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Results for “Value Orientation”

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At least 163 records · Page 9Linked to original sources
PubMed1978

[Radiological diagnosis of ventrycular aneurysms. A report on 36 operated cases (author's transl)].

The value of different radiological examinations in the diagnosis of left ventricular aneurysms following infarcts is assessed using the results obtained in 36 operated cases. By correlating radiological and surgical findings the orientation value of standard examinations can be determined: almost constant cardiomegaly, irregularity of the borders of the heart, and more rarely, myocardial calcification, are significant signs. The two essential examinations are ventriculography and coronarography. Ventriculography can demonstrate anatomical abnormalities (protrusion), or dynamic changes only (hypokinesia, akinesia, systolic expansion). This remarkably reliable examination showed a predominance of anterior and anterolateral aneurisms (87% of cases), and enables definition of the critical cardiac surface area (about 25%) above which the aneurysm is operable. Coronarography shows that the anterior interventricular artery (A.I.V.) is affected in a large proportion (90%) of aneurysms. These two examinations can be used to select those patients suitable for surgery. Results were good and only one death occurred. In the other cases, the disorders of rhythm were reduced and the manifestations of cardiac insufficiency disappeared.

Adult↗
PubMed1991

Ethical dimensions of quality of life in aging: autonomy vs. collectivism in the United States and Canada.

Ethical concepts lie at the core of how quality of life in aging is defined and enhanced. Although recent American attention has been largely focused on autonomy as an important value for quality of life in old age, there is real danger in emphasizing personal independence at the expense of community or collectivism. This conceptual analysis compares and contrasts these value orientations in the U.S. and Canada and examines their relationship to the concept of quality of life in aging. It also explores implications of the analysis for expanding our understanding of the importance of value dimensions in comparative gerontology, and suggests ways of integrating individualistic and collectivistic ideals in gerontological policies and programs.

Aged↗
PubMed1976

Midlife marriage: sex differences in evaluation and perspectives.

Perceptions of marital relations are examined in a white middle and lower-middle class sample representing three life stages: newlyweds, middle-aged parents facing the empty nest, and persons about to retire. Descriptions of spouses are analyed in terms of positive/negative evaluations and the respective importance given to role and interpersonal components of the marital relationship. Middle aged respondents were shown to place greater emphasis on role performance than did the remaining groups, and middle-aged women gave the least positive evaluations of marriage. Midlife marital satisfaction is examined in relationship to affect toward children, socioeconomic status, value orientations, and life satisfaction.

Adult↗
PubMedDate not supplied

Ethics in psychiatric diagnosis from a psychodynamic perspective.

The diagnostic evaluation, representing a fundamental activity in psychiatric practice and research, requires a particular ethical responsibility on the part of the clinician. The author proposes the following aspects as being important for a comprehensive and ethically sensitive diagnosis: (a) incorporation of the patient's subjective perspectives and understanding of his/her disease, (b) consideration of the patient's quality of life, (c) assessment of the positive aspects of health, (d) awareness of group-dynamic and psychodynamic factors in the diagnostic situation, (e) the clinician's professional competence, value orientation and personal identity, (f) therapeutic optimism as a basic attitude. The patient's active involvement is emphasized since he is the real expert as far as his individual, social, religious and ethical needs and values are concerned.

Ethics, Medical↗
PubMed1978

A test of the construct validity of health locus of control: effects on self-reported compliance for hypertensive patients.

A test of the construct validity of the Health Locus of Control (HLC) scale is presented within the larger framework of Rotter's social learning theory. Self-reported compliance behavior was predicted to relate to the subject's HLC orientation, value toward health, and level of perceived home assistance. In a sample of ambulatory hypertensive patients, a significant two-way interaction effect was calculated between the perceived level of home assistance and the patient's HLC orientation (p = .02). The more internally oriented the patient and the higher the level of perceived home assistance in complying with the prescribed medical regimen, the greater the level of self-reported compliance behavior.

Attitude to Health↗
PubMed2003

Factors influencing the desire for children.

187 college students (139 women; 175 between the ages of 18 to 25 years) were asked to report how many children they desired. Participants' desire for children was unrelated to skin color, socioeconomic status, and the need for postbaccalaureate education. Conversely, sex, value orientation, and religious orientation were significantly associated with a desire for children.

Adult↗
PubMed1998

Evaluating cost-effectiveness in outpatient management of medical complications in cancer patients.

It has been estimated that 85% to 90% of all cancer patient care occurs in the outpatient setting, and the vast majority of chemotherapy is administered in the outpatient setting either in physician offices or hospital clinics. With the introduction of white blood cell growth factors in the early 1990s, dose-intensive regimens either for curative or palliative therapy became more common. Since that time, major dose-limiting toxicities have become gastrointestinal mucositis and chemotherapy-induced thrombocytopenia. Patient-reported symptoms have also become important as the changing financing and reimbursement for health care shifts the focus to a patient-centered, value-oriented approach in hematology and medical oncology. This paper will examine advances in the management of three common complications of antineoplastic therapy, mucositis, thrombocytopenia, and fatigue, with a particular emphasis on cost-effectiveness as it relates to value in health care.

Cost-Benefit Analysis↗
PubMed2000

A council of elders: creating a multi-voiced dialogue in a community of care.

In an era of 'medical care delivery systems', there is an increasing need for the patient's voice to be heard, for it to be invited, listened to, and taken seriously. This challenge is particularly evident in geriatrics education, a domain of clinical training in which educators and clinicians alike must struggle to overcome adverse attitudes towards the elderly ('ageism'). In this paper we introduce a 'Council of Elders' as an educational innovation in which we invited community elders to function as our 'Senior Faculty', to whom medical residents present their challenging and heartfelt dilemmas in caring for elder patients. In the conversations that ensue, the elders come to function not simply as teachers, but collaborators in a process in which doctors, researchers, and elders together create a community of resources, capable of identifying novel ways to overcome health-related difficulties which might not have been apparent to either group separately. Using the first meeting of the Council as an exemplar, we describe and discuss the special nature of such meetings and also the special preparations required to build a dialogic relationship between participants from very different worlds--different generations, different cultures (including the professional culture and the world of lived experience). Meetings with the council have become a required part of the primary care residency program--a very different kind of 'challenging case conference' in which moral dilemmas can be presented, discussed and reflected upon. It is not so much that elders give good advice in their responses--although they often do--as that they provide life world and value orientation as young residents gain a better sense of the elder's experience and what matters most to them. This project has been particularly worthwhile in addressing the problem of ageism--a way to render visible stereotypes and adverse physician values, with implications for decision-making with the patient, not for the patient.

Aged↗
PubMed2003

Testing alternative decision approaches for identifying cleanup priorities at contaminated sites.

This exploratory study compares two approaches for involving nonexpert stakeholders in difficult policy choices. Both approaches have as their goal informing members of the public about contaminated sites and involving them in decisions regarding their cleanup. The first approach focuses on technical information and seeks to improve the available knowledge base so that participants can make choices informed by detailed scientific data. This approach is similar in intent to many of the science-based initiatives in public involvement now being undertaken by EPA, DOE, and other federal or state agencies. The second approach, in contrast, focuses on values-oriented information and seeks to improve stakeholders' ability to make difficult choices in light of required tradeoffs across a variety of technical and nontechnical concerns. The results demonstrate that although both approaches help to increase participants' knowledge level, a values-based approach is more successful in terms of helping nonexpert participants to make decisions aboutwhat have historically been viewed as primarily technical problems.

Decision Making↗
PubMed2005

Determination of molecular orientation of uniaxially stretched polyamide fibers by polarized infrared spectroscopy: comparison of X-ray diffraction and birefringence methods.

Polarized infrared (IR) spectroscopy has been used to determine the crystalline and amorphous orientation of polyamide fibers. The transition moment angle of the band at 936 cm-1 of PA66 was determined to be 48 degrees using IR spectroscopy and birefringence measurement. The crystalline orientation of PA66 fibers was estimated from the band at 936 cm-1 while the amorphous orientation of PA66 fibers was obtained by an indirect method. The alpha crystalline orientation of PA6 has been obtained using the band at 930 cm-1 and the amorphous orientation of PA6 has been determined using the band at 1124 cm-1. Crystalline orientation increased rapidly at low draw ratios (DR<3) and increased slowly at higher draw ratios (DR>3) for both PA66 and PA6 fibers, while the amorphous orientation increased slowly throughout the whole extension range for PA66 fibers. A good correlation was found between the crystalline orientation values obtained by infrared spectroscopy and other methods such as X-ray diffraction for PA66 and PA6 fibers. On the basis of this observation, it has been concluded that polarized infrared spectroscopy can be used reliably to measure the orientation of polyamide fibers without combining with other techniques.

Birefringence↗
PubMed1986

Promoting women's health: redefining the knowledge base and strategies for change.

Promoting women's health involves undertaking a critical gender-based analysis of women's health status and health needs and the knowledge bases which underlie health promotion action. The authors argue that professional and lay definitions of health problems often differ and that these differences stem from a differential emphasis on existing knowledge bases. Here the authors explore the focus of epidemiological, clinical, and experiential knowledge and suggest ways in which each does or does not address many key health issues which women themselves identify as important. Attention is also directed towards women's own suppressed and devalued knowledge as embodied in traditional folk practices and alternative care forms. Recommendations are made to improve existing knowledge bases by transforming some of the value orientations, priorities, methods and the social organization of research. The authors suggest that positive health promotion strategies must be based on an improved knowledge base and must incorporate three key concepts which women emphasize as central--self determination, women-centred values, and a gender-based political analysis. Strategies and methods to achieve these ends are suggested for health educators and policy-makers who wish to develop more positive approaches to promoting women's health.

Female↗
PubMed1991

Effects of type of value appealed to and valence of appeal on children's dental health behavior.

Examined the effects of the type of value appealed to and valence of appeal on children's intentions to engage in toothbrushing, their self-report of toothbrushing frequency, and their plaque level. 98 fifth-grade students served as the participants. Slide shows appealed to either health- or socially oriented values and also differed with respect to valence (positive vs. negative). A control group received a message that provided basic dental health information. Group comparisons revealed that children who received the negative social appeal showed a significant improvement in plaque level. Only the negative social appeal group differed significantly from the control group on the dependent measures.

Child↗
PubMed2003

Professional values held by baccalaureate and associate degree nursing students.

PURPOSE: To determine the congruency in value orientation of graduating students in baccalaureate and associate degree programs. DESIGN AND METHODS: A survey design with a convenience sample of 1,450 graduating nursing students from all baccalaureate and associate degree nursing programs in Texas. Data were collected using the Nurses Professional Values Scale (NPVS). Descriptive and parametric statistics were used for analysis. FINDINGS: ADN and BSN students did not differ significantly on the NPVS total score, however, ADN student scored higher on 5 of the 11 subscales than did their BSN counterparts. Men from both programs scored significantly lower than did women on the total scale and all subscales. Ethnic groups differed on the responses to three of the subscales representing nurses' values: respect for human dignity, safeguarding the client and public, and collaborating to meet public health needs. CONCLUSIONS: Professional values in graduating nursing students were significantly related to sex and ethnicity, regardless of educational program. Nursing faculty members are challenged to address these differences during the educational process and mentoring of students.

Adult↗
PubMed2003

Retrospection in social dilemmas: how thinking about the past affects future cooperation.

This article reports 2 studies investigating the effects of retrospective thought on future cooperation in social dilemmas. Some general theories of cooperation presume, but have not tested, whether retrospection has impact: People may think about the choices they could have made instead, realize that cooperation would have produced larger outcomes, and change their strategy as a result. Across both studies, the authors show that rate of future cooperation is directly related to the number of best-case scenarios and inversely related to the number of worst-case scenarios generated. The 2nd study also shows that the number and type of retrospective thoughts generated can be predicted from the person's social value orientation.

Adult↗
PubMed1981

Values of long-term care facility administrators.

This study compares values of long-term care (LTC) facility administrators to those of a national sample, representative of the general population. Values were measured using the Rokeach Value Survey, and some striking differences were found between administrators and the general population. These differences indicate a dichotomy in the values of LTC administrators; individuals with markedly different value orientations may make the same occupational choice to become a long-term care facility administrator.

Health Facility Administrators↗
PubMedDate not supplied

[Issues of healthy life style in the professional preparation of the physician].

The main value orientations of medical students are directly or indirectly associated with various components of health. On the other hand, the knowledge of the predominating effect of life style on health, hazards of nicotine and alcohol did not become a persuasion in the majority of students, and high value of health did not transform into motivation forits preservation. That is why special attention in the training of physicians should be paid to the formation of practical habits of fundamentals of healthy life style. Healthy life style, an obligatory component of professional status of a physician, promotes a higher general cognitive activity of students and formation of persuasion of future doctors in their obligatory personal involvement in the solution of the problem of healthy life style of the entire population.

Education, Medical↗
PubMed2006

Prosocials prefer equal outcomes to maximizing joint outcomes.

Existing theories of social value orientations posit that prosocials maximize joint outcomes whereas proselfs maximize outcomes to themselves. Three studies employing a total of 157 undergraduates were conducted to test the alternative hypothesis that prosocials prefer equal outcomes to maximizing joint outcome. In study 1 participants completed the Triple-Dominance Measure of Social Values in which a fourth alternative that distributed the largest joint outcome unequally was added to the alternative that distributed the outcomes equally. In accordance with the hypothesis, prosocials preferred the equal-outcome alternative to the joint-outcome alternative. Study 2 confirmed and extended these results by demonstrating that prosocials preferred equal outcomes to larger joint outcomes that were unequally distributed but provided both with larger outcomes. Study 3 demonstrated that in a modified prisoner's dilemma game, a preference for equal outcomes to a larger joint outcome resulted in that prosocials cooperated when they believed or knew that the other cooperated, and defected when they believed or knew that the other defected.

Adult↗
PubMed1982

Public attitudes toward life and death.

Opinion trends in this country indicate sharp divisions in public sentiment over a number of life-taking actions. While legal abortion and capital punishment clearly head a list, a number of other issues have gained national attention in recent years. The present paper explores the structure of belief systems giving rise to normative conflicts of this kind. Of particular interest is the notion of a "pro-life" or other generic life orientation (e.g., the alleged "right-to-die" orientation of those who favor "mercy killings" in the case of terminally ill patients) as a possible explanation for public attitudes toward specific issues such as suicide and euthanasia. The present analysis assesses the empirical claims associated with such a model. The results offer qualified support for the existence of generic value orientations as revealed by public attitudes toward legal abortion, suicide, euthanasia, and capital punishment.

Abortion, Induced↗