bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adenosquamous carcinoma of maxillary sinus: case showing complete response to S-1
Authors: Suzuki S , Hanata K , Nanjo H , Ishikawa K 
Published: January 2009

AbstractBackground:Adenosquamous carcinoma is a very rare tumour which is characterised pathologically by the simultaneous presence of distinct areas of adenocarcinoma and squamous cell carcinoma. Generally, adenosquamous carcinoma has an aggressive clinical course and is associated with a poor prognosis. Most cases have been treated by surgery alone or combined with radiotherapy. Chemotherapy is rarely used in treating adenosquamous carcinoma, and it has been difficult to establish treatment guidelines due to the paucity of cases.Case:We report a case of adenosquamous carcinoma which arose in the maxillary sinus of a 77-year-old man. Despite surgical treatment and chemoradiotherapy to the primary site, he developed bilateral neck metastases after the surgery. The patient was treated with S-1, a novel oral fluoropyrimidine anticancer agent, with a complete (albeit finite) response.Conclusion:This report presents the aggressive character of adenosquamous carcinoma and the possible role of S-1 in the treatment of this uncommon neoplasm.
Postmodernism and Social Policy: A Small Step Forwards?
Authors: Penna Sue , O'Brien Martin 
Published: January 2009

ABSTRACTThe term ‘postmodernism’ has recently entered the study of social policy, prompting debate over its usefulness for social policy analysis. Peter Taylor-Gooby's (1994) appraisal of literatures often described as ‘postmodern’ leads him to reject them as having little to offer the discipline of social policy. This article argues that such a view derives from a confusion about the field of ‘postmodernism’; in particular, from a conflation of several different theoretical positions and schools of thought. This article provides a clarification of these literatures in order to argue that the issues they raise have important implications for the way in which we might understand the prospects for policy formulation and implementation. The article distinguishes between the political economy strand of the ‘post’ literatures – postindustrialism and postfordism – and the cultural studies strand – poststructuralism and postmodernism – showing that the different issues they highlight, and the ways in which they conceptualise power and control will lead to different theoretical connections between social policy and political action.
Creating the Welfare State in Britain, 1945–1960
Authors: Whiteside Noel 
Published: January 2009

ABSTRACTPolitical consensus on the scope and structure of the welfare state in post-war Britain has been much overstated. The Labour governments (1945–51), committed to universalism and a planned economy, gave state welfare a central role in guaranteeing ‘fair shares for all’ and used it to help secure union co-operation over wage restraint. The Conservative governments (1951–64), committed to the restoration of ‘sound finance’, abandoned these objectives and attacked components of the welfare state designed to control prices and mediate demands for higher wages. The author concludes that, for comparative social policy studies to be effective, differing frameworks of state welfare have to be more exactly defined.
General Practice Manpower and Health Service Reorganization
Authors: Butler J. R. , Knight R. 
Published: January 2009

ABSTRACTThe article deals with the geographical imbalance of medical manpower in general practice; it describes corrective policies employed in the NHS, some major administrative problems stemming from those policies, and the prospects under reorganization.First, the problem is seen within the context of inequalities in the distribution of other health and welfare services in the United Kingdom and of medical manpower in other countries. The second section summarizes the three major strategies employed since 1948: the Medical Practices Committee, the Initial Practice Allowances and the Designated Area Allowance. Problems arising from these policies include the fragmentation of responsibility, the lack of agreed objectives and the haphazard nature of the geographical units within which restrictions and incentives operate. The final section deals with the opportunity, presented by the 1973 National Health Service Reorganisation Act, to restructure these unsatisfactory features of the administrative framework. It is feared that the impetus for change is in danger of being lost, and that the establishment of the new health authorities alongside the old, largely unaltered machinery will merely add to the fragmentation of responsibility, thus exacerbating the imbalance of resources.
Patterns of Money Management within Marriage
Authors: Pahl Jan 
Published: January 2009

ABSTRACTMuch social and economic policy is based upon units such as the tax unit or the household, and much of it makes certain assumptions about flows of resources within these units. This article focuses on the control and allocation of financial resourceswithinhouseholds, drawing on work done in the past and on original material taken from a study of the problems of a group of women whose marriages had broken down because of violence. Concentrating on the household type which is composed of a married couple and their dependent children, the article outlines three broad types of allocation system – the whole wage system, the allowance system and the pooling system. It is suggested that there are links between the system of allocation within the family, the stage in the life cycle which the family has reached, the income level of the household, and the occupational, regional and ethnic culture within which the household is located. The article concludes by suggesting that a better knowledge of intra-household money flows would be relevant to discussion concerned with the distribution of poverty, the allocation of welfare benefits, and the contribution made by married women's earnings to family living standards, and that it would also contribute to a better understanding of marital tension and marital breakdown.
The New Philanthropy: The Emergence of the Bradford City Guild of Help
Authors: Cahill Michael , Jowitt Tony 
Published: January 2009

ABSTRACTThe early twentieth century has been seen as a crucial period in the development of British social policy. However, attention has been concentrated almost entirely on the increased role of the state, and in particular on the Liberal ‘welfare reforms’ after 1906. These developments have tended to mask the significant changes that were taking place in the field of voluntary charitable effort. One organization which emerged out of the ferment surrounding social policy in late Victorian and Edwardian England was the Guild of Help movement.The first guild was formed in Bradford in 1904 and embodied a new approach to the organization of charity. It rapidly expanded from Bradford throughout England and Wales and was in 1919 the leading organization which took part in the merger which created the National Council for Social Service. In this article the creation of the guild will be examined within the context of the changing economic situation, the growth of the labour movement and the nature of existing charitable provision in an attempt to give a critical assessment of the nature and role of this new body.
Rereading Titmuss: The Sexual Division of Welfare
Authors: Rose Hilary 
Published: January 2009

ABSTRACTThe new social policy demonstrates its theoretical concern with the relations between the welfare services, the economy and the state. This new found political economy of welfare leaves behind the micro-concerns of the Titmuss paradigm. Through a critical re-examination of Titmuss, the article, while welcoming the research programme of the new social policy, urges that the specific strength of the old (especially so far as women are concerned) is not prematurely abandoned. In a period of economic and political crisis, where the state is actively restructuring the provision of welfare, detailed and systematical analyses of the implications of this process for both class and gender are urgently required. The need for work on gender is underlined because of the sex blindness of influential Liberal and Left theoretical writings. It is not that such theorists are unfriendly to feminist work but rather that it stands ‘outside’ their explanation. The need to reconceptualize welfare as a service provided primarily by the paid and unpaid labour of women remains.
State Pensions and the Growth of Social Welfare Expenditure
Authors: Judge Ken 
Published: January 2009

ABSTRACTThe enormous growth of state expenditure in advanced industrial societies during the thirty years after the second world war is widely acknowledged and many attempts have been made to account for the phenomenon. Most of these explanations, however, either isolate specific factors or are applicable at a very high level of generality and so make it difficult to develop a wider understanding of the growth of the modern welfare state. This article is predicated upon the assumption that one way to overcome this difficulty is to identify, and evaluate the importance of, the different factors which have stimulated the growth ofspecificprogrammes rather than aggregate expenditures. It examines the growth of state spending on national insurance pensions in the United Kingdom between 1951 and 1978, therefore, because this is the most expensive of all social programmes. The primary purpose of the article is to identify, discuss and assess the relative importance of the most important causal factors which account for the growth of spending on pensions. This analysis is based upon the decomposition of the growth into its most important constituent parts. An attempt is also made to employ multiple regression to investigate changes in the real rate of basic pension, but the conclusion reached in this particular case is that it is a poor substitute for historical case studies. Finally, some speculative thoughts are advanced about possible future trends in spending on basic state pensions.
The Contribution of Social Science Research to Health Policy: The Royal Commission on the National Health Service
Authors: Taylor Rex 
Published: January 2009

ABSTRACTThis article adopts a case study approach to examine the contribution of social science research to health policy. It concentrates exclusively on the recent Royal Commission on the National Health Service. After describing its background and modus operandi the paper goes on to assess the Report's utilization of social science research, both in its diagnosis and recommendations. This assessment suggests that while the Commissioners made relatively little use of research-based evidence in their diagnosis, their recommendations provide the basis for a substantial increase in the contribution of social sicentists, particularly in the field of health services evaluation.
The Distribution of Social Security Transfers in the UK
Authors: Nolan Brian 
Published: January 2009

ABSTRACTThe distributional impact of different transfer programmes is one of the basic criteria on which decisions such as those on resource allocation may be based. This paper examines the spread over the UK size distribution of different transfers, using data from the Family Expenditure Survey (FES). In addition to analysing the distribution of current transfer receipts by actual current income, estimates are developed which allow the spread of annual receipts by annual income to be examined. The results show that the short-term unemployment and sickness benefits have a considerably greater degree of concentration towards the bottom of the distribution than some previous studies have indicated. This is particularly true for current income, but even for annual receipts and income the degree of concentration is greater than might have been expected. The impression that these benefits have a very low redistributive effect may have had a major influence on recent policy decisions. This is shown to be particularly misleading in the case of unemployment benefit.
Cutback Contradictions in Dutch Housing Policy
Authors: Flynn Rob 
Published: January 2009

ABSTRACTThis paper describes housing policy in the Netherlands and the current crisis over subsidies. It argues that the development of the welfare state, the housing system, and recent retrenchment contain contradictions which reflect the distinctive nature of Dutch politics and social structure. In particular, it suggests that the existence of pillarized social cleavages has been influential in the growth of a progressive welfare state, in providing a secure base for social rented housing, and in sustaining high levels of support for spending on housing subsidies. Expenditure cutbacks and measures for administrative rationalization are outlined, and some of the contradictory effects on housing policy are examined.
Regional Secure Units: The Creation of a Policy
Authors: Torpy David M. 
Published: January 2009

ABSTRACTThis paper examines the historical context of the policy decision of the (then) DHSS in July 1974 to establish Regional Secure Units with an initial provision for 1,000 places. A brief examination of the history of the detention of the criminally insane and the setting up of the county asylums is followed by an examination of the various problems faced by the authorities concerned with the care of the criminally insane and the mentally ill in general in the 1960s. The paper examines the different streams of influence and power that converged upon this solution: government, special hospitals, public inquiries, unlocking of hospital wards, criminal law, DHSS and the Home Office, judges, voluntary bodies, prisons, psychiatrists and the official government reports known as the Glancy and the Butler Reports. The paper seeks to explain the policy decision to build regional secure units as a dynamic outcome arising from the confluence of opportunities, participants and solutions: a policy formation model put forward by March and Olsen (1976).
The Occupational Pension Trap: Towards a Preliminary Empirical Specification
Authors: Walker Robert , Hardman Geoffrey , Hutton Sandra 
Published: January 2009

ABSTRACTLegislation in 1985 and 1986 has attempted to give new impetus to the growth of occupational and personal pension schemes. This article demonstrates that, because of the interaction between occupational pensions and means-tested social security provision, many of today's pensioners receive little or no financial benefit from their occupational pension. The evidence presented is consistent with the thesis that the pensioners who are worst affected by the ‘pension trap’ include those who, as workers, were low-paid and experienced interrupted employment. As a consequence they reached retirement with small state and occupational pensions, limited savings and no house which they owned. Many are women. The penetration of occupational and personal pensions is currently lowest among the same groups of workers and it could be that the Government's policy to extend the coverage of private pensions will result in an increase in the severity of the pension trap. Some measures for reducing the impact of the pension trap are discussed.
Policy Networks and the Implementation of Community Care Policy for People with Mental Handicaps
Authors: Hardy B. , Wistow G. , Rhodes R. A. W. 
Published: January 2009

ABSTRACTAlthough community care has been the professed policy of successive governments over three decades, according to the Prime Minister's own adviser, Sir Roy Griffiths, ‘in few areas can the gap between political rhetoric and policy on the one hand or between policy and reality in the field on the other hand have been so great’. This paper examines the extent and causes of this ‘implementation gap’ in respect of services for people with mental handicaps—a consistent priority group for national policymakers. We examine centre–periphery relations in the health and personal social services in the light of Rhodes' power–dependence framework and his concepts of policy networks and policy communities. The NHS has been described as the archetypal professionalised policy network but we conclude that it is possible to account for implementation failures in community care only partly in terms of the dominance of the medical professions' values and interests and the deficiencies of accountability and control due to clinical autonomy. Such failures are due also to the inherently limited power of the centre. Sub-central units are not merely its meek agents. Moreover, the centre must explicitly structure local environments by itself providing a coherent framework of service and resource policies compatible with the national objectives it is seeking to achieve.
Compensation for Industrial Injury and Disease
Authors: Lewis Roy , Latta Geoff 
Published: January 2009

ABSTRACTThe article contains the authors' evidence to the Royal Commission on Civil Liability. It discusses the main sources of compensation for industrial injury: the State's industrial injuries scheme, occupational sick pay and common law damages. Under each head the role of trade unions is assessed.State benefits provide compensation for injury, disablement and death, but impose a narrow definition of accident and disease. The adequacy of the level of benefits is also questioned. The common law system, moreover, is criticized on several fundamental grounds including cost, uncertainty, delay, legalism and the adverse effect on industrial safety.The authors propose the abolition of common law damages, provided the resources involved are used within a reformed State scheme. State benefit payable during absence from work is envisaged at 90 per cent of average post-tax earnings, with the employer legally obliged to pay no less than the equivalent amount for the initial period of absence. There would also be payments for loss of earnings after a man returns to employment, for non-pecuniary losses and to compensate the widows of those killed in industrial accidents.
British Town Planning Ideology and the Welfare State
Authors: Harrison M. L. 
Published: January 2009

ABSTRACTThis paper relates the nature of planning thought to the administrative and legal context, and to possible welfare objectives. The question is raised as to whether town planners have become concerned with specific social benefits. An analysis of the preoccupations of planners is made, using data available in Royal Town Planning Institute literature. From branch meetings data, conclusions are drawn as to changing areas of interest. It is noted that planners did not develop a very strong preoccupation with specific social issues over the 1947–71 period. Factors that may have influenced the evolution of professional thought are then examined. In particular, a hypothesis is put forward that the nature of the planning machinery has been such as to deter discussion about specific welfare implications. Other factors have included traditions, alternative preoccupations, and a lack of coherent attempts to link theoretical analyses with implementation. The paper comments briefly upon the town planning approaches that would be necessary if a more definite welfare outcome were desired. Town and country planners have thought in terms of physical development standards mainly because of the character of the land use planning system.
Consumer Opinion and Social Policy: A Research Review
Authors: Shaw Ian 
Published: January 2009

ABSTRACTDevelopments in the realms of social work practice, writing and research have provided fuel for the claim that the opinion of the consumer should exercise a formative influence in the development of policies impinging on the social services. However, it is difficult to decide when the opinion of the consumer has been understood. Also, even when the views of consumers are known, the question of how these views are utilized in the formulation of policies remains problematic. Furthermore, weaknesses in the research strategies of recent studies limit the applicability of policy recommendations which occur in this literature.
Social Planning of Housing
Authors: Carmon Naomi 
Published: January 2009

ABSTRACTA planner should be aware of alternative social goals of housing planning. For example: to encourage frequent contacts and manifest neighbourliness, or to plan for maximum privacy; to strive for ethnic integration through ethnically mixed housing or to let people live close to those who resemble themselves, as they usually prefer. The selection of social goals involves value judgements, but opinions differ about the question of whose values should be considered in this decision process.Once the basic value judgements are made and the social goals selected, the planner looks for ways to realize the goals. This paper surveys sociological studies which define some of the relevant factors and provide guidance concerning social conditions in which physical planning can contribute to the realization of selected goals.
Camberwell Reception Centre: a consideration of the need for health and social services of homeless, single men
Authors: Wood Susanne Macgregor 
Published: January 2009

SUMMARYThis article casts some light on a neglected area of the health and social services in Britain, namely provision for homeless, single men. It is shown that the services available are grossly inadequate to meet their needs. The paper uses results from a study of Camberwell reception centre which demonstrate that the absolute number of men having either a physical or mental illness who use the centre in any one year is much higher than had previously been calculated. The reception centre is unable to meet their needs which are principally for low-rent accommodation for single people and appropriate health care and social support.
Housing Pathways and Stratification: a study of life chances in the housing market
Authors: Payne Judy , Payne Geoff 
Published: January 2009

AbstractHousing research has yet to achieve an adequate framework to guide research into the effects of social policy. Two concepts are outlined and used in this article to analyse one local housing market; it is hoped that these will prove generally useful. The concepts are ‘housing status group’ (a modification of Rex and Moore's ‘housing classes’ model), and ‘housing pathway’, which refers to the structure of housing careers. In a low-cost study of a large sample of child-bearing families in Aberdeen, the relationship between housing tenure and occupational class, family size, and experience of housing deprivation is explored. Five principles of the local housing market's operation are abstracted by use of the status group approach, and three main housing pathways are identified. Data are presented which show that the chance of encountering bad housing conditions is strongly correlated with tenure, and that in turn, access to types of tenure is strictly rule-restricted. The local housing market appears to be rigidly stratified, with housing status groups re-inforcing other patterned social conditions, and housing pathways which are sharply differentiated. Because of this, the authors argue for a ‘constraint’ model of family housing experience which can be integrated into a general sociological theory of structured social inequality.