Turkey's physicians' attitudes toward euthanasia: a brief research report

Euthanasia and assisted suicide are subject to an ongoing debate and discussed with various aspects. Because physicians are in a profession closely related to euthanasia, their attitudes toward this subject are significant. Thus, research intending to explore their opinions is carried out in many countries. In this study, opinions of the physicians regarding euthanasia's definition, contents, legal aspects, and acceptable conditions for its application are addressed. The questionnaire was given to 949 physicians, more than 1% of the total working in Turkey. Of the physicians who participated in the study, 49.9% agreed with the opinion that euthanasia should be legal in certain circumstances. In addition, 19% had come across a euthanasia request and the majority of physicians (55.9%) believed that euthanasia is applied secretly in the country despite the prohibitory legislation. In conclusion, the authors infer from the study itself and believe that euthanasia should be legal in certain circumstances and that the subject, which is not in the agenda of the Turkish population, should continue to be examined.     

The dual process model of coping with bereavement: a decade on

The Dual Process Model of Coping with Bereavement (DPM; Stroebe & Schut, 1999) is described in this article. The rationale is given as to why this model was deemed necessary and how it was designed to overcome limitations of earlier models of adaptive coping with loss. Although building on earlier theoretical formulations, it contrasts with other models along a number of dimensions which are outlined. In addition to describing the basic parameters of the DPM, theoretical and empirical developments that have taken place since the original publication of the model are summarized. Guidelines for future research are given focusing on principles that should be followed to put the model to stringent empirical test.     

The development of the physicians' end-of-life care attitude scale

The Physicians' End-of-Life Care Attitude Scale (PEAS) was developed as an outcome measure for palliative care education. PEAS assesses the willingness of medical trainees to care for dying patients. Sixty-four Likert-type questions were created on the basis of discussions with focus groups of medical trainees, then administered to sixty-two medical students and residents. Total PEAS scores as well as personal preparation and professional role subscales (where higher scores indicated greater concern) possessed excellent internal consistency and reliability. In addition, there were substantial correlations between PEAS scores and the CA-Dying scale, a measurement of laypersons' fears about interacting with dying persons. Thus, PEAS adequately assesses the unique communication concerns of physicians in training regarding working with dying persons and their families. Correlations between PEAS scores and age were negative, while those who had experienced the death of a loved one had higher PEAS scores than those who did not. This suggests that for some persons, life experiences may lessen difficulties in dealing with dying persons, while for others, personal losses may exacerbate such concerns. The utility of PEAS in evaluating the efficacy of palliative care education as well as its potential to measure medical trainee's willingness to care for the terminally ill is discussed.     

脆弱国家的定义、发展和安全保障

1944年，来自45个国家的代表齐聚在新罕布什尔州的布雷顿森林小镇，探讨导致当时正处于白热化的那场世界大战的经济原因。与1919年时在巴黎和会上的前辈们不同，他们的设想是不仅要取得军事上的胜利，而且要确保和平。     

The industrial athlete?

Many similarities can be drawn between the athletic and industrial population. It is time for a shift in the approach toward injured workers utilizing a sports medicine perspective. We must think of workers as industrial athletes and recognize that the sports medicine model can be appropriately adapted to the injured worker. This model includes prevention, early intervention/identification, training and conditioning, and progressive treatment. Sports medicine rehabilitation concepts include treating the entire kinetic chain that is associated with a specific injury and the SAID principle (Specific Adaptations to Imposed Demands).     

Importance of job analysis with functional capacity matching in medical case management: A physician's perspective

Medical case management of musculoskeletal injuries can be facilitated when objective testing of the physical demands of the job can be compared to the functional capabilities of the individual. When the job analysis is appropriately sectioned into the separate physical demands, the physician can use information about specific job demands to maximize the likelihood of a safe return to regular duties. The response in the physical abilities in the worker can then be again functionally evaluated, leading to increased confidence in the process.     

Organizational culture,climate and person-environment fit: Relationships with employment outcomes for mental health consumers

Although the effects of organizational culture, climate and person-environment fit have been widely studied in the general population, little research exists in this area regarding consumers of mental health services. This research focuses on organizational culture, climate and person-environment fit and their relationship to employment outcomes for mental health consumers. It also examines specific components of organizational culture which are both desired and perceived by mental health consumers. Thirty-six (N=36) consumers were recruited into one of two groups: individuals who were employed at the time of the study and those who had recently left their jobs. Instruments used were the Workplace Climate Questionnaire (WCQ) and the Organizational Culture Profile (OCP). Significant differences were found between groups along the dimensions of organizational culture/climate and person-environment fit. Although few differences were found between groups with regards to desired workplace characteristics, many differences in perceived characteristics were found. The findings point to the importance of assessing the organizational culture/climate and its congruence with individuals' value systems as part of the work integration process.     

Technology and social interaction: the emergence of 'workplace studies'

Despite the substantial body of literature concerned with the ways in which digital media are transforming contemporary society and institutional life, we have relatively little understanding of the ways in which new technologies feature in day to day organizational conduct and interaction. There is however a growing corpus of empirical research which places the situated and contingent character of new technologies at the heart of the analytic agenda, but as yet, these studies are relatively little known within sociology. They include ethnographies of command and control centres, financial institutions, the news media, and the construction industry. They address the ways in which tools and technologies, ranging from paper documents through to complex multimedia systems, feature in work and collaboration. In this paper, we discuss these so-called 'workplace studies' and consider their implications for our understanding of organizational conduct, social interaction and new technology.     

An Epidemiologic Note on Verification Bias: Implications for Estimation of Rates

Two-stage designs offer several advantages for purposes of test validation and prevalence estimation. These include enhanced precision and increased cost-efficiency. Cost efficiency is obtained when the best available verification criterion is too expensive to employ in a large-scale epidemiologic study. The use of two-stage (or double-sampling) designs permit the same inferences from application to only a subset of those who were screened (with the less expensive criterion) during stage one. The retesting of only some of the first stage respondents introduces a bias, however, if these are sampled on the basis of first stage screening results. The form of this bias is described and solutions for correcting estimates are provided. These solutions are applied to the data reported by Abbott and Volberg (1996) in their study of the New Zealand general population. Corrected estimates of the sensitivity and specificity of the South Oaks Gambling Screen are obtained and used to adjust the reported lifetime and current prevalence estimates. The value of multi-stage designs for validity assessment and prevalence estimation are briefly described.     

The model of human occupation and prediction of return to work: a review of related empirical research

The purpose of this paper is to investigate through a review of research literature whether empirical support exists to support the theoretical arguments of the Model of Human Occupation. A literature review of 44 predictive studies of factors influencing return-to-work published over the last 25 years was conducted. The factors most commonly found to be associated with return to work or with long-term disability were then organized according to the subsystems of the Model of Human Occupation.