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Productive Way (productive + way)
Selected AbstractsNoncorrelating Pap tests and cervical biopsies: Histological predictors of subsequent correlationDIAGNOSTIC CYTOPATHOLOGY, Issue 5 2005Nancy E. Joste M.D. Abstract Lack of correlation between dysplastic cervicovaginal Papanicolaou (Pap) tests and subsequent cervical biopsies raises the concern that a significant squamous intraepithelial lesion (SIL) may go unconfirmed. Additional tissue sections of cervical biopsies may detect SILs after noncorrelation on initial sections. Complete step sectioning of paraffin blocks was undertaken on 111 noncorrelating biopsy specimens from 95 patients and selected slides were reviewed for the presence of SIL. The initial negative biopsy slides were evaluated for four histological features: chronic cervicitis, acute cervicitis, mucosal erosion, and squamous atypia. Twenty-seven biopsies (24.3%) demonstrated the presence of a SIL in deeper levels. The presence of squamous atypia was significantly associated with the presence of dysplasia deeper in the block (P < 0.002). Acute and chronic cervicitis was seen roughly equally. Additional tissue levels are a productive way of confirming SILs, and squamous atypia allows a refined selection of negative cervical biopsies most likely to reveal an SIL on review of deeper levels. Diagn. Cytopathol. 2005;32:310,314. © 2005 Wiley-Liss, Inc. [source] An educational process to strengthen primary care nursing practices in São Paulo, BrazilINTERNATIONAL NURSING REVIEW, Issue 4 2007A.M. Chiesa rn Objective:, To describe the experience of a registered nurse (RN) training process related to the Family Health Program (FHP) developed in the city of São Paulo, Brazil. Background:, The FHP is a national, government strategy to restructure primary care services. It focuses on the family in order to understand its physical and social structure in regards to the health,illness process. In the FHP, the RN is a member of a team with the same number as medical doctors , an unprecedented situation. The FHP requires a discussion of the RNs' practice, by qualifying and empowering them with tools and knowledge. Methods:, The training process was based on Freire's approach founded on critical pedagogy in order to address the fundamental problem of inequalities in health. The first phase included workshops and the second one included a course. The workshops identified the following problems related to the RN's work: lack of tools to identify the population's needs; overload of work due to the accumulation of management and assistance activities; difficulties regarding teamwork; lack of tools to evaluate the impact of nursing interventions; lack of tools to improve the participation of the community. The course was organized to tackle these problems under five thematic headings. Results:, The RN's training process allowed the group to reflect deeply on its work. This experience led to the need for the construction of tools to intervene in the reality, mainly against social exclusion, rescuing and adapting of the knowledge accumulated in the healthcare practice, identifying settings which demand institutional solutions and engaging the RN in research groups in order to develop projects according to the complexity of the primary care services. Conclusion:, The application of the concept of equity in the health sector represented a reaction against the processes of social exclusion, starting from performance at a local level to become a reality in the accomplishments achieved by the Brazilian National Health System. This training process allowed us to evaluate that partnership, which has produced many concrete results in addressing both parts of the Inequalities in Health dilemma and which is a productive way of building up a new model of health. [source] Paintings, Films and Fast Cars: A Case Study of Hubert von HerkomerART HISTORY, Issue 2 2002Lynda Nead In a recent conversation with Bruno Latour, the French philosopher Michel Serres visualized his concept of modernity through the image of the automobile. The car, Serres argued, could not be defined as uniquely of one period or as belonging exclusively to the modern, being ,a disparate aggregate of scientific and technical solutions dating from different periods , The ensemble is only contemporary by assemblage.' This metaphor offers a highly productive way of looking at the history and forms of visual culture in Britain in the early twentieth century, when the technological and commercial possibilities of nineteenth-century optical developments were filtering into all aspects of cultural production and consumption. The article examines this moment via a case study of the artist Hubert von Herkomer; offering a reassessment through an examination of his paintings, films and fast cars and thereby proposing a reframing of the history of British visual culture through the integration of still and moving images. [source] A cross-national study of corporate governance and employment contractsBUSINESS ETHICS: A EUROPEAN REVIEW, Issue 3 2008Roberto García-Castro Corporate governance (CG) can be seen to operate through a ,double agency' relationship: one between the shareholders and corporate management, and another between the corporate management and the firm's employees. The CG and labour management of firms are closely related. A particularly productive way to study how CG affects and is affected by the employment relationship has been to compare CG across countries. The contributions of this paper to that literature are threefold. (1) An integration of aspects of the labour management literature in the CG debate. (2) Based on a sample of about 1000 firms from 31 countries, we find evidence of complementarities between the CG and the labour management of firms. Extreme cases, in general, outperform mixed cases. (3) Firm differences within countries are more important than scholars have assumed so far. We present the results of the study and implications for future research and for practice. [source] Comparison of trait and ability measures of emotional intelligence in medical studentsMEDICAL EDUCATION, Issue 11 2009Michael T Brannick Context, Emotional intelligence (EI), the ability to perceive emotions in the self and others, and to understand, regulate and use such information in productive ways, is believed to be important in health care delivery for both recipients and providers of health care. There are two types of EI measure: ability and trait. Ability and trait measures differ in terms of both the definition of constructs and the methods of assessment. Ability measures conceive of EI as a capacity that spans the border between reason and feeling. Items on such a measure include showing a person a picture of a face and asking what emotion the pictured person is feeling; such items are scored by comparing the test-taker's response to a keyed emotion. Trait measures include a very large array of non-cognitive abilities related to success, such as self-control. Items on such measures ask individuals to rate themselves on such statements as: ,I generally know what other people are feeling.' Items are scored by giving higher scores to greater self-assessments. We compared one of each type of test with the other for evidence of reliability, convergence and overlap with personality. Methods, Year 1 and 2 medical students completed the Meyer,Salovey,Caruso Emotional Intelligence Test (MSCEIT, an ability measure), the Wong and Law Emotional Intelligence Scale (WLEIS, a trait measure) and an industry standard personality test (the Neuroticism,Extroversion,Openness [NEO] test). Results, The MSCEIT showed problems with reliability. The MSCEIT and the WLEIS did not correlate highly with one another (overall scores correlated at 0.18). The WLEIS was more highly correlated with personality scales than the MSCEIT. Conclusions, Different tests that are supposed to measure EI do not measure the same thing. The ability measure was not correlated with personality, but the trait measure was correlated with personality. [source] Whiteness and difference in nursingNURSING PHILOSOPHY, Issue 2 2006David G. Allen rn phd Abstract, This paper uses a semiotic, performative theory of language and post-colonial theory to argue that nursing's representations of ,multiculturalism' need to be grounded in a theory of whiteness, an historicized understanding of how ethnic/cultural differences come to be represented in the ways they are and informed by Foucault's notions of power/knowledge. Using nursing education and ,cultural compentency' as examples, the paper draws on a range of literatures to suggest more critical and politically productive ways of approaching difference from within nursing's largely white interpretive framework. [source] The Interpretive Process of Agenda-Building: A Research Design for Public PolicyPOLITICS & POLICY, Issue 1 2002Michael A. Smith A heuristic model is offered to guide empirical case studies into public policy change in a stable, pluralistic system. Empirical information, filtered to the policymakers and the public through a system of preexisting values, lies at the heart of policy change. The model integrates several strands of thought on policy, including: Baumgartner and Jones's theory of punctuated equilibrium, based on changes on policy images held by the relevant policy actors and the general public; Schattschneider's mobilization of bias; Cobb, Ross, and Ross's three models of agenda-building; Ripley and Franklin's theory of subgovernments; and Lindblom's emphasis on the role of the social scientist in responsible policymaking. In order to contribute productively to the policy process, social scientists must develop ethical, productive ways of responding to the ways in which other policy actors will use, and possibly distort, their findings. [source] Verbal Artistry: A Case for EducationANTHROPOLOGY & EDUCATION QUARTERLY, Issue 4 2009Richard B. Henne This article expands our understanding of how language-minoritized children's communicative competence interrelates with schooling. It features a verbal performance by a young Native American girl. A case is made for greater empirical specification of the real extent of children's non-school-sanctioned communicative competence. The case disrupts Euro-Western ideologies of language and corresponding instructional policies and practices that pervade U.S. schooling. It also offers productive ways of reframing and reforming language loss in language contact situations.,[ethnography of communication, verbal art, language ideologies, language policy and planning, Indigenous language education, Lakota] [source] | |||||||||||||