Given the myriad of human rights abuses that occur globally and daily, why are some nations on the receiving end of a substantial amount of international opprobrium, while others receive far less attention and condemnation? The authors contend that the increasing presence of human rights organizations in such states is the critical link between the local and the international. Increases in the number of such groups contributes significantly to the generation of Amnesty International urgent actions, one of the most-often-utilized tools in naming and shaming campaigns against human rights abusing regimes. The authors find strong support for nearly all their hypotheses.
We analyze whether international criminal tribunals and domestic human rights trials can play an important role in peacebuilding in postconflict societies. Advocates and scholars argue that by providing justice and truth, helping to remove war criminals and peace spoilers from their societies, and by contributing to deterrence, these institutions contribute to improvements in human rights and the maintenance of peace. Other scholars assert that few such beneficial effects have occurred. We test the impact of international tribunals and domestic trials on the recurrence of civil war and human rights improvements in states that have emerged from civil war since 1982. The evidence regarding their beneficial impacts is fairly clear, however, and suggests that while domestic human rights trials and international tribunals do not exercise any negative effects, they do not appear to contribute to reducing the recurrence of civil war or improvements in human rights practices.
Purpose Cancer patients have many medical and psychosocial needs, which may increase during the COVID-19 pandemic. We sought to (1) risk-stratify hematology/oncology patients using general medicine and cancer-specific methods to identify those at high risk for acute care utilization, (2) measure the correlation between two risk stratification methods, and (3) perform a telephone-based needs assessment with intervention for high-risk patients. Methods Patients were risk-stratified using a general medical health composite score (HCS) and a cancer-specific risk (CSR) stratification based on disease and treatment characteristics. The correlation between HCS and CSR was measured using Spearman's correlation. A multidisciplinary team developed a focused needs assessment script with recommended interventions for patients categorized as high-risk by either method. The number of patient needs identified and referrals for services made in the first month of outreach are reported. Results A total of 1697 patients were risk-stratified, with 17% high-risk using HCS and 22% high-risk using CSR. Correlation between HCS and CSR was modest (ρ = 0.41). During the first month of the pilot, 286 patients were called for outreach with 245 contacted (86%). Commonly identified needs were financial difficulties (17%), uncontrolled symptoms (15%), and interest in advance care planning (13%), resulting in referral for supportive services for 33% of patients. Conclusion There is a high burden of unmet medical and psychosocial needs in hematology/oncology patients during the COVID-19 pandemic. A telephone-based outreach program results in the identification of and intervention for these needs; however, additional cancer-specific risk models are needed to improve targeting to high-risk patients.
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