WorldWideScience

Sample records for insanity a medical theory

  1. Not guilty by reason of insanity: a research note.

    Science.gov (United States)

    Pogrebin, M; Regoli, R; Perry, K

    1986-01-01

    The question of the insanity defense centers around the moralist-determinist debate. Insanity defense laws are premised on the assumption that individuals choose between right and wrong, and are responsible for that choice. Mental disease, however, can overpower, and thus, not of their own volition, insane persons become out-of-control. Hence, they cannot be held responsible for their behavior or subject to criminal punishment. It is the purpose of the insanity defense, of course, to distinguish between offenders in need of punitive disposition and ones where a medical-custodial disposition is best. The research presented here indicates that defendants who successfully raise the plea of NGRI do not beat the rap. In other words, they do not spend fewer days in confinement via an NGRI plea than had they been convicted and sentenced. Thus, for the reasons of justice, equity, and fairness the insanity defense should be kept intact. The wave of public fear and reaction to the decision in a few highly publicized cases is insufficient grounds for eliminating the plea. Not only is the use of the insanity defense infrequent, but defendants who select it give up important safeguards. Namely, they are unable to plea bargain, are stigmatized as "mad and bad," have no access to probation or parole, and are confined for an indeterminate amount of time. That some would call this leniency we find surprising. And, of course, we should not forget the findings reported here. NGRI acquittees spend more time being locked up. Defendants who successfully raise the NGRI plea are confined until professionals say they are no longer dangerous.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. Toward a culture-bound syndrome-based insanity defense?

    Science.gov (United States)

    Parzen, Micah David

    2003-06-01

    The American Psychiatric Association's recent inclusion of a Glossary of Culture-Bound Syndromes within DSM-IV draws upon decades of medical anthropological and cultural psychiatric research to afford culture-bound syndromes (CBSs) a newfound legitimacy within professional Western psychiatric nosology. While DSM-IV's recognition of the CBS concept as a category of psychosocial distress has important clinical implications for mental health care practitioners throughout the world, it also has significant legal implications. Given that several CBSs involve a degree of psychological impairment that may satisfy the standard for legal insanity under certain circumstances, this essay focuses on the potential emergence of an insanity defense based on the claim that an immigrant or minority defendant was suffering from a CBS at the time of his or her criminal act. Aimed at initiating interdisciplinary debate over the reification of the CBS concept, the essay discusses the theoretical ambiguity and status of CBSs within professional Western psychiatry, describes what a CBS-based insanity defense might look like, and considers the relevant challenges facing medical anthropologists and cultural psychiatrists, on the one hand, and legal practitioners, on the other. The essay identifies a pressing need for interdisciplinary debate concerning the validity, scope, and viability of CBS-based insanity defenses.

  3. The origins of insane asylums in England during the 19th century: a brief sociological review.

    Science.gov (United States)

    Symonds, B

    1995-07-01

    This paper explores the origins of insane asylums in 19th century England by comparing the official 'received' medically dominated perspective with an alternative sociological perspective. The major structural changes in provision are addressed as the focus for analysing the differing histories. A brief review is presented of the responses to insane people prior to the national asylum programme following the 1845 Lunacy Act, and of the reform logic that underpinned asylum care. The alternative sociological perspective presents the origins of psychiatric asylums as part of the social and economic changes occurring generally at that time. As such the origins of insane asylums are presented as part of a state-guided 'sanitary' movement which included poor, criminal and insane people within its remit. The effect of state-guided correction was the segregation of insane people from both the general population and other deviants who were formerly classed together. Insane people are thus presented as a group of deviants who departed most radically from the 'rational individualist' qualities of self-control, predictability and responsibility required in the industrialized world of capital social relations that emerged during the last century.

  4. A New Interpretation of the Modern Two-Pronged Tests for Insanity : Why Legal Insanity Should Not Be a 'Status Defense'

    NARCIS (Netherlands)

    Bijlsma, J.

    2018-01-01

    Michael Moore has argued that modern two-pronged tests for legal insanity are wrongheaded and that the insanity defense instead should be a 'status' defense. If Moore is right, then the laws on insanity in most legal systems are wrong. This merits a critical examination of Moore's critique and his

  5. [A state without memory. The ideological abolition of the insane asylum in Mexico (1945-1968)].

    Science.gov (United States)

    Sacristán, Cristina

    2011-01-01

    The present article analyzes a campaign by the Mexican government, among the public and the medical profession, to disseminate a health care reform that culminated with the opening of thirteen Farms for the mentally ill and the ideological abolition of the insane asylum in the sixties of the twentieth century. To do this, renowned psychiatrists who held public positions built a black legend over the most emblematic insane asylum of the country, pointing out as the main cause of failure the constraint to which patients were subjected. In doing so, they resembled the mental hospital to a prison and the insane to a social threat, because they reduced that institution's function and denied the many experiences that would ?t in it: a place of confinement and refuge, a therapeutic and knowledge production space. Even though Mexican psychiatry was professionalized in the space of the asylum, the State wanted to erase the memory of that past to suggest the establishment of a new era in mental health, where the patients would no longer be subject to any restrictions which could curtail their freedom. Overcoming the asylum model meant creating "open door" therapeutic alternatives, but the decision was to distort the past to exalt the future.

  6. Insane acquittees and insane convicts: the rationalization of policy in nineteenth-century Connecticut.

    Science.gov (United States)

    Goodheart, Lawrence B

    2017-12-01

    A current situation in Connecticut of whether a violent insane acquittee should be held in a state prison or psychiatric facility raises difficult issues in jurisprudence and medical ethics. Overlooked is that the present case of Francis Anderson reiterates much of the debate over rationalization of policy during the formative nineteenth century. Contrary to theories of social control and state absolutism, governance in Connecticut was largely episodic, indecisive and dilatory over much of the century. The extraordinary urban and industrial transformation at the end of the Gilded Age finally forced a coherent response in keeping with longstanding legal and medical perspectives.

  7. “Womanhood Under the Magnifying Glass\\": A look at Insanity ...

    African Journals Online (AJOL)

    Using the theory of “otherness” signifying exclusion as propounded by Simone de Beauvior, the paper brings out the plight of these “unwanted” in society and evaluates what they are worth in literary texts and in the society. Keywords: Womanhood, Insanity Gender & Behaviour Vol. 6 (2) 2008: pp. 1689-1701 ...

  8. Arte, clínica e loucura: um território em mutação Art, medical treatment and insanity: a territory in flux

    Directory of Open Access Journals (Sweden)

    Elizabeth Maria Freire de Araújo Lima

    2007-09-01

    Full Text Available A experiência clínica e didática no campo da terapia ocupacional, na qual práticas artísticas e processos terapêuticos se atravessavam, levou-nos à realização de uma pesquisa histórica visando investigar como se constituíram, no Brasil, as relações entre os campos da saúde mental e da arte, a partir de meados do século XIX e durante o século XX. Os métodos utilizados para realizar esta pesquisa - que tem como horizonte teórico o pensamento de Foucault, Deleuze e Guattari - foram a cartografia e a arqueologia. Com a arqueologia, tratamos dos discursos e acontecimentos históricos, procurando as forças que os engendraram. Ao cartografar, buscamos acompanhar algumas linhas que, emergindo de cada um desses campos em relação ao outro, se cruzaram formando diferentes configurações no território em estudo.Based on a combination of clinical and pedagogical experience in occupational therapy, which interlinks artistic practices and therapeutic processes, we carried out a historical study designed to investigate how the fields of mental health and art became interrelated in Brazil between the mid 19th and 20th centuries. The methods used for this research, which is underpinned by the thinking of Foucault, Deleuze and Guattari, were cartography and archeology. We used archeology to investigate the historical discourses and events, seeking out the forces behind them. Through cartography we sought to map out some lines which, emerging from each of these fields in relation to the other, intersect to form different patterns in the area under study.

  9. Should a personality disorder qualify as a mental disease in insanity adjudication?

    Science.gov (United States)

    Bonnie, Richard J

    2010-01-01

    The determinative issue in applying the insanity defense is whether the defendant experienced a legally relevant functional impairment at the time of the offense. Categorical exclusion of personality disorders from the definition of mental disease is clinically and morally arbitrary because it may lead to unfair conviction of a defendant with a personality disorder who actually experienced severe, legally relevant impairments at the time of the crime. There is no need to consider such a drastic approach in most states and in the federal courts, where the sole test of insanity is whether the defendant was "unable to appreciate the wrongfulness of his conduct at the time of the offense." This is because the only symptoms that are legally relevant in such jurisdictions are those that impair reality-testing and thereby affect the person's capacity to understand the nature and consequences of her actions. However, if the test of insanity includes a "volitional prong" (inability to control one's behavior), some way must be found to limit the scope of the defense to the core cases (involving psychotic conditions) to which it has traditionally been applied, and to prevent a shift toward a deterministic account of criminal conduct - i.e., "people can't help being who they are and doing what they do." The best way of accomplishing this is to limit the definition of mental disease to severe disorders characterized by gross disturbances of the person's capacity to understand reality. © 2010 American Society of Law, Medicine & Ethics, Inc.

  10. "On cyclic insanity" by Karl Ludwig Kahlbaum, MD: a translation and commentary.

    Science.gov (United States)

    Baethge, Christopher; Salvatore, Paola; Baldessarini, Ross J

    2003-01-01

    Karl Ludwig Kahlbaum (1828-1899) spent most of his professional career as director of a private psychiatric sanatorium in Germany. He remains influential for introducing his "clinical method" (based on considering the course of an illness as well as the signs and symptoms) of differential diagnosis of specific psychiatric syndromes and urging abandonment of the more unitary views of psychotic disorders favored by the leading German academic theorists of his time. Kahlbaum's approach to nosology, detailed in an 1863 monograph and other works, strongly influenced Kraepelin's views. However, remarkably few of the important writings of this keen clinical observer are available in English translation. His seminal lecture-essay "On Cyclic Insanity" [Uber cyklisches Irresein] of 1882 is translated into English here for the first time, with comments about its place in the history of the evolution of the concept of bipolar disorder, including its position as a link between Falret's folie circulaire and Kraepelin's manic-depressive insanity.

  11. Free will, neuroscience, and choice: towards a decisional capacity model for insanity defense evaluations.

    Science.gov (United States)

    Parmigiani, Giovanna; Mandarelli, Gabriele; Meynen, Gerben; Tarsitani, Lorenzo; Biondi, Massimo; Ferracuti, Stefano

    2017-01-01

    Free will has often been considered central to criminal responsibility. Yet, the concept of free will is also difficult to define and operationalize, and, moreover, it is intensely debated. In particular, the very existence of free will has been denied based on recent neuroscience findings. This debate has significant implications on those fields in which the link between free will and behaviour is the main focus of interest, such as forensic psychiatry. In fact, a tension is often experienced between the centrality of the notion of free will on the one hand, and its controversial status on the other. This tension needs to be addressed, especially in forensic psychiatry, since it is relevant for actual assessments of legal insanity. In the present paper we will try to operationalize “free will” using a fourpartite decision-making capacity model, which can be used in forensic assessment of insanity. We will describe its advantages and application to guide mental insanity assessments. Whereas free will is often considered problematic from a neuroscience perspective, this model, we argue, is compatible with neuroscience; moreover, evaluations using this model can also be informed and strengthened by neuroscientific findings, for example regarding inhibitory control.

  12. The Theory of Action in the light of the schizo experience: an study of insane epistemology

    Directory of Open Access Journals (Sweden)

    Gabriel Peters

    2016-12-01

    device that has proven fruitful in a variety of research domains, namely the plunge into the realm of the “pathological” as a pathway to illuminate “normal” modalities of action and experience. Resorting to this strategy on the plane of sociological characterizations of human conduct, the article harnesses phenomenological and existential descriptions of schizoid and schizophrenic experiences, not only to understand these in the light of the praxeological theory of action, but also to deepen the praxeological theory of action in the light of what such descriptions teach us about the multiplicity of ways of being-in-the-world displayed by the anthropos. The study defends that these transformations, despite their psychic costs, must not be conceived as mere functional deficits, but rather as complex existential attitudes which defy, in practice, certain postulates of the praxeological theory of action: the grounding upon tacit beliefs is replaced with a hyper-reflexive compulsion, the pragmatic relationship with material objects gives way to a quasi-philosophical perplexity in face of their mere reality, the inter-subjective agreements that offer familiarity and order to social reality in a given culture are perceived in their radical ontological arbitrariness, and the estrangement from one’s own body ceases to be a playful Cartesian skepticism so as to become a profound existential experience.

  13. Intelligence and psychopathy: a correlational study on insane female offenders.

    Science.gov (United States)

    Spironelli, C; Segrè, D; Stegagno, L; Angrilli, A

    2014-01-01

    The occurrence of a significant relationship between psychopathic traits and intelligence is still open to debate. Most of the relevant information has been obtained from crystallized IQ tests or on psychopathic male offenders. In this study we hypothesized a negative correlation between psychopathic traits and fluid intelligence on a sample of criminal female in-patients. We carried out a correlational study on a selected sample of 56 criminal female offenders. Variables that were measured include the Hare Psychopathy Checklist Revised (PCL-R) total score (and, separately, the scores from its four subscales: Interpersonal, Affective, Lifestyle and Antisocial) and fluid IQ measured by Raven's Progressive Matrices (RPM). Pearson's correlation between RPM IQ and total PCL-R score was negative (r(54) = -0.55, p Interpersonal, Affective, Lifestyle and Antisocial (r(54) = -0.35, p < 0.01, r(54) = -0.52, p < 0.001, r(54) = -0.53, p < 0.001, and r(54) = -0.49, p < 0.001 respectively). The results indicate a general negative relationship between PCL-R and IQ, equally distributed across the four subcomponents of the psychopathic trait, and support the view that unsuccessful psychopathic women have poor planning and are unable to foresee and represent future consequences of their actions.

  14. 38 CFR 3.354 - Determinations of insanity.

    Science.gov (United States)

    2010-07-01

    ....354 Determinations of insanity. (a) Definition of insanity. An insane person is one who, while not... basic condition, exhibits, due to disease, a more or less prolonged deviation from his normal method of... accepted standards of the community to which by birth and education he belongs as to lack the adaptability...

  15. Educational theory and medical education practice: a cautionary note for medical school faculty.

    Science.gov (United States)

    Colliver, Jerry A

    2002-12-01

    Educational theory is routinely cited as justification for practice in medical education, even though the justification for the theory itself is unclear. Problem-based learning (PBL), for example, is said to be based on powerful educational principles that should result in strong effects on learning and performance. But research over the past 20 years has produced little convincing evidence for the educational effectiveness of PBL, which naturally raises doubts about the underlying theory. This essay reflects on educational theory, in particular cognitive theory, and concludes that the theory is little more than metaphor, not rigorous, tested, confirmed scientific theory. This metaphor/theory may lead to ideas for basic and applied research, which in turn may facilitate the development of theory. In the meantime, however, the theory cannot be trusted to determine practice in medical education. Despite the intuitive appeal of educational theory, medical educators have a responsibility to set aside their enthusiasm and make it clear to medical school faculty and administrators that educational innovations and practice claims are, at best, founded on conjecture, not on evidence-based science.

  16. The competency of criminal defendants to refuse, for delusional reasons, a viable insanity defense recommended by counsel.

    Science.gov (United States)

    Litwack, Thomas R

    2003-01-01

    This article addresses the issues of whether mentally ill defendants charged with serious crimes who refuse to plead a viable and counsel-recommended insanity defense for delusional reasons (but who are otherwise competent to stand trial) should be considered to be competent, or incompetent, to stand trial; whether such defendants should be allowed to represent themselves with a delusional defense; and whether an insanity defense may properly be imposed upon such defendants. Based on an analysis of relevant Supreme Court decisions and other relevant cases, it is concluded that such defendants should not be allowed to go forward with a delusional defense (at least until reasonable efforts to treat the defendants' delusions are made). It is also argued, however, that unless an insanity defense would be viable (as well as recommended by counsel) delusional defendants who are otherwise competent to stand trial should be permitted to go forward, and represent themselves, with the defense of their choosing. Copyright 2003 John Wiley & Sons, Ltd.

  17. Theory-based practice in a major medical centre.

    Science.gov (United States)

    Alligood, Martha Raile

    2011-11-01

    This project was designed to improve care quality and nursing staff satisfaction. Nursing theory structures thought and action as demonstrated by evidence of improvement in complex health-care settings. Nursing administrators selected Modelling and Role-Modelling (MRM) for the theory-based practice goal in their strategic plan. An action research approach structured implementation of MRM in a 1-year consultation project in 2001-2002. Quality of health care improved according to national quality assessment ratings, as well as patient satisfaction and nurse satisfaction. Modelling and Role-Modelling demonstrated capacity to structure nursing thought and action in patient care in a major medical centre. Uniformity of patient care language was valued by nurses as well as by allied health providers who wished to learn the holistic MRM style of practice. The processes of MRM and action research contributed to project success. A positive health-care change project was carried out in a large medical centre with action research. Introducing MRM theory-based practice was a beneficial decision by nursing administration that improved care and nurse satisfaction. Attention to nursing practice stimulated career development among the nurses to pursue bachelors, masters, and doctoral degrees. © 2011 Blackwell Publishing Ltd.

  18. Insanity, philanthropy and emigration: dealing with insane children in late-nineteenth-century north-west England.

    Science.gov (United States)

    Taylor, Steven J

    2014-06-01

    The historiography of asylums and insanity is dense, and some topics have received much scholarly attention but others, such as insanity among children, have been largely neglected. Children by no means formed the majority of asylum populations, but they still suffered from mental impairment and were admitted to these institutions in significant numbers. Identifying the various experiences of insane children is the central goal of this research, but the asylum will not be the sole emphasis. The focus is to place child mental deficiency within a broader context of extramural care. By examining workhouses, the role of family, and philanthropic attempts to deal with insane children, this article will move beyond current historical thinking on the topic; traditional views of childhood, insanity and charity will be challenged, and will show that a much wider world than the locality was accessible to the insane child. © The Author(s) 2014.

  19. Forensic psychiatry and the birth of the criminal insane asylum in modern Italy.

    Science.gov (United States)

    Gibson, Mary

    2014-01-01

    This paper focuses on the creation of the criminal insane asylum in Italy between unification in 1861 and World War I. The establishment of criminal insane asylums was a triumph of the positivist criminology of Cesare Lombroso, who advocated for an institution to intern insane criminals in his classic work, Criminal Man (1876). As a context for the analysis of the birth of the criminal insane asylum in Italy, this essay also outlines the history of the insanity plea in Italian criminal law and the young discipline of psychiatry during the fifty years after Italian unification. © 2013.

  20. A tracer-kinetic field theory for medical imaging.

    Science.gov (United States)

    Sourbron, Steven

    2014-04-01

    Dynamic imaging data are currently analyzed with a tracer-kinetic theory developed for individual time curves measured over whole organs. The assumption is that voxels represent isolated systems which all receive indicator through the same arterial inlet. This leads to well-known systematic errors, but also fails to exploit the spatial structure of the data. In this study, a more general theoretical framework is developed which makes full use of the specific structure of image data. The theory encodes the fact that voxels receive indicator from their immediate neighbors rather than from an upstream arterial input. This results in a tracer-kinetic field theory where the tissue parameters are functions of space which can be measured by analyzing the temporal and spatial patterns in the concentrations. The implications are evaluated through a number of field models for common tissue types. The key benefits of a tracer-kinetic field theory are that: 1) long-standing systematic errors can be corrected, specifically the issue of bolus dispersion and the contamination of large-vessel blood flow on tissue perfusion measurements; 2) additional tissue parameters can be measured that characterize convective or diffusive exchange between voxels; 3) the need to measure a separate arterial input function can be eliminated.

  1. "A state bordering on insanity"?: identifying drug addiction in nineteenth-century Canadian asylums.

    Science.gov (United States)

    Malleck, D

    1999-01-01

    This article examines the growing awareness of drug addiction as form of mental illness in several Canadian lunatic asylums in the last half of the nineteenth century and the beginning of the twentieth. Whereas in the 1870s and 1880s, medical and reform associations formed to cure and treat addiction and inebriety, asylum evidence suggests that it was not until the turn of the century that drug habituation was considered a condition which merited admission to asylum. Prior to the turn of the century, drug use appeared in the psychological profile of asylum entrants only as an attendant condition of a more traditional form of mental illness, such as mania or melancholia. Asylum physicians, seeking traditional categories, and utilizing subjective classification methods, generally would not consider addiction to be a distinct mental illness. At the end of the century, shifts in diagnostic convention and the official endorsement of those shifts signalled a change that was taking place in the asylum. The impact of drug addiction on the psychological profile of a patient was attracting more attention in the asylum. Subsequently drug addiction joined other earlier causes of mental illness, such as masturbation, and also began to be recognized as a mental condition worthy of treatment at the public asylum. Its status as mental disease proper, however, remained a point of debate.

  2. Personality-Career Fit and Freshman Medical Career Aspirations: A Test of Holland's Theory.

    Science.gov (United States)

    Antony, James Soto

    1998-01-01

    Using Holland's personality theory of occupational decision making, a study examined the influence of personality/career fit on initial medical career aspirations of college freshmen, and the extent to which the fit is associated with maintaining or abandoning these aspirations. Overall, results support the theory and illustrate how personality…

  3. Theories in medical education: towards creating a union between educational practice and research traditions.

    NARCIS (Netherlands)

    Gibbs, T.; Durning, S.; Vleuten, C.P.M. van der

    2011-01-01

    Despite the multiple changes that have happened in medical education over the last three decades, it is often speculated that these changes have been made in the absence of supportive theory, or at least by a poor understanding of educational theory. It is similarly expounded that the continuance of

  4. Experiences of antidepressant medication and cognitive-behavioural therapy for depression: a grounded theory study.

    Science.gov (United States)

    Bayliss, Paul; Holttum, Sue

    2015-09-01

    To develop a preliminary model of the experiences of people undergoing combined treatment with antidepressant medication and cognitive-behavioural therapy (CBT) for depression. The study used a qualitative methodology informed by grounded theory. Participants were 12 adults who had received treatment with antidepressant medication and CBT for depression. Participants engaged in a semistructured interview about their experiences. Interviews were transcribed and analysed using components of grounded theory methodology. Medication was often seen as an initial aid to surviving a crisis. Staying on medication longer term resulted in some participants feeling caught in a 'drug loop'. Feeling that medication was unhelpful or actively harmful could contribute to participants seeking CBT. Medics also offered information on CBT and acted as gatekeepers, meaning that negotiation was sometimes necessary. CBT was described as a process of being guided towards skilled self-management. Occasionally, participants felt that medication had facilitated CBT at one or more stages. Conversely, developing skilled self-management through CBT could reduce feelings of dependency on medication and affect several of the other elements maintaining the 'drug loop'. Antidepressant medication and CBT are perceived and experienced differently, with CBT often being seen as an alternative to medication, or even as a means to discontinue medication. Service users' experiences and beliefs about medication may thus affect their engagement and goals in CBT, and it may be important for therapists to consider this. Practitioners who prescribe medication should ensure that they also provide information on the availability and appropriateness of CBT, and engage in an open dialogue about treatment options. CBT practitioners should explore aspects of clients' experiences and beliefs about medication. This would particularly include clients' experiences of the effects of medication, their beliefs about

  5. 'Shrouded in a dark fog': comparison of the diagnosis of pellagra in Venice and general paralysis of the insane in the United Kingdom, 1840-1900.

    Science.gov (United States)

    Priani, Egidio

    2017-06-01

    The debate on the causes and the nature of pellagra in Italy during the nineteenth century resembles and evokes the similar debate on General Paralysis of the Insane (GPI) that was growing at the same time in the United Kingdom. Pellagra and GPI had a massive and virulent impact on the populations of Italy and the UK, respectively, and contributed to a great extent to the increase and overcrowding of the asylum populations in these countries. This article compares the two illnesses by examining the features of their nosographic positioning, aetiology and pathogenesis. It also documents how doctors arrived at the diagnoses of the two diseases and how this affected their treatment.

  6. The design of a theory-based intervention to improve medication adherence in chronic pain patients.

    Science.gov (United States)

    Timmerman, Leon; Stronks, Dirk L; Huygen, Frank J P M

    2017-07-01

    Non-adherence to pain medication is common in chronic pain patients and may result in unfavorable treatment outcomes. Interventions to improve adherence behavior often fail to significantly change medication use. In this report, we describe the application of a theoretical psychological model of behavior change in order to design an intervention to improve medication adherence in chronic pain patients. This study applies the Behavior Change Wheel framework and the Behavior Change Techniques Taxonomy to design a theory-based intervention to improve pain medication use. Available literature was used to extract determinants of adherence in chronic pain patients. Selected target behaviors to improve medication adherence are: share agreement on follow up policy, monitor medication adherence, provide patient education routinely, discuss attitudes and concerns towards pain medication, develop medication taking habits and use medication reminders. The intervention consists of three components in which relevant behavior change techniques are applied: (1) changes in the electronic patient data management systems to enable medical staff to apply target behaviors; (2) bi-annual education of medical staff to commit the team to the proposed intervention and provide feedback; (3) routine and mandatory education of chronic pain patients following prescription of pain medication. To improve medication adherence in chronic pain patients, most interventions should be focused on providers of pain therapy. Prescribing chronic pain medication should be seen as part of a larger treatment regimen including adequate follow-up, adherence monitoring and patient education during the course of treatment.

  7. Toward a social capital theory of competitive advantage in medical groups.

    Science.gov (United States)

    Hoelscher, Mark L; Hoffman, James J; Dawley, David

    2005-01-01

    Social capital can have a positive impact on medical group performance. We forward our theory based on the integration of theories in social capital, resource advantage, and the resource-based view of the firm. Further, we suggest specific ways in which medical groups can increase their levels of social capital. First, medical groups should design or redesign the workplace so that there is ample interaction among employees. Second, employee participation within the community should be encouraged. Third, medical groups should recognize that social capital becomes ingrained in organizational culture. Therefore, medical groups should take steps to ensure a culture that supports its social capital. Fourth, hiring procedures should be designed (or redesigned) to ensure that new employees add social capital to the organization. Finally, trust must be fostered at the employee level.

  8. Stop the supply chain insanity. Retail as a model for hospitals.

    Science.gov (United States)

    Belkoski, David A

    2008-04-01

    The healthcare supply chain has yet to embrace any single industrywide source for synchronized product data. A synchronized product data system is a keystone in other multibillion-dollar markets. University Health Care System (UHCS), Augusta, Ga., developed a pilot program that demonstrates the benefits of data standardization and synchronization and enabled the system to recognize productivity gains in the supply chain.

  9. Theories in medical education: towards creating a union between educational practice and research traditions.

    Science.gov (United States)

    Gibbs, Trevor; Durning, Steven; Van Der Vleuten, Cees

    2011-01-01

    Despite the multiple changes that have happened in medical education over the last three decades, it is often speculated that these changes have been made in the absence of supportive theory, or at least by a poor understanding of educational theory. It is similarly expounded that the continuance of this change is not supported by either initial educational research or research into the effect of educational intervention. This commentary explains the background reasoning and intended structure of the new AMEE Guides in Medical Education Theories Series, in which it is intended to bring together the theories in education with both the practice and research activities, demonstrating the interactivity between the three and providing the reader with a sound theoretical basis for future development.

  10. A Social Accountable Model for Medical Education System in Iran: A Grounded-Theory

    Directory of Open Access Journals (Sweden)

    Mohammadreza Abdolmaleki

    2017-10-01

    Full Text Available Social accountability has been increasingly discussed over the past three decades in various fields providing service to the community and has been expressed as a goal for various areas. In medical education system, like other social accountability areas, it is considered as one of the main objectives globally. The aim of this study was to seek a social accountability theory in the medical education system that is capable of identifying all the standards, norms, and conditions within the country related to the study subject and recognize their relationship. In this study, a total of eight experts in the field of social accountability in medical education system with executive or study experience were interviewedpersonally. After analysis of interviews, 379 codes, 59 secondary categories, 16 subcategories, and 9 main categories were obtained. The resulting data was collected and analyzed at three levels of open coding, axial coding, and selective coding in the form of grounded theory study of “Accountability model of medical education in Iran”, which can be used in education system’s policies and planning for social accountability, given that almost all effective components of social accountability in highereducation health system with causal and facilitator associations were determined.Keywords: SOCIAL ACCOUNTABILITY, COMMUNITY–ORIENTED MEDICINE, COMMUNITY MEDICINE, EDUCATION SYSTEM, GROUNDED THEORY

  11. Criminal insanity in 19th-century Ireland, Europe and the United States: cases, contexts and controversies.

    Science.gov (United States)

    Kelly, Brendan D

    2009-01-01

    The insanity defence has a lengthy, complex history. This article provides a concise, comparative background to the evolution of criminal insanity legislation and institutions for the mentally ill in the nineteenth century, with particular reference to Ireland and the United States. Three key themes are identified and explored: (a) the emergence of the insanity defence in the nineteenth century (e.g. the McNaughtan Rules); (b) conditions in nineteenth-century asylums and institutions for the 'criminally insane' (with particular reference to overcrowding, physical illness and asylum deaths); and (c) nineteenth-century considerations of criminal responsibility in women with mental illness (with particular reference to medical and judicial views of the relevance of menstruation, pregnancy and child-birth). These themes are explored through review of historical literature (with particular reference to the work of Dr. Isaac Ray, founding father of forensic psychiatry in the United States) and examination of previously unpublished archival material from the Central Criminal Lunatic Asylum, Dublin.

  12. 'Insane criminals' and the 'criminally insane': criminal asylums in Norway, 1895-1940.

    Science.gov (United States)

    Dahl, Hilde

    2017-06-01

    This article looks into the establishment and development of two criminal asylums in Norway. Influenced by international psychiatry and a European reorientation of penal law, the country chose to institutionalize insane criminals and criminally insane in separate asylums. Norway's first criminal asylum was opened in 1895, and a second in 1923, both in Trondheim. Both asylums quickly filled up with patients who often stayed for many years, and some for their entire lives. The official aim of these asylums was to confine and treat dangerous and disruptive lunatics. Goffman postulates that total institutions typically fall short of their official aims. This study examines records of the patients who were admitted to the two Trondheim asylums, in order to see if the official aims were achieved.

  13. Therapeutic landscapes and postcolonial theory: a theoretical approach to medical tourism.

    Science.gov (United States)

    Buzinde, Christine N; Yarnal, Careen

    2012-03-01

    This paper draws on two conceptual frameworks, therapeutic landscapes and postcolonial theory, to discuss aspects of medical tourism not addressed in extant literature. Building on the intersection between postcolonial and therapeutic landscapes scholarship, it highlights inequalities related to the production of national therapeutic landscapes located in postcolonial regions as well as their discursive (re)positioning as medical tourism destinations. As a framework, therapeutic landscapes can facilitate an understanding of medical tourism sites as curative spaces which combine modern and alternative forms of medicine with travel and leisure. Postcolonial theory critiques the economic, moral and cultural tensions emerging from the intersection between corporations that provide cheaper and more attractive medical services, and the nations on the periphery struggling to offer high medical standards that may not be accessible to their own local populations. In an effort to enhance scholarship on medical tourism, these conceptual frameworks are offered as points of departure, rather than sites of arrival, through which critical dialog on medical tourism can be sustained and broadened. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. [A non-classical approach to medical practices: Michel Foucault and Actor-Network Theory].

    Science.gov (United States)

    Bińczyk, E

    2001-01-01

    The text presents an analysis of medical practices stemming from two sources: Michel Foucault's conception and the research of Annemarie Mol and John Law, representatives of a trend known as Actor-Network Theory. Both approaches reveal significant theoretical kinship: they can be successfully consigned to the framework of non-classical sociology of science. I initially refer to the cited conceptions as a version of non-classical sociology of medicine. The identity of non-classical sociology of medicine hinges on the fact that it undermines the possibility of objective definitions of disease, health and body. These are rather approached as variable social and historical phenomena, co-constituted by medical practices. To both Foucault and Mol the main object of interest was not medicine as such, but rather the network of medical practices. Mol and Law sketch a new theoretical perspective for the analysis of medical practices. They attempt to go beyond the dichotomous scheme of thinking about the human body as an object of medical research and the subject of private experience. Research on patients suffering blood-sugar deficiency provide the empirical background for the thesis of Actor-Network Theory representatives. Michel Foucault's conceptions are extremely critical of medical practices. The French researcher describes the processes of 'medicalising' Western society as the emergence of a new type of power. He attempts to sensitise the reader to the ethical dimension of the processes of medicalising society.

  15. Effecting change through dialogue: Habermas' theory of communicative action as a tool in medical lifestyle interventions.

    Science.gov (United States)

    Walseth, Liv Tveit; Schei, Edvin

    2011-02-01

    Adjustments of everyday life in order to prevent disease or treat illness afflict partly unconscious preferences and cultural expectations that are often difficult to change. How should one, in medical contexts, talk with patients about everyday life in ways that might penetrate this blurred complexity, and help people find goals and make decisions that are both compatible with a good life and possible to accomplish? In this article we pursue the question by discussing how Habermas' theory of communicative action can be implemented in decision-making processes in general practice. The theory of deliberative decision-making offers practical guidelines for what to talk about and how to do it. For a decision to be rooted in patients' everyday life it has to take into consideration the patient's practical circumstances, emotions and preferences, and what he or she perceives as ethically right behaviour towards other people. The aim is a balanced conversation, demonstrating respect, consistency and sincerity, as well as offering information and clarifying reasons. Verbalising reasons for one's preferences may increase awareness of values and norms, which can then be reflected upon, producing decisions rooted in what the patient perceives as good and right behaviour. The asymmetry of medical encounters is both a resource and a challenge, demanding patient-centred medical leadership, characterised by empathy and ability to take the patient's perspective. The implementation and adjustments of Habermas' theory in general practice is illustrated by a case story. Finally, applications of the theory are discussed.

  16. Can achievement goal theory provide a useful motivational perspective for explaining psychosocial attributes of medical students?

    Science.gov (United States)

    Madjar, Nir; Bachner, Yaacov G; Kushnir, Talma

    2012-01-12

    Psychosocial competence and frustration tolerance are important characteristics of skilled medical professionals. In the present study we explored the usefulness of applying a comprehensive motivational theory (Goal orientations), for this purpose. According to goal orientation theory, learning motivation is defined as the general goals students pursue during learning (either mastery goals - gaining new knowledge; or performance goals - gaining a positive evaluation of competence or avoiding negative evaluation). Perceived psychosocial abilities are a desirable outcome, and low frustration tolerance (LFT), is a negative feature of student behavior. The hypothesis was that the mastery goal would be positively associated with psychosocial abilities while performance goals would be positively associated with LFT. 143 first-year medical students completed at the end of an annual doctor-patient communication course a structured questionnaire that included measures of learning goal orientations (assessed by Pattern of Adaptive Learning Scale - PALS), psychosocial abilities (assessed by Psychological Medicine Inventory- student version -PMI-S) and Low Frustration Tolerance (LFT). All study variables were found reliable (Cronbach's α ranged from .66 to .90) and normally distributed. Hierarchical multiple regression analysis revealed significant associations supporting the hypotheses. The mastery goal orientation was positively associated with perceived psychosocial abilities (PMI-S) (β = .16, p frustration tolerance (β = -.22, p frustration tolerance (β = .36, p < .001). The results suggest that the goal orientations theory may be a useful theoretical framework for understanding and facilitating learning motivation among medical students. Limitations and suggestions for practice within medical education context are discussed.

  17. Can achievement goal theory provide a useful motivational perspective for explaining psychosocial attributes of medical students?

    Directory of Open Access Journals (Sweden)

    Madjar Nir

    2012-01-01

    Full Text Available Abstract Background Psychosocial competence and frustration tolerance are important characteristics of skilled medical professionals. In the present study we explored the usefulness of applying a comprehensive motivational theory (Goal orientations, for this purpose. According to goal orientation theory, learning motivation is defined as the general goals students pursue during learning (either mastery goals - gaining new knowledge; or performance goals - gaining a positive evaluation of competence or avoiding negative evaluation. Perceived psychosocial abilities are a desirable outcome, and low frustration tolerance (LFT, is a negative feature of student behavior. The hypothesis was that the mastery goal would be positively associated with psychosocial abilities while performance goals would be positively associated with LFT. Methods 143 first-year medical students completed at the end of an annual doctor-patient communication course a structured questionnaire that included measures of learning goal orientations (assessed by Pattern of Adaptive Learning Scale - PALS, psychosocial abilities (assessed by Psychological Medicine Inventory- student version -PMI-S and Low Frustration Tolerance (LFT. Results All study variables were found reliable (Cronbach's α ranged from .66 to .90 and normally distributed. Hierarchical multiple regression analysis revealed significant associations supporting the hypotheses. The mastery goal orientation was positively associated with perceived psychosocial abilities (PMI-S (β = .16, p Conclusions The results suggest that the goal orientations theory may be a useful theoretical framework for understanding and facilitating learning motivation among medical students. Limitations and suggestions for practice within medical education context are discussed.

  18. The contribution of Kantian moral theory to contemporary medical ethics: a critical analysis.

    Science.gov (United States)

    Heubel, Friedrich; Biller-Andorno, Nikola

    2005-01-01

    Kantian deontology is one of three classic moral theories, among virtue ethics and consequentialism. Issues in medical ethics are frequently addressed within a Kantian paradigm, at least --although not exclusively--in European medical ethics. At the same time, critical voices have pointed to deficits of Kantian moral philosophy which must be examined and discussed. It is argued that taking concrete situations and complex relationships into account is of paramount importance in medical ethics. Encounters between medical or nursing staff and patients are rarely symmetrical relationships between autonomous and rational agents. Kantian ethics, the criticism reads, builds on the lofty ideal of such a relationship. In addition to the charge of an individualist and rationalist focus on autonomy, Kantian ethics has been accused of excluding those not actually in possession of these properties or of its rigorism. It is said to be focussed on laws and imperatives to an extent that it cannot appreciate the complex nuances of real conflicts. As a more detailed analysis will show, these charges are inadequate in at least some regards. This will be demonstrated by drawing on the Kantian notion of autonomy, the role of maxims and judgment and the conception of duties, as well as the role of emotions. Nevertheless the objections brought forward against Kantian moral theory can help determine, with greater precision, its strengths and shortcomings as an approach to current problems in medical ethics.

  19. Insane anti-Membranes?

    International Nuclear Information System (INIS)

    Giecold, Gregory; Orsi, Francesco; Puhm, Andrea

    2014-01-01

    The backreactions of anti-branes on a variety of supergravity backgrounds have been shown in a recent series of papers to be riled by some unexplained flux singularities. All of the situations studied so far involve backgrounds with (close to) AdS-asymptotics. It is the purpose of this work to study the backreaction of anti-M2 branes on a background exhibiting a different UV behavior: the so-called A 8 regular solution of eleven-dimensional supergravity that we consider has “Taub-NUT type' asymptotics. As it turns out, some subleading infrared singularities are inevitable; they cannot be naturally ascribed to the anti-branes backreacting on this background. Moreover, our configuration does not involve smeared branes. This lends further credence to the work of Bena et al. http://dx.doi.org/10.1007/JHEP09(2013)142 suggesting that the singularities encountered are in no way remnants of smearing that would wash away once brane polarization is taken into account

  20. Estratégias populares de identificação e tratamento da loucura na primeira metade do século XX: uma análise dos prontuários médicos do Sanatório Espírita de Uberaba Popular strategies for identification and treatment of insanity in the first half of the twentieth century: an analysis of medical charts from the Uberaba Spiritist Asylum

    Directory of Open Access Journals (Sweden)

    Alexander Jabert

    2011-03-01

    Full Text Available Pela análise de prontuários médicos de instituição para tratamento de alienados, dirigida por uma associação de seguidores do espiritismo de orientação kardecista, identificam-se as diferentes percepções e estratégias de tratamento e administração social da loucura desenvolvidas por setores da população brasileira na primeira metade do século XX, numa região interiorana do país. Enfatiza-se o aspecto multidimensional da experiência da loucura, tomando-a como acontecimento sociocultural capaz de produzir diferentes análises e interpretações por grupos heterogêneos de atores sociais, que irão interpretá-la a partir de seus sistemas próprios de significação e entendimento.Through analysis of the medical charts from an institution for treatment of the insane run by an association of Kardecist spiritists, it is possible to identify the various perceptions and strategies for treatment and social control of insanity developed by different sectors of the Brazilian population in the first half of the twentieth century in the Brazilian countryside. The multidimensional aspect of the experience of insanity is stressed, as it is a sociocultural event capable of different analyses and interpretations by heterogeneous groups of social actors, who interpret it based on their own systems of meaning and understanding.

  1. Why assessment in medical education needs a solid foundation in modern test theory.

    Science.gov (United States)

    Schauber, Stefan K; Hecht, Martin; Nouns, Zineb M

    2018-03-01

    Despite the frequent use of state-of-the-art psychometric models in the field of medical education, there is a growing body of literature that questions their usefulness in the assessment of medical competence. Essentially, a number of authors raised doubt about the appropriateness of psychometric models as a guiding framework to secure and refine current approaches to the assessment of medical competence. In addition, an intriguing phenomenon known as case specificity is specific to the controversy on the use of psychometric models for the assessment of medical competence. Broadly speaking, case specificity is the finding of instability of performances across clinical cases, tasks, or problems. As stability of performances is, generally speaking, a central assumption in psychometric models, case specificity may limit their applicability. This has probably fueled critiques of the field of psychometrics with a substantial amount of potential empirical evidence. This article aimed to explain the fundamental ideas employed in psychometric theory, and how they might be problematic in the context of assessing medical competence. We further aimed to show why and how some critiques do not hold for the field of psychometrics as a whole, but rather only for specific psychometric approaches. Hence, we highlight approaches that, from our perspective, seem to offer promising possibilities when applied in the assessment of medical competence. In conclusion, we advocate for a more differentiated view on psychometric models and their usage.

  2. Theory of Change: a theory-driven approach to enhance the Medical Research Council's framework for complex interventions.

    Science.gov (United States)

    De Silva, Mary J; Breuer, Erica; Lee, Lucy; Asher, Laura; Chowdhary, Neerja; Lund, Crick; Patel, Vikram

    2014-07-05

    The Medical Research Councils' framework for complex interventions has been criticized for not including theory-driven approaches to evaluation. Although the framework does include broad guidance on the use of theory, it contains little practical guidance for implementers and there have been calls to develop a more comprehensive approach. A prospective, theory-driven process of intervention design and evaluation is required to develop complex healthcare interventions which are more likely to be effective, sustainable and scalable. We propose a theory-driven approach to the design and evaluation of complex interventions by adapting and integrating a programmatic design and evaluation tool, Theory of Change (ToC), into the MRC framework for complex interventions. We provide a guide to what ToC is, how to construct one, and how to integrate its use into research projects seeking to design, implement and evaluate complex interventions using the MRC framework. We test this approach by using ToC within two randomized controlled trials and one non-randomized evaluation of complex interventions. Our application of ToC in three research projects has shown that ToC can strengthen key stages of the MRC framework. It can aid the development of interventions by providing a framework for enhanced stakeholder engagement and by explicitly designing an intervention that is embedded in the local context. For the feasibility and piloting stage, ToC enables the systematic identification of knowledge gaps to generate research questions that strengthen intervention design. ToC may improve the evaluation of interventions by providing a comprehensive set of indicators to evaluate all stages of the causal pathway through which an intervention achieves impact, combining evaluations of intervention effectiveness with detailed process evaluations into one theoretical framework. Incorporating a ToC approach into the MRC framework holds promise for improving the design and evaluation of complex

  3. Collaborative research in medical education: a discussion of theory and practice.

    Science.gov (United States)

    O'Sullivan, Patricia S; Stoddard, Hugh A; Kalishman, Summers

    2010-12-01

    Medical education researchers are inherently collaborators. This paper presents a discussion of theoretical frameworks, issues and challenges around collaborative research to prepare medical education researchers to enter into successful collaborations. It gives emphasis to the conceptual issues associated with collaborative research and applies these to medical education research. Although not a systematic literature review, the paper provides a rich discussion of issues which medical education researchers might consider when undertaking collaborative studies. Building on the work of others, we have classified collaborative research in three dimensions according to: the number of administrative units represented; the number of academic fields present, and the manner in which knowledge is created. Although some literature on collaboration focuses on the more traditional positivist perspective and emphasises outcomes, other literature comes from the constructivist framework, in which research is not driven by hypotheses and the approaches emphasised, but by the interaction between investigator and subject. Collaborations are more effective when participants overtly clarify their motivations, values, definitions of appropriate data and accepted methodologies. These should be agreed upon prior to commencing a study. The way we currently educate researchers should be restructured if we want them to be able to undertake interdisciplinary research. Despite calls for researchers to be educated differently, most training programmes for developing researchers have demonstrated a limited, if not contrary, response to these calls. Collaborative research in medical education should be driven by the problem being investigated, by the new knowledge gained and by the interpersonal interactions that may be achieved. Success rests on recognising that many of the research problems we, as medical educators, address are fundamentally interdisciplinary in nature. This represents a

  4. Teaching and Learning Medication Calculations: A Grounded Theory of Conceptual Understanding.

    Science.gov (United States)

    Mills, Susan

    2016-05-13

    The purpose of this study was to identify the process of nursing students' attainment of conceptual understanding when learning medication dosage calculations. This study utilized a grounded theory research design with a blended theoretical framework of constructivism and symbolic interaction. A process of conceptual understanding began with the teaching and learning experiences in the classroom and progressed to students' reengagement with the course content outside of the classroom. Confusion was the core category of the process. Students who were able to work through the confusion and solve problems were able to attain conceptual understanding and progress to more complex problem solving. Nurse educators need to identify teaching and learning strategies that promote conceptual understanding. Helping students to get beyond memorization and move to understanding of medication calculations can help students' critical thinking and problem solving ability and lead to conceptual understanding.

  5. Social dominance theory and medical specialty choice.

    Science.gov (United States)

    Lepièce, Brice; Reynaert, Christine; van Meerbeeck, Philippe; Dory, Valérie

    2016-03-01

    Understanding how medical students select their specialty is a fundamental issue for public health and educational policy makers. One of the factors that students take into account is a specialty's prestige which hinges partly on its focus on technique rather than whole person. We examine the potential of a psychological framework, social dominance theory, to explain why some students, and not others, are drawn to more prestigious, technique-oriented specialties, based on their desire for hierarchy. We conducted a cross-sectional study among medical students at Institution X (N = 359). We examined the link between medical students' characteristics i.e. social dominance orientation (SDO), gender, age, and their career intention. We also examined level of medical students' SDO at different stages of the curriculum. SDO scores were significantly associated with technique-oriented career intentions (OR 1.56; 95 % CI [1.18, 2.06]; p = 0.001). The effect was independent of gender. Medical students' SDO scores were significantly higher in later stages of the medical curriculum (F = 6.79; p = 0. 001). SDO is a significant predictor of medical students' career intention. SDO scores are higher in students during the clinical phase of the curriculum. Medical socialization, involving the internalization of implicit and explicit norms, particularly in hospital settings, is likely to underpin our findings. This theory illuminates consistent findings in the literature on specialty prestige and the influence of medical school on career choice.

  6. Motivating medical students to do research: a mixed methods study using Self-Determination Theory.

    Science.gov (United States)

    Rosenkranz, Sara K; Wang, Shaoyu; Hu, Wendy

    2015-06-02

    It is widely accepted that all medical graduates should understand the uses and methods of rigorous research, with a need to promote research to graduates who will pursue an academic career. This study aimed to explore, identify and explain what motivates and demotivates medical students to do research. A convergent parallel mixed methods study was conducted. Cross-sectional quantitative survey data (n = 579) and qualitative semi-structured interview findings (n = 23) data were separately collected and analysed. Informed by Self-Determination Theory (SDT), quantitative and qualitative findings were integrated to develop a model for the factors associated with medical students' expressed motivation to do research, and related to clinical and research learning activities at different stages in an undergraduate medical program. Only 7.5% of students had research experience prior to entering the program. Survey results revealed that students who had experienced exposure to the uncertainties of clinical practice through clerkships (Pre-Clinical (48%) vs Clinical Years (64%), p motivation to do research is associated with increasing internalization of intrinsic motivators; in particular those associated with competence (Confidence) and relatedness (Clinical Relevance, Research as a Social Activity). SDT is useful for understanding the motivation of individuals and how curriculum can be designed to optimise motivation. Study findings suggest that well supported compulsory research activities that incorporate group learning and elements of choice may promote motivation to do research, and potentially, careers in research, even in a research naive student body.

  7. Weygandt's On the Mixed States of Manic-Depressive Insanity: a translation and commentary on its significance in the evolution of the concept of bipolar disorder.

    Science.gov (United States)

    Salvatore, Paola; Baldessarini, Ross J; Centorrino, Franca; Egli, Samy; Albert, Matthew; Gerhard, Angela; Maggini, Carlo

    2002-01-01

    Wilhelm Weygandt's Uber die Mischzustände des manisch-depressiven Irreseins (On the Mixed States of Manic-Depressive Insanity) describes and conceptualizes mixed states of mood, behavior, and thinking commonly found in manic-depressive disorders. These ideas emerged from Weygandt's service in the 1890s at the Psychiatric Clinic of the University of Heidelberg, directed by Emil Kraepelin. In the sixth (1899) edition of Kraepelin's influential textbook, the concept of manic-depressive illnesses underwent a fundamental shift from a complex group of syndromal subtypes to a single integrated disorder, widely known from the 1921 English translation of the eighth (1920) edition. In the 1899 edition, Kraepelin acknowledged Weygandt for a new section on mixed manic-depressive states within the new integrated view of manic-depressive disorder. We provide biographical notes on Weygandt, a little-known but historically important figure, as well as the first English translation of his monograph and interpretive summaries of his findings. We also consider whether Weygandt's important insight that the same person could be both manic and depressed not only at different times but even at the same time served as an important stimulus to Kraepelin's unified manic-depressive disorder concept, which survives as bipolar disorder a century later.

  8. [Insanity, life crises and longing for a "real life". On the discussion of deviant behavior and mental disorders in psychiatry of the 19th and 20th century].

    Science.gov (United States)

    Kanis-Seyfried, Uta

    On insanity, life crises and the longing for a "right life". A contribution to the discussion on the deviant behavior and mental disorders in the psychiatry of the 19th and 20th centuries using the example of patient stories. History of psychiatry, understood as social and cultural history, provides the framework for this micro-historical article. Using the example of three patients treated in Wuerttemberg or Baden psychiatric asylums between 1875 and 1912, the article focuses on the critical analysis of types of asylums, their practices of admissions, therapies and power relations between patients and staff. Ways of thinking and acting, subjective experiences and emotions are exemplified by patient records, personal testimonials and contemporary publications again by patients and staff. The article examines options of patients to influence the institutional daily asylum routine against the background of its complexity and dynamics. Borders, manipulations, malingering and querulous paranoia are at stake here. Furthermore, the article reflects various forms of social interaction with the power regulating therapeutic and disciplinary aspects against the backdrop of the "canons of rules" of the asylum as well as the contemporary political and legal framework.

  9. Personality Makes a Difference: Attachment Orientation Moderates Theory of Planned Behavior Prediction of Cardiac Medication Adherence.

    Science.gov (United States)

    Peleg, Shira; Vilchinsky, Noa; Fisher, William A; Khaskia, Abed; Mosseri, Morris

    2017-12-01

    To achieve a comprehensive understanding of patients' adherence to medication following acute coronary syndrome (ACS), we assessed the possible moderating role played by attachment orientation on the effects of attitudes, subjective norms, and perceived behavioral control (PBC), as derived from the Theory of Planned Behavior (TPB; Ajzen, 1991), on intention and reported adherence. A prospective longitudinal design was employed. During hospitalization, ACS male patients (N = 106) completed a set of self-report questionnaires including sociodemographic variables, attachment orientation, and measures of TPB constructs. Six months post-discharge, 90 participants completed a questionnaire measuring adherence to medication. Attachment orientations moderated some of the predictions of the TPB model. PBC predicted intention and reported adherence, but these associations were found to be significant only among individuals with lower, as opposed to higher, attachment anxiety. The association between attitudes and intention was stronger among individuals with higher, as opposed to lower, attachment anxiety. Only among individuals with higher attachment avoidance, subjective norms were negatively associated with intention to take medication. Cognitive variables appear to explain both adherence intention and behavior, but differently, depending on individuals' attachment orientations. Integrating personality and cognitive models may prove effective in understanding patients' health behaviors. © 2016 Wiley Periodicals, Inc.

  10. Medical students' perceptions of general practice as a career; a phenomenological study using socialisation theory.

    Science.gov (United States)

    Reid, Katherine; Alberti, Hugh

    2018-04-23

    The ageing population and push to community care has significantly increased the workload of General Practitioners (GPs) in the UK and internationally. In an attempt to tackle this, NHS England has promised 5000 more GPs by 2020/21; however, recruitment is in crisis with GP training posts remaining unfilled. Little research has been carried out to assess the fundamental questions of what medical students' perceptions of General Practice are and what shapes their perceptions at medical school. We aimed to explore medical students' conceptualisations of being a GP and specifically the role of the medical school in shaping their perceptions. Two focus groups of year one and year four medical students were undertaken using an interpretive phenomenological approach. Our study has revealed that medical students perceive General Practice to lack prestige and challenge. These perceptions come, at least in part, from a process of socialisation within medical school, whereby medical students internalise and adopt their role models' perceptions and values, and the values portrayed by the hidden curriculum in their medical school culture. Perceived external pressures to pursue a career in General Practice can have a negative influence and medical schools should be made aware of this.

  11. Applying positioning theory to examine interactions between simulated patients and medical students: a narrative analysis.

    Science.gov (United States)

    Sargeant, Sally; McLean, Michelle; Green, Patricia; Johnson, Patricia

    2017-03-01

    In their journey to becoming doctors, students engage with a range of teachers and trainers. Among these are simulated patients (SPs), who, through role-playing, assist students to develop their communication and physical examination skills, in contexts of formative and summative assessments. This paper explores the teaching and learning relationship between medical students and SPs, and considers how this might affect feedback and assessment. 14 SPs were interviewed on the subject of medical students' professional identity development in 2014. Data were examined using narrative analysis in conjunction with positioning theory to identify the positions that SPs assigned to themselves and to students. Narrative analysis yielded three interpretative positioning themes: Occupational, familial and cultural and discursive and embodied positioning. The interview process revealed that SPs adopt different positions intra-and interpersonally. SPs appear to hold dissonant perceptions of students in terms relating to their emerging professional identities, which may confound assessment and feedback. Training should include reflections on the SP/student relationship to uncover potential biases and positions, giving SPs the opportunity to reflect on and manage their individual and occupational selves.

  12. Generalisability theory analyses of concept mapping assessment scores in a problem-based medical curriculum.

    Science.gov (United States)

    Kassab, Salah E; Fida, Mariam; Radwan, Ahmed; Hassan, Adla B; Abu-Hijleh, Marwan; O'Connor, Brian P

    2016-07-01

    In problem-based learning (PBL), students construct concept maps that integrate different concepts related to the PBL case and are guided by the learning needs generated in small-group tutorials. Although an instrument to measure students' concept maps in PBL programmes has been developed, the psychometric properties of this instrument have not yet been assessed. This study evaluated the generalisability of and sources of variance in medical students' concept map assessment scores in a PBL context. Medical students (Year 4, n = 116) were asked to construct three integrated concept maps in which the content domain of each map was to be focused on a PBL clinical case. Concept maps were independently evaluated by four raters based on five criteria: valid selection of concepts; hierarchical arrangement of concepts; degree of integration; relationship to the context of the problem, and degree of student creativity. Generalisability theory was used to compute the reliability of the concept map scores. The dependability coefficient, which indicates the reliability of scores across the measured facets for making absolute decisions, was 0.814. Students' concept map scores (universe scores) accounted for the largest proportion of total variance (47%) across all score comparisons. Rater differences accounted for 10% of total variance, and the student × rater interaction accounted for 25% of total variance. The variance attributable to differences in the content domain of the maps was negligible (2%). The remaining 16% of the variance reflected unexplained sources of error. Results from the D study suggested that a dependability level of 0.80 can be achieved by using three raters who each score two concept map domains, or by using five raters who each score only one concept map domain. This study demonstrated that concept mapping assessment scores of medical students in PBL have high reliability. Results suggested that greater improvements in dependability might be made

  13. Game theory and strategy in medical training.

    Science.gov (United States)

    Blake, Amy; Carroll, Bryan T

    2016-11-01

    This paper analyses how game theory can provide a framework for understanding the strategic decision-making that occurs in everyday scenarios in medical training and practice, and ultimately serves as a tool for improving the work environment and patient care. Game theory has been applied to a variety of fields outside of its native economics, but has not been thoroughly studied in the context of health care provision. The paper discusses four of the most common 'games' and applies each to a scenario in medicine to provide new insight on the incentives and drivers for certain types of behaviour and a deeper understanding of why certain results are valued more strongly than others. Using game theory as an integrative tool, in conjunction with good judgement and a sound knowledge base, trainees and physicians can work to better recognise where competing priorities exist, understand the motivations and interactions of the various players, and learn to adjust their approaches in order to 'change the game' when their preferred outcome is not the most likely one. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  14. Why Assessment in Medical Education Needs a Solid Foundation in Modern Test Theory

    Science.gov (United States)

    Schauber, Stefan K.; Hecht, Martin; Nouns, Zineb M.

    2018-01-01

    Despite the frequent use of state-of-the-art psychometric models in the field of medical education, there is a growing body of literature that questions their usefulness in the assessment of medical competence. Essentially, a number of authors raised doubt about the appropriateness of psychometric models as a guiding framework to secure and refine…

  15. Quality Theory Paper Writing for Medical Examinations

    Science.gov (United States)

    Acharya, Sourya; Acharya, Neema; Shrivastava, Tripti; Kale, Anita

    2014-01-01

    Aim & Objectives: Developing a tactful paper writing skill, through delivery and depiction of the necessary expressions required for in standard or superior essay writing. Understanding relevance and tact of theoretical expression in exam paper writing Learning Indices of standard or quality theory/essay answer (SAQ/LAQ). Applying knowledge and skill gained through these theory writing exercises and assignments to achieve high or better scores in examinations. Methods and Materials:The study subjects were divided into two groups- Group A (17 students) and Group B students (10students). The students were selected from II M.B.B.S 4th term. Students of Group A were sensitized on how to write a theory paper and went through 4 phases namely pre-sensitization test, sensitization (imparting them with skills of good theory paper writing through home assignments and deliberations/ guidance), post-sensitization test and Evaluation. Students of Group A (17 students) undertook theory tests (twice, i.e. before and after sensitization) and Students of Group B (10 students) who were not sensitized and took the theory test with post sensitized Group A students (random 10 students). Both groups were given general pathology as the test syllabus, taught to both groups in didactic lectures during the last 6 months. The results of pre and Post-sensitization tests from both groups were analyzed. Intra group comparisons (pre sensitized Group A with Post sensitized Group A) and inter group comparisons (Non-sensitized group B with Sensitized Group A) were made. Results: Significant results were found between results of pre and Post-sensitization tests in Group A (intra group analysis) and inter group (Group A and B) Post-sensitization tests, as there was remarkable improvement in student theory paper writing skills post sensitizing the students of Group A. Conclusion: Medical students should be mandatorily guided and exposed to the nuances and tact of writing the theory paper for their

  16. Quality theory paper writing for medical examinations.

    Science.gov (United States)

    Shukla, Samarth; Acharya, Sourya; Acharya, Neema; Shrivastava, Tripti; Kale, Anita

    2014-04-01

    Aim & Objectives: Developing a tactful paper writing skill, through delivery and depiction of the necessary expressions required for in standard or superior essay writing. Understanding relevance and tact of theoretical expression in exam paper writing Learning Indices of standard or quality theory/essay answer (SAQ/LAQ). Applying knowledge and skill gained through these theory writing exercises and assignments to achieve high or better scores in examinations. The study subjects were divided into two groups- Group A (17 students) and Group B students (10students). The students were selected from II M.B.B.S 4(th) term. Students of Group A were sensitized on how to write a theory paper and went through 4 phases namely pre-sensitization test, sensitization (imparting them with skills of good theory paper writing through home assignments and deliberations/ guidance), post-sensitization test and Evaluation. Students of Group A (17 students) undertook theory tests (twice, i.e. before and after sensitization) and Students of Group B (10 students) who were not sensitized and took the theory test with post sensitized Group A students (random 10 students). Both groups were given general pathology as the test syllabus, taught to both groups in didactic lectures during the last 6 months. The results of pre and Post-sensitization tests from both groups were analyzed. Intra group comparisons (pre sensitized Group A with Post sensitized Group A) and inter group comparisons (Non-sensitized group B with Sensitized Group A) were made. Significant results were found between results of pre and Post-sensitization tests in Group A (intra group analysis) and inter group (Group A and B) Post-sensitization tests, as there was remarkable improvement in student theory paper writing skills post sensitizing the students of Group A. Medical students should be mandatorily guided and exposed to the nuances and tact of writing the theory paper for their examinations, as it definitely gives them

  17. Race, Apology, and Public Memory at Maryland's Hospital for the 'Negro' Insane

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    Zosha Stuckey

    2017-03-01

    Full Text Available To respond to a recent demand of the ACLU of Maryland, and to augment theories from Disability Incarcerated (2014 about the convergence of race, disability, and due process (or lack thereof, this essay analyzes the extent to which racism informed the creation of Maryland's Hospital for the 'Negro' Insane (Crownsville Hospital. In order to understand the extent of racism in Crownsville's earlier years, I will take into account 14 categories within conditions of confinement from 1921-1928 and compare them to the nearby, white asylum. Ultimately, the hospital joins the ranks of separate and unequal (Plessy vs. Ferguson institutions founded alongside a rhetoric of fear that the Baltimore Sun daily paper deemed "a Black invasion" of the city of Baltimore. Even more, I add to public memory of this racialized space invoking the rhetorical frame, as Kendall Phillips advises, of responsibility and apology (versus absolution within the context of present-day racial justice movements.

  18. Unpacking insanity defence standards: An experimental study of rationality and control tests in criminal law

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    Rebecca K. Helm

    2016-07-01

    Full Text Available The present study investigated the impact of different legal standards on mock juror decisions concerning whether a defendant was guilty or not guilty by reason of insanity. Undergraduate students (N = 477 read a simulated case summary involving a murder case and were asked to make an insanity determination. The cases differed in terms of the condition of the defendant (rationality deficit or control deficit and the legal standard given to the jurors to make the determination (Model Penal Code, McNaughten or McNaughten plus a separate control determination. The effects of these variables on the insanity determination were investigated. Jurors also completed questionnaires measuring individualism and hierarchy attitudes and perceptions of facts in the case. Results indicate that under current insanity standards jurors do not distinguish between defendants with rationality deficits and defendants with control deficits regardless of whether the legal standard requires them to do so. Even defendants who lacked control were found guilty at equal rates under a legal standard excusing rationality deficits only and a legal standard excluding control and rationality deficits. This was improved by adding a control test as a partial defence, to be determined after a rationality determination. Implications for the insanity defence in the Criminal Justice System are discussed.

  19. FRENDAK to PHENIS to BREIVIK: An Examination of the Imposed Insanity Defense

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    William Donald Richie

    2014-12-01

    Full Text Available The imposition of the insanity defense is a complicated psycho-legal scenario. Globally, definitions of insanity differ from country to country. In a multitude of cases, a determination of insanity at the time of a criminal act means the offender will not be considered responsible for his or her action(s. In many jurisdictions, concerns have been raised that the insanity defense has been used to mitigate punishment, usually after a particularly heinous crime. In this review, the authors use three cases - FRENDAK, PHENIS, and BREIVIK to demonstrate how the imposition of the insanity defense has been used for legal purposes in the past and present. In an effort to give more background to each of the above-mentioned cases, the writers have provided some details to aid comprehension. The authors offer recommendations for the ethical forensic evaluator unburdened by partisan allegiance and invested in the search for truth. This review article relies on peer-reviewed articles available from PubMed, Meharry Online Library and legal dictionaries. We also cross-referenced reputable news sources to ensure the validity of the facts we present.

  20. On-the-Job Ethics – Proximity Morality Forming in Medical School: A grounded theory analysis using survey data

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    Hans O. Thulesius, MD, Ph.D.

    2009-03-01

    Full Text Available On-the-job-ethics exist in all businesses and can also be called proximity morality forming. In this paper we propose that medical students take a proximity morality stance towards ethics education at medical school. This means that they want to form physician morality “on the job” instead of being taught ethics like any other subject. On-the-job-ethics for medical students involves learning ethics that is used when practicing ethics. Learning ethics includes comprehensive ethics courses in which quality lectures provide ethics grammar useful for the ethics practicing in attitude exercises and vignette reflections in tutored group discussions. On-the-job-ethics develops professional identity, handles diversity of religious and existential worldviews, trains students described as ethically naive, processes difficult clinical experiences, and desists negative role modeling from physicians in clinical or teaching situations. This grounded theory analysis was made from a questionnaire survey on attitudes to ethics education with 409 Swedish medical students participating. We analyzed over 8000 words of open-ended responses and multiplechoice questions using classic grounded theory procedures, but also compared questionnaire data using statistics such as multiple regression models. The paper gives an example of how grounded theory can be used with a limited amount of survey data.

  1. Resourcing the clinical complementary medicine information needs of Australian medical students: Results of a grounded theory study.

    Science.gov (United States)

    Templeman, Kate; Robinson, Anske; McKenna, Lisa

    2016-09-01

    The aim of this study was to identify Australian medical students' complementary medicine information needs. Thirty medical students from 10 medical education faculties across Australian universities were recruited. Data were generated using in-depth semi-structured interviews and constructivist grounded theory method was used to analyze and construct data. Students sought complementary medicine information from a range of inadequate sources, such as pharmacological texts, Internet searches, peer-reviewed medical journals, and drug databases. The students identified that many complementary medicine resources may not be regarded as objective, reliable, differentiated, or comprehensive, leaving much that medical education needs to address. Most students sought succinct, easily accessible, evidence-based information to inform safe and appropriate clinical decisions about complementary medicines. A number of preferred resources were identified that can be recommended and actively promoted to medical students. Therefore, specific, evidence-based complementary medicine databases and secondary resources should be subscribed and recommended to medical schools and students, to assist meeting professional responsibilities regarding complementary medicines. These findings may help inform the development of appropriate medical information resources regarding complementary medicines. © 2016 John Wiley & Sons Australia, Ltd.

  2. Bakhtin's philosophy and medical practice--toward a semiotic theory of doctor-patient interaction.

    Science.gov (United States)

    Puustinen, R

    1999-01-01

    Doctor-patient interaction has gained increasing attention among sociologists and linguists during the last few decades. The problem with the studies performed so far, however, has been a lack of a theoretical framework which could bring together the various phenomena observed within medical consultations. Mikhail Bakhtin's philosophy of language offers us tools for studying medical practice as socio-cultural semiotic phenomenon. Applying Bakhtin's ideas of polyphonic, context-dependent and open-ended nature of human communication opens the possibilities to develop prevailing theoretical and empirical approaches to the study of medical consultations.

  3. Have motivation theories guided the development and reform of medical education curricula? A review of the literature.

    Science.gov (United States)

    Kusurkar, Rashmi A; Croiset, Gerda; Mann, Karen V; Custers, Eugene; Ten Cate, Olle

    2012-06-01

    Educational psychology indicates that learning processes can be mapped on three dimensions: cognitive (what to learn), affective or motivational (why learn), and metacognitive regulation (how to learn). In a truly student-centered medical curriculum, all three dimensions should guide curriculum developers in constructing learning environments. The authors explored whether student motivation has guided medical education curriculum developments. The authors reviewed the literature on motivation theory related to education and on medical education curriculum development to identify major developments. Using the Learning-Oriented Teaching model as a framework, they evaluated the extent to which motivation theory has guided medical education curriculum developers. Major developments in the field of motivation theory indicate that motivation drives learning and influences students' academic performance, that gender differences exist in motivational mechanisms, and that the focus has shifted from quantity of motivation to quality of motivation and its determinants, and how they stimulate academic motivation. Major developments in medical curricula include the introduction of standardized and regulated medical education as well as problem-based, learner-centered, integrated teaching, outcome-based, and community-based approaches. These curricular changes have been based more on improving students' cognitive processing of content or metacognitive regulation than on stimulating motivation. Motivational processes may be a substantially undervalued factor in curriculum development. Building curricula to specifically stimulate motivation in students may powerfully influence the outcomes of curricula. The elements essential for stimulating intrinsic motivation in students, including autonomy support, adequate feedback, and emotional support, appear lacking as a primary aim in many curricular plans.

  4. Grounded theory in medical education research: AMEE Guide No. 70.

    Science.gov (United States)

    Watling, Christopher J; Lingard, Lorelei

    2012-01-01

    Qualitative research in general and the grounded theory approach in particular, have become increasingly prominent in medical education research in recent years. In this Guide, we first provide a historical perspective on the origin and evolution of grounded theory. We then outline the principles underlying the grounded theory approach and the procedures for doing a grounded theory study, illustrating these elements with real examples. Next, we address key critiques of grounded theory, which continue to shape how the method is perceived and used. Finally, pitfalls and controversies in grounded theory research are examined to provide a balanced view of both the potential and the challenges of this approach. This Guide aims to assist researchers new to grounded theory to approach their studies in a disciplined and rigorous fashion, to challenge experienced researchers to reflect on their assumptions, and to arm readers of medical education research with an approach to critically appraising the quality of grounded theory studies.

  5. A Theory-Based Approach for Developing Interventions to Change Patient Behaviours: A Medication Adherence Example from Paediatric Secondary Care.

    Science.gov (United States)

    Heath, Gemma; Cooke, Richard; Cameron, Elaine

    2015-12-04

    In this article we introduce a Health Psychology approach to changing patient behaviour, in order to demonstrate the value of Health Psychology professional practice as applied within healthcare settings. Health Psychologists are experts in understanding, predicting and changing health-related behaviours at the individual, group and population level. They combine psychological theory, research evidence and service-user views to design interventions to solve clinically relevant behavioural problems and improve health outcomes. We provide a pragmatic overview of a theory and evidence-based Intervention Mapping approach for developing, implementing and evaluating interventions to change health-related behaviour. An example of a real behaviour change intervention designed to improve medication adherence in an adolescent patient with poorly controlled asthma is described to illustrate the main stages of the intervention development process.

  6. A Theory-Based Approach for Developing Interventions to Change Patient Behaviours: A Medication Adherence Example from Paediatric Secondary Care

    Directory of Open Access Journals (Sweden)

    Gemma Heath

    2015-12-01

    Full Text Available In this article we introduce a Health Psychology approach to changing patient behaviour, in order to demonstrate the value of Health Psychology professional practice as applied within healthcare settings. Health Psychologists are experts in understanding, predicting and changing health-related behaviours at the individual, group and population level. They combine psychological theory, research evidence and service-user views to design interventions to solve clinically relevant behavioural problems and improve health outcomes. We provide a pragmatic overview of a theory and evidence-based Intervention Mapping approach for developing, implementing and evaluating interventions to change health-related behaviour. An example of a real behaviour change intervention designed to improve medication adherence in an adolescent patient with poorly controlled asthma is described to illustrate the main stages of the intervention development process.

  7. Introduction: histories of asylums, insanity and psychiatry in Scotland.

    Science.gov (United States)

    Philo, Chris; Andrews, Jonathan

    2017-03-01

    This paper introduces a special issue on 'Histories of asylums, insanity and psychiatry in Scotland', situating the papers that follow in an outline historiography of work in this field. Using Allan Beveridge's claims in 1993 about the relative lack of research on the history of psychiatry in Scotland, the paper reviews a range of contributions that have emerged since then, loosely distinguishing between 'overviews' - work addressing longer-term trends and broader periods and systems - and more detailed studies of particular 'individuals and institutions'. There remains much still to do, but the present special issue signals what is currently being achieved, not least by a new generation of scholars in and on Scotland.

  8. Student identification of the need for complementary medicine education in Australian medical curricula: a constructivist grounded theory approach.

    Science.gov (United States)

    Templeman, Kate; Robinson, Anske; McKenna, Lisa

    2015-04-01

    Across the Western world, including Australia, growing popularity of complementary medicines (CMs) mandates their implementation into medical education (ME). Medical students in international contexts have expressed a need to learn about CMs. In Australia, little is known about the student-specific need for CM education. The objective of this paper was to assess the self-reported need for CM education among Australian medical students. Thirty second-year to final-year medical students participated in semi-structured interviews. A constructivist grounded theory methodological approach was used to generate, construct and analyse data. Medical school education faculties in Australian universities. Medical students generally held favourable attitudes toward CMs but had knowledge deficits and did not feel adept at counselling patients about CMs. All students were supportive of CM education in ME, noting its importance in relation to the doctor-patient encounter, specifically with regard to interactions with medical management. As future practitioners, students recognised the need to be able to effectively communicate about CMs and advise patients regarding safe and effective CM use. Australian medical students expressed interest in, and the need for, CM education in ME regardless of their opinion of it, and were supportive of evidence-based CMs being part of their armamentarium. However, current levels of CM education in medical schools do not adequately enable this. This level of receptivity suggests the need for CM education with firm recommendations and competencies to assist CM education development required. Identifying this need may help medical educators to respond more effectively. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Non-medical use of prescription stimulants for academic purposes among college students: a test of social learning theory.

    Science.gov (United States)

    Ford, Jason A; Ong, Julianne

    2014-11-01

    The current research examines whether measures associated with Akers' social learning theory are related to non-medical use of prescription stimulants for academic reasons among college students. We examine data from a sample of 549 undergraduate students at one public university in the Southeastern United States. We estimate several logistic regression models to test our hypotheses. The findings indicated that roughly 17% of students reported non-medical use of prescription stimulants for academic reasons during the past year. In separate models, all four of the social learning measures were significantly correlated to non-medical use. In the complete model, the risk of non-medical prescription stimulant use for academic reasons was increased for respondents who reported more of their friends used and also for respondents who believed that prescription stimulants were an effective study aid. The current research fills an important gap in the literature regarding theoretical explanations for non-medical prescription stimulant use. Given the high prevalence of non-medical prescription stimulant use and the known risks associated with non-medical use this research can help inform intervention strategies for college populations. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  10. Building bridges between theory and practice in medical education using a design-based research approach: AMEE Guide No. 60.

    Science.gov (United States)

    Dolmans, Diana H J M; Tigelaar, D

    2012-01-01

    Medical education research has grown enormously over the past 20 years, but it does not sufficiently make use of theories, according to influential leaders and researchers in this field. In this AMEE Guide, it is argued that design-based research (DBR) studies should be conducted much more in medical education design research because these studies both advance the testing and refinement of theories and advance educational practice. In this Guide, the essential characteristics of DBR as well as how DBR differs from other approach such as formative evaluation are explained. It is also explained what the pitfalls and challenges of DBR are. The main challenges deal with how to insure that DBR studies reveal findings that are of a broader relevance than the local situation and how to insure that DBR contributes toward theory testing and refinement. An example of a series of DBR studies on the design of a teaching portfolio in higher education that is aimed at stimulating a teacher's professional development is described, to illustrate how DBR studies actually work in practice. Finally, it is argued that DBR-studies could play an important role in the advancement of theory and practice in the two broad domains of designing or redesigning work-based learning environments and assessment programs.

  11. A survey of mindset theories of intelligence and medical error self-reporting among pediatric housestaff and faculty.

    Science.gov (United States)

    Jegathesan, Mithila; Vitberg, Yaffa M; Pusic, Martin V

    2016-02-11

    Intelligence theory research has illustrated that people hold either "fixed" (intelligence is immutable) or "growth" (intelligence can be improved) mindsets and that these views may affect how people learn throughout their lifetime. Little is known about the mindsets of physicians, and how mindset may affect their lifetime learning and integration of feedback. Our objective was to determine if pediatric physicians are of the "fixed" or "growth" mindset and whether individual mindset affects perception of medical error reporting.  We sent an anonymous electronic survey to pediatric residents and attending pediatricians at a tertiary care pediatric hospital. Respondents completed the "Theories of Intelligence Inventory" which classifies individuals on a 6-point scale ranging from 1 (Fixed Mindset) to 6 (Growth Mindset). Subsequent questions collected data on respondents' recall of medical errors by self or others. We received 176/349 responses (50 %). Participants were equally distributed between mindsets with 84 (49 %) classified as "fixed" and 86 (51 %) as "growth". Residents, fellows and attendings did not differ in terms of mindset. Mindset did not correlate with the small number of reported medical errors. There is no dominant theory of intelligence (mindset) amongst pediatric physicians. The distribution is similar to that seen in the general population. Mindset did not correlate with error reports.

  12. A Test of Problem Behavior and Self-Medication Theories in Incarcerated Adolescent Males

    Science.gov (United States)

    Esposito-Smythers, Christianne; Penn, Joseph V.; Stein, L. A. R.; Lacher-Katz, Molly; Spirito, Anthony

    2008-01-01

    The purpose of this study is to examine the problem behavior and self-medication models of alcohol abuse in incarcerated male adolescents. Male adolescents (N = 56) incarcerated in a juvenile correction facility were administered a battery of psychological measures. Approximately 84% of adolescents with clinically significant alcohol-related…

  13. Medical semiotics in the 18th century: a theory of practice?

    Science.gov (United States)

    Hess, V

    1998-06-01

    Medical semiotics in the 18th century was more than a premodern form of diagnosis. Its structure allowed for the combination of empirically proven rules of instruction with the theoretical knowledge of the new sciences, employing the relation between the sign and the signified.

  14. Using cognitive theory to facilitate medical education

    Science.gov (United States)

    2014-01-01

    Background Educators continue to search for better strategies for medical education. Although the unifying theme of reforms was “increasing interest in, attention to, and understanding of the knowledge base structures”, it is difficult to achieve all these aspects via a single type of instruction. Methods We used related key words to search in Google Scholar and Pubmed. Related search results on this topic were selected for discussion. Results Despite the range of different methods used in medical education, students are still required to memorize much of what they are taught, especially for the basic sciences. Subjects like anatomy and pathology carry a high intrinsic cognitive load mainly because of the large volume of information that must be retained. For these subjects, decreasing cognitive load is not feasible and memorizing appears to be the only strategy, yet the cognitive load makes learning a challenge for many students. Cognitive load is further increased when inappropriate use of educational methods occurs, e.g., in problem based learning which demands clinical reasoning, a high level and complex cognitive skill. It is widely known that experts are more skilled at clinical reasoning than novices because of their accumulated experiences. These experiences are based on the formation of cognitive schemata. In this paper we describe the use of cognitive schemata, developed by experts as worked examples to facilitate medical students’ learning and to promote their clinical reasoning. Conclusion We suggest that cognitive load theory can provide a useful framework for understanding the challenges and successes associated with education of medical professionals. PMID:24731433

  15. Eliminating mental disability as a legal criterion in deprivation of liberty cases: The impact of the Convention on the Rights of Persons With Disabilities on the insanity defense, civil commitment, and competency law.

    Science.gov (United States)

    Slobogin, Christopher

    2015-01-01

    A number of laws that are associated with deprivations of liberty, including the insanity defense, civil commitment, guardianship of the person and numerous competency doctrines in the criminal context, require proof of mental disability as a predicate. The Convention on the Rights of Persons With Disabilities commands signatory states to eliminate that predicate. Summarizing principles set out in my book Minding Justice: Laws That Deprive People With Mental Disability of Life and Liberty, I explain how this seemingly radical stance can be implemented. Specifically, this article proposes adoption of an "integrationist defense" in the criminal context, an "undeterrability requirement" when the state seeks preventive detention outside of the criminal process, and a "basic rationality and self-regard test" for incompetency determinations. None of these proposals requires proof of a mental disorder as a predicate condition. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Proximity morality in medical school – medical students forming physician morality "on the job": Grounded theory analysis of a student survey

    Science.gov (United States)

    Thulesius, Hans O; Sallin, Karl; Lynoe, Niels; Löfmark, Rurik

    2007-01-01

    Background The value of ethics education have been questioned. Therefore we did a student survey on attitudes about the teaching of ethics in Swedish medical schools. Methods Questionnaire survey on attitudes to ethics education with 409 Swedish medical students participating. We analyzed > 8000 words of open-ended responses and multiple-choice questions using classic grounded theory procedures. Results In this paper we suggest that medical students take a proximity morality stance towards their ethics education meaning that they want to form physician morality "on the job". This involves comprehensive ethics courses in which quality lectures provide "ethics grammar" and together with attitude exercises and vignette reflections nurture tutored group discussions. Goals of forming physician morality are to develop a professional identity, handling diversity of religious and existential worldviews, training students described as ethically naive, processing difficult clinical experiences, and desisting negative role modeling from physicians in clinical or teaching situations, some engaging in "ethics suppression" by controlling sensitive topic discussions and serving students politically correct attitudes. Conclusion We found that medical students have a proximity morality attitude towards ethics education. Rather than being taught ethics they want to form their own physician morality through tutored group discussions in comprehensive ethics courses. PMID:17683618

  17. Proximity morality in medical school--medical students forming physician morality "on the job": grounded theory analysis of a student survey.

    Science.gov (United States)

    Thulesius, Hans O; Sallin, Karl; Lynoe, Niels; Löfmark, Rurik

    2007-08-06

    The value of ethics education have been questioned. Therefore we did a student survey on attitudes about the teaching of ethics in Swedish medical schools. Questionnaire survey on attitudes to ethics education with 409 Swedish medical students participating. We analyzed > 8000 words of open-ended responses and multiple-choice questions using classic grounded theory procedures. In this paper we suggest that medical students take a proximity morality stance towards their ethics education meaning that they want to form physician morality "on the job". This involves comprehensive ethics courses in which quality lectures provide "ethics grammar" and together with attitude exercises and vignette reflections nurture tutored group discussions. Goals of forming physician morality are to develop a professional identity, handling diversity of religious and existential worldviews, training students described as ethically naive, processing difficult clinical experiences, and desisting negative role modeling from physicians in clinical or teaching situations, some engaging in "ethics suppression" by controlling sensitive topic discussions and serving students politically correct attitudes. We found that medical students have a proximity morality attitude towards ethics education. Rather than being taught ethics they want to form their own physician morality through tutored group discussions in comprehensive ethics courses.

  18. Remediation of at-risk medical students: theory in action

    NARCIS (Netherlands)

    Winston, K.A.; Vleuten, C.P.M. van der; Scherpbier, A.J.J.A.

    2013-01-01

    BACKGROUND: Previous work has shown that a programme that draws on a blend of theories makes a positive difference to outcomes for students who fail and repeat their first semester at medical school. Exploration of student and teacher perspectives revealed that remediation of struggling medical

  19. MULTIPLE INTELLIGENCES THEORYA MILESTONE INNOVATION IN ENGLISH LANGUAGE TEACHING AT THE UNIVERSITY OF NIŠ MEDICAL SCHOOL

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    Nataša Bakić-Mirić

    2010-06-01

    Full Text Available Theory of multiple intelligences is considered an innovation in both teaching and learning English language because it helps students develop all the eight intelligences that are grouped as verbal/linguistic, logical/mathematical, visual/spatial, bodily/kinesthetic, musical/rhythmic, interpersonal, intrapersonal and naturalist. The aforementioned intelligences are thought to represent ways in which individuals understand and perceive the world, solve problems and learn. Correspondingly, by focusing on the problem solving activities, teachers, by implementing theory of multiple intelligences encourage students not only to build-up their existing language knowledge but also learn new content and skills. The implementation of the theory of multiple intelligences in teaching the English language at the University of Niš Medical School has had a positive impact on learning English language and increased students' interest in language learning. Genarally speaking, this theory offers a better understanding of students’ intelligence and a greater appreciation of their strengths. It provides numerous opportunities for students to use and develop all the eight intelligences not just the few they excel in prior to enrolling a university or college.

  20. Medical Specialty Decision Model: Utilizing Social Cognitive Career Theory

    Science.gov (United States)

    Gibson, Denise D.; Borges, Nicole J.

    2004-01-01

    Objectives: The purpose of this study was to develop a working model to explain medical specialty decision-making. Using Social Cognitive Career Theory, we examined personality, medical specialty preferences, job satisfaction, and expectations about specialty choice to create a conceptual framework to guide specialty choice decision-making.…

  1. The Process of Parents' Decision-Making to Discharge Their Child against Medical Advice (DAMA: A grounded theory study

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    Nikbakht Nasrabadi Alireza

    2016-05-01

    Full Text Available Discharge against medical advice (DAMA refers to the phenomenon that patient or the patient’s surrogate decides to leave the hospital before the attending physician confirms the patient is discharged. Children are much more vulnerable to such discharges. This process occurs with different mechanisms that identifying them can be helpful in reducing this phenomenon. We aimed to explore the process of parents' decision-making to discharge their child against medical advice. In-depth, semi-structured interviews were conducted with 10 fathers, 10 mothers, 6 nurses and 3 physician assistants and the data were collected to the point of saturation. Grounded theory methodology was adopted for data collection and analysis. The results of qualitative analysis in the field of the parents' decisionmaking on the DAMA revealed 4 main themes: "lack of family-centered care", "disruption of the parenting process", "distrust to the medical team and center" and "psychological strategy of shirk responsibility for child care and treatment ". By providing family-centered care, adopting measures to empowering the families, developing the trust of parents to the health care team and developing a discharge plan from the beginning of children hospitalization with the cooperation of health care team and parents and considering all factors such as child's special health condition and parent's health related perceptions and beliefs, children will not be discharged against medical advice and will experience better outcomes.

  2. Ecological theories of systems and contextual change in medical education.

    Science.gov (United States)

    Ellaway, Rachel H; Bates, Joanna; Teunissen, Pim W

    2017-12-01

    Contemporary medical practice is subject to many kinds of change, to which both individuals and systems have to respond and adapt. Many medical education programmes have their learners rotating through different training contexts, which means that they too must learn to adapt to contextual change. Contextual change presents many challenges to medical education scholars and practitioners, not least because of a somewhat fractured and contested theoretical basis for responding to these challenges. There is a need for robust concepts to articulate and connect the various debates on contextual change in medical education. Ecological theories of systems encompass a range of concepts of how and why systems change and how and why they respond to change. The use of these concepts has the potential to help medical education scholars explore the nature of change and understand the role it plays in affording as well as limiting teaching and learning. This paper, aimed at health professional education scholars and policy makers, explores a number of key concepts from ecological theories of systems to present a comprehensive model of contextual change in medical education to inform theory and practice in all areas of medical education. The paper considers a range of concepts drawn from ecological theories of systems, including biotic and abiotic factors, panarchy, attractors and repellers, basins of attraction, homeostasis, resilience, adaptability, transformability and hysteresis. Each concept is grounded in practical examples from medical education. Ecological theories of systems consider change and response in terms of adaptive cycles functioning at different scales and speeds. This can afford opportunities for systematic consideration of responses to contextual change in medical education, which in turn can inform the design of education programmes, activities, evaluations, assessments and research that accommodates the dynamics and consequences of contextual change.

  3. Decision theory on the quality evaluation of medical images; A teoria da decisao na avaliacao da qualidade da imagem medica

    Energy Technology Data Exchange (ETDEWEB)

    Lessa, Patricia Silva

    2001-10-01

    The problem of quality has been a constant issue in every organization.One is always seeking to produce more, to do it at a lower cost, and to do it with better quality. However, in this country, there is no radiographic film quality control system for radiographic services. The tittle that actually gets done is essentially ad hoc and superficial. The implications of this gap, along with some other shortcomings that exist in process as a whole (the state of the x-ray equipment, the adequate to use in order to obtain a radiography, the quality of the film, the processing of the film, the brightness and homogeneity of the viewing boxes, the ability of the radiologist), have a very negative impact on the quality of the medical image, and, as result, to the quality of the medical diagnosis and therapy. It frequently happens that many radiographs have to be repeated, which leads to an increase of the patient's exposure to radiation, as well as of the cost of the procedure for the patient. Low quality radiographs that are not repeated greatly increase the probability of a wrong diagnosis, and consequently, of inadequate therapeutical procedures, thus producing increased incidence of bad outcomes and higher costs. The paradigm proposed in order to establish a system for the measurement of the image's quality is Decision Theory. The problem of the assessment of the image is studied by proposing a Decision Theory approach. The review of the literature reveals a great concern with the quality of the image, along with an absence of an adequate paradigm and several essentially empirical procedures. Image parameters are developed in order to formalize the problem in terms of Decision Theory, and various aspects of image digitalisation are exposed. Finally, a solution is presented, including a protocol for quality control. (author)

  4. From cure to custodianship of the insane poor in nineteenth-century Connecticut.

    Science.gov (United States)

    Goodheart, Lawrence B

    2010-01-01

    Connecticut was the exception among the Northeastern and Middle Atlantic states in not founding a public institution for the insane until after the Civil War when it opened the Hospital for the Insane at Middletown in 1868, a facility previously neglected by scholars. The state had relied on the expedient of subsidizing the impoverished at the private Hartford Retreat for the Insane that overtaxed that institution and left hundreds untreated. Despite abundant evidence to the contrary, well meaning officials oversold the idea that the Middletown site would promote cures and be cost effective. A number of unanticipated consequences occurred that mirrored fundamental changes in nineteenth-century psychiatry. The new hospital swelled by 1900 to over 2,000 patients, the largest in New England. Custodianship at the monolithic hospital became the norm. The hegemony of monopoly capitalism legitimated the ruling idea that bigger institutions were better and was midwife to the birth of eugenic responses. Class based psychiatry--the few rich at the Retreat and the many poor at Middletown--was standard as it was in other aspects of the Gilded Age. Public policy toward the insane poor in Connecticut represents an outstanding example of the transition from antebellum romanticism to fin de siècle fatalism.

  5. Using Social Cognitive Theory to Predict Medication Compliance Behavior in Patients with Depression in Southern United States in 2016 in a Cross-Sectional Study.

    Science.gov (United States)

    Bennett, Britney; Sharma, Manoj; Bennett, Russell; Mawson, Anthony R; Buxbaum, Sarah G; Sung, Jung Hye

    2018-03-01

    Introduction: Depression is a major public health issue. One of the concerns in depression research and practice pertains to non-compliance to prescribed medications. The purpose of the study was to predict compliance with medication use for patients with depression using social cognitive theory (SCT). Based on this study it was envisaged that recommendations for interventions to enhance compliance for medication use could be developed for patients with depression. Methods: The study was conducted using cross sectional design (n=148) in southern United States with a convenience sample of clinic-based depression patients with a 37-item valid and reliable questionnaire. Sample size was calculated to be 148 using G*Power (five predictors with a 0.80 power at the 0.05 alpha level and an estimated effect size of 0.10 with an inflation by 10% for missing data). Social cognitive theory constructs of expectations, self-efficacy and self-efficacy in overcoming barriers, self-control, and environment were reified. Data were analyzed using multiple linear regression and multiple logistic regression analyses. Results: Self-control for taking medication for depression (P=0.04), expectations for taking medication for depression (P=0.025), age (PSocial cognitive theory is weakly predictive with low explained variance for taking medication for depression. It needs to be bolstered by newer theories like integrative model or multi-theory model of health behavior change for designing educational interventions aimed at enhancing compliance to medication for depression.

  6. The Epileptic Genius: The Use of Dostoevsky as Example in the Medical Debate over the Pathology of Genius.

    Science.gov (United States)

    Dahlkvist, Tobias

    2015-10-01

    This paper examines how Fyodor Dostoevsky was used as an example in the debate over genius as a pathological phenomenon in nineteenth century medicine and criminal anthropology. When Dostoevsky's novels became known in Western Europe medical interest in the relation between genius and insanity reached its pinnacle. A known epileptic, Dostoevsky was exceptionally well suited to illustrate Cesare Lombroso's theory of genius as an epileptoid psychosis. Dostoevsky was also claimed as an example by the rivalling Lyon school, whose representatives argued that Dostoevsky's life and works demonstrate that genius is a higher form of health rather than a pathological deviation.

  7. Introduction: histories of asylums, insanity and psychiatry in Scotland

    Science.gov (United States)

    Philo, Chris; Andrews, Jonathan

    2016-01-01

    This paper introduces a special issue on ‘Histories of asylums, insanity and psychiatry in Scotland’, situating the papers that follow in an outline historiography of work in this field. Using Allan Beveridge’s claims in 1993 about the relative lack of research on the history of psychiatry in Scotland, the paper reviews a range of contributions that have emerged since then, loosely distinguishing between ‘overviews’ – work addressing longer-term trends and broader periods and systems – and more detailed studies of particular ‘individuals and institutions’. There remains much still to do, but the present special issue signals what is currently being achieved, not least by a new generation of scholars in and on Scotland. PMID:27956649

  8. [Common paths of psychiatry and forensic medicine--history and evolution of insanity defense concept from antiquity to modern times].

    Science.gov (United States)

    Bolechała, Filip

    2009-01-01

    Forensic psychiatry and psychology were in their beginnings inseparably associated with the forensic medicine, constituting one of its related branches of knowledge. Progress and development of these disciplines, education and the practical application for the purposes of the law were a contribution of a several generations of forensic pathologists in the 19th and 20th centuries. One of the major issues of common interest was opinionating on the sanity of offenders. However, the problem of criminal responsibility of the mentally ill perpetrators dates back to much earlier times and has its roots in the distant beginnings of human civilization. In this paper, the history and evolution of the insanity concept (as a circumstance excluding the guilt of the offender) were presented, from the oldest theories to ideas underlying modern codifications.

  9. Avoiding evasion: medical ethics education and emotion theory.

    Science.gov (United States)

    Leget, C

    2004-10-01

    Beginning with an exemplary case study, this paper diagnoses and analyses some important strategies of evasion and factors of hindrance that are met in the teaching of medical ethics to undergraduate medical students. Some of these inhibitions are inherent to ethical theories; others are connected with the nature of medicine or cultural trends. It is argued that in order to avoid an attitude of evasion in medical ethics teaching, a philosophical theory of emotions is needed that is able to clarify on a conceptual level the ethical importance of emotions. An approach is proposed with the help of the emotion theory Martha Nussbaum works out in her book Upheavals of thought. The paper ends with some practical recommendations.

  10. Change theory for accounting system reform in health sector: a case study of kerman university of medical sciences in iran.

    Science.gov (United States)

    Mehrolhassani, Mohammad Hossein; Emami, Mozhgan

    2013-11-01

    Change theories provide an opportunity for organizational managers to plan, monitor and evaluate changes using a framework which enable them, among others, to show a fast response to environmental fluctuations and to predict the changing patterns of individuals and technology. The current study aimed to explore whether the change in the public accounting system of the Iranian health sector has followed Kurt Lewin's change theory or not. This study which adopted a mixed methodology approach, qualitative and quantitative methods, was conducted in 2012. In the first phase of the study, 41 participants using purposive sampling and in the second phase, 32 affiliated units of Kerman University of Medical Sciences (KUMS) were selected as the study sample. Also, in phase one, we used face-to-face in-depth interviews (6 participants) and the quote method (35 participants) for data collection. We used a thematic framework analysis for analyzing data. In phase two, a questionnaire with a ten-point Likert scale was designed and then, data were analyzed using descriptive indicators, principal component and factorial analyses. The results of phase one yielded a model consisting of four categories of superstructure, apparent infrastructure, hidden infrastructure and common factors. By linking all factors, totally, 12 components based on the quantitative results showed that the state of all components were not satisfactory at KUMS (5.06±2.16). Leadership and management; and technology components played the lowest and the greatest roles in implementing the accrual accounting system respectively. The results showed that the unfreezing stage did not occur well and the components were immature, mainly because the emphasis was placed on superstructure components rather than the components of hidden infrastructure. The study suggests that a road map should be developed in the financial system based on Kurt Lewin's change theory and the model presented in this paper underpins the change

  11. Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

    Science.gov (United States)

    Mehrolhassani, Mohammad Hossein; Emami, Mozhgan

    2013-01-01

    Background: Change theories provide an opportunity for organizational managers to plan, monitor and evaluate changes using a framework which enable them, among others, to show a fast response to environmental fluctuations and to predict the changing patterns of individuals and technology. The current study aimed to explore whether the change in the public accounting system of the Iranian health sector has followed Kurt Lewin’s change theory or not. Methods: This study which adopted a mixed methodology approach, qualitative and quantitative methods, was conducted in 2012. In the first phase of the study, 41 participants using purposive sampling and in the second phase, 32 affiliated units of Kerman University of Medical Sciences (KUMS) were selected as the study sample. Also, in phase one, we used face-to-face in-depth interviews (6 participants) and the quote method (35 participants) for data collection. We used a thematic framework analysis for analyzing data. In phase two, a questionnaire with a ten-point Likert scale was designed and then, data were analyzed using descriptive indicators, principal component and factorial analyses. Results: The results of phase one yielded a model consisting of four categories of superstructure, apparent infrastructure, hidden infrastructure and common factors. By linking all factors, totally, 12 components based on the quantitative results showed that the state of all components were not satisfactory at KUMS (5.06±2.16). Leadership and management; and technology components played the lowest and the greatest roles in implementing the accrual accounting system respectively. Conclusion: The results showed that the unfreezing stage did not occur well and the components were immature, mainly because the emphasis was placed on superstructure components rather than the components of hidden infrastructure. The study suggests that a road map should be developed in the financial system based on Kurt Lewin’s change theory and the

  12. Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Mehrolhasani

    2013-11-01

    Full Text Available BackgroundChange theories provide an opportunity for organizational managers to plan, monitor and evaluate changes using a framework which enable them, among others, to show a fast response to environmental fluctuations and to predict the changing patterns of individuals and technology. The current study aimed to explore whether the change in the public accounting system of the Iranian health sector has followed Kurt Lewin’s change theory or not. MethodsThis study which adopted a mixed methodology approach, qualitative and quantitative methods, was conducted in 2012. In the first phase of the study, 41 participants using purposive sampling and in the second phase, 32 affiliated units of Kerman University of Medical Sciences (KUMS were selected as the study sample. Also, in phase one, we used face-to-face in-depth interviews (6 participants and the quote method (35 participants for data collection. We used a thematic framework analysis for analyzing data. In phase two, a questionnaire with a ten-point Likert scale was designed and then, data were analyzed using descriptive indicators, principal component and factorial analyses. ResultsThe results of phase one yielded a model consisting of four categories of superstructure, apparent infrastructure, hidden infrastructure and common factors. By linking all factors, totally, 12 components based on the quantitative results showed that the state of all components were not satisfactory at KUMS (5.06±2.16. Leadership and management; and technology components played the lowest and the greatest roles in implementing the accrual accounting system respectively. ConclusionThe results showed that the unfreezing stage did not occur well and the components were immature, mainly because the emphasis was placed on superstructure components rather than the components of hidden infrastructure. The study suggests that a road map should be developed in the financial system based on Kurt Lewin’s change theory and

  13. História das primeiras instituições para alienados no Brasil History of the first institutions for the insane in Brazil

    Directory of Open Access Journals (Sweden)

    Ana Maria Galdini Raimundo Oda

    2005-12-01

    Full Text Available Este artigo apresenta os resultados de pesquisa sobre a institucionalização dos alienados em cinco províncias brasileiras: São Paulo, Rio Grande do Sul, Maranhão, Pernambuco e Pará. Analisaram-se relatórios dos presidentes dessas províncias durante o Segundo Reinado, entre 1846 e 1889. Nesses documentos a alienação mental é considerada como uma doença especial e se aponta que o lugar dos loucos não é entre os demais doentes, mas tampouco nas cadeias. Notáveis são ainda os registros de pressões da sociedade no sentido de sua internação. Os políticos incorporaram o discurso médico sobre a alienação mental, mas, diante das suas descrições dos Hospícios, evidencia-se a contradição entre um suposto projeto de assistência, baseado em pressupostos pinelianos, e a prática de simples reclusão realmente efetivada.The article presents research findings on the institutionalization of the insane in five provinces of colonial Brazil: São Paulo, Rio Grande do Sul, Maranhão, Pernambuco, and Pará. Reports by the presidents of these provinces, written during the Segundo Reinado (1846-89, were analyzed. In these documents, insanity is viewed as a special disease, and it is indicated that the mad are not meant to be kept among other ill people, much less in jail. The reports also register societal pressure to have such people committed. These politicians adopted the medical discourse on insanity, but their descriptions of asylums evince the contradiction between an alleged social-assistance project based on suppositions drawn from Pinel and the outright seclusion that was actually practiced.

  14. ANALISIS MANAJEMEN RISIKO PEMBIAYAAN MUSYARAKAH PADA BAITUL QIRADH BINA INSAN MANDIRI BANDA ACEH

    Directory of Open Access Journals (Sweden)

    Badratun Nisak

    2014-06-01

    Full Text Available Risk management is a set of procedures and methodologies that used to identify, measure, monitor and control of risks that could be aroused from the business of banks. This article aims to analyze the implementation of risk management system at Baitul Qiradh Bina Insan Mandiri and its impact on musharaka financing. The sample for this research is Micro Small Business Group at Kuta Alam’s regency which was financed by the Baitul Qiradh. Data for this research was gathered through interview, observation and documentation study. The findings suggest that there were three risk possibilities could escalate at the financing project, namely business risk, shrinking risk, and character risk. Among these risks, the Baitul Qiradh experiences two of them, which was business and character risks. Therefore, the efforts were made to minimize the risk of Baitul Qiradh Bina Insan Mandiri by applying 5C concept, namely character, capability, capital, condition and collateral. =========================================== Manajemen risiko adalah serangkaian prosedur dan metodologi yang digunakan untuk mengidentifikasi, mengukur, memantau, dan mengendalikan risiko yang timbul dari kegiatan usaha bank. Tujuan penelitian adalah untuk menganalisis sistem manajemen risiko yang diimplementasikan pada Baitul Qiradh Bina Insan Mandiri dan dampaknya terhadap kelancaran pembayaran dalam pembiayaan musyarakah. Pembahasan kajian hanya terfokus ke manajemen risiko pembiayaan musyarakah pada kelompok usaha dalam Rumpun Kuta Alam yang dibina oleh Baitul Qiradh Bina Insan Mandiri Banda Aceh. Pengumpulan data dilakukan dengan wawancara, observasi, dan studi dokumentasi. Hasil penelitian menunjukkan bahwa dalam melakukan pembiayaan tersebut Baitul Qiradh Bina Insan Mandiri tidak terlepas dari kemungkinan terjadinya 3 aspek risiko, yaitu: risiko bisnis yang dibiayai (busness risk, risiko berkurangnya nilai pembiayaan (shrinking risk, dan risiko karakter buruk mudharib (character

  15. A Theory-Based Study of Factors Explaining General Practitioners' Intention to Use and Participation in Electronic Continuing Medical Education.

    Science.gov (United States)

    Hadadgar, Arash; Changiz, Tahereh; Dehghani, Zahra; Backheden, Magnus; Mirshahzadeh, Nahidalsadat; Zary, Nabil; Masiello, Italo

    2016-01-01

    Electronic modes of continuing medical education (eCME) can provide an appropriate and scalable way of updating the knowledge and skills of general practitioners (GPs). To optimize the adoption of eCME and develop efficient and cost-effective eCME programs, factors explaining GPs' intention to use eCME must first be elucidated. Using the Theory of Planned Behavior as a framework, we developed a questionnaire and administered it to GPs in seven CME seminars in Isfahan, Iran, in 2014. Three domains of GPs' intention to use eCME were measured: attitudes, perceived behavioral control, and subjective norms. We used linear and logistic regression to identify the main predictors of intention and behavior. GPs who had high score in perceived behavioral control and a more positive attitude toward e-learning had a higher intention to adopt it for CME. In contrast, subjective norms (eg, social pressures to use eCME) were not a predictor. Attitude toward usefulness of eCME was the main predictor of being an actual eCME user. Perceived behavioral control and attitude constitute the main predictors of the intention to use eCME. Establishing discussions forums and strengthening organizational support for eCME through an increased awareness among clinical superiors and CME managers would be expected to increase GPs' intention to use eCME.

  16. The civil liability for damages of the criminally insane.

    Science.gov (United States)

    Melamed, Yuval; Ganot, Nitza; Mester, Roberto; Bleich, Avi

    2008-01-01

    As a rule, mentally ill patients are held to be responsible for their acts just like everyone else. Notwithstanding, the law in Israel contains special rules which distinguish individuals with mental illness from other people. The instructions laid out in article 34h of the Israeli Penal Law empower the court to release a defendant from criminal responsibility. To do this the following criteria must be met: (a) the defendant was mentally ill, (b) he/she was in a psychotic state at the time he/she performed the felony, (c) his/her mental illness deprived him/her of his/her abilities in at least one of the two following areas: 1] he/she could not understand what he/she was doing, or the forbidden nature of the act; 2] he/she was incapable of preventing him/herself from carrying it out. In the case presented, a mentally ill individual was charged with the murder of his child and with an attempt to murder another child. The court ruled him to be legally insane and therefore non-punishable. He was later sued by the other child's parents for damages on the grounds of the assault tort. The issue in question was how does the fact that the defendant was ruled legally insane while committing the wrong doing affect the legal ruling of the defendant's liability especially regarding the tort of assault? The Magistrate's Court ruled that the Israeli Tort Law did not determine exemption from responsibility for the mentally ill. Liability for damages will be imposed upon an individual whenever the prerequisites to define a tort are met, even if the mental requisite is an outcome of one's mentally ill state. The District Court determined that an individual who intended to inflict harm is guilty of assault, even though the intent was an outcome of his mental state. Lack of volition due to one's inability to refrain from action does not constitute a defense for assault. In this case liability for damages was imposed on the defendant. The Court related to the issue of justice

  17. ANALISIS MANAJEMEN RISIKO PEMBIAYAAN MUSYARAKAH PADA BAITUL QIRADH BINA INSAN MANDIRI BANDA ACEH

    OpenAIRE

    Badratun Nisak

    2014-01-01

    Risk management is a set of procedures and methodologies that used to identify, measure, monitor and control of risks that could be aroused from the business of banks. This article aims to analyze the implementation of risk management system at Baitul Qiradh Bina Insan Mandiri and its impact on musharaka financing. The sample for this research is Micro Small Business Group at Kuta Alam’s regency which was financed by the Baitul Qiradh. Data for this research was gathered through interview, ob...

  18. J.H. Pons on 'Sympathetic insanity': With an introduction by GE Berrios.

    Science.gov (United States)

    Berrios, G E; Pons, J H

    2014-09-01

    The ancient concept of 'sympathy' originally referred to a putative affinity or force that linked all natural objects together. This notion was later used to explain the manner in which human beings related and felt for each other. A large literature exists on both the physical and psychological definitions of sympathy. Until the nineteenth century the conceptual apparatus of medicine preserved the view that the organs of the human body had a sympathetic affinity for each other. In addition to these 'physiological' (normal) sympathies there were morbid ones which explained the existence of various diseases. A morbid sympathy link also explained the fact that insanity followed the development of pathological changes in the liver, spleen, stomach and other bodily organs. These cases were classified as 'sympathetic insanities'. After the 1880s, the sympathy narrative was gradually replaced by physiological, endocrinological and psychodynamic explanations. The clinical states involved, however, are often observed in hospital practice and constitute the metier of 'consultation-liaison psychiatry'. Hence, it is surprising that historical work on the development of this discipline has persistently ignored the concept of 'sympathetic insanity'. © The Author(s) 2014.

  19. A formative evaluation of the implementation of a medication safety data collection tool in English healthcare settings: A qualitative interview study using normalisation process theory.

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    Paryaneh Rostami

    Full Text Available Reducing medication-related harm is a global priority; however, impetus for improvement is impeded as routine medication safety data are seldom available. Therefore, the Medication Safety Thermometer was developed within England's National Health Service. This study aimed to explore the implementation of the tool into routine practice from users' perspectives.Fifteen semi-structured interviews were conducted with purposely sampled National Health Service staff from primary and secondary care settings. Interview data were analysed using an initial thematic analysis, and subsequent analysis using Normalisation Process Theory.Secondary care staff understood that the Medication Safety Thermometer's purpose was to measure medication safety and improvement. However, other uses were reported, such as pinpointing poor practice. Confusion about its purpose existed in primary care, despite further training, suggesting unsuitability of the tool. Decreased engagement was displayed by staff less involved with medication use, who displayed less ownership. Nonetheless, these advocates often lacked support from management and frontline levels, leading to an overall lack of engagement. Many participants reported efforts to drive scale-up of the use of the tool, for example, by securing funding, despite uncertainty around how to use data. Successful improvement was often at ward-level and went unrecognised within the wider organisation. There was mixed feedback regarding the value of the tool, often due to a perceived lack of "capacity". However, participants demonstrated interest in learning how to use their data and unexpected applications of data were reported.Routine medication safety data collection is complex, but achievable and facilitates improvements. However, collected data must be analysed, understood and used for further work to achieve improvement, which often does not happen. The national roll-out of the tool has accelerated shared learning; however

  20. Between Belief and Delusion: Cult Members and the Insanity Plea.

    Science.gov (United States)

    Holoyda, Brian; Newman, William

    2016-03-01

    Cults are charismatic groups defined by members' adherence to a set of beliefs and teachings that differ from those of mainstream religions. Cult beliefs may appear unusual or bizarre to those outside of the organization, which can make it difficult for an outsider to know whether a belief is cult-related or delusional. In accordance with these beliefs, or at the behest of a charismatic leader, some cult members may participate in violent crimes such as murder and later attempt to plead not guilty by reason of insanity (NGRI). It is therefore necessary for forensic experts who evaluate cult members to understand how the court has responded to such individuals and their beliefs when they mount a defense of NGRI for murder. Based on a review of extant appellate court case law, cult member defendants have not yet successfully pleaded NGRI on the basis of cult involvement, despite receiving a broad array of psychiatric diagnoses that could qualify for such a defense. With the reintroduction of cult involvement in the DSM-5 criteria for other specified dissociative disorder, however, there may be a resurgence of dissociative-type diagnoses in future cult-related cases, both criminal and civil. © 2016 American Academy of Psychiatry and the Law.

  1. Managing the consultation with patients with medically unexplained symptoms: a grounded theory study of supervisors and registrars in general practice.

    Science.gov (United States)

    Stone, Louise

    2014-12-05

    Patients with medically unexplained symptoms (MUS) commonly present in general practice. They often experience significant disability and have difficulty accessing appropriate care. Many feel frustrated and helpless. Doctors also describe feeling frustrated and helpless when managing these patients. These shared negative feelings can have a detrimental effect on the therapeutic relationship and on clinical outcomes. The aim of this study was to explore how novice and experienced GPs manage patients with MUS and how these skills are taught and learned in GP training. A constructivist grounded theory study with 24 general practice registrars and supervisors in GP training practices across Australia. Registrars lacked a framework for managing patients with MUS. Some described negative feelings towards patients that were uncomfortable and confronting. Registrars also were uncertain about their clinical role: where their professional responsibilities began and ended. Supervisors utilised a range of strategies to address the practical, interpersonal and therapeutic challenges associated with the care of these patients. Negative feelings and a lack of diagnostic language and frameworks may prevent registrars from managing these patients effectively. Some of these negative feelings, such as frustration, shame and helplessness, are shared between doctors and patients. Registrars need assistance to identify and manage these difficult feelings so that consultations are more effective. The care of these patients also raises issues of professional identity, roles and responsibilities. Supervisors can assist their registrars by proactively sharing models of the consultation, strategies for managing their own feelings and frustrations, and ways of understanding and managing the therapeutic relationship in this difficult area of practice.

  2. Change Theory for Accounting System Reform in Health Sector: A Case Study of Kerman University of Medical Sciences in Iran

    OpenAIRE

    Mehrolhassani, Mohammad Hossein; Emami, Mozhgan

    2013-01-01

    BackgroundChange theories provide an opportunity for organizational managers to plan, monitor and evaluate changes using a framework which enable them, among others, to show a fast response to environmental fluctuations and to predict the changing patterns of individuals and technology. The current study aimed to explore whether the change in the public accounting system of the Iranian health sector has followed Kurt Lewin’s change theory or not. MethodsThis study which adopted a mixed method...

  3. Means of determining the condition of insanity in administrative proceedings based on the court practice

    Directory of Open Access Journals (Sweden)

    Tatyana Mikhailovna Sekretareva

    2015-06-01

    Full Text Available Objective in the absence in the Russian administrative legislation of the provisions on the procedure and the ways to detect the condition of insanity of a physical person who has committed an administrative wrongful act there is a variety of lawenforcement acts for the resolution of these issues. In order to further systematize the enforcement acts for the resolution of these issues we consider it necessary to assess the practical application of the provisions of Article 2.8 quotInsanityquot of the Administrative Code by the courts in different Russian regions. Methods the methodological basis of research is the general scientific dialectic method of cognition the author used methods such as analysis synthesis description explanation. Results the author has conducted an analysis of practice of application of the provisions of Article 2.8 quotInsanityquot of the Administrative Code by courts of the Russian Federation. On the basis of this analysis it is found that courts use different methods of establishing the state of insanity of the person who committed the violation of the legislation on administrative offences. This is due to the fact that the courts base on a variety of actual data when establishing the state of insanity in the resolution of specific cases. These actual data were combined into 4 groups. Each method for establishing the state of insanity was evaluated which allowed to conclude about the need to organize the actions of individuals considering the cases on administrative offences aimed at defining the state of insanity of the offender and to offer one of the possible options for resolving the identified problems. Scientific novelty for the first time the analysis of practice of application of Article 2.8 quotInsanityquot of the Administrative Code was made and the author39s assessment of its provisions is given. Practical value the results of the study can be used for the generalization of judicial practice at the level of

  4. [The Firmin case (1794-1799) and the absence of crime legislation on "insanity" during the French Revolution].

    Science.gov (United States)

    Mangin-Lazarus, Caroline

    2012-01-01

    Examining the so-called "affaire Firmin" (1794-1799), the author wonders about the reason (idealistic or political) for the lack a special law on insanity defense during the French revolution, and she tries to find a link the present state of the law.

  5. Moral Treatment of the Insane: Provisions for Lifelong Learning, Cultural Engagement, and Creativity in Nineteenth-Century Asylums

    Science.gov (United States)

    Park, Maureen; Hamilton, Robert

    2010-01-01

    The current interest in the role of lifelong learning and cultural engagement for change is not new. This article looks at a most unusual precedent and a neglected area in the historiography of adult education--the use of cultural education provision in asylums in the nineteenth century to promote cure and restoration of the "insane" to…

  6. How does an increase in undergraduate teaching load affect GP teacher motivation? A grounded theory study using data from a new medical school.

    Science.gov (United States)

    Harding, Alex; Sweeney, Grace

    2013-07-01

    The opening of a new medical school is a cause for celebration. Starting with a clean slate often gives the opportunity to adopt more modern teaching practices. However, encouraging large numbers of clinicians to start teaching and to adopt these new methods brings its own set of challenges. During the expansion phase of a new medical school, it was often noted that new teachers seemed to have considerable difficulties, and often expressed these as negativity towards student placements. This did not chime with much of the work from established schools, which seemed to evaluate expansion of teaching more positively. We wanted to better understand the issues involved. Semi-structured interviews were conducted involving GPs who had received medical students over the first four years of a newly established medical school. The aims were to assess the impact of the students on the new teachers, and to try to better understand why some teachers were experiencing difficulties. We collected qualitative and quantitative data at the interviews. The qualitative data were analysed using grounded theory which aims to link emerging themes together. The findings suggest that as the quantity of teaching medical students increases, the enjoyment and commitment to teaching may decrease. Concerns over the administration of teaching may begin to predominate. Two factors may help to reduce this: 1 Adequate investment in manpower and premises to reduce time and space constraints on teaching. 2 Practices considering themselves as teaching practices where education is a part of the practice identity.

  7. A clonal theory of parasitic protozoa: The population structures of Entamoeba, Giardia, Leishmania, Naegleria, Plasmodium, Trichomonas, and Trypanosoma and their medical and taxonomical consequences

    OpenAIRE

    1990-01-01

    We propose a general theory of clonal reproduction for parasitic protozoa, which has important medical and biological consequences. Many parasitic protozoa have been assumed to reproduce sexually, because of diploidy and occasional sexuality in the laboratory. However, a population genetic analysis of extensive data on biochemical polymorphisms indicates that the two fundamental consequences of sexual reproduction (i.e. segregation and recombination) are apparently rare or absent in natural p...

  8. Towards a Theory Grounded Theory of Language

    OpenAIRE

    Prince, Christopher G.; Mislivec, Eric J.; Kosolapov, Oleksandr V.; Lykken, Troy R.

    2002-01-01

    In this paper, we build upon the idea of theory grounding and propose one specific form of theory grounding, a theory of language. Theory grounding is the idea that we can imbue our embodied artificially intelligent systems with theories by modeling the way humans, and specifically young children, develop skills with theories. Modeling theory development promises to increase the conceptual and behavioral flexibility of these systems. An example of theory development in children is the social ...

  9. [Schizophrenia and modern culture: reasons for insanity].

    Science.gov (United States)

    Pérez-Álvarez, Marino

    2012-02-01

    After pointing out the uncertainty and confusion to which neurobiological research has led schizophrenia, as shown and acknowledged in recent reviews, we offer seven reasons for reconsidering schizophrenia a disorder of the self, rather than of the brain. The first reason starts out conceiving schizophrenia as a disorder of the self, in the perspective of current phenomenology. The second relates the fact of its recent origin (as of 1750) with the particular configuration of the modern self and with the great transformation of the community into a society of individuals (industrialization, urbanization). The third reason emphasizes the affinity between schizophrenia and adolescence, a critical age in the formation of the self, which started to be problematic at the end of the 18th century. The fourth is the better prognosis of schizophrenia in developing countries, in comparison to developed countries, which probably has to do with the process of modernization (which still maintains community structures in less developed countries). The fifth is the high incidence of schizophrenia among immigrants, as a fact to be explained in terms of a socio-evolutionary model. The sixth reason reviews the genetic legend of schizophrenia, and how epigenetics gives protagonism back to the environment. The seventh and last reason refers to the reconsideration of psychological therapy as the possible treatment of choice and not merely an adjunct to medication, as it is known that, for patients, interpersonal chemistry is more important than neurochemistry.

  10. Item response theory: applications of modern test theory in medical education.

    Science.gov (United States)

    Downing, Steven M

    2003-08-01

    Item response theory (IRT) measurement models are discussed in the context of their potential usefulness in various medical education settings such as assessment of achievement and evaluation of clinical performance. The purpose of this article is to compare and contrast IRT measurement with the more familiar classical measurement theory (CMT) and to explore the benefits of IRT applications in typical medical education settings. CMT, the more common measurement model used in medical education, is straightforward and intuitive. Its limitation is that it is sample-dependent, in that all statistics are confounded with the particular sample of examinees who completed the assessment. Examinee scores from IRT are independent of the particular sample of test questions or assessment stimuli. Also, item characteristics, such as item difficulty, are independent of the particular sample of examinees. The IRT characteristic of invariance permits easy equating of examination scores, which places scores on a constant measurement scale and permits the legitimate comparison of student ability change over time. Three common IRT models and their statistical assumptions are discussed. IRT applications in computer-adaptive testing and as a method useful for adjusting rater error in clinical performance assessments are overviewed. IRT measurement is a powerful tool used to solve a major problem of CMT, that is, the confounding of examinee ability with item characteristics. IRT measurement addresses important issues in medical education, such as eliminating rater error from performance assessments.

  11. Group processes in medical education: learning from social identity theory.

    Science.gov (United States)

    Burford, Bryan

    2012-02-01

    The clinical workplace in which doctors learn involves many social groups, including representatives of different professions, clinical specialties and workplace teams. This paper suggests that medical education research does not currently take full account of the effects of group membership, and describes a theoretical approach from social psychology, the social identity approach, which allows those effects to be explored. The social identity approach has a long history in social psychology and provides an integrated account of group processes, from the adoption of group identity through a process of self-categorisation, to the biases and conflicts between groups. This paper outlines key elements of this theoretical approach and illustrates their relevance to medical education. The relevance of the social identity approach is illustrated with reference to a number of areas of medical education. The paper shows how research questions in medical education may be usefully reframed in terms of social identity in ways that allow a deeper exploration of the psychological processes involved. Professional identity and professionalism may be viewed in terms of self-categorisation rather than simply attainment; the salience of different identities may be considered as influences on teamwork and interprofessional learning, and issues in communication and assessment may be considered in terms of intergroup biases. Social identity theory provides a powerful framework with which to consider many areas of medical education. It allows disparate influences on, and consequences of, group membership to be considered as part of an integrated system, and allows assumptions, such as about the nature of professional identity and interprofessional tensions, to be made explicit in the design of research studies. This power to question assumptions and develop deeper and more meaningful research questions may be increasingly relevant as the nature and role of the medical profession change

  12. "History, Theory and Ethics of Medicine": The Last Ten Years. A Survey of Course Content, Methods and Structural Preconditions at Twenty-nine German Medical Faculties.

    Science.gov (United States)

    Schildmann, Jan; Bruns, Florian; Hess, Volker; Vollmann, Jochen

    2017-01-01

    Objective: "History, Theory, Ethics of Medicine" (German: "Geschichte, Theorie, Ethik der Medizin", abbreviation: GTE) forms part of the obligatory curriculum for medical students in Germany since the winter semester 2003/2004. This paper presents the results of a national survey on the contents, methods and framework of GTE teaching. Methods: Semi-structured questionnaire dispatched in July 2014 to 38 institutions responsible for GTE teaching. Descriptive analysis of quantitative data and content analysis of free-text answers. Results: It was possible to collect data from 29 institutes responsible for GTE teaching (response: 76%). There is at least one professorial chair for GTE in 19 faculties; two professorial chairs or professorships remained vacant at the time of the survey. The number of students taught per academic year ranges from 350. Teaching in GTE comprises an average of 2.18 hours per week per semester (min: 1, max: 6). Teaching in GTE is proportionally distributed according to an arithmetic average as follows: history: 35.4%, theory 14.7% and ethics 49.9%. Written learning objectives were formulated for GTE in 24 faculties. The preferred themes of teaching in history, theory or ethics which according to respondents should be taught comprise a broad spectrum and vary. Teaching in ethics (79 from a max. of 81 possible points) is, when compared to history (61/81) and theory (53/81), attributed the most significance for the training of medical doctors. Conclusion: 10 years after the introduction of GTE the number of students and the personnel resources available at the institutions vary considerably. In light of the differences regarding the content elicited in this study the pros and cons of heterogeneity in GTE should be discussed.

  13. Who Am I, and Who Do I Strive to Be? Applying a Theory of Self-Conscious Emotions to Medical Education.

    Science.gov (United States)

    Bynum, William E; Artino, Anthony R

    2017-10-24

    The self-conscious emotions of shame, guilt, and pride are a distinct set of cognitively complex, powerful, and ubiquitous emotions that arise when an individual engages in self-evaluation. Currently, little is known about the influence or outcomes of self-conscious emotions in medical learners. In this article, the authors present a leading theory of self-conscious emotions that outlines the appraisals and attributions that give rise to and differentiate shame, guilt, and two forms of pride. The authors then apply the theory to three relevant topics in medical education: perfectionism, professional identity formation, and motivation. In doing so, the authors present novel ways of viewing these topics through the lens of self-conscious emotion, suggest areas of future research, and outline a framework for emotional resilience training. Ultimately, the goal of this article is to highlight the fundamental nature of shame, guilt, and pride, which the authors believe are underappreciated and understudied in medical education, and to inform future empirical study on the role that these emotions might play in medical education. Additionally, from a practical standpoint, this article aims to encourage educators and learners to recognize self-conscious emotions in themselves and their colleagues, and to begin developing more resilient approaches to learning-approaches that acknowledge and confront shame, guilt, and pride in medical education.Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a "work of the United States Government" for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.

  14. Safety in numbers 7: Veni, vidi, duci: a grounded theory evaluation of nursing students' medication dosage calculation problem-solving schemata construction.

    Science.gov (United States)

    Weeks, Keith W; Higginson, Ray; Clochesy, John M; Coben, Diana

    2013-03-01

    This paper evaluates nursing students' transition through schemata construction and competence development in medication dosage calculation problem-solving (MDC-PS). We advance a grounded theory from interview data that reflects the experiences and perceptions of two groups of undergraduate pre-registration nursing students: eight students exposed to a prototype authentic MDC-PS environment and didactic transmission methods of education and 15 final year students exposed to the safeMedicate authentic MDC-PS environment. We advance a theory of how classroom-based 'chalk and talk' didactic transmission environments offered multiple barriers to accurate MDC-PS schemata construction among novice students. While conversely it was universally perceived by all students that authentic learning and assessment environments enabled MDC-PS schemata construction through facilitating: 'seeing' the authentic features of medication dosage problems; context-based and situational learning; learning within a scaffolded environment that supported construction of cognitive links between the concrete world of clinical MDC-PS and the abstract world of mathematics; and confidence-building in their cognitive and functional competence ability. Drawing on the principle of veni, vidi, duci (I came, I saw, I calculated), we combined the two sets of evaluations to offer a grounded theoretical basis for schemata construction and competence development within this critical domain of professional practice. Copyright © 2012 Elsevier Ltd. All rights reserved.

  15. [Outsourcing: theory and practice at a clinical hospital in Szczecin exemplified by medical waste transport and treatment service].

    Science.gov (United States)

    Kotlega, Dariusz; Nowacki, Przemysław; Lewiński, Dariusz; Chmurowicz, Ryszard; Ciećwiez, Sylwester

    2011-01-01

    Outsourcing proves to be a useful tool in the difficult process of improving the financial result of hospitals. Outsourcing means separation of some functions and services in one entity and their transfer to another. The aim of this study was to analyze the use of outsourcing at the Second Independent Public University Hospital of the Pomeranian Medical University (SPSK 2 PUM) in Szczecin. We studied the transport and treatment of medical waste. Outsourcing of waste treatment services led to financial savings. The cost of treatment of one kilogram of waste by an external company was PLN 2.53. The same service provided by the hospital would cost approximately PLN 7 per kilogram. Appropriate attention should be paid to the quality of services. It seems useful to have appropriate tools for quality control and monitoring. SPSK 2 PUM can serve as a good example of effective use of outsourcing.

  16. Decision theory on the quality evaluation of medical images

    International Nuclear Information System (INIS)

    Lessa, Patricia Silva

    2001-10-01

    The problem of quality has been a constant issue in every organization.One is always seeking to produce more, to do it at a lower cost, and to do it with better quality. However, in this country, there is no radiographic film quality control system for radiographic services. The tittle that actually gets done is essentially ad hoc and superficial. The implications of this gap, along with some other shortcomings that exist in process as a whole (the state of the x-ray equipment, the adequate to use in order to obtain a radiography, the quality of the film, the processing of the film, the brightness and homogeneity of the viewing boxes, the ability of the radiologist), have a very negative impact on the quality of the medical image, and, as result, to the quality of the medical diagnosis and therapy. It frequently happens that many radiographs have to be repeated, which leads to an increase of the patient's exposure to radiation, as well as of the cost of the procedure for the patient. Low quality radiographs that are not repeated greatly increase the probability of a wrong diagnosis, and consequently, of inadequate therapeutical procedures, thus producing increased incidence of bad outcomes and higher costs. The paradigm proposed in order to establish a system for the measurement of the image's quality is Decision Theory. The problem of the assessment of the image is studied by proposing a Decision Theory approach. The review of the literature reveals a great concern with the quality of the image, along with an absence of an adequate paradigm and several essentially empirical procedures. Image parameters are developed in order to formalize the problem in terms of Decision Theory, and various aspects of image digitalisation are exposed. Finally, a solution is presented, including a protocol for quality control. (author)

  17. Multimodal medical case retrieval using the Dezert-Smarandache theory.

    Science.gov (United States)

    Quellec, Gwénolé; Lamard, Mathieu; Cazuguel, Guy; Roux, Christian; Cochener, Béatrice

    2008-01-01

    Most medical images are now digitized and stored with semantic information, leading to medical case databases. They may be used for aid to diagnosis, by retrieving similar cases to those in examination. But the information are often incomplete, uncertain and sometimes conflicting, so difficult to use. In this paper, we present a Case Based Reasoning (CBR) system for medical case retrieval, derived from the Dezert-Smarandache theory, which is well suited to handle those problems. We introduce a case retrieval specific frame of discernment theta, which associates each element of theta with a case in the database; we take advantage of the flexibility offered by the DSmT's hybrid models to finely model the database. The system is designed so that heterogeneous sources of information can be integrated in the system: in particular images, indexed by their digital content, and symbolic information. The method is evaluated on two classified databases: one for diabetic retinopathy follow-up (DRD) and one for screening mammography (DDSM). On these databases, results are promising: the retrieval precision at five reaches 81.8% on DRD and 84.8% on DDSM.

  18. Multimodal medical case retrieval using the Dezert-Smarandache theory

    Science.gov (United States)

    Quellec, Gwénolé; Lamard, Mathieu; Cazuguel, Guy; Roux, Christian; Cochener, Béatrice

    2008-01-01

    Most medical images are now digitized and stored with semantic information, leading to medical case databases. They may be used for aid to diagnosis, by retrieving similar cases to those in examination. But the information are often incomplete, uncertain and sometimes conflicting, so difficult to use. In this paper, we present a Case Based Reasoning (CBR) system for medical case retrieval, derived from the Dezert-Smarandache theory, which is well suited to handle those problems. We introduce a case retrieval specific frame of discernment θ, which associates each element of θ with a case in the database; we take advantage of the flexibility offered by the DSmT’s hybrid models to finely model the database. The system is designed so that heterogeneous sources of information can be integrated in the system: in particular images, indexed by their digital content, and symbolic information. The method is evaluated on two classified databases: one for diabetic retinopathy follow-up (DRD) and one for screening mammography (DDSM). On these databases, results are promising: the retrieval precision at five reaches 81.8% on DRD and 84.8% on DDSM. PMID:19162676

  19. Psychometric Properties of a Protection Motivation Theory-based Questionnaire to Assess Self-Medication in a Sample of Elderly Iranians

    Directory of Open Access Journals (Sweden)

    Nasser Hatamzadeh

    2016-12-01

    Full Text Available Introduction: The existence of standard tools is one of the basic needs of scientists of healthy behavior for predicting health-related behaviors. The aim of the present study was to design a psychometrically sound instrument to measure the protection motivation theory constructs regarding self-medication for elderly Iranians. Methods: The study was conducted in spring 2016. The sample consisted of 196 Iranians between the ages of 60 and 74. The study took place in Ahvaz, Iran.  The instrument included perceived susceptibility, severity, response costs, response efficacy, self-efficacy, rewards, and fear constructs. The qualitative component of the study, which consisted of interviews with experts and a systematic review of the literature, provided the data to write the items for the instrument, followed by determining the content validity. Principal components analysis with Oblique rotation was performed to extract correlated constructs. The Kaiser-Meyer-Olkin (KMO and Bartlett's tests were performed to examine the suitability of the data for factor analysis. Cronbach’s Coefficient Alpha was used to estimate the internal consistency of the scales. Results: The KMO test statistic of 0.90 revealed the sampling adequacy for doing factor analysis and Bartlett's test of sphericity was significant (p < 0.001. Seven constructs were extracted based on Eigenvalues of ≥ 1.00 and factor loadings of ≥ 0.40. Cronbach’s α for the constructs, namely, perceived susceptibility, severity, response costs, response efficacy, self-efficacy, rewards and fear were 0.84, 0.86, 0.81, 0.82, 0.88, 0.89, and 0.85, respectively.  The seven constructs accounted for 69.41% of the variation. Conclusion: The developed scales for measuring the protection motivation theory constructs regarding self-medication have acceptable psychometric properties among elderly Iranians.

  20. Using Theory to Explore the Determinants of Medication Adherence; Moving Away from a One-Size-Fits-All Approach

    Directory of Open Access Journals (Sweden)

    Claire Easthall

    2017-08-01

    Full Text Available Non-adherence to prescribed medicines has been described as “a worldwide problem of striking magnitude”, diminishing treatment effects and wasting resources. Evidence syntheses report current adherence interventions achieve modest improvements at best, and highlight the poor progress toward the longstanding aim of a gold-standard intervention, tailored to meet individual need. Techniques such as motivational interviewing and health coaching, which aim to facilitate patient-centred care and improve patient resourcefulness, have shown promise in supporting adherence, especially in patients with psychological barriers to medicine-taking, such as illness perceptions and health beliefs. Despite a plethora of research, there is little recognition that the nature and complexity of non-adherence is such that a one-size-fits-all approach to interventions is never likely to suffice. This commentary re-visits the call for adherence interventions to be tailored to meet individual need, by considering what this means for day-to-day practice and how this can be achieved. It provides an update on advances in psychological theory to identify the root cause of an individual’s non-adherence to encourage matching of provided adherence support. It also provides a practical perspective by considering exemplars of innovative practice and evaluating the day-to-day practicalities of taking a novel approach.

  1. The Alabama Structured Assessment of Treatment Completion for insanity acquittes (The AlaSATcom).

    Science.gov (United States)

    Hooper, James F; McLearen, Alix M; Barnett, Michelle E

    2005-01-01

    The most complex and risky decisions made by forensic psychiatrists revolve around the decision to release insanity acquittes from custody. This decision has several levels of risk, including the potential liability to the psychiatrist as well as the possible risk to the community. A single bad outcome, even if not predictable, can have disastrous results, not only for victims, but also for the releasing facility. Since predicting violence has so many problems, we chose to look at completeness of treatment instead, so we could say to the Court, "We don't know about violence, but we do know that he has vastly improved." Since many NGRI (Not Guilty by Reason of Insanity) patients spend years in the hospital, they are also expensive. They have rights, as well; therefore the complex assessment must be done as quickly and as accurately as possible. We have developed a spread sheet program to compare these multiple factors, and have compared it against the clinical decisions we have made in more than 100 discharges. We believe this gives a framework for decision-making that will increase the consistency of this process.

  2. A theory of everything?

    CERN Multimedia

    't Hooft, Gerardus; Witten, Edward

    2005-01-01

    In his later years, Einstein sought a unified theory that would extend general relativity and provide an alternative to quantum theory. There is now talk of a "theory of everything"; fifty years after his death, how close are we to such a theory? (3 pages)

  3. Compulsory Medication, Trial Competence, and Penal Theory

    DEFF Research Database (Denmark)

    Ryberg, Jesper

    2016-01-01

    Due process requires that a criminal defendant must satisfy a number of minimal conditions with regard to his/her cognitive abilities, i.e. that the defendant possesses trial competence. But what if a defendant —for instance, as a result of a mental disorder —does not possess the requisite...

  4. Grounded theory in medical laboratory science expert practice development.

    Science.gov (United States)

    Leibach, Elizabeth Kenimer

    2011-01-01

    Grounded theory and methods related to expert practice development in medical laboratory science were described using data from a large national survey of medical laboratory scientists (MLS) overlaid on findings from analysis of expert practice domains reported in nursing literature. An extensive focus group/expert review iterative process followed by a survey of MLS practitioners produced 25 critical thinking (CT) behaviors important in expert practice. Factor analysis was applied to discern common threads or themes linking the CT behaviors. The 25 important CT behaviors were reduced to a 7-factor structure representing constructs underlying the individual, observable CT behaviors. This 7-factor structure in MLS was compared to the 7 practice domains identified in expert nursing practice. The comparison yielded commonality between MLS and nursing in CT behaviors observed in the 7 expert practice domains of both professions: professional techniques, caring communication, growing professionally, setting priorities, practicing with judgment, anticipating/revising, and creating unique meaning. Emergent grounded theory is that (1) critical thinking is a metaprocess that facilitates learning by interlinking the more basic processes associated with different learning orientations: cognitivist, behaviorist, humanist (affective), and situated/contextual learning, (2) CT behaviors are observable events following from the CT metaprocess, and (3) observations of CT behaviors increase as practice advances from novice to expert. Identification and definition of CT behaviors, i.e., practice competencies, along the continuum of novice to expert can serve as the foundation for MLS curriculum and instructional design as well as measurement and evaluation in both formal and continuing education settings.

  5. Application of Defence of Insanity in Nigerian Courts: The Missing Link

    African Journals Online (AJOL)

    Aim: This paper is aimed at appraising the import of forensic psychology to the legal trials of mentally ill people. Method: Nigeria laws are replete with Criminal Codes and Criminal Procedure Acts but there are numerous failed cases of insanity defences in Nigeria. The research technique of content analysis of insanity ...

  6. National hospice for the insane and the Brazilian Neurology in the beginning of the 20th century

    Directory of Open Access Journals (Sweden)

    Marleide da Mota Gomes

    2012-10-01

    Full Text Available The modern Brazilian Neurology was born in the campus of Praia Vermelha, Universidade Federal do Rio de Janeiro (UFRJ. The former National Hospice for the Insane (NHI as well as some of its facilities were fundamental for the teaching about diseases of the nervous system to the students of the UFRJ's Medical School, caring for patients with neurosyphilis and epilepsy, as well as children with neurological impairment. We highlight the role of Juliano Moreira, director of the NHI (1903-1930, and his team, including Antonio Austregésilo Rodrigues Lima, the "father" of the Brazilian Neurology, in the construction of the modern Brazilian Psychiatry and Neurology.

  7. National hospice for the insane and the Brazilian Neurology in the beginning of the 20th century.

    Science.gov (United States)

    Gomes, Marleide da Mota; Cavalcanti, Maria Tavares

    2012-10-01

    The modern Brazilian Neurology was born in the campus of Praia Vermelha, Universidade Federal do Rio de Janeiro (UFRJ). The former National Hospice for the Insane (NHI) as well as some of its facilities were fundamental for the teaching about diseases of the nervous system to the students of the UFRJ's Medical School, caring for patients with neurosyphilis and epilepsy, as well as children with neurological impairment. We highlight the role of Juliano Moreira, director of the NHI (1903-1930), and his team, including Antonio Austregésilo Rodrigues Lima, the "father" of the Brazilian Neurology, in the construction of the modern Brazilian Psychiatry and Neurology.

  8. Kepler's theory of force and his medical sources.

    Science.gov (United States)

    Regier, Jonathan

    2014-01-01

    Johannes Kepler (1571-1630) makes extensive use of souls and spiritus in his natural philosophy. Recent studies have highlighted their importance in his accounts of celestial generation and astrology. In this study, I would like to address two pressing issues. The first is Kepler's context. The biological side of his natural philosophy is not naively Aristotelian. Instead, he is up to date with contemporary discussions in medically flavored natural philosophy. I will examine his relationship to Melanchthon's anatomical-theological Liber de anima (1552) and to Jean Femel's very popular Physiologia (1567), two Galenic sources with a noticeable impact on how he understands the functions of life. The other issue that will direct my article is force at a distance. Medical ideas deeply inform Kepler's theories of light and solar force (virtus motrix). It will become clear that they are not a hindrance even to the hardcore of his celestial physics. Instead, he makes use of soul and spiritus in order to develop a fully mathematized dynamics.

  9. The theoretical basis for practice-relevant medication use research: patient-centered/behavioral theories.

    Science.gov (United States)

    Blalock, Susan J

    2011-12-01

    There is an urgent need for research to improve the quality of medication use among those who require pharmacotherapy. To describe how behavioral science theories can help to achieve this goal. We begin by describing what a theory is and the functions that theories serve. We then provide 8 guiding principles that are crucial for investigators to understand if they are to use theory appropriately. We conclude by discussing the need for a new model of patient medication self-management that incorporates information concerning factors operating at all levels of the ecological framework, ranging from patient-level to societal-level factors. The 8 guiding principles discussed are the following: (1) There is no single theory that is appropriate for guiding all medication use research; (2) Behavioral science theories are probabilistic, not deterministic; (3) When trying to influence a health behavior, the health behavior of interest must be defined precisely; (4) Many factors outside of patient control influence patient medication use; (5) Every patient is unique; (6) Patient motivation is a fundamental ingredient required to optimize medication use, especially when maintenance of long term behavior is the goal; (7) Health care providers can have a profound effect on patient medication use, and this effect can operate through several possible causal pathways; and (8) When planning an intervention to optimize medication use, it is important to develop a conceptual model that links intervention inputs to the ultimate outcomes that are desired. Medication use can be influenced by a wide variety of factors acting at different levels of the ecological model. The quality of research on medication use could be improved by development of an ecological model specific to medication self-management. Copyright © 2011 Elsevier Inc. All rights reserved.

  10. Learning theory and its application to the use of social media in medical education.

    Science.gov (United States)

    Flynn, Leslie; Jalali, Alireza; Moreau, Katherine A

    2015-10-01

    There is rapidly increasing pressure to employ social media in medical education, but a review of the literature demonstrates that its value and role are uncertain. To determine if medical educators have a conceptual framework that informs their use of social media and whether this framework can be mapped to learning theory. Thirty-six participants engaged in an iterative, consensus building process that identified their conceptual framework and determined if it aligned with one or more learning theories. The results show that the use of social media by the participants could be traced to two dominant theories-Connectivism and Constructivism. They also suggest that many medical educators may not be fully informed of these theories. Medical educators' use of social media can be traced to learning theories, but these theories may not be explicitly utilised in instructional design. It is recommended that formal education (faculty development) around learning theory would further enhance the use of social media in medical education. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  11. Evaluation of a theory-informed implementation intervention for the management of acute low back pain in general medical practice

    DEFF Research Database (Denmark)

    French, Simon D; McKenzie, Joanne E; O'Connor, Denise A

    2013-01-01

    at the general practitioner (GP) level: behavioural simulation (clinical decision about vignettes) and rates of x-ray and CT-scan (medical administrative data). All those not involved in the delivery of the intervention were blinded to allocation. Results: 47 practices (53 GPs) were randomised to the control...

  12. A Method for Fuzzy Soft Sets in Decision Making Based on Grey Relational Analysis and D-S Theory of Evidence: Application to Medical Diagnosis

    Directory of Open Access Journals (Sweden)

    Ningxin Xie

    2014-01-01

    Full Text Available A method based on grey relational analysis and D-S theory of evidence is proposed for fuzzy soft sets in decision making. Firstly, grey relational analysis is used to calculate grey mean relational degrees and determine uncertain degrees of parameters. Then based on uncertain degrees, suitable mass functions of different independent alternatives with different parameters can be constructed. Next, D-S rule of evidence combination is applied to aggregate these alternatives into a collective alternative. Finally, these alternatives are ranked and the best alternative(s are obtained. Moreover, the effectiveness and feasibility of this method are demonstrated by comparing with the mean potentiality approach and giving an application to medical diagnosis.

  13. What do the theories of Egon Brunswik have to say to medical education?

    Science.gov (United States)

    Wigton, Robert S

    2008-03-01

    Every day physicians make judgments about patient management and diagnosis based on less than perfect information from many different sources. Judgment and decision-making research has taught us a great deal about such decisions, but these insights rarely find their way into the medical curriculum. One productive line of investigation in the study of judgment and decision making has followed the insights and theories developed by the psychologist, Egon Brunswik. His theories are becoming increasingly relevant to modern judgment problems. In this paper, I outline Brunswik's theories, trace their development over the last 50 years and speculate on what role they should play in medical education.

  14. Defying the Definition of Insanity: Assessing the Robust Nature of University Outreach in the Community Using Carnegie Community Engagement Classification and Lynch Outreach Assessment Model (LOAM)

    Science.gov (United States)

    Lynch-Alexander, Erin

    2017-01-01

    Duplicating processes and procedure with anticipation of deviating outcomes is the defining trait of insanity as attributed to a quote by Albert Einstein. It is the antithesis to innovation, which is what is needed in higher education to create impactful changes in the outreach we should be providing to the community. What is important for those…

  15. Remediation of at-risk medical students: theory in action.

    Science.gov (United States)

    Winston, Kalman A; Van Der Vleuten, Cees P M; Scherpbier, Albert J J A

    2013-09-27

    Previous work has shown that a programme that draws on a blend of theories makes a positive difference to outcomes for students who fail and repeat their first semester at medical school. Exploration of student and teacher perspectives revealed that remediation of struggling medical students can be achieved through a cognitive apprenticeship within a small community of inquiry. This community needs expert teachers capable of performing a unique combination of roles (facilitator, nurturing mentor, disciplinarian, diagnostician and role model), with high levels of teaching presence and practical wisdom. Yet, despite participants' convergent opinions on the elements of effective remediation, significant differences were found between outcomes of students working with experienced and inexperienced teachers. The current study explores the actual practice of teachers on this remediation course, aiming to exemplify elements of our theory of remediation and explore differences between teachers. Since it is in the classroom context that the interactions that constitute the complex process of remediation emerge, this practice-based research has focused on direct observation of classroom teaching. Nineteen hours of small group sessions were recorded and transcribed. Drawing on ethnography and sociocultural discourse analysis, selected samples of talk-in-context demonstrate how the various elements of remediation play out in practice, highlighting aspects that are most effective, and identifying differences between experienced and novice teachers. Long-term student outcomes are strongly correlated to teacher experience (r, 0.81). Compared to inexperienced teachers, experienced teachers provide more challenging, disruptive facilitation, and take a dialogic stance that encourages more collaborative group dynamics. They are more expert at diagnosing cognitive errors, provide frequent metacognitive time-outs and make explicit links across the curriculum. Remediation is effective

  16. Remediation of at-risk medical students: theory in action

    Science.gov (United States)

    2013-01-01

    Background Previous work has shown that a programme that draws on a blend of theories makes a positive difference to outcomes for students who fail and repeat their first semester at medical school. Exploration of student and teacher perspectives revealed that remediation of struggling medical students can be achieved through a cognitive apprenticeship within a small community of inquiry. This community needs expert teachers capable of performing a unique combination of roles (facilitator, nurturing mentor, disciplinarian, diagnostician and role model), with high levels of teaching presence and practical wisdom. Yet, despite participants’ convergent opinions on the elements of effective remediation, significant differences were found between outcomes of students working with experienced and inexperienced teachers. The current study explores the actual practice of teachers on this remediation course, aiming to exemplify elements of our theory of remediation and explore differences between teachers. Methods Since it is in the classroom context that the interactions that constitute the complex process of remediation emerge, this practice-based research has focused on direct observation of classroom teaching. Nineteen hours of small group sessions were recorded and transcribed. Drawing on ethnography and sociocultural discourse analysis, selected samples of talk-in-context demonstrate how the various elements of remediation play out in practice, highlighting aspects that are most effective, and identifying differences between experienced and novice teachers. Results Long-term student outcomes are strongly correlated to teacher experience (r, 0.81). Compared to inexperienced teachers, experienced teachers provide more challenging, disruptive facilitation, and take a dialogic stance that encourages more collaborative group dynamics. They are more expert at diagnosing cognitive errors, provide frequent metacognitive time-outs and make explicit links across the

  17. Predicting substance-abuse treatment providers' communication with clients about medication assisted treatment: a test of the theories of reasoned action and planned behavior.

    Science.gov (United States)

    Roberto, Anthony J; Shafer, Michael S; Marmo, Jennifer

    2014-01-01

    The purpose of this investigation is to determine if the theory of reasoned action (TRA) and theory of planned behavior (TPB) can retrospectively predict whether substance-abuse treatment providers encourage their clients to use medicated-assisted treatment (MAT) as part of their treatment plan. Two-hundred and ten substance-abuse treatment providers completed a survey measuring attitudes, subjective norms, perceived behavioral control, intentions, and behavior. Results indicate that substance-abuse treatment providers have very positive attitudes, neutral subjective norms, somewhat positive perceived behavioral control, somewhat positive intentions toward recommending MAT as part of their clients' treatment plan, and were somewhat likely to engage in the actual behavior. Further, the data fit both the TRA and TPB, but with the TPB model having better fit and predictive power for this target audience and behavior. The theoretical and practical implications for the developing messages for substance-abuse treatment providers and other health-care professionals who provide treatment to patients with substance use disorders are discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Establishment of medical education upon internalization of virtue ethics: bridging the gap between theory and practice.

    Science.gov (United States)

    Madani, Mansoureh; Larijani, Bagher; Madani, Ensieh; Ghasemzadeh, Nazafarin

    2017-01-01

    During medical training, students obtain enough skills and knowledge. However, medical ethics accomplishes its goals when, together with training medical courses, it guides students behavior towards morality so that ethics-oriented medical practice is internalized. Medical ethics is a branch of applied ethics which tries to introduce ethics into physicians' practice and ethical decisions; thus, it necessitates the behavior to be ethical. Therefore, when students are being trained, they need to be supplied with those guidelines which turn ethical instructions into practice to the extent possible. The current text discusses the narrowing of the gap between ethical theory and practice, especially in the field of medical education. The current study was composed using analytical review procedures. Thus, classical ethics philosophy, psychology books, and related articles were used to select the relevant pieces of information about internalizing behavior and medical education. The aim of the present study was to propose a theory by analyzing the related articles and books. The attempt to fill the gap between medical theory and practice using external factors such as law has been faced with a great deal of limitations. Accordingly, the present article tries to investigate how and why medical training must take internalizing ethical instructions into consideration, and indicate the importance of influential internal factors. Virtue-centered education, education of moral emotions, changing and strengthening of attitudes through education, and the wise use of administrative regulations can be an effective way of teaching ethical practice in medicine.

  19. Establishment of medical education upon internalization of virtue ethics: bridging the gap between theory and practice

    Science.gov (United States)

    Madani, Mansoureh; Larijani, Bagher; Madani, Ensieh; Ghasemzadeh, Nazafarin

    2017-01-01

    During medical training, students obtain enough skills and knowledge. However, medical ethics accomplishes its goals when, together with training medical courses, it guides students behavior towards morality so that ethics-oriented medical practice is internalized. Medical ethics is a branch of applied ethics which tries to introduce ethics into physicians’ practice and ethical decisions; thus, it necessitates the behavior to be ethical. Therefore, when students are being trained, they need to be supplied with those guidelines which turn ethical instructions into practice to the extent possible. The current text discusses the narrowing of the gap between ethical theory and practice, especially in the field of medical education. The current study was composed using analytical review procedures. Thus, classical ethics philosophy, psychology books, and related articles were used to select the relevant pieces of information about internalizing behavior and medical education. The aim of the present study was to propose a theory by analyzing the related articles and books. The attempt to fill the gap between medical theory and practice using external factors such as law has been faced with a great deal of limitations. Accordingly, the present article tries to investigate how and why medical training must take internalizing ethical instructions into consideration, and indicate the importance of influential internal factors. Virtue-centered education, education of moral emotions, changing and strengthening of attitudes through education, and the wise use of administrative regulations can be an effective way of teaching ethical practice in medicine. PMID:29282423

  20. O-Theory: a hybrid uncertainty theory

    Energy Technology Data Exchange (ETDEWEB)

    Oblow, E.M.

    1985-10-01

    A hybrid uncertainty theory is developed to bridge the gap between fuzzy set theory and Bayesian inference theory. Its basis is the Dempster-Shafer formalism (a probability-like, set-theoretic approach), which is extended and expanded upon so as to include a complete set of basic operations for manipulating uncertainties in approximate reasoning. The new theory, operator-belief theory (OT), retains the probabilistic flavor of Bayesian inference but includes the potential for defining a wider range of operators like those found in fuzzy set theory. The basic operations defined for OT in this paper include those for: dominance and order, union, intersection, complement and general mappings. A formal relationship between the membership function in fuzzy set theory and the upper probability function in the Dempster-Shafer formalism is also developed. Several sample problems in logical inference are worked out to illustrate the results derived from this new approach as well as to compare them with the other theories currently being used. A general method of extending the theory using the historical development of fuzzy set theory as an example is suggested.

  1. Towards a theory of spacetime theories

    CERN Document Server

    Schiemann, Gregor; Scholz, Erhard

    2017-01-01

    This contributed volume is the result of a July 2010 workshop at the University of Wuppertal Interdisciplinary Centre for Science and Technology Studies which brought together world-wide experts from physics, philosophy and history, in order to address a set of questions first posed in the 1950s: How do we compare spacetime theories? How do we judge, objectively, which is the “best” theory? Is there even a unique answer to this question? The goal of the workshop, and of this book, is to contribute to the development of a meta-theory of spacetime theories. Such a meta-theory would reveal insights about specific spacetime theories by distilling their essential similarities and differences, deliver a framework for a class of theories that could be helpful as a blueprint to build other meta-theories, and provide a higher level viewpoint for judging which theory most accurately describes nature. But rather than drawing a map in broad strokes, the focus is on particularly rich regions in the “space of spaceti...

  2. Friedrich Nietzsche's mental illness--general paralysis of the insane vs. frontotemporal dementia.

    Science.gov (United States)

    Orth, M; Trimble, M R

    2006-12-01

    For a long time it was thought that Nietzsche suffered from general paralysis of the insane (GPI). However, this diagnosis has been questioned recently, and alternative diagnoses have been proposed. We have charted Friedrich Nietzsche's final fatal illness, and viewed the differential diagnosis in the light of recent neurological understandings of dementia syndromes. It is unclear that Nietzsche ever had syphilis. He lacked progressive motor and other neurological features of a progressive syphilitic central nervous system (CNS) infection and lived at least 12 years following the onset of his CNS signs, which would be extremely rare for patients with untreated GPI. Finally, his flourish of productivity in 1888 would be quite uncharacteristic of GPI, but in keeping with reports of burgeoning creativity at some point in the progression of frontotemporal dementia (FTD). We suggest that Nietzsche did not have GPI, but died from a chronic dementia, namely FTD.

  3. Pavel Ivanovich Karpov (1873-1932?)--the Russian Prinzhorn: art of the insane in Russia.

    Science.gov (United States)

    Lerner, Vladimir; Podolsky, Grigory; Witztum, Eliezer

    2016-03-01

    The complicated relationship between the discipline of mental health and the arts has barely been studied systematically. Mental hospitals, shelters and prisons--institutions that accommodate the mentally ill--sometimes promote but often discourage and disrupt the patients' artistic creativity and the images created. In psychiatric circles, the recognition of patient art was a long, slow and frustrating process. Among the Western psychiatrists who studied the creative activity of the mentally ill, researchers usually mention such names as C. Lombroso, M. Shearing, V. Morgentaller, H. Prinzhorn and others, but rarely refer to their Russian colleagues and contemporaries. Pavel Ivanovich Karpov (1873-1932?), a Russian psychiatrist, was one of the most extensive researchers in the field of the art of the insane, but unfortunately his name is little known among modern psychiatrists. For his clinical and scientific contributions, he deserves to be remembered in the history of psychiatry. © The Author(s) 2016.

  4. Theory and practice in the design and conduct of graduate medical education.

    Science.gov (United States)

    Hodges, Brian David; Kuper, Ayelet

    2012-01-01

    Medical education practice is more often the result of tradition, ritual, culture, and history than of any easily expressed theoretical or conceptual framework. The authors explain the importance and nature of the role of theory in the design and conduct of graduate medical education. They outline three groups of theories relevant to graduate medical education: bioscience theories, learning theories, and sociocultural theories. Bioscience theories are familiar to many medical educators but are often misperceived as truths rather than theories. Theories from such disciplines as neuroscience, kinesiology, and cognitive psychology offer insights into areas such as memory formation, motor skills acquisition, diagnostic decision making, and instructional design. Learning theories, primarily emerging from psychology and education, are also popular within medical education. Although widely employed, not all learning theories have robust evidence bases. Nonetheless, many important notions within medical education are derived from learning theories, including self-monitoring, legitimate peripheral participation, and simulation design enabling sustained deliberate practice. Sociocultural theories, which are common in the wider education literature but have been largely overlooked within medical education, are inherently concerned with contexts and systems and provide lenses that selectively highlight different aspects of medical education. They challenge educators to reconceptualize the goals of medical education, to illuminate maladaptive processes, and to untangle problems such as career choice, interprofessional communication, and the hidden curriculum.Theories make visible existing problems and enable educators to ask new and important questions. The authors encourage medical educators to gain greater understanding of theories that guide their educational practices.

  5. Medical education and cognitive continuum theory: an alternative perspective on medical problem solving and clinical reasoning.

    Science.gov (United States)

    Custers, Eugène J F M

    2013-08-01

    Recently, human reasoning, problem solving, and decision making have been viewed as products of two separate systems: "System 1," the unconscious, intuitive, or nonanalytic system, and "System 2," the conscious, analytic, or reflective system. This view has penetrated the medical education literature, yet the idea of two independent dichotomous cognitive systems is not entirely without problems.This article outlines the difficulties of this "two-system view" and presents an alternative, developed by K.R. Hammond and colleagues, called cognitive continuum theory (CCT). CCT is featured by three key assumptions. First, human reasoning, problem solving, and decision making can be arranged on a cognitive continuum, with pure intuition at one end, pure analysis at the other, and a large middle ground called "quasirationality." Second, the nature and requirements of the cognitive task, as perceived by the person performing the task, determine to a large extent whether a task will be approached more intuitively or more analytically. Third, for optimal task performance, this approach needs to match the cognitive properties and requirements of the task. Finally, the author makes a case that CCT is better able than a two-system view to describe medical problem solving and clinical reasoning and that it provides clear clues for how to organize training in clinical reasoning.

  6. Using attachment theory in medical settings: implications for primary care physicians.

    Science.gov (United States)

    Hooper, Lisa M; Tomek, Sara; Newman, Caroline R

    2012-02-01

    Mental health researchers, clinicians and clinical psychologists have long considered a good provider-patient relationship to be an important factor for positive treatment outcomes in a range of therapeutic settings. However, primary care physicians have been slow to consider how attachment theory may be used in the context of patient care in medical settings. In the current article, John Bowlby's attachment theory and proposed attachment styles are proffered as a framework to better understand patient behaviors, patient communication styles with physicians and the physician-patient relationship in medical settings. The authors recommend how primary care physicians and other health care providers can translate attachment theory to enhance practice behaviors and health-related communications in medical settings.

  7. The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population

    NARCIS (Netherlands)

    Holman, Rebecca; Weisscher, Nadine; Glas, Cees A. W.; Dijkgraaf, Marcel G. W.; Vermeulen, Marinus; de Haan, Rob J.; Lindeboom, Robert

    2005-01-01

    BACKGROUND: Currently, there is a lot of interest in the flexible framework offered by item banks for measuring patient relevant outcomes. However, there are few item banks, which have been developed to quantify functional status, as expressed by the ability to perform activities of daily life. This

  8. The academic medical center linear disability score (ALDS) item bank: item response theory analysis in a mixed patient population

    NARCIS (Netherlands)

    Holman, Rebecca; Weisscher, Nadine; Glas, Cornelis A.W.; Dijkgraaf, Marcel G.W.; Vermeulen, Martinus; de Haan, Rob J.; Lindeboom, Robert

    2005-01-01

    Background: Currently, there is a lot of interest in the flexible framework offered by item banks for measuring patient relevant outcomes. However, there are few item banks, which have been developed to quantify functional status, as expressed by the ability to perform activities of daily life. This

  9. Individual difference factors and beliefs in medical and political conspiracy theories.

    Science.gov (United States)

    Galliford, Natasha; Furnham, Adrian

    2017-10-01

    This study examined the relationship between a series of individual difference measures and belief in political and medical conspiracy theories. Participants (N = 323) rated 20 conspiracy theories (10 medical, 10 political) and completed a set of questionnaires. Belief in political conspiracies was strongly positively correlated with belief in medical conspiracies. Belief in both conspiracy types was correlated with low self-esteem, low Conscientiousness, more right-wing political views, younger age, and greater belief in the benefits of Alternative Medicine. It was also correlated with religiousness and gender. Low Emotional Stability and Agreeableness were also correlated with belief in political conspiracies, and higher education level was correlated with belief in medical conspiracies. The findings generally demonstrated support for a monological belief system. Implications and limitations are discussed. © 2017 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  10. Modern Theories of Pelvic Floor Support : A Topical Review of Modern Studies on Structural and Functional Pelvic Floor Support from Medical Imaging, Computational Modeling, and Electromyographic Perspectives.

    Science.gov (United States)

    Peng, Yun; Miller, Brandi D; Boone, Timothy B; Zhang, Yingchun

    2018-02-12

    Weakened pelvic floor support is believed to be the main cause of various pelvic floor disorders. Modern theories of pelvic floor support stress on the structural and functional integrity of multiple structures and their interplay to maintain normal pelvic floor functions. Connective tissues provide passive pelvic floor support while pelvic floor muscles provide active support through voluntary contraction. Advanced modern medical technologies allow us to comprehensively and thoroughly evaluate the interaction of supporting structures and assess both active and passive support functions. The pathophysiology of various pelvic floor disorders associated with pelvic floor weakness is now under scrutiny from the combination of (1) morphological, (2) dynamic (through computational modeling), and (3) neurophysiological perspectives. This topical review aims to update newly emerged studies assessing pelvic floor support function among these three categories. A literature search was performed with emphasis on (1) medical imaging studies that assess pelvic floor muscle architecture, (2) subject-specific computational modeling studies that address new topics such as modeling muscle contractions, and (3) pelvic floor neurophysiology studies that report novel devices or findings such as high-density surface electromyography techniques. We found that recent computational modeling studies are featured with more realistic soft tissue constitutive models (e.g., active muscle contraction) as well as an increasing interest in simulating surgical interventions (e.g., artificial sphincter). Diffusion tensor imaging provides a useful non-invasive tool to characterize pelvic floor muscles at the microstructural level, which can be potentially used to improve the accuracy of the simulation of muscle contraction. Studies using high-density surface electromyography anal and vaginal probes on large patient cohorts have been recently reported. Influences of vaginal delivery on the

  11. Calibrating the Medical Council of Canada’s Qualifying Examination Part I using an integrated item response theory framework: a comparison of models and designs

    Directory of Open Access Journals (Sweden)

    Andre F. De Champlain

    2016-01-01

    Full Text Available Purpose: The aim of this research was to compare different methods of calibrating multiple choice question (MCQ and clinical decision making (CDM components for the Medical Council of Canada’s Qualifying Examination Part I (MCCQEI based on item response theory. Methods: Our data consisted of test results from 8,213 first time applicants to MCCQEI in spring and fall 2010 and 2011 test administrations. The data set contained several thousand multiple choice items and several hundred CDM cases. Four dichotomous calibrations were run using BILOG-MG 3.0. All 3 mixed item format (dichotomous MCQ responses and polytomous CDM case scores calibrations were conducted using PARSCALE 4. Results: The 2-PL model had identical numbers of items with chi-square values at or below a Type I error rate of 0.01 (83/3,499 or 0.02. In all 3 polytomous models, whether the MCQs were either anchored or concurrently run with the CDM cases, results suggest very poor fit. All IRT abilities estimated from dichotomous calibration designs correlated very highly with each other. IRT-based pass-fail rates were extremely similar, not only across calibration designs and methods, but also with regard to the actual reported decision to candidates. The largest difference noted in pass rates was 4.78%, which occurred between the mixed format concurrent 2-PL graded response model (pass rate= 80.43% and the dichotomous anchored 1-PL calibrations (pass rate= 85.21%. Conclusion: Simpler calibration designs with dichotomized items should be implemented. The dichotomous calibrations provided better fit of the item response matrix than more complex, polytomous calibrations.

  12. Prevention of sexual harassment in the medical setting applying Inoculation Theory.

    Science.gov (United States)

    Matusitz, Jonathan; Breen, Gerald Mark

    2005-01-01

    This paper is an examination of how Inoculation Theory can be applied in the prevention of sexual harassment in the medical setting. The basic tenet of the theory is the study of the processes through which we withstand and oppose attitude transformation during social interactions that may influence or change our attitudes. More importantly, this paper analyzes sexual harassment as a pervasive phenomenon in the medical setting. As such, it defines what sexual harassment is, explains the prevalence of sexual harassment between the physician and the patient, describes some of the general studies conducted in medical settings, provides a case scenario of doctor-patient sexual harassment, and identifies some key consequences to doctors, patients, and society.

  13. Self-regulation theory: applications to medical education: AMEE Guide No. 58.

    Science.gov (United States)

    Sandars, John; Cleary, Timothy J

    2011-01-01

    Self-regulation theory, as applied to medical education, describes the cyclical control of academic and clinical performance through several key processes that include goal-directed behaviour, use of specific strategies to attain goals, and the adaptation and modification to behaviours or strategies to optimise learning and performance. Extensive research across a variety of non-medical disciplines has highlighted differences in key self-regulation processes between high- and low-achieving learners and performers. Structured identification of key self-regulation processes can be used to develop specific remediation approaches that can improve performance in academic and complex psycho-motor skills. General teaching approaches that are guided by a self-regulation perspective can also enhance academic performance. Self-regulation theory offers an exciting potential for improving academic and clinical performance in medical education.

  14. Leadership development in UK medical training: pedagogical theory and practice.

    Science.gov (United States)

    Bekas, Stavros

    2015-01-01

    PHENOMENON: The central role of clinical leadership in achieving the vision of quality and productivity could be attained by investing in its development in postgraduate medical education. A critical review of selected literature is presented. The author identifies some of the main theoretical constructs related to leadership; the pedagogical underpinning of medical leadership programs; their learning objectives; and the mixture of methods, individual and collective, to achieve them. INSIGHTS: How to best develop leadership through medical education remains an open debate. Experiential learning, reflective practice, action learning, and mentoring could provide the foundations of leadership development. Application of the aforementioned should be cautious due to limitations of the concept of leadership as currently promoted and lack of robust evaluation methodologies.

  15. When is a theory a theory? A case example.

    Science.gov (United States)

    Alkin, Marvin C

    2017-08-01

    This discussion comments on the approximately 20years history of writings on the prescriptive theory called Empowerment Evaluation. To do so, involves examining how "Empowerment Evaluation Theory" has been defined at various points of time (particularly 1996 and now in 2015). Defining a theory is different from judging the success of a theory. This latter topic has been addressed elsewhere by Michael Scriven, Michael Patton, and Brad Cousins. I am initially guided by the work of Robin Miller (2010) who has written on the issue of how to judge the success of a theory. In doing so, she provided potential standards for judging the adequacy of theories. My task is not judging the adequacy or success of the Empowerment Evaluation prescriptive theory in practice, but determining how well the theory is delineated. That is, to what extent do the writings qualify as a prescriptive theory. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Towards a Computational Theory of Definite Anaphora Comprehension in English Discourse.

    Science.gov (United States)

    1979-06-01

    dropped it and the number of men is 3. 3. This is read as: There is an x such that it is a set, whose members each are men and ha ve lifted a piano and...upon Smith who lies dead ivith foul wounds, one can say "Smith’s murderer is insane ." Used attributively, Sinith’s murderer does not refer to anyone... insane . Thus the speaker using an attributive defnp does not assume that someone fits the description; the speaker is describing for the hearer a set of

  17. Fake insanes and fools: another way of playing (without disguise in Lope de Vega's theatre

    Directory of Open Access Journals (Sweden)

    José Enrique López Martínez

    2014-05-01

    Full Text Available Abstract:In this work I study the theme of fake insanity and foolishness in Spanish Baroque Drama, starting with the work of Lope de Vega. In the first place, I consider some important sources in Italian Drama, specially Grazzini’s La Spiritata and Girolamo Bargagli’s La Pellegrina. Afterwards, I analyse in chronological order some of Lope’s plays that introduce this theme in Hispanic Theater, written at the turn of the XVIIth Century, such as Los locos de Valencia and El mármol de Felisardo; until many late plays by Lope and other playwrights that kept on reproducing the literary elements of those early comedias. In this survey, I examine the metatheatrical sense of fake insanity, the dramatic subgenres where it was featured, its importance for the plots, and its relation to other forms of dramatic deception, like the woman in male disguise and the nobleman as servant; as well as some dramatic and literary devices it relied on: the different kinds of simulated madness, its discoursive features, and the motif of the fake wedding. Resumen:En este trabajo se analiza el desarrollo del tema de la locura y la simpleza fingida en el teatro barroco español, a partir de la obra de Lope de Vega. Primero, se consideran algunos importantes antecedentes italianos, especialmente las obras La Spiritata, de Grazzini, y La Pellegrina, de Girolamo Bargagli. Después, se analizan con detalle y en orden cronológico algunas comedias del Fénix escritas en la última década del siglo XVI y primera del XVII en que introduce este tema en el teatro hispánico, como Los locos de Valencia o El mármol de Felisardo, hasta mencionar varias obras tardías del propio Lope y otros autores que continuaron reproduciendo los recursos de aquellas comedias tempranas. En este recorrido, se hace énfasis en el carácter metateatral de la locura fingida, los subgéneros dramáticos en la que fue incluida, importancia argumental, formas de caracterización y relación con

  18. Insane defendants and forensic convicts: before and after the onset of the new forensic psychiatry network and the criminal justice system reform in Chile.

    Science.gov (United States)

    Cid, Rodrigo D

    2010-09-01

    Like other Latin American democratic societies, Chile is supposed to respect legal rights of mentally ill people who are in trouble with the law, and provide them protection, treatment and welfare. Therefore, in this decade, the Chilean Criminal Justice and Mental Health System has undergone significant changes. Because this article is related to the recent social features that involve different areas such as justice, mental health assistance and forensic psychiatry systems, and thereby the nonexistence of current literature that reviews this matter from a global perspective and its implications for the mental health population involved in the justice system, its review and analysis seems to be interesting. The 'New Forensic Psychiatry Network' (NFPN) has been putting in relevant efforts to offer proper treatment and forensic assessment taking into account the civil rights of mentally insane people, and the 'Criminal Justice System Reform' (CJSR) is making possible legal conditions for better justice ensuring a more just resolution of insane defendants' and mentally ill convicts' lawsuits. From the author's viewpoint, all these changes are leading to a deep cultural impact on a Chilean's mind, changing their vision of justice and how society should respect insane defendants' and mentally ill convicts' legal rights.

  19. Calcidius, witness to Greek medical theories: eye anatomy and pathology.

    Science.gov (United States)

    Bakhouche, Béatrice

    2014-01-01

    Calcidius is the only exegete of Plato's Timaeus whose commentary on this Greek dialogue concerned with eyesight has not been lost. This document is all the more valuable since the Latin version is the only testimony regarding theories of and treatments for eye diseases--two domains in which, as can be deduced from the terms used, the commentator is dependent on Greek. The part of the commentary about eyesight is also worthy of interest because it is the only one that openly attacks the iuniores with an overtly hostile tone. We propose to study Calcidius' exegesis of Plato's Timaeus, focusing on Calcidius' portrayal of Greek ophthalmological theories and practices and his representation of a group of people he openly attacks.

  20. Leadership theory and motivation of medical imaging employees.

    Science.gov (United States)

    Kalar, Traci; Wright, Donna Lee

    2007-01-01

    *This literature review explores how transactional, transformational, and charismatic leadership theories might be applied in a typical stressful hypothetical department situation. *Transactional department leaders motivate employees using extrinsic rewards, encouraging them to do what is needed to get the minimal results with no encouragement for higher levels of thinking. *Transformational department leaders motivate employees by transforming their beliefs and values to be more in alignment with the organization's values and goals. This alignment helps create higher levels of intrinsic motivation. *Charismatic leaders exhibit the same behaviors as transformational leaders to motivate employees; however; because of their specific characteristics, their effectiveness can be limited to only times of distress or crisis. The situation in the particular department determines which leadership theory is likely to be most successful.

  1. Sorting a distribution theory

    CERN Document Server

    Mahmoud, Hosam M

    2011-01-01

    A cutting-edge look at the emerging distributional theory of sorting Research on distributions associated with sorting algorithms has grown dramatically over the last few decades, spawning many exact and limiting distributions of complexity measures for many sorting algorithms. Yet much of this information has been scattered in disparate and highly specialized sources throughout the literature. In Sorting: A Distribution Theory, leading authority Hosam Mahmoud compiles, consolidates, and clarifies the large volume of available research, providing a much-needed, comprehensive treatment of the

  2. Evolution of Aging Theories: Why Modern Programmed Aging Concepts Are Transforming Medical Research.

    Science.gov (United States)

    Goldsmith, Theodore C

    2016-12-01

    Programmed aging refers to the idea that senescence in humans and other organisms is purposely caused by evolved biological mechanisms to obtain an evolutionary advantage. Until recently, programmed aging was considered theoretically impossible because of the mechanics of the evolution process, and medical research was based on the idea that aging was not programmed. Theorists struggled for more than a century in efforts to develop non-programmed theories that fit observations, without obtaining a consensus supporting any non-programmed theory. Empirical evidence of programmed lifespan limitations continued to accumulate. More recently, developments, especially in our understanding of biological inheritance, have exposed major issues and complexities regarding the process of evolution, some of which explicitly enable programmed aging of mammals. Consequently, science-based opposition to programmed aging has dramatically declined. This progression has major implications for medical research, because the theories suggest that very different biological mechanisms are ultimately responsible for highly age-related diseases that now represent most research efforts and health costs. Most particularly, programmed theories suggest that aging per se is a treatable condition and suggest a second path toward treating and preventing age-related diseases that can be exploited in addition to the traditional disease-specific approaches. The theories also make predictions regarding the nature of biological aging mechanisms and therefore suggest research directions. This article discusses developments of evolutionary mechanics, the consequent programmed aging theories, and logical inferences concerning biological aging mechanisms. It concludes that major medical research organizations cannot afford to ignore programmed aging concepts in assigning research resources and directions.

  3. The Determinants of Medical Tourism Intentions: Applying the Theory of Planned Behavior.

    Science.gov (United States)

    Ramamonjiarivelo, Zo; Martin, David S; Martin, Warren S

    2015-01-01

    This study introduces the theory of planned behavior to health care marketers by extending and replicating a prior study that predicted student's intention to engage in medical tourism. Based on a sample of 164 usable survey responses, our findings suggested that the MEDTOUR scale (developed and introduced a prior study) is robust and works reasonably well with a national sample. Based on these findings, MEDTOUR appears to be worthy of further consideration by health marketing scholars.

  4. Towards a TSI theory

    DEFF Research Database (Denmark)

    Haxeltine, Alex; Pel, Bonno; Dumitru, Adina

    This paper makes a contribution to the identified need for conceptual clarity and new theory on social innovation. Specifically it addresses transformative social innovation (TSI), defined as the process of challenging, altering, or replacing the dominance of existing institutions in a specific s...... the complex and intertwined process-relations of TSI, based on our study of the empirics. The paper ends with an assessment of thecontribution of this TSI-theorising, and a discussion of the challenge of further developing TSI theory.......This paper makes a contribution to the identified need for conceptual clarity and new theory on social innovation. Specifically it addresses transformative social innovation (TSI), defined as the process of challenging, altering, or replacing the dominance of existing institutions in a specific....... To develop middlerange theoretical insights on TSI, we conducted an empirical study of 20 transnational social innovation networks and about 100 associated social innovation initiatives over a four-year period. The resulting contribution towards the solidification of a theory of TSI, consists of three layers...

  5. Literary Theory: A Pedagogy.

    Science.gov (United States)

    Bacon, Roger Lee

    This dissertation dealt with the preparation, designing, teaching, and evaluation of a course in literary theory. The course examined the following areas of literary study: definition, perception, description, explication, interpretation, and evaluation. It is centered on the following theses: (1) in literary pursuits criticism is teaching and…

  6. Mental Health Professionals' Attitudes Toward Offenders With Mental Illness (Insanity Acquittees) in Ghana.

    Science.gov (United States)

    Adjorlolo, Samuel; Abdul-Nasiru, Inusah; Chan, Heng Choon Oliver; Bambi, Laryea Efua

    2018-02-01

    Mental health professionals' attitudes toward offenders with mental illness have significant implications for the quality of care and treatment rendered, making it imperative for these professionals to be aware of their attitudes. Yet, this topical issue has received little research attention. Consequently, the present study investigates attitudes toward offenders with mental illness (insanity acquittees) in a sample of 113 registered mental health nurses in Ghana. Using a cross-sectional survey and self-report methodology, the participants respond to measures of attitudes toward offenders with mental illness, attitudes toward mental illness, conviction proneness, and criminal blameworthiness. The results show that mental health nurses who reportedly practiced for a longer duration (6 years and above) were more likely to be unsympathetic, while the male nurses who were aged 30 years and above were more likely to hold offenders with mental illness strictly liable for their offenses. Importantly, the nurses' scores in conviction proneness and criminal blameworthiness significantly predict negative attitudes toward the offenders even after controlling for their attitudes toward mental illness. Yet, when the nurses' conviction proneness and criminal blameworthiness were held constant, their attitudes toward mental illness failed to predict attitudes toward the offenders. This initial finding implies that the nurses' views regarding criminal blameworthiness and conviction may be more influential in understanding their attitudes toward offenders with mental illness relative to their attitudes toward mental illness.

  7. Food refusal and insanity: sitophobia and anorexia nervosa in Victorian asylums.

    Science.gov (United States)

    van Deth, R; Vandereycken, W

    2000-05-01

    Although anorexia nervosa emerged as a new syndrome in the second half of the 19th century, this clinical picture seemed to be unknown in the psychiatric hospitals or asylums. In asylum medicine, the commonly used concept of sitophobia to designate food refusal in the insane covered a wide variety of mental disturbances and cannot be plainly equated with anorexia nervosa. A major difference is the occurrence of hallucinations and delusions specifically centered around religion and digestion. Most probably, anorectic patients were not treated in asylums, but at home, in the doctor's office, or in general hospitals. This pattern may be partly attributed to the fact that both patients and doctors were focusing on symptoms of self-starvation like emaciation, constipation, and amenorrhea, which were primarily interpreted as referring to somatic diseases. Additionally, wealthy families probably preferred private care in water-cure establishments, sanatoria, and rest homes to the stigmatizing referral of their anorectic daughter to an asylum. Hence, the fact that late 19th-century institutionalized psychiatry was only incidentally confronted with anorexia nervosa may explain its lack of interest in the emerging syndrome. Copyright 2000 by John Wiley & Sons, Inc.

  8. The medical theory of Lee Je-ma and its character

    Directory of Open Access Journals (Sweden)

    LEE Kyung-Lock

    2005-12-01

    Full Text Available Lee Je-ma(李濟馬, 1837-1900 was a prominent scholar as well as an Korean physician He classified every people into four distinctive types: greater yang[tai yang] person, lesser yin[shao yin] person greater yin[tai yin] person, lesser yin[shao yin] person. This theory would dictate proper treatment for each type in accordance with individual differences of physical and temperament features Using these four types he created The Medical Science of Four Types(四象體質論.This article is intended to look into the connection between Lee Je-Ma's 'The Medical Science of Four Types' and 'The Modern' with organizing his ideas about the human body and the human being. Through The Modern, the theory of human being(人間觀 underwent a complete change. Human being in The Premodern, which was determined by sex, age and social status has been changed to the individual human being, which is featured by equality. Lee Je-Ma's medical theory of The Medical Science of Four Types would be analyzed as follow. His concept of human body(人體論 is oriented toward observable objectivity. But on the other hand, it still remains transcendent status of medical science, which is subordinated by philosophy According to Lee Je-Ma's theory of human being human is an equal individual in a modern way of thinking not as a part of hierarchical group. But on the other hand, it still remains incomplete from getting rid of morality aspect that includes virtue and vice in the concept of human body.The common factors in Lee Je-Ma's ideas about the human body and the human being is 'Dualism of mind and body(心身二元論' that means all kinds of status and results depends on each individual. As is stated above, Lee Je-Ma's medical theory has many aspects of The Modern and it proves that Korean traditional medicine could be modernized by itself.

  9. A clockwork theory

    Energy Technology Data Exchange (ETDEWEB)

    Giudice, Gian F.; McCullough, Matthew [CERN, Theoretical Physics Department,Geneva (Switzerland)

    2017-02-07

    The clockwork is a mechanism for generating light particles with exponentially suppressed interactions in theories which contain no small parameters at the fundamental level. We develop a general description of the clockwork mechanism valid for scalars, fermions, gauge bosons, and gravitons. This mechanism can be implemented with a discrete set of new fields or, in its continuum version, through an extra spatial dimension. In both cases the clockwork emerges as a useful tool for model-building applications. Notably, the continuum clockwork offers a solution to the Higgs naturalness problem, which turns out to be the same as in linear dilaton duals of Little String Theory. We also elucidate the similarities and differences of the continuum clockwork with large extra dimensions and warped spaces. All clockwork models, in the discrete and continuum, exhibit novel phenomenology with a distinctive spectrum of closely spaced resonances.

  10. A Clockwork Theory

    CERN Document Server

    Giudice, Gian F.

    2017-02-07

    The clockwork is a mechanism for generating light particles with exponentially suppressed interactions in theories which contain no small parameters at the fundamental level. We develop a general description of the clockwork mechanism valid for scalars, fermions, gauge bosons, and gravitons. This mechanism can be implemented with a discrete set of new fields or, in its continuum version, through an extra spatial dimension. In both cases the clockwork emerges as a useful tool for model-building applications. Notably, the continuum clockwork offers a solution to the Higgs naturalness problem, which turns out to be the same as in linear dilaton duals of Little String Theory. We also elucidate the similarities and differences of the continuum clockwork with large extra dimensions and warped spaces. All clockwork models, in the discrete and continuum, exhibit novel phenomenology with a distinctive spectrum of closely spaced resonances.

  11. A theory of macromotives

    Directory of Open Access Journals (Sweden)

    Johann Visagie

    1996-03-01

    Full Text Available This essay sketches in outline a theory of macromotives. The latter term refers to certain encompassing themes, something like ultimate values, which are of directive importance to cultural development and span cultures ancient and modern. From a possible class of such motives, four are identified: the motives of nature, knowledge, power, and personhood. They are discussed in turn, with attention to their individual histories, and also with a view to analysing the kind of “emotive" logic by which each of these motives contends for the status of final point of reference. Then follows a brief reflection on the ways in which these motives not only impact on world history, hut also on some of the most intimate aspects of our personal lives. The penultimate section is devoted to a comparison o f the approach developed here with Dooyeweerd's theory of ground motives. The essay closes with a brief refection on the postmodern questioning of metanarratives.

  12. Coverage of Rosenhan's "On Being Sane in Insane Places" in Abnormal Psychology Textbooks

    Science.gov (United States)

    Bartels, Jared M.; Peters, Daniel

    2017-01-01

    The present study examined 12 abnormal psychology textbooks to determine whether Rosenhan's classic study, "Being sane in insane places," was covered, and if so, the nature of that coverage. Only 50% covered the study, with all describing the study as demonstrating the biasing power of psychiatric labels. Two key aspects of the study…

  13. Four tenets of modern validity theory for medical education assessment and evaluation.

    Science.gov (United States)

    Royal, Kenneth D

    2017-01-01

    Validity is considered by many to be the most important criterion for evaluating a set of scores, yet few agree on what exactly the term means. Since the mid-1800s, scholars have been concerned with the notion of validity, but over time, the term has developed a variety of meanings across academic disciplines and contexts. Accordingly, when scholars with different academic backgrounds, many of whom hold deeply entrenched perspectives about validity conceptualizations, converge in the field of medical education assessment, it is a recipe for confusion. Thus, it is important to work toward a consensus about validity in the context of medical education assessment. Thus, the purpose of this work was to present four fundamental tenets of modern validity theory in an effort to establish a framework for scholars in the field of medical education assessment to follow when conceptualizing validity, interpreting validity evidence, and reporting research findings.

  14. From theory to practice: integrating instructional technology into veterinary medical education.

    Science.gov (United States)

    Wang, Hong; Rush, Bonnie R; Wilkerson, Melinda; Herman, Cheryl; Miesner, Matt; Renter, David; Gehring, Ronette

    2013-01-01

    Technology has changed the landscape of teaching and learning. The integration of instructional technology into teaching for meaningful learning is an issue for all educators to consider. In this article, we introduce educational theories including constructivism, information-processing theory, and dual-coding theory, along with the seven principles of good practice in undergraduate education. We also discuss five practical instructional strategies and the relationship of these strategies to the educational theories. From theory to practice, the purpose of the article is to share our application of educational theory and practice to work toward more innovative teaching in veterinary medical education.

  15. Medical radiation dosimetry theory of charged particle collision energy loss

    CERN Document Server

    McParland, Brian J

    2014-01-01

    Accurate radiation dosimetry is a requirement of radiation oncology, diagnostic radiology and nuclear medicine. It is necessary so as to satisfy the needs of patient safety, therapeutic and diagnostic optimisation, and retrospective epidemiological studies of the biological effects resulting from low absorbed doses of ionising radiation. The radiation absorbed dose received by the patient is the ultimate consequence of the transfer of kinetic energy through collisions between energetic charged particles and atoms of the tissue being traversed. Thus, the ability of the medical physicist to both measure and calculate accurately patient dosimetry demands a deep understanding of the physics of charged particle interactions with matter. Interestingly, the physics of charged particle energy loss has an almost exclusively theoretical basis, thus necessitating an advanced theoretical understanding of the subject in order to apply it appropriately to the clinical regime. ​ Each year, about one-third of the worl...

  16. A theory of deterrence

    Energy Technology Data Exchange (ETDEWEB)

    Erickson, S.A. Jr.

    1991-03-20

    The purpose of this monograph is to start a theory of deterrence which has the capability of quantitatively answering the question of what is required to deter a nation or alliance from certain acts. Despite the existence of voluminous writing on deterrence, from the beginning of the nuclear age and even before, none of it attempts a theoretical discussion of how to calculate what it takes to deter a country from committing some acts which are objectionable to another country. Many theories of deterrence have already been created. They have exclusively been of two separate forms -- those of the social scientists, which deal with political questions, and how the concept of mass destruction psychological deters the initiation of war; and those of the mathematicians, who model the quantities of one country`s arsenal of strategic systems needed to destroy a certain portion of another country`s. Only the latter is quantitative, but they lack an essential element added to answer the question ``How much is enough?`` In order to use the techniques of operations research on the questions of what type and amount of weapons are adequate for deterrence, the definitions of quantities occurring in the calculations need to be made in quantifiable way. Numbers of weapons have been the only quantified parameter in previous deterrence calculations. Yet weapons alone do not deter. The threat of destruction and damage does. How is that threatenable damage to be measured, and as through defensive system construction, counterforce capability improvement, arms control, or other means, it becomes less when is the threshold for deterrence met and crossed? The calculation of this damage, and the implication of that damage to decision-makers capable of making a war initiation decision, is a complicated process, and it is what constitutes a theory of deterrence. 36 refs.

  17. String Theory in a Nutshell

    CERN Document Server

    Kiritsis, Elias

    2007-01-01

    This book is the essential new introduction to modern string theory, by one of the world's authorities on the subject. Concise, clearly presented, and up-to-date, String Theory in a Nutshell brings together the best understood and most important aspects of a theory that has been evolving since the early 1980s. A core model of physics that substitutes one-dimensional extended ""strings"" for zero-dimensional point-like particles (as in quantum field theory), string theory has been the leading candidate for a theory that would successfully unify all fundamental forces of nature, includin

  18. A theory of piezoelectric laminates

    International Nuclear Information System (INIS)

    Giangreco, E.

    1997-01-01

    A theory of piezoelectric laminates is rationally derived from the three-dimensional Voigt theory of piezoelectricity. The present theory is a generalization to piezoelectric laminates of the Reissner-Mindlin-type layer-wise theory of elastic laminates. Both a differential formulation and a variational formulation of the piezoelectric laminate problem are presented. The proposed theory is adopted in the analysis of simple problems, in order to verify its effectiveness. The results it provides turn out to be in good agreement with the results supplied by the Voigt theory of piezoelectricity

  19. The importance of educational theories for facilitating learning when using technology in medical education.

    Science.gov (United States)

    Sandars, John; Patel, Rakesh S; Goh, Poh Sun; Kokatailo, Patricia K; Lafferty, Natalie

    2015-01-01

    There is an increasing use of technology for teaching and learning in medical education but often the use of educational theory to inform the design is not made explicit. The educational theories, both normative and descriptive, used by medical educators determine how the technology is intended to facilitate learning and may explain why some interventions with technology may be less effective compared with others. The aim of this study is to highlight the importance of medical educators making explicit the educational theories that inform their design of interventions using technology. The use of illustrative examples of the main educational theories to demonstrate the importance of theories informing the design of interventions using technology. Highlights the use of educational theories for theory-based and realistic evaluations of the use of technology in medical education. An explicit description of the educational theories used to inform the design of an intervention with technology can provide potentially useful insights into why some interventions with technology are more effective than others. An explicit description is also an important aspect of the scholarship of using technology in medical education.

  20. Medical Imaging: A Review

    Science.gov (United States)

    Ganguly, Debashis; Chakraborty, Srabonti; Balitanas, Maricel; Kim, Tai-Hoon

    The rapid progress of medical science and the invention of various medicines have benefited mankind and the whole civilization. Modern science also has been doing wonders in the surgical field. But, the proper and correct diagnosis of diseases is the primary necessity before the treatment. The more sophisticate the bio-instruments are, better diagnosis will be possible. The medical images plays an important role in clinical diagnosis and therapy of doctor and teaching and researching etc. Medical imaging is often thought of as a way to represent anatomical structures of the body with the help of X-ray computed tomography and magnetic resonance imaging. But often it is more useful for physiologic function rather than anatomy. With the growth of computer and image technology medical imaging has greatly influenced medical field. As the quality of medical imaging affects diagnosis the medical image processing has become a hotspot and the clinical applications wanting to store and retrieve images for future purpose needs some convenient process to store those images in details. This paper is a tutorial review of the medical image processing and repository techniques appeared in the literature.

  1. Direitos das pessoas com transtorno mental autoras de delitos The rights of criminally insane individuals

    Directory of Open Access Journals (Sweden)

    Ludmila Cerqueira Correia

    2007-09-01

    Full Text Available O Movimento pela Reforma Psiquiátrica tem subsidiado propostas de reorientação do modelo assistencial hegemônico em saúde mental. Para a assistência às pessoas com transtorno mental autoras de delitos instituiu-se o manicômio judiciário, atualmente denominado Hospital de Custódia e Tratamento Psiquiátrico (HCTP. A manutenção dessa estrutura, reconhecida como instituição total, tem reforçado a exclusão individual, limitando a reinserção social dos internos. Este artigo discute o direito à saúde nos HCTP na perspectiva dos direitos humanos. Os avanços conferidos pela Política Nacional de Saúde Mental não têm contemplado a reorientação da prática assistencial desenvolvida no âmbito do HCTP. Essa instituição tem preservado o seu caráter asilar/segregacionista, evidenciando uma tradição fundada na negação dos direitos humanos. O avanço normativo não consolida, de per si, a materialização das recentes conquistas advindas a partir da Reforma Psiquiátrica, particularmente quanto ao segmento das pessoas com transtorno mental autoras de delitos. O Estado, em co-responsabilidade com a sociedade, deve promover a efetiva reorientação do modelo de atenção à saúde dessas pessoas, cuja responsabilidade penal deverá ser reconhecida ao tempo em que se propicie o tratamento especializado. O respeito aos direitos humanos não implica a inimputabilidade.The Psychiatric Reform Movement has supported proposals to reorient the hegemonic mental health care model. In Brazil, a facility for the criminally insane was created, called the Custody and Psychiatric Treatment Hospital (CPTH. The maintenance of such a structure, known as total institutionalization, has reinforced individual exclusion, limiting the patients' social rehabilitation. This article discusses the right to health in the CPTH from a human rights perspective. The advances achieved in Brazil under the National Mental Health Policy have failed to include

  2. “Dead Souls”: Gogol’s Interpretation of the State of Insanity

    Directory of Open Access Journals (Sweden)

    Olha Chervinska

    2013-12-01

    Full Text Available Actual outline of creating the concept of literary insanity (in the aspect of poetics of dialogue, narrative, motif of duality, etc. is overviewed. The article states that in the fiction by Nicolai Gogol a graduated sequence of various states and degrees of madness is fully represented in “The Collected Petersburg Tales”. Here, this paradigm is considered to be the principle of graduation in all levels of manner as a key suggestive genre construct of “Dead Souls”. The mental isomorphism of the paradigm meaning content, associated with the peculiarities of the religious, as well as the verbal, consciousness is emphasized in the article. The author stresses that the anthropological vector of Gogol's attention is directed towards the ordinary “despicable and stupid in the life”. The ironic example of the discursive metaphor of a pendulum of history (the philosophical background of the text is the slip-in parable of Kif Mokievich and his son Mokii Kifovich. Both characters are at opposite sides of the proper. The world of human relations in “Dead Souls” is reflected in the most straightforward analogies with constant teeming world of different microscopic creatures. To give prominence to the human image Gogol refers to the colourful ontological metaphor, ultimately identifying and equating the person with ordinary fly, which in this text is a significant element of the whole hyper-realistic person-sphere. Conversion of large to small or small to large is the dimensioned game of the author’s strategy in the literal sense. In “Dead Souls” the denoted topic decisively grounds for the genre of the poem.

  3. Medication Errors - A Review

    OpenAIRE

    Vinay BC; Nikhitha MK; Patel Sunil B

    2015-01-01

    In this present review article, regarding medication errors its definition, medication error problem, types of medication errors, common causes of medication errors, monitoring medication errors, consequences of medication errors, prevention of medication error and managing medication errors have been explained neatly and legibly with proper tables which is easy to understand.

  4. String theory as a quantum theory of gravity

    International Nuclear Information System (INIS)

    Horowitz, G.T.

    1990-01-01

    First, the connection between string theory and gravity is discussed - at first sight the theory of strings seem to have nothing to do with gravity but an intimate connection is shown. Then the quantum perturbation expansion is discussed. Thirdly, string theory is considered as a classical theory of gravity and finally recent speculation about a phase of string theory which is independent of a spacetime metric is discussed. (author)

  5. STRATEGI PENINGKATAN ASET PT BPR SYARIAH HARTA INSAN KARIMAH (HIK CILEDUG

    Directory of Open Access Journals (Sweden)

    Fajri Ryan Isnandar

    2016-01-01

    Full Text Available The objectives of this study were 1 to analyze the conditions of the performance competition on the financial aspect of BPRS HIK Ciledug and the market leader in BPRS industry; 2 to identify the internal and external factors affecting the corporate development and strategic position of BPRS HIK Ciledug based on these factors; and 3 to formulate an accurate alternative strategy and a priority that can be recommended to the company in achieving its goals. Analysis of the evaluation of internal and external factors based on the components contained in the Shari'ah Maqashid and based on the components on The Porter's Five Forces. The analysis of the company's strategic position based on the market growth rate and relative market share on the internal strength was conducted by using BCG matrix (Boston Consulting Group, and the analysis on the alternative strategy formulation was conducted by using IE matrix (Internal-External Matrix, and the QSPM analysis served to determine the priority strategies to increase the assets of BPRS HIK Ciledug. The main weaknesses that should be handled is the lack of scoring systems of financing and the main opportunity is the great number of written requirements for obtaining the financing provided by its competitors. The prioritized strategies of SRB HIK Ciledug include: 1 product development strategy to create innovative products, 2 Market penetration strategy by changing the amount of share returns, 3 Market development strategy by opening new branches, and 4 Backward, forward and horizontal integration strategies by introducing products to various industries.Keywords:  strategies in increasing assets, sharia community financing bank, BPRS Harta Insan Karimah, QSPM

  6. Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior.

    Science.gov (United States)

    Ben Natan, Merav; Sharon, Ira; Mahajna, Marlen; Mahajna, Sara

    2017-11-01

    Medication errors are common among nursing students. Nonetheless, these errors are often underreported. To examine factors related to nursing students' intention to report medication errors, using the Theory of Planned Behavior, and to examine whether the theory is useful in predicting students' intention to report errors. This study has a descriptive cross-sectional design. Study population was recruited in a university and a large nursing school in central and northern Israel. A convenience sample of 250 nursing students took part in the study. The students completed a self-report questionnaire, based on the Theory of Planned Behavior. The findings indicate that students' intention to report medication errors was high. The Theory of Planned Behavior constructs explained 38% of variance in students' intention to report medication errors. The constructs of behavioral beliefs, subjective norms, and perceived behavioral control were found as affecting this intention, while the most significant factor was behavioral beliefs. The findings also reveal that students' fear of the reaction to disclosure of the error from superiors and colleagues may impede them from reporting the error. Understanding factors related to reporting medication errors is crucial to designing interventions that foster error reporting. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. The application of the Mayer multimedia learning theory to medical PowerPoint slide show presentations.

    Science.gov (United States)

    Grech, Victor

    2018-01-01

    PowerPoint™ and other slideware have the potential to be overused and abused. Presentations should be tailored using scientifically derived principles in order to maximise teaching potential. This paper applies the Mayer Multimedia Learning Theory (with its twelve evidence-based principles of multimedia design) to medical slide show presentations. The best way to avoid audience boredom or mortification is to adhere to these precepts. Presentations stand or fall on the quality, relevance, and integrity of the content. Slide shows should supplement a presentation, and not substitute for it. The key principles are brevity, cogency and clarity.

  8. Applying the cognitive theory of multimedia learning: an analysis of medical animations.

    Science.gov (United States)

    Yue, Carole; Kim, Jessie; Ogawa, Rikke; Stark, Elena; Kim, Sara

    2013-04-01

    Instructional animations play a prominent role in medical education, but the degree to which these teaching tools follow empirically established learning principles, such as those outlined in the cognitive theory of multimedia learning (CTML), is unknown. These principles provide guidelines for designing animations in a way that promotes optimal cognitive processing and facilitates learning, but the application of these learning principles in current animations has not yet been investigated. A large-scale review of existing educational tools in the context of this theoretical framework is necessary to examine if and how instructional medical animations adhere to these principles and where improvements can be made. We conducted a comprehensive review of instructional animations in the health sciences domain and examined whether these animations met the three main goals of CTML: managing essential processing; minimising extraneous processing, and facilitating generative processing. We also identified areas for pedagogical improvement. Through Google keyword searches, we identified 4455 medical animations for review. After the application of exclusion criteria, 860 animations from 20 developers were retained. We randomly sampled and reviewed 50% of the identified animations. Many animations did not follow the recommended multimedia learning principles, particularly those that support the management of essential processing. We also noted an excess of extraneous visual and auditory elements and few opportunities for learner interactivity. Many unrealised opportunities exist for improving the efficacy of animations as learning tools in medical education; instructors can look to effective examples to select or design animations that incorporate the established principles of CTML. © Blackwell Publishing Ltd 2013.

  9. Theory of hybrid dynamical systems and its applications to biological and medical systems.

    Science.gov (United States)

    Aihara, Kazuyuki; Suzuki, Hideyuki

    2010-11-13

    In this introductory article, we survey the contents of this Theme Issue. This Theme Issue deals with a fertile region of hybrid dynamical systems that are characterized by the coexistence of continuous and discrete dynamics. It is now well known that there exist many hybrid dynamical systems with discontinuities such as impact, switching, friction and sliding. The first aim of this Issue is to discuss recent developments in understanding nonlinear dynamics of hybrid dynamical systems in the two main theoretical fields of dynamical systems theory and control systems theory. A combined study of the hybrid systems dynamics in the two theoretical fields might contribute to a more comprehensive understanding of hybrid dynamical systems. In addition, mathematical modelling by hybrid dynamical systems is particularly important for understanding the nonlinear dynamics of biological and medical systems as they have many discontinuities such as threshold-triggered firing in neurons, on-off switching of gene expression by a transcription factor, division in cells and certain types of chronotherapy for prostate cancer. Hence, the second aim is to discuss recent applications of hybrid dynamical systems in biology and medicine. Thus, this Issue is not only general to serve as a survey of recent progress in hybrid systems theory but also specific to introduce interesting and stimulating applications of hybrid systems in biology and medicine. As the introduction to the topics in this Theme Issue, we provide a brief history of nonlinear dynamics and mathematical modelling, different mathematical models of hybrid dynamical systems, the relationship between dynamical systems theory and control systems theory, examples of complex behaviour in a simple neuron model and its variants, applications of hybrid dynamical systems in biology and medicine as a road map of articles in this Theme Issue and future directions of hybrid systems modelling.

  10. How Iranian Medical Trainees Approach their Responsibilities in Clinical Settings; A Grounded Theory Research

    Directory of Open Access Journals (Sweden)

    Omid Asemani

    2015-09-01

    Full Text Available Background: It seems we are now experiencing “responsibility problems” among medical trainees (MTs and some of those recently graduated from medical schools in Iran. Training responsible professionals have always been one of the main concerns of medical educators. Nevertheless, there is a dearth of research in the literature on “responsibility” especially from the medical education point of view. Therefore, the present study was carried out with the aim of presenting a theoretical based framework for understanding how MTs approach their responsibilities in educational settings. Method: This qualitative study was conducted at Shiraz University of Medical Sciences (SUMS using the grounded theory methodology. 15 MTs and 10 clinical experts and professional nurses were purposefully chosen as participants. Data was analyzed using the methodology suggested by Corbin and Strauss, 1998. Results: “Try to find acceptance toward expectations”, “try to be committed to meet the expectations” and “try to cope with unacceptable expectations” were three main categories extracted based on the research data. Abstractly, the main objective for using these processes was “to preserve the integrity of student identity” which was the core category of this research too. Moreover, it was also found that practically, “responsibility” is considerably influenced by lots of positive and negative contextual and intervening conditions. Conclusion: “Acceptance” was the most decisive variable highly effective in MTs’ responsibility. Therefore, investigating the “process of acceptance” regarding the involved contextual and intervening conditions might help medical educators correctly identify and effectively control negative factors and reinforce the constructive ones that affect the concept of responsibility in MTs.

  11. The rise and decline of character: humoral psychology in ancient and early modern medical theory.

    Science.gov (United States)

    Bos, Jacques

    2009-07-01

    Humoralism, the view that the human body is composed of a limited number of elementary fluids, is one of the most characteristic aspects of ancient medicine. The psychological dimension of humoral theory in the ancient world has thus far received a relatively small amount of scholarly attention. Medical psychology in the ancient world can only be correctly understood by relating it to psychological thought in other fields, such as ethics and rhetoric. The concept that ties these various domains together is character (êthos), which involves a view of human beings focused on clearly distinguishable psychological types that can be recognized on the basis of external signs. Psychological ideas based on humoral theory remained influential well into the early modern period. Yet, in 17th-century medicine and philosophy, humoral physiology and psychology started to lose ground to other theoretical perspectives on the mind and its relation to the body. This decline of humoralist medical psychology can be related to a broader reorientation of psychological thought in which the traditional concept of character lost its central position. Instead of the focus on types and stable character traits, a perspective emerged that was primarily concerned with individuality and transient passions.

  12. A landscape of field theories

    Energy Technology Data Exchange (ETDEWEB)

    Maxfield, Travis [Enrico Fermi Institute, University of Chicago,Chicago, IL 60637 (United States); Robbins, Daniel [George P. and Cynthia W. Mitchell Institute for Fundamental Physics and Astronomy,Texas A& M University,College Station, TX 77843-4242 (United States); Sethi, Savdeep [Enrico Fermi Institute, University of Chicago,Chicago, IL 60637 (United States)

    2016-11-28

    Studying a quantum field theory involves a choice of space-time manifold and a choice of background for any global symmetries of the theory. We argue that many more choices are possible when specifying the background. In the context of branes in string theory, the additional data corresponds to a choice of supergravity tensor fluxes. We propose the existence of a landscape of field theory backgrounds, characterized by the space-time metric, global symmetry background and a choice of tensor fluxes. As evidence for this landscape, we study the supersymmetric six-dimensional (2,0) theory compactified to two dimensions. Different choices of metric and flux give rise to distinct two-dimensional theories, which can preserve differing amounts of supersymmetry.

  13. Chameleonic Theories: A Short Review

    Directory of Open Access Journals (Sweden)

    Andrea Zanzi

    2015-12-01

    Full Text Available In the chameleon mechanism, a field (typically scalar has a mass that depends on the matter density of the environment: the larger is the matter density, the larger is the mass of the chameleon. We briefly review some aspects of chameleonic theories. In particular, in a typical class of these theories, we discuss the lagrangian, the role of conformal transformations, the equation of motion and the thin-shell effect. We also discuss f ( R theories and chameleonic quantum gravity.

  14. A book of set theory

    CERN Document Server

    Pinter, Charles C

    2014-01-01

    Suitable for upper-level undergraduates, this accessible approach to set theory poses rigorous but simple arguments. Each definition is accompanied by commentary that motivates and explains new concepts. Starting with a repetition of the familiar arguments of elementary set theory, the level of abstract thinking gradually rises for a progressive increase in complexity.A historical introduction presents a brief account of the growth of set theory, with special emphasis on problems that led to the development of the various systems of axiomatic set theory. Subsequent chapters explore classes and

  15. Game theory a nontechnical introduction

    CERN Document Server

    Davis, Morton D

    1997-01-01

    ""A lucid and penetrating development of game theory that will appeal to the intuition . . . a most valuable contribution."" - Douglas R. Hofstadter Fascinating, accessible introduction to enormously important intellectual system with numerous applications to social, economic, political problems. Newly revised edition offers overview of game theory, then lucid coverage of the two-person zero-sum game with equilibrium points; the general, two-person zero-sum game; utility theory; other topics. Problems at start of each chapter.

  16. A Medical Delivery Device

    DEFF Research Database (Denmark)

    2010-01-01

    The present invention relates to a medical delivery device comprising at least two membrane electrode assembly units each of which comprises three layers: an upper and a lower electrode and a selective ionic conductive membrane provided there-between. At least one of the three layers are shared...

  17. A seminar on graph theory

    CERN Document Server

    Harary, Frank

    2015-01-01

    Presented in 1962-63 by experts at University College, London, these lectures offer a variety of perspectives on graph theory. Although the opening chapters form a coherent body of graph theoretic concepts, this volume is not a text on the subject but rather an introduction to the extensive literature of graph theory. The seminar's topics are geared toward advanced undergraduate students of mathematics.Lectures by this volume's editor, Frank Harary, include ""Some Theorems and Concepts of Graph Theory,"" ""Topological Concepts in Graph Theory,"" ""Graphical Reconstruction,"" and other introduc

  18. A primer on string theory

    CERN Document Server

    Schomerus, Volker

    2017-01-01

    Since its conception in the 1960s, string theory has been hailed as one of the most promising routes we have to unify quantum mechanics and general relativity. This book provides a concise introduction to string theory explaining central concepts, mathematical tools and covering recent developments in physics including compactifications and gauge/string dualities. With string theory being a multidisciplinary field interfacing with high energy physics, mathematics and quantum field theory, this book is ideal for both students with no previous knowledge of the field and scholars from other disciplines who are looking for an introduction to basic concepts.

  19. Older adults' pain communication during ambulatory medical visits: an exploration of communication accommodation theory.

    Science.gov (United States)

    Hehl, Jennifer; McDonald, Deborah Dillon

    2014-06-01

    The purpose of this descriptive secondary analysis was to explore the use of Communication Accommodation Theory as a framework to examine pain communication strategies used by older adults and their primary care practitioners during medical ambulatory care visits. Ambulatory medical visits for 22 older adults with moderate or greater osteoarthritis pain were audiotaped, transcribed verbatim, and coded by two independent raters for six a priori communication strategies derived from the attuning strategies of Communication Accommodation Theory: (1) patient selecting the pain topic; (2) patient taking a turn; (3) patient maintaining focus on the pain topic; (4) practitioner using an open-ended question without social desirability to start the pain discussion; (5) practitioner encouraging the patient to take a turn by asking open-ended questions; and (6) practitioner interruptions. The majority of practitioners did not start the pain discussion with an open-ended question, but did not interrupt the older adults as they discussed their pain. Five (22.7%) of the older adults did not discuss their osteoarthritis pain during the ambulatory medical visit. The majority of patients took their turn during the pain discussion, but did not maintain focus while describing important osteoarthritis pain information to their practitioner. Practitioners might assist older adults to communicate more information about their pain by initiating the pain discussion with an open-ended pain question. Older adults might provide more pain information to their practitioner by staying on the pain topic until they have completed all of the pain information they wish to discuss with the practitioner. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

  20. Managing proposals and evaluations of updates to medical knowledge: theory and applications.

    Science.gov (United States)

    Anselma, Luca; Bottrighi, Alessio; Montani, Stefania; Terenziani, Paolo

    2013-04-01

    The process of keeping up-to-date the medical knowledge stored in relational databases is of paramount importance. Since quality and reliability of medical knowledge are essential, in many cases physicians' proposals of updates must undergo experts' evaluation before possibly becoming effective. However, until now no theoretical framework has been provided in order to cope with this phenomenon in a principled and non-ad hoc way. Indeed, such a framework is important not only in the medical domain, but in all Wikipedia-like contexts in which evaluation of update proposals is required. In this paper we propose GPVM (General Proposal Vetting Model), a general model to cope with update proposal⧹evaluation in relational databases. GPVM extends the current theory of temporal relational databases and, in particular, BCDM - Bitemporal Conceptual Data Model - "consensus" model, providing a new data model, new operations to propose and accept⧹reject updates, and new algebraic operators to query proposals. The properties of GPVM are also studied. In particular, GPVM is a consistent extension of BCDM and it is reducible to it. These properties ensure consistency with most relational temporal database frameworks, facilitating implementation on top of current frameworks and interoperability with previous approaches. Copyright © 2013 Elsevier Inc. All rights reserved.

  1. Evaluation of a theory-informed implementation intervention for the management of acute low back pain in general medical practice: the IMPLEMENT cluster randomised trial.

    Directory of Open Access Journals (Sweden)

    Simon D French

    Full Text Available INTRODUCTION: This cluster randomised trial evaluated an intervention to decrease x-ray referrals and increase giving advice to stay active for people with acute low back pain (LBP in general practice. METHODS: General practices were randomised to either access to a guideline for acute LBP (control or facilitated interactive workshops (intervention. We measured behavioural predictors (e.g. knowledge, attitudes and intentions and fear avoidance beliefs. We were unable to recruit sufficient patients to measure our original primary outcomes so we introduced other outcomes measured at the general practitioner (GP level: behavioural simulation (clinical decision about vignettes and rates of x-ray and CT-scan (medical administrative data. All those not involved in the delivery of the intervention were blinded to allocation. RESULTS: 47 practices (53 GPs were randomised to the control and 45 practices (59 GPs to the intervention. The number of GPs available for analysis at 12 months varied by outcome due to missing confounder information; a minimum of 38 GPs were available from the intervention group, and a minimum of 40 GPs from the control group. For the behavioural constructs, although effect estimates were small, the intervention group GPs had greater intention of practising consistent with the guideline for the clinical behaviour of x-ray referral. For behavioural simulation, intervention group GPs were more likely to adhere to guideline recommendations about x-ray (OR 1.76, 95%CI 1.01, 3.05 and more likely to give advice to stay active (OR 4.49, 95%CI 1.90 to 10.60. Imaging referral was not statistically significantly different between groups and the potential importance of effects was unclear; rate ratio 0.87 (95%CI 0.68, 1.10 for x-ray or CT-scan. CONCLUSIONS: The intervention led to small changes in GP intention to practice in a manner that is consistent with an evidence-based guideline, but it did not result in statistically significant

  2. Evaluation of a theory-informed implementation intervention for the management of acute low back pain in general medical practice: the IMPLEMENT cluster randomised trial.

    Science.gov (United States)

    French, Simon D; McKenzie, Joanne E; O'Connor, Denise A; Grimshaw, Jeremy M; Mortimer, Duncan; Francis, Jill J; Michie, Susan; Spike, Neil; Schattner, Peter; Kent, Peter; Buchbinder, Rachelle; Page, Matthew J; Green, Sally E

    2013-01-01

    This cluster randomised trial evaluated an intervention to decrease x-ray referrals and increase giving advice to stay active for people with acute low back pain (LBP) in general practice. General practices were randomised to either access to a guideline for acute LBP (control) or facilitated interactive workshops (intervention). We measured behavioural predictors (e.g. knowledge, attitudes and intentions) and fear avoidance beliefs. We were unable to recruit sufficient patients to measure our original primary outcomes so we introduced other outcomes measured at the general practitioner (GP) level: behavioural simulation (clinical decision about vignettes) and rates of x-ray and CT-scan (medical administrative data). All those not involved in the delivery of the intervention were blinded to allocation. 47 practices (53 GPs) were randomised to the control and 45 practices (59 GPs) to the intervention. The number of GPs available for analysis at 12 months varied by outcome due to missing confounder information; a minimum of 38 GPs were available from the intervention group, and a minimum of 40 GPs from the control group. For the behavioural constructs, although effect estimates were small, the intervention group GPs had greater intention of practising consistent with the guideline for the clinical behaviour of x-ray referral. For behavioural simulation, intervention group GPs were more likely to adhere to guideline recommendations about x-ray (OR 1.76, 95%CI 1.01, 3.05) and more likely to give advice to stay active (OR 4.49, 95%CI 1.90 to 10.60). Imaging referral was not statistically significantly different between groups and the potential importance of effects was unclear; rate ratio 0.87 (95%CI 0.68, 1.10) for x-ray or CT-scan. The intervention led to small changes in GP intention to practice in a manner that is consistent with an evidence-based guideline, but it did not result in statistically significant changes in actual behaviour. Australian New Zealand

  3. Game theory and power theory : a critical comparison

    OpenAIRE

    Balzer, Wolfgang

    1992-01-01

    Social actions can be formulated in the frame of game theory or in a frame using, and foccussing on, the notion of power. The two frames are described and clarified. The comparison of theories from these two branches are evaluated from the point of theory of science.

  4. Item response theory analysis of the Utrecht Work Engagement Scale for Students (UWES-S) using a sample of Japanese university and college students majoring medical science, nursing, and natural science.

    Science.gov (United States)

    Tsubakita, Takashi; Shimazaki, Kazuyo; Ito, Hiroshi; Kawazoe, Nobuo

    2017-10-30

    The Utrecht Work Engagement Scale for Students has been used internationally to assess students' academic engagement, but it has not been analyzed via item response theory. The purpose of this study was to conduct an item response theory analysis of the Japanese version of the Utrecht Work Engagement Scale for Students translated by authors. Using a two-parameter model and Samejima's graded response model, difficulty and discrimination parameters were estimated after confirming the factor structure of the scale. The 14 items on the scale were analyzed with a sample of 3214 university and college students majoring medical science, nursing, or natural science in Japan. The preliminary parameter estimation was conducted with the two parameter model, and indicated that three items should be removed because there were outlier parameters. Final parameter estimation was conducted using the survived 11 items, and indicated that all difficulty and discrimination parameters were acceptable. The test information curve suggested that the scale better assesses higher engagement than average engagement. The estimated parameters provide a basis for future comparative studies. The results also suggested that a 7-point Likert scale is too broad; thus, the scaling should be modified to fewer graded scaling structure.

  5. A dynamical theory of nucleation

    Science.gov (United States)

    Lutsko, James F.

    2013-05-01

    A dynamical theory of nucleation based on fluctuating hydrodynamics is described. It is developed in detail for the case of diffusion-limited nucleation appropriate to colloids and macro-molecules in solution. By incorporating fluctuations, realistic fluid-transport and realistic free energy models the theory is able to give a unified treatment of both the pre-critical development of fluctuations leading to a critical cluster as well as of post-critical growth. Standard results from classical nucleation theory are shown to follow in the weak noise limit while the generality of the theory allows for many extensions including the description of very high supersaturations (small clusters), multiple order parameters and strong-noise effects to name a few. The theory is applied to homogeneous and heterogeneous nucleation of a model globular protein in a confined volume and it is found that nucleation depends critically on the existence of long-wavelength, small-amplitude density fluctuations.

  6. Towards a Theory of Convention

    DEFF Research Database (Denmark)

    Hansen, Pelle Guldborg

    2006-01-01

    Some thirty years ago Lewis published his Convention: A philosophical Study (Lewis 1969). Besides exciting the logical community by providing the seminal analysis work on common knowledge, it also laid the foundations for the formal approach to the study of social conventions by means of game...... theory. Like for the study of common knowledge much has happened in this latter field since then. The theory of convention has been developed and extended so as to include multiple types as well as a basis for the study of social norms. However, classical game theory is currently undergoing severe crisis...... as a tool for understanding and explaining social phenomena; a crisis emerging from the problem of equilibrium selection around which any theory of convention must revolve. The so-called evolutionary turn in game theory marks a transition from the classical assumptions of rationality and common knowledge...

  7. Teorias médicas e gestão urbana: a seca de 1877-79 em Fortaleza Medical theories and urban management: Fortaleza's 1877-79 drought

    Directory of Open Access Journals (Sweden)

    Maria Clélia Lustosa Costa

    2004-04-01

    Full Text Available Ao longo do século XIX, as novas teorias médicas sobre a origem das doenças influenciaram normas e regulamentos de controle do comportamento da população e do espaço urbano. Neste trabalho, apresentam-se e discutem-se as idéias, práticas médicas e ações administrativas adotadas durante a seca de 1877-79 em Fortaleza, capital da província do Ceará. A seca foi acompanhada de uma epidemia de varíola e do aumento da migração da população sertaneja para a capital. Sem rede de serviços públicos capaz de atender à população de retirantes que se alojaram na cidade e nos arredores, a administração municipal esforçou-se para implementar recomendações dos médicos, baseadas nos modernos princípios de higienização. Demonstra-se, por meio da análise dos relatórios dos presidentes da província e dos inspetores de saúde pública, a influência daquelas teorias médicas sobre as práticas de reorganização urbana, numa situação de calamidade como o de Fortaleza em 1877.Down through the nineteenth century, new medical theories on the origin of disease influenced the norms and regulations that controlled the population's behavior and the urban space. The present study discusses the ideas, medical practices, and administrative initiatives adopted during the 1877-79 drought in Fortaleza, capital of Ceará province. The drought was accompanied by a smallpox epidemic, along with the increased migration of sertão dwellers to the capital. The city lacked a public service network capable of meeting the needs of this new population, which took up lodgings on the city and periphery. The municipal administration endeavored to implement the recommendations of physicians, based on modern principles of hygienization. Through an analysis of reports by the provincial presidents and by public health inspectors, the study intends to show how these medical theories influenced the practices of urban reorganization at a moment of public

  8. The relationship between the theory of planned behavior and medication adherence in patients with epilepsy.

    Science.gov (United States)

    Lin, Chung-Ying; Updegraff, John A; Pakpour, Amir H

    2016-08-01

    The aim of this study was to apply the theory of planned behavior (TPB) with two other factors (action planning and coping planning) to the medication adherence of adults with epilepsy. We measured the elements of the theory of planned behavior (attitude, subjective norm, perceived behavioral control, and behavioral intention), action planning, and coping planning at baseline among adults with epilepsy (n=567, mean±SD age=38.37±6.71years, male=48.5%). Medication adherence was measured using the Medication Adherence Report Scale (MARS) and antiepileptic serum level at the 24-month follow-up. Structural equation modeling (SEM) examined three models relating TPB elements to medication adherence. Three SEM models all had satisfactory fit indices. Moreover, attitude, subjective norms, perceived behavioral control, and intention together explained more than 50% of the variance for medication adherence measured using MARS. The explained variance increased to 61.8% when coping planning and action planning were included in the model, with coping planning having greater association than action planning. In addition, MARS explained 3 to 5% of the objective serum level. The theory of planned behavior is useful in understanding medication adherence in adults with epilepsy, and future interventions may benefit by improving such beliefs as well as beliefs about coping planning. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial

    Directory of Open Access Journals (Sweden)

    Rajalakshmi Lakshman

    2014-01-01

    Full Text Available Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients and healthcare professionals (intervention deliverers to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial.

  10. Teoría feminista y sociología médica: bases para una discusión Feminist theory and medical sociology: issues for discussion

    Directory of Open Access Journals (Sweden)

    Roberto P. Castro

    1993-09-01

    Full Text Available Se analiza la contribución de la teoría feminista a la sociología médica. En la primera parte se desarrollan los conceptos feministas más importantes: patriarcado, género, y sistema sexo/género. Se señala que cada concepto aclara aspectos sociales que han sido descuidados, aunque se reconoce que el concepto de patriarcado requiere aún de mayor desarrollo teórico. En la segunda parte se discuten los intentos del feminismo para desarrollar un nuevo conocimiento. Se discuten las ventajas de una ciencia feminista que problematice la dominación de género - que la ciencia común da por hecho -, y que permitiría una aproximación novedosa a la realidad social. Se enfatiza en la importancia de distinguir entre sexo y género, el aporte reciente de mayor relevancia para comprender la noción de ciencia feminista. Se señalan algunas de las aportaciones epistemológicas y metodológicas feministas. La tercera parte analiza las contribuciones más importantes de la teoría feminista en el campo de la sociología médica. Se indica como una de ellas a la problematización de los conceptos de "salud" y "enfermedad", así como la demostración de que son conceptos socialmente construidos como producto del orden patriarcal prevaleciente. Finalmente, se ilustra cómo el acercamiento feminista es útil para cuestionar las nociones y prácticas medicas, las que se basan en en la dominación de género y la reproducen.The contribution of feminist theory to medical sociology is analyzed. The first part discusses the main feminist concepts: patriarchy, gender, and sex/gender system. The article points out that such concepts illuminate social aspects that have been neglected. It is acknowledged that the concept of patriarchy requires further theoretical development. The second part discusses the feminist attempt to develop new knowledge. A "Feminist Science" would problematize gender domination, which current science takes for granted, and would allow

  11. Towards a quantum theory without 'quantization'

    International Nuclear Information System (INIS)

    Deutsch, D.; Texas Univ., Austin

    1984-01-01

    The paper argues the case for a quantum formulism without a reference to classical theory, in order to make progress with quantum theory. Quantum theory without classical theory; some elaboration of the pure quantum theory; and perturbation theory and the correspondence principle; are all discussed. (U.K.)

  12. Implementation of multiple intelligences theory in the English language course syllabus at the University of Nis Medical School.

    Science.gov (United States)

    Bakić-Mirić, Natasa

    2010-01-01

    Theory of multiple intelligences (MI) is considered an innovation in learning the English language because it helps students develop all eight intelligences that, on the other hand, represent ways people understand the world around them, solve problems and learn. They are: verbal/linguistic, logical/mathematical, visual/spatial, bodily/kinaesthetic, musical/rhythmic, interpersonal, intrapersonal and naturalist. Also, by focusing on the problem-solving activities, teachers, by implementing theory of multiple intelligences, encourage students not only to build their existing language knowledge but also learn new content and skills. The objective of this study has been to determine the importance of implementation of the theory of multiple intelligences in the English language course syllabus at the University of Nis Medical School. Ways in which the theory of multiple intelligences has been implemented in the English language course syllabus particularly in one lecture for junior year students of pharmacy in the University of Nis Medical School. The English language final exam results from February 2009 when compared with the final exam results from June 2007 prior to the implementation of MI theory showed the following: out of 80 junior year students of pharmacy, 40 obtained grade 10 (outstanding), 16 obtained grade 9 (excellent), 11 obtained grade 8 (very good), 4 obtained grade 7 (good) and 9 obtained grade 6 (pass). No student failed. The implementation of the theory of multiple intelligences in the English language course syllabus at the University of Nis Medical School has had a positive impact on learning the English language and has increased students' interest in language learning. Genarally speaking, this theory offers better understanding of students' intelligence and greater appreciation of their strengths. It provides numerous opportunities for students to use and develop all eight intelligences not just the few they excel in prior to enrolling in a

  13. The shadow, the tyrant and the insane: the east and west dualism in the visual journalism

    Directory of Open Access Journals (Sweden)

    Alberto Klein

    2014-07-01

    Full Text Available This paper explores the East and West dualism considering three images: the shadow, the tyrant and the insane, respectively linked to Osama Bin Laden, Saddam Hussein and Mahmoud Ahmadinejad. These representations, given their occurrence in the media, appear as stereotypes in the visual journalism, being in total opposition to western values, such as illuminism, democracy and reason. From the perspective of the concept of Orientalism, the text also analyzes semiotic procedures which constitute the process of demonization, according to the contribuitions of Ivan Bystrina, Gilbert Durand and Stuart Clark.

  14. [Medical science and the human image--on the theory of medical tasks].

    Science.gov (United States)

    Jenny, S

    1993-06-22

    Our science-determined medicine interprets the non-individual partial aspects of disease that are approachable by causal analytical thought; therefore, it becomes only then an art of healing when it is complemented by medical craftsmanship and philosophic reflection. Naturopathy perceives the individual as an open self-regulatory system whose innumerable mechanisms and strategies for maintenance of integrity have to be supported. In medical practise both concepts have always to be available concomitantly and and in equal rights, not only for repair of lesions but also for real healing.

  15. The hyperreality of clinical ethics: a unitary theory and hermeneutics.

    Science.gov (United States)

    Ten Have, H

    1994-06-01

    Medical ethics nowadays is dominated by a conception of ethics as the application of moral theories and principles. This conception is criticized for its depreciation of the internal morality of medical practice and its narrow view of external morality. This view reflects both a lack of interest in the empirical realities of medicine and a neglect of the socio-cultural value-contexts of medical ethical issues, including the creative development of a broader philosophical framework for a practicable medical ethics. Several alternative approaches and conceptions have been proposed. The unified clinical ethics theory, developed by Graber and Thomasma, is an interesting attempt to synthesize these alternative approaches. It correctly identifies as the crucial problem the present disconnectedness of medical ethics from theoretical philosophy as well as the practice of medicine. In this paper, however, it is argued that the unitary theory should take more serious attention to the hermeneutic character of medicine as well as ethics. This implies that the unitary theory must in fact transform itself into an interpretive clinical ethics theory. The theoretical characteristics and practical consequences of an interpretive theory of medical ethics are discussed in the present paper.

  16. The theory of loss of chance in medical liability applied within Brazilian jurisprudence.

    Science.gov (United States)

    Beraldo, Anna de Moraes Salles; Pereira, Paula Moura Francesconi de Lemos

    2012-06-01

    The loss of chance doctrine arose in order to ensure full recovery of damages for the victims of medical negligence. In the doctor-patient relationship, the doctor performance may harm the patient in many different ways, giving rise to a range of injuries of different nature, including the injury caused by loss of the chance of cure or survival, which directly affects the patients' lives and health. Although this theory is not found in any enacted Brazilian law, and despite the resistance to its implementation due to the difficulty of its measurement and the calculation of the monetary damages, a gradual advancement in the application of the concept has been observed in recent years, showing that the Right to protect the dignity of the human person has been increasingly witnessed in Brazilian Courts.

  17. Obesity: Prevalence, Theories, Medical Consequences, Management, and Research Directions

    Directory of Open Access Journals (Sweden)

    Nassar Erika

    2005-12-01

    Full Text Available Abstract Obesity and its associated disorders are a growing epidemic across the world. Many genetic, physiological, and behavioral factors play a role in the etiology of obesity. Diet and exercise are known to play a valuable role in the treatment and prevention of obesity and associated disorders such as hypertension, heart disease, and diabetes. Therefore, the purpose of this review is to examine the prevalence, etiology, consequences, and treatment of obesity.

  18. Cultural modes of comprehending and healing insanity: the Yaka of ...

    African Journals Online (AJOL)

    The statuettes enact a cosmogony in which the patient is intimately involved throughout. In this, the patient is led into an ontogenetic passage from a fusional and primal state towards a particular and sexualised identity, one with precise contours and situated within a social hierarchy and a historicity of generations and of ...

  19. The sunspot theory of schizophrenia: further evidence, a change of mechanism, and a strategy for the elimination of the disorder.

    Science.gov (United States)

    Richardson-Andrews, R C

    2009-01-01

    The Gestational Zinc Deficiency Theory suggests that the schizophrenia is caused by a spectrum of damage, produced in utero, to zinc dependent fetal organs such as the brain, pancreas, pineal, testes etc. One problem encountered by the theory is how such deficiency could occur given that the disorder is fairly uniformly distributed across the planet. The original explanation, that seasonal variation in zinc availability was responsible is unconvincing and a search for clues led to an investigation of the Recency Theory which argues that schizophrenia was unknown before 1750 and that an "epidemic of insanity" began around 1780 and stabilized around 1900. The Sunspot Theory arose from the realization that Juckett and Rosenberg's finding of a strong correlation between solar activity and longevity might, with some modification, explain both changes in the incidence of the disorder and the origin of the maternal zinc deficiency. The twenty year shift required to give optimal correlation was explained by these authors as being caused by ionizing radiation induced changes to developing fetal germinal cells. In the sunspot theory it was suggested that the correlation between solar activity and schizophrenia incidence was due to changes in maternal zinc metabolism following microwave induced stress. In this article it will be shown that that mechanism was incorrect. A far better explanation is provided by assuming that geomagnetic field induced loss of pineal activity in the mother during pregnancy permanently affects pineal entrainment in the fetus. In addition it is shown that the loss of correlation between solar activity and longevity during the 1800 to 1830 period identified by Juckett and Rosenberg explains a hitherto inexplicable decline, between 1877 and 1887, in the rising graph of schizophrenia incidence. Finally, the hypothesis, if correct suggests that a strategy based on zinc and melatonin supplements given to at risk parents may go some way to eliminating the

  20. The Singleton case: enforcing medical treatment to put a person to death.

    Science.gov (United States)

    Garasic, Mirko Daniel

    2013-11-01

    In October 2003 the Supreme Court of the United States allowed Arkansas officials to force Charles Laverne Singleton, a schizophrenic prisoner convicted of murder, to take drugs that would render him sane enough to be executed. On January 6 2004 he was killed by lethal injection, raising many ethical questions. By reference to the Singleton case, this article will analyse in both moral and legal terms the controversial justifications of the enforced medical treatment of death-row inmates. Starting with a description of the Singleton case, I will highlight the prima facie reasons for which this case is problematic and merits attention. Next, I will consider the justification of punishment in Western society and, in that context, the evolution of the notion of insanity in the assessment of criminal responsibility during the past two centuries, both in the US and the UK. In doing so, I will take into account the moral justification used to enforce treatment, looking at the conflict between the prisoner's right to treatment and his right to refuse medication where not justified by outcomes that can be reasonably expected to be positive for the individual. Finally, in contrast with some retributivist arguments in favour of enforced treatment to enable execution, I will propose a possible alternative, necessary if we are to consistently uphold the notion of autonomy.

  1. Political strategy, business strategy, and the academic medical center: linking theory and practice.

    Science.gov (United States)

    Souba, W W; Weitekamp, M R; Mahon, J F

    2001-09-01

    The purpose of this paper is to link external political strategy theory to a specific health care setting-that of the academic medical center (AMC). Political strategy encompasses those activities undertaken by AMCs to acquire, develop, and use power (clout, influence, and credibility) to gain an advantage in situations of conflict. It should be differentiated from internal politics, a topic that will not be dealt with in this review. Political strategy should also be distinguished from but not divorced from competitive strategy. As political and social action can change the competitive landscape and the rules of competition, AMCs must become adept in issues management and stakeholder management. The focus on political strategy is a reflection of the enormous changes in the external environment that have impacted AMCs in recent years. These changes have often emerged out of political and social action and they impact significantly on the organization's more traditional business strategies. We suggest that a tighter alignment between political and business strategies in the future will help ensure organizational survival and success. This article reviews the literature and theory in corporate political strategy and illustrates the application of political strategy with examples of issues and problems faced by AMCs. Models of political strategy are well crafted, and this article concludes with succinct observations on the use of political strategies to enhance the business-based strategies of AMCs. Although the focus is on AMCs, the use of political strategies is applicable to any health care institution. Copyright 2001 Academic Press.

  2. A Narrative Theory of Games

    DEFF Research Database (Denmark)

    Aarseth, Espen

    2012-01-01

    In this article I present a narrative theory of games, building on standard narra-tology, as a solution to the conundrum that has haunted computer game studies from the start: How to approach software that combines games and stories?......In this article I present a narrative theory of games, building on standard narra-tology, as a solution to the conundrum that has haunted computer game studies from the start: How to approach software that combines games and stories?...

  3. Searching for a connection between matroid theory and string theory

    International Nuclear Information System (INIS)

    Nieto, J.A.

    2004-01-01

    We make a number of observations about matter-ghost string phase, which may eventually lead to a formal connection between matroid theory and string theory. In particular, in order to take advantage of the already established connection between matroid theory and Chern-Simons theory, we propose a generalization of string theory in terms of some kind of Kahler metric. We show that this generalization is closely related to the Kahler-Chern-Simons action due to Nair and Schiff. In addition, we discuss matroid/string connection via matroid bundles and a Schild type action, and we add new information about the relationship between matroid theory, D=11 supergravity and Chern-Simons formalism

  4. A unique theory of all forces

    International Nuclear Information System (INIS)

    Di Vecchia, Paolo

    1997-01-01

    In discussing the construction of a consistent theory of quantum gravity unified with the gauge interactions we are naturally led to a string theory. We review its properties and the five consistent supersymmetric string theories in ten dimensions. We finally discuss the evidence that these theories are actually special limits of a unique 11-dimensional theory, called M-theory, and a recent conjecture for its explicit formulation as a supersymmetric Matrix theory

  5. A Reliability Theory of Truth

    OpenAIRE

    Schlechta, Karl

    2018-01-01

    Our approach is basically a coherence approach, but we avoid the well-known pitfalls of coherence theories of truth. Consistency is replaced by reliability, which expresses support and attack, and, in principle, every theory (or agent, message) counts. At the same time, we do not require a priviledged access to " reality ". A centerpiece of our approach is that we attribute reliability also to agents, messages, etc., so an unreliable source of information will be less important in future. Our...

  6. Potential application of item-response theory to interpretation of medical codes in electronic patient records

    Directory of Open Access Journals (Sweden)

    Dregan Alex

    2011-12-01

    Full Text Available Abstract Background Electronic patient records are generally coded using extensive sets of codes but the significance of the utilisation of individual codes may be unclear. Item response theory (IRT models are used to characterise the psychometric properties of items included in tests and questionnaires. This study asked whether the properties of medical codes in electronic patient records may be characterised through the application of item response theory models. Methods Data were provided by a cohort of 47,845 participants from 414 family practices in the UK General Practice Research Database (GPRD with a first stroke between 1997 and 2006. Each eligible stroke code, out of a set of 202 OXMIS and Read codes, was coded as either recorded or not recorded for each participant. A two parameter IRT model was fitted using marginal maximum likelihood estimation. Estimated parameters from the model were considered to characterise each code with respect to the latent trait of stroke diagnosis. The location parameter is referred to as a calibration parameter, while the slope parameter is referred to as a discrimination parameter. Results There were 79,874 stroke code occurrences available for analysis. Utilisation of codes varied between family practices with intraclass correlation coefficients of up to 0.25 for the most frequently used codes. IRT analyses were restricted to 110 Read codes. Calibration and discrimination parameters were estimated for 77 (70% codes that were endorsed for 1,942 stroke patients. Parameters were not estimated for the remaining more frequently used codes. Discrimination parameter values ranged from 0.67 to 2.78, while calibration parameters values ranged from 4.47 to 11.58. The two parameter model gave a better fit to the data than either the one- or three-parameter models. However, high chi-square values for about a fifth of the stroke codes were suggestive of poor item fit. Conclusion The application of item response

  7. Insanity: Four Decades of U.S. Counterdrug Strategy

    Science.gov (United States)

    2012-04-01

    trafficker assets, and bail restrictions for major offenders . FY $ Supply Reduction (Millions) $ Demand Reduction (Millions) % 197881...irresponsible. George W. Bush187 20 During the presidential election campaign, Governor George W. Bush called teen drug statistics ―one of the... offenders and a concentrated international effort to combat violent criminal organizations rather than nonviolent, low-level offenders .252 These

  8. Becoming a medical marijuana user.

    Science.gov (United States)

    Lankenau, Stephen E; Kioumarsi, Avat; Reed, Megan; McNeeley, Miles; Iverson, Ellen; Wong, Carolyn F

    2018-02-01

    Since marijuana became legal for medical use in California in 1996, reasons for medical use among medical marijuana patients (MMP) have become increasingly well described in qualitative studies. However, few studies have detailed how the use of marijuana for medical purposes fits into the broader career trajectories of either becoming a marijuana user or becoming a MMP, including the social influences on medical use. Young adult MMP (N=40) aged 18 to 26 years old were recruited in Los Angeles, CA in 2014-15 and administered a semi-structured interview that included questions focusing on marijuana use practices before and after becoming MMP. MMP were categorized into three trajectory groups: primarily medical users (n=30); primarily non-medical users (n=3); and medical users who transitioned to non-medical users (n=7). Most medical users discovered medicinal effects from marijuana in the context of non-medical use as adolescents prior to becoming MMP. Becoming a mature MMP followed interactions with dispensary staff or further self-exploration of medical uses and often involved a social process that helped confirm the legitimacy of medical use and identity as a medical user. In some cases, MMP transitioned back to non-medical users as health conditions improved or remained primarily non-medical users even after becoming MMP for reasons unrelated to health, e.g., protection against arrest. Becoming a medical marijuana user was an important career trajectory that was influenced by early discoveries of effective medicinal use, interaction with proponents of medical use at dispensaries, experiences with new kinds of medical use, and the demands of particular health condition requiring more or less treatment with marijuana. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Integrating professionalism in early medical education: the theory and application of reflective practice in the anatomy curriculum.

    Science.gov (United States)

    Lachman, Nirusha; Pawlina, Wojciech

    2006-07-01

    Renewed emphases on teaching professionalism require physicians to develop the ability to critically reflect upon their own decisions. Innovative programs that address teaching professionalism within medical curricula have been implemented in almost all medical schools. The foundation for many of these programs is "reflection," which is regarded as a core skill in professional competence. In order to achieve the desired outcomes and meet the demands of a required curriculum, an understanding of educational concepts in the designing of medical curricula is essential. Educators recognize that, for most medical students, professional growth is initiated during the first year of the medical curriculum and, therefore, traditionally pure content delivery courses such as first year anatomy course are being utilized now in order to explore issues related to critical thinking and professionalism. As a result, learning strategies such as "reflective practice" are beginning to play an important role in curriculum design. This article provides an overview of the theory of reflective practice, and demonstrates how reflective practice may be integrated into the anatomy curriculum. In order to incorporate reflective exercises into a curriculum, the basic elements of a reflective process are defined, strategies to implement reflective exercises within the course are described, and the benefits of reflective practice are highlighted. Therefore, in creating an environment that fosters reflective learning, the gap between theory and practice may be consolidated, which in the context of anatomy promotes the issue of teaching for relevance and clinical application. Copyright (c) 2006 Wiley-Liss, Inc.

  10. Intention to Drive After Drinking Among Medical Students: Contributions of the Protection Motivation Theory.

    Science.gov (United States)

    Amaral, Ricardo Abrantes; Malbergier, André; Lima, Danielle Ruiz; Santos, Verena Castellani Vitor; Gorenstein, Clarice; Andrade, Arthur Guerra de

    The aim of this study was to investigate whether cognitive variables proposed by the protection motivation theory (PMT) were predictive of occasional and frequent intention to drive after drinking in medical students. One hundred fifty-five students attending preclinical years at a Medical School in São Paulo, Brazil, participated in the study. They were asked about their last month substance use, history of drinking and driving, including driving after binge drinking, and risk perceptions based on a self-report questionnaire with statements about protection motivation, threat, and coping appraisals from the PMT model. Fifty-two students (33%) had previous experience of driving after drinking during the last year, and 54 students (35%) reported intention to drive after drinking within the next year. Regression analysis showed that higher scores in perception of personal vulnerability to risks were associated with occasional and frequent intention to continue pursuing this particular behavior. Poorer evaluations about short-term consequences of alcohol consumption and cognitions regarding external rewards were significantly associated with reported intention to continue driving after drinking. Considering the social and health impact of alcohol-impaired behaviors, our findings suggest the need of interventional efforts focused in increasing students' awareness about the negative consequences of drinking and driving aiming to enhance their motivation towards more adaptive behaviors.

  11. Fuzzy trace theory and medical decisions by minors: differences in reasoning between adolescents and adults.

    Science.gov (United States)

    Wilhelms, Evan A; Reyna, Valerie F

    2013-06-01

    Standard models of adolescent risk taking posit that the cognitive abilities of adolescents and adults are equivalent, and that increases in risk taking that occur during adolescence are the result of socio emotional differences in impulsivity, sensation seeking, and lack of self-control. Fuzzy-trace theory incorporates these socio emotional differences. However, it predicts that there are also cognitive differences between adolescents and adults, specifically that there are developmental increases in gist-based intuition that reflects understanding. Gist understanding, as opposed to verbatim-based analysis, generally has been hypothesized to have a protective effect on risk taking in adolescence. Gist understanding is also an essential element of informed consent regarding risks in medical decision- making. Evidence thus supports the argument that adolescents' status as mature minors should be treated as an exception rather than a presumption, because accuracy in verbatim analysis is not mature gist understanding. Use of the exception should be accompanied by medical experts' input on the bottom-line gist of risks involved in treatment.

  12. A Theory of Capital Rationing

    OpenAIRE

    Jan Toporowski

    2010-01-01

    This paper revisits some of the issues originally put forward by the author as the theory of capital market inflation, in the book The End of Finance (Toporowski 2000). The paper makes much clearer the key assumptions and relationships between the operations of the capital market dominated by institutional investors, and the balance sheets of companies. In this way, it presents a theory of how macroeconomic dynamics may be affected by disequilibrium in the capital market.

  13. Prediction of pharmacist intention to provide medication disposal education using the theory of planned behaviour.

    Science.gov (United States)

    Tai, Bik-Wai Bilvick; Hata, Micah; Wu, Stephanie; Frausto, Sonya; Law, Anandi V

    2016-10-01

    Lack of familiarity with proper medication disposal options among patients can lead to personal and environmental safety concerns, besides signalling non-adherence. Given that community pharmacists are in a position to educate patients, this study assessed community pharmacists' knowledge on medication disposal and examined the utility of the theory of planned behaviour (TPB) in predicting their intention to provide medication disposal education to their patients. A cross-sectional, self-administered survey was distributed to community pharmacists in California. Descriptive statistics were reported for all survey items. Cronbach's alpha and Pearson correlation were used to determine the reliability for the four TPB constructs (attitude, subjective norm, perceived behavioural control and intention). Multiple linear regressions were performed to predict intent using the other three TPB constructs. Pharmacists (n = 142) demonstrated a positive intention to provide education (mean = 5.91 ± 1.22; range: 2 to 8), but most (67.9%) provided this information once a month or less. Attitude (β = 0.266, P = 0.001), subjective norm (β = 0.333, P < 0.001) and perceived behavioural control (β = 0.211, P = 0.009) were significant predictors of intention, accounting for 40.8% of the variance in intention to provide disposal education. Scale reliability ranged from 0.596 to 0.619 for the four constructs. Few pharmacists accurately selected all of the appropriate recommendations of disposal for non-controlled and controlled substances (15.9% and 10.1%, respectively). Pharmacists showed favourable attitude, subjective norm, perceived behaviour control and intention in providing such education. However, their knowledge in this area may be lacking and they are not consistently providing this information to their patients. © 2016 John Wiley & Sons, Ltd.

  14. Putting a Realistic Theory of Mind into Agency Theory

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul; Stea, Diego

    2014-01-01

    concerning other such content. More realistically, individuals have some limited access to the minds of others. We explore the implications for classical agency theory of realistic assumptions regarding the human potential for interpersonal sensemaking. We discuss implications for the design and management......Agency theory is one of the most important foundational theories in management research, but it rests on contestable cognitive assumptions. Specifically, the principal is assumed to hold a perfect (correct) theory regarding some of the content of the agent's mind, while he is entirely ignorant...

  15. Grounded theory: building a middle-range theory in nursing

    Directory of Open Access Journals (Sweden)

    Maria João Fernandes

    2015-03-01

    Full Text Available The development of nursing as a discipline results from a boom of investigations underway for nearly a century, and of the construction of theories that have arisen during the 1950’s, with greater relevance since the 1960’s. Giving continuation to the production of knowledge in nursing and seeking to contribute to the increase in the number of explanatory theories of the functional content of nurses, there is interest in answering the question: how can a middle-range theory in nursing be built that explains the nurse-elderly interaction in a successful aging process? As well, we address the goal of describing the process of building a middle-range theory in nursing. Middle-range theory refers to a qualitative paradigm study of inductive thinking, developed in the context of primary health care. The information was collected through participant observation and interviews. Method of analysis grounded theory by Corbin and Strauss(1 was followed, utilizing the triangulation of data and theoretical sampling. Grounded theory has become a method of analysis which facilitates the understanding and explanation of the phenomenon under study. By making clear the nature and process of the nurse-elderly interaction in the selected context and within the context of successful aging, a middle-range theory proposal emerged.

  16. A succession of theories: purging redundancy from disturbance theory.

    Science.gov (United States)

    Pulsford, Stephanie A; Lindenmayer, David B; Driscoll, Don A

    2016-02-01

    The topics of succession and post-disturbance ecosystem recovery have a long and convoluted history. There is extensive redundancy within this body of theory, which has resulted in confusion, and the links among theories have not been adequately drawn. This review aims to distil the unique ideas from the array of theory related to ecosystem change in response to disturbance. This will help to reduce redundancy, and improve communication and understanding between researchers. We first outline the broad range of concepts that have developed over the past century to describe community change in response to disturbance. The body of work spans overlapping succession concepts presented by Clements in 1916, Egler in 1954, and Connell and Slatyer in 1977. Other theories describing community change include state and transition models, biological legacy theory, and the application of functional traits to predict responses to disturbance. Second, we identify areas of overlap of these theories, in addition to highlighting the conceptual and taxonomic limitations of each. In aligning each of these theories with one another, the limited scope and relative inflexibility of some theories becomes apparent, and redundancy becomes explicit. We identify a set of unique concepts to describe the range of mechanisms driving ecosystem responses to disturbance. We present a schematic model of our proposed synthesis which brings together the range of unique mechanisms that were identified in our review. The model describes five main mechanisms of transition away from a post-disturbance community: (i) pulse events with rapid state shifts; (ii) stochastic community drift; (iii) facilitation; (iv) competition; and (v) the influence of the initial composition of a post-disturbance community. In addition, stabilising processes such as biological legacies, inhibition or continuing disturbance may prevent a transition between community types. Integrating these six mechanisms with the functional

  17. Asylums for the insane in the cinema: the representation of mental institutions and their procedures on the wide screen

    Directory of Open Access Journals (Sweden)

    Beatriz Vera Poseck

    2008-10-01

    Full Text Available Mental institutions have always attracted the cinema as scenarios and they have nearly always appeared in a very negative and pessimistic light. Proof of this is that in horror movies they have often been used to represent ghastly, spooky places, possessed by terrible occult forces.             The view offered by the cinema of mental institutions has undoubtedly influenced the perception of the public at large of these places, considered centres of reclusion where not only do the staff fail to cure the patients but these are further damaged and alienated. Although it is true that for centuries this was the reality of psychiatric hospitals, it is also true that the situation began to change –quite radically in fact- several decades ago. Nevertheless, the cinema continues to offer the image typical of asylums for the insane a hundred years ago.             Here we offer an overview of the reality of mental institutions, together with an exploration of how movie directors, since the dawn of the cinema, depict them as a basis for their work.

  18. MULTIMODAL MEDICAL CASE RETRIEVAL USING BAYESIAN NETWORKS AND THE DEZERT-SMARANDACHE THEORY

    OpenAIRE

    G. Quellec; M. Lamard; L. Bekri; G. Cazuguel; C. Roux; B. Cochener

    2015-01-01

    In this paper, we present a Case Based Reasoning (CBR) system for the retrieval of medical cases made up of a series of images with semantic information (such as the patient age, sex and medical history).

  19. String Theory in a Nutshell

    International Nuclear Information System (INIS)

    Skenderis, Kostas

    2007-01-01

    The book 'String Theory in a Nutshell' by Elias Kiritsis provides a comprehensive introduction to modern string theory. String theory is the leading candidate for a theory that successfully unifies all fundamental forces of nature, including gravity. The subject has been continuously developing since the early 1970s, with classic textbooks on the subject being those of Green, Schwarz and Witten (1987) and Polchinski (1998). Since the latter was published there have been substantial developments, in particular in understanding black holes and gravity/gauge theory dualities. A textbook treatment of this important material is clearly needed, both by students and researchers in string theory and by mathematicians and physicists working in related fields. This book has a good selection of material, starting from basics and moving into classic and modern topics. In particular, Kiritsis' presentation of the basic material is complementary to that of the earlier textbooks and he includes a number of topics which are not easily found or covered adequately elsewhere, for example, loop corrections to string effective couplings. Overall the book nicely covers the major advances of the last ten years, including (non-perturbative) string dualities, black hole physics, AdS/CFT and matrix models. It provides a concise but fairly complete introduction to these subjects which can be used both by students and by researchers. Moreover the emphasis is on results that are reasonably established, as is appropriate for a textbook; concise summaries are given for subjects which are still in flux, with references to relevant reviews and papers. A positive feature of the book is that the bibliography sections at the end of each chapter provide a comprehensive guide to the literature. The bibliographies point to reviews and pedagogical papers on subjects covered in this book as well as those that were omitted. It is rare for a textbook to contain such a self-contained and detailed guide to

  20. String Theory in a Nutshell

    Energy Technology Data Exchange (ETDEWEB)

    Skenderis, Kostas [Institute of Theoretical Physics, Universiteit van Amsterdam, Valckenierstraat 65, NL-1018 XE Amsterdam (Netherlands)

    2007-11-21

    The book 'String Theory in a Nutshell' by Elias Kiritsis provides a comprehensive introduction to modern string theory. String theory is the leading candidate for a theory that successfully unifies all fundamental forces of nature, including gravity. The subject has been continuously developing since the early 1970s, with classic textbooks on the subject being those of Green, Schwarz and Witten (1987) and Polchinski (1998). Since the latter was published there have been substantial developments, in particular in understanding black holes and gravity/gauge theory dualities. A textbook treatment of this important material is clearly needed, both by students and researchers in string theory and by mathematicians and physicists working in related fields. This book has a good selection of material, starting from basics and moving into classic and modern topics. In particular, Kiritsis' presentation of the basic material is complementary to that of the earlier textbooks and he includes a number of topics which are not easily found or covered adequately elsewhere, for example, loop corrections to string effective couplings. Overall the book nicely covers the major advances of the last ten years, including (non-perturbative) string dualities, black hole physics, AdS/CFT and matrix models. It provides a concise but fairly complete introduction to these subjects which can be used both by students and by researchers. Moreover the emphasis is on results that are reasonably established, as is appropriate for a textbook; concise summaries are given for subjects which are still in flux, with references to relevant reviews and papers. A positive feature of the book is that the bibliography sections at the end of each chapter provide a comprehensive guide to the literature. The bibliographies point to reviews and pedagogical papers on subjects covered in this book as well as those that were omitted. It is rare for a textbook to contain such a self-contained and

  1. A survey of hidden-variables theories

    CERN Document Server

    Belinfante, F J

    1973-01-01

    A Survey of Hidden-Variables Theories is a three-part book on the hidden-variable theories, referred in this book as """"theories of the first kind"""". Part I reviews the motives in developing different types of hidden-variables theories. The quest for determinism led to theories of the first kind; the quest for theories that look like causal theories when applied to spatially separated systems that interacted in the past led to theories of the second kind. Parts II and III further describe the theories of the first kind and second kind, respectively. This book is written to make the literat

  2. A course in field theory

    CERN Document Server

    Baal, Pierre Van

    2014-01-01

    ""… a pleasant novelty that manages the impossible: a full course in field theory from a derivation of the Dirac equation to the standard electroweak theory in less than 200 pages. Moreover, the final chapter consists of a careful selection of assorted problems, which are original and either anticipate or detail some of the topics discussed in the bulk of the chapters. Instead of building a treatise out of a collection of lecture notes, the author took the complementary approach and constructed a course out of a number of well-known and classic treatises. The result is fresh and useful. … the

  3. A Developmental Test of Mertonian Anomie Theory.

    Science.gov (United States)

    Menard, Scott

    1995-01-01

    Carefully reviewed Merton's writings on anomie theory to construct a more complete and rigorous test of the theory for respondents in early, middle, and late adolescence. Concluded that misspecified models of strain theory have underestimated the predictive power of strain theory in general and of anomie theory in particular. (JBJ)

  4. Web life: Just A Theory

    Science.gov (United States)

    2010-04-01

    After a few months of physics videos, amateur science sites and educational games, the website we are highlighting in this month's column is a straightforward blog. Just A Theory was started in 2008 by freelance science journalist Jacob Aron while he was studying for a Master's degree in science communication at Imperial College London. The blog's title, Aron explains, reflects a popular misconception that scientific theories are "dreamed up by mad scientists in laboratories somewhere" rather than well-crafted explanations based on observations and experiments. To combat this impression, the site aims to highlight good and bad science coverage in the mainstream media, and to provide original commentary on current scientific events.

  5. A history of chaos theory

    Science.gov (United States)

    Oestreicher, Christian

    2007-01-01

    Whether every effect can be precisely linked to a given cause or to a list of causes has been a matter of debate for centuries, particularly during the 17th century when astronomers became capable of predicting the trajectories of planets. Recent mathematical models applied to physics have included the idea that given phenomena cannot be predicted precisely although they can be predicted to some extent in line with the chaos theory Concepts such as deterministic models, sensitivity to initial conditions, strange attractors, and fractal dimensions are inherent to the development of this theory, A few situations involving normal or abnormal endogenous rhythms in biology have been analyzed following the principles of chaos theory This is particularly the case with cardiac arrhythmias, but less so with biological clocks and circadian rhythms. PMID:17969865

  6. A course in Galois theory

    CERN Document Server

    Garling, D J H

    2000-01-01

    Galois theory is one of the most beautiful branches of mathematics. By synthesising the techniques of group theory and field theory it provides a complete answer to the problem of the solubility of polynomials by radicals: that is, the problem of determining when and how a polynomial equation can be solved by repeatedly extracting roots and using elementary algebraic operations. This textbook, based on lectures given over a period of years at Cambridge, is a detailed and thorough introduction to the subject. The work begins with an elementary discussion of groups, fields and vector spaces, and then leads the reader through such topics as rings, extension fields, ruler-and-compass constructions, to automorphisms and the Galois correspondence. By these means, the problem of the solubility of polynomials by radicals is answered; in particular it is shown that not every quintic equation can be solved by radicals. Throughout, Dr Garling presents the subject not as something closed, but as one with many application...

  7. A General Waveguide Circuit Theory.

    Science.gov (United States)

    Marks, Roger B; Williams, Dylan F

    1992-01-01

    This work generalizes and extends the classical circuit theory of electromagnetic waveguides. Unlike the conventional theory, the present formulation applies to all waveguides composed of linear, isotropic material, even those involving lossy conductors and hybrid mode fields, in a fully rigorous way. Special attention is given to distinguishing the traveling waves, constructed with respect to a well-defined characteristic impedance, from a set of pseudo-waves, defined with respect to an arbitrary reference impedance. Matrices characterizing a linear circuit are defined, and relationships among them, some newly discovered, are derived. New ramifications of reciprocity are developed. Measurement of various network parameters is given extensive treatment.

  8. A Cognitive Theory of Pretense.

    Science.gov (United States)

    Nichols, Shaun; Stich, Stephen

    2000-01-01

    Presents a theory of pretense in which pretense representations are contained in a separate mental workspace, a Possible World Box, part of the basic architecture of the human mind with several similarities to beliefs. Maintains that pretend play is motivated from a desire to act in a way that fits the description being constructed in the Possible…

  9. Birth Territory: a theory for midwifery practice.

    Science.gov (United States)

    Fahy, Kathleen M; Parratt, Jenny Anne

    2006-07-01

    The theory of Birth Territory describes, explains and predicts the relationships between the environment of the individual birth room, issues of power and control, and the way the woman experiences labour physiologically and emotionally. The theory was synthesised inductively from empirical data generated by the authors in their roles as midwives and researchers. It takes a critical post-structural feminist perspective and expands on some of the ideas of Michel Foucault. Theory synthesis was also informed by current research about the embodied self and the authors' scholarship in the fields of midwifery, human biology, sociology and psychology. In order to demonstrate the significance of the theory, it is applied to two clinical stories that both occur in hospital but are otherwise different. This analysis supports the central proposition that when midwives use 'midwifery guardianship' to create and maintain the ideal Birth Territory then the woman is most likely to give birth naturally, be satisfied with the experience and adapt with ease in the post-birth period. These benefits together with the reduction in medical interventions also benefit the baby. In addition, a positive Birth Territory is posited to have a broader impact on the woman's partner, family and society in general.

  10. A theory of human error

    Science.gov (United States)

    Mcruer, D. T.; Clement, W. F.; Allen, R. W.

    1981-01-01

    Human errors tend to be treated in terms of clinical and anecdotal descriptions, from which remedial measures are difficult to derive. Correction of the sources of human error requires an attempt to reconstruct underlying and contributing causes of error from the circumstantial causes cited in official investigative reports. A comprehensive analytical theory of the cause-effect relationships governing propagation of human error is indispensable to a reconstruction of the underlying and contributing causes. A validated analytical theory of the input-output behavior of human operators involving manual control, communication, supervisory, and monitoring tasks which are relevant to aviation, maritime, automotive, and process control operations is highlighted. This theory of behavior, both appropriate and inappropriate, provides an insightful basis for investigating, classifying, and quantifying the needed cause-effect relationships governing propagation of human error.

  11. Probability theory a foundational course

    CERN Document Server

    Pakshirajan, R P

    2013-01-01

    This book shares the dictum of J. L. Doob in treating Probability Theory as a branch of Measure Theory and establishes this relation early. Probability measures in product spaces are introduced right at the start by way of laying the ground work to later claim the existence of stochastic processes with prescribed finite dimensional distributions. Other topics analysed in the book include supports of probability measures, zero-one laws in product measure spaces, Erdos-Kac invariance principle, functional central limit theorem and functional law of the iterated logarithm for independent variables, Skorohod embedding, and the use of analytic functions of a complex variable in the study of geometric ergodicity in Markov chains. This book is offered as a text book for students pursuing graduate programs in Mathematics and or Statistics. The book aims to help the teacher present the theory with ease, and to help the student sustain his interest and joy in learning the subject.

  12. Medication adherence as a learning process: insights from cognitive psychology.

    Science.gov (United States)

    Rottman, Benjamin Margolin; Marcum, Zachary A; Thorpe, Carolyn T; Gellad, Walid F

    2017-03-01

    Non-adherence to medications is one of the largest contributors to sub-optimal health outcomes. Many theories of adherence include a 'value-expectancy' component in which a patient decides to take a medication partly based on expectations about whether it is effective, necessary, and tolerable. We propose reconceptualising this common theme as a kind of 'causal learning' - the patient learns whether a medication is effective, necessary, and tolerable, from experience with the medication. We apply cognitive psychology theories of how people learn cause-effect relations to elaborate this causal-learning challenge. First, expectations and impressions about a medication and beliefs about how a medication works, such as delay of onset, can shape a patient's perceived experience with the medication. Second, beliefs about medications propagate both 'top-down' and 'bottom-up', from experiences with specific medications to general beliefs about medications and vice versa. Third, non-adherence can interfere with learning about a medication, because beliefs, adherence, and experience with a medication are connected in a cyclic learning problem. We propose that by conceptualising non-adherence as a causal-learning process, clinicians can more effectively address a patient's misconceptions and biases, helping the patient develop more accurate impressions of the medication.

  13. Understanding Postdisaster Substance Use and Psychological Distress Using Concepts from the Self-Medication Hypothesis and Social Cognitive Theory.

    Science.gov (United States)

    Alexander, Adam C; Ward, Kenneth D

    2017-11-10

    This article applies constructs from the Self-Medication Hypothesis and Social Cognitive Theory to explain the development of substance use and psychological distress after a disaster. A conceptual model is proposed, which employs a sequential mediation model, identifying perceived coping self-efficacy, psychological distress, and self-medication as pathways to substance use after a disaster. Disaster exposure decreases perceived coping self-efficacy, which, in turn, increases psychological distress and subsequently increases perceptions of self-medication in vulnerable individuals. These mechanisms lead to an increase in postdisaster substance use. Last, recommendations are offered to encourage disaster researchers to test more complex models in studies on postdisaster psychological distress and substance use.

  14. A Theory of Prostitution

    OpenAIRE

    Lena Edlund; Evelyn Korn

    2002-01-01

    Prostitution is low-skill, labor intensive, female, and well paid. This paper proposes a marriage market explanation to this puzzle. If a prostitute compromises her marriage market prospects, she will have to be compensated for forgone marriage market opportunities. We discuss the link between poverty and prostitution and show that prostitution may decrease with male income if wives and prostitutes are drawn from the same pool of women. We point to the role of male sex ratios, and males in tr...

  15. [A theory on care].

    Science.gov (United States)

    Svandra, Philippe

    2008-12-01

    Trying to define the nature of care when you are a health care professional, means, inevitably, going back to the very source of your professional commitment. Caring, an essential form of responsibility for the other, is thus revealed as a way of behaving towards other people, as an active and concrete commitment testifying as much to the humanity of the one who gives it as to that of the one who receives it. Starting with the notion of the phenomenology of human capacity, Paul Ricoeur thinks of independence in terms of capacity. He calls upon work of the Indian economist Amartya Sen published in the 1980s on the notion of capabilities. This leads to conceiving disease or disability as a lack of elementary or basic capacity. According to Ricoeur, this notion of capacity can only be understood by looking at its contrary: vulnerability. In this way, only a weakened frail person can be called upon to become independent. Thus the human being, and particularly the ill human being, must be looked upon as both vulnerable, and thus suffering, and capable, and thus active.

  16. Cognitive Load Theory: implications for medical education: AMEE Guide No. 86.

    Science.gov (United States)

    Young, John Q; Van Merrienboer, Jeroen; Durning, Steve; Ten Cate, Olle

    2014-05-01

    Cognitive Load Theory (CLT) builds upon established models of human memory that include the subsystems of sensory, working and long-term memory. Working memory (WM) can only process a limited number of information elements at any given time. This constraint creates a "bottleneck" for learning. CLT identifies three types of cognitive load that impact WM: intrinsic load (associated with performing essential aspects of the task), extraneous load (associated with non-essential aspects of the task) and germane load (associated with the deliberate use of cognitive strategies that facilitate learning). When the cognitive load associated with a task exceeds the learner's WM capacity, performance and learning is impaired. To facilitate learning, CLT researchers have developed instructional techniques that decrease extraneous load (e.g. worked examples), titrate intrinsic load to the developmental stage of the learner (e.g. simplify task without decontextualizing) and ensure that unused WM capacity is dedicated to germane load, i.e. cognitive learning strategies. A number of instructional techniques have been empirically tested. As learners' progress, curricula must also attend to the expertise-reversal effect. Instructional techniques that facilitate learning among early learners may not help and may even interfere with learning among more advanced learners. CLT has particular relevance to medical education because many of the professional activities to be learned require the simultaneous integration of multiple and varied sets of knowledge, skills and behaviors at a specific time and place. These activities possess high "element interactivity" and therefore impose a cognitive load that may surpass the WM capacity of the learner. Applications to various medical education settings (classroom, workplace and self-directed learning) are explored.

  17. Testing knowledge of human gross anatomy in medical school: an applied contextual-learning theory method.

    Science.gov (United States)

    Clough, R W; Lehr, R P

    1996-01-01

    The traditional gross anatomy laboratory experience, with modifications in evaluations that we outline later, meets the criteria of contextual-learning theory, expands the repertoire of core objectives we identify for our students, and may increase the likelihood of cognitive permanence of anatomical data. Our subjects included approximately 54 first-year medical students from each of three sequential class years (1996, 1997, 1998). As an alternative to more typical written and practical exams, examinations in a major portion of our gross anatomy program consist of two approximately 30 minute oral expositions by each student to his or her peers and a faculty member. Students demonstrate specific detail on cadaver, x-ray, cross sections, or a model. Clinical applications, spatial relationships, nomenclature, and functions are strongly emphasized. The results of this teaching approach to the utilization of anatomical knowledge in clinical situations requires further assessment: however, new attributes have been afforded our students with implementation of the present program: First, students learn anatomical detail equally well as the students of the more traditional system (based on board exam results). Second, students who completed the program indicate that this approach provides a useful simulation of what is expected later in their training. Third, students gradually gain confidence in verbal presentation, they demonstrate cognitive synthesis of separate conceptual issues, they retain information, and they are quite visibly more enthusiastic about anatomy and its importance in medicine. Our program demonstrates that the learning of applicable human anatomy is facilitated in a contextual-learning environment. Moreover, by learning anatomy in this way, other equally beneficial attributes are afforded the medical student, including, but not limited to, increases in communication skills, confidence in verbal presentation, synthesis of anatomical concepts

  18. 'Theory of Mind' I: a theory of knowledge?

    Science.gov (United States)

    Plastow, Michael

    2012-06-01

    'Theory of mind' is a cognitive notion introduced by Simon Baron-Cohen and colleagues to explain certain deficits in autistic disorders. It has, however, been extended beyond this, and applied more broadly. It proposes a means of knowing the mind of others, and suggests that this means fails in autism. The epistemological basis of 'theory of mind' will be examined critically, not just in terms of its endeavour as a theory of knowledge, but also in regard to the principles that underlie it. The proponents of 'theory of mind' eschew the rich field of psychological and phenomenological research, privileging only the biological sciences into which they endeavour to place their theorizations. In doing this, they fail to recognize the epistemological problems involved. This leads to the theory remaining hamstrung by the very Cartesian ontological problems that it seeks to avoid. For some, 'theory of mind' is but an artefact of the cognitive approach that it employs. It is argued that these difficulties are compounded by the failure of 'theory of mind' to take account of the place of language in the interpersonal encounters it attempts to describe.

  19. A Theory on Fashion Consumption

    OpenAIRE

    Fang Ma; Huijing Shi; Lihua Chen; Yiping Luo

    2012-01-01

    Both the theory of top-down penetration of fashion consumption (Veblen - Simmel model) and the theory of bottom-up fashion consumption have been found consistent with the consumer behavior in the China¡¯s fashion consumer market and the trend of such behavior keeps growing. Therefore, it is necessary to carry out a study on fashion consumption to meet the needs of the development of real life and fashion consumption. Firstly, we describe the content of fashion consumption, discuss the connota...

  20. Penggunaan Incoterms dalam Perjanjian Perdagangan Internasional (Studi Pada Pt. Insan Bonafide di Banjarmasin

    Directory of Open Access Journals (Sweden)

    Adhitya Christanto Henry Dalim

    2016-09-01

    Full Text Available Tujuan penelitian ini untuk mengetahui dan menganalisis kedudukan incoterms selaku hukum kebiasaan internasional dalan perjanjian perdagangan internasional serta untuk mengetahui dan menganalisis hak dan kewajiban pengusaha eksportir dan importir sehubungan dengan penggunaan Incoterms dalam perjanjian perdagangan internasional (Studi pada PT. Insan Bonafide di Banjarmasin. Kegunaan yang di harapakan dari hasil penelitian Sebagai sumbangan pemikiran dalam bidang ilmu hukum khususnya terkait dengan hukum perdagangan internasional, bagi pelaku usaha di bidang perdagangan internasional dan bagi pemerintah dalam membuat peraturan perundang-undangan (legislasi berkenaan dengan perdagangan internasional. Metode penelitian ini menggunakan jenis penelitian hukum normatif,yaitu penelitian hukum yang dilakukan dengan cara meneliti bahan hukum(bahan hukum primer, bahan hukum sekunder, dan bahan hukum tersier, yang relevan dengan judul yang di angkat penulis. Ada pun tipe penelitianadalah penelitian dengan menitikberatkan permasalahan yang sering timbul berkaitan dengan kekaburan hukum (vage norm berkenaan dengan makna dan ruang lingkup dari Incoterms tersebut. Pendekatan penelitian menggunakan pendekatan analitis (analytical approach.Menurut hasil dari penelitian tesis ini menunjukan bahwa : Pertama, mengenai kekuatan hukum Incoterms dalam perjanjian perdagangan internasional, Incoterms yang lahir dari hukum kebiasaan dan sebagai suatu kebiasaan internasional yang berkedudukan hukum yang merupakan sumber hukum perdagangan internasional. namun demikian kekuatan hukum Incoterms selaku hukum kebiasaan internasional tidak sama dengan kekuatan hukum dari Perjanjian Internasional seperti Konvensi, Traktat, Piagam, Agreement, Covenant, Protocol, Pacta, dan lain-lain. Kedua, hak dan kewajiban pengusaha eksportir dan importir sehubungan dengan penggunaan Incoterms dalam perjanjian perdagangan internasional khususnya pada PT. Insan Bonafide dengan menggunakan

  1. A Classification of Feminist Theories

    Directory of Open Access Journals (Sweden)

    Karen Wendling

    2008-09-01

    Full Text Available In this paper I criticize Alison Jaggar’s descriptions of feminist political theories. I propose an alternative classification of feminist theories that I think more accurately reflects the multiplication of feminist theories and philosophies. There are two main categories, “street theory” and academic theories, each with two sub-divisions, political spectrum and “differences” under street theory, and directly and indirectly political analyses under academic theories. My view explains why there are no radical feminists outside of North America and why there are so few socialist feminists inside North America. I argue, controversially, that radical feminism is a radical version of liberalism. I argue that “difference” feminist theoriestheory by and about feminists of colour, queer feminists, feminists with disabilities and so on – belong in a separate sub-category of street theory, because they’ve had profound effects on feminist activism not tracked by traditional left-to-right classifications. Finally, I argue that, while academic feminist theories such as feminist existentialism or feminist sociological theory are generally unconnected to movement activism, they provide important feminist insights that may become importantby showing the advantages of my classification over Jaggar’s views. Une analyse critique de la description des théories politiques féministes révèle qu’une classification alternative à celle de Jaggar permettrait de répertorier plus adéquatement les différents courants féministes qui ont évolués au cours des dernières décennies. La nouvelle cartographie que nous proposons comprend deux familles de féminisme : activiste et académique. Cette nouvelle manière de localiser et situer les féminismes aide à comprendre pourquoi il n’y a pas de féminisme radical à l’extérieur de l’Amérique du Nord et aussi pourquoi il y a si peu de féministes socialistes en Amérique du Nord

  2. A Problem in Graph Theory

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 12; Issue 1. A Problem in Graph Theory. K P Savithri. Think It Over Volume 12 Issue 1 January 2007 pp 81-81. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/012/01/0081-0081. Author Affiliations.

  3. A Course on Integration Theory

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 2; Issue 7. A Course on Integration Theory. B J Venkatachala. Book Review Volume 2 Issue 7 July 1997 pp 93-94. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/002/07/0093-0094. Author Affiliations.

  4. Vibration Theory, Vol. 1A

    DEFF Research Database (Denmark)

    Nielsen, Søren R. K.

    The present collection of solved problems has been published as a supplement to the textbook Svingningsteori. Bind 1. Lineær svingningsteori,Aalborg tekniske Universitetsforlag, 1991, whicj is used in the introductory course on linear vibration theory that is being given on th e8th semester...

  5. A Biopsychosocial Theory of Infertility.

    Science.gov (United States)

    Gerrity, Deborah A.

    2001-01-01

    Briefly reviews the literature on infertility and its emotional, physical, existential, and relational effects on individuals, couples, and families. Life crisis and biopsychosocial theories are discussed as they apply to persons struggling with infertility issues. In addition, stage models derived from a biopsychosocial perspective are presented.…

  6. Theories of Career Development. A Comparison of the Theories.

    Science.gov (United States)

    Osipow, Samuel H.

    These seven theories of career development are examined in previous chapters: (1) Roe's personality theory, (2) Holland's career typology theory, (3) the Ginzberg, Ginsburg, Axelrod, and Herma Theory, (4) psychoanalytic conceptions, (5) Super's developmental self-concept theory, (6) other personality theories, and (7) social systems theories.…

  7. Association between Perceived Value and Self-Medication with Antibiotics: An Observational Study Based on Health Belief Model Theory

    Directory of Open Access Journals (Sweden)

    Annisa N. Insany

    2015-06-01

    Full Text Available High prevalence of self medication with antibiotics can increase the probability of irrational use of antibiotics which may lead antibiotics resistance. Thus, shifting of behavior is required to minimize the irrational use of antibiotics. This study was aimed to determine the association between public perceived value and self-medication with antibiotics which can be used to develop an intervention model in order to reduce the practice of self-medication with antibiotics. An observational study was conducted during the period of November–December 2014.The subjects were patients who visit primary health care facilities in Bandung. A structured-interview that has been validated was used to investigate the association between perceived value and self-medication behavior based on the Health Belief Model theory (perceived susceptibility, benefits, barrier, and cues to action. Approximately 506 respondents were drawn randomly from 43 community healthcare centers and 8 pharmacies. Data was analyzed by using descriptive statistics and logistic regression (CI 95%, α = 5%. Validity and reliability of the questionnaire were shown with a correlation coefficient of >0.3 and a cronbach-alpha value of 0.719, respectively. We found that 29.45% of respondents practiced self-medication with antibiotics over the last six months. Additionally, there was no significant association between the perceived susceptibility, benefits, barrier, and cues to action with self-medication behavior (p>0.05. Easiness to access antibiotics without prescription was presumed as a factor that contribute to self-medication with antibiotics, therefore strict regulation in antibiotics use is very needed as a basic intervention to decrease self-medication with antibiotic.

  8. A Theory of Immersion Freezing

    Science.gov (United States)

    Barahona, Donifan

    2017-01-01

    Immersion freezing is likely involved in the initiation of precipitation and determines to large extent the phase partitioning in convective clouds. Theoretical models commonly used to describe immersion freezing in atmospheric models are based on the classical nucleation theory which however neglects important interactions near the immersed particle that may affect nucleation rates. This work introduces a new theory of immersion freezing based on two premises. First, immersion ice nucleation is mediated by the modification of the properties of water near the particle-liquid interface, rather than by the geometry of the ice germ. Second, the same mechanism that leads to the decrease in the work of germ formation also decreases the mobility of water molecules near the immersed particle. These two premises allow establishing general thermodynamic constraints to the ice nucleation rate. Analysis of the new theory shows that active sites likely trigger ice nucleation, but they do not control the overall nucleation rate nor the probability of freezing. It also suggests that materials with different ice nucleation efficiency may exhibit similar freezing temperatures under similar conditions but differ in their sensitivity to particle surface area and cooling rate. Predicted nucleation rates show good agreement with observations for a diverse set of materials including dust, black carbon and bacterial ice nucleating particles. The application of the new theory within the NASA Global Earth System Model (GEOS-5) is also discussed.

  9. Institutional Corruption: A Fiduciary Theory

    OpenAIRE

    Newhouse, ME

    2014-01-01

    Dennis F. Thompson developed a theory of “institutional corruption” in order to explain a phenomenon that he believed the Congressional ethics rules failed to address: Congress’ systematic deviation from its proper purpose as a consequence — not merely of individual wrongdoing — but of the influence of several general systemic features of the legislative process. Researchers at Harvard University’s Edmond J. Safra Center for Ethics have recently deployed the language of institutional corrupti...

  10. Towards a Neuronal Gauge Theory

    Science.gov (United States)

    Sengupta, Biswa; Tozzi, Arturo; Cooray, Gerald K.; Douglas, Pamela K.; Friston, Karl J.

    2016-01-01

    Given the amount of knowledge and data accruing in the neurosciences, is it time to formulate a general principle for neuronal dynamics that holds at evolutionary, developmental, and perceptual timescales? In this paper, we propose that the brain (and other self-organised biological systems) can be characterised via the mathematical apparatus of a gauge theory. The picture that emerges from this approach suggests that any biological system (from a neuron to an organism) can be cast as resolving uncertainty about its external milieu, either by changing its internal states or its relationship to the environment. Using formal arguments, we show that a gauge theory for neuronal dynamics—based on approximate Bayesian inference—has the potential to shed new light on phenomena that have thus far eluded a formal description, such as attention and the link between action and perception. PMID:26953636

  11. Medication communication: a concept analysis.

    Science.gov (United States)

    Manias, Elizabeth

    2010-04-01

    This paper is a report of a concept analysis of medication communication with a particular focus on how it applies to nursing. Medication communication is a vital component of patient safety, quality of care, and patient and family engagement. Nevertheless, this concept has been consistently taken-for-granted without adequate analysis, definition or clarification in the quality and patient safety literature. A literature search was undertaken using bibliographic databases, internet search engines, and hand searches. Literature published in English between January 1988 and June 2009 was reviewed. Walker and Avant's approach was used to guide the concept analysis. Medication communication is a dynamic and complex process. Defining attributes consider who speaks, who is silent, what is said, what aspects of medication care are prioritized, the use of body language in conversations, and actual words used. Open communication occurs if there is cooperation among individuals in implementing plans of care. Antecedents involve environmental influences such as ward culture and geographical space, and sociocultural influences such as beliefs about the nature of interactions. Consequences involve patient and family engagement in communication, evidence of appropriate medication use, the frequency and type of medication-related adverse events, and the presence of medication adherence. Empirical referents typically do not reflect specific aspects of medication communication. This concept analysis can be used by nurses to guide them in understanding the complexities surrounding medication communication, with the ultimate goal of improving patient safety, quality of care, and facilitating patient and family engagement.

  12. Using the Theory of Planned Behaviour to examine health professional students' behavioural intentions in relation to medication safety and collaborative practice.

    Science.gov (United States)

    Lapkin, Samuel; Levett-Jones, Tracy; Gilligan, Conor

    2015-08-01

    Safe medication practices depend upon, not only on individual responsibilities, but also effective communication and collaboration between members of the medication team. However, measurement of these skills is fraught with conceptual and practical difficulties. The aims of this study were to explore the utility of a Theory of Planned Behaviour-based questionnaire to predict health professional students' behavioural intentions in relation to medication safety and collaborative practice; and to determine the contribution of attitudes, subjective norms, and perceived control to behavioural intentions. A descriptive cross-sectional survey based upon the Theory of Planned Behaviour was designed and tested. A convenience sample of 65 undergraduate pharmacy, nursing and medicine students from one semi-metropolitan Australian university were recruited for the study. Participants' behavioural intentions, attitudes, subjective norms, and perceived control to behavioural intentions in relation to medication safety were measured using an online version of the Theory of Planned Behaviour Medication Safety Questionnaire. The Questionnaire had good internal consistency with a Cronbach's alpha of 0.844. The three predictor variables of attitudes, subjective norms, and perceived control accounted for between 30 and 46% of the variance in behavioural intention; this is a strong prediction in comparison to previous studies using the Theory of Planned Behaviour. Data analysis also indicated that attitude was the most significant predictor of participants' intention to collaborate with other team members to improve medication safety. The results from this study provide preliminary support for the Theory of Planned Behaviour-Medication Safety Questionnaire as a valid instrument for examining health professional students' behavioural intentions in relation to medication safety and collaborative practice. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Modern Monetary Theory: A Debate

    OpenAIRE

    Brett Fiebiger; Scott Fullwiler; Stephanie Kelton; L. Randall Wray

    2012-01-01

    This working paper presents a debate, which begins with Bret Fiebiger arguing that the approach to monetary and financial macroeconomics which terms itself "modern monetary theory” does not have sound analytic foundations and is of little relevance empirically. Scott Fullwiler, Stephanie Kelton and L. Randall Wray, three leading contributors to modern monetary theory, respond with a new statement of their overall approach, which they believe shows clearly its links with post-Keynesianism. Fie...

  14. Probability theory a comprehensive course

    CERN Document Server

    Klenke, Achim

    2014-01-01

    This second edition of the popular textbook contains a comprehensive course in modern probability theory. Overall, probabilistic concepts play an increasingly important role in mathematics, physics, biology, financial engineering and computer science. They help us in understanding magnetism, amorphous media, genetic diversity and the perils of random developments at financial markets, and they guide us in constructing more efficient algorithms.   To address these concepts, the title covers a wide variety of topics, many of which are not usually found in introductory textbooks, such as:   • limit theorems for sums of random variables • martingales • percolation • Markov chains and electrical networks • construction of stochastic processes • Poisson point process and infinite divisibility • large deviation principles and statistical physics • Brownian motion • stochastic integral and stochastic differential equations. The theory is developed rigorously and in a self-contained way, with the c...

  15. Demystifying Nursing Theory: A Christian Nursing Perspective.

    Science.gov (United States)

    Schaffer, Marjorie A; Sandau, Kristin; Missal, Bernita

    How does nursing theory apply to nursing practice? Nursing theory can explain the why and how of nursing practice, guide nursing interventions, and provide a framework for measuring outcomes. This article briefly explains nursing theory, provides examples for applying theory to nursing practice, and proposes questions for examining the consistency of nursing theories with Christian perspectives. A helpful table illustrating grand, middle-range, and situation-specific theories and their application to nursing practice and research, along with references, is provided online as supplemental digital content. Three caring theories are analyzed from biblical beliefs.

  16. From Dental to Mental Institutions: Did Hypoxic Anesthetics by "Dental Associations" Add More Brain-Injured Patients to America's Insane Asylums?

    Science.gov (United States)

    Edwards, Matthew L; Bause, George S

    2017-10-01

    Though most patients survived the hypoxic challenge, some patients likely suffered asphyxial brain damage from GQ Colton's nitrous-oxide techniques and were admitted to insane or lunatic asylums. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. The implementation of medical revalidation: an assessment using normalisation process theory

    Directory of Open Access Journals (Sweden)

    Abigail Tazzyman

    2017-11-01

    Full Text Available Abstract Background Medical revalidation is the process by which all licensed doctors are legally required to demonstrate that they are up to date and fit to practise in order to maintain their licence. Revalidation was introduced in the United Kingdom (UK in 2012, constituting significant change in the regulation of doctors. The governing body, the General Medical Council (GMC, envisages that revalidation will improve patient care and safety. This potential however is, in part, dependent upon how successfully revalidation is embedded into routine practice. The aim of this study was to use Normalisation Process Theory (NPT to explore issues contributing to or impeding the implementation of revalidation in practice. Methods We conducted seventy-one interviews with sixty UK policymakers and senior leaders at different points during the development and implementation of revalidation: in 2011 (n = 31, 2013 (n = 26 and 2015 (n = 14. We selected interviewees using purposeful sampling. NPT was used as a framework to enable systematic analysis across the interview sets. Results Initial lack of consensus over revalidation’s purpose, and scepticism about its value, decreased over time as participants recognised the benefits it brought to their practice (coherence category of NPT. Though acceptance increased across time, revalidation was not seen as a legitimate part of their role by all doctors. Key individuals, notably the Responsible Officer (RO, were vital for the successful implementation of revalidation in organisations (cognitive participation category. The ease with which revalidation could be integrated into working practices varied greatly depending on the type of role a doctor held and the organisation they work for and the provision of resources was a significant variable in this (collective action category. Formal evaluation of revalidation in organisations was lacking but informal evaluation was taking place. Revalidation had

  18. State of Digital Education Options in the areas of Medical Terminology and the History, Theory and Ethics of Medicine.

    Science.gov (United States)

    Schochow, Maximilian; Steger, Florian

    2015-01-01

    Institutes of the history of medicine, the theory of medicine, and medical ethics at German institutions of higher learning have created various e-learning options that are based on different learning platforms and tailored to the specific curricular needs of individual teaching. Up to now no valid data has been available about the types of such e-learning options as well as possibilities of future developments thanks to coordinated cooperation among the different institutes. Of 31 German institutes of the history and theory of medicine and medical ethics that were asked to fill out a questionnaire, 30 answered, which equals a return rate of 97 per cent. The questionnaire was completed between July and August 2012 using a telephone survey. Available to students online, digitally interactive teaching tools have boomed in the course of the last few years at German institutes of the history of medicine, the theory of medicine, and medical ethics. This trend is also reflected in a willingness of more than half of the respective departments (67 per cent) to expand their e-learning options on the basis of previous experience. The offered e-learning systems are accepted very well by the students. 57 per cent of the institutes stated, that 90-100 per cent of the students use the offered systems regularly. E-learning courses for terminology are offered particularly often, this is also reflected in the intended extension of these courses by the majority of institutes which plan to expand their e-learning systems. This article discusses the results of a comprehensive empirical survey about e-learning. It illustrates ways in which individual German institutes plan to expand their e-learning options in the future. Finally, specific proposals for cooperation among institutions (not just online) are introduced, the purpose of which is to produce synergy in e-learning.

  19. State of Digital Education Options in the areas of Medical Terminology and the History, Theory and Ethics of Medicine

    Directory of Open Access Journals (Sweden)

    Schochow, Maximilian

    2015-05-01

    Full Text Available Background: Institutes of the history of medicine, the theory of medicine, and medical ethics at German institutions of higher learning have created various e-learning options that are based on different learning platforms and tailored to the specific curricular needs of individual teaching. Up to now no valid data has been available about the types of such e-learning options as well as possibilities of future developments thanks to coordinated cooperation among the different institutes.Methods: Of 31 German institutes of the history and theory of medicine and medical ethics that were asked to fill out a questionnaire, 30 answered, which equals a return rate of 97 per cent. The questionnaire was completed between July and August 2012 using a telephone survey.Results: Available to students online, digitally interactive teaching tools have boomed in the course of the last few years at German institutes of the history of medicine, the theory of medicine, and medical ethics. This trend is also reflected in a willingness of more than half of the respective departments (67 per cent to expand their e-learning options on the basis of previous experience. The offered e-learning systems are accepted very well by the students. 57 per cent of the institutes stated, that 90-100 per cent of the students use the offered systems regularly. E-learning courses for terminology are offered particularly often, this is also reflected in the intended extension of these courses by the majority of institutes which plan to expand their e-learning systems.Conclusions: This article discusses the results of a comprehensive empirical survey about e-learning. It illustrates ways in which individual German institutes plan to expand their e-learning options in the future. Finally, specific proposals for cooperation among institutions (not just online are introduced, the purpose of which is to produce synergy in e-learning.

  20. Advanced signal processing theory and implementation for sonar, radar, and non-invasive medical diagnostic systems

    CERN Document Server

    Stergiopoulos, Stergios

    2009-01-01

    Integrates topics of signal processing from sonar, radar, and medical system technologies by identifying their concept similarities. This book covers non-invasive medical diagnostic system applications, including intracranial ultrasound, a technology that attempts to address non-invasive detection on brain injuries and stroke.

  1. A theory of government procrastination

    OpenAIRE

    Furusawa, Taiji; Lai, Edwin L.-C.

    2011-01-01

    We present a theory to explain government procrastination as a consequence of its present-bias resulting from the political uncertainty in a two-party political system. We show that under a two-party political system the party in office tends to be present-biased. This may lead to inefficient procrastination of socially beneficial policies that carry upfront costs but yield long-term benefits. However, procrastination is often not indefinite even as we consider an infinite-horizon game. There...

  2. A synthetic axiomatization of Map Theory

    DEFF Research Database (Denmark)

    Berline, Chantal; Grue, Klaus Ebbe

    2016-01-01

    This paper presents a substantially simplified axiomatization of Map Theory and proves the consistency of this axiomatization (called MT) in ZFC under the assumption that there exists an inaccessible ordinal. Map Theory axiomatizes lambda calculus plus Hilbert's epsilon operator. All theorems...... of ZFC set theory including the axiom of foundation are provable in Map Theory, and if one omits Hilbert's epsilon operator from Map Theory then one is left with a computer programming language. Map Theory fulfills Church's original aim of lambda calculus. Map Theory is suited for reasoning about...... classical mathematics as well as computer programs. Furthermore, Map Theory is suited for eliminating the barrier between classical mathematics and computer science rather than just supporting the two fields side by side. Map Theory axiomatizes a universe of “maps”, some of which are “wellfounded...

  3. A Theory of Service Dependency

    Directory of Open Access Journals (Sweden)

    Mats Neovius

    2016-06-01

    Full Text Available Service composition has become commonplace nowadays, in large part due to the increased complexity of software and supporting networks. Composition can be of many types, for instance sequential, prioritising, non-deterministic. However, a fundamental feature of the services to be composed consists in their dependencies with respect to each other. In this paper we propose a theory of service dependency, modelled around a dependency operator in the Action Systems formalism. We analyze its properties, composition behaviour, and refinement conditions with accompanying examples.

  4. A reconciliation of extinction theories

    International Nuclear Information System (INIS)

    Sabine, T.M.

    1988-01-01

    The differences between previous theoretical treatments of extinction based on the Darwin intensity equations arise because of the different functional form chosen for the coupling constant σ. When the same function is used these theories make closely similar predictions. It is shown that a limiting condition on integrated intensity as the crystal size increases puts restrictions on the functions which may be used. A Lorentzian or Fresnellian function can be used for primary extinction while secondary extinction requires a Gaussian, rectangular or triangular function. An analytical expression is given for the variation in the value of the extinction factor with scattering angle. (orig.)

  5. An introduction to A1-homotopy theory

    International Nuclear Information System (INIS)

    Morel, F.

    2003-01-01

    This contribution covers simplicial sheaves, Quillen's homotopical algebra, unstable A 1 homotopy theory, connectivity and A 1 -localisation, stable A 1 homotopy theory of S 1 -spectra and P 1 -spectra

  6. A superstring field theory for supergravity

    Science.gov (United States)

    Reid-Edwards, R. A.; Riccombeni, D. A.

    2017-09-01

    A covariant closed superstring field theory, equivalent to classical tendimensional Type II supergravity, is presented. The defining conformal field theory is the ambitwistor string worldsheet theory of Mason and Skinner. This theory is known to reproduce the scattering amplitudes of Cachazo, He and Yuan in which the scattering equations play an important role and the string field theory naturally incorporates these results. We investigate the operator formalism description of the ambitwsitor string and propose an action for the string field theory of the bosonic and supersymmetric theories. The correct linearised gauge symmetries and spacetime actions are explicitly reproduced and evidence is given that the action is correct to all orders. The focus is on the NeveuSchwarz sector and the explicit description of tree level perturbation theory about flat spacetime. Application of the string field theory to general supergravity backgrounds and the inclusion of the Ramond sector are briefly discussed.

  7. A Theory for Educational Research: Socialisation Theory and Symbolic Interaction

    Science.gov (United States)

    Potts, Anthony

    2015-01-01

    This article develops a theory of socialisation based on the Chicago School of symbolic interactionism but infused with new and important insights offered by contemporary scholars and their writings on roles and relationships in the twenty first century and life in the informational, network and global world. While still rooted in the seminal…

  8. Towards a Theory of Becoming

    DEFF Research Database (Denmark)

    Weik, E.; Hernes, T.

    2007-01-01

    -organization as indi-viduals are viewed as “change agents”, while organizations, in the classical pic-ture, provide the structural context for the action. Both dichotomies have served – and serve – the community well. However, when it comes to understanding organization as processes of becoming, they are not useful...... that are central to Whitehead’s work, which we refer to in this paper as dimensions for a theory of organizational be-coming. First, the dimension of actuality and potentiality, which Whitehead defined as an ontological principle governing all processes. The basic tenet is that nothing can just exist somewhere...

  9. A relevance theory of induction.

    Science.gov (United States)

    Medin, Douglas L; Coley, John D; Storms, Gert; Hayes, Brett K

    2003-09-01

    A framework theory, organized around the principle of relevance, is proposed for category-based reasoning. According to the relevance principle, people assume that premises are informative with respect to conclusions. This idea leads to the prediction that people will use causal scenarios and property reinforcement strategies in inductive reasoning. These predictions are contrasted with both existing models and normative logic. Judgments of argument strength were gathered in three different countries, and the results showed the importance of both causal scenarios and property reinforcement in category-based inferences. The relation between the relevance framework and existing models of category-based inductive reasoning is discussed in the light of these findings.

  10. Toward a Theory of Insurgent Airpower

    National Research Council Canada - National Science Library

    Graffis, Judy

    1997-01-01

    .... The monograph shows that insurgency theory and airpower theory are compatible. The four case studies indicate that successful use of airpower by insurgents depends heavily on a strategic perspective, especially a view toward long-term results...

  11. Malcolm Knowles' Theory of Andragogy: A Critique.

    Science.gov (United States)

    Hartree, Anne

    1984-01-01

    The author suggests that Knowles's concept of andragogy offers a philosophical position rather than a unified theory of adult learning. She examines weaknesses of the theory and discusses it in relation to humanistic psychology and existentialism. (SK)

  12. A theory of behavioral contrast.

    Science.gov (United States)

    Killeen, Peter R

    2014-11-01

    The reinforcers that maintain target instrumental responses also reinforce other responses that compete with them for expression. This competition, and its imbalance at points of transition between different schedules of reinforcement, causes behavioral contrast. The imbalance is caused by differences in the rates at which different responses come under the control of component stimuli. A model for this theory of behavioral contrast is constructed by expanding the coupling coefficient of MPR (Killeen, 1994). The coupling coefficient gives the degree of association of a reinforcer with the target response (as opposed to other competing responses). Competing responses, often identified as interim or adjunctive or superstitious behavior, are intrinsic to reinforcement schedules, especially interval schedules. In addition to that base-rate of competition, additional competing responses may spill over from the prior component, causing initial contrast; and they may be modulated by conditioned reinforcement or punishment from stimuli associated with subsequent component change, causing terminal contrast. A formalization of these hypotheses employed (a) a hysteresis model of off-target responses giving rise to initial contrast, and (b) a competing traces model of the suppression or enhancement of ongoing competitive responses by signals of following-schedule transition. The theory was applied to transient contrast, the following schedule effect, and the component duration effect. © Society for the Experimental Analysis of Behavior.

  13. A Quantum Theory of Magnetism

    Directory of Open Access Journals (Sweden)

    Gift S.

    2009-01-01

    Full Text Available In this paper, a new Quantum Theory of Magnetic Interaction is proposed. This is done under a relaxation of the requirement of covariance for Lorentz Boost Transformations. A modified form of local gauge invariance in which fermion field phase is allowed to vary with each space point but not each time point, leads to the introduction of a new compensatory field different from the electromagnetic field associated with the photon. This new field is coupled to the magnetic flux of the fermions and has quanta called magnatons, which are massless spin 1 particles. The associated equation of motion yields the Poisson equation for magnetostatic potentials. The magnatons mediate the magnetic interaction between magnetic dipoles including magnets and provide plausi- ble explanations for the Pauli exclusion principle, Chemical Reactivity and Chemical Bonds. This new interaction has been confirmed by numerical experiments. It estab- lishes magnetism as a force entirely separate from the electromagnetic interaction and converts all of classical magnetism into a quantum theory.

  14. A theory of neurolinguistic development.

    Science.gov (United States)

    Locke, J L

    1997-06-15

    This article offers a developmental theory of language and the neural systems that lead to and subserve linguistic capabilities. Early perceptual experience and discontinuities in linguistic development suggest that language develops in four phases that occur in a fixed, interdependent sequence. In each phase of language, a unique ontogenetic function is accomplished. These functions have proprietary neural systems that vary in their degree of specialization. Of particular interest is an analytical mechanism that is responsible for linguistic grammar. This mechanism is time-locked and can only be turned on in the third phase. Confirming evidence is provided by children who are delayed in the second phase of the language learning process. These children store insufficient lexical material to activate their analytic mechanism. Inactivation behaves like damage, shifting language functions to homologous mechanisms in the nondominant hemisphere, thereby increasing functional and anatomical symmetry across the hemispheres. This atypical assembly of neurolinguistic resources produces functional but imperfect command of spoken language and may complicate learning of written language. The theory thus offers a different role for genetics and early experience, and a different interpretation of neuroanatomic findings, from those entertained in most other proposals on developmental language disorders.

  15. A theory of Cosmic Rays

    CERN Document Server

    Dar, Arnon; Dar, Arnon; Rújula, Alvaro De

    2008-01-01

    We present a theory of non-solar cosmic rays (CRs) based on a single type of CR source at all energies. The total luminosity of the Galaxy, the broken power-law spectra with their observed slopes, the position of the `knee(s)' and `ankle', and the CR composition and its variation with energy are all predicted in terms of very simple and completely `standard' physics. The source of CRs is extremely `economical': it has only one parameter to be fitted to the ensemble of all of the mentioned data. All other inputs are `priors', that is, theoretical or observational items of information independent of the properties of the source of CRs, and chosen to lie in their pre-established ranges. The theory is part of a `unified view of high-energy astrophysics' --based on the `Cannonball' model of the relativistic ejecta of accreting black holes and neutron stars. If correct, this model is only lacking a satisfactory theoretical understanding of the `cannon' that emits the cannonballs in catastrophic processes of accreti...

  16. How to do a grounded theory study: a worked example of a study of dental practices

    Directory of Open Access Journals (Sweden)

    Evans R

    2011-09-01

    Full Text Available Abstract Background Qualitative methodologies are increasingly popular in medical research. Grounded theory is the methodology most-often cited by authors of qualitative studies in medicine, but it has been suggested that many 'grounded theory' studies are not concordant with the methodology. In this paper we provide a worked example of a grounded theory project. Our aim is to provide a model for practice, to connect medical researchers with a useful methodology, and to increase the quality of 'grounded theory' research published in the medical literature. Methods We documented a worked example of using grounded theory methodology in practice. Results We describe our sampling, data collection, data analysis and interpretation. We explain how these steps were consistent with grounded theory methodology, and show how they related to one another. Grounded theory methodology assisted us to develop a detailed model of the process of adapting preventive protocols into dental practice, and to analyse variation in this process in different dental practices. Conclusions By employing grounded theory methodology rigorously, medical researchers can better design and justify their methods, and produce high-quality findings that will be more useful to patients, professionals and the research community.

  17. Cauchy's stress theory in a modern light

    International Nuclear Information System (INIS)

    Koenemann, Falk H

    2014-01-01

    The 180 year old stress theory by Cauchy is found to be insufficient to serve as a basis for a modern understanding of material behaviour. Six reasons are discussed in detail: (1) Cauchy's theory, following Euler, considers forces interacting with planes. This is in contrast to Newton's mechanics which considers forces interacting with radius vectors. (2) Bonds in solids have never been taken into account. (3) Cauchy's stress theory does not meet the minimum conditions for vector spaces because it does not have a metric. It is not a field theory, and not in the Euclidean space. (4) Cauchy's theory contains a hidden boundary condition that makes it less than general. (5) The current theory of stress is found to be at variance with the theory of potentials. (6) The theory is conceptually incompatible with thermodynamics for physical and geometrical reasons. (paper)

  18. Quantum Field Theory A Modern Perspective

    CERN Document Server

    Parameswaran Nair, V

    2005-01-01

    Quantum field theory, which started with Paul Dirac’s work shortly after the discovery of quantum mechanics, has produced an impressive and important array of results. Quantum electrodynamics, with its extremely accurate and well-tested predictions, and the standard model of electroweak and chromodynamic (nuclear) forces are examples of successful theories. Field theory has also been applied to a variety of phenomena in condensed matter physics, including superconductivity, superfluidity and the quantum Hall effect. The concept of the renormalization group has given us a new perspective on field theory in general and on critical phenomena in particular. At this stage, a strong case can be made that quantum field theory is the mathematical and intellectual framework for describing and understanding all physical phenomena, except possibly for a quantum theory of gravity. Quantum Field Theory: A Modern Perspective presents Professor Nair’s view of certain topics in field theory loosely knit together as it gr...

  19. A second course in topos quantum theory

    CERN Document Server

    Flori, Cecilia

    2018-01-01

    This advanced course, a sequel to the first volume of this lecture series on topos quantum theory, delves deeper into the theory, addressing further technical aspects and recent advances. These include, but are not limited to, the development of physical quantities and self-adjoint operators; insights into the quantization process; the description of an alternative, covariant version of topos quantum theory; and last but not least, the development of a new concept of spacetime. The book builds on the concepts introduced in the first volume (published as Lect. Notes Phys. 868), which presents the main building blocks of the theory and how it could provide solutions to interpretational problems in quantum theory, such as: What are the main conceptual issues in quantum theory? And how can these issues be solved within a new theoretical framework of quantum theory? These two volumes together provide a complete, basic course on topos quantum theory, offering a set of mathematical tools to readers interested in tac...

  20. Towards a (new) theory of the retailer

    DEFF Research Database (Denmark)

    Skytte, Hans

    2008-01-01

    This paper presents a new 'theory of the retailer'. The theory is built on the constructivist paradigm, and the research strategy applied is the constructivist approach to grounded theory. A conceptual framework is employed for the analysis of a number of companies. The main result of the study...

  1. Toward a gauge field theory of gravity.

    Science.gov (United States)

    Yilmaz, H.

    Joint use of two differential identities (Bianchi and Freud) permits a gauge field theory of gravity in which the gravitational energy is localizable. The theory is compatible with quantum mechanics and is experimentally viable.

  2. A simulated emergency department for medical students.

    Science.gov (United States)

    Johnson, Patricia; Brazil, Victoria; Raymond-Dufresne, Éliane; Nielson, Tracy

    2017-08-01

    During their training, medical students often undertake a rotation in an emergency department (ED), where they are exposed to a wide variety of patient presentations. Simulation can be an effective teaching strategy to help prepare learners for the realities of the clinical environment. Simulating an ED shift can provide students with the opportunity to perform a range of clinical activities, within their scope of practice, in a supervised and supportive learning environment. Medical students often undertake a rotation in an emergency department CONTEXT: There is limited literature describing the structure, syllabus, feasibility and perceived usefulness of simulating a typical ED for medical student training. We developed a simulated ED (simED) teaching session for medical students at our university. Students were informed of the purpose and learning tasks of the session prior to attendance. At the start of their 2-hour simED shift students were allocated 'patients' by the Triage nurse. At the completion of their shift, students attended a debriefing discussion. Student feedback indicated that they felt that the simED: provided a good opportunity to practise skills and apply theory to practice; was realistic and challenging; highlighted the importance of teamwork; and enabled them to identify skills requiring further practise. Suggestions for improvements included a longer time spent in the simED and the opportunity to see more patients. The simED approach seemed to be well received and perceived by medical students as useful preparation for the ED. An overview of the structure, materials and resources used is provided to assist educators seeking to implement similar ED clinical scenarios in their curriculum. © 2016 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  3. Making a meaningful contribution to theory

    DEFF Research Database (Denmark)

    Boer, Harry; Holweg, Matthias; Kilduff, Martin

    2015-01-01

    matters. The authors further argue that the choice of theory is critical, as a common mistake is trying to contribute to high-level theories borrowed from other fields. Finally, the authors recommend using theory parsimoniously, yet with confidence. Originality/value – The paper presents a collection...... discussed in the “OM Theory” workshop in Dublin in 2011 and the special sessions at the 2011 and the 2013 EurOMA Conferences in Cambridge and Dublin. Design/methodology/approach – This paper presents six short essays that explore the role and use of theory in management research, and specifically ask what...... is a good or meaningful contribution to theory. The authors comment on the current state of theory in OperationsManagement (OM) (Harry Boer), the type of theories the authors have in OM (Chris Voss), the role of theory in increasing the general understanding of OM problems (Roger Schmenner), whether...

  4. Predictions of a theory of quark confinement

    International Nuclear Information System (INIS)

    Mack, G.

    1980-03-01

    We propose a theory of quark confinement which uses only the simplest of approximations. It explains persistence of quark confinement in Yang Mills theories with gauge group SU(2) or SU(3) as a consequence of asymptotic freedom in perturbation theory and of the known phase structure of Z(2) resp. Z(3) lattice gauge theory. Predictions are derived which can in principle be tested by computer simulation. Some are already tested by results of Creutz. They are in good agreement. (orig.)

  5. Medication reconciliation as a strategy for preventing medication errors

    Directory of Open Access Journals (Sweden)

    Luana de Rezende Spalla

    Full Text Available ABSTRACT One of the current barriers proposed to avoid possible medication errors, and consequently harm to patients, is the medication reconciliation, a process in which drugs used by patients prior to hospitalization can be compared with those prescribed in the hospital. This study describes the results of a pharmacist based reconciliation conducted during six months in clinical units of a university hospital. Fourteen patients (23.33% had some kind of problem related to medicine. The majority (80% of medication errors were due to medication omission. Pharmaceutical interventions acceptance level was 90%. The results suggest that pharmacists based reconciliation can have a relevant role in preventing medication errors and adverse events. Moreover, the detailed interview, conducted by the pharmacist, is able to rescue important information regarding the use of drugs, allowing to avoid medications errors and patient injury.

  6. Flight nursing expertise: towards a middle-range theory

    Science.gov (United States)

    Reimer, Andrew P.; Moore, Shirley M.

    2010-01-01

    Aim This paper presents a middle-range Theory of Flight Nursing Expertise. Background Rotary-wing (helicopter) medical transport has grown rapidly in the USA since its introduction, particularly during the past 5 years. Patients once considered too sick to transport are now being transported more frequently and over longer distances. Many limitations are imposed by the air medical transport environment and these require nurses to alter their practice. Data sources A literature search was conducted using Pubmed, Medline, CINAHL, secondary referencing and an Internet search from 1960 to 2008 for studies related to the focal concepts in flight nursing. Discussion The middle-range Theory of Flight Nursing Expertise is composed of nine concepts (experience, training, transport environment of care, psychomotor skills, flight nursing knowledge, cue recognition, pattern recognition, decision-making and action) and their relationships. Five propositions describe the relationships between those concepts and how they apply to flight nursing expertise. Implications for nursing After empirical testing, this theory may be a useful tool to assist novice flight nurses to attain the skills necessary to provide safe and competent care more efficiently, and may aid in designing curricula and programmes of research. Conclusion Research is needed to determine the usefulness of this theory in both rotary and fixed-wing medical transport settings, and to examine the similarities and differences related to expertise needed for different flight nurse team compositions. Curriculum and training innovations can result from increased understanding of the concepts and relationships proposed in this theory. PMID:20337803

  7. A Beautiful Metaphor: Transformative Learning Theory

    Science.gov (United States)

    Howie, Peter; Bagnall, Richard

    2013-01-01

    This article presents a critique of both transformative learning theory and critical comments on it to date. It argues that transformative learning theory remains substantively the same as its initial exposition, in spite of a raft of problematic contentions voiced against it. The theory is argued here to be conceptually problematic, except at the…

  8. Toward a Theory of Entrepreneurial Behavior

    DEFF Research Database (Denmark)

    Teague, Bruce T.; Gartner, Bill

    2017-01-01

    The chapter reviews several of the most prominent entrepreneurship frameworks to demonstrate that the entrepreneurship field lacks a theory of entrepreneurial behavior. However, each of these existing frameworks would benefit from, and be complemented by, an entrepreneurial behavioral theory....... Drawing from multiple streams of research, the chapter offers a preliminary theory of entrepreneurial behavior. Several propositions are offered and new research opportunities are identified....

  9. Making the leap to medical education: a qualitative study of medical educators' experiences.

    Science.gov (United States)

    Browne, Julie; Webb, Katie; Bullock, Alison

    2018-02-01

    Medical educators often have prior and primary experience in other academic and clinical disciplines. Individuals seeking successful careers in the education of medical students and doctors must, at some point in their development, make a conscious transition into a new identity as a medical educator. This is a necessary move if individuals are to commit to acquiring and maintaining specialist expertise in medical education. Some achieve this transition successfully, whereas others struggle and may even lose interest and abandon the endeavour. We explored senior educators' experiences of achieving the transition into medical education and their views on what helps and what hinders the process. In 2015 we conducted three focus groups with 15 senior medical educators. All focus group discussions were audiorecorded and transcribed verbatim. We applied transition theory to guide our deductive analysis, using Schlossberg's Four S (4S) framework to code and report participants' self-reported perceptions of those factors relating to Self, Situation, Support and Strategy that had assisted them to make a successful transition to a fully acknowledged medical educator identity. Through inductive analysis, we then identified 17 explanatory sub-themes common to all three focus groups. Background and circumstances, individual motivation, a sense of control, organisational support, and effective networking and information-seeking behaviour were factors identified as contributing to successful transition into, and maintenance of, a strong self-identity as a medical educator. The experiences of established medical educators and, in particular, an exploration of the factors that have facilitated their transition to an acknowledged self-identity as a medical educator could assist in supporting new educators to cope with the changes involved in developing as a medical educator. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  10. Designing a curriculum for communication skills training from a theory and evidence-based perspective

    NARCIS (Netherlands)

    Street, Richard L.; de Haes, Hanneke C. J. M.

    2013-01-01

    Because quality health care delivery requires effective clinician-patient communication, successful training of health professionals requires communication skill curricula of the highest quality. Two approaches for developing medical communication curricula are a consensus approach and a theory

  11. Assessment of blood donation intention among medical students in Pakistan--An application of theory of planned behavior.

    Science.gov (United States)

    Faqah, Anadil; Moiz, Bushra; Shahid, Fatima; Ibrahim, Mariam; Raheem, Ahmed

    2015-12-01

    Theory of Planned Behavior proposes a model which can measure how human actions are guided. It has been successfully utilized in the context of blood donation. We employed a decision-making framework to determine the intention of blood donation among medical students who have never donated blood before the study. Survey responses were collected from 391 medical students from four various universities on a defined questionnaire. The tool composed of 20 questions that were formulated to explain donation intention based on theory of planned behavior. The construct included questions related to attitude, subjective norm and perceived behavior control, descriptive norm, moral norm, anticipated regret, donation anxiety and religious norm. Pearson's correlational relationships were measured between independent and dependent variables of intention to donate blood. ANOVA was applied to observe the model fit; a value of 0.000 was considered statistically significant. A multiple regression analysis was conducted to explore the relative importance of the main independent variables in the prediction of intention. Multi-collinearity was also evaluated to determine that various independent variables determine the intention. The reliability of measures composed of two items was assessed using inter-item correlations. Three hundred and ninety-one medical students (M:F; 1:2.2) with mean age of 21.96 years ± 1.95 participated in this study. Mean item score was 3.8 ± 0.83. Multiple regression analysis suggested that perceived behavioral control, anticipated regret and attitude were the most influential factors in determining intention of blood donation. Donation anxiety was least correlated and in fact bore a negative correlation with intention. ANOVA computed an F value of 199.082 with a p-value of 0.000 indicating fitness of model. The value of R square and adjusted R square was 0.811 and 0.807 respectively indicating strong correlation between various independent and dependent

  12. A theory of cerebellar cortex

    Science.gov (United States)

    Marr, David

    1969-01-01

    1. A detailed theory of cerebellar cortex is proposed whose consequence is that the cerebellum learns to perform motor skills. Two forms of input—output relation are described, both consistent with the cortical theory. One is suitable for learning movements (actions), and the other for learning to maintain posture and balance (maintenance reflexes). 2. It is known that the cells of the inferior olive and the cerebellar Purkinje cells have a special one-to-one relationship induced by the climbing fibre input. For learning actions, it is assumed that: (a) each olivary cell responds to a cerebral instruction for an elemental movement. Any action has a defining representation in terms of elemental movements, and this representation has a neural expression as a sequence of firing patterns in the inferior olive; and (b) in the correct state of the nervous system, a Purkinje cell can initiate the elemental movement to which its corresponding olivary cell responds. 3. Whenever an olivary cell fires, it sends an impulse (via the climbing fibre input) to its corresponding Purkinje cell. This Purkinje cell is also exposed (via the mossy fibre input) to information about the context in which its olivary cell fired; and it is shown how, during rehearsal of an action, each Purkinje cell can learn to recognize such contexts. Later, when the action has been learnt, occurrence of the context alone is enough to fire the Purkinje cell, which then causes the next elemental movement. The action thus progresses as it did during rehearsal. 4. It is shown that an interpretation of cerebellar cortex as a structure which allows each Purkinje cell to learn a number of contexts is consistent both with the distributions of the various types of cell, and with their known excitatory or inhibitory natures. It is demonstrated that the mossy fibre-granule cell arrangement provides the required pattern discrimination capability. 5. The following predictions are made. (a) The synapses from parallel

  13. Critical Social Theory: A Portrait

    Science.gov (United States)

    Torres, Carlos A.

    2012-01-01

    The term Critical Social Theory is employed in this article following the tradition of the Frankfurt School, and particularly the work of Herbert Marcuse and his interpretation of the political and social philosophy of Hegel and Marx. Discussing the contribution of G.W.F. Hegel to social theory Marcuse argued that: "Hegel's system brings to a…

  14. Mainstreaming the medical humanities in a Caribbean medical school

    Directory of Open Access Journals (Sweden)

    P Ravi Shankar, MD

    2016-01-01

    Full Text Available Medical humanities (MH is using subjects traditionally known as the humanities for specific purposes in medical education. The first author of this manuscript had previously facilitated MH modules in the Himalayan country of Nepal. Since January 2013 he has been facilitating a module for first semester undergraduate medical students in Aruba. The second author has been co-facilitating the module since the last several semesters. In this manuscript the authors described how MH has gradually become more accepted and mainstream in the institution. They also briefly mention the use of movies with a medical theme and activities to further develop on and expand issues addressed during the MH module.

  15. A Causal Theory of Modality

    Directory of Open Access Journals (Sweden)

    José Tomás Alvarado

    2009-08-01

    Full Text Available This work presents a causal conception of metaphysical modality in which a state of affairs is metaphysically possible if and only if it can be caused (in the past, the present or the future by current entities. The conception is contrasted with what is called the “combinatorial” conception of modality, in which everything can co-exist with anything else. This work explains how the notion of ‘causality’ should be construed in the causal theory, what difference exists between modalities thus defined from nomological modality, how accessibility relations between possible worlds should be interpreted, and what is the relation between the causal conception and the necessity of origin.

  16. Perceptual Demonstrative Thought: A Property-Dependent Theory

    OpenAIRE

    Crawford, Sean

    2018-01-01

    The paper presents a new theory of perceptual demonstrative thought, the property-dependent theory. It argues that the theory is superior to both the object-dependent theory (Evans, McDowell) and the object-independent theory (Burge).

  17. Genetics: A New Landscape for Medical Geography

    Science.gov (United States)

    Carrel, Margaret; Emch, Michael

    2014-01-01

    The emergence and re-emergence of human pathogens resistant to medical treatment will present a challenge to the international public health community in the coming decades. Geography is uniquely positioned to examine the progressive evolution of pathogens across space and through time, and to link molecular change to interactions between population and environmental drivers. Landscape as an organizing principle for the integration of natural and cultural forces has a long history in geography, and, more specifically, in medical geography. Here, we explore the role of landscape in medical geography, the emergent field of landscape genetics, and the great potential that exists in the combination of these two disciplines. We argue that landscape genetics can enhance medical geographic studies of local-level disease environments with quantitative tests of how human-environment interactions influence pathogenic characteristics. In turn, such analyses can expand theories of disease diffusion to the molecular scale and distinguish the important factors in ecologies of disease that drive genetic change of pathogens. PMID:24558292

  18. Adult learning theories: implications for learning and teaching in medical education: AMEE Guide No. 83.

    Science.gov (United States)

    Taylor, David C M; Hamdy, Hossam

    2013-11-01

    There are many theories that explain how adults learn and each has its own merits. This Guide explains and explores the more commonly used ones and how they can be used to enhance student and faculty learning. The Guide presents a model that combines many of the theories into a flow diagram which can be followed by anyone planning learning. The schema can be used at curriculum planning level, or at the level of individual learning. At each stage of the model, the Guide identifies the responsibilities of both learner and educator. The role of the institution is to ensure that the time and resources are available to allow effective learning to happen. The Guide is designed for those new to education, in the hope that it can unravel the difficulties in understanding and applying the common learning theories, whilst also creating opportunities for debate as to the best way they should be used.

  19. A theory of latticed plates and shells

    CERN Document Server

    Pshenichnon, Gi

    1993-01-01

    The book presents the theory of latticed shells as continual systems and describes its applications. It analyses the problems of statics, stability and dynamics. Generally, a classical rod deformation theory is applied. However, in some instances, more precise theories which particularly consider geometrical and physical nonlinearity are employed. A new effective method for solving general boundary value problems and its application for numerical and analytical solutions of mathematical physics and reticulated shell theory problems is described. A new method of solving the shell theory's nonli

  20. Professional identity formation in medical education for humanistic, resilient physicians: pedagogic strategies for bridging theory to practice.

    Science.gov (United States)

    Wald, Hedy S; Anthony, David; Hutchinson, Tom A; Liben, Stephen; Smilovitch, Mark; Donato, Anthony A

    2015-06-01

    Recent calls for an expanded perspective on medical education and training include focusing on complexities of professional identity formation (PIF). Medical educators are challenged to facilitate the active constructive, integrative developmental process of PIF within standardized and personalized and/or formal and informal curricular approaches. How can we best support the complex iterative PIF process for a humanistic, resilient health care professional? How can we effectively scaffold the necessary critical reflective learning and practice skill set for our learners to support the shaping of a professional identity?The authors present three pedagogic innovations contributing to the PIF process within undergraduate and graduate medical education (GME) at their institutions. These are (1) interactive reflective writing fostering reflective capacity, emotional awareness, and resiliency (as complexities within physician-patient interactions are explored) for personal and professional development; (2) synergistic teaching modules about mindful clinical practice and resilient responses to difficult interactions, to foster clinician resilience and enhanced well-being for effective professional functioning; and (3) strategies for effective use of a professional development e-portfolio and faculty development of reflective coaching skills in GME.These strategies as "bridges from theory to practice" embody and integrate key elements of promoting and enriching PIF, including guided reflection, the significant role of relationships (faculty and peers), mindfulness, adequate feedback, and creating collaborative learning environments. Ideally, such pedagogic innovations can make a significant contribution toward enhancing quality of care and caring with resilience for the being, relating, and doing of a humanistic health care professional.

  1. The rise and decline of character: humoral psychology in ancient and early modern medical theory

    NARCIS (Netherlands)

    Bos, J.

    2009-01-01

    Humoralism, the view that the human body is composed of a limited number of elementary fluids, is one of the most characteristic aspects of ancient medicine. The psychological dimension of humoral theory in the ancient world has thus far received a relatively small amount of scholarly attention.

  2. Creating a digital medical illustration.

    Science.gov (United States)

    Culley, Joanna

    2016-01-01

    This paper covers the steps required to complete a medical illustration in a digital format using Adobe Illustrator and Photoshop. The project example is the surgical procedure for the release of the glenohumeral joint for the condition known as 'frozen shoulder'. The purpose is to demonstrate one method which an artist can use within digital media to create a colour illustration such as the release of the glenohumeral joint. Included is a general overview as how to deal with the administration of a medical illustration commission through the experience of a professional freelance artist.

  3. Quantum theory a wide spectrum

    CERN Document Server

    Manoukian, E B

    2006-01-01

    Suitable for instructors and graduate students in Physics, and researchers and professional scientists in Theoretical Physics, this textbook focuses on Quantum Theory. It includes traditional topics and contains numerous problems some of which are challenging enough for research

  4. A Theory of Network Tracing

    Science.gov (United States)

    Acharya, Hrishikesh B.; Gouda, Mohamed G.

    Traceroute is a widely used program for computing the topology of any network in the Internet. Using Traceroute, one starts from a node and chooses any other node in the network. Traceroute obtains the sequence of nodes that occur between these two nodes, as specified by the routing tables in these nodes. Each use of Traceroute in a network produces a trace of nodes that constitute a simple path in this network. In every trace that is produced by Traceroute, each node occurs either by its unique identifier, or by the anonymous identifier"*". In this paper, we introduce the first theory aimed at answering the following important question. Is there an algorithm to compute the topology of a network N from a trace set T that is produced by using Traceroute in network N, assuming that each edge in N occurs in at least one trace in T, and that each node in N occurs by its unique identifier in at least one trace in T? We prove that the answer to this question is "No" if N is an even ring or a general network. However, it is "Yes" if N is a tree or an odd ring. The answer is also "No" if N is mostly-regular, but "Yes" if N is a mostly-regular even ring.

  5. [Towards a philosophy of medication].

    Science.gov (United States)

    da Silva, Cléber Domingos Cunha

    2015-09-01

    Medicine and philosophy: where do these concepts intersect? From a biopolitical standpoint, the scope of this essay is to highlight the existence of new challenges for those who deal with the issue of pharmaceuticalization in contemporary society. The analyses revealed that essentially technical approaches are insufficient to confront issues such as: the exorbitant profits from the sale of medication; the disproportionate ratio of these amounts with the number of new innovative molecules; and the difficulty of access to the few new drugs. It would seem to be the opportune moment for adopting a more critical stance for drafting a philosophy of medication in the field of public health with the establishment of areas of resistance to the omnipresent pharmacotherapeutic onslaught. After all, medication is not a constitutive element that is isolated from human life; although, it has become a central component in the management of contemporary life, its adequate use requires the exercise of in-depth introspection.

  6. Representation theory a first course

    CERN Document Server

    Fulton, William

    1991-01-01

    The primary goal of these lectures is to introduce a beginner to the finite­ dimensional representations of Lie groups and Lie algebras. Since this goal is shared by quite a few other books, we should explain in this Preface how our approach differs, although the potential reader can probably see this better by a quick browse through the book. Representation theory is simple to define: it is the study of the ways in which a given group may act on vector spaces. It is almost certainly unique, however, among such clearly delineated subjects, in the breadth of its interest to mathematicians. This is not surprising: group actions are ubiquitous in 20th century mathematics, and where the object on which a group acts is not a vector space, we have learned to replace it by one that is {e. g. , a cohomology group, tangent space, etc. }. As a consequence, many mathematicians other than specialists in the field {or even those who think they might want to be} come in contact with the subject in various ways. It is for ...

  7. Toward a mechanistic explanation of phenotypic evolution: The need for a theory of theory integration.

    Science.gov (United States)

    Laubichler, Manfred D; Prohaska, Sonja J; Stadler, Peter F

    2018-01-01

    Reconciling different underlying ontologies and explanatory contexts has been one of the main challenges and impediments for theory integration in biology. Here, we analyze the challenge of developing an inclusive and integrative theory of phenotypic evolution as an example for the broader challenge of developing a theory of theory integration within the life sciences and suggest a number of necessary formal steps toward the resolution of often incompatible (hidden) assumptions. Theory integration in biology requires a better formal understanding of the structure of biological theories The strategy for integrating theories crucially depends on the relationships of the underlying ontologies. © 2018 Wiley Periodicals, Inc.

  8. "Medical education is the ugly duckling of the medical world" and other challenges to medical educators' identity construction: a qualitative study.

    Science.gov (United States)

    Sabel, Esther; Archer, Julian

    2014-11-01

    The authors first aimed to ascertain how the Academy of Medical Educators (AoME) could develop and support early career medical educators. They expanded their study to explore the challenges to defining medical education as a discipline because of a lack of collective identity among educators. In 2010, the authors and members of the AoME Early Careers Working Group conducted focus groups with early career medical educators (clinicians and scientists) and interviews with senior medical educators in the United Kingdom. All focus groups and interviews were audio recorded and transcribed verbatim. The authors used an interpretative phenomenological analysis to explore how medical educators described events or phenomena in their careers. They inductively identified overarching theoretical perspectives to understand observed phenomena drawing on social identity theories. The authors conducted nine focus groups with 34 participants in total and six interviews. Participants identified fundamental challenges to their identity as a medical educator; they understood their medical education role to be secondary to their primary role as clinician or scientist. Participants noted that they had not developed an emotional attachment to medical education. Their relationship with the field remained at an operational level, revolving around roles and responsibilities. Medical educators' social cohesion is threatened by their sense that educators are poor relations compared with scientists and clinicians. While medical educators' identities may be in crisis, they also are changing, a change needed for medical education, medical education research, the practice of medicine, and ultimately patient care.

  9. Learning a commonsense moral theory.

    Science.gov (United States)

    Kleiman-Weiner, Max; Saxe, Rebecca; Tenenbaum, Joshua B

    2017-10-01

    We introduce a computational framework for understanding the structure and dynamics of moral learning, with a focus on how people learn to trade off the interests and welfare of different individuals in their social groups and the larger society. We posit a minimal set of cognitive capacities that together can solve this learning problem: (1) an abstract and recursive utility calculus to quantitatively represent welfare trade-offs; (2) hierarchical Bayesian inference to understand the actions and judgments of others; and (3) meta-values for learning by value alignment both externally to the values of others and internally to make moral theories consistent with one's own attachments and feelings. Our model explains how children can build from sparse noisy observations of how a small set of individuals make moral decisions to a broad moral competence, able to support an infinite range of judgments and decisions that generalizes even to people they have never met and situations they have not been in or observed. It also provides insight into the causes and dynamics of moral change across time, including cases when moral change can be rapidly progressive, changing values significantly in just a few generations, and cases when it is likely to move more slowly. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. A Unifying Theory for SIDS

    Directory of Open Access Journals (Sweden)

    David T. Mage

    2009-01-01

    Full Text Available The Sudden Infant Death Syndrome (SIDS has four distinctive characteristics that must be explained by any theory proposed for it. (1 A characteristic male fraction of approximately 0.61 for all postneonatal SIDS in the US; (2 a distinctive lognormal-type age distribution arising from zero at birth, mode at about 2 months, median at about 3 months, and an exponential decrease with age going towards zero beyond one year; (3 a marked decrease in SIDS rate from the discovery that changing the recommended infant sleep position from prone to supine reduced the rate of SIDS, but it did not change the form of the age or gender distributions cited above; (4 a seasonal variation, maximal in winter and minimal in summer, that implies subsets of SIDS displaying evidence of seasonal low-grade respiratory infection and nonseasonal neurological prematurity. A quadruple-risk model is presented that fits these conditions but requires confirmatory testing by finding a dominant X-linked allele protective against cerebral anoxia that is missing in SIDS.

  11. Medical hyperspectral imaging: a review

    Science.gov (United States)

    Lu, Guolan; Fei, Baowei

    2014-01-01

    Abstract. Hyperspectral imaging (HSI) is an emerging imaging modality for medical applications, especially in disease diagnosis and image-guided surgery. HSI acquires a three-dimensional dataset called hypercube, with two spatial dimensions and one spectral dimension. Spatially resolved spectral imaging obtained by HSI provides diagnostic information about the tissue physiology, morphology, and composition. This review paper presents an overview of the literature on medical hyperspectral imaging technology and its applications. The aim of the survey is threefold: an introduction for those new to the field, an overview for those working in the field, and a reference for those searching for literature on a specific application. PMID:24441941

  12. A first course in topos quantum theory

    International Nuclear Information System (INIS)

    Flori, Cecilia

    2013-01-01

    Written by a leading researcher in the field. Concise course-tested textbook. Includes worked-out problems In the last five decades various attempts to formulate theories of quantum gravity have been made, but none has fully succeeded in becoming the quantum theory of gravity. One possible explanation for this failure might be the unresolved fundamental issues in quantum theory as it stands now. Indeed, most approaches to quantum gravity adopt standard quantum theory as their starting point, with the hope that the theory's unresolved issues will get solved along the way. However, these fundamental issues may need to be solved before attempting to define a quantum theory of gravity. The present text adopts this point of view, addressing the following basic questions: What are the main conceptual issues in quantum theory? How can these issues be solved within a new theoretical framework of quantum theory? A possible way to overcome critical issues in present-day quantum physics - such as a priori assumptions about space and time that are not compatible with a theory of quantum gravity, and the impossibility of talking about systems without reference to an external observer - is through a reformulation of quantum theory in terms of a different mathematical framework called topos theory. This course-tested primer sets out to explain to graduate students and newcomers to the field alike, the reasons for choosing topos theory to resolve the above-mentioned issues and how it brings quantum physics back to looking more like a ''neo-realist'' classical physics theory again.

  13. Integrating the teaching role into one's identity : a qualitative study of beginning undergraduate medical teachers

    NARCIS (Netherlands)

    Van, Lankveld T.; Schoonenboom, J.; Kusurkar, R.A.; Volman, M.; Beishuizen, J.; Croiset, G.

    2017-01-01

    Beginning medical teachers often see themselves as doctors or researchers rather than as teachers. Using both figured worlds theory and dialogical self theory, this study explores how beginning teachers in the field of undergraduate medical education integrate the teacher role into their identity. A

  14. Bullying among medical students in a Saudi medical school

    Directory of Open Access Journals (Sweden)

    Alzahrani Hasan

    2012-07-01

    Full Text Available Abstract Background Bullying and sexual harassment of medical students by their teachers appears to be widespread phenomenon. However, nothing is published about its prevalence in conservative countries such as Saudi Arabia. This survey aims to ascertain the extent of these mistreatments among students in a Saudi medical school. Findings A cross-sectional questionnaire survey was conducted on a group of 542 clinical years’ medical students in a Saudi medical school to explore students' perceptions of their educational environment including exposure to different kinds of bullying. Bullying was defined as “a “persistent behaviour against a medical student that is intimidating, degrading, offensive or malicious and undermines the confidence and self- esteem of the recipient”. Results revealed that more than one quarter (28.0% of the surveyed students reported exposure to some sort of bullying during their clinical. Ninety percent of the reported insults were verbal, 6% sexual and 4% physical. Males were more exposed but difference was not statistically significant. Conclusions Bullying among Saudi medical students is an existing problem. A policy against bullying and harassment should be adopted in all of medical colleges to monitor this phenomenon and support students who have been bullied.

  15. A philosophical approach to quantum field theory

    CERN Document Server

    Öttinger, Hans Christian

    2015-01-01

    This text presents an intuitive and robust mathematical image of fundamental particle physics based on a novel approach to quantum field theory, which is guided by four carefully motivated metaphysical postulates. In particular, the book explores a dissipative approach to quantum field theory, which is illustrated for scalar field theory and quantum electrodynamics, and proposes an attractive explanation of the Planck scale in quantum gravity. Offering a radically new perspective on this topic, the book focuses on the conceptual foundations of quantum field theory and ontological questions. It also suggests a new stochastic simulation technique in quantum field theory which is complementary to existing ones. Encouraging rigor in a field containing many mathematical subtleties and pitfalls this text is a helpful companion for students of physics and philosophers interested in quantum field theory, and it allows readers to gain an intuitive rather than a formal understanding.

  16. A philosophical approach to quantum field theory

    CERN Document Server

    Öttinger, Hans Christian

    2017-01-01

    This text presents an intuitive and robust mathematical image of fundamental particle physics based on a novel approach to quantum field theory, which is guided by four carefully motivated metaphysical postulates. In particular, the book explores a dissipative approach to quantum field theory, which is illustrated for scalar field theory and quantum electrodynamics, and proposes an attractive explanation of the Planck scale in quantum gravity. Offering a radically new perspective on this topic, the book focuses on the conceptual foundations of quantum field theory and ontological questions. It also suggests a new stochastic simulation technique in quantum field theory which is complementary to existing ones. Encouraging rigor in a field containing many mathematical subtleties and pitfalls this text is a helpful companion for students of physics and philosophers interested in quantum field theory, and it allows readers to gain an intuitive rather than a formal understanding.

  17. Rerepresenting and Restructuring Domain Theories: A Constructive Induction Approach

    OpenAIRE

    Donoho, S. K.; Rendell, L. A.

    1995-01-01

    Theory revision integrates inductive learning and background knowledge by combining training examples with a coarse domain theory to produce a more accurate theory. There are two challenges that theory revision and other theory-guided systems face. First, a representation language appropriate for the initial theory may be inappropriate for an improved theory. While the original representation may concisely express the initial theory, a more accurate theory forced to use that same representati...

  18. Toward a Child Rights Theory in Pediatric Bioethics.

    Science.gov (United States)

    Goldhagen, Jeffrey; Mercer, Raul; Webb, Elspeth; Nathawad, Rita; Shenoda, Sherry; Lansdown, Gerison

    2016-01-01

    This article offers a child rights theory in pediatric bioethics, applying the principles, standards, and norms of child rights, health equity, and social justice to medical and ethical decision-making. We argue that a child rights theory in pediatric bioethics will help pediatricians and pediatric bioethicists analyze and address the complex interplay of biomedical and social determinants of child health. These core principles, standards and norms, grounded in the U.N. Convention on the Rights of the Child (CRC), provide the foundational elements for the theory and a means for better understanding the complex determinants of children's health and well-being. Rights-based approaches to medical and ethical decision-making provide strategies for applying and translating these elements into the practice of pediatrics and pediatric bioethics by establishing a coherent, consistent, and contextual theory that is relevant to contemporary practice. The proposed child rights theory extends evolving perspectives on the relationship between human rights and bioethics to both child rights and pediatric bioethics.

  19. Einstein's strugges with quantum theory a reappraisal

    CERN Document Server

    Home, Dipankar

    2007-01-01

    Einstein’s Struggles with Quantum Theory: A Reappraisal by Dipankar Home and Andrew Whitaker provides a detailed account of Albert Einstein’s thinking in regard to quantum physics. Until recently, most of Einstein’s views on quantum physics were dismissed and even ridiculed; some critics even suggested that Einstein was not able to grasp the complexities of the formalism of quantum theory and subtleties of the standard interpretation of this theory known as the Copenhagen interpretation put forward by Niels Bohr and his colleagues. But was that true? Modern scholarship argues otherwise, insist Drs. Home and Whitaker, who painstakingly explain the questions Einstein raised as well as offer a detailed discussion of Einstein’s position and major contributions to quantum theory, connecting them with contemporary studies on fundamental aspects of this theory. This unique book presents a mathematical as well as a non-mathematical route through the theories, controversies, and investigations, making the disc...

  20. Towards a comprehensive theory of monadic effects

    DEFF Research Database (Denmark)

    Filinski, Andrzej

    2011-01-01

    , and attempts to assess our collective progress towards the goal of a broad yet coherent theory of monadic effects. We are not quite there yet, but intriguingly, many potential ingredients of such a theory have been repeatedly discovered and developed, with only minor variations, in seemingly unrelated contexts....... Some stronger-than-expected ties between the research topics mentioned above also instill hope that there is indeed a natural, comprehensive theory of monadic effects, waiting to be fully explicated....

  1. A theory of construction management?

    Directory of Open Access Journals (Sweden)

    Gerard de Valence

    2012-09-01

    Full Text Available The links between theory and construction management (CM, and for that matter construction economics (CE, are not strong (see de Valence 2011. This may be one of the reasons why they have not gained complete acceptance as academic disciplines and are not seen as distinct branches of economics and management respectively. Another reason may be that products and production (the focus of management and economic theories respectively are not the same as projects and project management in general, and construction projects and CM in particular.

  2. Medical leaders or masters?-A systematic review of medical leadership in hospital settings.

    Science.gov (United States)

    Berghout, Mathilde A; Fabbricotti, Isabelle N; Buljac-Samardžić, Martina; Hilders, Carina G J M

    2017-01-01

    Medical leadership is increasingly considered as crucial for improving the quality of care and the sustainability of healthcare. However, conceptual clarity is lacking in the literature and in practice. Therefore, a systematic review of the scientific literature was conducted to reveal the different conceptualizations of medical leadership in terms of definitions, roles and activities, and personal-and context-specific features. Eight databases were systematically searched for eligible studies, including empirical studies published in peer-reviewed journals that included physicians carrying out a manager or leadership role in a hospital setting. Finally, 34 articles were included and their findings were synthesized and analyzed narratively. Medical leadership is conceptualized in literature either as physicians with formal managerial roles or physicians who act as informal 'leaders' in daily practices. In both forms, medical leaders must carry out general management and leadership activities and acts to balance between management and medicine, because these physicians must accomplish both organizational and medical staff objectives. To perform effectively, credibility among medical peers appeared to be the most important factor, followed by a scattered list of fields of knowledge, skills and attitudes. Competing logics, role ambiguity and a lack of time and support were perceived as barriers. However, the extent to which physicians must master all elicited features, remains ambiguous. Furthermore, the extent to which medical leadership entails a shift or a reallocation of tasks that are at the core of medical professional work remains unclear. Future studies should implement stronger research designs in which more theory is used to study the effect of medical leadership on professional work, medical staff governance, and subsequently, the quality and efficiency of care.

  3. Medical leaders or masters?—A systematic review of medical leadership in hospital settings

    Science.gov (United States)

    Fabbricotti, Isabelle N.; Buljac-Samardžić, Martina; Hilders, Carina G. J. M.

    2017-01-01

    Medical leadership is increasingly considered as crucial for improving the quality of care and the sustainability of healthcare. However, conceptual clarity is lacking in the literature and in practice. Therefore, a systematic review of the scientific literature was conducted to reveal the different conceptualizations of medical leadership in terms of definitions, roles and activities, and personal–and context-specific features. Eight databases were systematically searched for eligible studies, including empirical studies published in peer-reviewed journals that included physicians carrying out a manager or leadership role in a hospital setting. Finally, 34 articles were included and their findings were synthesized and analyzed narratively. Medical leadership is conceptualized in literature either as physicians with formal managerial roles or physicians who act as informal ‘leaders’ in daily practices. In both forms, medical leaders must carry out general management and leadership activities and acts to balance between management and medicine, because these physicians must accomplish both organizational and medical staff objectives. To perform effectively, credibility among medical peers appeared to be the most important factor, followed by a scattered list of fields of knowledge, skills and attitudes. Competing logics, role ambiguity and a lack of time and support were perceived as barriers. However, the extent to which physicians must master all elicited features, remains ambiguous. Furthermore, the extent to which medical leadership entails a shift or a reallocation of tasks that are at the core of medical professional work remains unclear. Future studies should implement stronger research designs in which more theory is used to study the effect of medical leadership on professional work, medical staff governance, and subsequently, the quality and efficiency of care. PMID:28910335

  4. A Domino Theory of Flavor

    Energy Technology Data Exchange (ETDEWEB)

    Graham, Peter W.; Rajendran, Surjeet

    2009-08-03

    We argue that the fermion masses and mixings are organized in a specific pattern. The approximately equal hierarchies between successive generations, the sizes of the mixing angles, the heaviness of just the top quark, and the approximate down-lepton equality can all be accommodated by many flavor models but can appear ad hoc. We present a simple, predictive mechanism to explain these patterns. All generations are treated democratically and the flavor symmetries are broken collectively by only two allowed couplings in flavor-space, a vector and matrix, with arbitrary {Omicron}(1) entries. Repeated use of these flavor symmetry breaking spurions radiatively generates the Yukawa couplings with a natural hierarchy. We demonstrate this idea with two models in a split supersymmetric grand unified framework, with minimal additional particle content at the unification scale. Although flavor is generated at the GUT scale, there are several potentially testable predictions. In our minimal model the usual prediction of exact b-{tau} unification is replaced by the SU(5) breaking relation m{sub {tau}}/m{sub b} = 3/2, in better agreement with observations. Other SU(5) breaking effects in the fermion masses can easily arise directly from the flavor model itself. The symmetry breaking that triggers the generation of flavor necessarily gives rise to an axion, solving the strong CP problem. These theories contain long-lived particles whose decays could give striking signatures at the LHC and may solve the primordial Lithium problems. These models also give novel proton decay signatures which can be probed by the next generation of experiments. Measurement of the various proton decay channels directly probes the flavor symmetry breaking couplings. In this scenario the Higgs mass is predicted to lie in a range near 150 GeV.

  5. Medical Tourism, Medical Migration, and Global Justice: Implications for Biosecurity in a Globalized World.

    Science.gov (United States)

    Cohen, I Glenn

    2017-05-01

    We live in the age of globalization. In medicine, that globalization has brought many benefits such as the diffusion of technology and the spread of health care training, but it has also brought threats to biosecurity. This article examines how medical tourism and medical migration pose risks to biosecurity. It also argues that designing legal responses to these risks requires not only technical competence but also a theory of global justice to guide that design. © The Author 2017. Published by Oxford University Press; all rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. A theory of the strong interactions

    International Nuclear Information System (INIS)

    Gross, D.J.

    1979-01-01

    The most promising candidate for a fundamental microscopic theory of the strong interactions is a gauge theory of colored quarks-Quantum Chromodynamics (QCD). There are many excellent reasons for believing in this theory. It embodies the broken symmetries, SU(3) and chiral SU(3)xSU(3), of the strong interactions and reflects the success of (albeit crude) quark models in explaining the spectrum of the observed hadrons. The hidden quantum number of color, necessary to account for the quantum numbers of the low lying hadrons, plays a fundamental role in this theory as the SU(3) color gauge vector 'gluons' are the mediators of the strong interactions. The absence of physical quark states can be 'explained' by the hypothesis of color confinement i.e. that hadrons are permanently bound in color singlet bound states. Finally this theory is unique in being asymptotically free, thus accounting for the almost free field theory behvior of quarks observed at short distances. (Auth.)

  7. Unimodular theory: A little pedagogical vision

    International Nuclear Information System (INIS)

    Fernández Cristóbal, Jose Ma

    2014-01-01

    Under the generic designation of unimodular theory, two theoretical models of gravity are considered: the unimodular gravity and the TDiff theory. Our approach is primarily pedagogical. We aim to describe these models both from a geometric and a field-theoretical point of view. In addition, we explore connections with the cosmological-constant problem and outline some applications. We do not discuss the application of this theory to the quantization of gravity

  8. A critique of research in psychoanalytic theory.

    Science.gov (United States)

    Masling, J; Schwartz, M

    1979-11-01

    The relationship between psychoanalytic theory and the experimental method is examined, with particular reference to the empirical studies on the oral and anal phases of development. The deficiencies in the design and conceptualization of many studies are discussed, as well as confusions in the writing of psychoanalytic theory. A central issue in bringing the experimental method to psychoanalytic theory is the question: What is being tested? A list of all projective and objective tests used to assess orality and anality is provided.

  9. A class of minimally modified gravity theories

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Chunshan; Mukohyama, Shinji, E-mail: chunshan.lin@yukawa.kyoto-u.ac.jp, E-mail: shinji.mukohyama@yukawa.kyoto-u.ac.jp [Center for Gravitational Physics, Yukawa Institute for Theoretical Physics, Kyoto University, Kyoto 606-8502 (Japan)

    2017-10-01

    We investigate the Hamiltonian structure of a class of gravitational theories whose actions are linear in the lapse function. We derive the necessary and sufficient condition for a theory in this class to have two or less local physical degrees of freedom. As an application we then find several concrete examples of modified gravity theories in which the total number of local physical degrees of freedom in the gravity sector is two.

  10. A Theory of Sequential Reciprocity

    NARCIS (Netherlands)

    Dufwenberg, M.; Kirchsteiger, G.

    1998-01-01

    Many experimental studies indicate that people are motivated by reciprocity. Rabin (1993) develops techniques for incorporating such concerns into game theory and economics. His model, however, does not fare well when applied to situations with an interesting dynamic structure (like many

  11. Renormcharges in V-A Theories

    International Nuclear Information System (INIS)

    Beshtoev, Kh.M.

    1994-01-01

    It is shown that in the theory of weak interaction there may not exist any group of the renormtransformation of charge (i.e., the charge-g L remains constant) because this theory can be characterized as a 'left' one, or if such a group exists it is then realized for the charge g L , and it is not related to the charge g in the vector theory. In connection with the above said there arises a problem of relating the charges g L and g when constructing the unified theory of interaction. (author). 7 refs

  12. A Logical Framework for Set Theories

    Directory of Open Access Journals (Sweden)

    Arnon Avron

    2012-03-01

    Full Text Available Axiomatic set theory is almost universally accepted as the basic theory which provides the foundations of mathematics, and in which the whole of present day mathematics can be developed. As such, it is the most natural framework for Mathematical Knowledge Management. However, in order to be used for this task it is necessary to overcome serious gaps that exist between the "official" formulations of set theory (as given e.g. by formal set theory ZF and actual mathematical practice. In this work we present a new unified framework for formalizations of axiomatic set theories of different strength, from rudimentary set theory to full ZF. It allows the use of set terms, but provides a static check of their validity.

  13. Grounded Theory as a General Research Methodology

    OpenAIRE

    Judith A. Holton, Ph.D.

    2008-01-01

    Since its inception over forty years ago, grounded theory has achieved canonical status in the research world (Locke, 2001, p.1). Qualitative researchers, in particular, have embraced grounded theory although often without sufficient scholarship in the methodology (Partington, 2000, p.93; 2002, p.136). The embrace renders many researchers unable to perceive grounded theory as a general methodology and an alternative to the dominant qualitative and quantitative research paradigms. The result i...

  14. M(atrix) theory: matrix quantum mechanics as a fundamental theory

    International Nuclear Information System (INIS)

    Taylor, Washington

    2001-01-01

    This article reviews the matrix model of M theory. M theory is an 11-dimensional quantum theory of gravity that is believed to underlie all superstring theories. M theory is currently the most plausible candidate for a theory of fundamental physics which reconciles gravity and quantum field theory in a realistic fashion. Evidence for M theory is still only circumstantial -- no complete background-independent formulation of the theory exists as yet. Matrix theory was first developed as a regularized theory of a supersymmetric quantum membrane. More recently, it has appeared in a different guise as the discrete light-cone quantization of M theory in flat space. These two approaches to matrix theory are described in detail and compared. It is shown that matrix theory is a well-defined quantum theory that reduces to a supersymmetric theory of gravity at low energies. Although its fundamental degrees of freedom are essentially pointlike, higher-dimensional fluctuating objects (branes) arise through the non-Abelian structure of the matrix degrees of freedom. The problem of formulating matrix theory in a general space-time background is discussed, and the connections between matrix theory and other related models are reviewed

  15. Rotation therapy for maniacs, melancholics and idiots: theory, practice and perception in European medical and literary case histories.

    Science.gov (United States)

    Dickson, Sheila

    2018-03-01

    This article examines the development and use of rotation therapy in the emerging field of psychiatry at the beginning of the 19th century, and the cross-fertilization between British, Irish, German, French and other European proponents of 'Cox's Swing'. Its short-lived popularity is linked to prevalent Enlightenment thought, to the development of an industrial and technological society, to the modern medical theories of irritability, and to the new practice of 'moral management' of the mentally ill. Case studies documenting the use of the Swing are considered from these perspectives, and are compared with contemporary public reactions in the form of publications in newspapers and of a literary text by German Romantic author Ludwig Achim von Arnim.

  16. Adlerian and Analytic Theory: A Case Presentation.

    Science.gov (United States)

    Myers, Kathleen M.; Croake, James W.

    1984-01-01

    Makes a theoretical comparison between Adlerian and analytic formulations of family assessment in a case study involving a recently divorced couple and a child with encopresis. Discussed the family relationship in terms of object relations theory emphasizing intrapsychic experience, and Adlerian theory emphasizing the purposes of behavior. (JAC)

  17. Control-value theory: using achievement emotions to improve understanding of motivation, learning, and performance in medical education: AMEE Guide No. 64.

    Science.gov (United States)

    Artino, Anthony R; Holmboe, Eric S; Durning, Steven J

    2012-01-01

    In this AMEE Guide, we consider the emergent theoretical and empirical work on human emotion and how this work can inform the theory, research, and practice of medical education. In the Guide, we define emotion, in general, and achievement emotions, more specifically. We describe one of the leading contemporary theories of achievement emotions, control-value theory (Pekrun 2006), and we distinguish between different types of achievement emotions, their proximal antecedents, and their consequences for motivation, learning, and performance. Next, we review the empirical support for control-value theory from non-medical fields and suggest several important implications for educational practice. In this section, we highlight the importance of designing learning environments that foster a high degree of control and value for students. Finally, we end with a discussion of the need for more research on achievement emotions in medical education, and we propose several key research questions we believe will facilitate our understanding of achievement emotions and their impact on important educational outcomes.

  18. A Density Functional Theory Study

    KAUST Repository

    Lim, XiaoZhi

    2011-12-11

    Complexes with pincer ligand moieties have garnered much attention in the past few decades. They have been shown to be highly active catalysts in several known transition metal-catalyzed organic reactions as well as some unprecedented organic transformations. At the same time, the use of computational organometallic chemistry to aid in the understanding of the mechanisms in organometallic catalysis for the development of improved catalysts is on the rise. While it was common in earlier studies to reduce computational cost by truncating donor group substituents on complexes such as tertbutyl or isopropyl groups to hydrogen or methyl groups, recent advancements in the processing capabilities of computer clusters and codes have streamlined the time required for calculations. As the full modeling of complexes become increasingly popular, a commonly overlooked aspect, especially in the case of complexes bearing isopropyl substituents, is the conformational analysis of complexes. Isopropyl groups generate a different conformer with each 120 ° rotation (rotamer), and it has been found that each rotamer typically resides in its own potential energy well in density functional theory studies. As a result, it can be challenging to select the most appropriate structure for a theoretical study, as the adjustment of isopropyl substituents from a higher-energy rotamer to the lowest-energy rotamer usually does not occur during structure optimization. In this report, the influence of the arrangement of isopropyl substituents in pincer complexes on calculated complex structure energies as well as a case study on the mechanism of the isomerization of an iPrPCP-Fe complex is covered. It was found that as many as 324 rotamers can be generated for a single complex, as in the case of an iPrPCP-Ni formato complex, with the energy difference between the global minimum and the highest local minimum being as large as 16.5 kcalmol-1. In the isomerization of a iPrPCP-Fe complex, it was found

  19. Self-medication practice among undergraduate medical students in a tertiary care medical college, West Bengal.

    Science.gov (United States)

    Banerjee, I; Bhadury, T

    2012-01-01

    Self-medication is a widely prevalent practice in India. It assumes a special significance among medical students as they are the future medical practitioners. To assess the pattern of self-medication practice among undergraduate medical students. Tertiary care medical college in West Bengal, India. A cross-sectional questionnaire-based study was conducted among the undergraduate medical students. Out of 500 students of the institute, 482 consented for the study and filled in the supplied questionnaire. Fourteen incomplete questionnaires were excluded and the remaining 468 analyzed. It was found that 267 (57.05%) respondents practiced self-medication. The principal morbidities for seeking self-medication included cough and common cold as reported by 94 students (35.21%) followed by diarrhea (68 students) (25.47%), fever (42 students) (15.73%), headache (40 students) (14.98%) and pain abdomen due to heartburn/ peptic ulcer (23 students) (8.61%). Drugs/ drug groups commonly used for self-medication included antibiotics (31.09%) followed by analgesics (23.21%), antipyretics (17.98%), antiulcer agents (8.99%), cough suppressant (7.87%), multivitamins (6.37%) and antihelminthics (4.49%). Among reasons for seeking self-medication, 126 students (47.19%) felt that their illness was mild while 76 (28.46%) preferred as it is time-saving. About 42 students (15.73%) cited cost-effectiveness as the primary reason while 23 (8.62%) preferred because of urgency. Our study shows that self-medication is widely practiced among students of the institute. In this situation, faculties should create awareness and educate their students regarding advantages and disadvantages of self-medication.

  20. Holographic Aspects of a Relativistic Nonconformal Theory

    Directory of Open Access Journals (Sweden)

    Chanyong Park

    2013-01-01

    Full Text Available We study a general D-dimensional Schwarzschild-type black brane solution of the Einstein-dilaton theory and derive, by using the holographic renormalization, its thermodynamics consistent with the geometric results. Using the membrane paradigm, we calculate the several hydrodynamic transport coefficients and compare them with the results obtained by the Kubo formula, which shows the self-consistency of the gauge/gravity duality in the relativistic nonconformal theory. In order to understand more about the relativistic non-conformal theory, we further investigate the binding energy, drag force, and holographic entanglement entropy of the relativistic non-conformal theory.

  1. Factors Associated with Milk Consumption among College Students of Yazd University of Medical Sciences Based on Theory of Planned Behavior

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Baghianimoghadam

    2016-02-01

    Full Text Available Introduction: Daily milk consumption can be introduced as a healthy dietary pattern associated with a range of health benefits. This study aimed to determine factors associated with milk consumption among students of Yazd university of medical sciences based on the theory of planned behavior. Materials & Methods: This cross-sectional study was conducted on 385 students in 2014, who were selected via stratified random sampling. The study data was collected from a questionnaire based on the indirect construct of theory of planned behavior. Finally, the study data were analyzed using the T-test, Chi-square, and Fisher's exact tests. Results: In the present study, 64% of the students consumed milk daily. The behavioral intention, behavioral beliefs, normative beliefs, control beliefs, and perceived power were significantly associated with the milk consumption (p<0.05. Conclusion: Educating the students in regard with the importance of receiving enough amount of milk, modifying their misconceptions as well as reinforcing positive beliefs can be effective in increasing milk consumption. In addition, increasing access to milk in university campuses should be taken into consideration.

  2. Can the tools of activity theory help us in advancing understanding and organisational change in undergraduate medical education?

    Science.gov (United States)

    Reid, Anne-Marie; Ledger, Alison; Kilminster, Sue; Fuller, Richard

    2015-08-01

    Continued changes to healthcare delivery in the UK, and an increasing focus on patient safety and quality improvement, require a radical rethink on how we enable graduates to begin work in challenging, complex environments. Professional regulatory bodies now require undergraduate medical schools to implement an 'assistantship' period in the final year of study, where senior medical students 'shadow' the work of junior doctors, with an expectation that they will be better 'prepared' for work. However, there is little guidance about what an 'assistantship' entails and the current emphasis on preparedness of students arguably underplays the importance of contextualised learning within the workplace environment. This paper will describe a modified Development Work Research (DWR) (Engeström in Developmental work research: activity theory in practice. Lehmanns Media, Berlin, 2005) approach to organisational change, enabling academic, clinical and administrative partners to develop assistantship placements in different hospitals. Our findings indicate that a modified DWR approach can reveal factors indicating organisational readiness to support change within a locally contextualised framework. The process has significant practical applications across a range of healthcare disciplines, as all professions seek to engage with the challenge of enabling successful transitions of graduates to the workplace.

  3. A zone theory of colour vision

    NARCIS (Netherlands)

    Walraven, P.L.

    1966-01-01

    Arguments are put forward to explain the basic facts about color vision in the frame work of a zone theory, a combination of the Young-Helmholtz and the Hering theory. Data on wavelength discrimination in particular as a function of luminance, necessitate to assume separate mechanisms for red-green

  4. A Partial Theory of Executive Succession.

    Science.gov (United States)

    Thiemann, Francis C.

    This study has two purposes: (1) To construct a partial theory of succession, and (2) to utilize a method of theory construction which combines some of the concepts of Hans Zetterberg with the principles of formal symbolic logic. A bibliography on succession in complex organizations with entries on descriptive and empirical studies from various…

  5. Human Capital Theory: A Holistic Criticism

    Science.gov (United States)

    Tan, Emrullah

    2014-01-01

    Human capital theory has had a profound impact on a range of disciplines from economics to education and sociology. The theory has always been the subject of bitter criticisms from the very beginning, but it has comfortably survived and expanded its influence over other research disciplines. Not surprisingly, a considerable number of criticisms…

  6. Medical sociology as a vocation.

    Science.gov (United States)

    Bosk, Charles L

    2014-12-01

    This article extends Weber's discussion of science as a vocation by applying it to medical sociology. Having used qualitative methods for nearly 40 years to interpret problems of meaning as they arise in the context of health care, I describe how ethnography, in particular, and qualitative inquiry, more generally, may be used as a tool for understanding fundamental questions close to the heart but far from the mind of medical sociology. Such questions overlap with major policy questions such as how do we achieve a higher standard for quality of care and assure the safety of patients. Using my own research, I show how this engagement takes the form of showing how simple narratives of policy change fail to address the complexities of the problems that they are designed to remedy. I also attempt to explain how I balance objectivity with a commitment to creating a more equitable framework for health care. © American Sociological Association 2014.

  7. A Framework for Chaos Theory Career Counselling

    Science.gov (United States)

    Pryor, Robert G. L.

    2010-01-01

    Theory in career development counselling provides a map that counsellors can use to understand and structure the career counselling process. It also provides a means to communicate this understanding and structuring to their clients as part of the counselling intervention. The chaos theory of careers draws attention to the complexity,…

  8. A gauge principle yielding consistent chiral theories

    International Nuclear Information System (INIS)

    Thompson, G.; Zhang, R.

    1987-02-01

    We propose a new principle in gauge theories: namely that in a given action, fields should be replaced by gauge invariant equivalents. Using this principle we study anomalous gauge theories and find that the resulting models are anomaly free, unitary and power counting renormalizable. (author). 8 refs

  9. A Framework for Theory Development in Foresight

    DEFF Research Database (Denmark)

    Piirainen, Kalle

    2015-01-01

    The academic literature has frequently observed that foresight lacks a coherent theoretical basis. The discussion on theory of foresight calls for ‘a theory’, but it rarely expounds what the scope of theorizing is or should be. We propose that ‘theory of foresight’ has three overlapping meanings...

  10. A general theory of comic entertainment

    DEFF Research Database (Denmark)

    Grodal, Torben Kragh

    2014-01-01

    the input as 'not real but playful', 5. this leads to a change in hedonic tone, and arousal is combined with the release of endorphins (a morphine-based neurotransmitter) that makes the arousal pleasant. The theory of comic entertainment accords with the PECMA flow theory proposed in Grodal: Embodied...

  11. Towards a Culturally Situated Reader Response Theory

    Science.gov (United States)

    Brooks, Wanda; Browne, Susan

    2012-01-01

    This article describes a theory of how culture enables literary interpretations of texts. We begin with a brief overview of the reader response field. From there, we introduce the theory and provide illustrative participant data examples. These data examples illustrate the four cultural positions middle grade students in our research assumed when…

  12. Constructivism: the view of knowledge that ended philosophy or a theory of learning and instruction?

    Science.gov (United States)

    Colliver, Jerry A

    2002-01-01

    Constructivism is referred to in two very different ways in education including medical education: to refer to a view of knowledge and to refer to a theory of learning and hence instruction. This proposal (a) distinguishes between these two usages of constructivism and (b) concludes that constructivism is not a theory of learning and thus as such has little to offer that might be of value to medical education.

  13. Colonic Perforation: A Medical Complication

    Directory of Open Access Journals (Sweden)

    Christopher Parsons

    2017-09-01

    Full Text Available Hypothyroidism is a common comorbidity that on acute presentation is often overlooked. It can be an easily managed condition; however non-compliance can have severe consequences. In the presented case it was requirement for emergency surgery that resulted in stoma formation. This case is a first example of the need to include patient’s decision making process with regards to medication adherence in the setting of chronic disease.

  14. Alien abduction: a medical hypothesis.

    Science.gov (United States)

    Forrest, David V

    2008-01-01

    In response to a new psychological study of persons who believe they have been abducted by space aliens that found that sleep paralysis, a history of being hypnotized, and preoccupation with the paranormal and extraterrestrial were predisposing experiences, I noted that many of the frequently reported particulars of the abduction experience bear more than a passing resemblance to medical-surgical procedures and propose that experience with these may also be contributory. There is the altered state of consciousness, uniformly colored figures with prominent eyes, in a high-tech room under a round bright saucerlike object; there is nakedness, pain and a loss of control while the body's boundaries are being probed; and yet the figures are thought benevolent. No medical-surgical history was apparently taken in the above mentioned study, but psychological laboratory work evaluated false memory formation. I discuss problems in assessing intraoperative awareness and ways in which the medical hypothesis could be elaborated and tested. If physicians are causing this syndrome in a percentage of patients, we should know about it; and persons who feel they have been abducted should be encouraged to inform their surgeons and anesthesiologists without challenging their beliefs.

  15. A novel classification system for aging theories

    Directory of Open Access Journals (Sweden)

    Lucas Siqueira Trindade

    2013-03-01

    Full Text Available Theories of lifespan evolution are a source of confusion amongst aging researchers. After a century of aging research the dispute over whether the aging process is active or passive persists and a comprehensive and universally accepted theoretical model remains elusive. Evolutionary aging theories primarily dispute whether the aging process is exclusively adapted to favor the kin or exclusively non-adapted to favor the individual. Interestingly, contradictory data and theories supporting both exclusively programmed and exclusively non-programmed theories continue to grow. However, this is a false dichotomy; natural selection favors traits resulting in efficient reproduction whether they benefit the individual or the kin. Thus, to understand the evolution of aging, first we must understand the environment-dependent balance between the advantages and disadvantages of extended lifespan in the process of spreading genes. As described by distinct theories, different niches and environmental conditions confer on extended lifespan a range of fitness values varying from highly beneficial to highly detrimental. Here, we considered the range of fitness values for extended lifespan and develop a fitness-based framework for categorizing existing theories. We show that all theories can be classified into four basic types: secondary (beneficial, maladaptive (neutral, assisted death (detrimental and senemorphic aging (varying between beneficial to detrimental. We anticipate that this classification system will assist with understanding and interpreting aging/death by providing a way of considering theories as members of one of these classes rather than consideration of their individual details.

  16. Review Essay: A Journey through Grounded Theory

    Directory of Open Access Journals (Sweden)

    Paula Krüger

    2007-01-01

    Full Text Available In "Constructing Grounded Theory", Kathy CHARMAZ guides the reader through the research process. Starting with a look back at the history of grounded theory, she explains how to gather rich data, code it, write memos, and compose the first draft. Through various examples from her own research CHARMAZ provides the reader not only with a theoretical description of how to construct a grounded theory but also with a way of seeing how new questions emerge from the data and new theory is built from it. She highlights central concepts, definitions, and useful questions, and offers the reader flexible guidelines to design and conduct a research project. Because of this, the book will be very useful for novices as well as for experts and (PhD- students in the late stages of their theses; it is a must-have for everyone who works with/on (constructivist grounded theory. URN: urn:nbn:de:0114-fqs0701256

  17. Developing a domain theory defining and exemplifying a learning theory of progressive attainments.

    Science.gov (United States)

    Bunderson, C Victor

    2011-01-01

    This article defines the concept of Domain Theory, or, when educational measurement is the goal, one might call it a "Learning Theory of Progressive Attainments in X Domain". The concept of Domain Theory is first shown to be rooted in validity theory, then the concept of domain theory is expanded to amplify its necessary but long neglected connection to design research disciplines. The development of a local learning theory of progressive attainments in the domain of Fluent Oral Reading is presented as an illustration. Such a theory is local to a defined domain of application, having well delineated boundaries. It depends on measures having a deep and valid connection to constructs, and the constructs back to the items or tasks at pertinent levels of the measurement scale. Thus instrument development and theory development, which occur in tandem, depend on establishing construct validity in a deep and thoroughgoing manner.

  18. Informing the scaling up of voluntary medical male circumcision efforts through the use of theory of reasoned action: survey findings among uncircumcised young men in Swaziland.

    Science.gov (United States)

    Gurman, Tilly A; Dhillon, Preeti; Greene, Jessica L; Makadzange, Panganai; Khumlao, Philisiwe; Shekhar, Navendu

    2015-04-01

    Assessing predictors of intention to circumcise can help to identify effective strategies for increasing uptake of voluntary medical male circumcision (VMMC). Grounded in the theory of reasoned action (TRA), the current study of uncircumcised males ages 13-29 in Swaziland (N = 1,257) employed multivariate logistic regression to determine predictors of VMMC intention. The strongest predictors were strongly disagreeing/disagreeing that sex was more painful for a circumcised man (odds ratio [OR] = 4.37; p = theory to explore young men's intention to circumcise and can help inform interventions aimed at increasing uptake of VMMC.

  19. A Field Theory with Curvature and Anticurvature

    Directory of Open Access Journals (Sweden)

    M. I. Wanas

    2014-01-01

    Full Text Available The present work is an attempt to construct a unified field theory in a space with curvature and anticurvature, the PAP-space. The theory is derived from an action principle and a Lagrangian density using a symmetric linear parameterized connection. Three different methods are used to explore physical contents of the theory obtained. Poisson’s equations for both material and charge distributions are obtained, as special cases, from the field equations of the theory. The theory is a pure geometric one in the sense that material distribution, charge distribution, gravitational and electromagnetic potentials, and other physical quantities are defined in terms of pure geometric objects of the structure used. In the case of pure gravity in free space, the spherical symmetric solution of the field equations gives the Schwarzschild exterior field. The weak equivalence principle is respected only in the case of pure gravity in free space; otherwise it is violated.

  20. Information Theory: a Multifaceted Model of Information

    Directory of Open Access Journals (Sweden)

    Mark Burgin

    2003-06-01

    Full Text Available A contradictory and paradoxical situation that currently exists in information studies can be improved by the introduction of a new information approach, which is called the general theory of information. The main achievement of the general theory of information is explication of a relevant and adequate definition of information. This theory is built as a system of two classes of principles (ontological and sociological and their consequences. Axiological principles, which explain how to measure and evaluate information and information processes, are presented in the second section of this paper. These principles systematize and unify different approaches, existing as well as possible, to construction and utilization of information measures. Examples of such measures are given by Shannon’s quantity of information, algorithmic quantity of information or volume of information. It is demonstrated that all other known directions of information theory may be treated inside general theory of information as its particular cases.

  1. String theory as a Lilliputian world

    International Nuclear Information System (INIS)

    Ambjørn, J.; Makeenko, Y.

    2016-01-01

    Lattice regularizations of the bosonic string do not allow us to probe the tachyon. This has often been viewed as the reason why these theories have never managed to make any contact to standard continuum string theories when the dimension of spacetime is larger than two. We study the continuum string theory in large spacetime dimensions where simple mean field theory is reliable. By keeping carefully the cutoff we show that precisely the existence of a tachyon makes it possible to take a scaling limit which reproduces the lattice-string results. We compare this scaling limit with another scaling limit which reproduces standard continuum-string results. If the people working with lattice regularizations of string theories are akin to Gulliver they will view the standard string-world as a Lilliputian world no larger than a few lattice spacings.

  2. String theory as a Lilliputian world

    Energy Technology Data Exchange (ETDEWEB)

    Ambjørn, J., E-mail: ambjorn@nbi.dk [The Niels Bohr Institute, Copenhagen University, Blegdamsvej 17, DK-2100 Copenhagen (Denmark); IMAPP, Radboud University, Heyendaalseweg 135, 6525 AJ, Nijmegen (Netherlands); Makeenko, Y., E-mail: makeenko@nbi.dk [The Niels Bohr Institute, Copenhagen University, Blegdamsvej 17, DK-2100 Copenhagen (Denmark); Institute of Theoretical and Experimental Physics, B. Cheremushkinskaya 25, 117218 Moscow (Russian Federation)

    2016-05-10

    Lattice regularizations of the bosonic string do not allow us to probe the tachyon. This has often been viewed as the reason why these theories have never managed to make any contact to standard continuum string theories when the dimension of spacetime is larger than two. We study the continuum string theory in large spacetime dimensions where simple mean field theory is reliable. By keeping carefully the cutoff we show that precisely the existence of a tachyon makes it possible to take a scaling limit which reproduces the lattice-string results. We compare this scaling limit with another scaling limit which reproduces standard continuum-string results. If the people working with lattice regularizations of string theories are akin to Gulliver they will view the standard string-world as a Lilliputian world no larger than a few lattice spacings.

  3. Generalizing Prototype Theory: A Formal Quantum Framework

    Science.gov (United States)

    Aerts, Diederik; Broekaert, Jan; Gabora, Liane; Sozzo, Sandro

    2016-01-01

    Theories of natural language and concepts have been unable to model the flexibility, creativity, context-dependence, and emergence, exhibited by words, concepts and their combinations. The mathematical formalism of quantum theory has instead been successful in capturing these phenomena such as graded membership, situational meaning, composition of categories, and also more complex decision making situations, which cannot be modeled in traditional probabilistic approaches. We show how a formal quantum approach to concepts and their combinations can provide a powerful extension of prototype theory. We explain how prototypes can interfere in conceptual combinations as a consequence of their contextual interactions, and provide an illustration of this using an intuitive wave-like diagram. This quantum-conceptual approach gives new life to original prototype theory, without however making it a privileged concept theory, as we explain at the end of our paper. PMID:27065436

  4. Generalizing Prototype Theory: A Formal Quantum Framework

    Directory of Open Access Journals (Sweden)

    Diederik eAerts

    2016-03-01

    Full Text Available Theories of natural language and concepts have been unable to model the flexibility, creativity, context-dependence, and emergence, exhibited by words, concepts and their combinations. The mathematical formalism of quantum theory has instead been successful in capturing these phenomena such as graded membership, situational meaning, composition of categories, and also more complex decision making situations, which cannot be modeled in traditional probabilistic approaches. We show how a formal quantum approach to concepts and their combinations can provide a powerful extension of prototype theory. We explain how prototypes can interfere in conceptual combinations as a consequence of their contextual interactions, and provide an illustration of this using an intuitive wave-like diagram. This quantum-conceptual approach gives new life to original prototype theory, without however making it a privileged concept theory, as we explain at the end of our paper.

  5. Theory Loves Practice: A Teacher Researcher Group

    Science.gov (United States)

    Hochtritt, Lisa; Thulson, Anne; Delaney, Rachael; Dornbush, Talya; Shay, Sarah

    2014-01-01

    Once a month, art educators from the Denver metro area have been gathering together in the spirit of inquiry to explore issues of the perceived theory and daily practice divide. The Theory Loves Practice (TLP) group was started in 2010 by Professors Rachael Delaney and Anne Thulson from Metropolitan State University of Denver (MSU) and now has 40…

  6. Do Infants Have a Theory of Mind?

    Science.gov (United States)

    Rakoczy, Hannes

    2012-01-01

    The central question debated in current research on infant social cognition is "do infants have a theory of mind?" It is argued here that this question is understood and treated in radically different ways by different participants of the debate arguing either for (e.g., Onishi & Baillargeon, 2005) or against early competence in theory of mind…

  7. Interpreting quantum theory a therapeutic approach

    CERN Document Server

    Friederich, S

    2014-01-01

    Is it possible to approach quantum theory in a 'therapeutic' vein that sees its foundational problems as arising from mistaken conceptual presuppositions? The book explores the prospects for this project and, in doing so, discusses such fascinating issues as the nature of quantum states, explanation in quantum theory, and 'quantum non-locality'.

  8. Towards a Theory of Moral Education

    Science.gov (United States)

    Hand, Michael

    2014-01-01

    In this inaugural lecture, delivered at the University of Birmingham in January 2014, I sketch the outline of a theory of moral education. The theory is an attempt to resolve the tension between two thoughts widely entertained by teachers, policy-makers and the general public. The first thought is that morality must be learned: children must come…

  9. Item Response Theory: A Basic Concept

    Science.gov (United States)

    Mahmud, Jumailiyah

    2017-01-01

    With the development in computing technology, item response theory (IRT) develops rapidly, and has become a user friendly application in psychometrics world. Limitation in classical theory is one aspect that encourages the use of IRT. In this study, the basic concept of IRT will be discussed. In addition, it will briefly review the ability…

  10. Toward A Theory of Experiential Education.

    Science.gov (United States)

    Druian, Greg

    1979-01-01

    A theory of experiential instruction based on the ideas of Jerome Bruner is proposed. Four general requirements of instructional theory are examined and it is recommended that research and development refine and improve the practice of experiential instruction. (Author/SF)

  11. Theory Underlying a National Teacher Evaluation Program

    Science.gov (United States)

    Taut, Sandy; Santelices, Veronica; Araya, Carolina; Manzi, Jorge

    2010-01-01

    The paper describes a study conducted to explicate the multiple theories underlying Chile's national teacher evaluation program. These theories will serve as the basis for evaluating the intended consequences of this evaluation system, while not losing sight of emerging unintended consequences. We first analyzed legal and policy documents and then…

  12. New trends in medical and service robots theory and integrated applications

    CERN Document Server

    Bleuler, Hannes; Rodic, Aleksandar; Vaida, Calin; Pisla, Adrian; First International Workshop on Medical and Service Robots

    2014-01-01

    This book contains mainly the selected papers of the First International Workshop on Medical and Service Robots, held in Cluj-Napoca, Romania, in 2012. The high quality of the scientific contributions is the result of a rigorous selection and improvement based on the participants’ exchange of opinions and extensive peer-review. This process has led to the publishing of the present collection of 16 independent valuable contributions and points of view and not as standard symposium or conference proceedings.  The addressed issues are: Computational Kinematics, Mechanism Design, Linkages and Manipulators, Mechanisms for Biomechanics, Mechanics of Robots, Control Issues for Mechanical Systems, Novel Designs, Teaching Methods, all of these being concentrated around robotic systems for medical and service applications.  The results are of interest to researchers and professional practitioners as well as to Ph.D. students in the field of mechanical and electrical engineering.  This volume marks the start of a s...

  13. Organizational Theories and Analysis: A Feminist Perspective

    Science.gov (United States)

    Irefin, Peace; Ifah, S. S.; Bwala, M. H.

    2012-06-01

    This paper is a critique of organization theories and their failure to come to terms with the fact of the reproduction of labour power within a particular form of the division of labour. It examines feminist theory and its aims to understand the nature of inequality and focuses on gender, power relations and sexuality part of the task of feminists which organizational theories have neglected is to offer an account of how the different treatments of the sexes operate in our culture. The paper concludes that gender has been completely neglected within the organizational theory which result in a rhetorical reproduction of males as norms and women as others. It is recommended that only radical form of organization theory can account for the situation of women in organisational setting

  14. Medical anthropology: toward a third moment in social science?

    Science.gov (United States)

    Dressler, W W

    2001-12-01

    This article about medical anthropology was inspired by the work of Pierre Bourdieu, specifically, his efforts to reconcile the antinomy of a "social structuralist" and a "cultural constructivist" perspective. These perspectives are often opposed in the literature, but, in Bourdieu's view, human life cannot be studied without taking into account both how individuals are situated within and constrained by social structures and how those individuals construct an understanding of and impose meaning on the world around them. I argue that the special subject matter of medical anthropology--human health--demands that a synthetic approach be taken in our theory and research. I illustrate this argument with examples from my own research on social and cultural factors associated with blood pressure, and I point to other examples of this synthesis in medical anthropology. The results of this research hold promise for the continuing refinement of culture theory.

  15. Ernst Rüdin's Unpublished 1922-1925 Study "Inheritance of Manic-Depressive Insanity": Genetic Research Findings Subordinated to Eugenic Ideology.

    Science.gov (United States)

    Kösters, Gundula; Steinberg, Holger; Kirkby, Kenneth Clifford; Himmerich, Hubertus

    2015-11-01

    In the early 20th century, there were few therapeutic options for mental illness and asylum numbers were rising. This pessimistic outlook favoured the rise of the eugenics movement. Heredity was assumed to be the principal cause of mental illness. Politicians, scientists and clinicians in North America and Europe called for compulsory sterilisation of the mentally ill. Psychiatric genetic research aimed to prove a Mendelian mode of inheritance as a scientific justification for these measures. Ernst Rüdin's seminal 1916 epidemiological study on inheritance of dementia praecox featured large, systematically ascertained samples and statistical analyses. Rüdin's 1922-1925 study on the inheritance of "manic-depressive insanity" was completed in manuscript form, but never published. It failed to prove a pattern of Mendelian inheritance, counter to the tenets of eugenics of which Rüdin was a prominent proponent. It appears he withheld the study from publication, unable to reconcile this contradiction, thus subordinating his carefully derived scientific findings to his ideological preoccupations. Instead, Rüdin continued to promote prevention of assumed hereditary mental illnesses by prohibition of marriage or sterilisation and was influential in the introduction by the National Socialist regime of the 1933 "Law for the Prevention of Hereditarily Diseased Offspring" (Gesetz zur Verhütung erbkranken Nachwuchses).

  16. ‘God’s Ethicist’: Albert Moll and His Medical Ethics in Theory and Practice

    Science.gov (United States)

    Maehle, Andreas-Holger

    2012-01-01

    In 1902, Albert Moll, who at that time ran a private practice for nervous diseases in Berlin, published his comprehensive book on medical ethics, Ärztliche Ethik. Based on the concept of a contractual relationship between doctor and client, it gave more room to the self-determination of patients than the contemporary, usually rather paternalistic, works of this genre. In the first part of the present paper this is illustrated by examining Moll’s views and advice on matters such as truthfulness towards patients, euthanasia, and abortion. The second part of this article discusses how Moll engaged with the then publicly debated issues of experimentation on hospital patients and the ‘trade’ of foreign private patients between agents and medical consultants. In both matters Moll collected evidence of unethical practices and tried to use it to bring about change without damaging his or the profession’s reputation. However, with his tactical manoeuvres, Moll made no friends for himself among his colleagues or the authorities; his book on ethics also met with a generally cool response from the medical profession and seems to have been more appreciated by lawyers than by other doctors. PMID:23002294

  17. 'God's ethicist': Albert Moll and his medical ethics in theory and practice.

    Science.gov (United States)

    Maehle, Andreas-Holger

    2012-04-01

    In 1902, Albert Moll, who at that time ran a private practice for nervous diseases in Berlin, published his comprehensive book on medical ethics, Ärztliche Ethik. Based on the concept of a contractual relationship between doctor and client, it gave more room to the self-determination of patients than the contemporary, usually rather paternalistic, works of this genre. In the first part of the present paper this is illustrated by examining Moll's views and advice on matters such as truthfulness towards patients, euthanasia, and abortion. The second part of this article discusses how Moll engaged with the then publicly debated issues of experimentation on hospital patients and the 'trade' of foreign private patients between agents and medical consultants. In both matters Moll collected evidence of unethical practices and tried to use it to bring about change without damaging his or the profession's reputation. However, with his tactical manoeuvres, Moll made no friends for himself among his colleagues or the authorities; his book on ethics also met with a generally cool response from the medical profession and seems to have been more appreciated by lawyers than by other doctors.

  18. Astaxanthin as a Medical Food

    Directory of Open Access Journals (Sweden)

    Eiji Yamashita

    2013-07-01

    Full Text Available ABSTRACTAstaxanthin is a red pigment that belongs to the carotenoid family like β-carotene. And it’s found in seafood such as crustaceans: shrimp and crabs and fish: salmon and sea bream. Recently, astaxanthin has been reported to have antioxidant activity up to 100 times more potent than that of vitamin E against lipid peroxidation and about 40 times more potent than that of β-carotene on singlet oxygen quenching. Astaxanthin does not show any pro-oxidant activity and its main sight of action is on/in the cell membrane. Various important benefits to date have suggested for human health such as immunomodulation, anti-stress, anti-inflammation, LDL cholesterol oxidation suppression, enhanced skin health, improved semen quality, attenuating eye fatigue, sport performance and endurance, limiting exercised induced muscle damage, suppressing the development of life-style related diseases such as obesity, atherosclerosis, diabetes, hyperlipidemia and hypertension. Nowadays, the research and demand for natural astaxanthin in human health application are explosively growing worldwide. Especially, the clinicians use the astaxanthin extracted from the microalgae, Haematotoccus pluvialis, as an add-on supplementation for the patients who are unsatisfied with the current medications or who can’t receive any medications because of their serious symptom. For example, the treatment enhances their daily activity levels or QOL in heart failure or benign prostatic hypertrophy/lower urinary tract symptom patients. Other studies and trials are under way on chronic diseases such as non-alcoholic steatohepatitis, diabetes and CVD. We may call astaxanthin “a medical food” in the near future.Keywords: astaxanthin, medical food, Haematococcus, add-on supplementation

  19. Problem based learning in medical education: theory, rationale, process and implications for pakistan.

    Science.gov (United States)

    Baig, Lubna A

    2006-09-01

    Historically, lectures were the medium to transfer cognitive information to the learners in medical education. Apprenticeship training, labs, bedside teaching, tutorials etc. were used to impart psychomotor and affective skills. It was assumed that the learner will assimilate all this knowledge and will be competent to apply this learning in practical life. Problem-based learning (PBL) emerged due to problems in building the appropriate competencies in the medical graduates and is a relatively newer mode of transfer of knowledge. This paper will deal with problem-based learning which took the world with storm in the 80's and most institutions in the world started using different variants of PBL. This paper attempts to define and explore the theoretical basis and historical background of PBL. The paper will systematically review literature and argue about the advantages and disadvantages of PBL and the implications of its implementation in Pakistan.

  20. Rhazes, a pioneer in contribution to trials in medical practice.

    Science.gov (United States)

    Ghaffari, Farzaneh; Naseri, Mohsen; Jafari Hajati, Razieh; Zargaran, Arman

    2017-12-01

    Medical history explains that Persian physicians used scientific methods based on clinical experiences and observations for treatment from pre-Islamic time (before 637 AD) and centuries later (in the Islamic era). Rhazes was one of the Persian physicians acknowledged as a pharmacist, chemist and prominent scientific writer on various subjects of medicine and philosophy. In this study, we aimed to investigate clinical experiences, as well as the ethical and critical views of Rhazes in medical practice. Rhazes promoted ethics in the medical profession. He expressed critical key points about ancient written texts. He broke ancient physicians' taboos in medical theories and evaluated them based on his own experiences. He designed animal and preclinical evaluations for his theories and also performed the first clinical trials with control groups in the history. His critical views about medical sciences as well as his beliefs in experiments resulted in many medical, chemical and pharmaceutical findings. Therefore, in history, he can be considered as the pioneer in using trials and experiments for approving medical methods.

  1. Quantum Field Theory in a Semiotic Perspective

    CERN Document Server

    Günter Dosch, Hans; Sieroka, Norman

    2005-01-01

    Viewing physical theories as symbolic constructions came to the fore in the middle of the nineteenth century with the emancipation of the classical theory of the electromagnetic field from mechanics; most notably this happened through the work of Helmholtz, Hertz, Poincaré, and later Weyl. The epistemological problems that nourished this development are today highlighted within quantum field theory. The present essay starts off with a concise and non-technical outline of the firmly based aspects of relativistic quantum field theory, i.e. the very successful description of subnuclear phenomena. The particular methods, by which these different aspects have to be accessed, then get described as distinct facets of quantum field theory. The authors show how these different facets vary with respect to the relation between quantum fields and associated particles. Thus, by emphasising the respective role of various basic concepts involved, the authors claim that only a very general epistemic approach can properly ac...

  2. Adapting Structuration Theory as a Comprehensive Theory for Distance Education: The ASTIDE Model

    Science.gov (United States)

    Aktaruzzaman, Md; Plunkett, Margaret

    2016-01-01

    Distance Education (DE) theorists have argued about the requirement for a theory to be comprehensive in a way that can explicate many of the activities associated with DE. Currently, Transactional Distance Theory (TDT) (Moore, 1993) and the Theory of Instructional Dialogue (IDT) (Caspi & Gorsky, 2006) are the most prominent theories, yet they…

  3. Intercorporeality as a theory of social cognition.

    Science.gov (United States)

    Tanaka, Shogo

    2015-08-01

    The main aim of this article is to revisit Merleau-Ponty's notion of intercorporeality (intercorporéité) and elaborate it as a new theory of social cognition. As is well known, theory of mind has been the central issue in the field of social cognition for more than two decades. In reviewing the basic concepts involved in two major theories (theory theory and simulation theory), I make clear that both theories have been missing the embodied dimension because of their mind-body dualistic supposition. The notion of intercorporeality, in accordance with the recent interaction theory, stresses the role of embodied interactions between the self and the other in the process of social understanding. I develop this notion into two directions and describe the related process of social cognition: one is behavior matching and primordial empathy, the other is interactional synchrony and the sense of mutual understanding. Through these embodied interactions, intersubjective meanings are created and directly shared between the self and the other, without being mediated by mental representations.

  4. Medical Students’ and Interns’ Attitudes toward Medical Ethics Education in a Thai Medical School

    Directory of Open Access Journals (Sweden)

    Sakda Sathirareuangchai

    2016-03-01

    Full Text Available Background: Medical ethics has been accepted as part of every accredited medical curriculum for the past 40 years. Medical students’ attitudes have an important role for development and improvement of the curriculum. Faculty of Medicine Siriraj Hospital is the oldest and largest medical school in Thailand, and has been teaching medical ethics since 1907. Objective: To determine attitudes among medical students and interns toward medical ethics education and understand the factors influencing their attitudes. Methods: Mixed quantitative and qualitative research was conducted with early 6th year medical students and interns. A questionnaire was adapted from previous studies and included some original items. Results: Of the 550 questionnaires distributed, 386 were returned (70.2% response rate. Males (n=180 made up 46.63 % of the sample. Interns (n=219, 56.74 % tended to have more positive attitudes toward ethics learning than did medical students (n = 167, 43.26 %. Male participants tended to agree more with negative statements about ethics learning than did females. There was no statistically significant effect of hometown (Bangkok versus elsewhere or grade point average on attitudes. The main problem cited with medical ethics education was lack of engaging methods. Conclusion: Because clinical experience has an effect on learners’ attitudes towards ethics education, medical ethics should be taught at the appropriate time and with proper techniques, such as drawing explicit ties between ethical principles and real-life situations. Attention to the more detailed aspects of these data should also facilitate improvements to curriculum content, thereby ensuring better educational outcomes.

  5. Towards a (Preliminary) Theory of Cyberpower

    National Research Council Canada - National Science Library

    Kramer, Franklin D; Starr, Stuart H; Wentz, Larry K

    2008-01-01

    ...), National Defense University (NDU) develop a theory of cyberpower. It was noted that there was a need to develop a holistic framework that would enable policy makers to address cyber issues in proper perspective...

  6. Gauge Theory on a Quantum Phase Space

    CERN Document Server

    Alvarez-Gaumé, Luís; Alvarez-Gaume, Luis; Wadia, Spenta R.

    2001-01-01

    In this note we present a operator formulation of gauge theories in a quantum phase space which is specified by a operator algebra. For simplicity we work with the Heisenberg algebra. We introduce the notion of the derivative (transport) and Wilson line (parallel transport) which enables us to construct a gauge theory in a simple way. We illustrate the formulation by a discussion of the Higgs mechanism and comment on the large N masterfield.

  7. A New Foundation of Physical Theories

    CERN Document Server

    Ludwig, Günther

    2006-01-01

    Written in the tradition of G. Ludwig’s groundbreaking works, this book aims to clarify and formulate more precisely the fundamental ideas of physical theories. By introducing a basic descriptive language of simple form, in which it is possible to formulate recorded facts, ambiguities of physical theories are avoided as much as possible. In this approach the field of physics that should be described by a theory is determined by basic concepts only, i.e. concepts that can be explained without a theory. In this context the authors introduce a new concept of idealization and review the process of discovering new concepts. They believe that, when the theories are formulated within an axiomatic basis, solutions can be found to many difficult problems such as the interpretation of physical theories, the relations between theories as well as the introduction of physical concepts. The book addresses both physicists and philosophers of science and should encourage the reader to contribute to the understanding of the...

  8. A case for nursing theory in practice.

    Science.gov (United States)

    Karnick, Paula M

    2014-04-01

    The discipline of nursing is on a slippery slope with regard to the ever increasing lack of nursing theory in its work. The misguided attempt to eliminate the use of nursing theory as the underpinning of practice is degrading nursing as a viable profession, ultimately affecting patient care. A clarion call to the discipline regarding the need for theory in research and practice is required. Nursing will soon become just another set of tasks rather than the profession needed by patients and their families.

  9. Undergraduate medical education in emergency medical care: A nationwide survey at German medical schools

    Directory of Open Access Journals (Sweden)

    Timmermann Arnd

    2009-05-01

    Full Text Available Abstract Background Since June 2002, revised regulations in Germany have required "Emergency Medical Care" as an interdisciplinary subject, and state that emergency treatment should be of increasing importance within the curriculum. A survey of the current status of undergraduate medical education in emergency medical care establishes the basis for further committee work. Methods Using a standardized questionnaire, all medical faculties in Germany were asked to answer questions concerning the structure of their curriculum, representation of disciplines, instructors' qualifications, teaching and assessment methods, as well as evaluation procedures. Results Data from 35 of the 38 medical schools in Germany were analysed. In 32 of 35 medical faculties, the local Department of Anaesthesiology is responsible for the teaching of emergency medical care; in two faculties, emergency medicine is taught mainly by the Department of Surgery and in another by Internal Medicine. Lectures, seminars and practical training units are scheduled in varying composition at 97% of the locations. Simulation technology is integrated at 60% (n = 21; problem-based learning at 29% (n = 10, e-learning at 3% (n = 1, and internship in ambulance service is mandatory at 11% (n = 4. In terms of assessment methods, multiple-choice exams (15 to 70 questions are favoured (89%, n = 31, partially supplemented by open questions (31%, n = 11. Some faculties also perform single practical tests (43%, n = 15, objective structured clinical examination (OSCE; 29%, n = 10 or oral examinations (17%, n = 6. Conclusion Emergency Medical Care in undergraduate medical education in Germany has a practical orientation, but is very inconsistently structured. The innovative options of simulation technology or state-of-the-art assessment methods are not consistently utilized. Therefore, an exchange of experiences and concepts between faculties and disciplines should be promoted to guarantee a standard

  10. How to Develop a Multi-Grounded Theory: the evolution of a business process theory

    Directory of Open Access Journals (Sweden)

    Mikael Lind

    2006-05-01

    Full Text Available In the information systems field there is a great need for different theories. Theory development can be performed in different ways – deductively and/or inductively. Different approaches with their pros and cons for theory development exists. A combined approach, which builds on inductive as well as deductive thinking, has been put forward – a Multi-Grounded Theory approach. In this paper the evolution of a business process theory is regarded as the development of a multi-grounded theory. This evolution is based on empirical studies, theory-informed conceptual development and the creation of conceptual cohesion. The theoretical development has involved a dialectic approach aiming at a theoretical synthesis based on antagonistic theories. The result of this research process was a multi-grounded business process theory. Multi-grounded means that the theory is empirically, internally and theoretically founded. This business process theory can be used as an aid for business modellers to direct attention towards relevant aspects when business process determination is performed.

  11. Introducing Scattering Theory with a Computer

    Science.gov (United States)

    Merrill, John R.

    1973-01-01

    Discusses a new method of presenting the scattering theory, including classical explanation of cross sections, quantum mechanical expressions for phase shifts, and use of a computer to solve problems. (CC)

  12. A first course in graph theory

    CERN Document Server

    Chartrand, Gary

    2012-01-01

    This comprehensive text offers undergraduates a remarkably student-friendly introduction to graph theory. Written by two of the field's most prominent experts, it takes an engaging approach that emphasizes graph theory's history. Unique examples and lucid proofs provide a sound yet accessible treatment that stimulates interest in an evolving subject and its many applications.Optional sections designated as ""excursion"" and ""exploration"" present interesting sidelights of graph theory and touch upon topics that allow students the opportunity to experiment and use their imaginations. Three app

  13. Metric quantum field theory: A preliminary look

    International Nuclear Information System (INIS)

    Watson, W.N.

    1988-01-01

    Spacetime coordinates are involved in uncertainty relations; spacetime itself appears to exhibit curvature. Could the continua associated with field variables exhibit curvature? This question, as well as the ideas that (a) difficulties with quantum theories of gravitation may be due to their formulation in an incorrect analogy with other quantum field theories, (b) spacetime variables should not be any more basic than others for describing physical phenomena, and (c) if field continua do not exhibit curvature, the reasons would be of interest, motivated the formulation of a theory of variable curvature and torsion in the electromagnetic four-potential's reciprocal space. Curvature and torsion equation completely analogous to those for a gauge theory of gravitation (the Einstein-Cartan-Sciama-Kibble theory) are assumed for this continuum. The interaction-Hamiltonian density of this theory, to a first approximation, implies that in addition to the Maxwell-Dirac field interaction of ordinary quantum electrodynamics, there should also be an interaction between Dirac-field vector and pseudovector currents unmediated by photons, as well as other interactions involving two or three Dirac-field currents interacting with the Maxwell field at single spacetime events. Calculations expressing Bhabha-scattering cross sections for incident beams with parallel spins differ from those of unmodified quantum electrodynamics by terms of first order in the gravitational constant of the theory, but the corresponding cross section for unpolarized incident beams differs from that of the unmodified theory only by terms of higher order in that constant. Undesirable features of the present theory include its nonrenormalizability, the obscurity of the meaning of its inverse field operator, and its being based on electrodynamics rather than electroweak dynamics

  14. Newly-graduated midwives transcending barriers: a grounded theory study.

    Science.gov (United States)

    Barry, Michele J; Hauck, Yvonne L; O'Donoghue, Thomas; Clarke, Simon

    2013-12-01

    Midwifery has developed its own philosophy to formalise its unique identity as a profession. Newly-graduated midwives are taught, and ideally embrace, this philosophy during their education. However, embarking in their career within a predominantly institutionalised and the medically focused health-care model may challenge this application. The research question guiding this study was as follows: 'How do newly graduated midwives deal with applying the philosophy of midwifery in their first six months of practice?' The aim was to generate a grounded theory around this social process. This Western Australian grounded theory study is conceptualised within the social theory of symbolic interactionism. Data were collected by means of in-depth, semi-structured interviews with 11 recent midwifery graduates. Participant and interviewer's journals provided supplementary data. The 'constant comparison' approach was used for data analysis. The substantive theory of transcending barriers was generated. Three stages in transcending barriers were identified: Addressing personal attributes, Understanding the 'bigger picture', and finally, 'Evaluating, planning and acting' to provide woman-centred care. An overview of these three stages provides the focus of this article. The theory of transcending barriers provides a new perspective on how newly-graduated midwives deal with applying the philosophy of midwifery in their first six months of practice. A number of implications for pre and post registration midwifery education and policy development are suggested, as well as recommendations for future research. Copyright © 2013 Elsevier Ltd. All rights reserved.

  15. A Dynamic Logic for Learning Theory

    DEFF Research Database (Denmark)

    Baltag, Alexandru; Gierasimczuk, Nina; Özgün, Aybüke

    2017-01-01

    Building on previous work that bridged Formal Learning Theory and Dynamic Epistemic Logic in a topological setting, we introduce a Dynamic Logic for Learning Theory (DLLT), extending Subset Space Logics with dynamic observation modalities, as well as with a learning operator, which encodes...... the learner’s conjecture after observing a finite sequence of data. We completely axiomatise DLLT, study its expressivity and use it to characterise various notions of knowledge, belief, and learning. ...

  16. MEDICAL BRAIN DRAIN - A THEORETICAL APPROACH

    Directory of Open Access Journals (Sweden)

    Boncea Irina

    2013-07-01

    Full Text Available Medical brain drain is defined as the migration of health personnel from developing countries to developed countries and between industrialized nations in search for better opportunities. This phenomenon became a global growing concern due to its impact on both the donor and the destination countries. This article aims to present the main theoretical contributions starting from 1950 until today and the historical evolution, in the attempt of correlating the particular case of medical brain drain with the theory and evolution of the brain drain in general. This article raises questions and offers answers, identifies the main issues and looks for possible solutions in order to reduce the emigration of medical doctors. Factors of influence include push (low level of income, poor working conditions, the absence of job openings and social recognition, oppressive political climate and pull (better remuneration and working conditions, prospects for career development, job satisfaction, security factors. Developing countries are confronting with the loss of their most valuable intellectuals and the investment in their education, at the benefit of developed nations. An ethical debate arises as the disparities between countries increases, industrialized nations filling in the gaps in health systems with professionals from countries already facing shortages. However, recent literature emphasizes the possibility of a “beneficial brain drain” through education incentives offered by the emigration prospects. Other sources of “brain gain” for donor country are the remittances, the scientific networks and return migration. Measures to stem the medical brain drain involve the common effort and collaboration between developing and developed countries and international organizations. Measures adopted by donor countries include higher salaries, better working conditions, security, career opportunities, incentives to stimulate return migration. Destination

  17. A periodic table of effective field theories

    Energy Technology Data Exchange (ETDEWEB)

    Cheung, Clifford [Walter Burke Institute for Theoretical Physics,California Institute of Technology,Pasadena, CA (United States); Kampf, Karol; Novotny, Jiri [Institute of Particle and Nuclear Physics,Faculty of Mathematics and Physics, Charles University,Prague (Czech Republic); Shen, Chia-Hsien [Walter Burke Institute for Theoretical Physics,California Institute of Technology,Pasadena, CA (United States); Trnka, Jaroslav [Center for Quantum Mathematics and Physics (QMAP),Department of Physics, University of California,Davis, CA (United States)

    2017-02-06

    We systematically explore the space of scalar effective field theories (EFTs) consistent with a Lorentz invariant and local S-matrix. To do so we define an EFT classification based on four parameters characterizing 1) the number of derivatives per interaction, 2) the soft properties of amplitudes, 3) the leading valency of the interactions, and 4) the spacetime dimension. Carving out the allowed space of EFTs, we prove that exceptional EFTs like the non-linear sigma model, Dirac-Born-Infeld theory, and the special Galileon lie precisely on the boundary of allowed theory space. Using on-shell momentum shifts and recursion relations, we prove that EFTs with arbitrarily soft behavior are forbidden and EFTs with leading valency much greater than the spacetime dimension cannot have enhanced soft behavior. We then enumerate all single scalar EFTs in d<6 and verify that they correspond to known theories in the literature. Our results suggest that the exceptional theories are the natural EFT analogs of gauge theory and gravity because they are one-parameter theories whose interactions are strictly dictated by properties of the S-matrix.

  18. A non-linear field theory

    International Nuclear Information System (INIS)

    Skyrme, T.H.R.

    1994-01-01

    A unified field theory of mesons and their particle sources is proposed and considered in its classical aspects. The theory has static solutions of a singular nature, but finite energy, characterized by spin directions; the number of such entities is a rigorously conserved constant of motion; they interact with an external meson field through a derivative-type coupling with the spins, akin to the formalism of strong-coupling meson theory. There is a conserved current identifiable with isobaric spin, and another that may be related to hypercharge. The postulates include one constant of the dimensions of length, and another that is conjecture necessarily to have the value (h/2π)c, or perhaps 1/2(h/2π)c, in the quantized theory. (author). 5 refs

  19. Relativistic Boltzmann theory for a plasma

    International Nuclear Information System (INIS)

    Erkelens, H. van.

    1984-01-01

    This thesis gives a self-contained treatment of the relativistic Boltzmann theory for a plasma. Here plasma means any mixture containing electrically charged particles. The relativistic Boltzmann equation is linearized for the case of a plasma. The Chapman-Enskog method is elaborated further for transport phenomena. Linear laws for viscous phenomena are derived. Then the collision term in the Boltzmann theory is dealt with. Using the transport equation, a kinetic theory of wave phenomena is developed and the dissipation of hydromagnetic waves in a relativistic plasma is investigated. In the final chapter, it is demonstrated how the relativistic Boltzmann theory can be applied in cosmology. In doing so, expressions are derived for the electric conductivity of the cosmological plasma in the lepton era, the plasma era and the annihilation era. (Auth.)

  20. Towards a Theory of Digital Preservation

    OpenAIRE

    Moore, Reagan

    2008-01-01

    A preservation environment manages communication from the past while communicating with the future. Information generated in the past is sent into the future by the current preservation environment. The proof that the preservation environment preserves authenticity and integrity while performing the communication constitutes a theory of digital preservation. We examine the representation information that is needed about the preservation environment for a theory of digital preservation. The re...

  1. Towards a General Theory of Immunity?

    Science.gov (United States)

    Eberl, Gérard; Pradeu, Thomas

    2018-04-01

    Theories are indispensable to organize immunological data into coherent, explanatory, and predictive frameworks. We propose to combine different models to develop a unifying theory of immunity which situates immunology in the wider context of physiology. We believe that the immune system will be increasingly understood as a central component of a network of partner physiological systems that interconnect to maintain homeostasis. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Measuring the impact of an interprofessional multimedia learning resource on Japanese nurses and nursing students using the Theory of Planned Behavior Medication Safety Questionnaire.

    Science.gov (United States)

    Omura, Mieko; Levett-Jones, Tracy; Stone, Teresa Elizabeth; Maguire, Jane; Lapkin, Samuel

    2015-12-01

    Interprofessional communication and teamwork are essential for medication safety; however, limited educational opportunities for health professionals and students to develop these skills exist in Japan. This study evaluated the impact of an interprofessional multimedia learning resource on registered nurses' and nursing students' intention to practice in a manner promoting medication safety. Using a quasi-experimental design, Japanese registered nurses and nursing students (n = 203) were allocated to an experimental (n = 109) or control group (n = 94). Behavioral intentions of medication safety and the predictor variables of attitudes, perceived behavioral control, and subjective norms were measured using a Japanese version of the Theory of Planned Behavior Medication Safety Questionnaire. Registered nurses in the experimental group demonstrated a greater intention to collaborate and practice in a manner that enhanced medication safety, evidenced by higher scores than the control group on all predictor variables. The results demonstrate the potential for interprofessional multimedia learning resources to positively impact the behaviors of Japanese registered nurses in relation to safe medication practices. Further research in other contexts and with other cohorts is warranted. © 2015 Wiley Publishing Asia Pty Ltd.

  3. A and B Theories of Closed Time

    Directory of Open Access Journals (Sweden)

    Phill Dowe

    Full Text Available ABSTRACT Closed time is possible in several senses of ‘possible’. One might like to know, therefore, whether closed time is possible in the sense that it is compatible with standard metaphysical theories of time. In this paper I am concerned with whether closed time is compatible with A and/or B theories of time. A common enough view amongst philosophers is that B theories do but A theories do not allow closed time. However, I show that prima-facie neither approach allows closed time, but that with a little work standard versions of both approaches do. This shows that there’s no special problem with the notion of eternal return.

  4. A subjective utilitarian theory of moral judgment.

    Science.gov (United States)

    Cohen, Dale J; Ahn, Minwoo

    2016-10-01

    Current theories hypothesize that moral judgments are difficult because rational and emotional decision processes compete. We present a fundamentally different theory of moral judgment: the Subjective Utilitarian Theory of moral judgment. The Subjective Utilitarian Theory posits that people try to identify and save the competing item with the greatest "personal value." Moral judgments become difficult only when the competing items have similar personal values. In Experiment 1, we estimate the personal values of 104 items. In Experiments 2-5, we show that the distributional overlaps of the estimated personal values account for over 90% of the variance in reaction times (RTs) and response choices in a moral judgment task. Our model fundamentally restructures our understanding of moral judgments from a competition between decision processes to a competition between similarly valued items. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  5. Complex automated medication systems reduce medication administration errors in a Danish acute medical unit.

    Science.gov (United States)

    Risør, Bettina Wulff; Lisby, Marianne; Sørensen, Jan

    2018-03-24

    The objective of this study was to evaluate the effectiveness of two automated medication systems in reducing medication administration errors. The study was a controlled before-and-after study and included three observation periods with collection of data during a 3-week period as initial baseline and two subsequent follow-up periods at 10 and 20 months. The study was conducted in two Danish acute medical units. Two automated medication systems were implemented: (i) a complex automated medication system (cAMS) consisting of an automated dispensing cabinet, automated unit-dose dispensing and barcode medication administration (BCMA) and (ii) a non-patient-specific automated medication system (npsAMS) consisting of automated unit-dose dispensing and BCMA. The occurrence of administration errors and sub-types; procedural and clinical errors were observed. The proportion of errors was calculated by dividing the number of doses with one or more errors with the number of opportunities for errors. Difference-in-difference analysis using logistic regression was used to assess changes in proportion of errors. Compared with control, the cAMS reduced the overall risk of administration errors in the intervention unit, (odds ratio (OR) 0.53; 95% confidence interval (CI) 0.27-0.90) and procedural errors were significantly reduced as well (OR 0.44; 95% CI 0.126-0.94). The npsAMS effectively reduced the clinical errors in the intervention ward (OR 0.38; 95% CI 0.15-0.96). In line with previous research, this study found that technological interventions in the medication administration process could reduce the occurrence of medication errors.

  6. A liberdade humana e as suas diferentes situações existenciais: a infância, o sono, a demência e a ignorância no pensamento de Luis de Molina (1535-1600 = Human freedom and its different existential situations: infancy, sleep, insanity and ignorance according to Luis de Molina(1535-1600

    Directory of Open Access Journals (Sweden)

    Rebalde, João Carlos Martins

    2014-01-01

    Full Text Available Neste estudo, pretende-se mostrar como o jesuíta Luis de Molina define a liberdade humana e a pensa em diferentes situações existenciais, nomeadamente a infância, o sono, a demência e a ignorância, na obra Concordia liberi arbitrii cum gratiae donis, divina praescientia, providentia, praedestinatione et reprobatione (1588. Discute-se também a importância da educação, da medicina e da religião no desenvolvimento do ser humano, no pensamento de Molina

  7. Situational judgement tests in medical education and training: Research, theory and practice: AMEE Guide No. 100.

    Science.gov (United States)

    Patterson, Fiona; Zibarras, Lara; Ashworth, Vicki

    2016-01-01

    Why use SJTs? Traditionally, selection into medical education professions has focused primarily upon academic ability alone. This approach has been questioned more recently, as although academic attainment predicts performance early in training, research shows it has less predictive power for demonstrating competence in postgraduate clinical practice. Such evidence, coupled with an increasing focus on individuals working in healthcare roles displaying the core values of compassionate care, benevolence and respect, illustrates that individuals should be selected on attributes other than academic ability alone. Moreover, there are mounting calls to widen access to medicine, to ensure that selection methods do not unfairly disadvantage individuals from specific groups (e.g. regarding ethnicity or socio-economic status), so that the future workforce adequately represents society as a whole. These drivers necessitate a method of assessment that allows individuals to be selected on important non-academic attributes that are desirable in healthcare professionals, in a fair, reliable and valid way. What are SJTs? Situational judgement tests (SJTs) are tests used to assess individuals' reactions to a number of hypothetical role-relevant scenarios, which reflect situations candidates are likely to encounter in the target role. These scenarios are based on a detailed analysis of the role and should be developed in collaboration with subject matter experts, in order to accurately assess the key attributes that are associated with competent performance. From a theoretical perspective, SJTs are believed to measure prosocial Implicit Trait Policies (ITPs), which are shaped by socialisation processes that teach the utility of expressing certain traits in different settings such as agreeable expressions (e.g. helping others in need), or disagreeable actions (e.g. advancing ones own interest at others, expense). Are SJTs reliable, valid and fair? Several studies, including good

  8. Blogging medical students: a qualitative analysis.

    Science.gov (United States)

    Pinilla, Severin; Weckbach, Ludwig T; Alig, Stefan K; Bauer, Helen; Noerenberg, Daniel; Singer, Katharina; Tiedt, Steffen

    2013-01-01

    Blogging is an increasingly popular method of sharing and reflecting on experiences of medical students in the World Wide Web with a potentially global learning community. The authors are not aware of studies that specifically examined blogs by medical students and thus for the first time investigated the type of experiences and impressions that emerged from these blogs with relevance for medical students and medical educators. This was a qualitative study. Initially 75 blogs were identified. 33 blogs with a total of 1228 English and 337 German blog entries met the inclusion criteria and were analyzed. We started with line-by-line coding and switched to focused coding using constant comparative analysis to create a categorical framework for blogs. Medical students use blogs to write and reflect about a large variety of issues related to medical school. Major emerging themes included the preparation for written and oral high-stakes exams, experiences during clinical rotations, dealing with distressing situations during medical school, and social life of students beyond medical school. Our findings suggest that blogs are a potentially useful tool for medical students to reflect on their experiences during medical school as well as for medical educators to better understand how students perceive their time in medical school. The educational benefit of blogging might even be increased if trained medical educators would help to facilitate meaningful and targeted discussions emerging from blog entries and comment on students' learning challenges with the chance to reach a large community of learners.

  9. Blogging Medical Students: A Qualitative Analysis

    Science.gov (United States)

    Pinilla, Severin; Weckbach, Ludwig T.; Alig, Stefan K.; Bauer, Helen; Noerenberg, Daniel; Singer, Katharina; Tiedt, Steffen

    2013-01-01

    Purpose: Blogging is an increasingly popular method of sharing and reflecting on experiences of medical students in the World Wide Web with a potentially global learning community. The authors are not aware of studies that specifically examined blogs by medical students and thus for the first time investigated the type of experiences and impressions that emerged from these blogs with relevance for medical students and medical educators. Method: This was a qualitative study. Initially 75 blogs were identified. 33 blogs with a total of 1228 English and 337 German blog entries met the inclusion criteria and were analyzed. We started with line-by-line coding and switched to focused coding using constant comparative analysis to create a categorical framework for blogs. Results: Medical students use blogs to write and reflect about a large variety of issues related to medical school. Major emerging themes included the preparation for written and oral high-stakes exams, experiences during clinical rotations, dealing with distressing situations during medical school, and social life of students beyond medical school. Conclusions: Our findings suggest that blogs are a potentially useful tool for medical students to reflect on their experiences during medical school as well as for medical educators to better understand how students perceive their time in medical school. The educational benefit of blogging might even be increased if trained medical educators would help to facilitate meaningful and targeted discussions emerging from blog entries and comment on students’ learning challenges with the chance to reach a large community of learners. PMID:23467720

  10. The military physician and contested medical humanitarianism: a dueling identity?

    Science.gov (United States)

    Gordon, Stuart

    2014-11-01

    A critical issue in the study of humanitarianism is who counts as a medical humanitarian. Military physicians are often characterized as caught between the potentially incompatible roles of physician and military professional. Medical NGOs, such as Médecins Sans Frontières (MSF), have also vociferously rejected military medical humanitarianism: questioning the mandate, skills, and appropriateness of military involvement in humanitarian medicine as well as the potential impact on 'humanitarian space'. Yet many military doctors contest this. Consequently this study examines the ways in which primarily British military physicians identify and manage their identities as both medical humanitarians and soldiers. The research utilized a mixed method, grounded theory approach involving systematic document searches/expert identification of a core literature of 300 policy and peer reviewed documents, plus grey literature and 53 formal medical post operational reports from units serving in Iraq and Afghanistan between 2004 and 2012. Semi structured interviews involved purposive sampling (34 respondents) ranging from a former Surgeon General to more junior staff. Methods also included an analysis of the original data and literature from the 2003 Medical Services Delphi study (involving an additional 40 experts and an extensive literature review) on military medical identity/future roles as well as direct observation of military doctors in Iraq and Afghanistan (two, 2 month research trips). The research concluded that military physicians conceived of themselves as autonomous medical humanitarians with an individual morality rooted in civilian medical ethics that facilitated resistance to the potentially hegemonic military identity. Nevertheless military physicians were part of a medical organization with fundamentally different priorities from those of civilian humanitarian physicians. Furthermore, the perceived emergence of multiple civilian 'humanitarianisms' has

  11. Expert memory: a comparison of four theories.

    Science.gov (United States)

    Gobet, F

    1998-05-01

    This paper compares four current theories of expertise with respect to chess players' memory: Chase and Simon's chunking theory, Holding's SEEK theory, Ericsson and Kintsch's long-term working memory theory, and Gobet and Simon's template theory (Chase, W.G., Simon, H.A., 1973a. Perception in chess. Cognitive Psychology 4, 55-81; Holding, D.H., 1985. The Psychology of Chess Skill. Erlbaum, Hillsdale, NJ; Ericsson, K.A., Kintsch, W., 1995. Long-term working memory. Psychological Review 102, 211-245; Gobet, F., Simon, H.A., 1996b. Templates in chess memory: a mechanism for recalling several boards. Cognitive Psychology 31, 1-40). The empirical areas showing the largest discriminative power include recall of random and distorted positions, recall with very short presentation times, and interference studies. Contrary to recurrent criticisms in the literature, it is shown that the chunking theory is consistent with most of the data. However, the best performance in accounting for the empirical evidence is obtained by the template theory. The theory, which unifies low-level aspects of cognition, such as chunks, with high-level aspects, such as schematic knowledge and planning, proposes that chunks are accessed through a discrimination net, where simple perceptual features are tested, and that they can evolve into more complex data structures (templates) specific to classes of positions. Implications for the study of expertise in general include the need for detailed process models of expert behavior and the need to use empirical data spanning the traditional boundaries of perception, memory, and problem solving.

  12. A generalized theory of thin film growth

    Science.gov (United States)

    Du, Feng; Huang, Hanchen

    2018-03-01

    This paper reports a theory of thin film growth that is generalized for arbitrary incidence angle during physical vapor deposition in two dimensions. The accompanying kinetic Monte Carlo simulations serve as verification. A special theory already exists for thin film growth with zero incidence angle, and another theory also exists for nanorod growth with a glancing angle. The theory in this report serves as a bridge to describe the transition from thin film growth to nanorod growth. In particular, this theory gives two critical conditions in analytical form of critical coverage, ΘI and ΘII. The first critical condition defines the onset when crystal growth or step dynamics stops following the wedding cake model for thin film growth. The second critical condition defines the onset when multiple-layer surface steps form to enable nanorod growth. Further, this theory also reveals a critical incidence angle, below which nanorod growth is impossible. The critical coverages, together with the critical incidence angle, defines a phase diagram of thin growth versus nanorod growth.

  13. Understanding snacking through a practice theory lens.

    Science.gov (United States)

    Twine, Richard

    2015-11-01

    This article approaches snacking from a practice theory perspective in order to understand how this reframing may afford new insights. In doing so it also contributes to sociological thinking on eating practices and their reproduction as well as reflecting upon the ontological assertions of practice theory and its theory of social change. In particular this article argues that the re-conceptualisation serves to clarify a sociological research agenda for eating practices associated with snacking. It is argued that setting snacking within routine temporalities and spatialities and as bound up in the recursivity between practices and relations is especially important for thinking about snacking sociologically. In common with applications of practice theory in the field of sustainability transitions the aim is to move beyond individualistic assumptions of behaviour change and instead situate snacking as an eating practice with health implications that has emerged within the social, temporal, economic and cultural organisation of everyday life. © 2015 Foundation for the Sociology of Health & Illness.

  14. A GLIMPSE OF POSITIVE ACCOUNTING THEORY (PAT

    Directory of Open Access Journals (Sweden)

    Muhammad Rifky Santoso

    2017-11-01

    Full Text Available Positive accounting theory (PAT has been more developed than normative accounting theory in this era. The development of PAT research has discussed about what factors influenced management to report earnings. By using literature reviews, there are many researches in discussing the external factors to influence management to report earnings, such as bonuses, the debt equity ratio, political costs, and good governance. The other researches have discussed the association between earnings and stock prices. There are still few discussions about the selfmotivation of the directors or managers why choose a certain accounting method. The difference of environment, types of industry, and timing of financial statement reporting can be a further research. By using theories introduced by Popper, Kuhn, and Lakatos, PAT has elements in these three theories; however, PAT has not been categorized as science.

  15. Introducing quantum theory a graphic guide

    CERN Document Server

    McEvoy, J P

    2013-01-01

    Quantum theory confronts us with bizarre paradoxes which contradict the logic of classical physics. At the subatomic level, one particle seems to know what the others are doing, and according to Heisenberg's "uncertainty principle", there is a limit on how accurately nature can be observed. And yet the theory is amazingly accurate and widely applied, explaining all of chemistry and most of physics. "Introducing Quantum Theory" takes us on a step-by-step tour with the key figures, including Planck, Einstein, Bohr, Heisenberg and Schrodinger. Each contributed at least one crucial concept to the theory. The puzzle of the wave-particle duality is here, along with descriptions of the two questions raised against Bohr's "Copenhagen Interpretation" - the famous "dead and alive cat" and the EPR paradox. Both remain unresolved.

  16. A Bayesian Framework for False Belief Reasoning in Children: A Rational Integration of Theory-Theory and Simulation Theory.

    Science.gov (United States)

    Asakura, Nobuhiko; Inui, Toshio

    2016-01-01

    Two apparently contrasting theories have been proposed to account for the development of children's theory of mind (ToM): theory-theory and simulation theory. We present a Bayesian framework that rationally integrates both theories for false belief reasoning. This framework exploits two internal models for predicting the belief states of others: one of self and one of others. These internal models are responsible for simulation-based and theory-based reasoning, respectively. The framework further takes into account empirical studies of a developmental ToM scale (e.g., Wellman and Liu, 2004): developmental progressions of various mental state understandings leading up to false belief understanding. By representing the internal models and their interactions as a causal Bayesian network, we formalize the model of children's false belief reasoning as probabilistic computations on the Bayesian network. This model probabilistically weighs and combines the two internal models and predicts children's false belief ability as a multiplicative effect of their early-developed abilities to understand the mental concepts of diverse beliefs and knowledge access. Specifically, the model predicts that children's proportion of correct responses on a false belief task can be closely approximated as the product of their proportions correct on the diverse belief and knowledge access tasks. To validate this prediction, we illustrate that our model provides good fits to a variety of ToM scale data for preschool children. We discuss the implications and extensions of our model for a deeper understanding of developmental progressions of children's ToM abilities.

  17. Towards a second law for Lovelock theories

    Energy Technology Data Exchange (ETDEWEB)

    Bhattacharyya, Sayantani [Indian Institute of Technology Kanpur,Kanpur 208016 (India); Haehl, Felix M. [Department of Physics and Astronomy, University of British Columbia,6224 Agricultural Road, Vancouver, B.C. V6T 1Z1 (Canada); Kundu, Nilay [Center for Gravitational Physics, Yukawa Institute for Theoretical Physics (YITP), Kyoto University,Kyoto 606-8502 (Japan); Loganayagam, R. [International Centre for Theoretical Sciences (ICTS-TIFR), Shivakote, Hesaraghatta Hobli, Bengaluru 560089 (India); Rangamani, Mukund [Center for Quantum Mathematics and Physics (QMAP), Department of Physics, University of California,Davis, CA 95616 (United States)

    2017-03-13

    In classical general relativity described by Einstein-Hilbert gravity, black holes behave as thermodynamic objects. In particular, the laws of black hole mechanics can be interpreted as laws of thermodynamics. The first law of black hole mechanics extends to higher derivative theories via the Noether charge construction of Wald. One also expects the statement of the second law, which in Einstein-Hilbert theory owes to Hawking’s area theorem, to extend to higher derivative theories. To argue for this however one needs a notion of entropy for dynamical black holes, which the Noether charge construction does not provide. We propose such an entropy function for the family of Lovelock theories, treating the higher derivative terms as perturbations to the Einstein-Hilbert theory. Working around a dynamical black hole solution, and making no assumptions about the amplitude of departure from equilibrium, we construct a candidate entropy functional valid to all orders in the low energy effective field theory. This entropy functional satisfies a second law, modulo a certain subtle boundary term, which deserves further investigation in non-spherically symmetric situations.

  18. A theory of generalized Bloch oscillations

    DEFF Research Database (Denmark)

    Duggen, Lars; Lew Yan Voon, L. C.; Lassen, Benny

    2016-01-01

    Bloch oscillations of electrons are shown to occur for cases when the energy spectrum does not consist of the traditional evenly-spaced ladders and the potential gradient does not result from an external electric field. A theory of such generalized Bloch oscillations is presented and an exact...... oscillations. We stipulate that the presented theory of generalized Bloch oscillations can be extended to other systems such as acoustics and photonics....

  19. A Review on Polymer Crystallization Theories

    Directory of Open Access Journals (Sweden)

    Michael C. Zhang

    2016-12-01

    Full Text Available It is the aim of this article to review the major theories of polymer crystallization since up to now we still have not completely comprehended the underlying mechanism in a unified framework. A lack of paradigm is an indicator of immaturity of the field itself; thus, the fundamental issue of polymer crystallization remains unsolved. This paper provides an understanding of the basic hypothesis, as well as relevant physical implications and consequences of each theory without too much bias. We try to present the essential aspects of the major theories, and intuitive physical arguments over rigorously mathematical calculations are highlighted. In addition, a detailed comparison of various theories will be made in a logical and self-contained fashion. Our personal view of the existing theories is presented as well, aiming to inspire further open discussions. We expect that new theories based on the framework of kinetics with direct consideration of long-range multi-body correlation will help solve the remaining problems in the field of polymer crystallization.

  20. A competency-based longitudinal core curriculum in medical neuroscience.

    Science.gov (United States)

    Merlin, Lisa R; Horak, Holli A; Milligan, Tracey A; Kraakevik, Jeff A; Ali, Imran I

    2014-07-29

    Current medical educational theory encourages the development of competency-based curricula. The Accreditation Council for Graduate Medical Education's 6 core competencies for resident education (medical knowledge, patient care, professionalism, interpersonal and communication skills, practice-based learning, and systems-based practice) have been embraced by medical schools as the building blocks necessary for becoming a competent licensed physician. Many medical schools are therefore changing their educational approach to an integrated model in which students demonstrate incremental acquisition and mastery of all competencies as they progress through medical school. Challenges to medical schools include integration of preclinical and clinical studies as well as development of learning objectives and assessment measures for each competency. The Undergraduate Education Subcommittee (UES) of the American Academy of Neurology (AAN) assembled a group of neuroscience educators to outline a longitudinal competency-based curriculum in medical neuroscience encompassing both preclinical and clinical coursework. In development of this curriculum, the committee reviewed United States Medical Licensing Examination content outlines, Liaison Committee on Medical Education requirements, prior AAN-mandated core curricula for basic neuroscience and clinical neurology, and survey responses from educators in US medical schools. The newly recommended curriculum provides an outline of learning objectives for each of the 6 competencies, listing each learning objective in active terms. Documentation of experiences is emphasized, and assessment measures are suggested to demonstrate adequate achievement in each competency. These guidelines, widely vetted and approved by the UES membership, aspire to be both useful as a stand-alone curriculum and also provide a framework for neuroscience educators who wish to develop a more detailed focus in certain areas of study. © 2014 American Academy

  1. A conversational introduction to algebraic number theory

    CERN Document Server

    Pollack, Paul

    2017-01-01

    Gauss famously referred to mathematics as the "queen of the sciences" and to number theory as the "queen of mathematics". This book is an introduction to algebraic number theory, meaning the study of arithmetic in finite extensions of the rational number field \\mathbb{Q}. Originating in the work of Gauss, the foundations of modern algebraic number theory are due to Dirichlet, Dedekind, Kronecker, Kummer, and others. This book lays out basic results, including the three "fundamental theorems": unique factorization of ideals, finiteness of the class number, and Dirichlet's unit theorem. While these theorems are by now quite classical, both the text and the exercises allude frequently to more recent developments. In addition to traversing the main highways, the book reveals some remarkable vistas by exploring scenic side roads. Several topics appear that are not present in the usual introductory texts. One example is the inclusion of an extensive discussion of the theory of elasticity, which provides a precise w...

  2. A bi-metric theory of gravitation

    International Nuclear Information System (INIS)

    Rosen, N.

    1975-01-01

    The bi-metric theory of gravitation proposed previously is simplified in that the auxiliary conditions are discarded, the two metric tensors being tied together only by means of the boundary conditions. Some of the properties of the field of a particle are investigated; there is no black hole, and it appears that no gravitational collapse can take place. Although the proposed theory and general relativity are at present observationally indistinguishable, some differences are pointed out which may some day be susceptible of observation. An alternative bi-metric theory is considered which gives for the precession of the perihelion 5/6 of the value given by general relativity; it seems less satisfactory than the present theory from the aesthetic point of view. (author)

  3. Quantum field theory in a semiotic perspective

    International Nuclear Information System (INIS)

    Dosch, H.G.

    2005-01-01

    Viewing physical theories as symbolic constructions came to the fore in the middle of the nineteenth century with the emancipation of the classical theory of the electromagnetic field from mechanics; most notably this happened through the work of Helmholtz, Hertz, Poincare, and later Weyl. The epistemological problems that nourished this development are today highlighted within quantum field theory. The present essay starts off with a concise and non-technical outline of the firmly based aspects of relativistic quantum field theory, i.e. the very successful description of subnuclear phenomena. The particular methods, by which these different aspects have to be accessed, then get described as distinct facets of quantum field theory. The authors show how these different facets vary with respect to the relation between quantum fields and associated particles. Thus, by emphasising the respective role of various basic concepts involved, the authors claim that only a very general epistemic approach can properly account for this diversity - an account they trace back to the philosophical writings of the aforementioned physicists and mathematicians. Finally, what they call their semiotic perspective on quantum field theory gets related to recent discussions within the philosophy of science and turns out to act as a counterbalance to, for instance, structural realism. (orig.)

  4. Quantum field theory in a semiotic perspective

    Energy Technology Data Exchange (ETDEWEB)

    Dosch, H.G. [Heidelberg Univ. (Germany). Inst. fuer Theoretische Physik; Mueller, V.F. [Technische Univ. Kaiserslautern (Germany). Fachbereich Physik; Sieroka, N. [Zurich Univ. (Switzerland)

    2005-07-01

    Viewing physical theories as symbolic constructions came to the fore in the middle of the nineteenth century with the emancipation of the classical theory of the electromagnetic field from mechanics; most notably this happened through the work of Helmholtz, Hertz, Poincare, and later Weyl. The epistemological problems that nourished this development are today highlighted within quantum field theory. The present essay starts off with a concise and non-technical outline of the firmly based aspects of relativistic quantum field theory, i.e. the very successful description of subnuclear phenomena. The particular methods, by which these different aspects have to be accessed, then get described as distinct facets of quantum field theory. The authors show how these different facets vary with respect to the relation between quantum fields and associated particles. Thus, by emphasising the respective role of various basic concepts involved, the authors claim that only a very general epistemic approach can properly account for this diversity - an account they trace back to the philosophical writings of the aforementioned physicists and mathematicians. Finally, what they call their semiotic perspective on quantum field theory gets related to recent discussions within the philosophy of science and turns out to act as a counterbalance to, for instance, structural realism. (orig.)

  5. Holistic integrative medicine: toward a new era of medical advancement.

    Science.gov (United States)

    Fan, Daiming

    2017-03-01

    Medicine has encountered unprecedented problems associated with changes in nature, society, and environment, as well as with new human quests for survival, longevity, and health. In the meantime, the development of medicine is facing challenges that resulted from the over-division and specialization of disciplines and the fragmentation of medical knowledge. To construct a new medical system that is more suitable for human health and disease treatment, holistic integrative medicine (HIM), which regards the human body as a holistic entity, organically integrates the most advanced knowledge and theories in each medical field and the most effective practices in various clinical specialties to revise and adjust on the basis of social, environmental, and psychological conditions. HIM is the inevitable and necessary direction for the future development of medicine. In this article, we illustrated the connotation of HIM, the differences between HIM and other medical conceptions, and the practice of HIM in recent years.

  6. Toward a general evolutionary theory of oncogenesis.

    Science.gov (United States)

    Ewald, Paul W; Swain Ewald, Holly A

    2013-01-01

    We propose an evolutionary framework, the barrier theory of cancer, which is based on the distinction between barriers to oncogenesis and restraints. Barriers are defined as mechanisms that prevent oncogenesis. Restraints, which are more numerous, inhibit but do not prevent oncogenesis. Processes that compromise barriers are essential causes of cancer; those that interfere with restraints are exacerbating causes. The barrier theory is built upon the three evolutionary processes involved in oncogenesis: natural selection acting on multicellular organisms to mold barriers and restraints, natural selection acting on infectious organisms to abrogate these protective mechanisms, and oncogenic selection which is responsible for the evolution of normal cells into cancerous cells. The barrier theory is presented as a first step toward the development of a general evolutionary theory of cancer. Its attributes and implications for intervention are compared with those of other major conceptual frameworks for understanding cancer: the clonal diversification model, the stem cell theory and the hallmarks of cancer. The barrier theory emphasizes the practical value of distinguishing between essential and exacerbating causes. It also stresses the importance of determining the scope of infectious causation of cancer, because individual pathogens can be responsible for multiple essential causes in infected cells.

  7. Becoming a caregiver: attachment theory and poorly performing doctors.

    Science.gov (United States)

    Adshead, Gwen

    2010-02-01

    In this paper, I review a theoretical paradigm (attachment theory) which facilitates an understanding of how human care-giving and care-eliciting behaviours develop and are maintained over the lifespan. I argue that this paradigm has particular utility in: (i) the training of doctors; (ii) understanding why some doctors and medical students experience high levels of stress, and (iii) developing interventions to help those who struggle to manage high levels of work-related stress. I carried out a review of key texts and previously published studies of attachment styles in caregivers. Large-scale epidemiological studies, using valid and reliable measures, show that insecure attachment styles are found in a proportion of normal populations of both males and females. Insecure attachment is associated with impaired stress management and subtle deficits in care-giving sensitivity. It is reasonable to assume that a proportion of students entering medical training and doctors with performance problems may have insecure attachment styles which influence how they approach their training experience and how they manage occupational stress. Attachment theory is a useful paradigm for thinking about training as a professional caregiver. Insecure early attachment experiences may be a risk factor for poor stress management in some medical students and doctors who are exposed to increasing demands as carers. These findings lead to suggestions for possible research and support interventions.

  8. Exploring the situational motivation of medical specialists: a qualitative study.

    Science.gov (United States)

    van der Burgt, Stéphanie M E; Kusurkar, Rashmi A; Croiset, Gerda; Peerdeman, Saskia M

    2018-02-26

    The aim was to obtain insight into the factors in the work environment that motivate or demotivate a medical specialist during his/her working day. A qualitative ethnographic design was used, and a constructivist approach was adopted with the Self-Determination theory of motivation as a framework. Six medical specialists from VU University Medical Center in the Netherlands, recruited through convenience, snowball, and purposive sampling, were shadowed for one day each. Data were transcribed and open-coded. Themes were finalized through discussion and consensus. Sixty hours of observation data identified motivating and demotivating factors categorized into four themes that are important for specialists' motivation. Informational technology issues are demotivating factors. Working with colleagues can be both a motivating and demotivating factor, e.g., filling in for each other through feelings of relatedness was motivating. Being in control of one's planning through feelings of autonomy was motivating. Furthermore, patient care and teaching, especially in combination, stimulated specialists' motivation. Regarding the design of the study, we found that situational motivation is indeed observable. The basic psychological needs autonomy, competence, and relatedness are important for specialists' motivation. Investing in a more motivating, open, transparent, and basic-needs- supportive work environment for medical specialists is necessary. Keywords: Continuing professional development, motivation, medical specialists, self-determination theory, qualitative research.

  9. A Career in Medical Physics.

    Science.gov (United States)

    Wells, P. N. T.

    1983-01-01

    Careers in medical physics are discussed. Considers types of hospital departments and responsibilities in same for medical physicists and the education/training needed to enter the field. Indicates that the field is not large and that opportunities to enter it are keenly contested. (JN)

  10. understanding medical ethics in a contemporary society

    African Journals Online (AJOL)

    drclement

    PRINCIPLES OF MEDICAL ETHICS. (VALUES IN MEDICAL ETHICS). Certain principles are obviously manifest with respect to medical ethics and the physician ought to be familiar with most of these principles and that will serve as a guide in their conducts vis' a'vis patient care. Some of these principles o values are:.

  11. Home Healthcare Medical Devices: A Checklist

    Science.gov (United States)

    R Please use this checklist to use and maintain your medical device safely and effectively in your home. As a homecare medical device user, you ... home monitoring devices. Home Healthcare Medical Devices: A Checklist For additional government sources and information visit: CDRH ...

  12. Medical waste management - A review.

    Science.gov (United States)

    Windfeld, Elliott Steen; Brooks, Marianne Su-Ling

    2015-11-01

    This paper examines medical waste management, including the common sources, governing legislation and handling and disposal methods. Many developed nations have medical waste legislation, however there is generally little guidance as to which objects can be defined as infectious. This lack of clarity has made sorting medical waste inefficient, thereby increasing the volume of waste treated for pathogens, which is commonly done by incineration. This review highlights that the unnecessary classification of waste as infectious results in higher disposal costs and an increase in undesirable environmental impacts. The review concludes that better education of healthcare workers and standardized sorting of medical waste streams are key avenues for efficient waste management at healthcare facilities, and that further research is required given the trend in increased medical waste production with increasing global GDP. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Introduction of the transtheoretical model and organisational development theory in weight management: A narrative review.

    Science.gov (United States)

    Wu, Ya-Ke; Chu, Nain-Feng

    2015-01-01

    Overweight and obesity are serious public health and medical problems among children and adults worldwide. Behavioural change has been demonstrably contributory to weight management programs. Behavioural change-based weight loss programs require a theoretical framework. We will review the transtheoretical model and the organisational development theory in weight management. The transtheoretical model is a behaviour theory of individual level frequently used for weight management programs. The organisational development theory is a more complicated behaviour theory that applies to behavioural change on the system level. Both of these two theories have their respective strengths and weaknesses. In this manuscript, we try to introduce the transtheoretical model and the organisational development theory in the context of weight loss programs among population that are overweight or obese. Ultimately, we wish to present a new framework/strategy of weight management by integrating these two theories together. Copyright © 2015 Asian Oceanian Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  14. Applicability of the theory of planned behavior in explaining the general practitioners eLearning use in continuing medical education.

    Science.gov (United States)

    Hadadgar, Arash; Changiz, Tahereh; Masiello, Italo; Dehghani, Zahra; Mirshahzadeh, Nahidossadat; Zary, Nabil

    2016-08-22

    General practitioners (GP) update their knowledge and skills by participating in continuing medical education (CME) programs either in a traditional or an e-Learning format. GPs' beliefs about electronic format of CME have been studied but without an explicit theoretical framework which makes the findings difficult to interpret. In other health disciplines, researchers used theory of planned behavior (TPB) to predict user's behavior. In this study, an instrument was developed to investigate GPs' intention to use e-Learning in CME based on TPB. The goodness of fit of TPB was measured using confirmatory factor analysis and the relationship between latent variables was assessed using structural equation modeling. A total of 148 GPs participated in the study. Most of the items in the questionnaire related well to the TPB theoretical constructs, and the model had good fitness. The perceived behavioral control and attitudinal constructs were included, and the subjective norms construct was excluded from the structural model. The developed questionnaire could explain 66 % of the GPs' intention variance. The TPB could be used as a model to construct instruments that investigate GPs' intention to participate in e-Learning programs in CME. The findings from the study will encourage CME managers and researchers to explore the developed instrument as a mean to explain and improve the GPs' intentions to use eLearning in CME.

  15. Statistical Teleodynamics: Toward a Theory of Emergence.

    Science.gov (United States)

    Venkatasubramanian, Venkat

    2017-10-24

    The central scientific challenge of the 21st century is developing a mathematical theory of emergence that can explain and predict phenomena such as consciousness and self-awareness. The most successful research program of the 20th century, reductionism, which goes from the whole to parts, seems unable to address this challenge. This is because addressing this challenge inherently requires an opposite approach, going from parts to the whole. In addition, reductionism, by the very nature of its inquiry, typically does not concern itself with teleology or purposeful behavior. Modeling emergence, in contrast, requires the addressing of teleology. Together, these two requirements present a formidable challenge in developing a successful mathematical theory of emergence. In this article, I describe a new theory of emergence, called statistical teleodynamics, that addresses certain aspects of the general problem. Statistical teleodynamics is a mathematical framework that unifies three seemingly disparate domains-purpose-free entities in statistical mechanics, human engineered teleological systems in systems engineering, and nature-evolved teleological systems in biology and sociology-within the same conceptual formalism. This theory rests on several key conceptual insights, the most important one being the recognition that entropy mathematically models the concept of fairness in economics and philosophy and, equivalently, the concept of robustness in systems engineering. These insights help prove that the fairest inequality of income is a log-normal distribution, which will emerge naturally at equilibrium in an ideal free market society. Similarly, the theory predicts the emergence of the three classes of network organization-exponential, scale-free, and Poisson-seen widely in a variety of domains. Statistical teleodynamics is the natural generalization of statistical thermodynamics, the most successful parts-to-whole systems theory to date, but this generalization is

  16. Correction of defective pixels for medical and space imagers based on Ising Theory

    Science.gov (United States)

    Cohen, Eliahu; Shnitser, Moriel; Avraham, Tsvika; Hadar, Ofer

    2014-09-01

    We propose novel models for image restoration based on statistical physics. We investigate the affinity between these fields and describe a framework from which interesting denoising algorithms can be derived: Ising-like models and simulated annealing techniques. When combined with known predictors such as Median and LOCO-I, these models become even more effective. In order to further examine the proposed models we apply them to two important problems: (i) Digital Cameras in space damaged from cosmic radiation. (ii) Ultrasonic medical devices damaged from speckle noise. The results, as well as benchmark and comparisons, suggest in most of the cases a significant gain in PSNR and SSIM in comparison to other filters.

  17. Medical neglect at a tertiary paediatric hospital.

    Science.gov (United States)

    Parmeter, Julia; Tzioumi, Dimitra; Woolfenden, Susan

    2018-03-01

    Medical neglect is under-researched and the extent of the problem in Australia is unknown. We conducted a review of the referrals for medical neglect to the Child Protection Unit (CPU) at a tertiary children's hospital in Sydney over a 5 years period, from 2011 to 2016, to determine what medical conditions are being referred, the reason for the medical neglect concern and whether cases are managed in line with American Academy of Pediatrics (AAP) guideline on medical neglect. 61 cases of medical neglect were identified, constituting 4.1% of all referrals to the Child Protection Unit for physical abuse and neglect. There was a wide variety of medical conditions. Most were chronic medical conditions (87%). The top two medical conditions were chronic and complex multi-system disorders (37.7%) and endocrine disorders (18%). The majority of medical neglect were related to concerns that the caregivers were unwilling to follow medical advice (45.9%) or unable to provide necessary medical care (26.2%). In line with the AAP guideline on medical neglect, all cases were managed by addressing communication difficulties (100%) and resource issues were addressed in 80% of cases. A report to statutory child protection agencies was made in 50% of cases. Directly observed therapy and medical contracts were used in 30% and 26% of cases. We conclude that children with chronic medical conditions may be at risk of medical neglect. Communication difficulties were a factor in all cases. Statutory agency intervention is often required. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. A resuscitation "dilemma" theory-practice-ethics. Is there a theory-practice-ethics gap?

    Science.gov (United States)

    Mortell, Manfred

    2009-07-01

    The theory-practice-ethics gap - a new paradigm to contemplate. Practices based on tradition, rituals and outdated information are placed into a nonscientific paradigm called the theory-practice gap. Within this paradigm there is often a gap between theoretical knowledge and its application in practice. This theory-practice gap has always existed [Allmark, P., 1995. A classical view of the theory-practice gap in nursing. J. Adv. Nurs. 22 (1), 18-23; Hewison, A. et al., 1996. The theory-practice gap in nursing: a new dimension. J. Adv. Nurs. 24 (4), 754-761]. Its creation is often sited as a culmination of theory being idealistic and impractical, even if practical and beneficial, are often ignored. Most of the evidence relating to the non integration of theory and practice makes the assumption that environmental factors are responsible and will affect learning and practice outcomes, hence the "gap". In fact, it is the author's belief, that to "bridge the gap" between theory and practice an additional component is required, called ethics. A moral duty and obligation ensuring theory and practice integrate. In order to effectively implement new practices, one must deem these practices are worthy and relevant to their role as healthcare providers. Otherwise, we fall victims to providing nothing more than a lip service. This introduces a new concept which the author refers to as the theory-practice-ethics gap. This theory-practice-ethics gap must be considered when reviewing some of the unacceptable outcomes in health care practice. The author believes that there is a crisis of ethics where theory and practice integrate, and as a consequence, malfeasance. We are failing to fulfill our duty as healthcare providers and as patient advocates. One practice of major concern, which the author will endeavor to unfold relates to adult and pediatric resuscitation.

  19. Constructing New Theory for Identifying Students with Emotional Disturbance: A Constructivist Approach to Grounded Theory

    OpenAIRE

    Dori Barnett

    2012-01-01

    A grounded theory study that examined how practitioners in a county alternative and correctional education setting identify youth with emotional and behavioral difficulties for special education services provides an exemplar for a constructivist approach to grounded theory methodology. Discussion focuses on how a constructivist orientation to grounded theory methodology informed research decisions, shaped the development of the emergent grounded theory, and prompted a way of thinking about da...

  20. A theory evaluation of an induction programme

    Directory of Open Access Journals (Sweden)

    Kenrick Hendricks

    2012-07-01

    Full Text Available Orientation: An induction programme is commonly used to help new employees understand their job within the organisation. Research purpose: The main aim of this study was to examine whether or not the programme theory of an induction programme was plausible and would lead to the intended outcomes as described by the programme manager. Motivation for the study: Induction training is one of the most common training programmes in an organisation. However, there is little research to evaluate whether or not the activities of an induction programme will lead to the intended outcomes of such a programme. Research design, approach and method: This theory evaluation used a descriptive design. One hundred and thirteen employees of a media company completed a ten-item, five-point Likert scale which measured their perceptions of the programme’s outcome, identification with the organisation and intentions to stay with the organisation. Main findings: From this theory evaluation it was apparent that an induction programme based on an implausible programme theory could be problematic. An implausible programme theory affects the design of the programme activities and unsuitable activities may not deliver the desired outcomes. Practical/managerial implications: The intention of the evaluation is to guide human resource managers through a process of replacing an implausible programme theory with one that is plausible, and which ensures better alignment of programme activities and outcomes. Contribution/value-add: The evaluators showed how a plausible programme theory could improve programme design. This redesigned induction programme may lead to benefits, such as staff retention and company identification, rather than the vague assumption that it has been conforming to a legal obligation.

  1. From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic’s Service Perspective

    Science.gov (United States)

    Koo, Dong-Woo; Shin, Dong-Jin; Lee, Sae-Mi

    2017-01-01

    Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics’ servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics’ servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists’ loyalty to a medical clinic. PMID:29233057

  2. From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic's Service Perspective.

    Science.gov (United States)

    Kim, Minseong; Koo, Dong-Woo; Shin, Dong-Jin; Lee, Sae-Mi

    2017-01-01

    Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics' servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics' servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists' loyalty to a medical clinic.

  3. Concept "Medical Museum" as a Sociocultural Phenomenon

    Science.gov (United States)

    Chizh, Nina V.; Slyshkin, Gennady G.; Zheltukhina, Marina R.; Privalova, Irina V.; Kravchenko, Olga A.

    2016-01-01

    The article examines the concept "medical museum" as a sociocultural phenomenon. The register of medical museums in Russia makes the material of research. The complex methods of analysis of the concept "medical museum" are used. The philosophical, historical, cultural, structural, communicative and semantic analysis is carried…

  4. Transforming sexuality: the medical sources of Karl Heinrich Ulrichs (1825-95) and the origins of the theory of bisexuality.

    Science.gov (United States)

    Brooks, Ross

    2012-04-01

    This article explores the medical references in the writings of the German jurist and activist Karl Heinrich Ulrichs as a means of breaking new ground in diverse fields (including history of medicine, history of sexuality, and gender history). It demonstrates that the theory of bisexuality has a much deeper and more textured genealogy than has been hitherto appreciated and that dual-gendered bodies and minds must be better recognized as important through the nineteenth century. Specifically, it demonstrates that classifications and rhetoric of hermaphroditism, and other dual-gendered categories (e.g., sexual dualism and anatomical bisexuality), were deployed in diverse contexts through the period, often with little or no reference to the occurrence of genital ambiguities. Important discourses in embryology, utilized by Ulrichs, suggested that all individuals, in the earliest stages of fetal development, were hermaphroditic. In making an analogy among the ontogeny of sex anatomy, hermaphroditism, and the development of erotic preferences, Ulrichs sought to naturalize homoeroticism, rendering social and legal prohibitions untenable. His advocacy, however, was counterbalanced by the Prussian forensic expert Johann Ludwig Casper who had made some conceptual maneuvers similar to Ulrichs only couched in the rhetoric of pathology. Ulrichs was equivocal in his use of forensic works such as Casper's, condemning their authors but recognizing similarities with his own gender schema.

  5. Double field theory: a pedagogical review

    International Nuclear Information System (INIS)

    Aldazabal, Gerardo; Marqués, Diego; Núñez, Carmen

    2013-01-01

    Double field theory (DFT) is a proposal to incorporate T-duality, a distinctive symmetry of string theory, as a symmetry of a field theory defined on a double configuration space. The aim of this review is to provide a pedagogical presentation of DFT and its applications. We first introduce some basic ideas on T-duality and supergravity in order to proceed to the construction of generalized diffeomorphisms and an invariant action on the double space. Steps towards the construction of a geometry on the double space are discussed. We then address generalized Scherk–Schwarz compactifications of DFT and their connection to gauged supergravity and flux compactifications. We also discuss U-duality extensions and present a brief parcours on worldsheet approaches to DFT. Finally, we provide a summary of other developments and applications that are not discussed in detail in the review. (topical review)

  6. Management Theories and Broadcasting: A Handbook.

    Science.gov (United States)

    Craig, J. Robert; Hindmarsh, Wayne A.

    Today's contemporary management and motivation theories, as applied to the business of broadcasting, are the focus of the first section of this paper. It deals with the kinds and reactions of employees in broadcasting stations in relation to 11 motivational theories: (1) Theories X and Y, (2) Immaturity-Maturity Theory, (3) V Theory, (4) Z Theory,…

  7. The Alienated Protagonist In Bessie Head's A Question Of Power ...

    African Journals Online (AJOL)

    Elizabeth's rights are violently attacked from many angles and her feelings of resentment caused by the great injustice against her dignity reduces her to a state of insanity which takes her through many dark alleys of subconscious horrible experiences. For three or four years, she is insane believing that Sello sat in her ...

  8. REQUIREMENTS FOR A GENERAL INTERPRETATION THEORY

    Directory of Open Access Journals (Sweden)

    Anda Laura Lungu Petruescu

    2013-06-01

    Full Text Available Time has proved that Economic Analysis is not enough as to ensure all the needs of the economic field. The present study wishes to propose a new approach method of the economic phenomena and processes based on the researches made outside the economic space- a new general interpretation theory- which is centered on the human being as the basic actor of economy. A general interpretation theory must assure the interpretation of the causalities among the economic phenomena and processes- causal interpretation; the interpretation of the correlations and dependencies among indicators- normative interpretation; the interpretation of social and communicational processes in economic organizations- social and communicational interpretation; the interpretation of the community status of companies- transsocial interpretation; the interpretation of the purposes of human activities and their coherency – teleological interpretation; the interpretation of equilibrium/ disequilibrium from inside the economic systems- optimality interpretation. In order to respond to such demands, rigor, pragmatism, praxiology and contextual connectors are required. In order to progress, the economic science must improve its language, both its syntax and its semantics. The clarity of exposure requires a language clarity and the scientific theory progress asks for the need of hypotheses in the building of the theories. The switch from the common language to the symbolic one means the switch from ambiguity to rigor and rationality, that is order in thinking. But order implies structure, which implies formalization. Our paper should be a plea for these requirements, requirements which should be fulfilled by a modern interpretation theory.

  9. A learning theory account of depression.

    Science.gov (United States)

    Ramnerö, Jonas; Folke, Fredrik; Kanter, Jonathan W

    2015-06-11

    Learning theory provides a foundation for understanding and deriving treatment principles for impacting a spectrum of functional processes relevant to the construct of depression. While behavioral interventions have been commonplace in the cognitive behavioral tradition, most often conceptualized within a cognitive theoretical framework, recent years have seen renewed interest in more purely behavioral models. These modern learning theory accounts of depression focus on the interchange between behavior and the environment, mainly in terms of lack of reinforcement, extinction of instrumental behavior, and excesses of aversive control, and include a conceptualization of relevant cognitive and emotional variables. These positions, drawn from extensive basic and applied research, cohere with biological theories on reduced reward learning and reward responsiveness and views of depression as a heterogeneous, complex set of disorders. Treatment techniques based on learning theory, often labeled Behavioral Activation (BA) focus on activating the individual in directions that increase contact with potential reinforcers, as defined ideographically with the client. BA is considered an empirically well-established treatment that generalizes well across diverse contexts and populations. The learning theory account is discussed in terms of being a parsimonious model and ground for treatments highly suitable for large scale dissemination. © 2015 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  10. Toward a Meta-Theory of Learning and Performance

    Science.gov (United States)

    Russ-Eft, Darlene

    2004-01-01

    This purpose of this paper is to identify implications of various learning theories for workplace learning and performance and HRD. It begins with a review of various theoretical positions on learning including behaviorism, Gestalt theory, cognitive theory, schema theory, connectionist theory, social learning or behavior modeling, social…

  11. Becoming a medical educator: motivation, socialisation and navigation.

    Science.gov (United States)

    Bartle, Emma; Thistlethwaite, Jill

    2014-05-31

    Despite an increasing concern about a future shortage of medical educators, little published research exists on career choices in medical education nor the impact of specific training posts in medical education (e.g. academic registrar/resident positions). Medical educators at all levels, from both medical and non-medical backgrounds, are crucial for the training of medical students, junior doctors and in continuing professional development. We explored the motivations and experiences of junior doctors considering an education career and undertaking a medical education registrar (MER) post. Data were collected through semi-structured interviews with junior doctors and clinicians across Queensland Health. Framework analysis was used to identify themes in the data, based on our defined research questions and the medical education workforce issues prompting the study. We applied socio-cognitive career theory to guide our analysis and to explore the experience of junior doctors in medical education registrar posts as they enter, navigate and fulfil the role. We identified six key themes in the data: motivation for career choice and wanting to provide better education; personal goals, expectations and the need for self-direction; the influence of role models; defining one's identity; support networks and the need for research as a potential barrier to pursuing a career in/with education. We also identified the similarities and differences between the MERs' experiences to develop a composite of an MER's journey through career choice, experience in role and outcomes. There is growing interest from junior doctors in pursuing education pathways in a clinical environment. They want to enhance clinical teaching in the hospitals and become specialists with an interest in education, and have no particular interest in research or academia. This has implications for the recruitment and training of the next generation of clinical educators.

  12. Conformal Maxwell Theory as a Singleton Field Theory on $ADS_{5}$, IIB Three Branes and Duality

    CERN Document Server

    Ferrara, Sergio

    1998-01-01

    We examine the boundary conditions associated with extended supersymmetric Maxwell theory in 5-dimensional anti-De Sitter space. Excitations on the boundary are identical to those of ordinary 4-dimensional conformal invariant super electrodynammics. Extrapolations of these excitations give rise to a 5-dimensional topological gauge theory of the singleton type. The possibility of a connection of this phenomenon to the world volume theory of 3-branes in IIB string theory is discussed.

  13. A "Journey in Feminist Theory Together": The "Doing Feminist Theory through Digital Video" Project

    Science.gov (United States)

    Hurst, Rachel Alpha Johnston

    2014-01-01

    "Doing Feminist Theory Through Digital Video" is an assignment I designed for my undergraduate feminist theory course, where students created a short digital video on a concept in feminist theory. I outline the assignment and the pedagogical and epistemological frameworks that structured the assignment (digital storytelling,…

  14. Research report: a grounded theory description of pastoral counseling.

    Science.gov (United States)

    Townsend, Loren L

    2011-01-01

    Historically, clerical paradigms of ordained ministry have defined pastoral counseling. However, these fail to describe pastoral counselors in the complex social, theological and medical contexts in which they now work. This study asks the question: How do pastoral counselors in clinical practice describe what is uniquely "pastoral" about the counseling they offer clients? Grounded theory was used to propose a preliminary description and an intermediate theory of how pastoral counselors interpret "pastoral." Eighty-five pastoral counselors were selected for the study over a four year period using criteria to assure maximum variation. Interviews and pastoral identity statements were collected and coded, and theoretical models were organized using NVIVO, a computer assisted qualitative design and analysis software (CAQDAS) package. Results suggest that pastoral counselors share some common ideas regarding "pastoral identity" and clinical practice. How pastoral counselors interpret "pastoral" is highly context sensitive and varies widely.

  15. A primer for Chiral Perturbative Theory

    International Nuclear Information System (INIS)

    Scherer, Stefan; Schindler, Matthias R.; George Washington Univ., Washington, DC

    2012-01-01

    Chiral Perturbation Theory, as effective field theory, is a commonly accepted and well established working tool, approximating quantum chromodynamics at energies well below typical hadron masses. This volume, based on a number of lectures and supplemented with additional material, provides a pedagogical introduction for graduate students and newcomers entering the field from related areas of nuclear and particle physics. Starting with the the Lagrangian of the strong interactions and general symmetry principles, the basic concepts of Chiral Perturbation Theory in the mesonic and baryonic sectors are developed. The application of these concepts is then illustrated with a number of examples. A large number of exercises (81, with complete solutions) are included to familiarize the reader with helpful calculational techniques. (orig.)

  16. A primer for chiral perturbation theory

    CERN Document Server

    Scherer, Stefan

    2012-01-01

    Chiral Perturbation Theory, as effective field theory, is a commonly accepted and well established working tool, approximating quantum chromodynamics at energies well below typical hadron masses. This volume, based on a number of lectures and supplemented with additional material, provides a pedagogical introduction for graduate students and newcomers entering the field from related areas of nuclear and particle physics. Starting with the the Lagrangian of the strong interactions and general symmetry principles, the basic concepts of Chiral Perturbation Theory in the mesonic and baryonic sectors are developed. The application of these concepts is then illustrated with a number of examples. A large number of exercises (81, with complete solutions) are included to familiarize the reader with helpful calculational techniques.

  17. Towards a general theory of implementation

    Science.gov (United States)

    2013-01-01

    Understanding and evaluating the implementation of complex interventions in practice is an important problem for healthcare managers and policy makers, and for patients and others who must operationalize them beyond formal clinical settings. It has been argued that this work should be founded on theory that provides a foundation for understanding, designing, predicting, and evaluating dynamic implementation processes. This paper sets out core constituents of a general theory of implementation, building on Normalization Process Theory and linking it to key constructs from recent work in sociology and psychology. These are informed by ideas about agency and its expression within social systems and fields, social and cognitive mechanisms, and collective action. This approach unites a number of contending perspectives in a way that makes possible a more comprehensive explanation of the implementation and embedding of new ways of thinking, enacting and organizing practice. PMID:23406398

  18. A Passage into Critical Theory.

    Science.gov (United States)

    Lynn, Steven

    1990-01-01

    Shows how a single passage might be handled by New Criticism, structuralism, deconstructionism, psychological criticism, and feminist criticism. Concludes that a plurality of critical approaches is better than a unity of approach. (RS)

  19. A folk theory of meetings -- and beyond

    DEFF Research Database (Denmark)

    Ravn, Ib

    2013-01-01

    with managers and employees we extracted six common assumptions about meetings, termed a folk theory of meetings, which most office workers seem to carry in the back of their minds. Findings This folk theory holds meetings to be places for excessive talk, whether by a domineering leader or highly vocal...... participants, the purpose of which is to walk through the items on the agenda and dispose of each. This bleak and conservative concept of a meeting impedes intellectual as well as practical progress. Practical implications An alternative theory of meetings is proposed, one based on the group facilitation...... approach to social order in meetings. On this view, a facilitator can change meetings by controlling their form and process, providing direction, stimulating engagement and ensuring that the meeting creates value for its external stakeholders and meaning for its participants. If adopted in management...

  20. Towards a Paraconsistent Quantum Set Theory

    Directory of Open Access Journals (Sweden)

    Benjamin Eva

    2015-11-01

    Full Text Available In this paper, we will attempt to establish a connection between quantum set theory, as developed by Ozawa, Takeuti and Titani, and topos quantum theory, as developed by Isham, Butterfield and Döring, amongst others. Towards this end, we will study algebraic valued set-theoretic structures whose truth values correspond to the clopen subobjects of the spectral presheaf of an orthomodular lattice of projections onto a given Hilbert space. In particular, we will attempt to recreate, in these new structures, Takeuti's original isomorphism between the set of all Dedekind real numbers in a suitably constructed model of set theory and the set of all self adjoint operators on a chosen Hilbert space.

  1. Toward a new theory of dreaming.

    Science.gov (United States)

    Corriere, R; Hart, J; Karle, W; Binder, J; Gold, S; Woldenberg, L

    1977-07-01

    A new Process Scoring System for dreams was developed and applied in an intensive single-S case study that spanned 5 1/2 years and 754 dreams. In it two hypotheses derived from a new transformative theory of dreams were tested. Both the transformation hypothesis, which holds that it is possible to shift from a symbolic to a directly expressive mode of dreaming, as well as the parallelism hypothesis, which holds that the expression of affect in dreams parallels the expression of affect in waking, were supported by the results. In contrast to Freud's analytic theory, which deals with content and interprets dreams as coded symbolic messages, our transformative theory focuses on dynamic dream processes and views dreams as pictures of feelings.

  2. Game theory a very short introduction

    CERN Document Server

    Binmore, Ken

    2007-01-01

    Games are played everywhere: from economics and online auctions to social interactions, and game theory is about how to play such games in a rational way, and how to maximize their outcomes. This VSI reveals, without mathematical equations, the insights the theory can bring to everything from how to play poker optimally to the sex ratio among bees. - ;Games are everywhere: Drivers manoeuvring in heavy traffic are playing a driving game. Bargain hunters bidding on eBay are playing an auctioning game. A firm negotiating next year's wage is playing a bargaining game. The opposing candidates in an

  3. A neural theory of visual attention

    DEFF Research Database (Denmark)

    Bundesen, Claus; Habekost, Thomas; Kyllingsbæk, Søren

    2005-01-01

    A neural theory of visual attention (NTVA) is presented. NTVA is a neural interpretation of C. Bundesen's (1990) theory of visual attention (TVA). In NTVA, visual processing capacity is distributed across stimuli by dynamic remapping of receptive fields of cortical cells such that more processing...... resources (cells) are devoted to behaviorally important objects than to less important ones. By use of the same basic equations used in TVA, NTVA accounts for a wide range of known attentional effects in human performance (reaction times and error rates) and a wide range of effects observed in firing rates...

  4. A multiconfigurational hybrid density-functional theory

    DEFF Research Database (Denmark)

    Sharkas, Kamal; Savin, Andreas; Jensen, Hans Jørgen Aagaard

    2012-01-01

    We propose a multiconfigurational hybrid density-functional theory which rigorously combines a multiconfiguration self-consistent-field calculation with a density-functional approximation based on a linear decomposition of the electron-electron interaction. This gives a straightforward extension ...

  5. "Theory of food" as a neurocognitive adaptation.

    Science.gov (United States)

    Allen, John S

    2012-01-01

    Human adult cognition emerges over the course of development via the interaction of multiple critical neurocognitive networks. These networks evolved in response to various selection pressures, many of which were modified or intensified by the intellectual, technological, and sociocultural environments that arose in connection with the evolution of genus Homo. Networks related to language and theory of mind clearly play an important role in adult cognition. Given the critical importance of food to both basic survival and cultural interaction, a "theory of food" (analogous to theory of mind) may represent another complex network essential for normal cognition. I propose that theory of food evolved as an internal, cognitive representation of our diets in our minds. Like other complex cognitive abilities, it relies on complex and overlapping dedicated neural networks that develop in childhood under familial and cultural influences. Normative diets are analogous to first languages in that they are acquired without overt teaching; they are also difficult to change or modify once a critical period in development is passed. Theory of food suggests that cognitive activities related to food may be cognitive enhancers, which could have implications for maintaining healthy brain function in aging. Copyright © 2012 Wiley Periodicals, Inc.

  6. Theories Project: Improving Theories of Health Behavior & Theory at a Glance

    Science.gov (United States)

    This monograph describes influential theories of health-related behaviors, processes of shaping behavior, and the effects of community and environmental factors on behavior. Read this guide for tools to solve problems and assess the effectiveness of health promotion programs.

  7. A reappraisal of Modgliani's finance theories

    Directory of Open Access Journals (Sweden)

    Terenzio Cozzi

    2005-01-01

    Full Text Available The paper examines the influence of Modigliani's contributions to the theory of finance. As for the term structure of interest rates, the preferred habitat theory, had a mixed fortune: it was utilized by financial managers for a rather long time, before being discarded in the 1980s and, perhaps, being somewhat resumed in our days. The Modigliani-Miller theorem is considered as a landmark in finance theory, even if the controversies over both its assumptions and conclusions had indeed been very strong. By contrast, financial managers completely disregarded the thesis of an irrational undervaluation of stocks in inflationary periods. But most economists appreciate the proof that, for rather long periods, the market can be inefficient in channelling the resources towards the most productive utilizations.

  8. Towards a comprehensive theory of monadic effects

    DEFF Research Database (Denmark)

    Filinski, Andrzej

    2011-01-01

    , operational, and axiomatic characterizations of effects; principles and frameworks for combining effects; prescriptive vs. descriptive effect-type systems; specification vs. implementation of effects; and realizations of effect-related theoretical constructions in practical functional languages, both eager......, and attempts to assess our collective progress towards the goal of a broad yet coherent theory of monadic effects. We are not quite there yet, but intriguingly, many potential ingredients of such a theory have been repeatedly discovered and developed, with only minor variations, in seemingly unrelated contexts....... Some stronger-than-expected ties between the research topics mentioned above also instill hope that there is indeed a natural, comprehensive theory of monadic effects, waiting to be fully explicated....

  9. A structuralist theory of evolution reconsidered.

    Science.gov (United States)

    van der Hammen, L

    1997-01-01

    The structuralist theory of evolution is reconsidered in the light of new discoveries. According to this theory, the evolutionary potentialities are in the genotype (a hierarchically ordered set of interacting elements) and manifest themselves in the course of morphogenesis in association with changes in the environment. It is demonstrated that this theory is in fact the development of a long philosophical tradition, in which Darwin and Neo-Darwinism did not participate. New discoveries in the field of molecular cytogenetics confirm the ideas of evolutionary potentiality and hierarchical genotypic ordering. It is demonstrated that gene regulation can manifest itself in association with instabilities of the morphogenetic field and the attainment of a new equilibrium; this change could be connected with changes in the environment, but has nothing to do with natural selection.

  10. A geometric formulation of exceptional field theory

    Energy Technology Data Exchange (ETDEWEB)

    Bosque, Pascal du [Arnold Sommerfeld Center for Theoretical Physics,Department für Physik, Ludwig-Maximilians-Universität München,Theresienstraße 37, 80333 München (Germany); Max-Planck-Institut für Physik, Werner-Heisenberg-Institut, Föhringer Ring 6, 80805 München (Germany); Hassler, Falk [Department of Physics and Astronomy, University of North Carolina, Phillips Hall, CB #3255, 120 E. Cameron Ave., Chapel Hill, NC 27599-3255 (United States); City University of New York, The Graduate Center, 365 Fifth Avenue, New York, NY 10016 (United States); Department of Physics, Columbia University, Pupin Hall, 550 West 120th St., New York, NY 10027 (United States); Lüst, Dieter [Arnold Sommerfeld Center for Theoretical Physics,Department für Physik, Ludwig-Maximilians-Universität München,Theresienstraße 37, 80333 München (Germany); Max-Planck-Institut für Physik, Werner-Heisenberg-Institut, Föhringer Ring 6, 80805 München (Germany); Malek, Emanuel [Arnold Sommerfeld Center for Theoretical Physics,Department für Physik, Ludwig-Maximilians-Universität München,Theresienstraße 37, 80333 München (Germany)

    2017-03-01

    We formulate the full bosonic SL(5) exceptional field theory in a coordinate-invariant manner. Thereby we interpret the 10-dimensional extended space as a manifold with SL(5)×ℝ{sup +}-structure. We show that the algebra of generalised diffeomorphisms closes subject to a set of closure constraints which are reminiscent of the quadratic and linear constraints of maximal seven-dimensional gauged supergravities, as well as the section condition. We construct an action for the full bosonic SL(5) exceptional field theory, even when the SL(5)×ℝ{sup +}-structure is not locally flat.

  11. A Theory of Combative Advertising

    OpenAIRE

    Yuxin Chen; Yogesh V. Joshi; Jagmohan S. Raju; Z. John Zhang

    2009-01-01

    In mature markets with competing firms, a common role for advertising is to shift consumer preferences towards the advertiser in a tug-of-war, with no effect on category demand. In this paper, we analyze the effect of such “combative” advertising on market power. We show that, depending on the nature of consumer response, combative advertising can reduce price competition to benefit competing firms. However, it can also lead to a procompetitive outcome where individual firms advertise to incr...

  12. Durkheim and Vygotsky's Theories of Knowledge and Their Implications for a Critical Educational Theory

    Science.gov (United States)

    Young, Michael

    2007-01-01

    This paper is part of the ongoing work of the author and others in developing a social realist theory of knowledge for educational studies. It contrasts Durkheim and Vygotsky's theories and why both are important for educational theory. It begins by emphasizing the similarities between them; that knowledge has to be understood in terms of its…

  13. Social Learning, Social Control, and Strain Theories: A Formalization of Micro-level Criminological Theories

    OpenAIRE

    Proctor, Kristopher Ryan

    2010-01-01

    This dissertation proposes theoretical formalization as a way of enhancing theory development within criminology. Differential association, social learning, social control, and general strain theories are formalized in order to identify assumptions of human nature, key theoretical concepts, theoretical knowledge claims, and scope conditions. The resulting formalization allows greater comparability between theories in terms of explanatory power, and additionally provides insights into integrat...

  14. Breaking Ground: A Study of Gestalt Therapy Theory and Holland's Theory of Vocational Choice.

    Science.gov (United States)

    Hartung, Paul J.

    In both Gestalt therapy and Holland's theory of vocational choice, person-environment interaction receives considerable emphasis. Gestalt therapy theory suggests that people make contact (that is, meet needs) through a characteristic style of interacting with the environment. Holland identifies six personality types in his theory and asserts that…

  15. A theory of atmospheric oxygen.

    Science.gov (United States)

    Laakso, T A; Schrag, D P

    2017-05-01

    Geological records of atmospheric oxygen suggest that pO 2 was less than 0.001% of present atmospheric levels (PAL) during the Archean, increasing abruptly to a Proterozoic value between 0.1% and 10% PAL, and rising quickly to modern levels in the Phanerozoic. Using a simple model of the biogeochemical cycles of carbon, oxygen, sulfur, hydrogen, iron, and phosphorous, we demonstrate that there are three stable states for atmospheric oxygen, roughly corresponding to levels observed in the geological record. These stable states arise from a series of specific positive and negative feedbacks, requiring a large geochemical perturbation to the redox state to transition from one to another. In particular, we show that a very low oxygen level in the Archean (i.e., 10 -7 PAL) is consistent with the presence of oxygenic photosynthesis and a robust organic carbon cycle. We show that the Snowball Earth glaciations, which immediately precede both transitions, provide an appropriate transient increase in atmospheric oxygen to drive the atmosphere either from its Archean state to its Proterozoic state, or from its Proterozoic state to its Phanerozoic state. This hypothesis provides a mechanistic explanation for the apparent synchronicity of the Proterozoic Snowball Earth events with both the Great Oxidation Event, and the Neoproterozoic oxidation. © 2017 John Wiley & Sons Ltd.

  16. A macroecological theory of microbial biodiversity.

    Science.gov (United States)

    Shoemaker, William R; Locey, Kenneth J; Lennon, Jay T

    2017-04-03

    Microorganisms are the most abundant, diverse and functionally important organisms on Earth. Over the past decade, microbial ecologists have produced the largest ever community datasets. However, these data are rarely used to uncover law-like patterns of commonness and rarity, test theories of biodiversity, or explore unifying explanations for the structure of microbial communities. Using a global scale compilation of >20,000 samples from environmental, engineered and host-related ecosystems, we test the power of competing theories to predict distributions of microbial abundance and diversity-abundance scaling laws. We show that these patterns are best explained by the synergistic interaction of stochastic processes that are captured by lognormal dynamics. We demonstrate that lognormal dynamics have predictive power across scales of abundance, a criterion that is essential to biodiversity theory. By understanding the multiplicative and stochastic nature of ecological processes, scientists can better understand the structure and dynamics of Earth's largest and most diverse ecological systems.

  17. A theory of scalar mesons

    Energy Technology Data Exchange (ETDEWEB)

    Hooft, G. t' [Institute for Theoretical Physics, Utrecht University, and Spinoza Institute, Postbus 8000, 3508 TA Utrecht (Netherlands); Isidori, G. [Scuola Normale Superiore, Piazza dei Cavalieri 7, 56126 Pisa (Italy); INFN, Laboratori Nazionali di Frascati, Via E.Fermi 40, 00044 Frascati (Italy); Maiani, L. [Dipartimento di Fisica, Universita di Roma ' La Sapienza' , P.le A. Moro 2, 00185 Roma (Italy); INFN, Sezione di Roma ' La Sapienza' , P.le A. Moro 2, 00185 Roma (Italy); Polosa, A.D. [INFN, Sezione di Roma ' La Sapienza' , P.le A. Moro 2, 00185 Roma (Italy)], E-mail: antonio.polosa@cern.ch; Riquer, V. [INFN, Sezione di Roma ' La Sapienza' , P.le A. Moro 2, 00185 Roma (Italy)

    2008-05-08

    We discuss the effect of the instanton induced, six-fermion effective Lagrangian on the decays of the lightest scalar mesons in the diquark-antidiquark picture. This addition allows for a remarkably good description of light scalar meson decays. The same effective Lagrangian produces a mixing of the lightest scalars with the positive parity qq-bar states. Comparing with previous work where the qq-bar mesons are identified with the nonet at 1200-1700 MeV, we find that the mixing required to fit the mass spectrum is in good agreement with the instanton coupling obtained from light scalar decays. A coherent picture of scalar mesons as a mixture of tetraquark states (dominating in the lightest mesons) and heavy qq-bar states (dominating in the heavier mesons) emerges.

  18. A Statistical Theory of Bidirectionality

    Science.gov (United States)

    DeLoach, Richard; Ulbrich, Norbert

    2013-01-01

    Original concepts related to the quantification and assessment of bidirectionality in strain-gage balances were introduced by Ulbrich in 2012. These concepts are extended here in three ways: 1) the metric originally proposed by Ulbrich is normalized, 2) a categorical variable is introduced in the regression analysis to account for load polarity, and 3) the uncertainty in both normalized and non-normalized bidirectionality metrics is quantified. These extensions are applied to four representative balances to assess the bidirectionality characteristics of each. The paper is tutorial in nature, featuring reviews of certain elements of regression and formal inference. Principal findings are that bidirectionality appears to be a common characteristic of most balance outputs and that unless it is taken into account, it is likely to consume the entire error budget of a typical balance calibration experiment. Data volume and correlation among calibration loads are shown to have a significant impact on the precision with which bidirectionality metrics can be assessed.

  19. A theory of child marriage

    OpenAIRE

    Wahhaj, Zaki

    2015-01-01

    The practice of early marriage for women is prevalent in developing countries around the world today, and is believed to cause significant disruption in their accumulation of human capital. This paper develops an overlapping generations model of the marriage market to explain how the practice may be sustained in the absence of any intrinsic preference for young brides. We assume there is a desirable female attribute, relevant for the gains from marriage, that is only noisily observed before a...

  20. Implementation of a bag medication reconciliation initiative to decrease posthospitalization medication discrepancies.

    Science.gov (United States)

    Becker, Dawn

    2015-01-01

    Medication discrepancies occur in 70% of hospital patients, especially during discharge. In community settings, bag medication reconciliation events have demonstrated effectiveness in evaluating current medication use and identifying medication discrepancies. A bag medication reconciliation process was implemented in the hospital setting to decrease medication discrepancies by encouraging evaluation of medication adherence, side effects, and monitoring at posthospitalization follow-up. After implementation, a 7% decrease in reportable errors was noted.