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Biomedical subjects

H Berman

Publications and source records attributed to H Berman.

At least 19 recordsLinked to original sources
PubMed2001

Portraits of pain and promise: a photographic study of Bosnian youth.

In the early 1990s, war erupted in Bosnia and Herzegovina, forcing large numbers of people to flee their homes and country, abandoning their culture and all that was familiar to them. For the children, often described as war's "innocent victims," the conflict and subsequent uprooting represented a dramatic end to their peaceful lives. Although many were fortunate enough to escape with their families and resettle amid more peaceful circumstances, there is considerable evidence that refugee youth are forever changed by their exposure to war and that the pain of war does not end when the fighting is over. This paper presents the results of a study with 7 Bosnian children, aged 11-14, who came to Canada as refugees during the 1990s. The everyday challenges and struggles faced by this group were explored using an innovative research method called photo novella. A secondary purpose of the research was to evaluate the merits and limitations of photo novella as a method for capturing children's perspectives and feelings. Participants were given disposable cameras and asked to take pictures of important people, places, and events. The meaning of the photographs was then explored through a dialogic process the researchers call phototalk. The findings revealed that while these children had many strengths, they continued to struggle to understand the events that so profoundly changed their lives. The results and the implications for nurses are discussed.

Acculturation↗
PubMed2000

Sexual harassment: everyday violence in the lives of girls and women.

Sexual harassment is one of the most insidious, yet pervasive, forms of violence that affects all girls, not merely those traditionally thought to be vulnerable or at risk. Although harassment in the workplace has been the focus of considerable attention during the last decade, there is a growing recognition that girls experience varied forms of sexual harassment, and that this behavior begins at a surprisingly early age. This article examines the plight of the "girl child" and presents findings from the first phase of a national action research project currently being conducted by the Canadian Alliance of Five Research Centres on Violence. A major objective of this project is to examine how violence becomes "normalized" in the lives of girls and young women. Implications for nurses, including strategies aimed at encouraging resistance among this population, are addressed.

Adolescent↗
PubMed1999

Stories of growing up amid violence by refugee children of war and children of battered women living in Canada.

PURPOSE: To explore how two groups of children who grew up amid violence "make sense" of their experience. As violence has become a common element of some societies, growing numbers of children have been forced to live in dangerous environments. Although considerable research has been conducted with children who are abused or neglected, the needs of those who witness violence have been largely overlooked. DESIGN: Critical narrative and descriptive. Data were collected, 1995-1996, in Canada from a convenience sample of 16 refugee children of war and 16 children of battered women. METHODS: Participants were asked open-ended questions about the violence in their lives, their feelings about what occurred, their thoughts about the reasons for violence, and their ways of surviving and growing. Common themes were identified and validated. FINDINGS: Despite differences in the children's stories, many parallels were evident. Both groups of youngsters endured pain, suffering, and feelings of betrayal. Both used creative strategies to survive. The way the children endured growing up amid violence was mediated by social, political, and cultural constructions of violence. Because these meanings were unique, violence was experienced in several ways. CONCLUSIONS: Although the children showed remarkable strength and insight, they face many challenges. Despite a common perception that children are unable to talk about deeply troubling experiences, this research demonstrated that children not only want to discuss their experience, but also welcome the opportunity to do so.

Adolescent↗
PubMed1999

Health in the aftermath of violence: a critical narrative study of children of war and children of battered women.

Growing up amid violence has become reality for many children throughout the world. The health effects of this phenomenon have only recently begun to be addressed by researchers. However, there is growing evidence that children who witness violence suffer many of the same outcomes as those who experience violence directly. This critical narrative study examined the understandings and experiences of health and the relationship between violence and health. The sample, aged 10 to 17, comprised 2 groups of witnesses to violence: children of war and children of battered women. Analysis of the data revealed 4 categories: health as the absence of illness, health as a prerequisite for participation in desired activities, health as a holistic and multidimensional phenomenon, and health as a necessity for "getting through the day." While the first 3 ideas are consistent with those of children who have not lived amid violence, the 4th is unique to this population. Although no longer living in violence, the participants continued to face myriad physical and emotional health challenges. However, many also revealed an ability to heal. It is argued that violence and health cannot be separated, that exposure to violence has a profound and lasting influence on children's health beliefs and experiences. This paper addresses long- and short-term strategies for intervention.

Adaptation, Psychological↗
PubMed1998

Combining stories and numbers: a methodologic approach for a critical nursing science.

The critical paradigm is increasingly being recognized as an appropriate perspective for the development of nursing knowledge. While different research approaches including feminist, neo-Marxist, and participatory research have been described, all share the goals of empowerment, emancipation, and change. As a relatively new world-view for nursing, the concept of a critical nursing science faces much the same resistance as the interpretive paradigm did a decade ago. This article reviews the aims and assumptions of the critical paradigm; discusses the merits of combining stories and numbers for the agenda of change; and, using examples from our research, describes three strategies for combining stories and numbers in the critical paradigm.

Evidence-Based Medicine↗
PubMed1995

Stories and numbers: coexistence without compromise.

Research methods are not paradigm specific but should be selected on the basis of whether they fit with the purposes of an investigation. In the postpositivist, interpretive, and critical paradigms, both qualitative and quantitative data or a combination of these may be used without violating paradigm assumptions. Attention to the four basic issues of quality of the data, investigator bias, quality of the research process, and usefulness of the finding is necessary to produce valid research. Although researchers in each paradigm deal with these differently, combining strategies across paradigms may enhance the scientific value of a study and result in new methodologies to address the health needs of all people.

Bias↗
PubMed1995

Too smart by half.

Explore the source record for details and available documents.

Health Care Reform↗
PubMed1993

Knowledge-based generation of machine learning experiments: learning with DNA crystallography data.

Though it has been possible in the past to learn to predict DNA hydration patterns from crystallographic data, there is ambiguity in the choice of training data (both in terms of the relevant set of cases and the features needed to represent them), which limits the usefulness of standard learning techniques. Thus, we have developed a knowledge-based system to generate machine learning experiments for inducing DNA hydration pattern classifiers. The system takes as input (1) a set of classified training examples described by a large set of attributes and (2) information about a set of learning experiments that have already been run. It outputs a new learning experiment, namely a (not necessarily proper) subset of the input examples represented by a new set of features. Domain specific and domain independent knowledge is used to suggest subsets of training examples from suspected subpopulations, transform attributes in the training data or generate new ones, and choose interesting ways to substitute one experiment's set of attributes with another. Automatic hydration pattern predictors are of both theoretical and practical interest to DNA crystallographers, because they can speed up a labor intensive process, and because the extracted rules add to the knowledge of what determines DNA hydration.

Artificial Intelligence↗
PubMed1992

Rochester: community rating = insurance access.

Despite opposition from some quarters, the New York State Legislature recently passed a small-group reform bill requiring community rating in health insurance throughout that state. The health care system of Rochester, NY, the author contends, proves that community rating is both good public policy and good business practice.

Health Benefit Plans, Employee↗
PubMed1986

Treatment of colorectal hepatic metastases by intrahepatic chemotherapy alone or as an adjuvant to complete or partial removal of metastatic disease.

Because of the wide variation in reported benefits from the use of intrahepatic chemotherapy for colorectal hepatic metastases, the authors performed their own phase II studies comparing the use of intrahepatic chemotherapy alone and intrahepatic chemotherapy as an adjuvant to complete or partial removal of metastatic colorectal cancer to the liver. Techniques for partial removal included unilateral and bilateral wedge resection, peripheral presinusoidal embolization of the liver, and portal vein branch ligation. Patients were staged using the per cent hepatic replacement method of Pettavel and Taylor, and patients with bilateral metastases were included in the study. Twenty-seven patients, mean age 60.3 years, were examined. There were 19 males, mean age 60.4 years, and eight females, mean age 60 years. The patients were divided into four groups. Group A had an implantable pump only; Group B had an implantable pump and resection; Group C had an implantable pump and arterial embolization and portal vein branch ligation; and Group D had an implantable pump, partial resection, arterial embolization, and portal vein branch ligation. Kaplan-Meyer survival curves were calculated for all of these groups. A separate analysis was carried out for each of the stages, and a comparison was made. The study indicated that the overall median survival time was 18 months and that the more radical the treatment in addition to chemotherapy, the better the results. Such results were not totally dependent on the staging of the tumor volume but were dependent on the degree of extirpation of the tumor. In Group C, consisting primarily of Stage IIa, IIIa, and IV patients (i.e., unresectable patients), a doubling of expected median survival to 12 months could be achieved, compared to those in Group A, which achieved a median survival of only 6 months.

Adult↗