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discourse analysis

Ben Curran, Kyle Higham, Elisenda Ortiz, Demival Vasques Filho
Quantitative methods to describe the participation to debate of Members of Parliament and the parties they belong to are lacking. Here we propose a new approach that combines topic modeling with complex networks techniques, and use it to characterize the political discourse at the New Zealand Parliament. We implement a Latent Dirichlet Allocation model to discover the thematic structure of the government's digital database of parliamentary speeches, and construct from it two-mode networks linking Members of the Parliament to the topics they discuss...
2018: PloS One
Marie-Anastasie Aim, Solveig Lelaurain, Nicolas Khatmi, David Fonte, Inna Bovina, Lionel Dany
This study focuses on life experiences and social representations related to gender in the context of health among young French lay people aged from 18 to 21 years ( N = 47). Qualitative analysis of the discursive content of nine focus groups illuminated the lay thinking underlying gender issues in the health context. Broadly speaking, group composition (i.e. unisex, mixed) had an impact on participants' discourse construction. Through their discourses, participants came to 'naturalise' the health issues and practices of each sex/gender through the biological specificities of men and women...
June 1, 2018: Journal of Health Psychology
Berit Björkman, Staffan Arnér, Iréne Lund, Lars-Christer Hydén
Background Phantom phenomena - pain or other sensations appearing to come from amputated body parts - are frequent consequences of amputation and can cause considerable suffering. Also, stump pain, located in the residual limb, is in the literature often related to the phantom phenomena. The condition is not specific to amputated limbs and has, to a lesser extent, been reported to be present after radical surgery in other body parts such as breast, rectum and teeth. Multi-causal theories are used when trying to understand these phenomena, which are recognized as the result of complex interaction among various parts of the central nervous system confirmed in studies using functional brain imaging techniques...
December 29, 2017: Scandinavian Journal of Pain
D Helen Moore, Gail Powell-Cope, Heather G Belanger
Background: In recognition of the incidence of traumatic brain injuries (TBIs) in the Iraq and Afghanistan conflicts, the Department of Veterans Affairs (VA) has, since 2007, examined returning U.S. service members for symptoms of TBI, a pre-condition for VA treatment of TBI. This study characterizes "Traumatic Brain Injury screen" service delivery, according to the barrier and facilitator viewpoints of those experiencing the delivery. Methods: The purposeful sample comprised both Veteran patient and VA staff participants in the TBI screen program (n = 64), including patients (n = 14), health care providers (n = 38), and key informants (n = 12)...
April 18, 2018: Military Medicine
Roger Strasser, Hoi Cheu
OBJECTIVE: To explore the Northern Ontario School of Medicine (NOSM) student and graduate experience of generalism in rural practice, in the context of a growing discourse on generalism. DESIGN: Qualitative analysis. SETTING: Northern Ontario School of Medicine in multiple sites across northern Ontario, which is the NOSM campus. PARTICIPANTS: A total of 37 graduating medical students and 9 practising NOSM graduates. METHODS: The Centre for Rural and Northern Health Research and NOSM tracking studies use mixed methods drawing on data from various sources...
June 2018: Canadian Family Physician Médecin de Famille Canadien
Mats Målqvist
BACKGROUND: In an increasingly globalized and interlinked world it becomes ever more important to find strategies to prevent, detect, and respond to emerging public health threats. Local communities have a central role in this effort and need to be empowered and strengthened to be able to meet the challenge, and local knowledge and participation are key. This paper outlines a theoretical framework for community intervention dynamics and explores perceptions, priorities, and perspectives of stakeholders involved in community interventions...
June 12, 2018: Upsala Journal of Medical Sciences
Gerard M Fealy, Mary Casey, Denise F O'Leary, Martin S Mcnamara, Denise O'Brien, Laserina O'Connor, Rita Smith, Diarmuid Stokes
AIMS AND OBJECTIVES: The aim of this discursive paper is to collate, synthesise and discuss published evidence and expert professional opinion on enablers and barriers to the development and sustainability of specialist and advanced practice roles in nursing and midwifery. BACKGROUND: Expanded practice is a response to population health needs, healthcare costs and practitioners' willingness to expand their scope of practice through enhanced responsibility, accountability and professional autonomy...
June 12, 2018: Journal of Clinical Nursing
Matilde Celma-Vicente, Manuel López-Morales, María Dolores Cano Caballero-Gálvez
OBJECTIVE: To discover the opinions of the tutors and students of the Degree in Nursing on clinical practices and identify strategies and improvement proposals for teacher performance. METHOD: A qualitative study with a phenomenological perspective through focus groups with clinical nurse tutors and nursing students. The participants were divided into 3 groups: students, tutors from the medical area and tutors from the surgical area. The number of groups was determined by saturation of the information...
June 8, 2018: Enfermería Clínica
Ross Coomber, Leah Moyle, Vendula Belackova, Tom Decorte, Pekka Hakkarainen, Andrew Hathaway, Karen Joe Laidler, Simon Lenton, Sheigla Murphy, John Scott, Michaela Stefunkova, Katinka van de Ven, Marieke Vlaemynck, Bernd Werse
BACKGROUND: It is now commonly accepted that there exists a form of drug supply, that involves the non-commercial supply of drugs to friends and acquaintances for little or no profit, which is qualitatively different from profit motivated 'drug dealing proper'. 'Social supply', as it has become known, has a strong conceptual footprint in the United Kingdom, shaped by empirical research, policy discussion and its accommodation in legal frameworks. Though scholarship has emerged in a number of contexts outside the UK, the extent to which social supply has developed as an internationally recognised concept in criminal justice contexts is still unclear...
June 8, 2018: International Journal on Drug Policy
Catrina Felton-Busch, Sarah Larkins
PROBLEM: Australian Aboriginal women's aspirations for birthing on country (having our babies born on our traditional land) are increasingly being reported in Australian scholarly and policy literature. However given the paucity of publications authored by Aboriginal Australians from remote areas of Australia, how well can the current knowledge base in Australia inform the development of culturally appropriate maternity services for our communities? OBJECTIVE: The aim of this literature review is to critically analyse the policy documents informing maternity services policy and scholarly literature on the birthing experiences (including the provision of maternity services) of Aboriginal Australian women from remote communities from an Indigenous standpoint...
June 7, 2018: Women and Birth: Journal of the Australian College of Midwives
Ingrid Femdal
Background: Current mental health policy emphasizes the importance of community-based service delivery for people with mental health problems to encompass personal recovery. The aim of this study is to explore how users and professionals construct the place's influence on personal recovery in community mental health services. Methods: This is a qualitative, interpretive study based on ten individual, semi-structured interviews with users and professionals, respectively...
2018: International Journal of Mental Health Systems
Fabia U Battistuzzi, Qiqing Tao, Lance Jones, Koichiro Tamura, Sudhir Kumar
The RelTime method estimates divergence times when evolutionary rates vary among lineages. Theoretical analyses show that RelTime relaxes the strict molecular clock throughout a molecular phylogeny, and it performs well in the analysis of empirical and computer simulated datasets in which evolutionary rates are variable. Lozano-Fernandez et al. (2017) found that the application of RelTime to one metazoan dataset (Erwin et al. 2011) produced equal rates for several ancient lineages, which led them to speculate that RelTime imposes a strict molecular clock for deep animal divergences...
June 7, 2018: Genome Biology and Evolution
Barak Hermesh, Anat Rosenthal, Nadav Davidovitch
One Health, as an international movement and as a research methodology, aspires to cross boundaries between disciplines. However, One Health has also been viewed as "reductionist" due to its overemphasize on physicians-veterinarians cooperation and surveillance capacity enhancement, while limiting the involvement with socio-political preconditioning factors that shape the impact of diseases, and the ethical questions that eventually structure interventions. The current article draws on a qualitative study of Brucellosis control in Israel, to address the benefits of broadening the One Health perspective to include ethical considerations and the socio-political aspects of health...
June 5, 2018: Monash Bioethics Review
Marta Benet, Ramon Escuriet, Manuela Alcaraz-Quevedo, Sandra Ezquerra, Margarida Pla
OBJECTIVE: We analyse how reproductive health strategies have been incorporated into the everyday activities of the services and the resulting transformation of professional and user practices. METHOD: Cartographic research taking a multi-sited ethnographic approach that seeks to reveal the processes of transformation. Data generation techniques featuring participant observation and situated interviews. Discourse analysis of the text corpus using three analytical axes based on three main lines of action promoted by the strategies...
June 2, 2018: Gaceta Sanitaria
Torbjørn Gundersen
The role of scientists as experts is crucial to public policymaking. However, the expert role is contested and unsettled in both public and scholarly discourse. In this paper, I provide a systematic account of the role of scientists as experts in policymaking by examining whether there are any normatively relevant differences between this role and the role of scientists as researchers. Two different interpretations can be given of how the two roles relate to each other. The separability view states that there is a normatively relevant difference between the two roles, whereas the inseparability view denies that there is such a difference...
June 2018: Studies in History and Philosophy of Science
Marion Di Ciaccio, Christel Protiere, Daniela Rojas Castro, Marie Suzan-Monti, Julie Chas, Laurent Cotte, Martin Siguier, Eric Cua, Bruno Spire, Jean-Michel Molina, Marie Preau
The ANRS-IPERGAY trial consisted in providing sexual activity-based antiretroviral prophylaxis for HIV prevention (PrEP) with a package of prevention tools (counselling, condoms, HIV and sexually transmitted infections' screening) to highly exposed HIV-negative men who have sex with men (MSM). Few data exist concerning the patient-physician relationship in the particular context of PrEP, where physicians discuss sexual behaviours with MSM who are not classic patients, in that consultation is for prevention purposes, not for illness...
May 30, 2018: AIDS Care
Nicolien M H Kromme, Kees T B Ahaus, Reinold O B Gans, Harry B M van de Wiel
BACKGROUND: Internists appear to define productive interactions, key concept of the Chronic Care Model, as goal-directed, catalyzed by achieving rapport, and depending on the medical context: i.e. medically explained symptoms (MES) or medically unexplained symptoms (MUS). OBJECTIVE: To explore internists' interaction strategy discourses in the context of MES and MUS. METHODS: We interviewed twenty internists working in a Dutch academic hospital, identified relevant text fragments in the interview transcripts and analyzed the data based on a discourse analysis approach...
2018: PloS One
Mari Dumbaugh, Wyvine Bapolisi, Ghislain Bisimwa, Marie-Chantale Mwamini, Paula Mommers, Sonja Merten
Modern contraception has created new possibilities for reimagining reproductive norms and has generated new socio-cultural uncertainties in South Kivu province, Democratic Republic of Congo. Using inductive analysis of women's reproductive narratives, this paper explores how women in a high fertility context encounter and integrate recently introduced family planning and modern contraceptive education and services into their lives. As foundational socio-cultural norms confront the new reproductive possibilities offered by contraception, power dynamics shift and norms are called into question, re-interpreted and re-negotiated...
May 30, 2018: Culture, Health & Sexuality
Kelly Cristine Piolli, Maria das Neves Decesaro, Catarina Aparecida Sales
OBJECTIVE Unveiling the meaning of self-care as a caregiver of the partner suffering from cancer. Method Research based on Heidegger´s phenomenology, performed with ten women caregivers of partners with cancer in a municipality in the northwestern region of Paraná, between December 2013 and February 2014. RESULTS: From the discourse analysis, the ontological themes emerged: "forgetting to be a woman to surrender to the care of the other and choosing the other to the detriment of themselves"...
2018: Revista Gaúcha de Enfermagem
Jasmine M Brown, Roger Bland, Egon Jonsson, Andrew J Greenshaw
OBJECTIVE: Fetal alcohol spectrum disorder (FASD) is a medical term used to describe a range of mental and physical disabilities caused by maternal alcohol consumption. The role of alcohol as a teratogen and its effects on the cellular growth of the embryo and the fetus were not determined on scientific grounds until the late 1960s. However, the link between alcohol use during pregnancy and its harms to offspring might have been observed frequently over the many thousands of years during which alcohol has been available and used for social and other reasons...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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