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https://www.readbyqxmd.com/read/28135864/-naloxone-works-the-politics-of-knowledge-in-evidence-based-drug-policy
#1
Kari Lancaster, Carla Treloar, Alison Ritter
For over 20 years, drug policy experts have been calling for the wider availability of naloxone, to enable lay overdose witnesses to respond to opioid overdose events. However, the 'evidence base' for peer-administered naloxone has become a key point of contention. This contention opens up critical questions about how knowledge ('evidence') is constituted and validated in drug policy processes, which voices may be heard, and how knowledge producers secure privileged positions of influence. Taking the debate surrounding peer-administered naloxone as a case study, and drawing on qualitative interviews with individuals (n = 19) involved in the development of naloxone policy in Australia, we examine how particular kinds of knowledge are rendered 'useful' in drug policy debates...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28127993/three-persons-three-genetic-contributors-three-parents-mitochondrial-donation-genetic-parenting-and-the-immutable-grammar-of-the-three-x-x
#2
Rebecca Dimond, Neil Stephens
In 2015, two novel in vitro fertilisation techniques intended to prevent the inheritance of mitochondrial disease were legalised in the United Kingdom, following an intense period of inquiry including scientific reviews, public consultations, government guidance and debates within the Houses of Parliament. The techniques were controversial because (1) they introduced a third genetic contributor into the reproductive process and (2) they are germline, meaning this genetic change could then be passed down to subsequent generations...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28111990/healthy-habits-are-no-fun-how-dutch-youth-negotiate-discourses-about-food-fit-fat-and-fun
#3
Noortje van Amsterdam, Annelies Knoppers
In this article, we use the notion of "biopedagogical practices" to explore how Dutch youth respond to health messages that focus on body weight. Previous studies suggest that such health messages encourage body dissatisfaction in youth. Few studies, however, focus on the local/cultural specificity of youth's responses to these biopedagogical practices. In this article, we address questions about the re-interpretation of and resistance to health messages that Dutch youth engage in and how these can be understood in their local context...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28111989/objecting-multiplicity-and-the-practice-of-physiotherapy
#4
Jenny Setchell, David A Nicholls, Barbara E Gibson
Drawing from Annemarie Mol's conceptulisation of multiplicity, we explore how health care practices enact their object(s), using physiotherapy as our example. Our concern is particularly to mobilise ways of practicing or doing physiotherapy that are largely under-theorised, unexamined or marginalised. This approach explores those actions that reside in the interstitial spaces around, beneath and beyond the limits of established practices. Using Mol's understanding of multiplicity as a theoretical and methodological driver, we argue that physiotherapy in practice often subverts the ubiquitous reductive discourses of biomedicine...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28111988/the-lived-experience-of-huntington-s-disease-a-phenomenological-perspective-on-genes-the-body-and-the-lived-experience-of-a-genetic-disease
#5
Niclas Hagen
The purpose of this article is to explore the intersections between genes, the body and the lived experience of a genetic disease. This article is based on empirical material from a study on how individuals affected by Huntington's disease experience their everyday life. This study identified two themes that represent and capture the experience of the affected individuals. The themes are (1) noticing symptoms in everyday life and (2) neither health nor disease. The analysis of the empirical material was performed by employing a theoretical framework based on phenomenology...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28111987/communities-of-clinical-practice-in-action-doing-whatever-it-takes
#6
Jessica Young, Chrystal Jaye, Tony Egan, Martyn Williamson, Anna Askerud, Peter Radue, Maree Penese
Burgeoning numbers of patients with long-term conditions requiring complex care have placed pressures on healthcare systems around the world. In New Zealand, complex patients are increasingly being managed within the community. The Community of Clinical Practice concept identifies the network of carers around an individual patient whose central participants share a common purpose of increasing that patient's well-being. We conducted a focused ethnography of nine communities of clinical practice in one general practice setting using participant observation and interviews, and examined the patients' medical records...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/26655326/when-choice-becomes-limited-women-s-experiences-of-delay-in-labour
#7
Natalie Armstrong, Sara Kenyon
Choice and patient involvement in decision-making are strong aspirations of contemporary healthcare. One of the most striking areas in which this is played out is maternity care where recent policy has focused on choice and supporting normal birth. However, birth is sometimes not straightforward and unanticipated complications can rapidly reduce choice. We draw on the accounts of women who experienced delay during labour with their first child. This occurs when progress is slow, and syntocinon is administered to strengthen and regulate contractions...
March 2017: Health (London)
https://www.readbyqxmd.com/read/26487687/the-consent-process-enabling-or-disabling-patients-active-participation
#8
Carole Doherty, Charitini Stavropoulou, Mark Nk Saunders, Tracey Brown
Standards expected by doctors' regulatory bodies in respect of the process of consent to treatment have arguably sought to restructure the nature of the doctor-patient relationship from one of the paternalism to that of shared decision-making. Yet, few studies have explored empirically, from patients' perspectives, the extent to which the process of consent to treatment enables or disables patients' participation in medical decision-making. Our article examines patients' attitudes towards the consent process, exploring how and why these attitudes influence patients' active participation in decision-making and considering possible consequent medico-legal issues...
March 2017: Health (London)
https://www.readbyqxmd.com/read/26216897/online-self-expression-and-experimentation-as-reflectivism-using-text-analytics-to-examine-the-participatory-forum-hello-sunday-morning
#9
Nicholas Carah, Carla Meurk, Daniel Angus
Hello Sunday Morning is an online health promotion organisation that began in 2009. Hello Sunday Morning asks participants to stop consuming alcohol for a period of time, set a goal and document their progress on a personal blog. Hello Sunday Morning is a unique health intervention for three interrelated reasons: (1) it was generated outside a clinical setting, (2) it uses new media technologies to create structured forms of participation in an iterative and open-ended way and (3) participants generate a written record of their progress along with demographic, behavioural and engagement data...
March 2017: Health (London)
https://www.readbyqxmd.com/read/26216896/personal-health-technologies-micropolitics-and-resistance-a-new-materialist-analysis
#10
Nick J Fox
Personal health technologies are near-body devices or applications designed for use by a single individual, principally outside healthcare facilities. They enable users to monitor physiological processes or body activity, are frequently communication-enabled and sometimes also intervene therapeutically. This article explores a range of personal health technologies, from blood pressure or blood glucose monitors purchased in pharmacies and fitness monitors such as Fitbit and Nike+ Fuelband to drug pumps and implantable medical devices...
March 2017: Health (London)
https://www.readbyqxmd.com/read/26216895/strong-female-and-black-stereotypes-of-african-caribbean-women-s-body-shape-and-their-effects-on-clinical-encounters
#11
Nicole Andrews, Sheila Greenfield, Will Drever, Sabi Redwood
The aim of this article is to explore how tendencies to stereotype minority ethnic groups intersect with lay discourses about them in ways that can reproduce cultural prejudices and reinforce inequalities in access to services and health outcomes. Drawing upon Black feminist and cultural studies literature, we present a theoretical examination, the stereotypes of the Black woman as 'mammy' and 'matriarch'. We suggest that the influence of these two images is central to understanding the normalisation of the larger Black female body within African Caribbean communities...
March 2017: Health (London)
https://www.readbyqxmd.com/read/26208697/resignifying-the-sickle-cell-gene-narratives-of-genetic-risk-impairment-and-repair
#12
Maria Berghs, Simon M Dyson, Karl Atkin
Connecting theoretical discussion with empirical qualitative work, this article examines how sickle cell became a site of public health intervention in terms of 'racialised' risks. Historically, sickle cell became socio-politically allied to ideas of repair, in terms of the state improving the health of a neglected ethnic minority population. Yet, we elucidate how partial improvements in care and education arose alongside preventative public health screening efforts. Using qualitative research based in the United Kingdom, we show how a focus on collective efforts of repair can lie in tension with how services and individuals understand and negotiate antenatal screening...
March 2017: Health (London)
https://www.readbyqxmd.com/read/26150314/public-health-promotion-of-local-food-constituting-the-self-governing-citizen-consumer
#13
Colleen Derkatch, Philippa Spoel
This article explores how the recent and growing promotion of local foods by public health units in Ontario, Canada, rhetorically interpellates the "good" health citizen as someone who not only takes responsibility for personal health but, through the consumption and support of "local food," also accepts and fulfills her responsibilities to care for the local economy, the community's well-being, and the natural environment. Drawing on Charland's concept of constitutive rhetoric, we analyze a selection of public health unit documents about local food to develop a textured account of the complex, multifaceted forms of health citizenship they constitute...
March 2017: Health (London)
https://www.readbyqxmd.com/read/28064539/treating-the-binge-or-the-fat-body-representations-of-fatness-in-a-gold-standard-psychological-treatment-manual-for-binge-eating-disorder
#14
Amy Brown-Bowers, Ashley Ward, Nicole Cormier
This article reports the results of a Foucauldian-informed discourse analysis exploring representations of fatness embedded within an empirically based psychological treatment manual for binge eating disorder, a condition characterized by overvaluation of weight and shape. Analyses indicate that the manual prioritizes weight loss with relatively less emphasis placed on treating the diagnostic symptoms and underlying mechanisms of binge eating disorder. We raise critical concerns about these observations and link our findings to mainstream psychology's adoption of the medical framing of fatness as obesity within the "gold standard" approach to intervention...
January 2017: Health (London)
https://www.readbyqxmd.com/read/26929035/what-led-health-professionals-to-study-and-practise-acupuncture-in-spain
#15
Esther García-Escamilla, Beatriz Rodríguez-Martín, Vicente Martínez-Vizcaíno
Acupuncture is the most widespread practice of Traditional Chinese Medicine in the Western world. This confers special relevance to the experiences and circumstances of life to explain the health-illness process. Recent research has reported an increasing interest of Western health professionals in its practice. The aim of this study was to map and understand the motivation of health professionals to study and practise acupuncture in Spain. A total of 27 in-depth interviews were conducted with Spanish health professionals trained in acupuncture...
January 2017: Health (London)
https://www.readbyqxmd.com/read/26226954/using-liminality-to-understand-mothers-experiences-of-long-term-breastfeeding-betwixt-and-between-and-matter-out-of-place
#16
Sally Dowling, David Pontin
Breastmilk is widely considered as the optimum nutrition source for babies and an important factor in both improving public health and reducing health inequalities. Current international/national policy supports long-term breastfeeding. UK breastfeeding initiation rates are high but rapidly decline, and the numbers breastfeeding in the second year and beyond are unknown. This study used the concept of liminality to explore the experiences of a group of women breastfeeding long-term in the United Kingdom, building on Mahon-Daly and Andrews...
January 2017: Health (London)
https://www.readbyqxmd.com/read/26112800/the-uses-and-implications-of-standards-in-general-practice-consultations
#17
Maria Laura Lippert, Susanne Reventlow, Marius Brostrøm Kousgaard
Quality standards play an increasingly important role in primary care through their inscription in various technologies for improving professional practice. While 'hard' biomedical standards have been the most common and debated, current quality development initiatives increasingly seek to include standards for the 'softer' aspects of care. This article explores the consequences of both kinds of quality standards for chronic care consultations. The article presents findings from an explorative qualitative field study in Danish general practice where a standardized technology for quality development has been introduced...
January 2017: Health (London)
https://www.readbyqxmd.com/read/27895102/delaying-and-seeking-care-for-obstructive-sleep-apnea-the-role-of-gender-family-and-morality
#18
Dana Zarhin
Social scientists have proposed various theories as to when, why, and how people come to seek medical care for multiple conditions. Yet, there is still little empirical research to illustrate the pathways into and out of care, especially for chronic illness. This article contributes to this body of work by exploring individuals' reasons for delaying and seeking care for obstructive sleep apnea, which despite being the most diagnosed sleep disorder, has been largely neglected by social scientists. Drawing upon in-depth interviews with 65 Jewish-Israeli obstructive sleep apnea patients, this study shows how intersections of gender, family, and morality shape and are shaped by care-seeking behavior...
November 28, 2016: Health (London)
https://www.readbyqxmd.com/read/27895101/interaction-and-common-ground-in-dementia-communication-across-linguistic-and-cultural-diversity-in-a-residential-dementia-care-setting
#19
Lisa Strandroos, Eleonor Antelius
Previous research concerning bilingual people with a dementia disease has mainly focused on the importance of sharing a spoken language with caregivers. While acknowledging this, this article addresses the multidimensional character of communication and interaction. As using spoken language is made difficult as a consequence of the dementia disease, this multidimensionality becomes particularly important. The article is based on a qualitative analysis of ethnographic fieldwork at a dementia care facility. It presents ethnographic examples of different communicative forms, with particular focus on bilingual interactions...
November 28, 2016: Health (London)
https://www.readbyqxmd.com/read/27879342/tenacious-assumptions-of-person-centred-care-exploring-tensions-and-variations-in-practice
#20
Öncel Naldemirci, Doris Lydahl, Nicky Britten, Mark Elam, Lucy Moore, Axel Wolf
In recent decades, the 'tenacious assumptions' of biomedicine regarding the neutrality and universality of its knowledge claims have been significantly challenged by the growth of new collaborative and patient-focused models of Healthcare delivery. In this article, we discuss and critically reflect upon one such alternative Healthcare model developed at the University of Gothenburg Centre for Person-Centred Care in Sweden. This centre uses three clinical routines of narrative, partnership and documentation to provide Healthcare to people recognized as unique individuals rather than patients...
November 22, 2016: Health (London)
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