Developing medical ethics in China's reform era

The paper gives an analytical synopsis of the problem of developing medical ethics in the early half of the 1990s in China, as perceived by Chinese scholars and medical professionals interested in medical ethics. The views captured and analyzed here were expressed in one of the two major journals on medical ethics in China: Chinese Medical Ethics. The economic reform unleashed profound changes in Chinese society, including in the medical field, creating irregularities and improprieties in the profession. Furthermore, the market reform also created new values that were in tension with existing values. In this transitional period, Chinese medical ethicists saw the need to rebuild medical morality for the new era. Using the code of conduct promulgated by the Chinese Ministry of Health in 1989 as a basis, assessment and education aspects of the institutionalization of medical ethics are discussed. In addition to institutional problems of institutionalising ethics, there are philosophical and methodological issues that are not easy to solve. After all, to institutionalize medical ethics is no easy task for a country as old and as big as China. Chinese medical ethicists seem ready to confront these difficulties in their effort to develop medical ethics in Reform China.     

Health Professionals “Make Their Choice”: Pharmaceutical Industry Leaders’ Understandings of Conflict of Interest

Conflicts of interest, stemming from relationships between health professionals and the pharmaceutical industry, remain a highly divisive and inflammatory issue in healthcare. Given that most jurisdictions rely on industry to self-regulate with respect to its interactions with health professionals, it is surprising that little research has explored industry leaders’ understandings of conflicts of interest. Drawing from in-depth interviews with ten pharmaceutical industry leaders based in Australia, we explore the normalized and structural management of conflicts of interest within pharmaceutical companies. We contrast this with participants’ unanimous belief that the antidote to conflicts of interest with health professionals were “informed consumers.” It is, thus, unlikely that a self-regulatory approach will be successful in ensuring ethical interactions with health professionals. However, the pharmaceutical industry’s routine and accepted practices for disclosing and managing employees’ conflicts of interest could, paradoxically, serve as an excellent model for healthcare.     

An ‘authentic’ Aboriginal product: State marketing and the self‐fashioning of Indigenous experiences to Chinese tourists

China's burgeoning outbound tourist market has become a priority for Australian tourism, with national and state tourism reports advocating for ‘China‐ready’ marketing, policy and planning and increased industry training around Chinese consumer behaviour and preferences to capitalise on this market. However, studies demonstrate that Chinese tourists are generally not interested in Indigenous tourism experiences. Nevertheless, the state of Victoria is adamant about investing in Indigenous‐themed tourism products which are considered appropriate for Chinese preferences in an attempt to attract tourists from this growing inbound market. This article presents a review of relevant state government policies relating to Indigenous tourism alongside a case study of the tourism experiences developed and provided by Gunditjmara people along the Budj Bim Cultural Landscape in southwest Victoria. We demonstrate the ways that notions of ‘authenticity’ continue to shape, and constrain, Indigenous economic engagement and participation via tourism, and discuss the impact of these notions on the provision of Indigenous tourism products and experiences for Chinese and other visitors. We argue that the marketing of Gunditjmara tourism to fluctuating market demand highlights the arbitrariness of Australian governments' policies with respect to Indigenous development, and call for policymakers to focus renewed attention on the local aspirations of Indigenous entrepreneurs.     

Yellow peril consumerism: China,North America,and an era of global trade

This paper explores a parallel between the ‘yellow peril’ imagery of pollution and danger used to characterize China historically and that found in contemporary media accounts representing Chinese-made consumer goods in the USA. A survey of newspaper reporting on two key events involving Chinese imports (pet food and toys) reveals that in both eras, cases of ‘yellow peril’ involve narratives of domesticity threatened by potentially contaminating contact with an essentialized China. The paper demonstrates how the global movement of goods serves as a powerful bearer of racializing categories in the terrain of American consumerism and domesticity. Media narratives about consumer welfare and the threatened American consumer provide the moral anchor for a larger story about US national interest and ‘proper’ capitalism in the context of China's ‘rise’.     

A formerly incarcerated woman takes on policy

This paper examines a formerly incarcerated woman’s journey from prison to taking on policy change. It points to a personal experience of drug addiction, recovery and transformation and asks the question of how ex-prisoner may gain citizenship and develop partnerships within grassroots organizations. There is further discussion of how she became involved in advocacy and policy change and the way that formerly incarcerated people are seen by those in power. The paper also discusses the invisibility of those who have had the prison experience.     

The Controversy Over Pediatric Bariatric Surgery

Despite the reported limited success of conventional treatments and growing evidence of the effectiveness of adult bariatric surgery, weight loss operations for (morbidly) obese children and adolescents are still considered to be controversial by health care professionals and lay people alike. This paper describes an explorative, qualitative study involving obesity specialists, morbidly obese adolescents, and parents and identifies attitudes and normative beliefs regarding pediatric bariatric surgery. Views on the etiology of obesity—whether it should be considered primarily a medical condition or more a psychosocial problem—seem to affect the specialists’ normative opinions concerning the acceptability of bariatric procedures as a treatment option, the parents’ feelings regarding both being able to influence their child’s health and their child being able to control their own condition, and the adolescents’ sense of competence and motivation for treatment. Moreover, parents and adolescents who saw obesity as something that they could influence themselves were more in favor of non-surgical treatment and vice versa. Conflicting attitudes and normative views—e.g., with regard to concepts of disease, personal influence on health, motivation, and the possibility of a careful informed consent procedure—play an important role in the acceptability of bariatric surgery for childhood obesity.     

The context of return migration: challenges of mixed-status families in Mexico's schools

As a result of US immigration and enforcement policies, Mexico has experienced the arrival of mixed-status families coming from the USA. We examine these families’ experiences of return to central Mexico through the lens of a ‘context of return’, by focusing on how the Mexican government, particularly schools, has received returned migrants. Based on in-depth interviews with thirteen mixed-status families who returned to Mexico in 2005–2010, we show how the citizenship and legal status of the various family members determine their incorporation in Mexico. As these legal statuses are shaped by both the US context of reception and the Mexican context of return, we argue that the two contexts are intimately related and shape the contours of the families and their incorporation upon their return.     

Dispossession in the Age of Humanity: Human Rights,Citizenship, and Indigeneity in the Central Kalahari

Over the past 50 years, the Central Kalahari region of Botswana became a site of struggles over land and resources rights, identity, citizenship, and indigeneity. The policies of the government of Botswana towards the San express the dominant Tswana perspectives on humanity and what is considered human. Since independence in 1966 the goals of the government of Botswana have been to sedentarise the San and to transform them into ‘modern’ citizens who live in villages, keep livestock, and engage in agriculture and business. In this paper I analyse the case of the people of the Central Kalahari Game Reserve and their battles over rights and recognition as citizens of Botswana and as human beings. I examine how the government's decisions to deny Central Kalahari residents their distinct rights to natural resources such as wildlife—in spite of High Court decisions in the San's favour—as well as rights to services and development shared by other citizens—are linked to the dominant Tswana understanding of humanity.     

鸟类学研究:过去二十年的回顾和对中国未来发展的建议

为了解中国鸟类学研究的状况和发展趋势,我们利用在线文献数据库(Web of Science)检索了1991-2010年间发表的与鸟类有关的文献,对中国和其他国家的鸟类学研究论文、研究领域、研究机构等进行了分析和比较。结果发现,中国鸟类学研究发展很快,专业研究人员数量在1991-2010年间增长了近四倍,在国际上发表的研究论文的数量近几年年均增长25%;论文数量占世界的比例已经由1991-2000年的0.46%上升到了2001-2010年期间的1.53%,世界排名由第27位上升至第16位,并且研究领域更加多元化,论文水平不断提高。在鸟类系统发育与演化、合作繁殖和婚配、禽流感、巢寄生等领域的许多成果开始在国际相关领域的高水平刊物上发表,在古鸟类以及雉类和鹤类等濒危鸟类的保护研究方面位居世界前列。但从整体而言,中国鸟类学研究与世界上一些发达国家相比还有很大差距。为此我们对中国鸟类学未来的发展提出了一些建议,包括需要更加关注鸟类的生活史对策、气候变化和城市化对鸟类的影响、鸟类迁徙、濒危物种保护生物学等领域的研究,进一步加强国际交流与合作,规范鸟类研究及数据保存和处理的方法,采取更有效措施加大对青年研究人员的支持力度等。     

Who Killed Biafra?

Stanley Diamond opens his essay with a euphoric statement by C.O. Ojukwu, the leader of Biafra, who defined Biafra’s endeavour and its relevance to pan-Africanism as the “potential of the black man ... the breaking of the chains” that would demonstrate that the “basis of neo–colonialism has been removed; which is continued economic dominance,” in 1969. This historic milestone still has not been achieved as we concur with the author who in 1970 went on to analyze the reasons for this failure within the context of the larger global frame of reference as applied to the local scene in Nigeria. Diamond’s analysis is still valid and even increasingly relevant in view of globalization, ongoing wars, and current geo-strategic and oil interests confronting our world today. The Igbo people in general and their intellectuals—including the honourees of this special issue—were all affected by the struggle over Biafra in one way or the other. The article is divided into four segments: The first part begins with the defeat of Biafra by Nigeria’s federal forces and offers an account of the Igbo people’s heroic struggle against overwhelming military and economic powers, contextualized within global strategic and business interests. Biafra was indebted to no European country for support, bought whatever supplies were available from just a few sources—some African countries, Portugal, China, and the Czech Rep., and from private companies—all with cash. Biafra largely manufactured her own arms, and received only non-political Joint Church Aid assistance. Nigeria, on the other hand was aided by both Russia (then the Soviet Union), and the North-Atlantic Alliance (particularly Nigeria’s former colonial master, Britain)—as well as by much of Moslem North Africa, with Egyptian pilots flying Russian-made MIGs against the breakaway enclave which had no air force of its own. The humanitarian disaster unfolding in Biafra where 2 million people were killed and a generation of children was starved to death was grossly ignored and understated by the world powers. The second part examines British support for Nigeria against her post-colonial history and political development on the one hand, and the Igbos' ethnic and cultural idiosyncrasies on the other. Diamond characterizes the Igbo people as pan-Africanist nation builders, who were originally in strong support of a Nigeria they conceived as universal and egalitarian, but who later became disenchanted with the country’s post/neo-colonial developments, He accounts for the subtleties of the Igbo language and praises the culture as exceedingly democratic, exhibiting gender equilibrium, resisting foreign domination, despising acculturation, displaying restiveness under British oppression, yet endowed with a passion for modern education, He notes that Igbos made up for 2/3 of all Nigerian students in the USA_’ a dynamic group committed to upward social mobility. Despite his dated terminology—writing of the “lbo” rather than the “Igbo” and characterizing then civilization as “primitive,”¹—Diamond’s admiration and sympathy for the Igbo people and their culture is clearly evident. He further identifies Nigeria’s internal cultural dynamics and especially the differences between her feudal North and democratic Southeast, as an economic threat to the Nigerian federation and thus to foreign - especially British - economic and strategic interests. To Diamond, this is the overriding rationale behind the overwhelming foreign support for the federation. The article’s third part further analyzes foreign interests and politics and their bearing on the conflict over Biafra. In particular, Russian and British geo-political strategies emerge as competing in outdoing each other over their support of and friendship with Nigeria’s Islamic North in an effort to cement their relations to the Mediterranean Islamic associations, whereby oil interests became intensified, even though they were not the primary cause of the conflict over Biafra. China mostly expressed sympathy for Biafra and emerged as the ideological winner over Russia’s declared materialist goals. In the fourth section, Diamond concludes that the Nigerian civil war was not only an example of biological, but also cultural, genocide, aiming not only at the physical extinction of Biafra, but as well the collapse of the Igbo universe, because of the cultural possibilities of the Igbo as a people, Luckily, the Igbo people are well and alive today, striving throughout the world, and as resiliently as ever pursuing their careers, cherishing and grooming their language and their culture—37 years after Biafra. Sabine, Jell- New York, May 2007.     

Weiqu,structural injustice and caring for sick older people in rural Chinese families: An empirical ethical study

This paper examines caregiving for sick older family members in the context of socio-economic transformations in rural China, combining empirical investigation with normative inquiry. The empirical part of this paper is based on a case study, taken from fieldwork in a rural Chinese hospital, of a son who took care of his hospitalized mother. This empirical study highlighted family members’ weiqu (sense of unfairness)—a mental status from experiencing mistreatment and oppression in family care, yet with constrained power to explicitly protest or make care-related choices. Underpinning people’s weiqu and constrained choice, as informed by the conception of structural injustice, is the impact of unjust social structures, organized by unfavourable norms, discriminatory social policies and institutions targeting rural populations. By restraining individual choices and capacities in supporting health care for aging populations, these unjust structures create additional difficulties for and discriminations against rural families and their older members. Some policy recommendations are proposed to mitigate structural injustice so as to empower families and promote care for older people in rural settings.     

Does administration of non-steroidal anti-inflammatory drug determine morphological changes in adrenal cortex: ultrastructural studies

Rofecoxib (Vioxx© made by Merck Sharp & Dohme, the USA) is a non-steroidal anti-inflammatory drug which belongs to the group of selective inhibitors of cyclooxygenasis-2, i.e., coxibs. Rofecoxib was first registered in the USA, in May 1999. Since then the drug was received by millions of patients. Drugs of this group were expected to exhibit increased therapeutic action. Additionally, there were expectations concerning possibilities of their application, at least as auxiliary drugs, in neoplastic therpy due to intensifying of apoptosis. In connection with the withdrawal of Vioxx© (rofecoxib) from pharmaceutical market, attempts were made to conduct electron-microscopic evaluation of cortical part of the adrenal gland in preparations obtained from animals under influence of the drug. Every morning animals from the experimental group (15 rats) received rofecoxib (suspension in physiological saline)—non-steroidal anti-inflammatory drug (Vioxx©, Merck Sharp and Dohme, the USA), through an intragastric tube in the dose of 1.25 mg during 8 weeks. In the evaluated material, there was found a greater number of secretory vacuoles and large, containing cholesterol and other lipids as well as generated glucocorticoids, lipid drops in cytoplasm containing prominent endoplasmic reticulum. There were also found cells with cytoplasm of smaller density—especially in apical and basal parts of cells. Mitochondria occasionally demonstrated features of delicate swelling. The observed changes, which occurred on cellular level with application of large doses of the drug, result from mobilization of adaptation mechanisms of the organism.     

Better prepared than synthesized: Adolf Butenandt, Schering Ag and the transformation of sex steroids into drugs (1930-1946)

This paper follows the trajectory of sex steroids in 1930s Germany as a way to investigate the system of research which characterized the development of these drugs. Analyzing the changing relationship between the pharmaceutical company Schering and the Kaiser Wilhelm Institute für Biochemie headed by Nobel Prize winner Adolf Butenandt, the paper highlights the circulation of materials, information and money as much as the role of patents in shaping the study of sex steroids. Semi-synthetic analogs and metabolic pathways thus emerged as shared bio-industrial assets. This collaborative work participated in a more general 'internalization' of biology, which took place in pharmaceutical firms during the 1920s and 1930s as a strategy to standardize and develop biologicals. The construction of the hormone market was also based on Schering's collaboration with a selected group of clinicians who worked out the wide-range of indications associated with these 'natural' drugs. The paper finally shows how the wartime scientific and industrial mobilization in Nazi Germany marginalized the study of sex steroids and led to the dismantling of the KWIB-Schering network.     

Training for transnationalism: Chinese children in Hungary

Based on ethnographic fieldwork and interviews conducted in the mid-2000s, this article discusses the educational strategies and emerging trajectories of Chinese children born or raised locally in Hungary. Born to small entrepreneurs who migrated to Hungary in the 1990s, these children exemplify a second generation issuing from a migration taking place in conditions sharply different from earlier migrant flows to Western Europe, North America and Southeast Asia. This first migrant generation came of age in the post-reform People's Republic of China (PRC) and generally maintains both Chinese citizenship and a political and emotional identification with the PRC. Based on findings in Hungary, this article argues that this cohort of migrants' children is being trained for a sustained transnationalism rather than for a minority position in the society of residence, and that, at least in countries that are semi-peripheral for global capitalism, this training appears to be largely effective.     

The reflective peephole method: Ruralism and awkwardness in the ethnography of rural China

Starting with Arthur Smith’s metaphor of the ‘peephole method’, this article explores the issues of ruralism and awkwardness which underlie much ethnographic fieldwork in rural China. In the first part, the continuing influence of ruralism—the idea that the Chinese countryside represents the ‘real’ China—is discussed. This idea is based on a radical conceptual separation of the countryside and the city, which denies modern everydayness to the countryside. If we accept that the modern everyday is now present in rural China and that ordinary people are aware of ruralism and its opposites (urbanism and modernity), we need to find research methods suitable to address the entanglement and the social uses of ruralist and modernist representations in everyday life. In the second part of the article, I argue that the ‘reflective peephole method’ could be such a method. Starting from the awkwardness I felt in my own fieldwork in south‐western Hubei Province, I argue that the dilemmas of the ‘peephole method’ might be a good starting point for reflecting on the intensified ambiguity of moral discourse and action in contemporary rural China.     

Exodus from Hunger: The Long-Term Health Consequences of the 1959–1961 Chinese Famine

This article examines the long-term health consequences of China’s 1959–1961 famine by comparing people who stayed in Guangdong and endured the famine with people who crossed the border to immigrate to Hong Kong and thus escaped the famine. Based on data from the Hong Kong Panel Study of Social Dynamics (HKPSSD) and the China Family Panel Studies (CFPS), we focused on two health indicators—body mass index (BMI) and self-rated health (SRH)—of the cohort born before 1959. Our results show that the stayers who experienced the famine have a lower BMI than the emigrants, and they are likely to have a poor SRH. The difference-in-differences (DID) estimates further show that the famine exposure reduced the odds of giving higher ratings of SRH by 60 and 42 percent, respectively, for the 1923–1940 and 1941–1958 birth cohorts. For the 1923–1940 cohort, famine exposure also reduced their BMI by 1.5 points.     

Height development of men and women from China,South Korea,and Taiwan during the rapid economic transformation period of the 1960s–1980s

We study height trends among Chinese, South Korean, and Taiwanese groups during the rapid economic growth period of the 1960s to the 1980s. Heights rose strongly as income grew. Did rapid income growth also cause a decline in gender inequality? Or did it rise because the gains were unevenly distributed? Gender inequality is particularly interesting given the traditionally strong son preference in the region. For mainland China, we find that gender inequality was relatively modest in the pre-reform period (before the 1980s). Especially in comparison to the early 20th century, female heights grew faster than male heights. In contrast, the 1980s transition period to an economic system with market elements was characterized by increasing gender inequality in China. This was the case to an even greater extent in South Korea, where gender dimorphism noticeably increased during the 1980s, paralleling a similar increase in sex-selective abortions. Moreover, we also study other inequality patterns in the three countries, focusing on socioeconomic, regional, and educational differences between groups.     

Global South cosmopolitans: the opening and closing of the USA–Mexico border for Mexican tourists

The US government has simultaneously increased efforts to close its border to unauthorized migrants, and opened the border to increasing flows of tourists from Mexico. In this paper I focus on the experiences of Mexican tourists who are able to freely cross the USA–Mexico border with US visas, given that their unique status as tourists from Mexico is an important element to consider because it organizes their daily lives, their moral understandings, and their experiences across the USA–Mexico border. I show how Global South cosmopolitans from Mexico benefit from class privilege in Mexico, but become legally vulnerable in the USA due to their racialization as Mexicans and lack of citizenship rights. This paper draws on ethnographic data and in-depth interviews collected in the border town of Mexicali, Baja California, Mexico between July 2009 and August 2010.     

China's growing biomedical industry

The biomedical industry in China is developing rapidly, and new biological drugs are increasing their share of the pharmaceutical market based on people's needs. China is the largest producer and user of vaccines in the world, but the existing production of vaccines is far from enough to meet the needs of the market. The entire market of biological drugs in China is still smaller than that for traditional medicines and chemicals. Therefore, the biopharmaceutical industry has the potential to be the rising star in the pharmaceutical market in the future.     

Forging ahead

A large percentage of the world’s population have seen science fiction movies depicting biometric systems that can be circumvented by criminals using sophisticated devices. Such misleading information may prove to be a box office winner, but it can lead to a high amount of confusion about how a biometric device assesses whether a person is who he or she claims to be. While the marketing departments of many biometrics companies address the PR issues associated with inaccurate information, the technical divisions are also working hard to eliminate problems associated with ‘live and well’ checks. However, to my knowledge, in spite of the steps taken by many fingerprint companies, no fingerprint system — currently on the market — is 100% foolproof.