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discourse analysis

E Megan Lachmar, Andrea K Wittenborn, Katherine W Bogen, Heather L McCauley
BACKGROUND: Social media provides a context for billions of users to connect, express sentiments, and provide in-the-moment status updates. Because Twitter users tend to tweet emotional updates from daily life, the platform provides unique insights into experiences of mental health problems. Depression is not only one of the most prevalent health conditions but also carries a social stigma. Yet, opening up about one's depression and seeking social support may provide relief from symptoms...
October 18, 2017: JMIR Mental Health
Alla Yankouskaya, Glyn Humphreys, Moritz Stolte, Mark Stokes, Zargol Moradi, Jie Sui
Although theoretical discourse and experimental studies on the self and reward biases have a long tradition, currently we have only a limited understanding of how the biases are represented in the brain and, more importantly, how they relate to each other. We used multi-voxel pattern analysis to test for common representations of self and reward in perceptual matching in healthy human subjects. Voxels across an anterior-posterior axis in ventromedial prefrontal cortex (vmPFC) distinguished (i) self-others and (ii) high-low reward, but cross generalization between these dimensions decreased from anterior to posterior vmPFC...
October 10, 2017: Social Cognitive and Affective Neuroscience
Jennifer Koen, Douglas Wassenaar, Nicole Mamotte
Health research in resource-limited, multi-cultural contexts raises complex ethical concerns. The term 'over-researched community' (ORC) has been raised as an ethical concern and potential barrier to community participation in research. However, the term lacks conceptual clarity and is absent from established ethics guidelines and academic literature. In light of the concern being raised in relation to research in low- and middle-income countries (LMICs), a critical and empirical exploration of the meaning of ORC was undertaken...
October 7, 2017: Social Science & Medicine
Anna Einarsson, Tom Ziemke
The question motivating the work presented here, starting from a view of music as embodied and situated activity, is how can we account for the complexity of interactive music performance situations. These are situations in which human performers interact with responsive technologies, such as sensor-driven technology or sound synthesis affected by analysis of the performed sound signal. This requires investigating in detail the underlying mechanisms, but also providing a more holistic approach that does not lose track of the complex whole constituted by the interactions and relationships of composers, performers, audience, technologies, etc...
2017: Frontiers in Psychology
Ori Sela
The funeral procession of Sheng Xuanhuai (, 1844-1916) - the renowned Qing scholar-official, financier, and "father of Chinese industrialism" - meandered through the streets of Shanghai on 18 November 1917. The funeral was a grand event, one that was purportedly documented in film, later to be distributed as the first "news short-film" () in China. The North China Herald reported on the event in some detail, at times in rather florid language, and suggested that "the cortege was splendid and impressive, bringing back the days of the Manchu emperors...
September 2017: Science in Context
Michael Casey, Sara Shaw, Deborah Swinglehurst
BACKGROUND: There is a strong policy drive towards implementing alternatives to face-to-face consultations in general practice to improve access, efficiency, and cost-effectiveness. These alternatives embrace novel technologies that are assumed to offer potential to improve care. AIM: To explore the introduction of one online consultation system (Tele-Doc) and how it shapes working practices. DESIGN AND SETTING: Mixed methods case study in an inner-city general practice...
October 9, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Amanda K Price, Reese W Randle, David F Schneider, Rebecca S Sippel, Susan C Pitt
BACKGROUND: The optimal extent of surgery for patients with papillary thyroid microcarcinoma (PTMC), tumors ≤1 cm, is controversial because survival is excellent regardless of approach. The objective of this study was to investigate patient and surgeon decision-making about the extent of surgery for PTMC. MATERIALS AND METHODS: We conducted a retrospective review of thyroid cancer patients operated on at a single institution from 2008-2016. To examine decision-making about the extent of surgery, we performed a discourse analysis on all available documentation looking for patient or surgeon reasons...
October 2017: Journal of Surgical Research
Tomas Farchi, Torsten-Oliver Salge
Governments around the world seek to design policies that enhance the innovative capacity of public service. Hence, identifying the underlying meanings attributed to innovation concepts in public policies is critical, as these very understandings inform not only the policy discourses, but also the overall institutional landscape regulating innovation activities. This paper examines such fundamental definitional aspects in the specific context of the National Health Service in England. For this purpose, it traces the evolution of the innovation concept in policy discourse based on the analysis of 21 key policy documents published or commissioned by the English Department of Health between 1948 and 2015...
September 22, 2017: Social Science & Medicine
David P Horton, Gary Lynch-Wood
Policy discourse and rhetoric that preceded the Health and Social Care Act (HSCA) 2012 suggests the Act was intended to further embed issues relating to accountability, transparency, and engagement with service-users. Close analysis suggests economic imperatives and independent expert authority are promoted to a greater extent than previous reforms, while stakeholder engagement and accountability appear weakened in crucial areas. To show this, the article considers two important and underexplored activities under the HSCA: reporting and other types of stakeholder engagement measures...
August 14, 2017: Medical Law Review
N Nawa, H Ishida, H Suginobe, S Katsuragi, H Baden, K Takahashi, J Narita, S Kogaki, K Ozono
The clarification of public concerns regarding heart transplantation is important for improving low organ donation rates in Japan. In the present study, we used the Twitter data of 4986 (between August 2015 and January 2016) and 1429 tweets (between April 2016 and May 2016) to analyze public discourse on heart transplantation in Japan and identify the reasons for low organ donation rates. We manually categorized all tweets relevant to heart transplantation into nine categories and counted the number of tweets in each category per month...
October 5, 2017: American Journal of Transplantation
Sandra L Carroll, Gayathri Embuldeniya, Julia Abelson, Michael McGillion, Alexandre Berkesse, Jeff S Healey
BACKGROUND: Patient engagement in research is a dominant discourse in clinical research settings as it is seen as a move toward sustainable and equitable health care systems. In Canada, a key driver is the Strategy for Patient-Oriented Research of the Canadian Institutes of Health Research, which asserts that meaningful patient engagement can only be fostered when stakeholders understand its value. This study assessed researchers' perceptions of the meaning and value of patient engagement in research within a Canadian cardiovascular research network...
2017: Patient Preference and Adherence
Kellem Regina Rosendo Vincha, Viviane Laudelino Vieira, Lúcia Dias da Silva Guerra, Fernanda Cangussu Botelho, Alexandra Pava-Cárdenas, Ana Maria Cervato-Mancuso
: The study analyzed the social representations of primary health care professionals on evaluative processes of groups that work with food and nutrition, and described the educational strategies used in this care. This was a qualitative study from 2012 to 2014 in the city of São Paulo, Brazil, in which 48 interviews were analyzed. In the analysis of the interviews, for classification of the educational strategies in learning categories and contents, Bogdan & Biklen and Zabala were used, respectively. The evaluative processes used the collective subject discourse technique, based on Jodelet's social representations...
September 28, 2017: Cadernos de Saúde Pública
Isabela Fornerolli de Macedo, Tania Vignuda de Souza, Isabel Cristina Dos Santos Oliveira, Sylvia Alves Cibreiros, Rita de Cássia Melão de Morais, Rosana Fidelis Coelho Vieira
Objectives: to describe nursing team care and discuss the nursing team's conception of companion families of hospitalized children. The study was based on the theoretical framework of Collière's theory of nursing care identity. Method: this was a qualitative study with 14 members of a nursing team, conducted through an unstructured group interview. Thematic data analysis was employed. Results: habitual and repair care was delegated to families, regardless of the child's clinical condition...
September 2017: Revista Brasileira de Enfermagem
Cynthia Forlini, Wayne Hall
As the world's population ages, governments and non-governmental organizations in developed countries are promoting healthy cognitive ageing to reduce the rate of age-related cognitive decline and sustain economic productivity in an ageing workforce. Recommendations from the Productivity Commission (Australia), Dementia Australia, Government Office for Science (UK), Presidential Commission for the Study of Bioethical Issues (USA), Institute of Medicine (USA), among others, are encouraging older adults to engage in mental, physical, and social activities...
October 4, 2017: Bioethics
Michela Di Trani, Rachele Mariani, Alessia Renzi, Paul Samuel Greenman, Luigi Solano
OBJECTIVE: To evaluate the relation between alexithymia and Referential Activity (RA), a linguistic measure of the process by which non-verbal emotional experience is connected to language. METHODS: The 20-Item Toronto Alexithymia Scale (TAS-20) and the Toronto Structured Interview for Alexithymia (TSIA) were administered to 20 postgraduate students and 15 outpatients with hypertension. The Weighted Referential Activity Dictionary (WRAD) and other linguistic measures (Reflection, Disfluency, and Somatic Sense) were applied to texts derived from the TSIA using the Discourse Attributes Analysis Program (DAAP)...
October 3, 2017: Psychology and Psychotherapy
Sabrina Kurtz-Rossi, R V Rikard, Julie McKinney
This study assesses the content of email messages posted to the Health Literacy Discussion List (HLDL) during a two-year period. The study identifies issues of concern to list subscribers, describes the purposes the list serves for health professionals, and contributes to the health literacy literature by providing an email listserv as a research corpus. The authors conducted an inductive qualitative analysis of email posts to the HLDL from October 2013 to October 2015. Using an iterative process, the authors identified descriptive categories for types of posts and topics of posts...
2017: Studies in Health Technology and Informatics
Michelle E E Bauer, Mariana Brussoni, Audrey R Giles, Pamela Fuselli
Background and Purpose Child safety campaigns play an important role in disseminating injury prevention information to families. A critical discourse analysis of gender bias in child safety campaign marketing materials can offer important insights into how families are represented and the potential influence that gender bias may have on uptake of injury prevention information.Methods Our approach was informed by poststructural feminist theory, and we used critical discourse analysis to identify discourses within the poster materials...
September 29, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Jessie-Lee D Mcisaac, Kendra Read, Patricia L Williams, Kim D Raine, Paul J Veugelers, Sara F L Kirk
It is important to consider health inequities when exploring the extent to which school food programs may contribute to the stigmatization and social exclusion of families experiencing food insecurity. As part of a broader school-based project, this paper considers evidence derived from a secondary analysis of research in Nova Scotia (NS). In the original research, interviews were conducted with key stakeholders involved in supporting health promotion activities across NS elementary schools. For this article, data were re-examined using tenets of critical discourse analysis to evaluate if school practices were addressing the root social issues by identifying patterns in language and institutional norms...
October 3, 2017: Canadian Journal of Dietetic Practice and Research
Puglia Michele, Landi Claudia, Gagliardi Assunta, Breslin Loretta, Armini Alessandro, Brunetti Jlenia, Pini Alessandro, Bianchi Laura, Bini Luca
Cystic Fibrosis (CF) is a recessively inherited disease caused by mutations in the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene. CFTR has a pivotal role in the onset of CF, and several proteins are involved in its homeostasis. To study CFTR interactors at protein species level, we used a functional proteomics approach combining 2D-DIGE, mass spectrometry and enrichment analysis. A human bronchial epithelial cell line with cystic fibrosis (CFBE41o-) and the control (16HBE14o-) were used for the comparison...
September 29, 2017: Journal of Proteomics
Catharina Melander, Stefan Sävenstedt, Malin Olsson, Britt-Marie Wälivaara
BACKGROUND: The ability of nursing staff to assess and evaluate behavioral and psychological symptoms of dementia (BPSD) to determine when intervention is needed is essential. In order to assist with the assessment process, the current use of the Neuropsychiatric Inventory Nursing Home version (NPI-NH) is internationally accepted. Even though the NPI-NH is thoroughly validated and has several advantages, there are also various challenges when implementing this system in practice. Thus, the aim of this study was to explore clinical reasoning employed by assistant nurses when utilizing the NPI-NH as a tool to assess frequency and severity of BPSD in individuals with advanced dementia...
October 2, 2017: International Psychogeriatrics
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