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41.
Sarah Maslen 《The Senses and Society》2016,11(2):158-176
Sensory judgments have always been a part of medical practice, as sensory studies scholars have emphasized. However, in current regulatory, management and technological contexts, there is a push toward rational decision-making procedures and test-based evidence over clinical diagnosis. Sociological scholarship highlights that in focusing on explicit medical knowledge and disembodied data we take for granted aspects of healthcare work, including the ways in which health and illness is sensed. Research in sociologies of diagnosis and social studies of science and technology has captured that while the senses continue to play a role in medical work, the status and practice of this sensory work is not straightforward as evidenced by dual use of the senses and tests and the delegation of sensory work. Based on semi-structured interviews with expert doctors in diverse specialties, this article examines the sensory work of medical decision-making, with attention to its legitimacy. It examines applications of the senses from auscultation to ongoing sensing of patients’ bodies unmediated and via technological outputs. While critical to clinical judgments, there is discomfort with this sensory work in light of medico-legal pressures. I argue that the sensory work of diagnosis is vital, to the extent that gaps in sensory information imply gaps in understanding. 相似文献
42.
Angela Swift Joan Webster Annette Mary Conroy Sue Hampton Sarah Jane Kirby Lee Minuzzo Rebecca Kimble 《Women and birth : journal of the Australian College of Midwives》2014,27(3):163-167
BackgroundSevere perineal tears sustained during childbirth cause significant distress and morbidity amongst women. The objective of this study was to compare the use of straight scissors for cutting an episiotomy with the use of curved scissors, which are designed to curve away from the anal sphincter.MethodsWe used a single-centre, randomised feasibility trial. The intervention was the use of curved scissors. Women were recruited during a prenatal visit and randomised in the delivery suite, when it became clear that an episiotomy was required. The feasibility outcomes were the proportion of women able to be recruited, randomised and followed up. We also calculated the incidence of obstetric anal sphincter injury when either straight or curved scissors were used to cut an episiotomy. Other outcomes assessed were pain, length of hospital stay, perineal infection and perineal dehiscence.ResultsOf the 155 patients recruited in the prenatal period, only 20 (12.9%) were eventually randomised at birth. The main reasons for the high loss were that women either did not have a vaginal delivery (38, 24.5%), or they did not need an episiotomy (72, 46.5%). Rates of obstetric anal sphincter injury and other outcomes were similar between groups.DiscussionAnal sphincter injury during childbirth remains an important problem. Although the use of curved scissors provides a theoretical solution, we found that the high attrition rate made feasibility of conducting a suitably powered, randomised trial using the current design untenable. Alternative strategies have been suggested to make any future study more viable. 相似文献
43.
Normalizing Denominational Statistics with Demographic Data: The Case of the United Church of Canada
Sarah Wilkins‐Laflamme 《Revue canadienne de sociologie》2012,49(2):173-187
In the Canadian context, one type of data has been underutilized in the study of contemporary religious trends: church collected statistics. The present article explores the advantages and limitations of such data by analyzing the evolution of key church indicators of the United Church of Canada over the past four decades. Figures regarding church membership, child baptisms, and funerals are examined and compared with demographic data from four Canadian regions. Results show that virtually all United Church statistics are in decline with regard to larger society since the 1970s. However, there are regional variations, most notably in the Atlantic provinces, which show later and lesser rates of decline. 相似文献
44.
Mental health treatments for emotionally traumatized children incorporate family and caregiver-child therapy sessions to promote child recovery and minimize developmental disruption. Such sessions require that caregivers regulate their emotions to remain productively engaged in the therapeutic process. However, caregivers with histories of unresolved interpersonal trauma have difficulty with emotional regulation. Interpersonal trauma also negatively affects the ability to reflect on one’s own and others’ feelings and intentions. This limitation interferes with caregiver engagement in psychotherapy relationships aimed at supporting child trauma work. FamilyLive is an innovative caregiver-focused family therapy model that uses a one-way mirror, a specially trained reflecting team, structured routines and individualized verbalizations to address this complex clinical phenomenon. Guided by the literature on attachment and trauma, FamilyLive has yielded anecdotal successes and positive pilot results. FamilyLive is a viable approach to engaging caregivers with histories of interpersonal trauma in trauma-focused child and family therapy relationships. 相似文献
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Based on attachment theory, two aims were addressed. Firstly, we tested whether close teacher–child relationships may buffer children who are less securely attached to their mothers against negative outcomes, such as aggressive behavior. Secondly, our study evaluated whether teacher sensitivity may protect less securely attached children against forming less close relationships with their teachers. In a sample of 127 children, mother–child attachment was observed in preschool. In kindergarten, teacher sensitivity was observed, and teacher–child closeness and child aggressive behavior were rated by the teacher. Results of multilevel hierarchical regression analyses first showed that with high teacher–child closeness, less securely attached children are no longer at risk for more aggressive behavior. Secondly, it was found that with high teacher sensitivity, less securely attached children are no longer at risk for developing less close relationships with their teachers. 相似文献
49.
Cell Phone Survey Feasibility in The U.S.: Sampling and Calling Cell Numbers Versus Landline Numbers 总被引:6,自引:6,他引:0
Brick J. Michael; Brick Pat D.; Dipko Sarah; Presser Stanley; Tucker Clyde; Yuan Yangyang 《Public opinion quarterly》2007,71(1):23-39
In 2004, we conducted a nationwide dual frame survey of landlineand cell phone numbers to evaluate the feasibility of includingcell phone numbers in a random digit dial telephone survey.Households with both landline and cell phones were eligiblefor selection in both samples. This article describes our designand data collection methods; compares the results from the twosamples (with an emphasis on operational characteristics); andpresents the outcomes of two experimental manipulations designedto improve the cell phone response rate. 相似文献
50.
LaBrie RA LaPlante DA Nelson SE Schumann A Shaffer HJ 《Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming》2007,23(3):347-362
Internet gambling is growing rapidly, as is concern about its possible effect on the public’s health. This paper reports the
results of the first prospective longitudinal study of actual Internet sports gambling behavior during eight study months.
Data include recorded fixed-odds bets on the outcome of sporting contests and live-action bets on the outcome of events within
contests for 40,499 Internet sports gambling service subscribers who enrolled during February 2005. We tracked the following
primary gambling behaviors: daily totals of the number of bets made, money bet, and money won. We transformed these variables
into measures of gambling involvement. We analyzed behavior for both fixed-odds and live-action bets. The median betting behavior
of the 39,719 fixed-odds bettors was to place 2.5 bets of €4 (approximately $5.3 US) every fourth day during the median 4 months
from first to last bet. This typical pattern incurred a loss of 29% of the amount wagered. The median betting behavior of
the 24,794 live-action bettors was to place 2.8 wagers of €4 every fourth day during the median duration of 6 weeks at a loss
of 18% of the amount wagered. We also examined the behavior of empirically determined groups of heavily involved bettors whose
activity exceeded that of 99% of the sample. 相似文献