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https://www.readbyqxmd.com/read/28730877/from-mental-hygiene-to-mental-health-ideology-discourses-and-practices-in-franco-s-spain-1939-75
#1
Enric J Novella, Ricardo Campos
Based on an analysis of the discourses, the ideological appropriation and the practical influence of mental hygiene in Spanish psychiatry during the early years of the Francoist regime, this article examines its decline and subsequent replacement by the new concept of mental health promoted by the World Health Organization and other international bodies from the mid-twentieth century. The old approach, essentially focused on the prophylaxis of insanity within the framework of a set of interventionist policies of social defence, was thus transformed from the beginning of the 1960s into a much more ambitious and comprehensive project which sought to promote the psychosocial balance and performance of individuals in the context of increasingly socialized health-related discourses and networks of care...
July 1, 2017: History of Psychiatry
https://www.readbyqxmd.com/read/28728532/unintended-consequences-of-gender-equality-promotion-in-swedish-multicultural-contraceptive-counseling-a-discourse-analysis
#2
Jonna Arousell, Aje Carlbom, Sara Johnsdotter, Elin C Larsson, Birgitta Essén
In this article, we explore how reproductive health care providers in Sweden, a country often described as one of the most gender-equal countries in the world, incorporate gender equality ideals in multicultural contraceptive counseling. In the tension between gender equality promotion on one hand and respect for cultural diversity and individualized care on the other, we will demonstrate that values of gender equality were often given priority. This is not necessarily undesirable. Nevertheless, our proposal is that the gender equality ideology may inhibit providers' ability to think differently about issues at stake in contraceptive counseling, which may negatively influence women's possibilities to obtain adequate support...
August 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28728530/the-fate-of-unused-embryos-discourses-action-possibilities-and-subject-positions
#3
Sonja Goedeke, Ken Daniels, Mark Thorpe, Elizabeth du Preez
Although in vitro fertilization (IVF) has offered hope to those struggling with infertility, it has also had some unintended consequences, including the fate of embryos that may be "surplus" to requirement following IVF treatment. The number of embryos in storage across the world is high, creating a dilemma for patients who need to make disposal decisions, as well as presenting an administrative and practical dilemma for clinics. Research has suggested that patients' views of the status of their embryo/s may affect their disposal decisions, and yet the nature of the links between views of the embryo and decisions to either donate or discard remain unclear...
August 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28724001/food-marketing-targeting-children-unveiling-the-ethical-perspectives-in-the-discourse-on-self-regulation
#4
Dillian Adelaine Cesar da Silva, Antonio Carlos Rodrigues da Cunha, Thiago Rocha da Cunha, Caroline Filla Rosaneli
When it comes to food marketing, children are one of the major targets. Regulatory actions can play a strategic role in health protection. The objective of this research was to characterize the ethical perspective in the discourse against state regulatory actions on food marketing directed at children, aiming to understand the context of the discourse's production and how it creates meaning. The methodology adopted was qualitative, with documentary analysis and use of concepts and procedures from Discourse Analysis...
July 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28722771/navigating-and-negotiating-information-and-support-experiences-of-first-time-mothers
#5
Megan Aston, Sheri Price, Joelle Monaghan, Meaghan Sim, Andrea Hunter, Victoria Little
AIM: To examine how first time mothers in Nova Scotia (NS) identified and prioritized their own postpartum needs and where they went for information and support, inclusive of informal or formal programs and services, social media, family and friends. BACKGROUND: The early postpartum period is an exciting, yet stressful life experience for first time mothers. Mothers have often turned to families, friends and health care professionals for support and information; however, these social networks look differently today due to changes in institutional policies and postpartum health care practices, as well as the emergence of online resources and networks...
July 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28722141/failure-to-rescue-as-a-nurse-sensitive-indicator
#6
Jane Mushta, Kathy L Rush, Elizabeth Andersen
PROBLEM: The aim of this concept analysis was to clarify failure to rescure as a nurse-sensitive indicator. Although the concept of failure to rescue as a nurse-sensitive outcome has appeared in the nursing literature for over a decade, conceptual clarity is needed to address its variable and ambiguous use in health care. METHODS: Walker and Avant's eight-stage method of concept analysis was used to explore the concept of failure to rescue in nursing practice. Twenty-one papers were retrieved from Cumulative Index of Nursing and Allied Health Literature (CINAHL) and MEDLINE databases and selected for review and synthesis...
July 19, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28709462/enhancing-medical-students-reflectivity-in-mentoring-groups-for-professional-development-a-qualitative-analysis
#7
Gabriele Lutz, Nina Pankoke, Hadass Goldblatt, Marzellus Hofmann, Michaela Zupanic
BACKGROUND: Professional competence is important in delivering high quality patient care, and it can be enhanced by reflection and reflective discourse e.g. in mentoring groups. However, students are often reluctant though to engage in this discourse. A group mentoring program involving all preclinical students as well as faculty members and co-mentoring clinical students was initiated at Witten-Herdecke University. This study explores both the attitudes of those students towards such a program and factors that might hinder or enhance how students engage in reflective discourse...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28706092/development-of-an-intervention-to-support-patients-and-clinicians-with-advanced-lung-cancer-when-considering-systematic-anticancer-therapy-protocol-for-the-pact-study
#8
Despina Anagnostou, Stephanie Sivell, Simon Noble, Jason Lester, Anthony Byrne, Catherine Sampson, Mirella Longo, Annmarie Nelson
INTRODUCTION: Patient-centred care is essential to the delivery of healthcare; however, this necessitates direct patient involvement in clinical decision-making and can be challenging for patients diagnosed with advanced non-small cell lung cancer where there may be misunderstanding of the extent of disease, prognosis and aims of treatment. In this context, decisions are complex and there is a need to balance the risks and benefits, including treatment with palliative intent. The aim of the PACT study is to identify the information and decision support needs of patients, leading to the development of an intervention to support patients with advanced lung cancer when considering treatment options...
July 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28705097/transfusion-refusal-and-the-shifting-limits-of-multicultural-accommodation
#9
Carey DeMichelis
The refusal of blood products by Jehovah's Witness patients has provoked court proceedings, social science research, and contemporary fiction, all of which emphasize a seemingly intractable conflict between religious and secular ways of being. This article takes a different approach, focusing instead on the space that Witness patients have carved out for their accommodation in a major pediatric research hospital. Using discourse analysis and interview data, I map the way moralizing discourses surrounding Witness families have shifted over the past 70 years alongside advancements in bloodless medicine...
July 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28700029/ethos-and-pathos-in-the-delivery-room
#10
Virgínia Junqueira Oliveira, Claudia Maria de Mattos Penna
Objective: To understand the ethos and pathos in the discourses of pregnant women and healthcare professionals in the context of the delivery room. Method: This is a qualitative and interpretative study. The research approach was discourse analysis. The study participants were 36 women and 24 health workers from seven maternity hospitals in midwestern Minas Gerais, Brazil. Results: The discourses indicate the notion the women have of childbirth, centered in the eyes of others and in their representations...
July 6, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28691535/promoting-free-flow-in-the-networks-reimagining-the-body-in-early-modern-suzhou
#11
Volker Scheid
The history of Chinese medicine is still widely imagined in terms dictated by the discourse of modernity, that is as 'traditional' and 'Chinese.' And yet, so as to be intelligible to us moderns, it must simultaneously be framed through categories that make it comparable somehow to the 'West' and the 'modern' from which it is said to be essentially different. This is accomplished, for instance, by viewing Chinese medicine as fundamentally shaped by cosmological thinking, as focusing on process rather than matter, and as forever hampered by attachments to the past even when it tries to innovate...
June 1, 2017: History of Science; An Annual Review of Literature, Research and Teaching
https://www.readbyqxmd.com/read/28691180/examining-the-association-between-language-expository-discourse-and-offending-behaviour-an-investigation-of-direction-strength-and-independence
#12
Thomas Hopkins, Judy Clegg, Joy Stackhouse
BACKGROUND: A high prevalence of Developmental Language Disorder (DLD) is reported in the population of Young Offenders (YO). However, little is known about the extent of the association between language and offending behaviour relative to social disadvantage, education attendance and non-verbal intelligence (IQ), and neither has this association been investigated with particular reference to the expository discourse abilities of YOs on community orders in the UK. AIMS: This study aimed to examine the direction and strength of the association between language and offending behaviour by comparing the receptive and expressive language and expository discourse abilities of male and female YOs and non-offenders in the UK, relative to the confounds of social disadvantage, years of education attended and non-verbal IQ...
July 10, 2017: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/28677921/expertise-in-action-insights-into-the-dynamic-nature-of-expertise-in-community-based-nursing
#13
Caroline A W Dickson, Chris McVittie, Anuj Kapilashrami
AIM: To gain insight into community nurses' experiences and how they make sense of the expertise they offer in their role BACKGROUND: Globally, the spotlight is currently on community nursing expertise because of the movement of hospital-based to community- based care. Caring for people at home is no longer solely concerned with prevention, but delivering complex care to patients who are acutely unwell or at the end of their life. Little is known about the distinct expertise of community nurses, or their contribution to patient outcomes...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28677230/delirium-in-a-residential-care-facility-an-exploratory-study-of-staff-knowledge
#14
Amy Buettel, Michelle Cleary, Marguerite Bramble
OBJECTIVE: To explore staff knowledge of delirium by eliciting meaning through descriptions of their experiences within a residential aged care facility (RACF). METHODS: Six staff from one RACF in Australia participated in this qualitative study. Semi-structured individual interviews were conducted and analysed using Colaizzi's analytical framework. RESULTS: The analysis revealed four themes: (i) absence of the word delirium; (ii) care based on intuition and automated actions; (iii) reliance on teamwork; and (iv) confusing delirium, depression and dementia...
July 5, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/28674463/degrowth-taking-stock-and-reviewing-an-emerging-academic-paradigm
#15
REVIEW
Martin Weiss, Claudio Cattaneo
Degrowth has evolved within a decade from an activist movement into a multi-disciplinary academic paradigm. However, an overview taking stock of the peer-refereed degrowth literature is yet missing. Here, we review 91 articles that were published between 2006 and 2015. We find that the academic degrowth discourse occupies a small but expanding niche at the intersection of social and applied environmental sciences. The discourse is shaped by authors from high-income, mainly Mediterranean, countries. Until 2012, articles largely constitute conceptual essays endorsed by normative claims...
July 2017: Ecological Economics: the Journal of the International Society for Ecological Economics
https://www.readbyqxmd.com/read/28671698/sustainable-sources-need-reliable-standards
#16
Maxim V Galkin, Davide Di Francesco, Ulrica Edlund, Joseph S M Samec
This review discusses the challenges within the research area of modern biomass fractionation and valorization. The current pulping industry focuses on pulp production and the resulting cellulose fiber. Hemicellulose and lignin are handled as low value streams for process heat and the regeneration of process chemicals. The paper and pulp industry have therefore developed analytical techniques to evaluate the cellulose fiber, while the other fractions are given a low priority. In a strive to also use the hemicellulose and lignin fractions of lignocellulosic biomass, moving towards a biorefining concept, there are severe shortcomings with the current pulping techniques and also in the analysis of the biomass...
July 3, 2017: Faraday Discussions
https://www.readbyqxmd.com/read/28670971/international-clinical-volunteering-in-tanzania-a-postcolonial-analysis-of-a-global-health-business
#17
Noelle Sullivan
This article traces how scarcities characteristic of health systems in low-income countries (LICs), and increasing popular interest in Global Health, have inadvertently contributed to the popularisation of a specific Global Health business: international clinical volunteering through private volunteer placement organisations (VPOs). VPOs market neglected health facilities as sites where foreigners can 'make a difference', regardless of their skill set. Drawing on online investigation and ethnographic research in Tanzania over four field seasons from 2011 to 2015, including qualitative interviews with 41 foreign volunteers and 90 Tanzanian health workers, this article offers a postcolonial analysis of VPO marketing and volunteer action in health facilities of LICs...
July 3, 2017: Global Public Health
https://www.readbyqxmd.com/read/28668726/prudence-pleasure-and-cognitive-ageing-configurations-of-the-uses-and-users-of-brain-training-games-within-uk-media-2005-2015
#18
Martyn Pickersgill, Tineke Broer, Sarah Cunningham-Burley, Ian Deary
The use of 'brain training' games is often regarded as relating to wider ideals of self-improvement and youthfulness. Hence, use is intertwined with discourses of 'active' ageing. This paper analyzes how the use and users of brain training games were configured in the UK media, from 2005 to 2015, and examines how notions of active ageing relate to these representations. Game users were rarely constructed solely as gamers, and were more often presented as prudent individuals focused on a serious goal. This configuration related to assumed and enjoined motivations for brain training; specifically, users were commonly framed as seeking to enhance cognition and limit/delay cognitive decline...
June 21, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28668695/-what-constitutes-a-problem-producing-alcohol-problems-through-online-counselling-encounters
#19
Michael Savic, Nyssa Ferguson, Victoria Manning, Ramez Bathish, Dan I Lubman
Typically, health policy, practice and research views alcohol and other drug (AOD) 'problems' as objective things waiting to be detected, diagnosed and treated. However, this approach to policy development and treatment downplays the role of clinical practices, tools, discourses, and systems in shaping how AOD use is constituted as a 'problem'. For instance, people might present to AOD treatment with multiple psycho-social concerns, but usually only a singular AOD-associated 'problem' is considered serviceable...
June 29, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28666771/physicians-psychophysiological-stress-reaction-in-medical-communication-of-bad-news-a-critical-literature-review
#20
REVIEW
Regina Katharina Studer, Brigitta Danuser, Patrick Gomez
INTRODUCTION: Stress is a common phenomenon in medical professions. Breaking bad news (BBN) is reported to be a particularly distressing activity for physicians. Traditionally, the stress experienced by physicians when BBN was assessed exclusively using self-reporting. Only recently, the field of difficult physician-patient communication has used physiological assessments to better understand physicians' stress reactions. METHOD: This paper's goals are to (a) review current knowledge about the physicians' psychophysiological stress reactions in BBN situations, (b) discuss methodological aspects of these studies and (c) suggest directions for future research...
June 27, 2017: International Journal of Psychophysiology
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