Exchange, Conflict and Coercion: The Ritual Dynamics of the Notting Hill Carnival Past and Present

This study investigates patterns of social relationships involving the Notting Hill Carnival. Two theoretical approaches are employed elementary relations theory and structural ritualization theory - to explain how the carnival has been strategically used in very different ways by various groups to accomplish their objectives. We suggest the Notting Hill Carnival is a special collective ritual event that has played a crucial role in three quite different structured arrangements involving coercion, conflict, and exchange since its beginning in Trinidad and subsequently in London. Four time periods where distinct changes in the nature of these relationships have occurred are examined: (1) 1800s Trinidad; (2) the Notting Hill Carnival from 1965-1970; (3) the Notting Hill Carnival from 1971-1989; and (4) the Notting Hill Carnival from 1990-present. This study contributes to the existing literature by focusing on how ritual and these types of relationships are intertwined in the production of the carnival. Implications of this research and possible directions for future research are also discussed

General practice registration networks in the Netherlands: a brief report

In the Netherlands, several general practice registrations exist. Groups of general practitioners register elements of patient care according to agreed-upon criteria, and these data are collected in a central database. By means of a questionnaire the authors interviewed the managers of all nine computerized registration networks extensively about the possibilities and limitations of their registration. In addition, respondents answered some questions with data from the central database of their network. Various items are collected by nearly all the registration networks, while other items are collected by only one network. Answering questions with data from the central database turned out to be difficult. Organization and manpower are the main obstacles

A simple variance estimator of change for rotating repeated surveys: an application to the EU-SILC household surveys

A common problem is to compare two cross-sectional estimates for the same study variable taken on two different waves or occasions, and to judge whether the change observed is statistically significant. This involves the estimation of the sampling variance of the estimator of change. The estimation of this variance would be relatively straightforward if cross-sectional estimates were based on the same sample. Unfortunately, samples are not completely overlapping, because of rotations used in repeated surveys. We propose a simple approach based on a multivariate (general) linear regression model. The variance estimator proposed is not a model-based estimator. We show that the estimator proposed is design consistent when the sampling fractions are negligible. It can accommodate stratified and two-stage sampling designs. The main advantage of the approach proposed is its simplicity and flexibility. It can be applied to a wide class of sampling designs and can be implemented with standard statistical regression techniques. Because of its flexibility, the approach proposed is well suited for the estimation of variance for the European Union Statistics on Income and Living Conditions surveys. It allows us to use a common approach for variance estimation for the different types of design. The approach proposed is a useful tool, because it involves only modelling skills and requires limited knowledge of survey sampling theory

Chronic Diseases among Older Cancer Survivors

Objective. To compare the occurrence of pre-existing and subsequent comorbidity among older cancer patients (≥60 years) with older non-cancer patients. Material and Methods. Each cancer patient (n=3835, mean age 72) was matched with four non-cancer patients in terms of age, sex, and practice. The occurrence of chronic diseases was assessed cross-sectionally (lifetime prevalence at time of diagnosis) and longitudinally (incidence after diagnosis) for all cancer patients and for breast, prostate, and colorectal cancer patients separately. Cancer and non-cancer patients were compared using logistic and Cox regression analysis. Results. The occurrence of the most common pre-existing and incident chronic diseases was largely similar in cancer and non-cancer patients, except for pre-existing COPD (OR 1.21, 95% CI 1.06–1.37) and subsequent venous thrombosis in the first two years after cancer diagnosis (HR 4.20, 95% CI 2.74–6.44), which were significantly more frequent (P<0.01) among older cancer compared to non-cancer patients. Conclusion. The frequency of multimorbidity in older cancer patients is high. However, apart from COPD and venous thrombosis, the incidence of chronic diseases in older cancer patients is similar compared to non-cancer patients of the same age, sex, and practice

California Negotiated Health Care: Implications for Malpractice Liability

This Comment addresses the impact of California\u27s new Medi-Cal payment system, selective provider contracting, on physician, hospital and state liability. The author argues that selective provider contracting encourages provider cost efficiency by contractually binding providers to a pre-determined cost allowance, thereby creating cost-consciousness in medical decision-making, and that such consideration may affect the physician\u27s standard of care. The author further argues that a change in the physician\u27s duty to the beneficiary would also affect hospital liability under respondeat superior and corporate negligence principles, and that selective provider contracting may expose the state to liability for negligent provider selection and review