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At least 1,243 records · Page 69Linked to original sources
PubMed1999

Evidence-based practice. A philosophical and political analysis: some matters for consideration by professional practitioners.

This paper evaluates the concept of evidence-based practice (EBP) and appraises critically the implementation process of the EBP initiative, noting its consonance with the aspirations of the dominant political culture and offering a critique of the inherent contradictions and ethical dilemmas associated with it. A critical evaluation of the implications for practitioners and service users is offered and the authors argue that while the concept of EBP is a laudable one, there is a need to exercise caution about uncritical acceptance and evidence that a more eclectic and less reductionist approach to EBP is essential for quality service development.

Diffusion of Innovation↗
PubMed2005

[Eugenist politics in the United States of America in the first xxth half-century].

The United-States were the first country which had devised eugenist politics. The applications of theories had taken place as far as the end of the 1960's. They were placed one's reliance on two points: on the one hand, immigration's limitation and on the other hand an obligatory sterilisation of criminels and feebleminde people.

Emigration and Immigration↗
PubMedDate not supplied

[Post-traumatic Stress Disorder: history of a politically unwanted diagnosis].

Severe psychological responses to war and violence were already described in Greek antiquity. However, an officially acknowledged diagnosis was introduced only as recently as 1980. This paper describes the historical development of the diagnosis "Posttraumatic Stress Disorder", and investigates why it took so long for the diagnosis to be officially accepted. A first concept goes back to the London Surgeon Eric Erichsen, who in 1866 developed the influential hypotheses that psychological symptoms after railway accidents were caused by a concussion of the spine followed by "molecular changes" in the spinal cord ("railway spine syndrome"). At the same time, Pierre Janet and Sigmund Freud investigated the aetiology of hysteria. In World War I and II, up to 10% of the soldiers were exempted from further service because they suffered from nervous breakdowns caused by the experience of war ("shell shock"). Insights into the psychological long-term effects of Nazi Germany's concentration camps, the political activities of the Vietnam Veterans, and evidence from clinical studies resulted in the introduction of the newly defined diagnosis "Post-traumatic Stress Disorder" into DSM-III in 1980. In the past few years, several aspects of this diagnostic concept were legitimately criticized. Nevertheless, the official introduction of the diagnosis led to the acknowledgement of personal suffering and to the development of specific and efficacious therapies.

History, 19th Century↗
PubMed1997

[Psychiatric disorders after political imprisonment in the Soviet occupation zone and in the GDR from 1945-1972].

In an exploratory study, 54 persons, were examined who were imprisoned--for at least six months--for political reasons first in the Soviet Occupation Zone and/or later in the German Democratic Republic (East Germany) between 1945 and 1972. Conditions of imprisonment included means that may be classified as psychological torture. Biographical data, experiences of imprisonment, factors helpful for coping, and influence of imprisonment on the persons' life were investigated in a semistructured interview. Symptoms were self-rated on a combined form of the von Zerssen Complaints List, psychiatric disorders were assessed in the computerised WHO composite International Diagnostic Interview. In 29 persons no psychiatric disorder was diagnosed. In 25 persons mostly anxiety disorders and depressive disorders were found. 21 of the latter reported that the onset of symptoms was during imprisonment or within a one-year period following it. Many persons had some symptoms of post traumatic stress disorder while only one fulfilled all criteria for diagnosing it. Only a few variables were significantly correlated with the severity of self-rated symptoms or with the existence of a psychiatric disorder. The shared variance was limited. Former prisoners with a better vocational integration had less often a psychiatric disorder and fewer symptoms. When interviewes stated some positive implications of imprisonment for their life thereafter and when they had more social contacts, this was also associated with a lower severity of self-rated symptoms.

Aged↗
PubMedDate not supplied

[The importance of nosocomial infections for patients and socio-political representatives].

The importance of nosocomial infection prevention is up to now not seen in all its consequences by physicians and the social-political representatives. Do activities to analyse and prevent nosocomial infections nowadays not encounter the resistance, we know from the times of Semmelweis, the problems in this respect haven't changed a great deal, i.e. the negative sides of modern medicine are often intentionally overseen. Hospital hygiene may not be misunderstood as clinical bacteriology, it is indeed a true task for the clinician and has to deal with all complications resulting from patient treatment. Side effects from drugs and postoperative thromboembolic complications have also been followed, as they are very often in direct or indirect correlation with bacterial infections or their consequences. From the social economic point of view nosocomial infections represent a very important cost factor, which could be reduced to great deal by activities for prevention of nosocomial infection. This means, that such activities not only could be performed cost-neutral, but could render a further cost reduction in hospital medicine. Besides of the individual disasters, nosocomial infections create, this economic view could be a strong second argument for hospital hygiene in our world mostly reacting only on financial factors.

Bone Diseases↗
PubMed2006

A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.

In the operating theater, the micro-politics of practice, such as interpersonal communications, are central to patient safety and are intimately tied with values as well as knowledge and skills. Team communication is a shared and distributed work activity. In an era of "professionalism," that must now encompass "interprofessionalism," a virtue ethics framework is often invoked to inform practice choices, with reference to phronesis or practical wisdom. However, such a framework is typically cast in individualistic terms as a character trait, rather than in terms of a distributed quality that may be constituted through intentionally collaborative practice, or is an emerging property of a complex, adaptive system. A virtue ethics approach is a necessary but not sufficient condition for a collaborative bioethics within the operating theater. There is also an ecological imperative-the patient's entry into the household (oikos) of the operating theater invokes the need for "hospitality" as a form of ethical practice.

Bioethics↗
PubMed2000

Political talk radio and public opinion.

This article examines the relationship between listening to political talk radio (Rush Limbaugh in particular) and attitudes toward public figures, groups, and policies. We employ a variety of methods to combat the selection bias inherent in such relationships. We find that listening to Limbaugh is independently associated with attitudes toward issues that Limbaugh emphasizes but shows no independent covariance with attitudes toward salient issues that Limbaugh neglects. Moreover, Limbaugh listening independently corresponds to greater negativity toward Ross Perot, a figure for whom affect cannot be accurately predicted from individual party identification or ideology. Finally, regular listening to Limbaugh predicts substantial change in attitudes from 1994 to 1996, but the effects are substantially muted when the Limbaugh message is positive rather than negative.

Journal Article↗
PubMed2002

Nuclear democracy. Political engagement, pedagogical reform, and particle physics in postwar America.

The influential Berkeley theoretical physicist Geoffrey Chew renounced the reigning approach to the study of subatomic particles in the early 1960s. The standard approach relied on a rigid division between elementary and composite particles. Partly on the basis of his new interpretation of Feynman diagrams, Chew called instead for a "nuclear democracy" that would erase this division, treating all nuclear particles on an equal footing. In developing his rival approach, which came to dominate studies of the strong nuclear force throughout the 1960s, Chew drew on intellectual resources culled from his own political activities and his attempts to reform how graduate students in physics would be trained.

History↗
PubMed2002

Blood, politics, and social science. Richard Titmuss and the Institute of Economic Affairs, 1957-1973.

Long before his last book, The Gift Relationship: From Human Blood to Social Policy, was published in early 1971, Richard M. Titmuss (1907-1973), a professor of social administration at the London School of Economics, had been a major figure in the debates over the welfare state. The Gift Relationship was the culmination of an eventful relationship with the Institute of Economic Affairs, a think tank that advocated the extension of rational pricing to social services. By arguing that the British system of blood procurement and distribution, based on free giving within the National Health Service, was more efficient than the partly commercialized American system, Titmuss intended to signal the dangers of the increasing commercialization of society. What made for the impact of his book, however, was not merely its argument that transfusion-transmitted infections were much more common with paid than with voluntary donors, but also its reflections on what it is that holds a society together. And here Titmuss argued that a "socialist" social policy, by encouraging the sense of community, played a central role. The eclecticism of Titmuss's work, together with its strong ethical and political flavor, makes it a rich and original account of the "social" at a time when heated debated over social policy, both in Britain and in the United States, raised the question of the division of labor among the social sciences.

Altruism↗
PubMed1998

Glandular politics. Experimental biology, clinical medicine, and homosexual emancipation in fin-de-siècle central Europe.

Focusing on the work of the physiologist Eugen Steinach and the clinician and activist Magnus Hirschfeld, this essay explores the complex interplay of experimental biology and medical discourse in the construction of a male homosexual identity in early twentieth-century Central Europe. Hirschfeld's collaboration with Steinach, the essay demonstrates, was not simply an instance of the imposition of a biomedical model of sexuality on the homosexual community by a hegemonic medical profession. Hirschfeld, a physician who was also a leader of the German movement for homosexual emancipation, used Steinach's theory to anchor a new biological model of homosexuality, claiming that male homosexuals were neither diseased nor depraved but formed a distinct, autonomous group of organically feminized men. The redefinition of homosexuality resulting from Steinach's and Hirschfeld's research, the essay argues, was not related exclusively to the specific politics of homosexual emancipation but also to more general debates, anxieties, and contestations over the cultural meanings of masculinity and femininity.

Biology↗
PubMedDate not supplied

Political, administrative, and economic resources for the control of poliomyelitis.

Control of any major childhood disease in developing countries is dependent on the ability of health services to reach the susceptible population and to administer appropriate therapy or preventive action. Both of these needs are addressed by the development of primary health-care services. The vaccine-preventable diseases, including poliomyelitis, are likely to be controlled only through programs that are executed through the primary health-care system. The implications of the technical aspect of poliomyelitis control on economic resources are secondary to the administrative capability of the programs to manage these technical facilities effectively. The first prerequisite of any health program is the political will on the part of the decision makers to carry it through effectively. This will be reflected in the strength of the administrative structures and the economic resources made available. At present poliomyelitis, with its clinical visibility and its appeal to humanitarian instincts, has an importance as a leader for immunization programs and thus, for primary health care.

Health Policy↗
PubMedDate not supplied

Beyond the political model of reporting: nonspecific symptoms in media communication about AIDS.

Mass media have functioned well in transmitting much of the basic information about the AIDS epidemic; however, media coverage of AIDS has been flawed. In many ways these flaws have resulted from the limitations and conventions of traditional journalism, especially the need to appeal to a large mainstream audience and a reliance on authorities as sources and validators of information. News stories typically rely on a single articulate authority, and articles that involve conspiracy or controversy or have a high entertainment value are favored. Although coverage of politics and social issues is not distorted by these journalistic conventions, coverage of science suffers. Analysis of news coverage of AIDS shows that mass media often respond to sensationalism rather than to important scientific developments. In addition, scientific disagreements are better adjudicated by evidence than by appeals to authority. As a result, media coverage often obscures the process of scientific deliberation. Public health officials need to consider setting up a special channel of communications to clarify information about AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed2003

Education of deaf children and the politics of recognition.

The ideological basis for education of deaf children has changed during the last few decades. In Norway, the new curriculum is emphasizing bilingual and bicultural ideas. In many ways, this can be regarded as an example of what Charles Taylor calls the "politics of recognition." Taking an excerpt of an interview with a deaf student as a point of departure, this article discusses problems when heavily emphasizing a cultural approach.

Journal Article↗
PubMed1990

The delivery, regulation, and politics of home care: a California case study.

This study examined seven basic types of formal home care service providers in California, licensed and unlicensed, delivered by agencies and by individual providers. The primary differences were based on sources of payment, duration of care, supervision of personnel, and state regulation, rather than on statutory definitions of services offered and clients served. Many key officials and providers advocate regulatory reform by extending licensure to unlicensed agencies and providers. Competing special interest groups have not developed a consensus about regulation, leading to a political stalemate. Research has not determined differences in quality, access, and costs of licensed and unlicensed home care providers.

Aged↗
PubMed1990

Wrongful birth and the politics of reproduction: West German and English law considered.

This article considers the law relating to compensation in tort and contract for failed sterilizations and failed abortions leading to the birth of an unplanned but healthy child in the Federal Republic of Germany and England. It uses a policy-based analysis which takes the social construction of gender as a significant factor in judicial decision making. It criticizes existing literature for failing to take into account gender divisions in society and points to ways in which both the framework within which wrongful birth cases are discussed generally and the limitations which have been placed on recovery specifically reflect gender stereotyped notions of female and male behaviour and sexuality. I conclude that there are three main areas of concern in the wrongful birth cases: a) the inadequate recognition which the law accords to women's work in the home when awarding damages for maintenance of the unplanned child to majority; b) the awarding damages exercised by the politics of abortion, which can lead to undue restrictions on recovery; and c) the difficulties which the law experiences when attempting to conceptualize an interference in a woman's procreative autonomy in the same terms as an interference in a typically 'male' sphere of life, such as professional autonomy. Thus there is an urgent need to reconsider the categories of the law of obligations such as 'damage' and 'compensation', which are central to the principle of individual responsibility for harm caused, in order to reveal their gendered content and differential effects.

Abortion, Induced↗
PubMed1988

Needs of the elderly and the politics of health care. The social context of changes in the delivery system.

The emergence of the elderly as a substantial subgroup within the population has been identified as signaling a crisis for the health care system. This article places recent changes in health care financing for the elderly in the context of biomedical, demographic, and social factors. These factors, in turn, are related to the larger economic and political structures that have shaped our national health care policies and programs. Current policies and programs are inadequate in meeting the needs of the elderly because they provide a limited array of services. This article also examines how the needs of the elderly have been portrayed to support age-based entitlements to limited health care coverage, irrespective of need across age strata. Physical therapists can use their understanding of the genesis of particular public policies to assist in developing a health care system that is responsive to the needs of all members of society.

Aged↗
PubMed2003

To relieve the sufferings of humanity, irrespective of party, politics or creed?: conflict, consensus and voluntary hospital provision in Edwardian South Wales.

This article examines the provision of voluntary hospital facilities for injured workers in the mining valleys of Edwardian South Wales. It considers the co-operation and conflict that characterized efforts to establish hospitals, and examines the attitudes and activities of workers, employers, and other interested groups. Despite certain instances of disagreement and conflict, this article demonstrates the significant levels of co-operation and consensus that characterized the efforts of employers and workers to provide communities with hospital facilities. This co-operation was perhaps surprising considering the bitter industrial conflict and social unrest of that period. The article uses this material to question assertions that hospitals reflect the social and political milieus of the communities in which they were situated and argues that the social relations produced by hospital provision sometimes coincided with wider social and industrial relations, but at other times differed from them or transcended them. Furthermore, the article demonstrates that the co-operation between employers and workers in the provision of hospitals in Edwardian South Wales did not stabilize social and industrial relations in the way that historians of associational voluntarism in other contexts have found.

Accidents, Occupational↗
PubMed1982

137Cs concentrations in northern Alaskan Eskimos, 1962-79: effects of ecological, cultural and political factors.

Concentrations of worldwide fallout 137Cs were measured in the lichen-caribou-Eskimo food chain of northern Alaska during the period 1962-79. Pronounced inputs of fallout occurred after major nuclear weapons tests in the atmosphere and 137Cs was transmitted through the food chain to Eskimos with about a 2-yr delay due to environmental parameters. Caribou (Rangifer tarandus) meat sampled during spring harvest contained 4 times the 137Cs concentration of lichens obtained from their winter range. Calculated caribou meat ingestion rates of Anaktuvuk Pass Eskimos during winter ranged from approximately 1 kg/day in 1964 to 0.16 kg/day in 1977. Several environmental factors affected seasonal patterns and amounts of 137Cs transferred through the food chain. Maximum 137Cs concentrations of approximately 20 nCi/kg body weight in ESkimos occurred in 1964 and have now decreased to approximately 0.5 nCi/kg, largely because of cultural and political factors. Radiation doses from 137Cs body burdens during the study period ranged from 60 mrad/yr in 1962 to approximately 140 mrad/yr during the 1962-64 maxima and decreased to 8 mrad/yr in 1979.

Alaska↗