rate of reports is low. There is a lack of research about experiences from nurses after they have made a report to the social welfare board. Aim: To, from an ethical perspective, explore the experiences from nurses working in primary child healthcare after they have made a report to the social welfare board about child abuse or neglect. Method: Semistructured interviews were conducted with six nurses working in primary childhealth care. The interviews were analysed using qualitative content analysis on a manifest level according to Graneheim and Lundman. Results: Nurses working in primary child healthcare had a varying experience of the contact with the social welfare board. All respondents however, thought that the lack of feedback from the social welfare board was a major obstacle. The relation to the parents were sometimes preserved or even deeper after the report. The relation could also be harmed and then a replacement of the nurse was considered to be good. After decision to report, there were a lot of emotions and some felt that they were in an exposed situation some feared threats. Further on there was a major concern for the child and some respondents perceived moral distress. To report was considered to do ones duty. To get support was important and could lower the threshold for making another report. Conclusion: Nurses working in primary child healthcare experience many difficulties after reporting to the social welfare board, which may influence the amounts of made reports. Good cooperation with the social welfare board, mentoring and sufficient support after reporting, may result in more reports to the social welfare board about child abuse or neglect.

No description available.

The aim of this work is to identify and analyze the legal problems arising from applying the articles of the EC Treaty on the prohibition of quantitative restrictions and measures having equivalent effect. The author, referring to evolution of the case law of European Court of Justice, reveals problem aspects of the prohibition of quantitative restrictions on import and measures having equivalent effect, ensuring the free movement of goods in EC. The author analyzes the link between the list of mandatory requirements, introduced in Cassis, and the article 30 of the Treaty, looking for bonds between them and providing possible solutions of the problem. The author also presents the probable reasons of the large-scale criticism towards European Court of Justice due to its ambivalent decision in Keck, examines the arguments rehabilitating Keck and estimates the influence of Keck towards free movement of goods in EC. The author aims to reveal the tendencies of European Court of Justice in the context of market access and discrimination, comparing both tests and considering whether it is possible to apply one of them alternatively or use a synergy of both tests. The basics of this work are focused on legal doctrine given in monographs, articles and publications of various foreign legal authors.

Against the background of the global demographic shift towards an aging workforce and its impacts on the labour market and the economy in industrialized societies, this dissertation pinpoints six salient challenges for future litigation and policy-making in the area of labour and employment discrimination law. These include the global tendency towards abolishing mandatory retirement and increasing the eligibility age for pension benefits; legislative age-based distinctions; cost as a justification for age discrimination; performance appraisals of senior workers; and the duty to accommodate senior workers. At the core of each challenge lies a normative question regarding our conception of senior workers’ right to age equality, its importance and relative weight compared with other rights and interests. The aim of this dissertation is therefore to critically review the current understanding of this right and its moral and economic underpinning. Most notably, the dissertation contends that the prevailing conception of equality assessment (the Complete Lives Approach to equality), according to which equality should be assessed based on a comparison of the total share of resources obtained by individuals over a lifetime, has substantial implications for age discrimination discourse. As it uncovers the numerous difficulties with the complete lives approach, the dissertation develops an alternative: the Dignified Lives Approach to equality, according to which an individual should be treated with equal concern and respect, at any particular time and regardless of any comparison. The dissertation then articulates five essential principles founded in Dworkin’s notion of equal concern and respect: the principle of individual assessment, the principle of equal influence, the principle of sufficiency, the principle of social inclusion, and the principle of autonomy. When one of these principles is not respected at any particular time, a wrong is done, and the right to equality is violated. Next, the dissertation elucidates when and why unequal treatment of senior workers based on age does not respect each of these five principles and therefore constitutes unjust age discrimination. It demonstrates that senior workers’ right to age equality is a fundamental human right. Finally, it examines the above-mentioned challenges through the lens of the new Dignified Lives approach.

Against the background of the global demographic shift towards an aging workforce and its impacts on the labour market and the economy in industrialized societies, this dissertation pinpoints six salient challenges for future litigation and policy-making in the area of labour and employment discrimination law. These include the global tendency towards abolishing mandatory retirement and increasing the eligibility age for pension benefits; legislative age-based distinctions; cost as a justification for age discrimination; performance appraisals of senior workers; and the duty to accommodate senior workers. At the core of each challenge lies a normative question regarding our conception of senior workers’ right to age equality, its importance and relative weight compared with other rights and interests. The aim of this dissertation is therefore to critically review the current understanding of this right and its moral and economic underpinning. Most notably, the dissertation contends that the prevailing conception of equality assessment (the Complete Lives Approach to equality), according to which equality should be assessed based on a comparison of the total share of resources obtained by individuals over a lifetime, has substantial implications for age discrimination discourse. As it uncovers the numerous difficulties with the complete lives approach, the dissertation develops an alternative: the Dignified Lives Approach to equality, according to which an individual should be treated with equal concern and respect, at any particular time and regardless of any comparison. The dissertation then articulates five essential principles founded in Dworkin’s notion of equal concern and respect: the principle of individual assessment, the principle of equal influence, the principle of sufficiency, the principle of social inclusion, and the principle of autonomy. When one of these principles is not respected at any particular time, a wrong is done, and the right to equality is violated. Next, the dissertation elucidates when and why unequal treatment of senior workers based on age does not respect each of these five principles and therefore constitutes unjust age discrimination. It demonstrates that senior workers’ right to age equality is a fundamental human right. Finally, it examines the above-mentioned challenges through the lens of the new Dignified Lives approach.

Since 2002, the Canadian state has mandatorily tested applicants for permanent residence for HIV (Human immune deficiency virus). The policy and practices associated with this screening have never been critically scrutinized. Authoritative claims about what happens in the conduct of the immigration medical examination are at odds with the experience of immigrant applicants living with HIV. This is the analytic entry point into this inquiry that is organized within the theoretical and methodological frame offered by institutional ethnography and political activist ethnography. Analysis is connected to broader research literatures and the historical record. The goal of this study is to produce detailed, contextualized understandings of the social and ruling relations that organize the lives of immigrants to Canada living with HIV. These are generated from the material conditions of their lives. An assumption about how organization happens is the social and reflexive production of knowledge in people’s day-to-day lives through which connections between local and extra-local settings are empirically investigable. I investigate the organization of the Canadian immigration process. How is this institutional complex ordered and governed? How is immigration mandatory HIV testing organized, and with what consequences to HIV-positive applicants to Canada? This is a text-mediated organization where all the sites are connected by people’s work and the texts they circulate. The positive result of an immigration HIV test catalyzes the state’s collection of medical data about an applicant. These are entered into state decision-making about the person’s in/admissibility to Canada. I focus on a key component of the immigration process, which is medical examination and HIV testing with this, along with the HIV test counselling practices that happen (or not) there. The reported absence of the latter form of care causes problems and contradictions for people. This investigation adopts the standpoint of these persons to investigate their problems associated with HIV testing. The main empirically supported argument I make is that the Canadian state’s ideological work related to the HIV policy and mandatory screening ushers in a set of institutional practices that are highly problematic for immigrants with HIV. This argument relies on data collected in interviews, focus groups, observations, and analysis of texts organized under Canada’s Immigration and Refugee Protection Act (S.C., 2001, c. 27) and textually mediated, discursively organized concepts that shape people’s practice. Canadian immigration medical policy makers should make use of these findings, as should civil society activists acting on behalf of immigrants to Canada living with HIV. I make nine specific recommendations for future action on HIV and immigration in Canada.

Background: The proportion of older individuals in the driving population is predicted to increase in the next 50 years. This has important implications for driving safety as abilities which are important for safe driving, such as vision (which accounts for the majority of the sensory input required for driving), processing ability and cognition have been shown to decline with age. The current methods employed for screening older drivers upon re-licensure are also vision based. This study, which investigated social, behavioural and professional aspects involved with older drivers, aimed to determine: (i) if the current visual standards in place for testing upon re-licensure are effective in reducing the older driver fatality rate in Australia; (ii) if the recommended visual standards are actually implemented as part of the testing procedures by Australian optometrists; and (iii) if there are other non-standardised tests which may be better at predicting the on-road incident-risk (including near misses and minor incidents) in older drivers than those tests recommended in the standards. Methods: For the first phase of the study, state-based age- and gender-stratified numbers of older driver fatalities for 2000-2003 were obtained from the Australian Transportation Safety Bureau database. Poisson regression analyses of fatality rates were considered by renewal frequency and jurisdiction (as separate models), adjusting for possible confounding variables of age, gender and year. For the second phase, all practising optometrists in Australia were surveyed on the vision tests they conduct in consultations relating to driving and their knowledge of vision requirements for older drivers. Finally, for the third phase of the study to investigate determinants of on-road incident risk, a stratified random sample of 600 Brisbane residents aged 60 years and were selected and invited to participate using an introductory letter explaining the project requirements. In order to capture the number and type of road incidents which occurred for each participant over 12 months (including near misses and minor incidents), an important component of the prospective research study was the development and validation of a driving diary. The diary was a tool in which incidents that occurred could be logged at that time (or very close in time to which they occurred) and thus, in comparison with relying on participant memory over time, recall bias of incident occurrence was minimised. Association between all visual tests, cognition and scores obtained for non-standard functional tests with retrospective and prospective incident occurrence was investigated. Results: In the first phase,rivers aged 60-69 years had a 33% lower fatality risk (Rate Ratio [RR] = 0.75, 95% CI 0.32-1.77) in states with vision testing upon re-licensure compared with states with no vision testing upon re-licensure, however, because the CIs are wide, crossing 1.00, this result should be regarded with caution. However, overall fatality rates and fatality rates for those aged 70 years and older (RR=1.17, CI 0.64-2.13) did not differ between states with and without license renewal procedures, indicating no apparent benefit in vision testing legislation. For the second phase of the study, nearly all optometrists measured visual acuity (VA) as part of a vision assessment for re-licensing, however, 20% of optometrists did not perform any visual field (VF) testing and only 20% routinely performed automated VF on older drivers, despite the standards for licensing advocating automated VF as part of the vision standard. This demonstrates the need for more effective communication between the policy makers and those responsible for carrying out the standards. It may also indicate that the overall higher driver fatality rate in jurisdictions with vision testing requirements is resultant as the tests recommended by the standards are only partially being conducted by optometrists. Hence a standardised protocol for the screening of older drivers for re-licensure across the nation must be established. The opinions of Australian optometrists with regard to the responsibility of reporting older drivers who fail to meet the licensing standards highlighted the conflict between maintaining patient confidentiality or upholding public safety. Mandatory reporting requirements of those drivers who fail to reach the standards necessary for driving would minimise potential conflict between the patient and their practitioner, and help maintain patient trust and goodwill. The final phase of the PhD program investigated the efficacy of vision, functional and cognitive tests to discriminate between at-risk and safe older drivers. Nearly 80% of the participants experienced an incident of some form over the prospective 12 months, with the total incident rate being 4.65/10 000 km. Sixty-three percent reported having a near miss and 28% had a minor incident. The results from the prospective diary study indicate that the current vision screening tests (VA and VF) used for re-licensure do not accurately predict older drivers who are at increased odds of having an on-road incident. However, the variation in visual measurements of the cohort was narrow, also affecting the results seen with the visual functon questionnaires. Hence a larger cohort with greater variability should be considered for a future study. A slightly lower cognitive level (as measured with the Mini-Mental State Examination [MMSE]) did show an association with incident involvement as did slower reaction time (RT), however the Useful-Field-of-View (UFOV) provided the most compelling results of the study. Cut-off values of UFOV processing (>23.3ms), divided attention (>113ms), selective attention (>258ms) and overall score (moderate/ high/ very high risk) were effective in determining older drivers at increased odds of having any on-road incident and the occurrence of minor incidents. Discussion: The results have shown that for the 60-69 year age-group, there is a potential benefit in testing vision upon licence renewal. However, overall fatality rates and fatality rates for those aged 70 years and older indicated no benefit in vision testing legislation and suggests a need for inclusion of screening tests which better predict on-road incidents. Although VA is routinely performed by Australian optometrists on older drivers renewing their licence, VF is not. Therefore there is a need for a protocol to be developed and administered which would result in standardised methods conducted throughout the nation for the screening of older drivers upon re-licensure. Communication between the community, policy makers and those conducting the protocol should be maximised. By implementing a standardised screening protocol which incorporates a level of mandatory reporting by the practitioner, the ethical dilemma of breaching patient confidentiality would also be resolved. The tests which should be included in this screening protocol, however, cannot solely be ones which have been implemented in the past. In this investigation, RT, MMSE and UFOV were shown to be better determinants of on-road incidents in older drivers than VA and VF, however, as previously mentioned, there was a lack of variability in visual status within the cohort. Nevertheless, it is the recommendation from this investigation, that subject to appropriate sensitivity and specificity being demonstrated in the future using a cohort with wider variation in vision, functional performance and cognition, these tests of cognition and information processing should be added to the current protocol for the screening of older drivers which may be conducted at licensing centres across the nation.

Health Information Systems (HIS) make extensive use of Information and Communication Technologies (ICT). The use of ICT aids in improving the quality and efficiency of healthcare services by making healthcare information available at the point of care (Goldstein, Groen, Ponkshe, and Wine, 2007). The increasing availability of healthcare data presents security and privacy issues which have not yet been fully addressed (Liu, Caelli, May, and Croll, 2008a). Healthcare organisations have to comply with the security and privacy requirements stated in laws, regulations and ethical standards, while managing healthcare information. Protecting the security and privacy of healthcare information is a very complex task (Liu, May, Caelli and Croll, 2008b). In order to simplify the complexity of providing security and privacy in HIS, appropriate information security services and mechanisms have to be implemented. Solutions at the application layer have already been implemented in HIS such as those existing in healthcare web services (Weaver et al., 2003). In addition, Discretionary Access Control (DAC) is the most commonly implemented access control model to restrict access to resources at the OS layer (Liu, Caelli, May, Croll and Henricksen, 2007a). Nevertheless, the combination of application security mechanisms and DAC at the OS layer has been stated to be insufficient in satisfying security requirements in computer systems (Loscocco et al., 1998). This thesis investigates the feasibility of implementing Security Enhanced Linux (SELinux) to enforce a Role-Based Access Control (RBAC) policy to help protect resources at the Operating System (OS) layer. SELinux provides Mandatory Access Control (MAC) mechanisms at the OS layer. These mechanisms can contain the damage from compromised applications and restrict access to resources according to the security policy implemented. The main contribution of this research is to provide a modern framework to implement and manage SELinux in HIS. The proposed framework introduces SELinux Profiles to restrict access permissions over the system resources to authorised users. The feasibility of using SELinux profiles in HIS was demonstrated through the creation of a prototype, which was submitted to various attack scenarios. The prototype was also subjected to testing during emergency scenarios, where changes to the security policies had to be made on the spot. Attack scenarios were based on vulnerabilities common at the application layer. SELinux demonstrated that it could effectively contain attacks at the application layer and provide adequate flexibility during emergency situations. However, even with the use of current tools, the development of SELinux policies can be very complex. Further research has to be made in order to simplify the management of SELinux policies and access permissions. In addition, SELinux related technologies, such as the Policy Management Server by Tresys Technologies, need to be researched in order to provide solutions at different layers of protection.

Bakgrund När revisionsplikten avskaffades för mindre bolag under år 2010 gjordes detta med argument om att revisionen var en stor kostnad för de mindre bolagen, som ofta har mindre resurser. Efter avskaffandet gavs mindre bolag möjligheten att själva bestämma vilka ekonomiska tjänster som skulle köpas in. Något som beskrevs som en strukturell förändring inom branschen och som medförde ett ökat ansvar och ökade karriärmöjligheter inom professionen redovisningskonsulter. Men vad är anledningen till att redovisningskonsulter idag anlitas vid mindre bolag, som idag har valt bort revisorn? Syfte Syftet med studien är att utforska varför icke revisionspliktiga mindre bolag väljer att anlita en redovisningskonsult samt hur dessa mindre bolag upplever att redovisningskonsulten genererar värde till organisationen. Metod Studien har utförts genom en kvalitativ metod med ett deduktivt synsätt. Samtliga empiriska data utgörs av primärdata och har inhämtats genom semistrukturerade intervjuer. Slutsats Mindre bolag saknar ofta den kunskap och tid som krävs för att internt sköta bolagets ekonomi. Genom redovisningskonsulten sparas även tid och indirekt pengar, vilket gör att kärnverksamheten kan prioriteras. Vidare framkommer att det upplevda värdet är: förmedlad seriositet, trovärdighet och upplevd trygghet, vilka alla genereras av bolagets redovisningskonsult. / Introduction In 2010 the mandatory audit was abolished for smaller firms in Sweden with arguments that audit was a big expense for smaller firms, which often have less resources. After the abolition, smaller firms were given the opportunity to decide which financial services to hire. Something that was described as a structural change, which led to increased responsibility and career opportunities within the accountant consultants’ profession. But what is the reason why accounting consultants are hired by smaller firms who are exempt from mandatory audit? Purpose The purpose with this thesis is to explore why smaller firms, exempted from mandatory audit, choose to hire an accountant consultant and what value these smaller firms perceive that the accountant consultant brings to the organization. Method The study has been conducted through a qualitative method with a deductive approach. All empirical data consist of primary data obtained through semi-structured interviews. Conclusion Smaller firms often lack the knowledge and time required to internally manage the company´s finances. The accountant consultants also save time and indirect money for the smaller firms, which means that their core business can be prioritized. Furthermore, the following keyword appears: mediated seriousness, credibility and perceived safeness, all of which are generated by the company´s accountant consultant.