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At least 253 records · Page 14Linked to original sources
PubMed2006

Us versus them: Political attitudes and party affiliation influence neural response to faces of presidential candidates.

We investigated how political party affiliation and political attitudes modulate neural activity while viewing faces of presidential candidates. Ten registered Democrats and 10 registered Republicans were scanned in an event-related functional MRI paradigm while viewing pictures of the faces of George Bush, John Kerry, and Ralph Nader during the 2004 United States presidential campaign. We found that compared with viewing one's own candidate, viewing the candidate from the opposing political party produced signal changes in cognitive control circuitry in the dorsolateral prefrontal cortex and anterior cingulate, as well as in emotional regions such as the insula and anterior temporal poles. BOLD signal in these regions correlated with subjects' self-reported ratings of how they felt emotionally about the candidates. These data suggest that brain activity when viewing a politician's face is affected by the political allegiance of the viewer and that people regulate their emotional reactions to opposing candidates by activating cognitive control networks.

Adult↗
PubMed2007

The impact of political context upon the health policy process in Pakistan.

BACKGROUND: Analysis of the political context is important for the understanding of a health policy and its success, because contextual factors may significantly influence the health policy process and health. This article describes how the political context in Pakistan influences the health policy process. METHODS: We used qualitative research methods based on document analysis and interviews of relevant actors in analysing the impact of the political context on the health policy process. Document analysis included policy documents and official reports of the health ministries, health-related departments and international agencies. Interviewees included relevant actors involved in the health policy process at local, provincial, national and international levels. RESULTS: Pakistan has experienced unbalanced power structures and frequent changes in government, which has disturbed health resources and has resulted in a centralized health system that hinders wider participation and disrupts health policy-making, planning and implementation. CONCLUSION: It is concluded that the political context has had a negative influence on the health policy process in Pakistan.

Government↗
PubMed2005

The medicine user--lost in translation? Analysis of the official political debate prior to the deregulation of the Danish medicine distribution system.

This paper presents results from a qualitative analysis of official documents dealing with the deregulation of the Danish medicine distribution system, 2001. In an attempt to clarify how consumerism within health care is manifested in policy, this study explores how central actors in the political process explicitly referred to the needs, interests and problems of the users of medicine. The results show that explicit references to the users of medicine by central actors in the political process were limited. Based on this we argue that in this case, although the debate centred on liberal ideas it seems as if chief values of classic liberalism were lost in the process of translating a political idea into political practice.

Denmark↗
PubMed2005

The political contexts of evidence-based medicine: policymaking for daily hemodialysis.

Policymakers and clinicians increasingly rely on evidence-based medicine (EBM) to make decisions about insurance coverage and clinical treatment. Conflicting value judgments about evidence and pressures exerted by stakeholders render health policymaking a political process. This paper examines how value judgments become embedded in the process of improving medical outcomes by focusing on health policymaking. Specifically, this paper highlights how EBM is variably used as a standard for decision-making depending on perceived risks by policymakers and what is on the competing agenda. I draw upon the case study of the policymaking process for the recent US bill, H.R. 1004: Kidney Patient Daily Dialysis Act, which would legislate daily hemodialysis (DHD) as a new renal replacement therapy modality, and provide federal medicare funding of hemodialysis from 3 to 6 times per week. DHD constitutes an ideal case study with which to explore the political underpinnings of EBM. The interpretations of substantial outcome data showing medical, quality of life, and hypothetical economic improvements of DHD over conventional dialysis are currently being contested in the medical and political spheres. Accordingly, the drive for what some stakeholders view as better evidence through randomized clinical trials is central to the debate and policymaking process. This paper underscores how the demand for, the interpretations, the funding for, and the use of evidence render EBM a political endeavor with vital ethical implications for clinical care.

Evidence-Based Medicine↗
PubMed2002

Social and political factors influencing the functioning of regional health boards in British Columbia (Canada).

Health reform is associated with changes in the way the health system works and in the roles of major stakeholders, such as governments, health professionals, and the lay public. This paper reviews the immediate relevance of these social and political elements to health boards, particularly those with lay board members; source documents include peer-reviewed articles, and government documents and news releases in Canada especially. Also presented are the perceptions of 130 regional health board members in British Columbia (BC), Canada, who responded to our 1996 survey questionnaire. Two sets of social and political factors are identified and discussed in this paper. The first set deals with the composition of health board members (qualifications, representation, and selection). Our findings suggest that there is now less attention focusing on the composition of health boards in BC. This may contribute to a re-focusing of attention on the boards' effectiveness in working with stakeholders and in influencing the health system. The other set of social and political factors deals with the relations of health boards with key stakeholder groups. The responses to our questionnaire suggest that the health boards in BC may have had some success in addressing the concerns of various stakeholder groups. However, the respondents also suggested that the stakeholder groups needed to be more understanding and involved in the regionalization (decentralization) process. Health boards that have lay representatives, including regional health authorities in Canada, face similar social and political factors immediate to their operation.

British Columbia↗
PubMed2002

Political violence, ethnic conflict, and contemporary wars: broad implications for health and social well-being.

Ethnic conflict, political violence and wars that presently shape many parts of world have deep-seated structural causes. In poor and highly indebted countries, economic and environmental decline, asset depletion, and erosion of the subsistence base lead to further impoverishment and food insecurity for vast sectors of the population. Growing ethnic and religious tensions over a shrinking resource base often escort the emergence of predatory practices, rivalry, political violence, and internal wars. The nature of armed conflict has changed substantially over time and most strategic analysts agree that in the second half of the 20th century, contemporary wars are less of a problem of relations between states than a problem within states. Despite the growing number of armed conflicts and wars throughout the world, not enough attention has been paid to the local patterns of distress being experienced and the long-term health impact and psychosocial consequences of the various forms of political violence against individuals, communities, or specific ethnic groups. The short or long-term impact assessment on civilian populations of poor countries affected by war have been scarce, and studies focussing on experiences of collective suffering and trauma-related disorders among survivors are beginning to emerge in the scientific literature. The medicalization of collective suffering and trauma reflects a poor understanding of the relationships among critically important social determinants and the range of possible health outcomes of political violence.

Altruism↗
PubMed2002

Adolescent understandings of political violence and psychological well-being: a qualitative study from Bosnia Herzegovina.

The Harvard Trauma Questionnaire and Hopkins Symptoms Checklist (HSCL-25) were given to 337 13-15 year olds who had lived through the recent war in Bosnia Herzegovina, on opposite sides of the conflict. A gender-balanced sub-sample of 40 adolescents was selected on the basis of their combined symptom scores, including equal numbers of high and low scorers from each side. A year of participant observation in two cities and in-depth interviews were conducted with the sub-sample to explore their understandings of the war and their subjective perceptions of their psychological well-being. Case studies are presented to show that the degree to which an adolescent engaged in a search for meaning to the conflict is related to their psychological well-being. Searching for meaning did not appear to be protective. Less well adolescents in both cities were more engaged in searching for meaning. Well adolescents appeared to be more disengaged. Searching for meaning appeared to be associated with sensitivity to the political environment, and feelings of insecurity about the prospect of a future war. The particular local context had an important effect in mediating the manner in which disengagement and engagement occurred. These findings suggest that the more avoidant methods of coping with political violence warrant further investigation. Political engagement may be protective in low-level conflicts where there is a possibility for action. When there is little opportunity for active engagement, the search for meaning has a different effect. Adolescents engaged in the search for meaning recognise that their recovery is bound up with the recovery of their communities as a whole. Assistance and support may have to address the material, social and political difficulties that the search uncovers.

Adolescent↗
PubMed1999

Political self-characterization of US women physicians.

The political self-characterization of US physicians, especially including women physicians, has been poorly described. We used data from the 4,501 respondents to the Women Physicians' Health Study (WPHS), a stratified random sample of US women M.D.s surveyed in 1993-1994, to assess US women physicians' political characteristics. US women physicians were most likely to consider themselves politically moderate (36.6% of respondents). More considered themselves liberal (28.4%) or very liberal (8.8%) than considered themselves conservative (20.5%) or very conservative (5.8%). US women physicians predominantly bring moderate and liberal voices to political discourse. Organizations that wish to attract US women physician members should consider promoting less conservative policies.

Adult↗
PubMed1999

Policy and politics of smoking control in Japan.

The tobacco industry took root well before the hazards of its products were proven scientifically. As elsewhere, smoking control policy has not proceeded automatically nor smoothly in Japan. Examination of the past political process discloses that the failure to enact effective smoking control is attributable to several factors, including the political environment, administrative inadequacy and an inactive medical community. Especially remarkable in this failure have been: the political leverage of the tobacco industry; a lack of clear leadership by the health ministry; the successive rejection of law suits in the courts; and the relatively weak health advocacy groups in Japan. The Diet had been effectively immobilized by pro-tobacco interests and without support from the government, administrative agencies have remained inactive. Since the late 1970s, a series of smoking control measures has been introduced by government agencies, propelled by the social movement. However limited, the introduction of smoking control measures was accomplished with, or at least facilitated by the following: the advocacy of local and international groups and organizations; the continuous visibility of the issue in the media; and changing public attitudes. Involvement of the Diet and the Ministry of Health and Welfare (MHW) was essential in translating commitments into government action. Nevertheless, the resulting measures were not comprehensively legislated. Moreover, they were not subject to continuous evaluation. Consequently, they have been mostly ineffective in decreasing the prevalence of smoking among the populace. Clearly, leadership by the health ministry coupled with political support are the key to advancing effective smoking control.

Humans↗
PubMedDate not supplied

Nursing education at the crossroads: political passages.

Transitions in the nation's health care and education systems demand the involvement of nurse educators in local, state, and national policy processes. The federal government's support of the Nurse Education Act (NEA) has been critical to the nursing profession. This article presents a case study of the Tri-Council for Nursing's political strategies during the 1991 to 1992 reauthorization of the NEA. Federal government participants had significantly different perceptions of organized nursing's political strategies than did the Tri-Council participants. Both political strengths and limitations of organized nursing in national policy-making are noted. Timely political implications and recommendations for nurse educators are provided.

Education, Nursing↗
PubMed1999

"One people, one blood": public health, political violence, and HIV in an Ethiopian-Israeli setting.

Between 1984 and 1996, public health authorities in Israel maintained a secret policy of discarding blood donations made by Ethiopian-Israeli citizens and immigrants. Officials later attempted to justify this policy on the grounds that immigrants from Ethiopia were subject to high rates of infectious disease (especially HIV). In 1996, this led to an explosive and violent confrontation between Ethiopian-Israeli protestors and agents of the state, including police and public health authorities. This essay explores the cultural and political context of that confrontation, including the discourse of political violence which it occasioned. The conflict between Ethiopian-Israelis and the state was located within a wider set of political contexts, including the Israeli-Palestinian conflict, which was linked to it through a shared trope of "spilled blood" common to both. Cultural analyses which ignore this dynamic political context are in danger of seriously misrepresenting the meaning of the "Blood Affair" to its participants. At the same time, this essay also engages a critical analysis of the public health policies which led to the crisis. Public health and nationalist discourse reinforced one another at the expense of Ethiopian immigrants in general, and so-called "Feres Mura" Ethiopians in particular.

Adult↗
PubMed2005

The role of age in the perceptions of politics--job performance relationship: a three-study constructive replication.

This research examined the interaction of organizational politics perceptions and employee age on job performance in 3 studies. On the basis of conservation of resources theory, the authors predicted that perceptions of politics would demonstrate their most detrimental effects on job performance for older workers. Results across the 3 studies provided strong support for the hypothesis that increases in politics perceptions are associated with decreases in job performance for older employees and that perceptions of politics do not affect younger employees' performance. Implications of these results, strengths and limitations, and directions for future research are discussed.

Adult↗
PubMed1998

Czech men's drinking in changing political climates 1983-93: a three-wave longitudinal study.

AIMS: To analyse the relationships between political developments in the Czech Republic and the drinking behaviour of Czech men. DESIGN: A longitudinal (panel) design provided data collected on a cohort of 586 Czech men in three different political climates in 1983, 1988 and 1993. SETTING: In 1986-88 the ruling Communist party tried to reduce alcohol consumption in the country by a Gorbachev-inspired anti-alcohol campaign; after 1989 the re-establishment of democracy and a market economy abolished all political control over drinking and deregulated prices of beverage alcohol. PARTICIPANTS: A representative cohort of Prague men born 1950-61. MEASUREMENTS: Beverage-specific interview reports on drinking behaviour and questionnaire data on attitudes to drinking. FINDINGS: In those followed-up, mean alcohol consumption decreased between 1983 and 1988 by 26% and increased again by 16% between 1988 and 1993, mirroring per capita consumption in the Czech Republic. The same time trend was observed across all educational levels and also among men who were registered for alcohol abuse. Attitudes of the men to drinking changed minimally over the 10 years of follow-up. Individual attitudes to drinking interacted with the period effects: men with strong positive attitudes to drinking decreased their consumption less than others during the anti-alcohol campaign and such men increased their consumption more than the average during the liberalisation period. CONCLUSIONS: The downward and then upward in average alcohol consumption of the men during the 10 years of follow-up can be interpreted as affected partly by price changes and partly by changes in political control over drinking.

Adult↗
PubMed2002

Action research: politics, ethics and participation.

AIM: This paper contributes to an understanding of the political and ethical aspects of action research (AR). BACKGROUND: Action research is growing in popularity in nursing and health care as a means of changing practice and generating new knowledge. As a methodology, AR relies on a close collaborative working relationship between researcher and participants, but this close relationship is also the source of political and ethical problems faced by researchers and participants. CONTENT: We argue that action researchers and participants working in their own organizations should be clear about the extent to which they are engaged in a political activity, and that AR does not offer the same ethical guarantees concerning confidentiality and anonymity, informed consent, and protection from harm as other research methodologies (both quantitative and qualitative). This argument is illustrated by our experiences of participation in an AR study. CONCLUSION: We outline three areas where AR is implicitly political, and three areas where it is ethically problematic. We recommend that researchers and participants recognize, discuss and negotiate these problematic areas before starting their work.

Attitude of Health Personnel↗
PubMed2000

[Political change in East Germany 1989-90 in the lives of chronic schizophrenic patients].

Theoretical models suggest a higher vulnerability of chronic schizophrenic patients for critical life events and rapid change of objective living circumstances. On the basis of these models one may hypothesise that the political change in East Germany in 1989/90 was objectively or subjectively distressing to such patients and had a negative impact on their illness. In a retrospective longitudinal study, we investigated patients' assessment of political change, life events that were potentially related to the political changes, impact of the changes on subjective quality of life, and hospitalization rates during five year periods prior to and following the change. 120 patients with chronic schizophrenia in East Berlin and 70 in Chemnitz were examined using quantitative and qualitative methods. Patients reported more individual freedom and better care after 1989. They complained about stress due to loss of employment, financial disadvantages and rising crime rates. Despite the occurrence of potentially change-related life events after 1989, patients stated very little impact of the changes on their illness. Retrospectively, patients in East Berlin reported a significantly better subjective quality of life in 1994 than in 1984. Hospitalization rates did not increase after 1989. The findings are not consistent with the hypothesis and do not suggest that political changes in East Germany in 1989/90 had--subjectively or objectively--a substantial negative effect on the illness of patients with chronic schizophrenia.

Adult↗
PubMed2005

The changing demographic, legal, and technological contexts of political representation.

Three developments have created challenges for political representation in the U.S. and particularly for the use of territorially based representation (election by district). First, the demographic complexity of the U.S. population has grown both in absolute terms and in terms of residential patterns. Second, legal developments since the 1960s have recognized an increasing number of groups as eligible for voting rights protection. Third, the growing technical capacities of computer technology, particularly Geographic Information Systems, have allowed political parties and other organizations to create election districts with increasingly precise political and demographic characteristics. Scholars have made considerable progress in measuring and evaluating the racial and partisan biases of districting plans, and some states have tried to use Geographic Information Systems technology to produce more representative districts. However, case studies of Texas and Arizona illustrate that such analytic and technical advances have not overcome the basic contradictions that underlie the American system of territorial political representation.

Civil Rights↗
PubMed2002

Social identification among political party voters and members: an empirical test of optimal distinctiveness theory.

According to optimal distinctiveness theory, minority political parties and parties of intermediate size provide more central and important bases of social identity. The authors tested that prediction in a sample of voters and a sample of political party members. In both samples, adherents of minority and intermediate parties did not perceive their parties to be more representative of them. The authors found no significant differences between political parties on the collective self-esteem questionnaire administered to the sample of political party members.

Adolescent↗
PubMedDate not supplied

Eight thousand years of economic and political history in Latin America revealed by anthropometry.

Human growth in height may be used as a cumulative record of the nutritional and health history of a person or a population, and often reflects the economic, social and political environment in which those people live. This paper explores the relationship between growth in height and the economic, social and political environment in Latin American populations. Adult height is analysed over an 8250 year period. It is shown that economic, social and political change prior to the European conquest of the Americas resulted in positive and negative trends in mean stature. Following the European conquest, there was a decline in mean adult stature in Middle and South America that continued until about 1939. From 1940 to 1989 there was a trend for increasing mean stature. A negative trend in stature for children is found in a second analysis. Economic decline and political unrest in Guatemala since 1978 is associated with a significant decline in the mean stature of 10- and 11-year-old children from families from very high, moderate, and very low socioeconomic status.

Adult↗