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51.
Derrida's concept of hospitality has been proposed by some authors working from a collaborative perspective as an interesting tool to reflect on the therapeutic relationship as an ethical relationship in which the therapist develops a welcoming openness to the client. In this paper, we engage with this recent emphasis on the therapist's ethical position of welcoming the client's otherness and turn to Jacques Derrida's original texts with the aim of developing an in‐depth understanding of what exactly is at stake in this therapeutic position of hospitality. This reading evolves into an understanding of how Derrida's notion of hospitality invites clinicians to identify how the therapeutic position intricately intertwines healing and violence. The concept of hospitality calls on therapists to accept the complexity of therapeutic responsibility as a form of supportive presence that necessarily and simultaneously involves the violence of appropriation and power difference.  相似文献   
52.
Personalized recommendations in search engines, social media and also in more traditional media increasingly raise concerns over potentially negative consequences for diversity and the quality of public discourse. The algorithmic filtering and adaption of online content to personal preferences and interests is often associated with a decrease in the diversity of information to which users are exposed. Notwithstanding the question of whether these claims are correct or not, this article discusses whether and how recommendations can also be designed to stimulate more diverse exposure to information and to break potential ‘filter bubbles’ rather than create them. Combining insights from democratic theory, computer science and law, the article makes suggestions for design principles and explores the potential and possible limits of ‘diversity sensitive design’.  相似文献   
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54.

Background

According to the woman-centred care model, continuous care by a midwife has a positive impact on satisfaction. Comprehensive support is a model of team midwifery care implemented in the large Geneva University Hospitals in Switzerland, which has organised shared care according to the biomedical model of practice. This model of care insures a follow up by a specific group of midwives, during perinatal period.

Aim

The goal of this study was to evaluate the satisfaction and outcomes of the obstetric and neonatal care of women who received comprehensive support during pregnancy, childbirth and the postpartum period, and compare them to women who received shared care.

Methods

This was a prospective comparative study between two models of care in low risk pregnant women. The satisfaction and outcomes of care were evaluated using the French version of the Women’s Experiences Maternity Care Scale, two months after giving birth.

Findings

In total, 186 women in the comprehensive support group and 164 in the control group returned the questionnaire. After adjustment, the responses of those in the comprehensive support programme were strongly associated with optimal satisfaction, and they had a significantly lower epidural rate. No differences were observed between the two groups in the mode of delivery. The satisfaction relative to this support programme was associated with a birth plan for intrapartum and postnatal care.

Conclusions

Team midwifery had a positive impact on satisfaction, with no adverse effects on the obstetric and neonatal outcomes, when compared to shared care.  相似文献   
55.
Objectives: Data documenting the scope of sexual health clinical services offered as public health in Canada are unavailable. This article provides first insights into the scope of STI and clinical sexual health services available nationally. Methods: Data were gathered using an online survey of 113 Canadian public health units. Results: Almost half of the clinics were not providing expedited partner therapy, one third were not providing point of care testing for HIV and one third were not using syndromic management of sexually transmitted infections (STIs). Low rates of physician support were evident. Conclusion: Given the ever-higher rates of STIs, findings from this study identify important challenges to providing comprehensive services.  相似文献   
56.
This study is a job rotation comparative that aims to define the properly scheme to be in use at the time it is performed. As fatigue plays directly against the work results this comprehensive study about the action of lactic acid over workers at different jobs and strength demand was realized to find the best methodology to maximize those rotations.  相似文献   
57.
The objective was to analyze the work activity and identify risk factors that could account for musculoskeletal disorders in the upper extremities, shoulder and neck of workers of a transport values company in Venezuela. The methods used were: collective interview, tasks observation, evaluation of posture with RULA method and evaluation of repetitive motions with the OCRA method. Five workstations were evaluated. Main problem perceived by workers was: exposure to chemical and biological hazards when handling paper money and coins; inadequate chairs and close supervision. The postures level risk was 1 or 2 for the RULA scale. Only two workstations showed ligth and medium risk level by OCRA method. Conclusion: The factors identified that could explain the musculoskeletal changes were: wrist repetitive flexion and extension, shoulder elevation, lifting weight above shoulder height, elbow repetitive flexion and extension, neck flexion, extended work journey, work overload, high responsibility and strict supervision by a video camera.  相似文献   
58.
Theory and Decision - Imposing “sin” taxes has been the preferred way governments tried to discourage the over-consumption of temptation goods for decades. However numerous evidence...  相似文献   
59.
Hierarchical spatio-temporal models allow for the consideration and estimation of many sources of variability. A general spatio-temporal model can be written as the sum of a spatio-temporal trend and a spatio-temporal random effect. When spatial locations are considered to be homogeneous with respect to some exogenous features, the groups of locations may share a common spatial domain. Differences between groups can be highlighted both in the large-scale, spatio-temporal component and in the spatio-temporal dependence structure. When these differences are not included in the model specification, model performance and spatio-temporal predictions may be weak. This paper proposes a method for evaluating and comparing models that progressively include group differences. Hierarchical modeling under a Bayesian perspective is followed, allowing flexible models and the statistical assessment of results based on posterior predictive distributions. This procedure is applied to tropospheric ozone data in the Italian Emilia–Romagna region for 2001, where 30 monitoring sites are classified according to environmental laws into two groups by their relative position with respect to traffic emissions.  相似文献   
60.
This research examines psychological debt stress and changes in household debt holdings for consumers during the Great Recession using data from a monthly national U.S. household survey covering the period 2006 through 2012. Debt stress measures in the population rose by over 50% at the bottom of the recession. Determining relative stress for eight different types of household debt, we find that noncollateralized debts are more stressful than collateralized debt and that during the recession the composition of debt shifted away from collateralized debt and toward noncollateralized. Our empirical results show that women and Hispanics experienced higher measured levels of stress. (JEL D12, D18)  相似文献   
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