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Kinds of Room Terms modified by Room Selected AbstractsUNDER THE BARRED UMBRELLA: IS THERE ROOM FOR A WOMEN-CENTERED SELF-INJURY POLICY IN CANADIAN CORRECTIONS?CRIMINOLOGY AND PUBLIC POLICY, Issue 1 2006JENNIFER M. KILTY Research Summary: This article examines a chain of policy directives concerning self-injury inside federal correctional facilities in Canada. Specific attention is paid to the impact of these policies on federally sentenced women. I argue that the Correctional Service of Canada's focus on risk assessment fails to address the needs of the women they confine. Instead, women's needs are reconceptualized as institutional risk factors. Policy Implications: Women who self-injure are still routinely disciplined for their behaviour in Federal Canadian prisons through admittance to administrative segregation. This policy challenges two sections of the Charter of Rights and Freedoms (s. 7 and s. 15) and must be changed. In this article, I will recommend a new women-centered approach to replace current practice. [source] VULNERABILITY IN RESEARCH AND HEALTH CARE; DESCRIBING THE ELEPHANT IN THE ROOM?BIOETHICS, Issue 4 2008SAMIA A. HURST ABSTRACT Despite broad agreement that the vulnerable have a claim to special protection, defining vulnerable persons or populations has proved more difficult than we would like. This is a theoretical as well as a practical problem, as it hinders both convincing justifications for this claim and the practical application of required protections. In this paper, I review consent-based, harm-based, and comprehensive definitions of vulnerability in healthcare and research with human subjects. Although current definitions are subject to critique, their underlying assumptions may be complementary. I propose that we should define vulnerability in research and healthcare as an identifiably increased likelihood of incurring additional or greater wrong. In order to identify the vulnerable, as well as the type of protection that they need, this definition requires that we start from the sorts of wrongs likely to occur and from identifiable increments in the likelihood, or to the likely degree, that these wrongs will occur. It is limited but appropriately so, as it only applies to special protection, not to any protection to which we have a valid claim. Using this definition would clarify that the normative force of claims for special protection does not rest with vulnerability itself, but with pre-existing claims when these are more likely to be denied. Such a clarification could help those who carry responsibility for the protection of vulnerable populations, such as Institutional Review Boards, to define the sort of protection required in a more targeted and effective manner. [source] PATTERNS OF ATTENTION: FROM SHOP WINDOWS TO GALLERY ROOMS IN EARLY TWENTIETH-CENTURY BERLINART HISTORY, Issue 4 2005Charlotte Klonk In the aesthetic programmes promoted by the various German cultural reform movements that flourished in the years before the 1914,18 war patterns took on unprecedented significance. This article investigates the importance of abstract pattern-making in the display strategies adopted in the museum and in the market place. Philosophical and experimental psychology was a common background in both cases. Among the questions that the article addresses are the following: Why were abstract colours and forms and their rhythmic arrangement assigned such a prominent place in Germany in the first decades of the twentieth century? Why were they favoured above the more traditional illusionistic designs? Did gendered assumptions about consumption determine design choices? The article ends with an account of a new kind of display strategy that emerged in the late 1920s in antithesis to pre-war efforts to engage patterns of attention. This abandoned the attempt to make a psycho-physical impact on the perceiving subject in favour of a discursive strategy that posits subjects as part of rational collectives. [source] How Is Education Possible When There's a Body in the Middle of the Room?CURRICULUM INQUIRY, Issue 1 2004Freema Elbaz-Luwisch ABSTRACT This article explores the possibility of education for multiculturalism and diversity in a situation of violent conflict. It tells the story of my attempt to figure out what might be learned from the situation of living with violence, threats to personal safety, and death as part of the everyday. I draw on recent experiences of dialogue between Jewish and Arab/Palestinian Israelis in preservice and in-service settings at the University of Haifa to suggest that attention to feelings, to the expression of fear, vulnerability, and anger, and to the body that carries these feelings and experiences, are needed in order to make such dialogue possible. [source] Dermatologic Surgery Training during Residency: Room for ImprovementDERMATOLOGIC SURGERY, Issue 5 2001Murad Alam MD No abstract is available for this article. [source] Limited Opportunities for Paramedic Student Endotracheal Intubation Training in the Operating RoomACADEMIC EMERGENCY MEDICINE, Issue 10 2006Bradford D. Johnston MD Abstract Background Paramedics, who often are the first to provide emergency care to critically ill patients, must be proficient in endotracheal intubation (ETI). Training in the controlled operating room (OR) setting is a common method for learning basic ETI technique. Objectives To determine the quantity and nature of OR ETI training currently provided to paramedic students. Methods The authors surveyed directors of paramedic training programs accredited by the Commission on Accreditation of Allied Health Education Programs. An anonymous 12-question, structured, closed-response survey instrument was used that requested information regarding the duration and nature of OR training provided to paramedic students. The results were analyzed by using descriptive statistics. Results From 192 programs, 161 completed surveys were received (response rate, 85%). OR training was used at 156 programs (97%) but generally was limited (median, 17,32 hours per student). Half of the programs provided fewer than 16 OR hours per student. Students attempted a limited number of OR ETI (median, 6,10 ETI). Most respondents (61%) reported competition from other health care students for OR ETI. Other identified hindering factors included the increasing OR use of laryngeal mask airways and physicians' medicolegal concerns. Respondents from 52 (33%) programs reported a recent reduction in OR access, and 56 (36%) programs expected future OR opportunities to decrease. Conclusions Despite its key role in airway management education, the quantity and nature of OR ETI training that is available to paramedic students is limited in comparison to that available to other ETI providers. [source] Dense Smoke in the Operating Room: Epivascular Ultrasonography in a Large Right Coronary Artery AneurysmECHOCARDIOGRAPHY, Issue 5 2008Andreas P. Kalogeropoulos M.D. First page of article [source] Addiction research centres and the nurturing of creativity: Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, SwedenADDICTION, Issue 3 2010Kerstin Stenius ABSTRACT The Centre for Social Research on Alcohol and Drugs (SoRAD) was established as a national research centre and department within the Faculty of Social Science at Stockholm University in 1997, following a Government Report and with the aim to strengthen social alcohol and drug research. Initially, core funding came from the Swedish Council for Working Life and Social Research and from the Ministry of Health and Social Affairs for several long-term projects. Today, SoRAD, with 25 senior and junior researchers, has core funding from the university but most of its funding comes from external national and international grants. Research is organized under three themes: consumption, problems and norms, alcohol and drug policy and societal reactions, treatment and recovery processes. SoRADs scientific approach, multi-disciplinarity, a mix of qualitative and quantitative methods and international comparisons was established by the centre's first leader, Robin Room. Regular internal seminars are held and young researchers are encouraged to attend scientific meetings and take part in collaborative projects. SoRAD researchers produce government-funded monthly statistics on alcohol consumption and purchase, and take part in various national government committees, but SoRADs research has no clear political or bureaucratic constraints. One of the future challenges for SoRAD will be the proposed system for university grants allocation, where applied social science will have difficulties competing with basic biomedical research if decisions are based on publication and citation measures. [source] Legal Basis and Scope of the Human Rights Clauses in EC Bilateral Agreements: Any Room for Positive Interpretation?EUROPEAN LAW JOURNAL, Issue 1 2001Elena Fierro It is well known nowadays that the European Community includes a so-called human rights clause into the framework agreements that it concludes with third countries. It is also widely recognised that, in virtue of the relevant provisions of the Vienna Convention on the Law of the Treaties, such a clause grants the Community a right to suspend the agreement should human rights and/or democratic principles be breached. The question to be explored in the present paper is whether, in the light of its legal basis, the clause fulfils a mere ,negative' or ,sanctioning' function or, by contrast, there is room for the pursuit of positive measures of active promotion of human rights,that is the granting of technical and financial aid. It is argued here that the clauses present an ideal starting point for the pursuit of a comprehensive human rights policy at the EU level. Such a policy should encompass positive measures in the first place, systematic dialogue in the second, and suspension or negative measures of less extent only as ultima ratio in particularly grave cases which cannot be addressed through ordinary (dialogue and aid) routes. [source] Inside the Locker Room: Male Homosociability in the Advertising IndustryGENDER, WORK & ORGANISATION, Issue 3 2009Michele Rene Gregory The use of the term homosociability by male employers and employees has been a key issue in the construction and maintenance of the gendered labour market, especially in senior-level jobs. Male homosociability encompasses the formal old boys' networks and informal clubs or meetings, as well as humour and banter, referred to metaphorically in this article as the locker room. This article examines the locker room and its resulting forms of socializing, socialization, communication and rituals found in the advertising industry. To gain a clearer understanding of how the locker room constructs workplace opportunities, this article draws upon qualitative research and analysis and examines major service occupations in the advertising industry and the executives who inhabit them. Studying the relationship between the locker room and the production process provides additional perspectives on service work in the corporate sector, occupations and gender inequality. [source] The Elephant in the Room: Evolution in AnthropologyGENERAL ANTHROPOLOGY BULLETIN OF THE GENERAL ANTHROPOLOGY DIVISION, Issue 2 2007William H. Durham First page of article [source] Giant Room,Temperature Magnetodielectric Response in the Electronic Ferroelectric LuFe2O4ADVANCED MATERIALS, Issue 13 2006A. Subramanian A very large drop in dielectric constant upon application of small magnetic fields is observed at room temperature for LuFe2O4 (see figure). Such behavior is unprecedented and indicates a strong coupling of spins and electric dipoles at room temperature. This behavior of LuFe2O4 is apparently related to its ferroelectricity, which occurs through the highly unusual mechanism of Fe2+ and Fe3+ ordering. [source] Necrotizing fasciitis: delay in diagnosis results in loss of limbINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 10 2006Rajat Varma MD A 58-year-old man presented to the Emergency Room with a 1-day history of severe pain in the left lower extremity preceded by several days of redness and swelling. He denied any history of trauma. He also denied any systemic symptoms including fever and chills. His past medical history was significant for diabetes, hypertension, deep vein thrombosis, and Evans' syndrome, an autoimmune hemolytic anemia and thrombocytopenia, for which he was taking oral prednisone. Physical examination revealed a warm, tender, weeping, edematous, discolored left lower extremity. From the medial aspect of the ankle up to the calf, there was an indurated, dusky, violaceous plaque with focal areas of ulceration (Fig. 1). Figure 1. Grossly edematous lower extremity with well-demarcated, dusky, violaceous plaque with focal ulceration Laboratory data revealed a white blood cell count of 6.7 × 103/mm3[normal range, (4.5,10.8) × 103/mm3], hemoglobin of 11.5 g/dL (13.5,17.5 g/dL), and platelets of 119 × 103/mm3[(140,440) × 103/mm3]. Serum electrolytes were within normal limits. An ultrasound was negative for a deep vein thrombosis. After the initial evaluation, the Emergency Room physician consulted the orthopedic and dermatology services. Orthopedics did not detect compartment syndrome and did not pursue surgical intervention. Dermatology recommended a biopsy and urgent vascular surgery consultation to rule out embolic or thrombotic phenomena. Despite these recommendations, the patient was diagnosed with "cellulitis" and admitted to the medicine ward for intravenous nafcillin. Over the next 36 h, the "cellulitis" had advanced proximally to his inguinal region. His mental status also declined, and he showed signs of septic shock, including hypotension, tachycardia, and tachypnea. Vascular surgery was immediately consulted, and the patient underwent emergency surgical debridement. The diagnosis of necrotizing fasciitis was then made. Tissue pathology revealed full-thickness necrosis through the epidermis with subepidermal splitting. Dermal edema was also present with a diffuse neutrophilic infiltrate (Fig. 2). This infiltrate extended through the fat into the subcutaneous tissue and fascia. Tissue cultures sent at the time of surgery grew Escherichia coli. Initial blood cultures also came back positive for E. coli. Anaerobic cultures remained negative. Figure 2. Necrotic epidermis with subepidermal splitting. Marked dermal edema with mixed infiltrate and prominent neutrophils. Hematoxylin and eosin: original magnification, ×20 After surviving multiple additional debridements, the patient eventually required an above-the-knee amputation due to severe necrosis. [source] High-Performance Organic Light-Emitting Diodes Using ITO Anodes Grown on Plastic by Room- Temperature Ion-Assisted Deposition,ADVANCED MATERIALS, Issue 4 2004Y. Yang Ion-assisted deposition (IAD) was used to deposit smooth, adherent, and electrically/optically high-quality indium tin oxide (ITO) films on glass and plastic substrates at room temperature. These films afforded organic light-emitting diode performance comparable to devices with commercial ITO/glass anodes, indicating that IAD is an attractive technique for low-temperature ITO deposition, especially on plastics (see Figure). [source] Room for improvement: nurses' and physicians' views of a post-operative pain management programACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 3 2010C. S. HARTOG Background: The practice of post-operative pain therapy continues to be a problem. We conducted a survey among nurses and physicians about their views of an established post-operative pain management program. Methods: A questionnaire was sent to all nurses and physicians of nine surgical wards (general, trauma, cardio-thoracic and oromaxillofacial surgery and gynecology). Questions were developed from qualitative interviews with staff. Patient data were derived from a post-operative pain registry. Results: Seventy-eight physicians and nurses answered; the overall response rate was 23%. Post-operative pain therapy had high personal priority on an 11-point numeric rating scale (mean 9.08±1.27 standard deviation), but the success of pain management on the ward was rated as 7.32±1.37. Staff rating of success tended to correspond with patients' actual pain ratings. Knowledge of pain therapy was assessed as 6.85±1.82; nurses consistently rated levels higher than physicians. Staff over- or underestimated the painfulness of typical procedures and females rated procedures as more painful than men. There was considerable confusion about responsibilities and duties. 10.7% of staff perceived time delays exceeding 6 h between a request for acute pain services (APS) consultation and administration of medication to the patient. Invited comments suggested improvement in personnel education, team coordination, communication with patients and speed of action to increase the quality of pain therapy. Conclusion: Despite staff's high personal priority and well-established APS and pain management program, post-operative pain therapy still leaves room for improvement. Considerable confusion about responsibilities and duties underlines the importance of better organizational approaches. [source] Hyperkalemia as a Constraint to Therapy With Combination Renin-Angiotensin System Blockade: The Elephant in the RoomJOURNAL OF CLINICAL HYPERTENSION, Issue 2 2009Murray Epstein MD First page of article [source] The Scary World in Your Living Room and Neighborhood: Using Local Broadcast News, Neighborhood Crime Rates, and Personal Experience to Test Agenda Setting and CultivationJOURNAL OF COMMUNICATION, Issue 3 2003Kimberly Gross This study tested 2 important theories in the history of mass communication research, agenda setting and cultivation, by comparing the effects of watching local television news with direct experience measures of crime on issue salience and fear of victimization. Direct experience was measured in 2 ways: (a) personal crime victimization or victimization of a close friend or family member, and (b) neighborhood crime rates. Using a random digit dial telephone survey of residents of the Washington, DC, metropolitan area, researchers found that local news exposure accounted for an agenda-setting effect but did not cultivate fear of being a victim of crime. By contrast, direct experience had no agenda-setting effect but did predict fear. [source] Gender and Turn Allocation in a Thai Chat RoomJOURNAL OF COMPUTER-MEDIATED COMMUNICATION, Issue 1 2003Siriporn Panyametheekul This paper analyzes gender in relation to turn allocation in a popular Thai chat room on the World Wide Web. We analyze turn-taking and response patterns in light of Sacks, Schegloff and Jefferson's (1974) model of turn allocation in face-to-face conversation, taking into consideration the independent variable of participant gender. We also analyze use of, and responses to, flirtation in the chat room. Our results show that females participate more often and receive a higher rate of response from both females and males. Males, who are in the minority, must work harder to take the floor, even in their attempted flirtatious interactions. These results suggest that gender interacts with culture online in complex ways: Contrary to previous findings on gender in chat rooms, and contrary to culturally-based expectations about the subordinate status of Thai women, females appear to be relatively empowered in the Thai chat room studied here, as assessed through turn allocation patterns. [source] Curriculum development: The venous thromboembolism quality improvement resource roomJOURNAL OF HOSPITAL MEDICINE, Issue 2 2006Sylvia McKean MD Abstract BACKGROUND The role of the hospitalist has evolved over the last decade, with hospitalists increasingly being asked to lead systems-based initiatives to improve the quality of inpatient care. The educational strategy of the Society of Hospital Medicine (SHM) includes development of practice-based resources to support hospitalist-led improvement in clinically important measures of hospital care quality. OBJECTIVE To develop a resource at the SHM Web site to present quality improvement (QI) principles for systems-based care in the hospital and to help individual hospitalists improve specific patient outcomes. DESIGN The SHM defined the role of the hospitalist in QI, performed an assessment of the educational needs of hospitalists, and executed a Web-based educational strategy to address these needs. The organization identified the most common cause of preventable inpatient deaths, hospital-acquired venous thromboembolism (VTE), and prioritized the need to improve prophylaxis. RESULTS This new resource at the SHM Web site presents principles for conducting QI in the hospital. To enable learning that is practice based, the VTE Quality Improvement Resource Room (QI RR) features Ask the Expert, an interactive discussion community, and an original Improvement Workbook, a downloadable project outline and tutorial that hospitalists can use to guide and document steps in an effort aimed at reducing hospital-acquired VTE. CONCLUSIONS This QI resource serves as a template for the development of subsequent hospital-based resources. User feedback will refine the QI RR and its format so that similar offerings can target other significant inpatient problems. Additional research is needed to evaluate learning and the clinical impact of this quality improvement resource on hospital performance measures and patient outcomes. Journal of Hospital Medicine 2006;1:124,132. © 2006 Society of Hospital Medicine. [source] Finding Room for Same-Sex Marriage: Toward a More Inclusive Understanding of a Cultural InstitutionJOURNAL OF SOCIAL PHILOSOPHY, Issue 3 2005Nicholas Buccola First page of article [source] The Health of Women: A Call to Move APN Practice Out of the Exam Room and Into the CommunityJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 8 2001CFNP, Patricia J. Kelly PhD No abstract is available for this article. [source] In the Fair Hearing Room: Resistance and Confrontation in the Welfare BureaucracyLAW & SOCIAL INQUIRY, Issue 2 2007Vicki Lens This article explores how welfare clients use and experience the fair hearing system, the administrative mechanism for challenging denials or reductions of aid in public welfare bureaucracies. Drawing on data from in-depth interviews with clients, it explores how old-style procedural protections like fair hearings are being used to challenge new-style welfare reforms. This research found that clients use fair hearings as a form of resistance and self-assertion, hoping that it will protect them from a bureaucracy perceived as arbitrary and capricious. Like many citizens, they are as concerned with being heard by their governmental institutions as they are with the outcome of their case and want to find within the machinery of government a forum where they can obtain recompense and respect. However, the legalistic and rule-bound nature of hearings makes it difficult for clients to present their claims, and meaningful participation is often denied them. [source] Under-report and underdiagnosis of chronic respiratory diseases in an African countryALLERGY, Issue 7 2009P. Martins Background:, Chronic respiratory diseases (CRD) are greatly underestimated. The aim of this study was to assess the burden associated with reported CRD and chronic obstructive pulmonary disease, as defined on the basis of various standardized criteria, by estimating their point prevalence in a sample of individuals attending the Primary Health Care (PHC) level and Emergency Room (ER) Departments in Cape Verde (CV) archipelago. The second aim of the study was to identify factors related to airways obstruction and reported CRD in this population. Methods:, A cross-sectional study was carried out in CV during 2 weeks. Outpatients aged more than 20 years seeking care at PHC level and ER answered a standardized questionnaire and were subjected to spirometry, independently of their complaint. Two criteria for airways obstruction were taken into account: forced expiratory volume (FEV1) <80% of the predicted value and FEV1/forced vital capacity (FVC) ratio <0.70. Results:, A total of 274 individuals with a satisfactory spirometry were included. 22% of the individuals had a FEV1 < 80%. Individuals older than 46 years had a higher risk of having airways obstruction. Asthma diagnosis (11%) had a clear association with airways obstruction. Smoking was a risk factor for a lower FEV1. Working in a dust place and cooking using an open fire were both related to chronic bronchitis and asthma diagnosis. Conclusion:, Under-report and underdiagnosis of chronic respiratory conditions seem to be a reality in CV just as in other parts of the world. To improve diagnosis, our results reinforce the need of performing a spirometry. [source] Bringing Peace into the Room: The Personal Qualities of the Mediator and Their Impact on the MediationNEGOTIATION JOURNAL, Issue 1 2000Daniel Bowling The training and development of mediators has focused primarily on enhancing mediators' technical skills and increasing their understanding of the theory behind the practice of mediation. This article focuses on a third aspect of the development of mediators , namely, their personal characteristics. The authors contend that a mediator's "presence", more a function of who the mediator is than what he or she does , has a profound impact on the mediation process. Drawing on analogies from research in the physical and social sciences, the article suggests that the most subtle influences of the mediator's affect and manner may in fact be powerful influences in helping the mediator "bring peace into the room." [source] Randomised Controlled trials in nephrology: Room for Improvement?NEPHROLOGY, Issue 3 2000Wheeler Dm [source] Randomised Controlled trials in nephrology: Room for Improvement?NEPHROLOGY, Issue 3 2000Wheeler Dm [source] Lactation Room Opens on Capitol Hill: AWHONN Instrumental in Room's CreationNURSING FOR WOMENS HEALTH, Issue 2 2007Article first published online: 9 APR 200 No abstract is available for this article. [source] The Elephant in the Room: Failings of Current Clinical Endpoints in Kidney TransplantationAMERICAN JOURNAL OF TRANSPLANTATION, Issue 5 2010J. D. Schold In this opinion piece, we address the limitations of the two most common clinical endpoints in kidney transplantation trials (acute rejection and renal function) and attempt to offer a reasonable framework by which to find true and reliable early endpoints that reflect long-term outcomes. Other potential endpoints tested in recent years, including the use of genomic and proteomic markers are still in development. Until other reliable endpoints are established, it is important to understand what can be inferred from ongoing studies that utilize these endpoints and what further information we need to derive ,true' surrogate endpoints. We consider evaluation of current markers using the ,Prentice criteria', which bases assessment of endpoints as true surrogates on four primary rules. Based on our assessment, progress in understanding the safety and efficacy of new therapies and interventions in kidney transplantation will remain limited with current makers. Prospectively, we advocate: (i) significant caution in extrapolating long-term outcomes from currently utilized clinical markers, (ii) use of traditional hard endpoints whenever feasible and (iii) dedication of efforts for more data collection on specific disease entities and greater diligence in determining the onset of deleterious processes. [source] The Elephant in the Living Room That No One Wants to Talk About: Why U.S. Anthropologists Are Unable to Acknowledge the End of CultureANTHROPOLOGY & EDUCATION QUARTERLY, Issue 1 2009Greg Tanaka Findings from a four-year action research project at a highly diverse, West Coast U.S. university reveal that a large percentage of white students cannot trace their identities to a particular nation in Europe and are, as a result, unable to name the shared meanings of a particular ethnic culture. Each time Latino, Asian American, and African American classmates describe their families' ethnic histories, it is the European American student who feels dissociated. Extracted from a polyphonic novelistic ethnography, this essay focuses on an exchange among three students at a town hall meeting and explores the ramifications for social cohesion when members of "the dominant group" appear to be experiencing declining subjectivity. This reflection also raises two larger disciplinary questions: (1) How can 10,000 U.S. anthropologists continue to deploy the concept of culture at field sites outside the United States when so many in their own population cannot claim an ethnic culture of their own? and (2) Given the recent turn in events in the U.S. political scene, shouldn't anthropologists now begin developing new constructs for social analysis after race and culture?,[culture concept, subjectivity, soul] [source] Get Out of My Emergency Room: Thirty Years Spent Inside The House of GodACADEMIC EMERGENCY MEDICINE, Issue 6 2009Shana Kusin MD No abstract is available for this article. [source] |