Adalina Sacco, Shahanaz Ahmed, Jan Deprest, Anna L David
{"title":"A study to assess knowledge and acceptability of foetal surgery for spina bifida amongst healthcare professionals in the UK.","authors":"Adalina Sacco, Shahanaz Ahmed, Jan Deprest, Anna L David","doi":"10.1080/01443615.2019.1621820","DOIUrl":"10.1080/01443615.2019.1621820","url":null,"abstract":"<p><p>Foetal surgery to repair open spina bifida before birth improves infant motor function and reduces ventriculoperitoneal shunt requirement. Alongside the development of the first UK foetal surgery service, we surveyed the knowledge and acceptability of this treatment to healthcare professionals in the UK and Ireland via an electronic questionnaire. Ninety-eight (98) responses were received: MFM clinicians (21), midwives (20), paediatric neurosurgeons (17), obstetricians (15), neonatologists (13), theatre nurses (11) and commissioners (1). Overall 70% of responders agreed with the concept that foetal surgery improved neonatal outcome in selected cases; although, only 41% of paediatric neurosurgeons agreed. A variety of concerns were expressed, the most common being the lack information regarding mid- to long-term effects on the child and mother.In offering this new service, it is important that we are cognisant of healthcare professional concerns and address them by applying internationally accepted criteria for foetal surgery, emphasising patient choice and collecting long-term data.Impact statement<b>What is already known on this subject?</b> Foetal surgery is a potentially controversial intervention, which is increasing in availability globally. Foetal surgery is now available in the UK on a charitable-funding basis. Prior to starting a UK foetal surgery service, we assessed the attitudes and knowledge of healthcare professionals in the UK towards this new surgery.<b>What the results of this study add?</b> Overall the majority of healthcare professionals agree with the concept that foetal surgery improves neonatal outcome in selected cases, but a variety of concerns exist, the most common being the lack of information regarding mid- to long-term effects on the child and mother. Other concerns included a lack of education, training and research; the specific risk of preterm birth following surgery; the evidence base for this procedure; effects on maternal choice and financial implications.<b>What the implications are of these findings for clinical practice and/or further research?</b> Those developing this new service should be mindful of the concerns expressed and address them by applying internationally accepted criteria for foetal surgery, emphasising patient choice and collecting long-term data.</p>","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"4 1","pages":"448-454"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7613456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79317782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two views of Germany: Nevile Henderson vs. Vansittart and the Foreign Office, 1937–1939","authors":"Aaron L. Goldman","doi":"10.1017/S0260210500115037","DOIUrl":"https://doi.org/10.1017/S0260210500115037","url":null,"abstract":"On April 30, 1937 Sir Nevile Henderson arrived in Berlin and assumed charge of the British Embassy as His Majesty's Ambassador Extraordinary and Plenipotentiary. There appeared to be nothing unusual about the appointment which seemed on the surface to reflect the new more active attempts to approach the leaders of the Third Reich by Neville Chamberlain who knew that he would shortly become Prime Minister. What was unusual about the choice was the fact it was made by Sir Robert Vansittart, then Permanent Undersecretary at the Foreign Office and approved by Foreign Secretary Anthony Eden. Both men soon regretted the grave decision and Vansittart, as if to try to rectify his error, spent an enormous amount of energy during the next two and a Jialf years severely critizing Henderson's recommendations, evaluations and actions.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"247 - 277"},"PeriodicalIF":0.0,"publicationDate":"1980-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500115037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The study of appeasement: methodological crossroads or meeting-place?","authors":"P. Kennedy","doi":"10.1017/S0260210500115001","DOIUrl":"https://doi.org/10.1017/S0260210500115001","url":null,"abstract":"The study of modern international relations is carried on, essentially, by two main types of scholars: diplomatic historians, and political scientists. There may be other types, like economists and sociologists, who recognize and take account of the importance of international politics in their own fields of study; but foreign affairs, and the processes that take place within the global system of relations, are not of central concern to them. By contrast, diplomatic historians (by which is meant here, not merely those who research into the rather narrow past actions of diplomats alone, but also those interested in the history of foreign policy and_what has affected it) would simply not exist if there was no perception and acceptance of international relations as a field of study; and this would be equally true of that well-defined sub-division of political science which has as its essential concern the analysis of relations between nation-states and of other ‘actors’ in the world system.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"181 - 188"},"PeriodicalIF":0.0,"publicationDate":"1980-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500115001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Solving the appeasement puzzle: contending historical interpretations of British diplomacy during the 1930s","authors":"S. Walker","doi":"10.1017/S0260210500115025","DOIUrl":"https://doi.org/10.1017/S0260210500115025","url":null,"abstract":"The historical interpretations of British diplomacy during the 1930s are difficult to separate from those interpretations that explain the occurrence of the Second World War. Historians often link them by relating the British policy of appeasement to the outbreak of the war. British policy becomes a “permissive” cause of World War II by allowing Hitler to rearm Germany, consolidate western German frontiers, and expand towards the east. First, the British failed to prevent Hitler from occupying the Rhineland in March, 1936, and then merely protested the German annexation of Austria two years later. Within six months after the Anschluss Prime Minister Chamberlain accepted the cessation of the Sudetenland to Germany at Munich. Finally, after Hitler conquered the remainder of Czechoslovakia in the spring of 1939, the British guaranteed the territorial integrity of Poland. When Hitler attacked Poland in September, 1939, the British government, with the French as allies, came to Poland's defence. The British decision to honour this commitment belatedly but irrevocably reversed their earlier appeasement policy, which was to concede Hitler's territorial demands in an attempt to reach a peaceful European settlement with Germany.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"219 - 246"},"PeriodicalIF":0.0,"publicationDate":"1980-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500115025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The British political, social and economic system and the decision for peace and war: reflections on Anglo-German relations 1800—1939","authors":"W. Gruner","doi":"10.1017/S0260210500115013","DOIUrl":"https://doi.org/10.1017/S0260210500115013","url":null,"abstract":"One of the main fields of historical research for the period between the two world wars has been the role of National Socialist Germany in world politics and the character of the British policy of appeasement. A difference of opinion as to the roots and aims of German and British policies in the 1930s continues to exist as a result of disparate interpretations of the decisive factors of these policies. The extent to which such factors as security interests at home and abroad, problems of trade, domestic and foreign policy, economic conditions and social change influence the policy-making process, as well as the impact these elements have on the capability or incapability for reform of the sociopolitical system, remains controversial.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"189 - 218"},"PeriodicalIF":0.0,"publicationDate":"1980-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500115013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Decision-making and the Munich crisis","authors":"N. Black","doi":"10.1017/S0260210500115049","DOIUrl":"https://doi.org/10.1017/S0260210500115049","url":null,"abstract":"It is now twenty years since Richard Snyder and two associates published a monograph presenting their “framework” for studying international relations as foreign policy decision-making. The basic assumptions of this approach have become an indispensable part of the study of international relations. No-one would now think of ignoring the important processes by which groups of leaders formulate and choose among policy alternatives. Yet the approach itself has been relegated to subsections of surveys of the field, or dismissive footnotes. Although James Rosenau's influential anthology, International Relations and Foreign Policy, still retains three “decision-making” selections in its most recent edition, Rosenau himself pronounced a respectful epitaph for this approach some years ago. Glenn Paige's initial, massive study of the United States' intervention in Korea has had no successors.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"278 - 303"},"PeriodicalIF":0.0,"publicationDate":"1980-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500115049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57314032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RIS volume 6 issue 3 Front matter","authors":"","doi":"10.1017/s0260210500114998","DOIUrl":"https://doi.org/10.1017/s0260210500114998","url":null,"abstract":"","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"f1 - f2"},"PeriodicalIF":0.0,"publicationDate":"1980-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/s0260210500114998","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Britain's place in the world","authors":"J. Barber","doi":"10.1017/S0260210500114950","DOIUrl":"https://doi.org/10.1017/S0260210500114950","url":null,"abstract":"There is no better known judgement of Britain's post-war international position than Dean Acheson's view that: “Britain has lost an Empire and has not yet found a role”. Acheson's words have echoed and reechoed through the corridors of Whitehall because they seem so true, capturing not only the uncertainty about Britain's role but the decline in her international status. The judgement has attracted the attention of scholars as well as officials and politicians, as was demonstrated in a recent number of this journal when Christopher Hill wrote about “Britain's Elusive Role in World Politics”. Hill warned against the dangers of seeing foreign policy making in terms of “role”, arguing that it suppressed contradictions in the interests of a predominant image, and encouraged the illusion that a state could plough a lone furrow in pursuit of its particular interests. “Unfortunately”, he argued, “the quest for a unique role, like the pursuit of the Holy Grail, is a fatal distraction to politicians with responsibility”, and later he warned of “role” degenerating into “the medium of limp metaphor and rhetoric”.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"93 - 110"},"PeriodicalIF":0.0,"publicationDate":"1980-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500114950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Overseas companies as transnational actors during the European conquest of Africa","authors":"S. Cooney","doi":"10.1017/S0260210500114986","DOIUrl":"https://doi.org/10.1017/S0260210500114986","url":null,"abstract":"“William, when I went into the jungle, I was seventeen. When I walked out I was twenty-one. And, by God, I was rich!” Arthur Miller, Death of a Salesman, Act I Fortunes magically and mysteriously made on vast continents overseas have tempted western entrepreneurs for generations, much as Uncle Ben tempted Willie Loman. But these exploits also involve machinations which appear sinister to a general public increasingly disturbed by the control giant corporations have over our daily lives. As long ago as 1900, John Hobson developed the theory that modern imperial expansion was the product of the manipulation of national foreign policies by the “Rand lords” and similar overseas financial operators. This idea was used by Lenin, Hilferding and others in their elaborations of the Marxist explanation of the nexus between economic forces and the political behaviour of states. Imperialism in tropical Africa was always seen as a key issue in this context. With the onset of decolonization and the struggle for development, questions of the history and the progress of imperialism have remained cogent subjects of intellectual controversy. The historical “scramble for Africa” and the process of colonization which followed created the basis for the modern political map of Africa and modern African political society. To what extent were these developments triggered or determined by the activities of private entrepeneurs? What relevance might the answer have for the contemporary study of international politics? This article seeks to explore these questions in the light of theories of transnational politics. At the same time, the problem of European expansion in Africa provides an important test for the transnational approach, as it relates to the overseas political activity of international business firms.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"154 - 179"},"PeriodicalIF":0.0,"publicationDate":"1980-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500114986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Peacekeeping and foreign policy: Canada, India and the International Commission in Vietnam, 1954–1965","authors":"R. Thakur","doi":"10.1017/S0260210500114974","DOIUrl":"https://doi.org/10.1017/S0260210500114974","url":null,"abstract":"Vietnam has been the subject of several studies in our times; yet a need remains for an analysis of the Vietnam experience as an exercise in international peacekeeping. Possibly because interest in peacekeeping has tended to be concentrated on UN exercises, the International Commission for Supervision and Control (ICSC) in Vietnam has escaped serious study. I hope in the course of this paper to partially fill the lacuna. I intend to show the achievements and shortcomings of the ICSC by subjecting its workings to as close a scrutiny as is feasible within the constraints of an article. In the process, I shall be breaking down the Commission into its constituent elements, the three delegations. This procedure allows us both to understand the workings of the Commission as a whole, and to comment upon the coincidence of voting patterns of the delegations with the foreign policies of their respective countries. Polish behaviour, it might be noted, will receive less than equal emphasis. The study is thus simultaneously an examination of ICSC behaviour in Vietnam, and of Canadian and Indian behaviour in the ICSC.","PeriodicalId":80744,"journal":{"name":"British journal of international studies","volume":"6 1","pages":"125 - 153"},"PeriodicalIF":0.0,"publicationDate":"1980-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0260210500114974","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57313474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}