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Pragmatic Considerations (pragmatic + consideration)
Selected AbstractsThe Treating Physician as Expert Witness: Ethical and Pragmatic ConsiderationsPAIN MEDICINE, Issue 5 2006Ben A. Rich JD ABSTRACT Objective., The objective of this analysis is to apprise pain physicians of the ethical concerns and practical considerations that arise when a treating physician is called upon to testify as an expert witness in a legal proceeding involving his or her own patient. The provision of expert testimony in medico-legal proceedings has come under heightened scrutiny in recent years. When a physician testifies as an expert witness, such testimony is considered to be the practice of medicine, and hence subject to the same ethical and professional obligations as patient care. Increasingly, medical professional organizations have promulgated guidelines for such activities, and even implemented oversight mechanisms to review complaints concerning expert testimony by their members. Additional issues are raised when the expert witness is also the treating physician for the patient who is a party to the legal proceeding in which the expert testimony is offered. Conclusions., While it is not categorically unethical or inadvisable for a physician to testify as an expert witness in a medico-legal proceeding involving his or her own patient, such activity raises special issues and concerns. Prospective expert witnesses in such situations should be cognizant of these issues and insure that they have been adequately addressed before and during the testimony. [source] The european union risk assessment on zinc and zinc compounds: The process and the factsINTEGRATED ENVIRONMENTAL ASSESSMENT AND MANAGEMENT, Issue 4 2005Charles W.M. Bodar Abstract A risk assessment on zinc and zinc compounds was carried out within the framework of Council Regulation 793/93/EEC on Existing Chemicals. This risk assessment basically followed the European Union (EU) technical guidance documents (TGDs). These TGDs are built on the current knowledge on quantitative risk assessments, mainly for organic chemicals. This article describes the tailor-made approach for the zinc risk assessment. This work lasted almost a decade and involved the contributions of all EU member states and industry, who discussed the risk assessment during technical meetings. The risk assessment is initially based on scientific findings but is interrelated with pragmatic considerations. It follows a comprehensive approach, covering both environmental and human health. In the environmental part, new methodologies were developed to deal with the natural background of zinc, essentiality, speciation, and the use of species sensitivity distributions. The major results and the process of drawing conclusions of the risk assessment are outlined: potential environmental risks of zinc and zinc compounds may occur at local and regional scales in surfacewater, sediment, and soil. No potential health risks were identified for consumers and man indirectly exposed via the environment. For workers, potential health risks were identified only for zinc oxide and zinc chloride. [source] Identity Patterns among Immigrants from the Former Soviet Union in Israel: Assimilation vs.INTERNATIONAL MIGRATION, Issue 2 2002Ethnic Formation This paper deals with identity patterns among the 1990s immigrants from the former Soviet Union (FSU) in Israel. It presents the complex set of identity types among immigrants in the context of their cultural and socio-demographic characteristics and their dynamic relationships with the Israeli host society. The findings show that immigrants from the FSU in Israel form a distinct ethnic group within the Israeli social and cultural fabric. This is reflected in their closed social networks, ethnic information sources, strong desire to maintain ethnic-cultural continuity, and the fact that the ethnic component (Jew from the FSU or immigrant from the FSU) is central for self-identification. However, ethnic formation among these immigrants is not a reactive-oriented identity, which is mainly generated by alienation from the host society, it is rather an instrumentalized ethnicity, which is the outcome of ethnic-cultural pride and pragmatic considerations. [source] Cultural and practical barriers to seeking mental health treatment for Chinese AmericansJOURNAL OF COMMUNITY PSYCHOLOGY, Issue 1 2004Winnie W. KungArticle first published online: 11 DEC 200 Based on a sample of 1747 from the Chinese American Psychiatric Epidemiological Study, this report examined perceived barriers to mental health treatment. Two factors emerged, namely practical barriers, which included cost of treatment, time, knowledge of access, and language, and cultural barriers consisting of credibility of treatment, recognition of need, and fear of loss of face. Average ratings of all practical barrier items were higher than cultural barrier items, demonstrating the importance of pragmatic considerations for this population. In a novel attempt, this study examined the empirical link between these perceived barriers and actual mental health service use. The practical barrier factor showed significance in predicting service use for both the whole sample and a subsample of individuals with at least one lifetime mental disorder. Cultural barriers, however, did not attain significance. Practice and research implications of the findings are discussed. © 2004 Wiley Periodicals, Inc. J Comm Psychol 32: 27,43, 2004. [source] GM food and neophobia: connecting with the gatekeepers of consumer choiceJOURNAL OF THE SCIENCE OF FOOD AND AGRICULTURE, Issue 5 2008John G Knight Abstract Resistance to importation of genetically modified (GM) foods in rich countries has deterred governments in many food-exporting countries from approving the planting of GM food crops for fear of damaging export markets for conventional food. Apart from governments that have actively imposed barriers to entry, another level of resistance can arise from food distribution channel members deciding not to import foods which they believe consumers in their markets will not want. GM foods fall in this category in some markets, particularly in Europe. In China and India, the two most populous consumer markets, pragmatic considerations appear likely to overcome neophobia regarding this technology, provided that benefits are adequately communicated to consumers. Choice-modelling experiments show that the same may well be true in Europe. Copyright © 2008 Society of Chemical Industry [source] No differences between group versus individual treatment of childhood anxiety disorders in a randomised clinical trialTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 8 2008Juliette M. Liber Background:, The present study compares an individual versus a group format in the delivery of manualised cognitive-behavioural therapy (FRIENDS) for children with anxiety disorders. Clinically referred children (aged 8 to 12) diagnosed with Separation Anxiety Disorder (n = 52), Generalised Anxiety Disorder (n = 37), Social Phobia (n = 22) or Specific Phobia (n = 16) were randomly assigned to individual (n = 65) or group (n = 62) treatment. Method:, Analyses were conducted separately for the intent-to-treat sample and the sample of children who completed treatment. Analyses included chi-square comparisons and regression analyses with treatment format as a predictor. Results:, Forty-eight percent of the children in the individual versus 41% in the group treatment were free of any anxiety disorder at post-treatment; 62% versus 54% were free of their primary anxiety disorder. Regression analyses showed no significant difference in outcome between individual and group treatment. Conclusions:, Children improved in both conditions. Choice between treatments could be based on pragmatic considerations such as therapeutic resources, referral rates, and the preference of the parents and the child. [source] | ||||||||||