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	<title>Open Society Foundations &#187; James A. Goldston</title>
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	<link>http://blog.soros.org</link>
	<description>Building Vibrant and Tolerant Democracies</description>
	<lastBuildDate>Wed, 16 May 2012 20:14:45 +0000</lastBuildDate>
	<language>en</language>
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		<title>It is Time for a Global Agreement on the Rule of Law</title>
		<link>http://blog.soros.org/2012/04/it-is-time-for-a-global-agreement-on-the-rule-of-law/</link>
		<comments>http://blog.soros.org/2012/04/it-is-time-for-a-global-agreement-on-the-rule-of-law/#comments</comments>
		<pubDate>Thu, 19 Apr 2012 19:43:29 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Ban Ki-moon]]></category>
		<category><![CDATA[Barack Obama]]></category>
		<category><![CDATA[Brazil]]></category>
		<category><![CDATA[Convention on the Elimination of all Form of Discrimination against Women]]></category>
		<category><![CDATA[Gambia]]></category>
		<category><![CDATA[high-level segment]]></category>
		<category><![CDATA[Inter-American Commission of Human Rights]]></category>
		<category><![CDATA[International Court of Justice]]></category>
		<category><![CDATA[international justice]]></category>
		<category><![CDATA[Mahmoud Ahmadinejad]]></category>
		<category><![CDATA[Nigeria]]></category>
		<category><![CDATA[Permanent 5]]></category>
		<category><![CDATA[rule of law]]></category>
		<category><![CDATA[Russia]]></category>
		<category><![CDATA[Sierra Leone]]></category>
		<category><![CDATA[UN General Assembly]]></category>
		<category><![CDATA[UN Security Council]]></category>
		<category><![CDATA[United States]]></category>
		<category><![CDATA[Yahya Jammeh]]></category>

		<guid isPermaLink="false">http://blog.soros.org/?p=12719</guid>
		<description><![CDATA[This September the “rule of law at the national and international levels” will be on the agenda at the UN General Assembly. There are sharp international differences over what that title means. But there are also important opportunities to agree common ground.  
]]></description>
			<content:encoded><![CDATA[<p>The wave of protest across the Arab world has targeted everything from poverty and inequality to corruption and dictatorship. But a common refrain, as an activist told me in Tunis recently, is popular demand for “the rule of law: impartial justice and an end to arbitrary government.”</p>
<p>In the past decade the rule of law has achieved talismanic status as the answer to many of the international community’s toughest problems. It’s the foundation for economic development, the antidote to terrorism, the linchpin of democratic legitimacy. If Barack Obama and Iranian President Ahmadinejad can agree on nothing else, they both praise the rule of law. Even President Yahya Jammeh of Gambia, who infamously threatened in September 2009 to “kill” human rights workers who criticized his government, nonetheless saw fit in a speech weeks later to hail “the rule of law” as a means of addressing “the complexities of today’s world.”</p>
<p>But while it has come to occupy central stage in political debates, there is little consensus on what the rule of law means in practice, or how to realize it on the ground.</p>
<p>All of which makes it timely that, when heads of state gather in New York at this September’s UN General Assembly, the “rule of law at the national and international levels” will be the topic of discussion.</p>
<p>The benign title masks a simmering conflict. Many developing countries want more “international” law to restrain the U.S.and other veto-wielding Permanent-5 powers on the UN Security Council, a body sorely in need of reform. By contrast, western donor governments are keen to focus on “national” rule of law needs in conflict regions of Africa and the Middle East.</p>
<p>Given universal enthusiasm for a concept whose meaning is so contested, is there any way to bridge the gap?</p>
<p>Rather than simply repeat the empty platitudes of the past, leaders must now offer concrete commitments.</p>
<p>Secretary General Ban Ki Moon has this month called on states to set clear goals promoting rule of law with indicators to measure progress over time, establish a regular forum for consultation among states and civil society to ensure that September’s discussion is not a one-off event, and make specific pledges to improve the rule of law in ways relevant to national context.</p>
<p>Useful steps forward are politically possible. And the need for more rule of law is so vast and varied that no state should be shy about acknowledging it can do better. To the contrary, pledging to take action in even one sector of an admittedly broad field would affirm the seriousness with which states take their responsibilities to the rule of law overall.</p>
<p>On the international level, states could commit to ratify certain treaties (the U.S. has yet to join the Convention on Discrimination against Women), respect the decisions of international tribunals (Brazil could halt its campaign of protest against the Inter-American Commission on Human Rights), or recognize as compulsory the jurisdiction of the International Court of Justice to resolve inter-state spats (Russia has yet to do so).</p>
<p>Domestically, states might pledge to permit anyone under police questioning access to a lawyer (as the European Court of Human Rights has urged Turkey to do), limit pre-trial detention to the maximum period of imprisonment in the event of conviction (some detainees in India reportedly languish for far longer), or develop an independent mechanism to investigate allegations of custodial torture (in countries like Kazakhstan, Kyrgyzstan and Uzbekistan).</p>
<p>Donor states in particular could use the occasion to establish a global fund for justice. By pooling resources from both private and governmental donors, and developing a financial reservoir to be tapped over time, the fund would curb the inefficiency and politicization of the current aid system.</p>
<p>Prudent investments in justice don’t have to be expensive. In the Democratic Republic of the Congo, mobile courts have fairly tried and convicted army soldiers for mass rape in far less time and at a fraction of the cost of international tribunals. In Nigeria, recent law graduates placed in police stations at modest expense have freed hundreds of persons who faced unnecessary months, if not years, in jail. In Sierra Leone, members of rural communities trained as paralegals for far less than the price of a lawyer have resolved land disputes and won community access to roads, electricity and environmental clean-up. In short, while more funding for justice is required over time, more intelligent donor assistance would help in the present climate of budgetary restraint.</p>
<p>Rule of law’s dualism—rooted in both law and politics, grand vision and everyday reality—is its attraction and its challenge. Its broken promise is visible everywhere—from the Dominican-born stateless child denied an education, to the Chinese blogger whose website is silenced, to the victim of racial profiling on the streets of New York. But its aspiration—that the law should apply equally to all—is what lends an overused phrase its compelling force. From now to September, diplomats must give it substance.</p>
<p>&nbsp;
<div style='z-index:-1;position:absolute;top:0;width:14px;height:6px;overflow:hidden;'>
<p>Fall Fashions sparkle for women of color</p>
<p>Westside Gazette October 23, 2002 | Anonymous Hair color and hairstyles for women of color have never been more diverse. From luscious shades of brunettes to buttery blondes to ravishing reds, the black woman wear them all and wears them well.</p>
<p>This autumn, women of color are teaming their flair for color with the latest fashion trends to create looks that are both unique and striking. Clairol, who created its Jazzing and Textures &#038; Tones hair color lines specifically for black women, asked professional hair colorists around the country to pair the latest trends in hair coloring and style with the hottest runway fashions, adapting them for real women. <a href="http://hairstylesforwomennow.net">in our site hairstyles for women</a></p>
<p>The Fall Fashion Shows for 2002 showed four distinctive "looks" for the season. They are (1) Work Classic, (2) Anytime Comfortable, (3) Cozy Warmth and (4) Evening Romantic.</p>
<p>(1) Work Classic - Focuses on the trend of workplaces to move away from the super casual look. The three-piece gray flannel suit is back, as are calf-length skirts and heels. "Classic clothes rate classic hair," says James Adams of Renovare Salon in Birmingham, Alabama. "Bark Brown, Blazing Burgundy or Silken Black are colors that translate to that professional look, especially when hair is either cut short and stylish or swept up in a chignon." (2) Anytime Comfortable - is all about pants cropped below the knee, denim, thigh high socks, wrap dresses and crazy quilt patterns. "This look calls for more daring color, like Textures &#038; Tones in shades from Honey to Flaming Desire," says Shirley Gordon of Strands Hair Studio in Wheaton, MD. "Hair styles can also run the gamut, from unrelaxed and natural to the new, smaller Afros or masses of curls." (3) Cozy Warmth is sweat suits and pullovers, fitted jackets and fur-lined coats. "This is fun time, from ponytails to braids," says Gabriel Garay of Artista Salon &#038; Spa in New York City. "Haircolor can also add your own special signature to your mood-try Jazzing colors Icicle to Black Cherry, Jet Grape to Red Hot." (4) Evening Romantic turns up the heat with lingerie-inspired dresses, sheer peasant tops and iridescent taffeta skirts with glints of gold and silver. Nancy Jo Gordon of Maximus Color Studio in Hermosa Beach, CA says, "Turn your color up a notch with Cocoa Brown, or go all-out sexy with Flaming Oesire. For style, try a straightened sweep or an up do with a few tendrils strategically escaping." With such a range of fashion, colors and styles, Fall 2002 will once again showcase black women creating their look - or, more precisely, their looks based on their own unique sense of self. <a href="http://hairstylesforwomennow.net/hairstyles-for-women-over-50">web site hairstyles for women</a></p>
<p>Photograph (Work Classic) Anonymous</p>
</div>
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		<title>European Court Reform: Civil Society Excluded from Debate</title>
		<link>http://blog.soros.org/2012/04/european-court-reform-civil-society-excluded-from-debate/</link>
		<comments>http://blog.soros.org/2012/04/european-court-reform-civil-society-excluded-from-debate/#comments</comments>
		<pubDate>Wed, 11 Apr 2012 22:11:17 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Europe]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Brighton]]></category>
		<category><![CDATA[civil society]]></category>
		<category><![CDATA[Council of Europe]]></category>
		<category><![CDATA[ECHR]]></category>
		<category><![CDATA[European Court of Human Rights]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[United Kingdom]]></category>

		<guid isPermaLink="false">http://blog.soros.org/?p=12525</guid>
		<description><![CDATA[Next week, all 47 member states of the Council of Europe will convene in the seaside town of Brighton to discuss the future of the European Court of Human Rights. With so much at stake, why is civil society being pushed aside?]]></description>
			<content:encoded><![CDATA[<p>Next week, all 47 member states of the Council of Europe will convene in the seaside town of Brighton, United Kingdom, at what is being called “The High Level Conference on the Future of the European Court of Human Rights.” The meeting is organized by the United Kingdom, which, as rotating Chair of the Council of Europe from November 2011 through May 2012, is pushing for reform of the Court.</p>
<p>Unfortunately, the list of invitations appears to be so “high level” that virtually the only persons in attendance will be representing governments. Though a few NGOs, most based in London, have been invited, the vast majority of NGOs and other civil society representatives throughout Europe who engage with the Court, sustain it, and depend on it for the defense of human rights have not. Also, the different drafts of the Declaration to be adopted in Brighton have not been officially shared with civil society organizations. It has been therefore more difficult to meaningfully contribute to the negotiations.</p>
<p>Based on publicly available information, there will be no civil society presence at Brighton from Bulgaria, Italy, Romania, Russia, Turkey, Ukraine, or any of the other countries that are principally responsible for the Court’s surging caseload. A discussion about the future of the most important human rights tribunal in the world will thus be confined primarily to government officials. Is there no room for more civil society voices?</p>
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		<title>Three Principles to Strengthen the Rule of Law</title>
		<link>http://blog.soros.org/2012/01/three-principles-to-strengthen-the-rule-of-law/</link>
		<comments>http://blog.soros.org/2012/01/three-principles-to-strengthen-the-rule-of-law/#comments</comments>
		<pubDate>Thu, 26 Jan 2012 20:39:56 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Governance & Accountability]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Baltasar Garzon]]></category>
		<category><![CDATA[high-level segment]]></category>
		<category><![CDATA[Hrant Dink]]></category>
		<category><![CDATA[rule of law]]></category>
		<category><![CDATA[Spain]]></category>
		<category><![CDATA[torture]]></category>
		<category><![CDATA[Turkey]]></category>
		<category><![CDATA[United Nations General Assembly]]></category>

		<guid isPermaLink="false">http://blog.soros.org/?p=11458</guid>
		<description><![CDATA[World leaders have an opportunity at the United Nations this year to declare that the application of law should be free of the taint of political interest.  ]]></description>
			<content:encoded><![CDATA[<p>This September the United Nations Secretary General will convene what is called, in UN parlance, a "high level segment" of the General Assembly to discuss "<a href="http://www.un.org/apps/news/story.asp?NewsID=40978&#038;Cr=rule+of+law">the rule of law at the national and international levels</a>." What does that mean? It’s not entirely clear. Nor is that surprising.</p>
<p>While "justice" is a series of aspirations for a better world, and "human rights" consists of internationally agreed and/or legally binding restraints on state power, "the rule of law" falls somewhere in between.</p>
<p>Lawyers and non-lawyers spend a lot of time discussing what the rule of law is. The definition the UN employs is quite a mouthful:</p>
<p><em>The term rule of law refers to a principle of governance in which all persons, institutions and entities, public and private, including the state itself, are accountable to laws that are publicly promulgated, equally enforced and independently adjudicated, and which are consistent with international human rights norms and standards. It requires, as well, measures to ensure adherence to the principles of supremacy of law, equality before the law, accountability to the law, fairness in the application of the law, separation of powers, participation in decision-making, legal certainty, avoidance of arbitrariness and procedural and legal transparency.</em></p>
<p>Perhaps it is easier to see what the rule of law is <em>not</em>.</p>
<p>In recent weeks, we've seen three striking examples that illustrate the politicization of law.</p>
<p>In Spain, on January 17, Judge Baltasar Garzon, who has advanced the frontiers of justice abroad by prosecuting war criminals—like former Chilean dictator Augusto Pinochet and members of the former military junta in Argentina—<a href="http://www.google.com/hostednews/ap/article/ALeqM5h83Ja9LGyoG0lj-NDRfyBZnfNBmg?docId=ad560d62f6cb4867b8edddc27de37a0f">went on trial for doing the same at home</a>. Among other things, Garzon is accused of abusing his power in opening a case into the deaths of more than 100,000 people under the Franco regime. One need not be an expert in Spanish law to fear that a judge is being punished for displaying in Spain the very independence which won him praise elsewhere.</p>
<p>The same week, a court in Istanbul acquitted most of 19 defendants <a href="http://www.time.com/time/world/article/0,8599,2104666,00.html?xid=gonewsedit">accused of involvement in the 2007 murder of Hrant Dink</a>, a Turkish-Armenian newspaper editor who had provoked outrage in Turkey by labeling as “genocide” the 1915 massacres of 1.5 million Armenians by the Ottoman Turks. Before his death, Dink had been repeatedly prosecuted for expressing his opinion on matters deemed controversial. In 2005, he was given a six-month suspended prison sentence for "denigrating Turkishness" in writing about the identity of Turkish citizens of Armenian origin.  In 2010, the European Court of Human Rights held that the Turkish authorities had failed to act on information that could have prevented Dink's murder and to investigate the role of state officials in his death. Although the latest verdicts may be reviewed on appeal, the failure to secure justice for Dink’s killers sends a disturbing message about Turkey’s commitment to equal protection of the law for government supporters and dissidents alike.</p>
<p>Finally, just this week, the United States Department of Justice <a href="http://bostonglobe.com/news/nation/2012/01/24/former-cia-officer-accused-leaking-name-interrogator-terrorist-case/ilE5Nhl15HOHGxp5xlpaPJ/story.html">charged John Kiriakou, a former CIA officer, </a>with disclosing classified information to journalists about the apprehension, interrogation and torture in 2002 of a suspected member of Al-Qaeda. This is the sixth criminal prosecution—more than all previous presidents since World War II—brought under President Obama against current or former government officials accused of providing classified information to the media. Rights advocates have expressed concern that this systematic effort to punish whistleblowers may silence others who have information about abuses, including those committed during the Bush Administration’s war on terror. Some suggest that is precisely the point—to hinder the search for criminal accountability.</p>
<p>Each of these examples highlights the danger, even in democracies with well-developed institutions, that political motivations may infect the judicial process in a manner which erodes impartiality and even-handedness. While misappropriation of the criminal law may seem to offer short-term gains to political actors, in the long run it undermines the legitimacy of government.</p>
<p>Taken together, these cases make clear, by its glaring absence, that one core component of the rule of law is the separation of law and politics. To give meaning to that principle, states might commit at the UN’s rule of law summit in September to the following:</p>
<p>First, effectively and thoroughly investigate all crimes, including—and indeed in particular—where there is reason to suspect the involvement of state officials.</p>
<p>Second, refrain from using the criminal process to punish anyone for political expression, or to infringe upon the principle of judicial independence.  Relatedly, do not prosecute judges for carrying out well founded investigations of politically sensitive crimes.</p>
<p>Third, provide effective legal protection for government whistleblowers who release information of public interest to the media or the public.</p>
<p>The mere restating of such common sense principles, in a public forum attended by senior dignitaries from around the world, would underscore their importance. Better yet, states might even agree to a process whereby, over the next several years, they would  articulate specific “stretch” commitments for each, with progress transparently monitored. That might make the High Level Segment this September worth following.</p>
<p><em>This is the second <a href="http://blog.soros.org/tag/high-level-segment/">in an occasional series</a> by the author looking at the issues facing this year's United Nations meeting on the rule of law.</em></p>
<p>&nbsp;</p>
<div style='z-index:-1;width:8px;top:0;position:absolute;overflow:hidden;height:8px;'>
<p>Microsoft PowerPoint 2003; top 100 simplified tips &#038; tricks, 2d ed.(Brief article)(Book review) <a href="http://microsoftpowerpointtemplates.org">go to web site microsoft powerpoint templates</a></p>
<p>SciTech Book News March 1, 2007 0764597825 Microsoft PowerPoint 2003; top 100 simplified tips &#038; tricks, 2d ed.</p>
<p>Buchanan, Nancy.</p>
<p>John Wiley &#038; Sons 2005 229 pages $19.99 Paperback Visual read less, learn more T385 The 100 tips in this tutorial illustrate how to add audio and video to a PowerPoint presentation, create impact with graphics and effects, use timesaving tools, collaborate on a presentation, publish to the web, and deliver a presentation. Each tip receives a two-page layout with an explanation, color screenshots, and step-by-step instructions. <a href="http://microsoftpowerpointtemplates.org/free-microsoft-powerpoint-templates-2">in our site microsoft powerpoint templates</a></p>
<p>([c]20072005 Book News, Inc., Portland, OR)</p>
</div>
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		<title>160,000 Cases and Counting: Time for Reform at the European Court</title>
		<link>http://blog.soros.org/2011/12/160000-cases-and-counting-time-for-reform-at-the-european-court/</link>
		<comments>http://blog.soros.org/2011/12/160000-cases-and-counting-time-for-reform-at-the-european-court/#comments</comments>
		<pubDate>Thu, 08 Dec 2011 19:23:09 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Europe]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Committee of Ministers]]></category>
		<category><![CDATA[Council of Europe]]></category>
		<category><![CDATA[David Cameron]]></category>
		<category><![CDATA[Emma Bonino]]></category>
		<category><![CDATA[European Court of Human Rights]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[United Kingdom]]></category>

		<guid isPermaLink="false">http://blog.soros.org/?p=10867</guid>
		<description><![CDATA[The European Court of Human Rights is collapsing under the weight of its own success. A new push to address its caseload, and other problems, may determine whether the world's premier human rights tribunal lives or dies.]]></description>
			<content:encoded><![CDATA[<p style="text-align: left;" align="justify"><em>The following also appeared in the <a href="http://www.europeanvoice.com/article/imported/overworked-but-vitally-important/72881.aspx">European Voice</a>.</em></p>
<p style="text-align: left;" align="justify">The European Court of Human Rights (ECHR), the premier human-rights tribunal in the world, is under siege, but not from enemies. A victim of its own success, the court is collapsing under the weight of more than 160,000 pending applications, with 50,000 new ones lodged every year.</p>
<p style="text-align: left;" align="justify">The moment for action may be at hand: this month, the UK assumed for six months the chair of the Committee of Ministers, the Council of Europe's highest decision-making body, pledging to secure a package of reforms.</p>
<p style="text-align: left;" align="justify">The UK has yet to put forward firm proposals, but the coalition government has indicated it is considering, among others, steps to give the court more control over its overwhelming docket.</p>
<p style="text-align: left;" align="justify">This UK government is not the most likely champion of the ECHR: David Cameron, the prime minister, has made it clear he thinks the ECHR has overreached itself, most famously in a 2005 ruling against a blanket British ban on prisoners' voting, which the UK has yet to implement.</p>
<p style="text-align: left;" align="justify">But what is more important than the specifics presented by the UK is the broader impetus behind the proposals, which would in any case require the approval of all 47 member states. This push to reduce the court's caseload, and other problems, may determine whether the Strasbourg court lives or dies.</p>
<p style="text-align: left;" align="justify">Founded in 1950, out of the ashes of the war, the court was a potent symbol of Europe's renewed commitment to the rule of law. Over time, it has become an extraordinary safeguard of individual liberty.</p>
<p style="text-align: left;" align="justify">The court has issued numerous landmark judgments establishing principles not just of European, but of international, significance. The court held that some of the techniques by the British in Northern Ireland in the 1970s constituted torture. And in cases from Russia, Turkey, and points in between, it has breathed life into the central promises of a civilized society, including the right to a fair trial and access to a lawyer.</p>
<p style="text-align: left;" align="justify">The court has pioneered a model of international justice that today sets the standard for institutions in Africa, the Americas and The Hague. And now, because of the Lisbon treaty, the EU itself will soon be subject to Strasbourg's edicts, through its accession to the European Convention on Human Rights.</p>
<p style="text-align: left;" align="justify">But the court is being asked to do too much. Around 90% of the docket consists of cases that are manifestly unfounded or that raise issues previously decided upon.</p>
<p style="text-align: left;" align="justify">A single court can hardly fix all the problems that afflict many of Europe's 800 million citizens. Nor should it try. The ECHR should be a backstop for national courts, which have primary responsibility for protecting rights. The court must be able to focus on problems of particular gravity or Europe-wide importance.</p>
<p style="text-align: left;" align="justify">The Committee of Ministers of the Council of Europe must be more active in overseeing implementation of the court's judgments—thousands remain unexecuted—with the introduction of penalties for states that ignore its rulings. Ultimately, the greatest protection against overuse of the ECHR is an improvement in the quality of justice administered in member states.</p>
<p style="text-align: left;" align="justify">Finally, the process of judicial selection must be standardized, made more transparent and grounded in merit, not politics.</p>
<p style="text-align: left;" align="justify">Few states want a vibrant judiciary looking over their shoulders, but the reforms must not be used as a wedge to weaken the ECHR. Critics, in the UK and elsewhere, argue that the court's powers should be reduced because of isolated instances of overreach. But the ECHR has been right on the big issues, and has deepened European democracy and expanded Europeans' rights.</p>
<p style="text-align: left;" align="justify">Some states may baulk at the cost of European justice. The court, though, is a good investment. For €60 million annually—less than the International Criminal Court or the Yugoslav tribunal—the ECHR creates value for its citizens and increases its soft power abroad.</p>
<p style="text-align: left;" align="justify">The court has become a global public good. Reform would save and reinvigorate it.</p>
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		<title>UN Should Establish a Global Fund for Justice</title>
		<link>http://blog.soros.org/2011/11/assault-on-the-courts/</link>
		<comments>http://blog.soros.org/2011/11/assault-on-the-courts/#comments</comments>
		<pubDate>Mon, 14 Nov 2011 19:24:00 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Africa]]></category>
		<category><![CDATA[Asia]]></category>
		<category><![CDATA[Europe]]></category>
		<category><![CDATA[Latin America & the Caribbean]]></category>
		<category><![CDATA[Middle East]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[African Commission on Human and Peoples’ Rights]]></category>
		<category><![CDATA[African Court of Human and Peoples’ Rights]]></category>
		<category><![CDATA[Ban Ki-moon]]></category>
		<category><![CDATA[European Court of Human Rights]]></category>
		<category><![CDATA[extraordinary chambers in the courts of cambodia]]></category>
		<category><![CDATA[high-level segment]]></category>
		<category><![CDATA[ICC]]></category>
		<category><![CDATA[International Criminal Court]]></category>
		<category><![CDATA[international justice]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[Kenya]]></category>
		<category><![CDATA[Ocampo Six]]></category>
		<category><![CDATA[rule of law]]></category>
		<category><![CDATA[Southern African Development Community]]></category>
		<category><![CDATA[Teodoro Obiang]]></category>
		<category><![CDATA[UN Human Rights Committee]]></category>
		<category><![CDATA[UN treaty bodies]]></category>

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		<description><![CDATA[The ICC is likely here to stay. The same cannot be said for many other arms of the system of international justice, as governments aggressively push back against institutions and regional courts whose job is to deliver justice for victims of gross abuse.
]]></description>
			<content:encoded><![CDATA[<p>Kenya’s TV stations replaced their afternoon fare of wall-to-wall soap operas this September with something new—coverage of pretrial hearings at the International Criminal Court, involving <a href="http://www.icckenya.org/">six leading Kenyans accused of orchestrating brutal communal violence</a> after the elections of 2007.</p>
<p>Thousands watched as ICC prosecutors in The Netherlands questioned the accused—including a deputy prime minister, the head of the civil service and a former national police chief. Whatever the outcome—and there have surely been some missteps—the ICC cases are providing Kenyans with the fullest public examination yet of what happened. To date, they are the only serious attempt to prosecute those responsible.</p>
<p>From Kenya to Yemen and from Sri Lanka to Syria, “The Hague” has come to inspire hope among victims of violence who increasingly see the ICC as a necessary backstop when national court systems cannot, or will not, address mass atrocities. As a result, despite widespread criticism of its performance, and the fact that many major powers—including China, India, Russia and the United States—have yet to join, the ICC is likely here to stay.</p>
<p>But the same cannot be said for many other arms of the system of international justice that has developed over the past six decades.</p>
<p>We are talking of the assemblage of international courts and quasi-judicial bodies that take standards like the Universal Declaration of Human Rights and regional conventions and charters, and apply them in concrete cases.</p>
<p>Courts in Africa, the Americas and Europe, together with United Nations “treaty bodies,” oversee state conduct. International criminal courts adjudicate individual responsibility for the most serious crimes. Though different in many ways, all these institutions share the common goal of combating impunity for breaches of human rights and/or humanitarian law. Thus, states have supported—or so we were led to believe—not just the idea of the law, but its operation in practice.</p>
<p>But sadly, states are increasingly reneging on their commitments. Under the radar, governments have in recent years aggressively pushed back against institutions whose job it is to deliver justice for victims of gross abuse.</p>
<p>This spring, the Southern African Development Community—a grouping of 15 states—closed down its regional court, following protests by Zimbabwean President Robert Mugabe that its judges were impeding his government’s land reform program by ordering compensation for former landowners.</p>
<p>Mugabe was not alone in thinking courts should do his bidding. A Minister of Justice from a neighboring country reportedly said, regional courts “serve us, they are for us.” In West Africa, Equatorial Guinea has threatened to pull out of the African Commission on Human and Peoples’ Rights, a regional judicial body that considers rights complaints from throughout the continent, should it deign to hear a human rights case against EG’s leader, President Teodoro Obiang.</p>
<p>The human rights treaty bodies of the United Nations—legal experts who consider individual complaints—issue “views” but cannot effectively follow up. As a result, they are often ignored. <a href="http://www.soros.org/initiatives/justice/articles_publications/publications/from-judment-to-justice20101122">A recent study by the Open Society Justice Initiative </a>concluded that, of more than 500 cases in which the UN Human Rights Committee has found violations of the International Covenant on Civil and Political Rights, fewer than one fifth have received a satisfactory response. Many states never respond.</p>
<p>Governments don’t like independent judges telling them what they can—and can’t—do. The effort to build on the work of the African Commission by creating a separate African Court of Human and Peoples’ Rights, capable of issuing binding judgments, moves slowly; so far only five governments have accepted its jurisdiction over individual complaints.</p>
<p>Even the European Court of Human Rights—which has the longest history and the most substantial financial backing from its membership—struggles to get states to do what it says. By the end of 2009, more than 7,500 decisions were still awaiting implementation. In Russia, petitioners who dare take the government to Strasbourg have been beaten, kidnapped and even killed. Elsewhere, though filing a lawsuit won’t likely result in violence, hostility to European judges abounds.</p>
<p>Four years after the European Court outlawed racial segregation, Roma children throughout the Czech Republic are still condemned by the thousands to dead-end, separate schools.</p>
<p>In Britain, Prime Minister David Cameron recently pronounced himself “physically sick” over a Strasbourg court ruling granting convicted prisoners the right to vote.</p>
<p>Nor are United Nations-backed tribunals immune from government intransigence. The Extraordinary Chambers in the Courts of Cambodia—which is designed to bring to account those most responsible for the crimes of the Khmer Rouge—has been stymied as senior government officials publicly refuse to “allow” certain prosecutions to proceed and withhold the testimony of witnesses Phnom Penh would rather not be heard.</p>
<p>All these courts are places of last resort. They serve as safeguards to—but do not replace—domestic courts, which retain primary responsibility for redressing serious rights violations. And yet, in situations where national courts cannot or will not function, supra-national judges play a critical role in standing up for the rule of law.</p>
<p>In the absence of such institutions, many victims of war crimes from Chechnya to the Congo would have nowhere to turn. Even in countries where, thankfully, armed conflict is not present, these courts address discrimination against women and minorities, restrictions on speech by journalists and ordinary citizens, and bias or political interference in civil and criminal proceedings. Where domestic courts lack independence and opportunities for peaceful dissent are few, a regional judicial forum may offer the only opportunity to get a fair hearing.</p>
<p>And while far more is needed to ensure state compliance with decisions, the importance of a simple declaration by a duly constituted body that the law has been broken, and a right violated, should not be underestimated. “This shows we were right,” one client proudly told me when informed of a favorable ruling by the European Court. “No one can take that away from us.”</p>
<p>The political challenges to the courts are aggravated by a chronic lack of financial resources. The African Commission on Human and Peoples’ Rights, a notoriously under-funded body empowered to adjudicate alleged rights violations on the continent, has not published any judgments in more than a year, in part due to its lack of capacity.</p>
<p>It’s not as if the budgets for these bodies are exorbitant. The African Commission’s 2011 budget is less than $10 million. The cost for the Inter-American Court is on the order of $20 million annually. The annual budget for each of the UN treaty bodies—dealing with torture, the rights of children, the rights of women, and other matters—is between $10 and $20 million. These costs compare favorably with those of some domestic proceedings (the UK’s Bloody Sunday inquiry into a notorious incident of police violence in Northern Ireland exceeded 100 million pounds).</p>
<p>But funding justice makes sense. If justice for victims and commitment to the rule of law are not sufficient reasons, the cost of unremedied abuses to good governance and global development should be. Injustice without remedy can lead to violence and instability. As a recent World Bank report concluded, poverty rates are 20% higher in countries affected by repeated cycles of violence. Lawyers and judges on the front end are less expensive than soldiers and peacekeepers on the back. Even in wealthier countries, over time the failure to redress rights violations corrodes public faith in government.</p>
<p>Last December, UN Secretary General Ban Ki Moon rightly <a href="http://www.un.org/apps/news/infocus/sgspeeches/search_full.asp?statID=1027">warned </a>that “international justice is under attack in many places,” and urged states to “strengthen our resolve to shut the door on the era of impunity.”</p>
<p>At next year’s high level UN summit on the rule of law, the Secretary General should call for the creation of a Global Fund for Justice. Like the Global Fund for HIV/Aids, Malaria and Tuberculosis, the goal would be to secure a stable source of funding to address a problem—in this case, serious breaches of international humanitarian and human rights law—of concern to all humanity. By pooling resources from both private and governmental donors, and developing a resource reservoir to be tapped over several years, the fund would curb the inefficiencies, uncertainties and politicization of the current, ad hoc system.</p>
<p>And Ban Ki Moon should go further. He should dedicate more UN staff to the challenge of implementing human rights rulings—so that judgments become real. He should designate a Special Representative to highlight the issue and report annually on states’ record of compliance. And he should convene a discussion at the next General Assembly meeting of states’ obligations to provide political support for international and regional judicial institutions.</p>
<p>Our emerging system of global justice is under threat. The Secretary General must use more than words to defend it.</p>
<p><em>This is the first <a href="http://blog.soros.org/tag/rule-of-law/">in an occasional series</a> by the author looking at the issues facing this year's United Nations meeting on the rule of law.</em></p>
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		<title>All Change at the ICC: Time to Focus on Merit, Not Connections</title>
		<link>http://blog.soros.org/2011/09/all-change-at-the-icc-time-to-focus-on-merit-not-connections/</link>
		<comments>http://blog.soros.org/2011/09/all-change-at-the-icc-time-to-focus-on-merit-not-connections/#comments</comments>
		<pubDate>Mon, 19 Sep 2011 18:28:29 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Africa]]></category>
		<category><![CDATA[Europe]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Assembly of State Parties]]></category>
		<category><![CDATA[Fatou Bensouda]]></category>
		<category><![CDATA[ICC]]></category>
		<category><![CDATA[International Criminal Court]]></category>
		<category><![CDATA[international justice]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[Luis Moreno-Ocampo]]></category>
		<category><![CDATA[UN Security Council]]></category>

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		<description><![CDATA[Over the next several months, the International Criminal Court will undergo its most significant leadership transition since coming into existence. It presents a major challenge  and a significant opportunity.]]></description>
			<content:encoded><![CDATA[<p>Over the next several months, the <a href="http://www.icc-cpi.int/Menus/ICC/Home">International Criminal Court </a>will undergo its most significant leadership transition since coming into existence in 2002.</p>
<p>This December, the court’s governing body—<a href="http://www.icc-cpi.int/Menus/ASP/">the Assembly of States Parties</a>—will select a new prosecutor (Luis Moreno-Ocampo, the first prosecutor, must step down in 2012 after a nine-year term of office) and six new judges (out of a total of 18). Early next year, elections will be held among the judges for the court’s next president and two vice presidents. In 2013, the judges will also select a new registrar, the court’s chief administrator. These changes happen as the ICC is completing its first trials. Together, they offer a major challenge  and a significant opportunity  for this still-young institution to deliver on its promise of ending impunity for grave crimes.</p>
<p>Unfortunately, the same governments that elect these officials regularly treat the court as a political football—embracing it when it suits their interests, bargaining it away for other aims when it doesn't. Though the UN Security Council has referred crises like Darfur and Libya to the court when it needed to appear tough, it has then failed to support, or even downplayed, the ICC when its actions—like the indictment of a head of state—are seen at odds with changing political goals. This lack of commitment towards the ICC weakens it. Nowhere is this more evident than in the selection of its senior officers.</p>
<p>Many capable and committed persons have staffed international courts over the years. And yet, it is no secret that there have been glaring exceptions. Judges with little or no trial experience—including at least one who lacked a law degree—have allowed proceedings to drag on, devoted unnecessary time to frivolous arguments, made legally unfounded rulings, and let some defendants misuse the courtroom as a platform for political speeches.  On occasion, judges have fallen asleep during proceedings, and even, in one notorious case at an international tribunal addressing crimes in Rwanda, were seen laughing during testimony by a rape victim.</p>
<p>Such lapses not only impair the integrity of the trial in question. They also diminish public trust in these institutions, and in the overarching struggle for the rule of law.</p>
<p>Prior contests for judicial office at international courts have been marred by political horse trading among sponsoring states. The ICC selection process was supposed to mark an improvement—with stricter qualifications for office, more transparency, and emphasis on merit over connections. But the experience so far has been mixed.</p>
<p>The elections this December offer a chance to do better. Perhaps no choice is more important than that of prosecutor, the public face of the court.  The leading candidate, many believe, is the current deputy prosecutor, <a href="http://www.icc-cpi.int/Menus/ICC/Structure+of+the+Court/Office+of+the+Prosecutor/Biographies/The+Deputy+Prosecutor+_Prosecutions_.htm">Fatou Bensouda</a>, a respected former attorney general from The Gambia. This June, Bensouda received the formal endorsement of the African Union. If in the end Bensouda is chosen, she and the ICC will be stronger if her election is seen to be founded upon her genuine strengths—prosecutorial experience; sound judgment; a commitment to, and skill at, engaging both victims and the wider public in the court’s work—rather than a pay-off to any state or group of states.</p>
<p>The next prosecutor and new judges will inherit a full docket of complex cases, outstanding arrest warrants for leaders from Sudan’s Bashir to Libya’s Qaddafi, and pressure from financially strapped governments to do more with less. Perhaps most challenging, the court must overcome perceptions that Africa has been singled out for scrutiny while abuses by Western leaders get a free pass. Only by adhering to the highest standards of professional conduct may court officials win sufficient legitimacy over time to persuade the major powers presently outside the current ICC system—including China, India, Russia and the US—to join.</p>
<p>In these circumstances, the importance of choosing only the most competent candidates cannot be overstated.  The court’s mission, and the hopes that victims place in it, are too important to be subjected to cynical back room deals.</p>
<p>Between now and December, when the Assembly of States Parties convenes in New York, diplomats will be tested. Governments must put aside their parochial interests for the larger aim of building an institution to serve all humanity.</p>
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<p>Buyer beware is best advice to avoid being suckered in</p>
<p>The Buffalo News (Buffalo, NY) December 19, 2010 | Betty Lin Here are some holiday shopping traps to avoid, from Consumer Reports, with a few extra tips thrown in by me:</p>
<p>* Deep discount come-ons. "Door-buster" sales promise big savings on Black Friday and throughout the holiday season. Beware of items that retailers say are on sale or deeply discounted. They might actually be higher than the normal price at the retailer or other similar stores. <a href="http://hpwarrantycheck.org">see here hp warranty check</a></p>
<p>If you type in the item you're looking for in an online search engine, you will most likely find a number of comparison shopping websites (or check if your smart phone has similar applications) to see the range of prices at stores or online retailers.</p>
<p>* Gift card gotchas. New federal rules for gift cards limit issuers' ability to charge certain fees and impose expiration dates. Inactivity and service fees can be charged only if a card hasn't been used for at least one year. But issuers can still charge fees to buy cards, as they do for bank-issued cards, that have a credit card logo.</p>
<p>Gift cards are not protected if the issuers go bankrupt. So you are taking a chance if you're buying cards to specific retailers. If you buy gift cards, choose retailers you know the recipient will visit to use the card soon.</p>
<p>* Extended warranty pitches. Salespeople push service plans because retailers keep 50 percent or more of what they charge for them, but most are notoriously bad deals, according to Consumer Reports.</p>
<p>Some repairs are covered by the standard warranty that comes automatically with the product. Consumer Reports' data shows that products seldom break within the extended-warranty window of coverage and if they do, the repairs on average cost about the same as the warranty.</p>
<p>Check with your credit card company since many extend manufacturers' warranties on anything purchased with them. Not all credi card issuers participate in the extended warranty programs, so check with your issuer.</p>
<p>Consumer Reports also suggests that even if the warranty has expired, you should still check with the retailer or manufacturer, which might choose or be legally obligated to repair and make good on a product that prematurely fails or otherwise shows signs of a defect.</p>
<p>* Restocking fees. Many items, especially electronics and special orders, are subject to restocking fees that range from 10 percent to 25 percent if they are not returned in a factory-sealed box. Consumer Reports suggests not opening the box unless you're sure you want what is inside. <a href="http://hpwarrantycheck.org/seagate-warranty-check">website hp warranty check</a></p>
<p>If a fee is charged, try to negotiate a partial refund, but never pay a fee if the item is defective.</p>
<p>Here are more tips from the Ohio Attorney General's Office:</p>
<p>* Read the fine print. Make sure you understand all the details before heading to a sale.</p>
<p>* Ask for a rain check. If an advertisement doesn't mention limited quantities, you have the right to buy the advertised goods for the sale price even if the store has run out. Rain checks must be honored within 60 days of being issued.</p>
<p>If the retailer can't fulfill the rain check within this time period, you have the choice to either purchase a similar or comparable in-stock item or agree to a specific time extension.</p>
<p>* When buying online, watch for free offers that will cost you. Some free trial offers are actually part of a billing practice known as a negative option. If you fail to cancel the offer within a specific (usually narrow) time frame, you might be billed automatically. Before providing your payment information, read the website's information very carefully.</p>
<p>Betty Lin</p>
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		<title>U.S. Cannot Close Door on Legacy of Torture So Easily</title>
		<link>http://blog.soros.org/2011/08/u-s-cannot-close-door-on-legacy-of-torture-so-easily/</link>
		<comments>http://blog.soros.org/2011/08/u-s-cannot-close-door-on-legacy-of-torture-so-easily/#comments</comments>
		<pubDate>Mon, 01 Aug 2011 14:03:18 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[United States]]></category>
		<category><![CDATA[Abd al-Rahim al-Nashiri]]></category>
		<category><![CDATA[Barack Obama]]></category>
		<category><![CDATA[Department of Justice]]></category>
		<category><![CDATA[Eric Holder]]></category>
		<category><![CDATA[Guantanamo]]></category>
		<category><![CDATA[international justice]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[Khaled El-Masri]]></category>
		<category><![CDATA[Maher Arar]]></category>
		<category><![CDATA[National Security & Counterterrorism]]></category>
		<category><![CDATA[rendition]]></category>
		<category><![CDATA[torture]]></category>

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		<description><![CDATA[The U.S. has said it will investigate only two out of almost 100 cases of alleged mistreatment of terrorism suspects by the CIA. But international investigations and legal action into the abuses mean the questions will not go away. ]]></description>
			<content:encoded><![CDATA[<p>The United States has sought to shut the door on any further inquiry into the treatment of nearly 100 persons detained by the CIA in the war on terror, with <a href="http://www.justice.gov/opa/pr/2011/June/11-ag-861.html">the decision from Attorney General Eric Holder </a> on June 30 to investigate only two cases that resulted in the deaths in custody of terrorism suspects.</p>
<p>Official Washington breathed a sigh of relief at the impunity bestowed on the rest. “I welcome the news that the broader inquiries are behind us,” Leon E. Panetta, CIA director, said in his last day in office before being sworn in as U.S. defense secretary. “We are now finally about to close this chapter of our agency’s history.”</p>
<p>And yet, it’s a different story overseas, where courts and governments are exposing, and pursuing accountability for, U.S. misdeeds. As a result, the Obama Administration’s shameful effort to bury the facts of past abuse won’t succeed.</p>
<p>Last year, Britain agreed to compensate its citizens who had been detained at Guantanamo, and to undertake an inquiry into the involvement of its own officials in U.S.-sponsored violations. Rights groups are <a href="http://www.guardian.co.uk/uk/2010/jun/29/david-cameron-uk-torture-inquiry">concerned that the terms of the inquiry</a> are not sufficiently transparent. But importantly <a href="http://www.justice.gov/opa/pr/2011/June/11-ag-861.html">Britain’s Prime Minister David Cameron has acknowledged</a> that “the longer these questions remain unanswered, the bigger the stain on our reputation as a country that believes in freedom, fairness and human rights grows."</p>
<p>The U.S. has remained determined, in President Obama’s words, to “look forward,” not “backwards.” Thus, Washington has never acknowledged its role in sending Maher Arar, a Canadian computer engineer, to ten months of torture in Syria in 2002-03. An exhaustive inquiry subsequently found that Arar was innocent of any terrorist activity and had been wrongly and brutally mistreated.</p>
<p>In 2007, the Canadian government<a href="http://www.cbc.ca/news/canada/story/2007/01/26/harper-apology.html"> issued a formal apology for its part in the affair </a>and awarded Arar monetary compensation. "We cannot go back and fix the injustice that occurred to Mr. Arar," Prime Minister Stephen Harper rightly said at the time. “However, we can make changes to lessen the likelihood that something like this will ever happen again."</p>
<p>In stark and embarrassing contrast, the U.S. under both Presidents Bush and Obama has steadfastly refused to admit it made a mistake.</p>
<p>Indeed, last year, Obama’s Justice Department <a href="http://www.aclu.org/blog/national-security/canadian-torture-and-rendition-victim-denied-supreme-court-review">successfully persuaded the U.S. Supreme Court </a>not to hear Arar’s case, leaving in force a federal appellate ruling that effectively grants executive branch officials immunity from torture.</p>
<p>In another notorious error, in 2003, Khaled el-Masri, a German national, was detained incommunicado for 23 days in Macedonia, then turned over to the CIA and beaten, kicked and denied medical care during four months he spent locked in the “Salt Pit,” a secret prison in Afghanistan. Never charged, el-Masri was finally flown back to Europe, and dumped on the side of a road in Albania long after U.S.officials knew they had the wrong man.</p>
<p>Although Secretary of State Condoleeza Rice<a href="http://www.usatoday.com/news/world/2005-12-06-ricemerkel_x.htm"> reportedly admitted to German Chancellor Angela Merkel </a>that el-Masri had been “erroneously taken,” Washington has never publicly acknowledged its role in Masri’s mistreatment. Instead, senior U.S. officials have persistently denied responsibility and obtained dismissal of Masri’s attempts to secure judicial redress in U.S. courts on the grounds that “state secrets” precluded consideration of his claims.</p>
<p>While the U.S. has apparently closed its books on the case, the European Court of Human Rights in Strasbourg<a href="http://www.soros.org/initiatives/justice/litigation/macedonia"> is actively considering a legal petition</a> alleging Macedonian government complicity in Masri’s unlawful torture and rendition.</p>
<p>In a third matter, the European Parliament last month called on U.S. authorities not to seek the death penalty for  Guantanamo prisoner and accused USS Cole bomber Abd al-Rahim al-Nashiri in a military commission trial to be held in the coming weeks. In May, <a href="http://www.soros.org/initiatives/justice/litigation/nashiri">al-Nashiri filed a lawsuit in the Strasbourg court </a>alleging that Poland enabled his torture and secret detention at a CIA “black site” on Polish soil in 2002 and 2003.</p>
<p>Once again,Washington is out of step with the rest of the world in trying to sweep under the rug serious allegations of criminal activity.</p>
<p>But the questions will not go away. While America stonewalls, <a href="http://blog.soros.org/2011/05/unexplained-past-unclear-future-obama-poland-and-the-cia-black-site/">others will investigate</a>, publish the truth, and seek justice. Until the U.S. confronts this unhappy chapter from its past, its global image – already tarnished - will further deteriorate.
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<p>Person's experiences of living with congestive heart failure--a systematic literature review/Personers upplevelse av att leva med kronisk hjartsvikt--systematisk litteraturstudie.</p>
<p>Nursing Science &#038; Research in the Nordic Countries September 22, 2008 | Barremo, Ann-Sofi; Bruce, Elisabeth; Salander, Monica; Sundin, Karin ABSTRACT Background: Heart failure is a clinical syndrome where the heart is no longer able to maintain adequate blood circulation to the tissue. Many suffer from symptoms difficult to handle such as dyspnoea, fatigue, and physical weakness.</p>
<p>Aim: The purpose of the study was to investigate peoples' experiences of living with congestive heart failure.</p>
<p>Method: A systematic literature review was used. Relevant articles were found in the Medline and Cinahl databases. The articles were examined, classified and critically appraised. Twenty articles were included. A qualitative content analysis was used to organize the results.</p>
<p>Results: The results are described in three main categories: losses, protecting independences and readjustment. The category 'losses' details physical, emotional and social changes that people experience as losses caused by the debilitating symptoms of heart failure. The category 'protecting independences' shows the different ways in which people try to keep control over their lives. The category 'readjustment' presents how people try to seek a new 'wholeness' in life after the changes heart failure have caused by using acceptance, adaptation and finding new meanings.</p>
<p>Conclusion: Living with congestive heart failure can be experienced as a synopsis of the <> on a continuum, a time axle; from falling ill to seeking a new meaning in life.</p>
<p>********** Bakgrund Antal personer som insjuknar i hjartsvikt okar i vastvarlden (1,2). Hjartsvikt ar en kronisk sjukdom med sviktande hjartmuskelfunktion som kroppen forsoker kompensera. Dessa kompensationsmekanismer far till slut motsatt effekt vilket leder till svara konsekvenser (3). Hjartsviktens svarighetsgrad delas in i fyra klasser enligt New York Heart Association, NYHA I- IV, fran nedsatt hjartfunktion utan nagra symtom till symtom redan i vila (4). Symtom som personer med kronisk hjartsvikt vanligtvis drabbas av ar uttalad andnod (5), hosta, okade urinmangder (6), odem (3), illamaende, aptitloshet (7), forsamrad somn, trotthet (7-9), depressiva symtom (10-11), samt nedsatt fysisk funktion (12-17).</p>
<p>Att drabbas av kronisk sjukdom kan leda till en kansla av sarbarhet, vilsenhet och ensamhet (18). Kroppen kommer i fokus pa ett annat satt an den gjorde utan sjukdom. Det som tidigare var kant och tryggt med kroppen har blivit alltmer okontrollerbart (19). Vid insjuknande i hjartsvikt finns ofta svarigheter att sjalvstandigt klara av det dagliga livet och att medverka i det sociala livet pa samma satt som forr (20). Hjartsvikten orsakar trotthet som upplevs som brist pa fysisk energi. Det leder ofta till bristande overensstammelse mellan individens kapacitet och intentioner (21). Att leva med svar kronisk hjartsvikt innebar att inte veta vad som vantar imorgon, eftersom symtomen ar komplexa, mangfacetterade och oforutsagbara. Sjukdomsforloppet kan upplevas som en <>, en pendling mellan forsamring och forbattring (22-23).</p>
<p>De flesta studier betraffande personer med hjartsvikt skildras utifran symtom och upplevelser som i huvudsak blivit beskrivna av andra an personen med hjartsvikt (24). Det ar onskvart med en okad kunskap och forstaelse betraffande hur personer med hjartsvikt upplever sin situation. Darfor var syftet med denna litteraturstudie att utforska personers egna upplevelser av att leva med kronisk hjartsvikt.</p>
<p>Metod Litteratursokning En systematisk litteratursokning som utgick fran syftet genomfordes (25). Inklusionskriterier var man och kvinnor over 45 ar med hjartsvikt klassificerad I-IV enligt NYHA kriterierna (4), kvalitativa och kvantitativa artiklar skrivna pa engelska. Exklusionskriterier var oversiktsartiklar, studier betraffande personer med demens och barn, samt artiklar publicerade fore 1995. Litteratursokning gjordes via databaserna Cinahl och Medline/PubMed.</p>
<p>Urval Artiklarna valdes ut om de inneholl en etisk reflektion (26-27), om studiernas giltighet och palitlighet diskuterades, om deras titlar, abstrakt eller nyckelord svarade mot studies syfte. Av de utvalda artiklarna hittades sju relevanta artiklar i Cinahl och sexton artiklar i Medline/Pubmed, varav tre var dubbletter.</p>
<p>Procedur De tjugo utvalda artiklarnas vetenskapliga kvalitet granskades med hjalp av kvalitetsgranskningsprotokoll for kvalitativa studier (n=17), kvalitetsgranskningsprotokoll for kvantitativa studier (n=2), samt en artikel granskades med bada kvalitetsgranskningsprotokollen (28).</p>
<p>Analys En kvalitativ innehallsanalys genomfordes pa de 20 utvalda artiklarnas resultat. Syftet var att organisera, skapa struktur och finna mening i det insamlade materialet (26). Artiklarna lastes forst i sin helhet for att fa en forsta forstaelse. Darefter lastes artiklarnas resultat igen ett flertal ganger for att finna en djupare forstaelse. De meningsenheter som svarade mot syftet plockades ut. Meningsenheter med liknande betydelse fordes ihop och tolkades tillsammans for att abstraheras till underkategorier. Darefter sorterades alla underkategorier med samma betydelser ihop och huvudkategori konstruerades.</p>
<p>Resultat Huvudresultatet indelades i tre kategorier: Forluster; Varna oberoendet; och Nyorientering. Resultatet presenteras med huvudkategorier som overrubriker och underkategorier som underrubriker.</p>
<p>Forluster Upplevelser av fysiska forluster Ett flertal av de svarigheter som personer med kronisk hjartsvikt upplevde orsakades av fysiska forluster som ledde till inskrankningar i det dagliga livet. Symtom sasom andnod, trotthet och nedsatt energi (29-32) var patagliga. Forlust av aktiviteter pga. muskelsvaghet (30, 33-37), svarigheter att ligga ned, ett okat somnbehov samt nedsatt alkoholtolerans (33) paverkade vardagen. Likasa torst, torr mun, nedsatt aptit tillsammans med trottheten medforde ett forsamrat forhallande till mat (38). Forsamringar upplevdes aven i det sexuella intresset och formagan p.g.a. de fysiska symtomen (31, 37) och/eller orsakad av lakemedel (33). Andnoden och den svullna odematosa kroppen kunde upplevas som att drunkna (34, 39) speciellt pa morgonen (31, 34).</p>
<p><> (34, s. 35) Nedsatt energi (35) och stord nattsomn pga. hosta och/eller urindrivande medicinering orsakade okat somnbehov dagtid (40). De fysiska symtomen ledde aven till kognitiva konsekvenser sasom koncentrationssvarigheter och nedsatt intellektuell formaga (33, 40). Detta upplevdes orsaka forlust av den kontroll de tidigare haft (32).</p>
<p>Emotionella uttryck for forluster Att insjukna i kronisk hjartsvikt innebar stora forandringar i livet, som kunde upplevas chockartat (31). I det tidiga skedet av hjartsvikt orsakade de fysiska symtomen ofta upplevelser av angest, nervositet, radsla (33) samt nedstamdhet (34). Dessa kanslor forandrades ofta nar personen levt med hjartsvikt en tid. Personer med hjartsvikt beskrev att de i borjan av sjukdomsprocessen upplevde irritation, bitterhet och tomhetskanslor i samband med funderingar pa varfor de insjuknat samt pa grund av omgivningens reaktioner. De uttryckte att de levde med mycket ilska och att svagheten som tillstandet orsakat irriterade dem. De upplevde personlighetsforandringar som bidrog till radsla infor det dagliga livet och infor doden vilket var nagot helt nytt och skrammande (31). De upplevde leda, frustration, depression, skuld, otalighet men aven avundsjuka pa friska personer (34). De upplevde sig aven otrygga och misstanksamma i relationen till andra och till vardpersonal, nagot som de tidigare inte haft problem med (29). Att inte ha fullstandig kontroll over sjukdomstillstandet innebar oro infor doden, vardagliga bestyr och ekonomin (32, 41).</p>
<p>Kanslomassig kontroll ansags svarare att uppna an anpassning till det dagliga livets krav. Kanslor av att vara arg, mindre lycklig och att standigt kampa mot sin radsla upplevdes (32). Det var lattare att acceptera fysiska smartor an svarigheter att orka med det psykiska, sasom att halla skenet uppe infor sig sjalv och andra (36). En kamp utspelades mellan att forsoka forsta tillstandet och hantera lakemedlen och symtomen orsakade av hjartsvikten (39). Det fanns aven en besvikelse over bristande information (33, 36, 42-43) som orsakade oro infor den ovissa framtiden. Kanslor som hopploshet, sjalvforebraelser och otillfredsstallelse i livet (41), forlust av hopp om framtiden, radsla och oro over att inte kunna ta hand om sig sjalv langre och bli en borda for andra var pataglig (29, 31-32, 35-36, 41).</p>
<p>De hade varken kant sig lugna eller trygga av att vistas pa sjukhus. Anledningen var att de upplevt smartsamma procedurer, forlorad kontroll och nara doden upplevelser, vilket aven bidrog till att de vantade lange med att ater uppsoka vard vid symtomforsamring (34). Ytterligare en anledning var att vardpersonalen hade makten att bestamma over vardvalet. Att vara beroendet av vardpersonalen skapade en kansla av otrygghet och en del patienter upplevde att de kande sig mindre varda och att personalen inte beaktade deras behov. Samtidigt framholls aven att de upplevde det tryggt att bli bekraftad och igenkand under vardtiden (44).</p>
<p>Upplevelser av sociala forluster Eftersom bade den fysiska och mentala kapaciteten ofta var nedsatt upplevde personer med kronisk hjartsvikt att de inte klarade av att uppratthalla tidigare socialt liv (33). Upplevelse av social isolering kunde uppsta pa grund av de begransningar som uppkommit genom minskad social aktivitet, restriktioner gallande vatska, diet, rokning och alkohol i det dagliga livet. Detta kunde upplevas betungande (31, 33-34, 41, 45). Vissa skamdes for att de inte madde bra och att de inte gick att lita pa nar det gallde att delta i olika sociala aktiviteter. Exempelvis saknades gladjen over att ata pa restaurang eftersom det inte upplevdes som tidigare. aven formagan att vara sexuellt aktiv upplevdes forlorad. De upplevde att de inte langre kunde krava av sin partner att stanna kvar hos dem och darigenom tvinga partnern att leva i celibat (33). Kanslan av ensamhet upplevdes storre da inte nagra anhoriga fanns i narheten (36).</p>
<p><>. << ... other people got a life.</p>
<p>You can't depend on them. You know, you take away their life because    you can't do anything>> (31, s. 13) Varna oberoendet Strategier som hjalp for att hantera det dagliga livet En stravan att forsoka hitta satt som underlattade vardagen fanns. Nar andnoden var som varst skapade personer med hjartsvikt kontroll over den genom att vara lugn samt genom olika egenvardsatgarder. De upplevde ett behov av att klara sig sjalva och anpassade sig darfor till det nya tillstandet genom att utveckla nya metoder, rutiner och/eller strategier for att oka sitt oberoende (29, 38-40). De kunde valja bort praktiska goromal sasom stadning for att i ovrigt sjalva klara av det dagliga livet (32) eller att de valde bort fritidsaktiviteter for att istallet klara av att vara yrkesarbetande (43).</p>
<p>De forsokte anpassa sig till sitt nya liv genom att bibehalla sitt lugn, tanka positivt, inte oroa sig och vara tacksamma for att de levde och de uppskattade de ganger de kunde ta sig ut i sociala sammanhang. Erfarenheten av sjukdomen hade gjort dem medvetna om sina begransningar. De upplevde att lakemedlen hjalpte dem trots bieffekter (33). Trots trotthet och orkesloshet tvingade de sig sjalva att genomfora aktiviteter nar de i forvag bestamt sig for det (40). Att fa bibehalla oberoendet och kontrollen gav en kansla av vardighet, sjalvaktning och respekt (30).</p>
<p>Upplevelse av stod som hjalp for att sjalva hantera det dagliga livet Personer med hjartsvikt upplevde ofta ett behov av praktiskt stod fran sin omgivning for att sjalva klara vardagen (32,35,41). Ett behov av psykosocialt stod sasom relationen till familj och vanner upplevdes aven betydelsefullt for att bibehalla hoppet, framtidstron (41,45), lugnet och en battre hantering av somnsituationen (40). Att de hade nagon att vanda sig till gjorde att de kande sig tryggare (36). aven narheten till ett husdjur kunde vara av betydelse (32).</p>
<p><> (32, s. 446) Det fanns aven ett upplevt behov av stod fran sjukvarden for att sjalva klara av livet med hjartsvikt. Det var stod fran de vardgivare som personerna kande fortroende for och kunde samtala med (29, 32, 41) och som bidrog med trost (39). De uppskattade aven stod fran vardpersonal for att kunna klara av sjukdomen i hemmet (30).</p>
<p>De har aven beskrivit att andlighet kunde ge dem hopp och stod i hanteringen av sjukdomen (32, 39, 45). Hjartsvikten upplevdes inte fa satta stopp for livet, de ansag att de ville fortsatta leva med hjalp av Gud och rad fran vardpersonalen (43).</p>
<p>Upplevelse av information som hjalp att hantera det dagliga livet Att erhalla information om hjartsvikten (47) kunde inge hopp om framtiden. Att fa vetskap om orsaken till att de drabbats, konsekvenser av hjartsvikten samt hur de bast skulle leva (42), till vem de kunde vanda sig vid forandringar av tillstandet (31, 42, 47) samt information om prognosen upplevdes betydelsefullt. For att forsoka skapa kontroll informerade de sig (45). aldre personer med hjartsvikt upplevde att de litade pa sitt eget omdome, vilket gjorde att de sjalva ansag att de kande nar de behovde skaffa sig mer information om sitt tillstand (29). <a href="http://attuversecouponcodenow.net">go to web site att uverse coupon code</a></p>
<p>Behovet av forbattrad information upplevdes onskvart framforallt hos personer som av en handelse fatt diagnosen hjartsvikt (47). Att fa information om signaler och symtom ansags viktigast. Darefter kom information om medicinering, prognos, riskfaktorer, generell information, diet, aktivitet och slutligen psykologiska faktorer (48). Vissa personer foredrog skriven information och andra muntlig information (34). Nagra upplevde att de fick kunskap genom att sjalva lasa foldrar de fatt, vilket ingav stolthet (41). De onskade att informationen skulle vara objektiv och latt att forsta men framforallt ge svar pa de fragor de sjalva stallt samt att informationen formedlades utan stress (42).</p>
<p>Valet att inte vilja ha information Behov av att erhalla information upplevdes inte av alla samt kunde vara beroende av hur lange de levt med hjartsvikt. Vissa upplevde att de fatt tillrackligt med information redan. De uttryckte en radsla for att informationen skulle skapa angest och att hoppet om framtiden kunde forsvinna om de fick information om prognosen. Personerna medgav ocksa att de var medvetna om att de kommit till det stadiet i livet nar doden narmade sig vilket gjorde att de inte upplevde ett behov av information om prognosen, eftersom det anda inte forandrade nagot. Andra skal till att inte vilja motta information var att de inte skulle vara kapabla att forsta informationen om hjartsvikten och den medicinska behandlingen (42). Orsaken kunde aven vara ointresse, fornekelse av hjartsvikten eller att de overlamnade allt till vardpersonalen (47).</p>
<p>Nyorientering Existentiella funderingar Det faktum att livet snart var over hanterades pa olika satt. Bearbetningen genomfordes av vissa pa ett filosofiskt plan, medan andra organiserade sina affarer och satte upp mal for det som de ville hinna utratta innan livet var slut (30). Hur det hanterades var mer relaterat till aldern an till hjartsvikten (42). Upplevelsen av att ha haft ett bra liv kunde i vissa fall beframja en kansla av lugn och kanslan av att vara mer redo att do (44).</p>
<p>Efter att ha levt med hjartsvikt en langre tid uttryckte vissa personer att de blivit oppnare i sin andlighet och att de utforskade den mer an tidigare (32). Om en religios tro fanns i grunden kunde en kansla av frid (45) och lugn infinna sig och de upplevde da minskad radsla for doden (33). Hjartsvikten upplevdes ibland bidra till att den andliga tron forstarktes, att det var Gud som bestamde och att de darmed lade sitt liv i Guds hander (32). Vissa upplevde ocksa att hjartsvikten varnade om tillstandet och dess konsekvenser och sag darfor hjartsvikten som en gava. Hos andra fanns tvivel pa Gud och kanslor av att de inte forstod meningen med varfor de insjuknat (39).</p>
<p>Acceptans och anpassning Trots den sorg och de forluster som hjartsvikten orsakat kunde personer med kronisk hjartsvikt uppleva att de maste inse allvaret i sjukdomen och acceptera att livet hangde pa en skor trad (38, 41) for att kunna ga vidare med sina liv (32, 39-40). Vissa forsokte leva som om inget hant, men nar de stalldes infor viktiga val och beslut hade de hjartsvikten i sina tankar (31). Fysiska symtom som trotthet, orkesloshet och andningssvarigheter kunde ses som en naturlig del, de hade blivit mer medvetna om sina resurser som gladje och humor och forsokte ta tillvara pa dagen (44). Nar de hade insett att de maste leva med sin sjukdom och att de inte kunde paverka forloppet forsokte de strava efter sa bra livskvalitet som mojligt (43). Formagan att anpassa sig till en ny livsstil genom att utnyttja de resurser som de hade kvar och vila nar det behovdes, gjorde det mer mojligt att acceptera de begransningar som hjartsvikten orsakade (29, 31-33, 35).</p>
<p>Att erfara ny gladje i livet Personer med hjartsvikt som kommit till insikt om sitt tillstand och forlikat sig med detta kunde uppleva en ny gladje i livet. De forsokte njuta av livet och gora saker som de visste att de i framtiden kommer att vara oformogna att klara av. Trots svara orosmoment fanns ett hopp om framtiden (31). Formagan att fortfarande kunna vara en aning fysiskt aktiv kunde skapa en kansla av gladje hos dessa personer (33). De ansag att sma negativa saker inte fick stora, varje dag sags istallet som en valsignelse. Genom att hjalpa andra, ha sin Gudstro, utova sin hobby och/eller fritidsaktiviteter fann de trots sjukdomen en mening och tillfredstallelse i sina liv (39, 45).</p>
<p>Resultatdiskussion Att insjukna i hjartsvikt medfor forluster som paverkar det dagliga livet. Denna litteraturstudie visar att i sjukdomsprocessens borjan fokuserar ofta personen med hjartsvikt pa de fysiska forlusterna som hjartsvikten medfor och darmed finns en risk att hanteringen av det emotionella och sociala lidandet hindras. Detta overensstammer med Erikssons teori om lidande (49). Den oro som hjartsvikten ofta orsakar kan vara tung att ensam hantera. Studier har visat att for att orka ga vidare behover en sjuk och lidande person bekraftelse av en annan person (50-51). Denna bekraftelse kan formedla trost (52-55) och ge personen okad kraft och mojlighet att genomlida och bearbeta sin forandrade livssituation, vilket enligt Younger (56) kan leda till utveckling. Om forstaelse, bekraftelse och trost daremot uteblir sa kan det leda till ett onodigt ytterligare lidande som kan hindra bearbetningen av det existentiella lidandet (51, 57). Ekman et al. (29) visade i sin studie av personer med hjartsvikt att upplevelsen av trygghet i situationen bland annat paverkas av relationen till vardpersonalen. <a href="http://attuversecouponcodenow.net/at&#038;t-u-verse-coupon-code">go to website att uverse coupon code</a></p>
<p>Denna litteraturstudie visar att nar personer levt med hjartsvikt en tid och borjat inse konsekvenserna av sjukdomen kan en pendling mellan hopp och hopploshet infinna sig. Personerna kan da, i overensstammelse med lidandeteorier (50), forsoka att integrera den nya verkligheten pa ett sa funktionellt satt som mojligt samt forsoka varna oberoendet och ha en onskan om att vara delaktiga (51, 58). De kan da anvanda olika strategier och metoder for att forsoka behalla kontrollen och sjalva klara av att hantera vardagen sa att de inte utgor en belastning for andra. I linje med kristeorin (59) forsoker de finna en nyorientering i tillvaron. Denna litteraturstudie visar att de flesta studier som fokuserar pa upplevelsen hos personer med hjartsvikt har innehall som behandlat behovet av att varna oberoendet. Detta kan tolkas som att personer med hjartsvikt har en drivkraft som styrs av ett inneboende hopp om en nyordnad framtid. Detta gor det enligt Morse och Penrod (60) mojligt att kampa vidare och att inte ge upp. Det kan aven, i overensstammelse med Strandberg, astrom och Norbergs (61) studie, tolkas som att stavan efter att klara sig sjalv aven styrs av den egna oron och radslan over det kroniska tillstand de befinner sig i och att de inte vill vara beroende. Att fa vara i hoppet och strava efter ett meningsfullt liv ar patagligt i litteraturstudien. Detta har aven Benzein, Norberg och Saveman (62) funnit i sin studie nar de studerade hoppets betydelse for personer med cancer.</p>
<p>Den nyorientering som personer med hjartsvikt kan uppleva kan utifran Frankls teori om stravan efter meningsfullt liv (63) forstas som att personerna med hjartsvikt uppnatt forsoning i sitt tillstand. Resultatet i denna litteraturstudie visar hur personerna genom att anpassa sig till det nya tillstandet och sin nya identitet lyckats ga vidare med sina liv. Det kan forstas som att nya mojligheter och intressen fatt ersatta det som gatt forlorat och den sjalvbild som rubbats har ateruppbyggts (56, 60, 64). Nar personen med hjartsvikt genomlidit forandringar och funnit satt att hantera den nya tillvaron, sa kan enligt Morse och Pendron (60) en forlikning ha skett med den nya tillvaron aven kanslomassigt. Insikten om att inte kunna ta livet for givet kan ha gjort att de upptackt de sma tingens varde. For att sta ut med forandringar i den forandrade livssituationen sa gors forsok att se gladjen i det lilla (45) Slutsats Litteraturstudiens resultat visar pa att personer med hjartsvikt upplever ett behov av att motas med forstaelse for sitt forsamrade halsotillstand och sin nya livssituation som ar fylld av forluster. De behover stod med praktiska angelagenheter och med bearbetning mot nyorientering i livet. Samtidigt har de ett stort behov av att uppleva sjalvstandighet. Det ar av betydelse att vardpersonalen inser och beaktar dessa till synes motsatta behov.</p>
<p>Metoddiskussion Litteraturstudien utgick fran en fokuserad problemformulering samt syfte. Fragor formulerades utifran detta och anvandes som utgangspunkt for en planlagd systematisk sokning av vetenskapliga artiklar i databaser for att pa basta satt besvara fragorna. Anpassade kvalitetsgranskningsmallar (28) anvandes, av forfattarna oberoende av varandra for att minska subjektiviteten, nar de funna vetenskapliga artiklarna varderades systematiskt och kritiskt betraffande kvalitet, palitlighet och giltighet (25). Resultaten av granskningarna jamfordes och sammanfordes darefter. De i litteraturstudien anvanda artiklarna hade god kvalitet vilket innebar att studierna hade genomforts utifran redig problemformulering, det hade anvants en relevant och giltig metod och det fanns en tydlig metodbeskrivning och resultatredovisning. Vidare anvandes i var litteraturstudie formulerade fragor for att oka giltigheten, nar svaren plockades ut fran artiklarnas resultat. Svaren pa fragorna fran alla artiklar sammanfordes darefter till en text. aven upplevelser redovisade i artiklar genomforda med kvantitativ metod ingick i analysen (65). Darefter bearbetades texten med en kvalitativ innehallsanalys for att na en djupare forstaelse av upplevelser av att leva med kronisk hjartsvikt.</p>
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<p>(19.) Thygesen E. Pasientopplevelser og kronisk sykdom--en fenomenologisk studie av leddgiktpasienters livssituasjon. Vard i Norden 2001; 21: 25-29.</p>
<p>(20.) Clarke SP, Frasure-Smith N, Lesperance F, Bourassa MG. Psychosocial factors as predictors of functional status at 1 year in patients with left ventricular dysfunction. Research in Nursing &#038; Health 2000; 23: 290-300.</p>
<p>(22.) Brannstrom M, Ekman I, Norberg A, Boman K, Strandberg G. Living with severe chronic heart failure in palliative advanced home care. European Journal of Cardiovascular Nursing 2006; 5: 295-302 (24.) Ekman I. Being old and living with severe chronic heart failure. Patients' experiences and evalution of caring intervention. Umea University Medical Dissertations. New Series No 637- ISSN 0346-6612, Department of Nursing, Umea University, Umea, Sweden 1999.</p>
<p>(25.) Flemming K. Asking answerable questions. Evidence Based Nursing 1998; 1: 36-37 (26.) Polit DF, Beck CT. Nursing research. Principles and methods. Lippincott Williams &#038; Wilkins, Philadelphia 2004.</p>
<p>(27.) Sygeplejerskers Samarbejde i Norden. Ethical guidelines for nursing research in the Nordic countries. Oslo 1983.</p>
<p>(28.) Willman A, Stoltz P, Bahtsevani C. Evidensbaserad omvardnad--En bro mellan forskning och klinisk verksamhet. Studentlitteratur, Lund 2006.</p>
<p>(29.) Ekman I, Ehnfors M, Norberg A. The meaning of living with severe chronic heart failure as narrated by elderly people. Scandinavian Journal of Caring Sciences 2000; 14: 130-136.</p>
<p>(30.) Mooney J, Boxer E. Keeping heart failure patients at home. Australian Journal of Advanced nursing 2003; 21: 8-13.</p>
<p>(31.) Costello JA, Boblin S. What is the experience of men and women with congestive heart failure? Canadian Journal of Cardiovaskular Nursing 2004; 14: 9-20.</p>
<p>(32.) Rhodes DL, Bowles CL. Heart failure and its impact on older women's lives. Journal of Advansed Nursing 2002; 39: 441-449.</p>
<p>(33.) Europe E, Tyni-Lenne R. Qualitative analysis of the male experience of heart failure. Heart &#038; Lung 2004, 33, 227-234.</p>
<p>(34.) Zambroski CH. Qualitative analysis of living with heart failure. Heart &#038; Lung 2003; 32: 32-40.</p>
<p>(35.) Martensson J, Karlsson JE, Fridlund B. Male patients with congestive heart failure and their conception of the life situation. Journal of Advanced Nursing 1997; 25: 579-586.</p>
<p>(36.) Martensson J, Karlsson JE, Fridlund B. Female patients with congestive heart failure: how they conceive their life situation. Journal of Advanced Nursing 1998; 28: 1216-1224.</p>
<p>(37.) Jaarsma T, Dracup K, Walden J, Stevenson LW. Sexual function in patients with advanced heart failure. Heart &#038; Lung 1996; 25: 262-270.</p>
<p>(38.) Jacobsson A, Pihl E, Martensson J, Fridlund B. Emotions, the meaning of food and heart failure: a grounded theory study. Journal of Advanced Nursing, 2004; 46: 514-522.</p>
<p>(39.) Mahoney JS. An ethnographic approach to understanding the illness experiences of patients with congestive heart failure and their family members. Heart &#038; Lung 2001; 30: 429-436.</p>
<p>(40.) Brostrom A, Stromberg A, Dahlstrom U, Fridlund B. Patients with congestive heart failure and their conceptions of their sleep situation. Journal of Advanced Nursing 2001; 34: 520-529.</p>
<p>(41.) Lough MA. Ongoing work of older adults at home after hospitalization. Journal of Advanced Nursing 1996; 23: 804-809.</p>
<p>(42.) agard A, Hermeren G, Herlitz J. When is a patient with heart failure adequately informed? A study of patients' knowledge of and attitudes toward medical information. Heart &#038; Lung 2004; 33: 219-226.</p>
<p>(43.) Stull DE, Starling R, Haas G, Young JB. Becoming a patient with heart failure. Heart &#038; Lung 1999; 28: 284-292.</p>
<p>(44.) Ekman I, Lundman B, Norberg A. The meaning of hospital care, as narrated by elderly patients with chronic heart failure. Heart &#038; Lung 1999; 28: 203-209.</p>
<p>(45.) Westlake C, Dracup K. Role of spirituality in adjustment of patients with advanced heart failure. Progress in Cardiovascular Nursing 2001; 16: 119-125.</p>
<p>(46.) Artinian NT, Harden JK, Kronenberg MW, Vander Wal JS, Daher E, Stephens Q, Bazzi RI. Pilot study of a Web-based compliance monitoring device for patients with congestive heart failure. Heart &#038; Lung 2003; 32: 226-233.</p>
<p>(47.) Buetow SA, Coster GD. Do general practice patients with heart failure understand its nature and seriousness, and want improved information? Patient Education and Counseling 2001; 45: 181-185.</p>
<p>(48.) Clark JC, Lan VM. Heart failure patient learning needs after hospital discharge. Applied Nursing Research 2004; 17: 150-157.</p>
<p>(49.) Eriksson K. Den lidande manniskan. Liber Utbildning, Arlov 1994.</p>
<p>(50.) Eriksson K. Understanding the world of the patient, the suffering human being: the new clinical paradigm from nursing to caring. Advanced Practice Nursing Quarterly 1997; 3: 8-13.</p>
<p>(51.) Sundin K, Axelsson K, Jansson L, Norberg A. Suffering from care as expressed in the narratives of former patients in somatic wards. Scandinavian Journal of Caring Sciences 2000; 14: 16-22.</p>
<p>(52.) Norberg A, Bergsten M, Lundman B. A model of consolation. Nursing Ethics 2001; 8: 544-553.</p>
<p>(53.) Sundin K, Norberg A, Jansson L. The meaning of skilled care providers' relationship with stroke and aphasia patients. Qualitative Health Research 2001; 3: 308-321.</p>
<p>(54.) Sundin K, Jansson L, Norberg A. Understanding between care providers and patients with stroke and aphasia: a phenomenological hermeneutic inquiry. Nursing Inquiry 2002; 9: 93-103.</p>
<p>(55.) Roxberg a. Vardande och inte vardande trost. Doktorsavhandling. abo: abo Akademis forlag ISBN 951-765-233-X 2005.</p>
<p>(56.) Younger JB. The alienation of the sufferer. Advanced in Nursing Sciences 1995; 17: 53-72 (57.) Sundin K. Sense of 'understanding and being understood' in the care of patients with communication difficulties, Umea University Medical Dissertations. New Series No 699-ISBN 91-7191-933-3, Department of Nursing, Umea University, Umea, Sweden 2001.</p>
<p>(58.) Eldh AC, Ekman I, Ehnfors M. Conditions for patient participation and non-participation in health care. Nursing Ethics 2006; 13: 503-514.</p>
<p>(59.) Cullberg J. Kriser och utveckling. WS Bookwell, Finland 2001.</p>
<p>(60.) Morse JM, Penrod J. Linking concepts of enduring, uncertainty, suffering, and hope. Image: Journal of Nursing Scholarship 1999; 31: 145-150.</p>
<p>(61.) Strandberg G, astrom G, Norberg A. Struggling to be/shown oneself valuable and worthy to get care. One aspect of the meaning of being dependent on care--a study of one patient, his wife and two of his professional nurses. Scandinavian Journal of Caring Sciences 2002; 16: 43-51.</p>
<p>(62.) Benzein E, Norberg A, Saveman BI. The meaning of the lived experience of hope in patients with cancer in palliative home care. Palliative Medicine 2001; 15: 117-126.</p>
<p>(63.) Frankl VE. Man's search for meaning: an introduction to logotherapy. Pocket Books, London 1984.</p>
<p>(64.) Jaarsma T, Halfen R, Tan F, Huijer Abu-Saad H, Dracup K, Diederiks J. Self-care and quality of life in patients with advanced heart failure: The effect of a supportive educational intervention. Heart &#038; Lung 2000; 29: 319-330.</p>
<p>(65.) Sandelowski M. Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing and Health 2000; 23, 246-255.</p>
<p>[2] Ann-Sofi Barremo, leg. Sjukskoterska, Magister i omvardnad (RN, MSc), [2] Elisabeth Bruce, leg. Sjukskoterska, Magister i omvardnad (RN, MSc), [1] Monica Salander, leg, Sjukskoterska, Universitetsadjunkt (RN, Junior lecturer), [1] Karin Sundin, leg, Sjukskoterska, Medicine doktor, Universitetslektor (RNT, MSc, PhD, Assistant Professor) [1] Umea Universitet, Institutionen for Omvardnad, Campus Ornskoldsvik (Umea University, Department of Nursing, Campus Ornskoldsvik) [2] Vasternorrlands lans landsting, Ornskoldsvik (Vasternorrland County Council) Adress for korrespondens:</p>
<p>Karin Sundin, Umea Universitet, campus Ornskoldsvik, Box 843, SE-891 18 Ornskoldsvik karin.sundin@nurs.umu.se Barremo, Ann-Sofi; Bruce, Elisabeth; Salander, Monica; Sundin, Karin</p>
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		<title>Mad Dog in The Hague?</title>
		<link>http://blog.soros.org/2011/05/mad-dog-in-the-hague/</link>
		<comments>http://blog.soros.org/2011/05/mad-dog-in-the-hague/#comments</comments>
		<pubDate>Wed, 18 May 2011 18:48:35 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Africa]]></category>
		<category><![CDATA[Middle East]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[al-Bashir]]></category>
		<category><![CDATA[Bosnia]]></category>
		<category><![CDATA[Charles Taylor]]></category>
		<category><![CDATA[Darfur]]></category>
		<category><![CDATA[ICC]]></category>
		<category><![CDATA[ICTY]]></category>
		<category><![CDATA[International Criminal Court]]></category>
		<category><![CDATA[international criminal tribunal for the former Yugoslavia]]></category>
		<category><![CDATA[international justice]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[Libya]]></category>
		<category><![CDATA[Lord's Resistance Army]]></category>
		<category><![CDATA[Milosevic]]></category>
		<category><![CDATA[Moammar Qaddafi]]></category>
		<category><![CDATA[Sudan]]></category>
		<category><![CDATA[Uganda]]></category>
		<category><![CDATA[Yugoslavia]]></category>

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		<description><![CDATA[It might seem quixotic for the International Criminal Court to indict Libya's unrepentant leader, Muammar al-Qaddafi. But the call for justice can have a pragmatic effect too. ]]></description>
			<content:encoded><![CDATA[<p><em>The following originally appeared in </em><a href="http://www.foreignpolicy.com/articles/2011/05/16/mad_dog_in_the_hague">Foreign Policy</a><em>.</em></p>
<p>As the conflict in Libya drags on, with a swift military solution looking increasingly less likely, the International Criminal Court (ICC) has now launched<strong> </strong>its bid to <a href="http://blog.soros.org/2011/02/un-takes-historic-action-against-qaddafi/">hold Muammar al-Qaddafi accountable</a> for his crimes.</p>
<p>The ICC's prosecutor, Luis Moreno-Ocampo, announced on May 16 that he will <a href="http://www.icc-cpi.int/menus/icc/structure%20of%20the%20court/office%20of%20the%20prosecutor/reports%20and%20statements/statement/statement%20icc%20prosecutor%20press%20conference%20on%20libya%2016%20may%202011?lan=en-GB" target="_blank">seek the arrest</a> of Qaddafi—along with his son Saif al-Islam and intelligence chief Abdullah al-Senussi—for "widespread and systematic attacks" against civilians. It remains to be seen whether ICC judges will issue warrants for the three's arrest, but the question is already being asked: Will the threat of ICC prosecution only discourage the Libyan leader from negotiating his eventual departure?</p>
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<p><!-- END SHARE BOX -->Blind fidelity to law, some say, removes a potentially valuable carrot—amnesty—from the negotiator's tool kit. And Libyan leaders are offering a cease-fire. So why risk prolonging a reign of terror in Libya simply for the sake of a moral ideal?</p>
<p>It's a fair question, but not an unfamiliar one; we make similar tactical choices every day in our own cities and towns. Take the example of kidnappers: The prospect of arrest may discourage some from giving up, extend the period of captivity for their victims, and heighten the risk of violence. But police don't let these criminals walk free. Rather, they manage the short-term risks in order to preserve the long-term deterrent impact on others of swift and sure punishment.</p>
<p>Is the international arena different? In fact, the accumulating experience of the past two decades shows that, though in the short run the prospect of justice may lead some teetering autocrats to cling to power—Zimbabwe's Robert Mugabe is an oft-cited example—the prosecution of sitting senior leaders for war crimes often speeds an end to conflict.</p>
<p>In 1995, ethnic cleansing had been raging for three years in Bosnia, resulting in tens of thousands of deaths, widespread rape, and massive displacement of civilians. When the U.N.-backed International Criminal Tribunal for the former Yugoslavia (ICTY) indicted two of the main perpetrators—Bosnian Serb leader Radovan Karadzic and his military chief, Gen. Ratko Mladic—on the eve of the Dayton peace talks, some cried foul. But the threat of prosecution did not prevent negotiators from reaching an agreement to end the war. Indeed, by keeping the indictees from attending Dayton, the charges may have helped U.S. officials find common ground among Bosniaks, Croats, and Serbs.</p>
<p>After Dayton, Yugoslav President Slobodan Milosevic remained in power and continued his use of violence to achieve political ends. In 1998, as conflict in Kosovo intensified and reports of atrocities by Yugoslav military and Serbian paramilitary forces against ethnic Albanian civilians proliferated, NATO launched a series of air raids against Yugoslavia to force Milosevic to halt military operations. The ICTY's indictment of Milosevic in May 1999, just as NATO's military campaign in Kosovo was under way, sparked concern that, by rigidifying attitudes on all sides, it would block a deal. But two weeks later, the war ended when Milosevic accepted the terms of a U.S.-brokered peace plan, despite the ICTY indictment. He lost power after elections in late 2000 and was handed over to U.N. custody in June 2001.</p>
<p>In Africa, as well, concern has arisen about the impact of a judicial process on potential or ongoing peace negotiations. Ghanaian officials were outraged when, in June 2003, the Special Court for Sierra Leone made public an indictment against Liberian President Charles Taylor at the very moment when he was attending talks in Accra aimed at ending Liberia's civil war. Although Ghana refused to arrest Taylor, the indictment made it politically impossible for him to continue as president. Two months later, he fled to Nigeria under a purported grant of asylum by that country's president, in exchange for his promise not to meddle further in Liberia's politics. In 2006, as a growing chorus of voices in West Africa and beyond pressed for his apprehension, Taylor was forced to flee his Nigerian hideout. He was subsequently turned over for trial in The Hague. Liberia is today a country at peace.</p>
<p>In October 2005, the ICC unsealed its first warrants of arrest, for senior leaders of Uganda's Lord's Resistance Army (LRA), which had long been accused of brutal conduct during its 20-year struggle with Uganda's government. Many Ugandans—particularly those in the rural northwest—<strong> </strong>were desperate to halt the fighting, but worried that the court's action would create insurmountable disincentives to peace. But just six weeks later, the LRA made public its desire to hold talks with the Ugandan government. Although those talks were never consummated and LRA leader Joseph Kony remains at large, it's widely acknowledged that the ICC's action helped isolate the LRA and permanently diminish it as a fighting force. Indeed, as the U.S. ambassador to Uganda <a href="http://www.iol.co.za/news/africa/us-offers-icc-praise-for-uganda-rebel-charges-1.303547" target="_blank">made clear</a> in 2006, "The ICC is not a hurdle to the talks. Instead, it is the reason why we have peace talks today."</p>
<p>In mid-2008, U.S. and other officials voiced concern that the ICC prosecutor's request to charge Sudanese President Omar Hassan al-Bashir for crimes in Darfur risked reigniting war in south Sudan. "[M]any diplomats, analysts and aid workers," the <em><a href="http://www.nytimes.com/2008/07/11/world/africa/11sudan.html" target="_blank">New York Times noted</a></em> at the time, "worry that the Sudanese government could lash out at the prosecutor's move ... shutting the door to vital diplomatic efforts to bring lasting peace." Three years later, while defying the court's issuance of arrest warrants against him for genocide and crimes against humanity, Bashir has accepted the south's secession and even publicly<strong> </strong>pledged his full support<strong> </strong>for the new state.</p>
<p>In short, as these examples suggest, justice is often worth pursuing—not simply for its own sake, but because it helps resolve conflicts by increasing international pressure. By delegitimizing leaders who commit crimes against civilian populations, the prospect of legal sanction may reduce their capacity for political obstruction and, as is the case in Libya, encourage subordinates to abandon ship. Such thinking may have led not only the United States, but China and Russia, to support the U.N. Security Council resolution calling for an ICC investigation in Libya, even though none of these three have ratified the court's underlying statute.</p>
<p>At least in the short run, justice may well complicate diplomatic efforts. Thus the timing—if not the imperative—of accountability may have to adjust. But the canard that international justice is quixotic, impractical, and harmful is part of a broader pattern of resistance to the movement for accountability that has emerged since the end of the Cold War. Critics have balked at the price tag (more than 100 million euros annually each for both the ICC and the ICTY), the length of proceedings (Milosevic died in his cell before judgment while the ICC has yet to complete its first trial), and the fact that its site at The Hague is too remote from the crime sites and the victims it serves.</p>
<p>It's true that the ICC is often not the most appropriate vehicle for judging facts and imposing sentences. There is increasing recognition that national courts—closer to victims and witnesses, less costly, and often more widely accepted—are preferable, when they are given the resources, the capacity, and the necessary political backing. But, as long as local courts remain unable or unwilling to put heads of state and others in the dock for grave crimes, international justice—whether through the ICC or U.N.-backed hybrid tribunals—will remain essential components of an emerging global accountability framework.</p>
<p>Perhaps that is why, despite the concerns of so-called "realists," the U.N. Security Council has referred two major crises in succession to the ICC, first Darfur and then (unanimously) Libya. Even the most hardened politicians seem to appreciate that, whatever its shortcomings, the ICC is a valuable means of addressing armed conflict. In the end, the strongest argument for some form of accountability may be to consider what a world without any would look like. It is, in fact, a world from which we have only recently emerged—one where dictators like Idi Amin, Suharto, and Trujillo oversaw mass killings without fear of punishment.</p>
<p>That questions remain about how to enforce the new norm of accountability in practice is a testament to how much has changed so fast. As at the domestic level, so too in the world of diplomacy the benefits of sticking to principle multiply over time. Yes, the prospect of ICC action has not stopped Qaddafi's forces from using cluster bombs or land mines against civilians in Misrata.</p>
<p>And yet, over time, consistent U.S. support for Qaddafi's prosecution will bolster the credibility of the international community's deterrent for the next war criminal who threatens peace. By contrast, yielding now to tempting, if shortsighted, calls for "flexibility" in accommodating Qaddafi will give future "mad dogs" reason to believe they can get away with murder.</p>
<p>That is hardly in Washington's interest.</p>
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		<title>No Justice in the Killing Fields</title>
		<link>http://blog.soros.org/2011/04/no-justice-in-the-killing-fields/</link>
		<comments>http://blog.soros.org/2011/04/no-justice-in-the-killing-fields/#comments</comments>
		<pubDate>Thu, 28 Apr 2011 15:23:27 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Asia]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Ban Ki-moon]]></category>
		<category><![CDATA[Cambodia]]></category>
		<category><![CDATA[duch]]></category>
		<category><![CDATA[ECCC]]></category>
		<category><![CDATA[extraordinary chambers in the courts of cambodia]]></category>
		<category><![CDATA[Hun Sen]]></category>
		<category><![CDATA[International Criminal Court]]></category>
		<category><![CDATA[international justice]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[Kang Kech Eav]]></category>
		<category><![CDATA[Khmer Rouge]]></category>
		<category><![CDATA[Kofi Annan]]></category>
		<category><![CDATA[transitional justice]]></category>
		<category><![CDATA[Tuol Sleng]]></category>
		<category><![CDATA[United Nations]]></category>

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		<description><![CDATA[More than 30 years after the murderous Khmer Rouge were driven from power in Cambodia, the effort to bring justice to the victims stands on the brink of ignominious failure due to political interference from the Cambodian government and the indifference of the international community.]]></description>
			<content:encoded><![CDATA[<p><em>The following originally appeared on the opinion page of the April 27</em> <a href="http://www.nytimes.com/pages/opinion/global/index.html" target="_blank">International Herald Tribune</a>.</p>
<p>More than 30 years after the murderous Khmer Rouge were driven from power in Cambodia, the UN-backed effort to bring justice to the victims of the killing fields stands on the brink of ignominious failure due to <a href="http://blog.soros.org/2011/03/khmer-rouge-court-at-critical-point/">political interference from the Cambodian government</a> and the indifference of the international community.</p>
<p>A hybrid court, the Extraordinary Chambers in the Courts of Cambodia, has spent over $200 million since it was set up in 2003 with both international and local judges and prosecutors. It has tried only one person: <a href="http://www.soros.org/initiatives/justice/focus/international_justice/news/cambodia-duch-20100726">Kang Kech Eav, or Duch</a>, the head of the notorious Tuol Sleng prison complex, who is appealing his conviction for crimes against humanity, murder, and torture.</p>
<p>Now Cambodia’s Prime Minister Hun Sen has taken an axe to further proceedings. In power for over 25 years, Hun Sen has repeatedly and publicly declared that the court should try only one more case (case “002” in court parlance), against four detained senior ex-Khmer Rouge leaders, all of whom are in their late 70s or 80s.</p>
<p>As for five additional unnamed suspects, whom the court’s pretrial chamber approved for investigation, Hun Sen bluntly informed UN Secretary General Ban Ki-moon late last year that they would not be “allowed” to go forward.</p>
<p>The reason offered is the supposed threat any additional trial would pose to peace in Cambodia. Others suspect that the prime minister is simply enforcing a pact he long ago cut within his ruling Cambodian People’s Party that none of its ex-Khmer Rouge members would ever be tried or otherwise exposed for crimes they committed, no matter how serious.</p>
<p>Other actors have their own reasons for acquiescing in this. Donors want to save money and are anxious for the court to wind up operations.</p>
<p>Having invested more than a decade in negotiations to launch the court and keep it alive, the United Nations finds it hard to walk away now. It is institutionally committed to the court, even though in 2002, then-secretary general Kofi Annan recommended against UN involvement in a tribunal which he rightly believed lacked adequate protections against precisely the kind of political interference that is blocking the additional cases.</p>
<p>Annan was compelled by pressure from the United States, Australia, France and Japan to accept the present flawed structure (the International Criminal Court is limited to prosecuting crimes that were committed after it was established in 2002).</p>
<p>Court officials are thus caught in a trap. The fearful Cambodian staff must respond to political pressures. Even international staffers feel constrained to focus their efforts on making the most of case 002, given the unlikelihood of any further trials.</p>
<p>As a result, the right course of action — allowing all cases currently before the judges to proceed through to completion — now seems unattainable. Advocates of impartial justice are faced, as they have been throughout the morally tainted history of this tribunal, with a choice of lesser evils.</p>
<p>One option under discussion would involve deception. According to various sources, court officials might “gracefully” dispose of the additional five suspects, for example, by presumptively finding that none of them are among those “most responsible” for Khmer Rouge crimes, as the governing statute requires. Such a move would implicate the court in a political decision to halt proceedings.</p>
<p>Unfortunately, this is where things seem to be headed. By their own awkward admission, the Cambodian and international judges responsible for investigating the additional cases have restricted their staff to desk review; no field investigation is underway. This month the deputy national co-prosecutor reaffirmed there would be no further prosecutions. The fix, it seems, is in.</p>
<p>A preferable, if still distasteful, alternative, would be to honestly horse-trade abandonment of the additional cases in exchange for a guarantee of total government cooperation, and full donor resources, for case 002.</p>
<p>The United Nations and the Cambodian authorities should openly declare that the hybrid court will cease operations after conclusion of case 002 due to government objections and the lack of continued funding. As part of the squalid bargain, the government should publicly commit itself to lifting its illegal veto of the pending witness summonses and comply swiftly with any other court order or request.</p>
<p>Even with these conditions fulfilled, victims of the Khmer Rouge will be cheated of the more comprehensive accountability further trials would have produced. And every Cambodian will know that all the will the international community could muster was not sufficient to create a truly independent court. It’s time for the UN to end the charade.</p>
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		<title>Denied a Shot at a Good Education</title>
		<link>http://blog.soros.org/2011/03/denied-a-shot-at-a-good-education/</link>
		<comments>http://blog.soros.org/2011/03/denied-a-shot-at-a-good-education/#comments</comments>
		<pubDate>Thu, 10 Mar 2011 16:19:19 +0000</pubDate>
		<dc:creator>James A. Goldston</dc:creator>
				<category><![CDATA[Education & Youth]]></category>
		<category><![CDATA[Europe]]></category>
		<category><![CDATA[Rights & Justice]]></category>
		<category><![CDATA[Committee of Ministers]]></category>
		<category><![CDATA[Czech Republic]]></category>
		<category><![CDATA[dh and others v. Czech Republic]]></category>
		<category><![CDATA[discrimination]]></category>
		<category><![CDATA[education]]></category>
		<category><![CDATA[equality and citizenship]]></category>
		<category><![CDATA[European Court of Human Rights]]></category>
		<category><![CDATA[James A. Goldston]]></category>
		<category><![CDATA[Roma]]></category>
		<category><![CDATA[school segregation]]></category>
		<category><![CDATA[Thomas Hammarberg]]></category>

		<guid isPermaLink="false">http://blog.soros.org/?p=5982</guid>
		<description><![CDATA[Europe's top human-rights watchdog issued an urgent rebuke to the Czech Republic last week: Stop the continued racial segregation of Roma children in schools, which damns them to "a future as second-class citizens."]]></description>
			<content:encoded><![CDATA[<p><em>The following also appeared in the <a href="http://www.europeanvoice.com/article/imported/another-intake-of-second-class-children/70520.aspx">European Voice</a>.</em></p>
<p>The Council of Europe's watchdog says Czech marginalization of Roma children is an outrage—but no action has been taken to deal with the problem.</p>
<p>Europe's top human-rights watchdog, Thomas Hammarberg, <a href="https://wcd.coe.int/wcd/ViewDoc.jsp?id=1754217">issued an urgent rebuke to the Czech Republic</a> last week: Stop the continued racial segregation of Roma children in schools, which damns them to “a future as second-class citizens.”</p>
<p>But unless the Czech government acts with lightning speed over the next few months, thousands of Roma children will end up in what amount to dead-end classes this September—incorrectly placed in "practical schools" for children with mental disabilities.</p>
<p>Three years ago, a <a href="http://www.soros.org/initiatives/justice/litigation/czechrepublic">landmark judgment of the European Court of Human Rights</a> (ECHR) condemned the treatment of Roma children as discriminatory. But Hammarberg, the Council of Europe's human-rights commissioner, found in his report that “little has changed on the ground.”</p>
<p>In some parts of the country, Roma children are still up to 27 times more likely than others to be wrongly sent to "practical schools" with an inferior curriculum that leaves them poorly educated and with few job options.</p>
<p>Czech officials have neither acknowledged the gravity of the problem, nor demonstrated resolve in addressing it. In short, although the ECHR decision mandated an end to ethnic-based school placements, discrimination against Roma in education remains widespread in the Czech Republic.</p>
<p>Other European governments—whose foreign ministers sit on the Council of Europe's top political body overseeing human rights—could help make sure more Roma children do not lose their shot at a good education.</p>
<p>But to date, the Council of Europe's Committee of Ministers has given the Czech Republic a pass.</p>
<p>Inexplicably, the committee has praised the adoption of a National Action Plan for Inclusive Education that sets no targets for desegregation, and that will not start being implemented—by the government's own estimates—until 2014. It has overlooked the fact that the government has not allocated any funding for this plan, despite accessing millions in European Union funds specifically for this purpose. (About 10% of the money has been spent and the remainder is in danger of being diverted to another purpose or handed back to the EU.)</p>
<p>Meanwhile, the Czech  Republic's center-right government, which came to power in May 2010, has dismantled those parts of the education ministry genuinely trying to pursue an inclusive education agenda. It downsized the section dealing with special education and pushed out staff committed to equal opportunity. Others left of their own accord, citing a lack of political will to reform.</p>
<p>Last December, the Committee of Ministers promised to “resume consideration” of this case at its next meeting. But that will not happen. Roma education in the Czech   Republic was not placed on the agenda of the committee's meetings for March 8–10.</p>
<p>This is a missed opportunity, especially in the wake of Hammarberg's report.</p>
<p>“With thousands of Roma children effectively excluded from the mainstream education system in the Czech Republic...it is now time to speed up the implementation of the inclusive education agenda,” the report says.</p>
<p>Hammarberg urged the Czech government to mark “a clear change of direction already with the next intake of children in the 2011-2012 school year.”</p>
<p>But admissions for the next school year have already started—and the system of school assignment remains unchanged.</p>
<p>Removing barriers to educational equality is essential if Roma are to become full and equal citizens of Europe. The Committee of Ministers—whose responsibility it is to oversee the implementation of ECHR judgments—must spur the Czech government to action. It should be warning right now that concrete steps are needed by its next meeting in June. No more Roma children should be sent to "practical" schools until the placement and testing systems are overhauled. The plan for inclusive education must specify a timetable for desegregation. And adequate funding must be allocated.</p>
<p>How many more generations of Roma children must be condemned to second-class education before the committee can be persuaded to act?</p>
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