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Physical puritanism and religious dissent: the case of John Young (1820-1904), Sunderland chemist and druggist and Methodist lay preacher.

"Physical puritanism", the name given to the popular medical reform movements of early Victorian Britain by the Edinburgh academic Samuel Brown, nicely evokes their links with religious dissent. While historians have examined the formal organization, leadership, and membership of several of these movements, we know very little about the ways of thinking of their ordinary adherents. The diary of John Young (1820-1904), a Sunderland chemist and druggist and local preacher of the Wesleyan Methodist Association, affords unrivalled insights into the mind of one "physical puritan". In particular, Young's reading of the Edinburgh physician and phrenologist Andrew Combe's influential work Principles of Physiology (1834) can be examined in detail. Virginia Smith has argued that such advice books are valuable in providing access to lay ideas about health. Their readership, however, has not been studied. This article offers a case study which calls into question Smith's assertion that the new utilitarian popular physiology of the 1830s and 1840s was valued principally for the physical benefits offered by its therapies, so distinguishing it from its more spiritually-oriented eighteenth-century antecedents. I argue that the natural theology which marks Combe's work was important in helping dissenters like Young to appropriate new ideas (in particular ideas derived from the popular science of phrenology) not only to promote physical health, but also to assist in attaining spiritual goals. For some of their readers, Combe and Wesley were not so far apart.

Christianity↗

Through the eyes of Hollywood: images of social workers in film.

This article reports on research that investigated the images of social workers as portrayed in movies as a major medium of popular culture. Findings from an analysis of 44 movies spanning the period from 1938 to 1998 are presented with particular attention to the themes of gender, race, and class. Using the concept of motivated representations in popular culture, we suggest that these popular constructions of social workers are perhaps motivated by efforts to maintain the status quo of the dominant society, rather than to promote social change and social justice.

Attitude to Health↗

Making history: lessons from the great moments series of pharmaceutical advertisements.

The authors shed light on present-day pharmaceutical advertisements by looking back to an important early chapter in pharmaceutical company-sponsored promotion: the Great Moments in Medicine and Great Moments in Pharmacy, a series of commercial paintings produced by Parke, Davis & Company between 1948 and 1964. Beginning in the early 1950s, Parke-Davis delivered reproductions of the Great Moments images to physicians and pharmacies throughout the United States and Canada and funded monthly pullout facsimiles in key national magazines. The images also appeared in calendars, popular magazines, and "educational" brochures. By the mid-1960s, articles in both the popular and the medical press lauded the Great Moments for "changing the face of the American doctor's office" while describing the painter, Robert Thom, as the "Norman Rockwell" of medicine. The authors' brief analysis uses source material including popular articles about the Great Moments, existing scholarship, previously unexamined artist's notes, and, ultimately, the images themselves to explain why these seemingly kitschy paintings attained such widespread acclaim. They show how the Great Moments tapped into a 1950s medical climate when doctors were thought of as powerfully independent practitioners, pharmaceutical companies begged the doctor's good graces, and HMOs and health plans were nowhere to be seen. The authors conclude by suggesting that the images offer important lessons for thinking about the many pharmaceutical advertisements that confront present-day doctors, patients, and other consumers.

Advertising↗

Shoulder instability in athletes. The Asian perspective.

Recently, there has been an upsurge of interest among the orthopaedic sports medicine community in Asia on this subject of athletic shoulder instability. This is particularly prominent in countries such as Japan, Korea, Taiwan, and Hong Kong, where sports requiring throwing and overhead use of the upper limb are popular. In this review, the classification of the condition is analyzed with a specific account of the rotator interval injury. A systematic plan of clinical assessment is presented highlighting the specific regional considerations in clinical practice and cost-effectiveness of the health care systems in Asia. The management of athletic shoulder instability depends on patient attitude and cultural background. In Asia, the popular choice of Bankart repair with capsular shift procedure is presented with special reference to the unique experience of multidirectional and habitual posterior instability. Arthroscopic surgery is becoming popular in Asia, and the indications and limitations of the technique in the management of shoulder instability are discussed.

Arthroscopy↗

Functional gain.

The concept of functional gain was popularized by Pascoe in 1975, and for some time was one of the most popular hearing aid evaluation techniques. More recently probe tube systems for measuring insertion gain have become popular, and some questions regarding the continued utility of functional gain have been raised. In this paper some of the major advantages and disadvantages of functional gain are reviewed. While functional gain is subject to contamination from noise external or internal to the hearing aid, it does provide subjective information not available from insertion gain.

Acoustics↗

Elimination diets in autism spectrum disorders: any wheat amidst the chaff?

The use of complementary or alternative treatment approaches in children with autism spectrum disorders (ASDs) is increasing, and the most popular of such approaches are diets that eliminate either gluten or casein, or both. The popularity of these diets indicates a need for more rigorous research into their efficacy. Owing to significant methodological flaws, the currently available data are inadequate to guide treatment recommendations. The purpose of this review is to examine the available trials of gluten/casein diets in children with ASDs regarding the strength of their findings and also concerning points that may be useful in the design of future studies. Seven trials of these diets in ASD are critically reviewed; 6 of these were uncontrolled trials and 1 used a single-blind design. All reported efficacy in reducing some autism symptoms, and 2 groups of investigators also reported improvement in nonverbal cognition. Design flaws in all of the studies weaken the confidence that can be placed in their findings. Careful double-blind, placebo-controlled studies are needed to evaluate whether actual benefit undergirds the diets' popularity and to provide better guidance to clinicians and caregivers. The literature currently available suggests that diets eliminating both gluten and casein (rather than either alone) should be studied first and that outcome measures should include assessments of nonverbal cognition.

Autistic Disorder↗

Dynamics of male circumcision practices in northwest Tanzania.

BACKGROUND: Male circumcision status is considered an important cofactor in the spread of HIV and sexually transmitted disease. There is limited evidence that male circumcision practices in Africa may be changing. GOAL: To assess the determinants of male circumcision status in a traditionally noncircumcising ethnic group and to investigate the reasons for increasing acceptance of circumcision. METHODS: Data from a factory workers study and a rural cohort study in northwest Tanzania were used to analyze the levels and determinants of male circumcision status and assess the reliability of self-reported data. Qualitative data from focus group discussions and in-depth interviews were obtained to ascertain norms and values in relation to male circumcision. RESULTS: Male circumcision has become more popular in recent years, and 21% of 3,491 men reported themselves as circumcised. An increase in circumcision rates was observed in the rural cohort study during 1994 to 1997, though reporting inconsistencies are common. Circumcision rates were higher among men with higher levels of education and in Muslim men. Men are often circumcised in their late teens or twenties. The reasons for the increasing popularity of circumcision were investigated in group discussions and in-depth interviews. The most frequently mentioned reason was health-related; circumcision was thought to enhance penile hygiene, reduce sexually transmitted disease incidence, and improve sexually transmitted disease cure rates. CONCLUSION: Male circumcision is becoming more popular among a traditionally noncircumcising ethnic group in Tanzania, especially in urban areas and among boys who have attended secondary schools.

Adolescent↗

Wanna know a secret?

In a study to examine adolescent perceptions of popular teen magazines, two focus groups of adolescent women met four or five times as groups and individually to discuss the health messages in the images and texts they chose from popular teen magazines. They noted that many of the messages in teen magazines are couched in terms of secrets. Interpretive inquiry created an understanding of certain facets of secrets and secrecy as they pertain to popular teen magazines and the adolescent women who read them. Secrets revealed themselves through their links with other secrets in the lifeworld. This interpretive work is an example of substantively driven research where the power of the topic takes the lead guiding the development of knowledge surrounding secrets.

Adolescent↗

Paediatric laparoscopic surgery.

PURPOSE OF REVIEW: Laparoscopic procedures in paediatric urology are gaining popularity, with an increasing number of centres performing advanced surgery. Indications have expanded from diagnostic to ablative surgery and more recently to reconstructive procedures. The current status of the indications and results of different laparoscopic procedures dealing with paediatric urology are reviewed. RECENT FINDINGS: Laparoscopic orchiopexy for intra-abdominal testis gives better results than classic open surgery procedures. Palomo modified varicocelectomy with lymphatic preservation is the optimal surgical procedure to treat varicocele in adolescents. The retroperitoneal approach to renal surgery is gaining popularity. Total and partial nephrectomies are feasible in comparable operative times with open surgery and shortened hospital stays. Dismembered pyeloplasty remains a challenging procedure limited to few centres, with excellent midterm results. Laparoscopic adrenal surgery has been extended to neuroblastoma in selected cases. Laparoscopic transvesical ureteric re-implant is now feasible, and opens a new era in bladder surgery. Finally, results of the initial experience with robot-assisted pyeloplasty are now available in children, and showed similar results with regard to the postoperative course, but shorter operative times with experience. SUMMARY: The value of laparoscopic orchiopexy for intra-abdominal testis and ablative surgery such as total and partial nephrectomy and adrenalectomy has been confirmed. Robot-assisted laparoscopic surgery will probably popularize challenging procedures such as pyeloplasty and ureterovesical re-implant, which are still limited to a few centres. Despite an increase in the number of publications dealing with the results of laparoscopic procedures, efforts are still needed to validate the benefits of such procedures over open surgery.

Adolescent↗

Methods for addressing missing data in psychiatric and developmental research.

OBJECTIVE: First, to provide information about best practices in handling missing data so that readers can judge the quality of research studies. Second, to provide more detailed information about missing data analysis techniques and software on the Journal's Web site at www.jaacap.com. METHOD: We focus our review of techniques on those that are based on the "Missing at Random" assumption and are either extremely popular because of their convenience or that are harder to employ but yield more precise inferences. RESULTS: The literature regarding missing data indicates that deletion of observations with missing data can yield biased findings. Other popular methods for handling missing data, notably replacing missing values with means, can lead to confidence intervals that are too narrow as well as false identifications of significant differences (type I statistical errors). Methods such as multiple imputation and direct maximum likelihood estimation are often superior to deleting observations and other popular methods for handling missing data problems. CONCLUSIONS: Psychiatric and developmental researchers should consider using multiple imputation and direct maximum likelihood estimation rather than deleting observations with missing values.

Adolescent↗

Mastopexy preferences: a survey of board-certified plastic surgeons.

BACKGROUND: The purpose of this survey was to assess the current trends in mastopexy techniques and to compare satisfaction rates and complications associated with different techniques. METHODS: In September of 2002, a mastopexy survey was sent to 1500 members of the American Society for Aesthetic Plastic Surgery; 487 complete responses were received, for a response rate of 32.5 percent. Questions elicited categorical answers, and the data were evaluated using the chi-square test and the comparison of two proportions. RESULTS: The inverted-T incision technique is the most popular. Satisfaction was reported to be highest with the short scar periareolar inferior pedicle reduction (or SPAIR) and Hall-Findlay techniques. Physician satisfaction was lowest with the periareolar technique. The three most common complications for all techniques were suture spitting, excess scarring, and bottoming out. The periareolar group had a greater frequency of revision (p = 0.002). The inverted-T group had a greater frequency of bottoming out (p = 0.043). The short scar group had a greater frequency of asymmetry (p = 0.008). CONCLUSIONS: The traditional inverted-T technique is the most popular, but the newer short scar techniques have become more popular in the last 5 years. The inverted-T incision continues to be associated with bottoming out and excess scarring. The periareolar technique has the greatest need for revision and the lowest physician satisfaction, despite its application to a greater volume of mastopexies per year.

Adult↗

Statistics of changes in lead node in connectivity-driven networks.

We study statistical properties of the highest degree, or most popular, nodes in growing networks. We show that the number of lead changes increases logarithmically with network size N, independent of the details of the growth mechanism. The probability that the first node retains the lead approaches a finite constant for popularity-driven growth, and decays as N-phi (ln(N)(-1/2), with phi=0.08607 em leader, for growth with no popularity bias.

Journal Article↗

Image interpolation by two-dimensional parametric cubic convolution.

Cubic convolution is a popular method for image interpolation. Traditionally, the piecewise-cubic kernel has been derived in one dimension with one parameter and applied to two-dimensional (2-D) images in a separable fashion. However, images typically are statistically nonseparable, which motivates this investigation of nonseparable cubic convolution. This paper derives two new nonseparable, 2-D cubic-convolution kernels. The first kernel, with three parameters (designated 2D-3PCC), is the most general 2-D, piecewise-cubic interpolator defined on [-2, 2] x [-2, 2] with constraints for biaxial symmetry, diagonal (or 90 degrees rotational) symmetry, continuity, and smoothness. The second kernel, with five parameters (designated 2D-5PCC), relaxes the constraint of diagonal symmetry, based on the observation that many images have rotationally asymmetric statistical properties. This paper also develops a closed-form solution for determining the optimal parameter values for parametric cubic-convolution kernels with respect to ensembles of scenes characterized by autocorrelation (or power spectrum). This solution establishes a practical foundation for adaptive interpolation based on local autocorrelation estimates. Quantitative fidelity analyses and visual experiments indicate that these new methods can outperform several popular interpolation methods. An analysis of the error budgets for reconstruction error associated with blurring and aliasing illustrates that the methods improve interpolation fidelity for images with aliased components. For images with little or no aliasing, the methods yield results similar to other popular methods. Both 2D-3PCC and 2D-5PCC are low-order polynomials with small spatial support and so are easy to implement and efficient to apply.

Algorithms↗

Nursing patients--an enjoyable task?

The paper describes a small study, in which the issue of patient popularity is re-examined. A sample of 35 psychiatric in-patients was used. The factors demonstrated by previous authors as affecting patient popularity are reconsidered in the light of theoretical, methodological, empirical and epistemological criticisms of previous research work in this area. The issues of consistency of patient popularity, both over time and between nurse raters, are also examined.

Adolescent↗

The educational value of clinical electives.

One hundred and eighty-four medical students at the University of Queensland were surveyed after they returned from their clinical elective. Approximately half stayed in Australia, and the other half travelled overseas. The United Kingdom was the most popular overseas destination, but there was a wide geographic distribution. The most popular clinical specialties were surgery, medicine, orthopaedics and emergency medicine, while the least popular were geriatrics and psychiatry. They were given a reasonable work schedule, but students remaining in Australia had a heavier work-load. While students on overseas electives received more formal instruction, students remaining in Australian placements received greater responsibility and better acceptance, but the majority in both groups received adequate supervision. Students gained experience in a large number of practical procedures, especially those in Australian placements. More problems were encountered by students in overseas placements, particularly with regard to organizing the elective, finances and personal-social difficulties. The vast majority of students found their clinical elective to be moderately or extremely worthwhile, and cited a number of perceived benefits. These results suggest that the clinical elective can have significant educational value.

Attitude of Health Personnel↗

Molecular marker systems in insects: current trends and future avenues.

Insects comprise the largest species composition in the entire animal kingdom and possess a vast undiscovered genetic diversity and gene pool that can be better explored using molecular marker techniques. Current trends of application of DNA marker techniques in diverse domains of insect ecological studies show that mitochondrial DNA (mtDNA), microsatellites, random amplified polymorphic DNA (RAPD), expressed sequence tags (EST) and amplified fragment length polymorphism (AFLP) markers have contributed significantly for progresses towards understanding genetic basis of insect diversity and for mapping medically and agriculturally important genes and quantitative trait loci in insect pests. Apart from these popular marker systems, other novel approaches including transposon display, sequence-specific amplification polymorphism (S-SAP), repeat-associated polymerase chain reaction (PCR) markers have been identified as alternate marker systems in insect studies. Besides, whole genome microarray and single nucleotide polymorphism (SNP) assays are becoming more popular to screen genome-wide polymorphisms in fast and cost effective manner. However, use of such methodologies has not gained widespread popularity in entomological studies. The current study highlights the recent trends of applications of molecular markers in insect studies and explores the technological advancements in molecular marker tools and modern high throughput genotyping methodologies that may be applied in entomological researches for better understanding of insect ecology at molecular level.

Animals↗

Health care seeking behavior of Korean women with lymphedema.

The present biocultural study aimed to describe the health care use patterns of women with lymphedema. Data came from interviews and participant observations with eight key informants between February 2000 and February 2002. Analyzing the process of seeking health care, this paper explored how Korean women with lymphedema make use of all the available resources in the three sectors of the health care system: professional, folk and popular health. In these three sectors of the health care system, informants showed different patterns of behavior. In the professional health care sector, they behave based on scientific Western medicine and holistic herbal medical frameworks. Informants want scientific technological treatment from a Westernized doctor and perfect humanistic and holistic treatment from a herbal doctor. In the folk sector, informants' behavior is ruled by a pragmatic and supernatural framework. Informants seek religious healers who have strong spirituality and non-religious healers who have experience and skills. Informants complied with these healer's remedies based on efficacy and empirical healing evidence. In the popular sector of the health care system, informants behave based on their concept of illness and rules of daily life. They believe lymphedema comes from poor blood circulation and they want to be regarded as members of society, not as patients with lymphedema. Therefore, informants practised popular remedies that they believed were good for promoting blood circulation and keeping their social network active. This description about health care seeking behaviors being embedded in Korean socio-medical culture can serve to understand patients with other chronic health problems. With these results, we can put a bridge over the river of cultural conflict between health professionals and patients.

Choice Behavior↗

Peer status and aggression in boys' groups: developmental and contextual analyses.

The social transactions of popular, rejected, neglected, and average first- and third-grade boys were examined during their initial encounters with peers. 23 groups of 5 or 6 boys each were observed for 45-min free-play sessions conducted on 5 consecutive days, with sociometric interviews following each session. Social preference in the play groups correlated significantly with classroom social preference after the third and subsequent play sessions for the third graders, and after the fourth and subsequent sessions for the first graders. The observational coding system distinguished 4 types of aggressive behavior that were hypothesized to relate to peer status in different ways. The first, rough play, was not related to peer status. However, rejected boys at both ages displayed significantly higher rates of angry reactive aggression and instrumental aggression than average boys. The relation between bullying and peer status varied with the age of the child. Popular first graders engaged in more bullying than average first graders, but popular third graders did not differ from average in bullying. Other questions concerned the temporal relation between play group behaviors and social preference scores within the group. Socially interactive behaviors anteceded high preference by peers, and low preference in turn led to social isolation in subsequent sessions.

Aggression↗