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11.
The authors have developed and tested scale-up methods, based on a simple social network theory, to estimate the size of hard-to-count subpopulations. The authors asked a nationally representative sample of respondents how many people they knew in a list of 32 subpopulations, including 29 subpopulations of known size and 3 of unknown size. Using these responses, the authors produced an effectively unbiased maximum likelihood estimate of the number of people each respondent knows. These estimates were then used to back-estimate the size of the three populations of unknown size. Maximum likelihood values and 95% confidence intervals are found for seroprevalence, 800,000 +/- 43,000; for homeless, 526,000 +/- 35,000; and for women raped in the last 12 months, 194,000 +/- 21,000. The estimate for seroprevalence agrees strikingly with medical estimates, the homeless estimate is well within the published estimates, and the authors' estimate lies in the middle of the published range for rape victims.  相似文献   
12.
This study explored how publics respond to risk communication in high probability but time-indeterminate natural disaster situations when parts of the area have been involved in a similar disaster before. An impending rockslide is expected to produce a tsunami in the fjord around Åknes in Norway. Waves may run up above sea level as high as 82 m or 269 ft. All residents (18 and older) of the four most threatened communities received a questionnaire to determine what they perceived to be useful risk information. Three hundred and eighty-two (43.6% of 875) responded. Results indicated that parents of children living within the tsunami risk zones perceived the risk information to be the most useful. Those who lived in communities that experienced a similar disaster in 1934 reported public meetings less useful than written or mediated information. Publics who lived in communities with such disaster history and those who were not parents posed special challenges in risk communication because they perceived information from the government agencies as lacking in usefulness. Therefore, committing the resources necessary to foster dialogues with a diversity of publics exposed to risk would be well served to fully understand the nature of risk communication responses, and to be able to save human lives.  相似文献   
13.
Objective: To assess the safety of meningococcal group B (MenB)-4C vaccine. Participants: Undergraduates, dormitory residents, and persons with high-risk medical conditions received the MenB-4C vaccine two-dose series during mass vaccination clinics from 12/2013 through 11/2014. Methods: Adverse events (AEs) were identified by 15 minutes of observation postvaccination, spontaneous reports, surveys, and hospital surveillance. Causality was assessed for serious adverse events (SAEs). Results: 16,974 persons received 31,313 MenB-4C doses. The incidence of syncope during the 15-minutes post-dose 1 was 0.88/1000 persons. 2% of participants spontaneously reported an AE (most common were arm pain and fever). 3 SAEs were suspected of being caused by the vaccine, including one case of anaphylaxis. Conclusions: Most AEs reported were nonserious and consistent with previous clinical trial findings. Measures to prevent injury from syncope and to treat anaphylaxis should be available wherever vaccines are administered. Our safety evaluation supports the use of MenB-4C in response to outbreaks.  相似文献   
14.

Background

Information and communication technologies are increasingly used in health care to meet demands of efficiency, safety and patient-centered care. At a large Danish regional hospital, women report their physical, mental health and personal needs prior to their first antenatal visit. Little is known about the process of self-reporting health, and how this information is managed during the client-professional meeting.

Aim

To explore women's experiences of self-reporting their health status and personal needs online prior to the first midwifery visit, and how this information may affect the meeting between the woman and the midwife.

Method

Fifteen semi-structured interviews with pregnant women and 62 h of observation of the first midwifery visit were carried out. Conventional content analysis was used to analyse data.

Findings

Three main categories were identified; ‘Reporting personal health’, ‘Reducing and generating risk’, and ‘Bridges and gaps’. Compared to reporting physical health information, more advanced levels of health literacy might be needed to self-assess mental health and personal needs. Self-reporting health can induce feelings of being normal but also increase perceptions of pregnancy-related risk and concerns of being judged by the midwife. Although women want to have their self-reported information addressed, they also have a need for the midwife's expert knowledge and advice, and of not being perceived as a demanding client.

Conclusion

Self-reported health prior to the first midwifery visit appears to have both intended and unintended effects. During the midwifery visit, women find themselves navigating between competing needs in relation to use of their self-reported information.  相似文献   
15.
In recent years, organization studies have become increasingly aware of the concept of liminality. In our review and critique of this reception of liminality in organization studies, we emphasize that liminality involves a fundamental suspension of ordinary social structures. Although the prevailing use of the concept in anthropology as well as in organization studies has conceptualized liminality as a temporary state, we focus on permanent liminality. Yet the idea of permanent liminality leads to an inevitable paradox, because the concept, by definition, is a temporary state. Conceptualizing liminality as a constant state of social limbo, we show that the paradox in permanent liminality stems from the impossibility of drawing clear distinctions between different social spheres, especially as they apply to modern work–life. Examining a case study about a management consultant, we illustrate the paradox of liminality in terms of a zone of indistinction between work and life as it is reflected in an empirical self-narrative about a consultancy ‘lifestyle’. We further link these findings to a possible transition from disciplinary societies to societies of control.  相似文献   
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17.
ABSTRACT

In this article, we explore China Mieville’s novel The City and the City as a literary experiment for analyzing the dynamics of public secrecy. We explore public secrets as an intrinsic part of organizational life and as a framework for paying attention to the politics of organizing. First, we focus on the novel’s invention and use of the verb ‘unseeing’ to bring out the embodied and sensuous aspects of public secrecy as part of organizational processes. Second we unfold how, although the content of public secrets may turn out to be less spectacular than expected, it is exactly their mundaneness which is key to their political importance. This is important because in an increasingly disorganized and uncertain world, secrecy proliferates and the visibility of secrecy is often a strategic move to justify certain hidden actions.  相似文献   
18.
Johnsen I  Dyregrov A  Dyregrov K 《Omega》2012,65(2):87-105
Data analyzed in this article is part of a study conducted to explore grief support groups in Norway. Participants that fulfilled the criteria of Prolonged Grief Disorder (PGD) were compared with participants that did not in order to explore whether they differed on satisfaction and experiences with participation. To allow for comparison, a subsample of 22 participants that fulfilled the criteria of PGD were drawn from the total of 262 participants. Demographic and loss-related variables were analyzed to explore factors associated with PGD. Fulfillment of PGD was then analyzed to explore the group's effect on life quality and overall satisfaction. The main finding is that participants who fulfill the criteria of prolonged grief are in general less satisfied with the groups and report less positive effect on life quality. We also found age- and gender-differences regarding fulfillment of PGD, with older bereaved women especially at risk of developing symptoms of PGD.  相似文献   
19.
This report is a study of the relationship between certain systems of signed acyclic triplets representing relationships among three actors and the properties of the graphs which they generate. It is a method of investigating macro-structure based on micro-structural properties. The motivation stems from the work of Cartwright and Harary, Davis, Leinhardt and Holland on affective ties, which we generalize. After showing the connections between our approach and theirs, we develop some new models that go beyond affect and positive sentiment.  相似文献   
20.
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