Are clinician's ever biased in their judgments of the capacity of older adult's to make medical decisions?

Capacity assessment is a growing area of practice in geriatrics. In this pilot study we illustrate the potential relationship between clinician variables and capacity ratings. Twelve older adults with mild dementia or schizophrenia were rated by six clinicians from diverse disciplinary backgrounds. Capacity ratings were associated with clinician values regarding patient involvement in medical decisions, clinician-patient mismatches on such values, and emotional reactions to patients. Expanding our understanding of the impact of clinician variables on capacity ratings may enhance the reliability and validity of capacity assessments and help to promote autonomy when appropriate.     

Distinguishing Mother–Infant Interaction From Stranger–Infant Interaction at 2, 4, and 6 Months of Age

Observers watched videotaped face‐to‐face mother–infant and stranger–infant interactions of 12 infants at 2, 4, or 6 months of age. Half of the observers saw each mother paired with her own infant and another infant of the same age (mother tapes) and half saw each infant paired with his or her mother and with a stranger (infant tapes). Observers were asked to judge which was the mother–infant dyad in each pair. Observers' accuracy improved as infants aged and was above chance for both mother and infant tapes when infants were 6 months. Differences between mother–infant and stranger–infant dyadic communication patterns also emerged as the infants aged. At 6 months, mother–infant dyads had more symmetrical communication and less asymmetrical communication than stranger–infant dyads.     

Investigating Attitudes Toward International Students: Program and Policy Implications for Social Integration and International Education

International education is a thriving industry, but relatively little is known about its consequences for the social integration of international scholars in educational institutions or the wider community. This article reviews research on attitudes toward international students as a key component of intercultural relations and a significant marker of social cohesion. An organizational framework for the investigation of these attitudes is proposed with threat mediating the influences of personal and situational factors on attitudinal outcomes. Broader contextual factors are also seen to exert influence on the process of attitude development and maintenance. A model derived from this framework is then tested with student, teacher, and community samples. A "tipping point" in attitudes toward international students as a function of the proportion of international enrolments in educational institutions is also explored. Finally, the applicability of the findings for promoting social cohesion in educational institutions and the wider community is discussed.     

Population health performance as primary healthcare governance in Australia: professionals and the politics of performance

ABSTRACT

A range of institutional and financial instruments has been used to drive population health outcomes in primary health care in Australia. However, GP sovereignty and the corporatized nature of general practice have generated major challenges. The core of government reform strategy since 1992 has been the creation and financing of Primary HealthCare Organizations (PHCOs), in various forms, to provide an organizational basis to connect GPs to population health performance, and a closer link between the state and GPs. The shift from Divisions of General Practice, the first PHCO, to Medicare Locals (MLs) in 2011 was notable. The latter constructed the object of performance as a raft of broader population health goals, which were framed in terms of accountability to communities through public reporting. Drawing on interviews with Federal government, health professional associations, ML executives and GPs, this paper examines the ways in which such performance instruments were imagined and understood, and areas of contestation. The findings show the different rationalities at play and how different actors seek control of the policy space. They also demonstrate the political precariousness of PHCOs, and the wider difficulty of steering market-based professionals in the achievement of population health objectives.     

反思现代主义:抒情性与现代性的相互表述

本文透过对战后台湾诗坛之语境的概述,并选取以抒情风格著称的两位诗人郑愁予和叶珊的诗歌<错误>和<屏风>进行文本细读,来阐释台湾现代诗中抒情性和现代性的相互表述.在现代主义启发下发展出来的现代诗强调情感微妙的象征,间接的暗示,它反对抒情主义--即贸贸然的满纸热情,但并非反抒情.现代诗吸取了中国古典诗传统的养分,却是绝对的现代.     

我有我的诗——奚密访谈录

董炎:奚密老师您好.能否谈谈您最早对诗歌产生兴趣是什么时候?在什么样的情况下?