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McCartan-Welch, Kathleen. "Resistance and reflection : the humanities experience for medical students /." free to MU campus, to others for purchase, 1997. http://wwwlib.umi.com/cr/mo/fullcit?p9841346.
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Murphy, Frederick. "Understanding the humanistic interaction with medical imaging technology." Thesis, Bangor University, 2003. https://research.bangor.ac.uk/portal/en/theses/understanding-the-humanistic-interaction-with-medical-imaging-technology(6d8cb645-beb0-41a7-a06d-1c5f248e055f).html.
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This study set out to discover the nature of the interactions that occur between the radiographer, patient and high technology imaging equipment. The investigation focussed upon two radiology departments where patients had just had either a CT or MR scan. No attempt was made to generalise the findings, since it was the existence of the phenomena, rather than the frequency of events elsewhere, that was under scrutiny. A thorough literature review revealed a distinct lack of previous research in this area, with only quantitative methodological approaches having been employed. This study was a purely inductive qualitative investigation, that sought to explore feelings, meanings and roles within the context of the imaging departments. A thematic content analysis of 49 semi-structured patient interviews revealed a varying degree of satisfaction, fear and misunderstanding. These data were complemented with 8 interviews of self-selecting radiographers, who had experienced a CT or MR scan, and 8 interviews of radiographers who predominately worked in these high technology areas. Following data analysis, specific typologies were derived from the concepts to formulate a model of the humanistic interaction with medical imaging technology. Discussion of the findings related to the technological and humanistic literature, and the alternative micro-sociological perspectives of Symbolic Interactionism and Critical Dramaturgy, gave a more creative explanation of the unique theory. The final section of the discussion considered the potential for future research and a reflexive analysis of the study. In conclusion, the model is considered to be a valid conceptual representation of the interactions within the context of the naturalistic setting. The theory developed provides enlightening insights with respect to roles and rituals performed in the radiology department.
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Tiller, Samuel Perry. "Imagining a NeoFreudian Mind Interface: A Normative Model of Medical Humanities Research." Thesis, Virginia Tech, 2019. http://hdl.handle.net/10919/101963.
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This thesis argues for a new theory of medical humanities practice and research, known as Mind Interface Theory. It begins with the claim that Sigmund Freud expanded medical metaphysics considerably in "A General Introduction to Psychoanalysis," and that this expansion affords the possibility of thinking of the mind as a user interface. Capitalizing on this affordance, the work then introduces mind interface theory as one possible imagining of Freud's metaphysical system, separate from his well-known theory, psychoanalysis. More specifically, it uses his discussion of dreamwork to reveal reprocessing as mind interface's mechanism of healing, before utilizing this reprocessing principle to orient the medical humanities' research, providing a theoretical framework for increased collaboration between humanists and physicians and a foundation for two distinct modes of activist scholarship: product-based and process-based.Master of Arts
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Reid, Joshua. ""Love Forswore Me in My Mother’s Womb”: Richard III and the Medical Humanities." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2863.
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Nemoy, Laura. "Experiencing Resonance: Choral Singing in Medical Education." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35542.
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Arts and humanities programming is becoming increasingly incorporated in the medical school, balancing the biomedical paradigm, and nurturing human and emotional qualities and understandings in medical students. Music is often listed among these arts and humanities disciplines; yet there exists an acknowledged gap in the literature pertaining to musical activities and programming in the medical school, despite the prevalence of choirs, a cappella groups, small instrumental ensembles, and musical theatre programs in medical schools. Literature on choirs, musical ensemble, and community music suggests that choral singing can cultivate many of the intra and interpersonal skills that medical humanities programming encourages, such as empathy, cooperation, self-awareness, and human connection. Within the medical humanities, music has been tied to metaphors of “medicine as a performing art” or “the art of listening,” but very little literature exists delving into the actual musical experience of medical students. Drawing from medical humanities, community music, and education theory, and shaped by the metaphor of musical and emotional ‘resonance,’ this phenomenological study explores the relationships between choral singing and medical scholarship. Through semi-structured interviews, the primary goal of this inquiry was to develop in-depth understandings of the experiences of medical students singing as members of a musical community of practice: an extra-curricular medical school choir at a Canadian university. Findings indicate that choir is an informal, non-medical venue where students can engage with their musical identity during medical school; that choral singing can offer a means of stress-relief and creative outlet, mitigating symptoms of student burnout; and that engagement in the choir builds meaningful relationships and a supportive, connected community. Moreover, this study describes the role of music and choral singing in medical humanities and medical education, as well as suggests how involvement in a medical school choir may influence a medical student’s professional identity formation.
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Carrière-Doisin, A. "Formation d'assistants medicaux en thailande : une experience humanitaire dans un camp de refugies laotiens." Nice, 1994. http://www.theses.fr/1994NICE6508.
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Harrison, Mia Jayne. "Using Zombies in the Critical Medical Humanities: A Transdisciplinary Methodology for the Development of Ethical Thinking and Feeling." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/24010.
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This thesis investigates the critical potential of the zombie figure for the enhancement of ethical debates in the areas of health and medicine, both as an illustrative intervention into current debates and as a way of provoking new ones. Situated within the emerging field of critical medical humanities, it draws on transdisciplinary theoretical precepts to conduct a close study of two types of narratives: those produced in popular zombie films and television, and those popularly generated out of scientific and public understandings of medical phenomena. Through four transdisciplinary case studies, it utilises a qualitative and experimental research approach combining methods of close textual analysis, critical discourse analysis, thought experiments, and radical qualitative comparison. These case studies analyse a series of cinematic and cultural zombie types and use them as a source of theory to critically and affectively investigate a range of biomedical topics. Through this process, this thesis develops a transdisciplinary methodology for addressing difficult ethical questions posed both in the specialised field of medical ethics and in broader public discourse. In doing so, it responds to a call in medical ethics for a more expansive approach to ethical thinking, arguing that close critical attention to popular culture broadly, and the zombie specifically, can promote feeling-inflected approaches to addressing ethical and philosophical opportunities in health and medicine. Furthermore, it argues that feeling and affect produced through popular culture constitute a strong and much-needed mechanism for ethical thinking in health and medicine. In developing this transdisciplinary, multimodal methodology and applying it to biomedical and bioethical case studies, the approach of this thesis offers a rich, flexible, and generative contribution to critical medical humanities and beyond.
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Biquet, Jean-Marc. "Patient safety in medical humanitarian action : medical error prevention and management." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSE1038.
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La sécurité des patients est reconnue depuis une vingtaine comme un des éléments essentiels de la qualité des soins et est devenu une partie intégrante des systèmes de santé. Elle se déclinée en règlementations, outils et stratégies qui touchent tous les secteurs de la médecine. Aujourd’hui les recherches et applications de la sécurité des patients concernent surtout les systèmes de santé des pays les plus développés alors même que deux-tiers des incidents de sécurité estimés se produisent dans les pays à revenu faible ou moyen. Une phase exploratoire a permis de confirmer que la sécurité du patient et la détection et gestion des erreurs médicales n’ont pas encore eu de traduction structurée, adaptée au secteur de l’aide médicale humanitaire. Afin d’essayer de comprendre les raisons de ce décalage, cette thèse s’intéresse au statut actuel et aux perspectives de la sécurité des patients dans l'action médicale humanitaire. Une première partie se penche sur les développements dans les sciences de la sécurité et de la gestion des risques et aborde l’état de connaissance actuelle et les principaux développements en matière de sécurité des patients, et de la gestion des erreurs médicales en particulier. Suit une analyse des caractéristiques de l’action médicale telle que déployée par les organisations médicales.La deuxième phase de la thèse se centre sur des entretiens semi-directifs avec du personnel médical et paramédical actifs au sein de 6 organisations médicales humanitaires pour connaître l’état actuel des développements en matière de sécurité du patient et de la gestion des erreurs médicales. 39 entretiens ont été menés avec du personnel international médical ou paramédical ayant 2 ans d’expérience minimum dans le secteur humanitaire pour comprendre leurs connaissances, attitudes et attentes en matière de sécurité du patient et de la gestion des erreurs médicales dans leur secteur.Il apparait clairement que s’il n’existe actuellement pas encore dans le secteur d’approche structurée de la question de la sécurité du patient et plus spécifiquement de la gestion des erreurs médicales, cela répond clairement à une attente de la part du personnel humanitaire interviewé. Les raisons invoquées pour expliquer ce manque sont de deux ordres. Il y a celles en lien avec les spécificités de l’action médicale humanitaire et celles que l’on a pu retrouver dans les systèmes de santé des pays de l’OCDE.Cette recherche, la première du genre selon nos informations, identifie la motivation du personnel médical et paramédical du secteur humanitaire à s’engager à mener une véritable révolution culturelle pour rendre l’offre de soins plus sûre, même dans des situations précairesPatient safety is recognized for some 20 years as one of the essential elements of healthcare quality and has become an integral part of healthcare systems. It encompasses regulations, tools and strategies that affect all sectors of medicine. Today, research and implementation in the area of patient safety pertain above all to healthcare systems in the most developed countries whereas two thirds of estimated safety incidents occur in low- or mid-income countries.An exploratory phase aiming at developing the research strategy confirmed that patient safety, per se, and the detection and management of medical errors have not yet been translated into the humanitarian assistance sector in a structured and adapted way. In order to understand the reasons for this gap this thesis aims to understand what the current status and perspectives of patient safety in medical humanitarian action are. An initial phase explored developments in the knowledge of safety and risk management and the current state of knowledge and the main developments in patient safety and especially medical error management were explored. Follows an analysis of the characteristics of medical action as carried out by medical humanitarian organisations.The second part of the thesis is centred on semi-directive discussions with medical and paramedical personnel active within six medical humanitarian organisations to understand the knowledge, attitudes and practises with regards to patient safety and medical error management. 39 interviews were done with international medical and paramedical staff with minimum 2 years of experience in the humanitarian sector. It appears clearly that, while there may not yet be a structured approach in the sector regarding patient safety and, specifically, medical error management, this clearly corresponds to an expectation on the part of the humanitarian personnel interviewed.This research, to our knowledge the first of its kind, demonstrates the eagerness of the medical and paramedical staff engaged in humanitarian action to commit to an internal cultural revolution towards a safer healthcare provision, even in precarious situations. Catching up the delays in adopting adapted patient safety and medical error management policies would reinforce the accountability to the vulnerable populations assisted by these organisations and save more lives, the essence of humanitarian purpose
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DAVIS, JEAN MARGARET. "Approche psychologique de la medecine humanitaire l'experience des medecins volontaires en mission humanitaire a l'etranger." Paris 5, 1999. http://www.theses.fr/1999PA05H034.
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Le but de cette recherche est d'etudier ce qu'est l'experience d'une mission humanitaire medicale a l'etranger ainsi que les effets de cette experience dans la vie du volontaire medecin. Pour ce faire, nous avons rencontre 32 medecins ayant deja fait au moins une mission de ce type. A travers des entretiens ou il etait question de leur experience de mission mais aussi de leurs motivations pour devenir medecin et pour prendre un tel engagement, nous avons essaye de degager certains profils et, par la suite, de trouver les liens pouvant exister entre ces profils et la facon de vivre la mission. La premiere partie de la these etudie les raisons de l'emergence de la medecine humanitaire en europe apres la deuxieme guerre mondiale et les imbrications economique, juridique et politique de toutemission se situant dans un pays etranger , puisque tous ces facteurs influencent fortement l'experience du volontaire. De nombreuses missions ont lieu dans des contextes potentiellement traumatisants, et nous voulions comprendre ce que faisaient les volontaires dans ces cas pour tenir le coup. Quels types de "coping" mettaient -ils en jeu? que faisaient-ils par la suite pour reintegrer la vie en france et leur vie de famille? qu'est-ce qui a joue dans leur capacite ou leur incapacite de bien integrer les situations tres variees qu'ils ont decrites? les criteres tels que les motivations de base, le sexe, l'age et la specialite du medecin ont ete pris en compte. Dans ces interactions complexes de facteurs concernant la personne et la situation externe, nous avons decele certains patterns deforce ou bien de vulnerabilite qui furent mis en lumiere et discutes.
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Dufour, Monique S. "Reading for Health: Bibliotherapy and the Medicalized Humanities in the United States, 1930-1965." Diss., Virginia Tech, 2014. http://hdl.handle.net/10919/65149.
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In this dissertation, I tell the story of midcentury attempts to establish, develop, and study bibliotherapy in the US. I follow three groups-hospital librarians, psychologists and psychiatrists, and language arts educators-from the 1930s to the 1960s, when each in its own ways expressed belief in the therapeutic power of reading and set out to enact that belief as a legitimate practice in the evolving contexts of its profession and in the broader culture. These professionals tried to learn what happened within people during and after reading, and they attempted to use what they learned to apply reading toward healthy ends.
Today, therapeutic reading has become commonplace to the extent that it seems natural. In this dissertation, I aim to recover and explore the midcentury processes by which therapeutic reading came to seem at once natural, medical, and scientific. I argue that midcentury bibliotherapy functioned in concert with an evolving cultural narrative that I call "reading for health." The reading for health narrative gathers up into a coherent story various and deep beliefs and commonplaces about the power of books over our minds and our bodies. In midcentury bibliotherapy, reading for health was reinvigorated as a story about the marriage of science and culture, a unity narrative that claimed the iconic book-capable of swaying minds and societies alike, and burnished with all that
western civilization signified-for the professions that applied reading toward their healthy
ends. As I demonstrate, however, these narratives were not confined to discrete
professions, but functioned as a part of a larger cultural movement set upon the shifting fault lines of the humanities and science.
Each of the groups I follow took an avid interest in what I have called the embodied reader. Rather than viewing reading as an act of a disembodied mind, they understood the practice as a psychosomatic experience in which mind and body could not be disconnected. Moreover, they believed that reading could capitalize on the embodied nature of thought and affect, and engender healthy effects. In this way, the embodied reader was constructed as a new, modern locus of both the literary experience and the therapeutic ethos.
By valuing above all else how reading could be used to achieve health, advocates of bibliotherapy fashioned a form of applied humanities, one that defined the meaning and judged the value of books in terms of their utility and efficacy. In so doing, they contributed to the development of a form of the medicalized humanities that now resonates in three contemporary sites: (1.) the study and use of bibliotherapy in clinical psychology; (2.) the dominant and naturalized approach to books known as therapeutic reading; and (3.) the medical humanities.Ph. D.
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Davis, Andrew. "Symptoms of Self-Image: Medical Diagnosis in Contemporary Narrative." Thesis, Boston College, 2018. http://hdl.handle.net/2345/bc-ir:108086.
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Thesis advisor: Laura TannerIllness touches all of us, both directly and indirectly, and to respond to a reality with physical and psychological ramifications, we turn to diagnosis for answers. The role of diagnosis is to place a name upon a bodily disorder, giving a patient some idea of what has gone wrong in his or her body, and how life may change. At its essence, diagnosis renders a mysterious set of symptoms into a tangible, understandable disease that can, ideally, be recognized and treated. Yet this perspective can seem strangely simplistic. How can a single word or phrase encapsulate the variable and far-reaching effects of illness on the complicated lives we live? And what are the effects of the application of the phrase to a patient’s life: a comforting awareness, an estrangement from healthy society, or something in between?
Thesis (BA) — Boston College, 2018
Submitted to: Boston College. College of Arts and Sciences
Discipline: Departmental Honors
Discipline: English
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Mai, Yvonne M. "Use of various health care providers and the associated clinical and humanistic outcomes in an ambulatory Medicare population." Scholarly Commons, 2016. https://scholarlycommons.pacific.edu/uop_etds/265.
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Background: The use of complementary and alternative medicine (CAM) and other non-physician health care providers (dentists, optometrists, etc.) has steadily increased in the United States; however, the associated outcomes reported in the Medicare beneficiary population are limited. Objective: To evaluate the utilization of different healthcare providers by Medicare beneficiaries and assess resultant beneficiary outcomes. Methods: Fourteen outreach events targeting Medicare beneficiaries were conducted throughout Northern/Central California during the 2014 open enrollment period. Trained student pharmacists (working under licensed pharmacist supervision) provided beneficiaries with comprehensive medication therapy management (MTM) services. During each intervention, demographic, quality-of-life, health behavior and health provider/service utilization data were collected. Results: Of 620 respondents, 525 (84%) and 84 (14%) reported using at least one non-physician healthcare professional or CAM provider, respectively. Beneficiaries who reported using non-physician healthcare providers were significantly (p < 0.05) more likely to indicate being ‘very confident’ in managing their chronic health conditions. The number of providers seen with prescriptive authority was positively correlated with the number of prescription medications taken (r s =0.342, p < 0.001). The total number of providers seen was positively correlated with the number of drug-related issues identified (r s = 0.179, p < 0.001). Conclusion: Many beneficiaries have multiple chronic conditions and increasingly utilize a variety of healthcare professionals. As such, bridging the communication chasm between these professionals can improve humanistic outcomes and minimize medication related issues of Medicare beneficiaries. Coordinated care, a key strategy for improving healthcare delivery under the Affordable Care Act, is a step in the right direction.
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Williams, Rachel. "Sharps Injuries in Medical Training: Higher Risk for Residents Than for Medical Students." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3409.
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Because of their relative inexperience in performing procedures and handling sharps devices, medical students and resident physicians are considered to be at high risk for sharps injuries. A higher rate of sharps injuries for medical trainees implies a higher risk for occupationally-acquired infection with bloodborne pathogens and may have financial and legal implications for training institutions. This study examines the prevalence of sharps injuries among US medical students and resident physicians. A systematic review of the literature yielded 10 studies that gave data on sharps injuries for US medical students or residents, and those data were combined with data from our institution to produce pooled prevalences. Results from our institution showed that residents had a significantly higher risk of sharps injuries than medical students. While sharps injuries increased with students' years of training, residents' rates decreased with increasing level of training. Resident rates were highest in the department of Surgery and lowest for Pediatrics. Comparing pooled prevalences of US trainees revealed that residents were 6 times more likely than medical students to have a sharps injury. This information can be used by training programs to inform changes in residency training curricula and infection control policies, as well as to forecast Worker's Compensation and long-term disability insurance coverage requirements. Medical training institutions must continue to provide opportunities for students and residents to perfect their procedural skills, but at the same time, trainees must be protected from the risk of sharps injuries and exposure to bloodborne pathogens.
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Säll, El Kebich Amina. "Adverbial ing-clauses and non-ing initial adverbials in medical translation." Thesis, Linnéuniversitetet, Institutionen för språk (SPR), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-97954.
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This study investigates how non-ing initial adverbials and adverbial ing-clauses regardless of position are translated from English to Swedish in a medical text. It discusses what different kinds of positions and forms they take in the translation. The primary source is a medical text that is translated wherein the non-ing initial adverbials and adverbial ing-clauses are identified and categorized, and solutions are discussed. The results show that most non-ing initial adverbials keep their form, but are changed in some cases because of stylistic preferences. The most common form of the non-ing initial adverbials is prepositional phrases that mostly also are translated as prepositional phrases. The adverbial ing-clauses, regardless of position, change their form in all cases in the translation and the most common correspondence is subordination. Both non-ing initial adverbials and adverbial ingclauses keep their position in most cases, but are sometimes moved due to stylistic preferences.
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Ivanovskiy, Tim V. "Mining Medical Data in a Clinical Environment." Scholar Commons, 2006. http://scholarcommons.usf.edu/etd/3908.
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The availability of new treatments for a disease depends on the success of clinical trials. In order for a clinical trial to be successful and approved, medical researchers must first recruit patients with a specific set of conditions in order to test the effectiveness of the proposed treatment. In the past, the accrual process was tedious and time-consuming. Since accruals rely heavily on the ability of physicians and their staff to be familiar with the protocol eligibility criteria, candidates tend to be missed. This can result and has resulted in unsuccessful trials.A recent project at the University of South Florida aimed to assist research physicians at H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, with a screening process by utilizing a web-based expert system, Moffitt Expedited Accrual Network System (MEANS). This system allows physicians to determine the eligibility of a patient for several clinical trials simultaneously.We have implemented this web-based expert system at the H. Lee Moffitt Cancer Center & Research Gastroenterology (GI) Clinic. Based on our findings and staff feedback, the system has undergone many optimizations. We used data mining techniques to analyze the medical data of current gastrointestinal patients. The use of the Apriori algorithm allowed us to discover new rules (implications) in the patient data. All of the discovered implications were checked for medical validity by a physician, and those that were determined to be valid were entered into the expert system. Additional analysis of the data allowed us to streamline the system and decrease the number of mouse clicks required for screening. We also used a probability-based method to reorder the questions, which decreased the amount of data entry required to determine a patient's ineligibility.
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Sundblom, Matilda, Elin Rossander, and Nielsen Elin Feldborg. "Granskning av det digitala journalsystemet Profdoc medical office samt påverkan på dess användare." Thesis, Malmö universitet, Fakulteten för teknik och samhälle (TS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-20030.
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CAZAL, GAMELSY ROBERT. "Bejel et etat de sante d'un isolat de population touareg au mali : a l'occasion d'une mission medicale a but humanitaire." Nice, 1989. http://www.theses.fr/1989NICE6543.
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Berry, Edmund A. "The Impact of Being Uninsured in the United States on Economic and Humanistic Outcomes: Results from the 2004-2008 Medical Expenditure Panel Surveys." University of Cincinnati / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1353154260.
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Delepine, Anne. "La chaine de l'espoir : un acte de medecine humanitaire novateur ; analyse de trois ans d'activite en cardiologie." Rennes 1, 1992. http://www.theses.fr/1992REN1M102.
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Joseph, Nneka. "When Does Fidelity Matter? An Evaluation of Two Medical Simulation Methods." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3174.
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Job or task simulations are used in training when the use of the real task is dangerous or expensive, such as flying aircraft or surgery. This study focused on comparing two types of simulations used in assessments during a Clinical Performance Examination of third-year medical students: computer enhanced mannequins and standardized patients. Each type of simulation has advantages, but little empirical work exists to guide the use of different types of simulation for training and evaluating different aspects of performance. This study analyzed performance scores for different competencies as well as the reliability and validity of the different simulation types. The results showed that though neither simulator was generally superior to the other, the mannequin performed surprisingly well on interpersonal tasks such as communication and history taking.
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Zhang, Yong. "Robust algorithms for property recovery in motion modeling, medical imaging and biometrics." [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001177.
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Fakih, Saif. "A learning approach to obtain efficient testing strategies in medical diagnosis." [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000309.
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Momani, Aiman A. "Assessment of the impact of the West Virginia Medicaid's prior authorization policy for NSAIDs on chronic patients economic and humanistic outcomes /." Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=847.
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Thesis (Ph. D.)--West Virginia University, 1999.Title from document title page. Document formatted into pages; contains xii, 150 p. : ill. Includes abstract. Includes bibliographical references (p. 124-128).
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Proctor, Keith E. "Answer Distortion on the Epworth Sleepiness Scale During the Commercial Driver Medical Examination." Scholar Commons, 2010. https://scholarcommons.usf.edu/etd/1744.
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Commercial vehicle drivers are required to maintain Department Of Transportation medical certification which entails a Commercial Driver Medical Examination (CDME) and optimally leads to a two-year certification. The examination must be performed by a licensed "medical examiner" administered by a variety of health care providers including physicians, advanced registered nurse practitioners, physician assistants and doctors of chiropractic. Unfavorable findings in the examination can yield either a shortened medical certification period or denial of certification. Sleep disorders including sleep apnea are assessed by a single question located in the health history portion of the CDME form which is filled-out by the examinee. A positive response to this single item often prompts the medical examiner to further supplement this question using a subjective questionnaire, such as the Epworth Sleepiness Scale. This particular questionnaire generates a total score based on the examinee's subjective responses to eight items regarding the propensity to doze-off or fall asleep in different scenarios, thus indicating daytime sleepiness. Commercial drivers depend on the medical certification for their livelihood and it is hypothesized that subjective responses regarding daytime sleepiness are distorted in an effort to attain optimal DOT certification.
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Tebbutt, Clare Rachel. "Popular and medical understandings of sex change in 1930s Britain." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/popular-and-medical-understandings-of-sex-change-in-1930s-britain(95e7f64f-862e-4b1a-a161-f6a54765f137).html.
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This thesis considers how understandings of the sexed body changed in Britain during the 1930s. Popular versions of sex changeability were grounded in medical science and I examine how medico-scientific research into hormones changed understandings of where sex was located in the body. I examine the historically specific concept of normality, which medics employed to ascertain whether or not individuals ought to have their sex reclassified. I focus on L. R. Broster, a surgeon at London’s Charing Cross Hospital. I analyse Broster’s case studies, published in 1938 as The Adrenal Cortex and Intersexuality, which showed the markers medical professionals were using to assign sex. The thesis investigates how Broster’s work in the burgeoning field of endocrinology generated distinctive narratives of sexual mutability and locatedness in the body. Broster was an important figure in the press stories about changes of sex and provides a link between them and the medical research occurring at Charing Cross. During the 1930s the popular daily, local and Sunday newspapers contained numerous articles about individuals whose sex had changed. These accounts were treated in a mostly positive tone and were held up as being symptomatic of scientific modernity. I argue that this concept of ‘sex change’ does not neatly map on to present day categories, be they intersexuality, transsexuality, transgender or any other. Older categories such as that of the ‘man-woman’ persisted into the 1930s as a way to conceive of sexual ambiguity and changeability. That sex could change, and in particular that women could become men, was an idea that had a wide reach across popular culture. New concepts of hormones and of sex change were also taken up in special- interest magazines, adverts, fiction and popular science. I explore the dissemination of ideas about sex changeability and the role of hormones beyond the press and medical studies to show their pervasiveness. I pay particular attention to two very different magazines, Urania and London Life. These magazines extended the life of articles about changes of sex by reprinting and recontextualising them. They point to the interest that such stories attracted and the ways in which they were harnessed to competing ideological ends. Women's increased participation in sport also changed understandings of the sexed body, having an impact on gender roles and the sexed and gendered meanings ascribed to physical features such as muscles. Women’s athleticism suggested that competitiveness could also be a female trait, and that muscularity was not exclusively male. I consider how the achievements of sportswomen, and the more typically masculine bodies they developed, challenged the received differences between men and women. Attention to the sexed body as a site of cultural concern expands the remit of queer historiography beyond sexual identities and practices. I argue that scientific developments and popular culture coalesced to create an environment in which sex characteristics were not fixed and the sexed body was seen as mutable.
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Vindrola, Padros Cecilia. "Life and Death Journeys: Medical Travel, Cancer, and Children in Argentina." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3395.
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Recent studies on the Argentine public health system have demonstrated that the lack of medical resources in different parts of the country force pediatric oncology patients and their family members to travel to Buenos Aires in order to access care. This internal migration poses difficulties for these families as travel and resettlement are expensive, lead to the separation of family members, and interrupt the child's schooling. This dissertation was designed to document the everyday life experiences of traveling families in order to understand the barriers they faced while attempting to access medical treatment and the strategies they used to surmount these obstacles.
Narrative research and Critical Medical Anthropology were combined in order to analyze individual treatment and migration experiences within the political and economic context of the Argentine public health system. The interviews, visual timelines, drawings, and participant-observation carried out with 35 families shed light on differences in the conceptualization of medical treatment and migration between children and their parents, the ways in which the process of parenting was affected by relocation, and the changes that need to be made in the current Argentine public health system to provide timely and high quality pediatric oncology treatment and avoid delays in diagnosis and treatment.
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Le, Maistre Bertrand. "Médecine humanitaire : aide confraternelle franco-roumaine : mission avril-mai 1998 auprès des handicapés physiques de Lugoj." Bordeaux 2, 2000. http://www.theses.fr/2000BOR2M041.
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Prewett, Matthew S. "Training Teamwork in Medical Teams: An Active Approach with Role Play and Feedback." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003229.
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Herrera-Hernandez, Maria Carolina. "Engineering of a Knowledge Management System for Relational Medical Diagnosis." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4071.
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The increasingly high costs of health care in the U.S. have led the general public to search for different medical approaches. Since the 1990's, the use of Complementary and Alternative Medicine (CAM) has radically increased in the U.S. due to its approach to treat physical, mental, and emotional causes of illness. In 2009, the National Health Statistics reported the impact of CAM in the U.S. health care economy, with population expenditures of $14.8 billion out-of-pocket on natural Medicine and $12.4 billion out-of-pocket on visits to CAM providers as a complement to Western Medicine care.
CAM interconnects human functions to reach a balanced state, whereas Western Medicine focuses on specialties and body systems. Both Western Medicine and CAM are unlimited sources of knowledge that follow different approaches but that have the common goal of improving patients' well-being. Identifying relationships between Alternative and Western Medicine can open a completely new approach for health care that can increase understanding of human medical conditions, and facilitate the development of new and more cost-effective treatments. However, the abundance and dissimilarity of CAM and Western Medicine data makes knowledge correlation and management an extremely challenging task.
The objective of this research is to design the framework for a knowledge management system to organize, store, and manage the abundant data available for Western Medicine and CAM, and to establish key relationships between the two practices for an effective exploration of ideas and possible solutions for medical
diagnosis. Three main challenges in the design of the proposed framework are addressed: data acquisition and modeling; data organization, storage and transfer; and information distribution for further generation and sharing of medical knowledge. A framework to relate the diagnosis process in Western Medicine and Traditional Chinese Medicine, as one of the various forms of CAM, is presented based on process-oriented analysis, hierarchical knowledge representation, relational database, and interactive interface for system utilization. The research is demonstrated using a case study on chronic prostatitis, and can be scalable to other medical conditions.
The presented system for knowledge management is not intended to provide a definite solution for medical diagnosis, but to enable the exploration and discovery of knowledge for relational medical diagnosis. The results of this research will positively impact information distribution and knowledge generation via interactive medical knowledge systems, development of new skills for diagnosis and treatment, and a broader understanding of medical diseases and treatments.
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Kwak, Jung. "Predictors and outcomes of hospice use among Medicare and Medicaid dual-eligible nursing home residents in Florida: a comparison of non-Hispanic Blacks and non-Hispanic Whites." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001665.
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Green, Frida. "HEALTH BY CHOCOLATE : "Food of the Gods: Cure for Humanity? A Cultural History of the Medicinal and Ritual Use of Chocolate"." Thesis, Växjö University, School of Humanities, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-1394.
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Abstract
Translation is not an easy task. There is a plethora of problems and difficulties which needs to be tackled in the process of translating a text from one language to another. This analysis concentrates on three of them – terminology, connectors and cultural aspects. The study is based on the Swedish translation of an English text concerning the medical and ritual use of chocolate in ancient Native American cultures as well as in Europe during the colonial era. The main problem encountered in the translation of this text was how to generalize it so it would suit the Swedish public but still maintain the level of formality of the source text. The specialized terminology found belongs to the fields of medicine and botany and these terms were often explained or replaced with more common words. A couple of the cultural aspects were also explained, since, for example, the cultural area Mesoamerica may not be known to the target readers unless they are knowledgeable in anthropology or archaeology. This made the target text somewhat less formal than the original so, to compensate, the translation of the adverbial connectors however and thus were on occasion translated with the more formal Swedish emellertid and således.
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MARTIN, JEAN-LUC. "Une experience humanitaire avec medecins sans frontieres en guinee (octobre 1992 - mars 1993) : l'epidemie de meningite a meningocoque de 1993 : description, epidemiologie et analyse." Reims, 1994. http://www.theses.fr/1994REIMM013.
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Grove, Olya. "Heterogeneous Modeling of Medical Image Data Using B-Spline Functions." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3130.
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Ongoing developments in the field of medical imaging modalities have pushed the frontiers of modern medicine and biomedical engineering, prompting the need for new applications to improve diagnosis, treatment and prevention of diseases.
Biomedical data visualization and modeling rely predominately on manual processing and utilization of voxel and facet based homogeneous models. Biological structures are naturally heterogeneous and in order to accurately design and biomimic biological structures, properties such as chemical composition, size and shape of biological constituents need to be incorporated in the computational biological models.
Our proposed approach involves generating a density point cloud based on the intensity variations in a medical image slice, to capture tissue density variations through point cloud densities. The density point cloud is ordered and approximated with a set of cross-sectional least-squares B-Spline curves, based on which a skinned B-Spline surface is generated. The aim of this method is to capture and accurately represent density variations within the medical image data with a lofted surface function.
The fitted B-Spline surface is sampled at uniformly distributed parameters, and our preliminary results indicate that the bio-CAD model preserves the density variations of the original image based point cloud. The resultant surface can thus be visualized by mapping the density in the parametric domain into color in pixel domain. The B-Spline function produced from each image slice can be used for medical visualization and heterogeneous tissue modeling. The process can be repeated for each slice in the medical dataset to produce heterogeneous B-Spline volumes.
The emphasis of this research is placed on accuracy and shape fidelity needed for medical operations.
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Fiske, Eric James. "Cuban Medical Internationalism: A Case for International Solidarity in Foreign Policy Decision Making." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3724.
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Since the beginning of the Revolutionary government in Cuba, a comprehensive foreign policy involving medical personal and equipment has been implemented worldwide. Known as medical internationalism, thousands of doctors have been sent to developed and less developed nations in the spirit of solidarity and humanitarian aid. Even more, thousands of students have been given free medical education in Cuba at its world renowned university, the Latin American School of Medicine (ELAM). Often, no monetary or direct political gain is made by Cuba and the doctors simply receive their normal government salary. While the success of Cuba's medical internationalism is well documented (Feinsilver 1993, Kirk & Erisman 2009), the reasons and guiding forces behind it are much less understood. Based on a Cultural/Political Foreign Policy model created by Marijke Breuning to study foreign policy, this study aims to show that the concept of proletarian internationalism is the guiding principle in Cuba's medical internationalism programs.
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CHASSIGNOL, LAURENT. "Une action humanitaire au cambodge : evolution de l'hygiene hospitaliere a l'hopital des bonzes a phnom penh dans le cadre de sa rehabilitation par action nord sud." Lyon 1, 1993. http://www.theses.fr/1993LYO1M055.
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Firth-Godbehere, Richard Simon. "Naming and understanding the opposites of desire : a prehistory of disgust, 1598-1755." Thesis, Queen Mary, University of London, 2018. http://qmro.qmul.ac.uk/xmlui/handle/123456789/39749.
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In the early 17th century, Aristotelian ideas about the passions came under scrutiny. The dominant, if not only, understanding of the passions before that time came from Thomas Aquinas. Aquinas split most of his main passions into opposing pairs - love/hate, joy/sorrow, fear/bravery etc. Aquinas described the opposite of desire as 'fuga seu abominatio (flight or abomination).' Although grappled with by earlier philosophers such as Duns Scotus and Thomas Cajetan, it was not until the 17th century that thinkers attempted to challenge Aquinas's opposite of desire. This thesis looks at five writers who used a variety of terms, often taken to be near-synonyms of disgust in the historiography - Thomas Wright, Henry Carey, 2nd Earl of Monmouth, Thomas Hobbes, Henry More and Isaac Watts - and challenges that view. Each of these men wrote works that, at least in part, attempted to understand the passions and each had a different understanding of Aquinas's opposite of desire. The thesis uses a corpus analysis to investigate uses of the words each thinker chose as an opposite of desire and then examines each writers' influences, experiences, and intentions, to analyse their understanding of the opposite of desire. Secondly, these various opposites of desire appear to bare a family resemblance to modern disgust. All are based upon the action of moving away from something thought of as harmful or evil, and all have an element of revulsion alongside the repulsion. This has led to much of the historiography of these sorts of passions making the assumption that these words simply referred to disgust. This thesis argues that these opposites of desire are not the same as disgust; the differences outweigh the similarities.
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Baker, Martha C. "A Descriptive Study of the View from the Top: Perspectives of Experts in Continuing Medical Education." Scholar Commons, 2010. https://scholarcommons.usf.edu/etd/1565.
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This study describes and explains the perspectives of selected experts in continuing medical education (CME) and provides a glimpse at their lived experience. The theoretical frameworks are inclusive of constructivism and social constructivism reflecting the learning that takes place in medicine and that which occurs in the interview process. The voice of the researcher is heard through her professional role as a continuing medical education provider.
The major elements of CME are identified as the role of accreditation and physician involvement in the design and delivery of CME; the primary influences as funding, physician involvement and accreditation; the significant issue is the expertise of CME providers; the future of CME is to be molded by the funding of CME, its providers and technology in continuing education venues. Performance improvement continuing medical education will continue to be the gold standard of accredited organizations.
Implications for practice are many as the role of the CME provider changes to meet the expectations of the Accreditation Council for Continuing Medical Education, the Institute of Medicine and organizations such as the American Association of Medical Colleges and American Association of Colleges of Nursing. Future research studies could include the following: interviewing experts in similar work environments may provide more focused findings that would assist that particular segment of the profession and their respective institutions; a comparison of local and national providers may shed light on how similar or disparate they are in the design, delivery, measurement, and funding of CME; a prospective longitudinal study looking at the implementation and outcomes of the IOM initiative for conflict of interest in medicine, the IOM initiative for the redesign of continuing education in the health professions or interdisciplinary lifelong learning in the health professions as proposed by the AAMC and AACN; investigate the proposed Continuing Professional Development Institute in five to seven years to determine if it achieved the desired design and function, and finally, repeating this study with experts from the same categories in about ten years should reveal significant changes in continuing medical education as compared to the findings presented in the current study.
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Hasenkam, Amanda. "A study of recurrent themes in the art of alcohol and drug dependent individuals in art therapy groups at a medical detoxification centre." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1994. https://ro.ecu.edu.au/theses/1476.
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This qualitative study uses an existing body of data derived from weekly art therapy groups conducted as part of a treatment programme at a medical detoxification facility. The design for this study relies on phenomenological and heuristic model of research. Previous art therapy researchers have suggested the recurrence of themes in the art work of particular client groups. This study examines themes previously observed in the art of substance abusers which are also present in the current data as well as additional themes that emerged in this study. These additional themes include the sun, the island paradise, the journey, cross roads and split-self images. These themes are examined in the light of a number of therapeutic models for change and in terms of the myth of the hero journey. An outline is proposed for a series of groups based on the hero’s journey to be used with substance misusers in recovery. Identifying the characteristics of the work produced by substance abusers in the early stages of their recoveries can be valuable aid for those who work with such clients in art therapy or substance use counselling. The images produced may give some indication of the client’s progress and in turn an indication of how effective the intervention strategies have been.
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Wilkinson, Berney J. "Perceived competency in female primary caregivers of infants and toddlers with medical and/or developmental disabilities." [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001210.
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Mitu, Mst Khadija. "Giving birth in a different country : Bangladeshi immigrant women's childbirth experiences in the U.S." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003072.
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Llenza, Erika G. "Organizational Communication and Change: A Case Study on the Implementation of an Innovation at a Florida Medical Facility." Scholar Commons, 2008. https://scholarcommons.usf.edu/etd/363.
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This study examined how employees at a Florida medical facility felt regarding the upcoming change to a paperless system and whether a training program administered by the organization was effective in reducing anxiety, increasing understanding of the need for the change, increasing employee confidence using the new computer system, changing employee perceptions of the new system, and helping employees view the change as an organizational improvement. The results indicated that the training program marginally reduced anxiety, but did not significantly increase user confidence or understanding of the need for the change. While participants viewed the change as an organizational improvement, this view was only superficial. When means were examined by occupation, age group and gender, pre-training results indicated that the medical staff and older participants exhibited the most anxiety, understood the reason for the change the least and had the lowest confidence in their ability to use the practice management system. These same participants appeared to benefit the most from the training program. They reported reduced anxiety and increased confidence using the innovation. Post-training, younger participants and those who identified their occupation as "other" indicated increased anxiety levels and slight reductions in their confidence using the practice management system. The medical staff and older participants appeared to benefit the most from the training program.
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Narahari, Swathi Ms. "Cocktails and Compliance: An Exploration of Provider Discourse Regarding Adherence to ART Medication." Scholarship @ Claremont, 2015. http://scholarship.claremont.edu/scripps_theses/666.
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HIV is one of the world’s most potent killers. It’s a name we have most likely heard of before, and yet there are aspects of this disease that do not get as much of the spotlight. One such aspect of HIV is adherence. Adherence is a colossal issue when dealing with anti-retroviral (ART) medications. A lack of adherence to ART dosage can lead to viral immunity and even AIDS if not treated. Despite many attempts from providers to solve the issue of adherence, studies tell us that the challenges of adherence lie within deep-seeded sociocultural and economic backgrounds. As a result, an anthropological approach seems necessary in order to grasp these challenges. Overall, I believe that adherence is learned and innate. I aim to prove this by exploring the various provider discourses regarding HIV adherence by delving into the history of AIDS, the patient/provider hierarchy, and media representations of HIV.
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Horowitz, Jodie. "Negotiating the Credibility of Chronic Lyme Disease: Patient Participation in Biomedical Knowledge-Creation." Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/scripps_theses/1230.
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An estimated 300,000 people contract Lyme disease in the USA every year, 10-20% of whom will experience long-term symptoms even after antibiotic treatment. These patients are said to have Chronic Lyme Disease (CLD). However, diagnostic guidelines, treatment protocols, and the etiological existence of CLD have been the subject of much controversy in the biomedical field, leading to negative mental and physical health outcomes for of patients with CLD. Patient support networks focused on illness experience, known as biosocialities, have formed in response to this controversy. CLD biosocialities create opportunities for patients to participate in biomedical activism and the scientific research process. A historical precedent for biosocial impact on biomedical knowledge and improved health outcomes has been established from patient activists with HIV/AIDS, breast cancer, and PTSD. The impact of CLD patients’ biosocial activism on a scientific and sociological level is evaluated through an examination of the publications of CLD support networks and biomedical research publications. CLD biosocial activism has resulted in more patient-centered research endeavours, etiological proof of CLD, improved diagnostic technologies, and new treatment protocols. These biomedical results have implications for improved CLD patient health outcomes and credibility for CLD as a legitimate disease on a biological and sociological level.
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Skuse, Alanna Dawn. "'My breast is unquiet' : constructions of cancer in Early Modern England, c.1580-1720." Thesis, University of Exeter, 2013. http://hdl.handle.net/10871/14987.
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This thesis examines the construction of cancerous disease in medical and literary texts from 1580 to 1720. I contend that previous readings, which have viewed ‘cancer’ and ‘canker’ as words designating a wide variety of ulcerative diseases, are incomplete. Though terminology for the disease is sometimes challenging, I argue that early modern people clearly understood cancer as a pathologically unique disease, which was both fascinating and fearsome. Cancer was believed to be caused by surfeit of the melancholy and choleric humours. In part because of this aetiology, it was strongly associated with women. At the same time, however, medical and literary writers spoke of cancer in zoomorphic terms, and constructed the disease as deliberately cruel and intractable. Viewed alongside cancer’s famously morbid effects upon the body, this duality made cancer a powerful (and as yet unstudied) analogy for traitorous and malignant influences in the social and politic body. In turn, rhetorical uses of ‘cancer’ influenced how the disease was presented in medical and scientific writing. Cancer’s seeming hostility to the body also encouraged medical practitioners to develop, and patients to demand, treatments for the malady which trod a thin line between healing and hurting. Physicians, apothecaries and irregular practitioners administered increasingly potent pharmaceuticals, which moved away from traditional methods of redressing an individual’s unbalanced humours, and instead emphasised the importance of ‘defeating’ this enemy, even at great physical and emotional cost to the patient. Even more hazardously, surgeons carried out invasive and dangerous cancer operations, which could save lives, but which equally provoked angry debate over moral responsibility in the crowded medical marketplace.
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Thomas, Kali. "Patient Safety in Nursing Homes." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3380.
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Safety of residents has gained increased popularity in recent years following a report from the Institute of Medicine attributing 98,000 hospital deaths each year to errors by staff. As a result, regulatory agencies, advocates, and health care providers have shifted their focus to understanding patient safety and developing a culture that promotes safety. However, nursing homes lag behind other health care providers in their adoption of a patient safety culture and understanding what factors affect safety in resident care. These insights are needed to ensure that nursing home residents receive the safe care.
The purpose of this dissertation is to explore factors that influence the safety of residents in nursing homes by conducting three separate studies and using Donabedian's Structure Process Outcome (SPO) framework. The first study examines facility characteristics that predict higher patient safety culture scores given by top managers among a nationally representative sample of nursing homes. Using the same sample, the second study examines the relationships among the three components of Donabedian's SPO model as they relate to patient safety: structure (patient safety culture), processes of care (restraint use) and a common patient safety outcome, resident falls. The final study uses a sample of Florida nursing homes and the SPO model to examine the relationships between nursing staff turnover, processes of care, and patient safety outcomes in nursing homes.
Findings from this dissertation can contribute to a greater understanding of what predicts higher levels of patient safety in nursing homes. In the first analysis, facility characteristics that are traditionally related to quality of care in nursing homes are predictive of higher patient safety culture scores. In the second analysis, higher ratings of patient safety culture are related to better processes of care and a decreased likelihood of resident falls. In the final analysis, results indicate that Certified Nursing Assistant (CNA) turnover had an independent effect on two patient safety outcomes, falls and UTIs, and that this effect is mediated by processes of care within the nursing home. Collectively, the findings from this dissertation may have important implications for policy makers, providers, and consumers of nursing home services.
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ZONZA, MICHEL. "Aide medicale et humanitaire par le g. I. I. S. M. A. R. (groupement d'intervention d'infirmiers secouristes medecins et anesthesistes-reanimateurs) : notre experience au sahel et en pologne." Nice, 1989. http://www.theses.fr/1989NICE6524.
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Moore, D. Helen. "Evaluation of the prognostic criteria for medicare hospice eligibility." [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000606.
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Krauss, Edward L. "A study of bioethics for Christian students at a secular university." Theological Research Exchange Network (TREN), 1995. http://www.tren.com.
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Li, Yanen. "Medicaid risk adjustment model with diagnosis and pharmacy-based adjusters : does it work?" [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002215.
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Adolfsson, Robin. "Attityd till socker : En kvantitativ studie om förskolepersonals och vårdnadshavares attityder till socker i förskolan." Thesis, Karlstads universitet, Institutionen för pedagogiska studier (from 2013), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-68695.
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Syftet med studien var att undersöka vårdnadshavares och förskolepersonals syn på socker i förskolan. I studien användes en enkätundersökning som riktade sig till vårdnadshavare med barn i förskola och förskolepersonal. Respondenterna nåddes genom Facebook-grupper. I studien deltog 372 deltagare, 173 av respondenterna var vårdnadshavare till barn i förskola och 199 var förskolepersonal. Resultaten från enkäten ämnad för vårdnadshavare visade att de hade en generellt neutral till negativ attityd till socker. Vårdnadshavare tyckte att humöret hos deras barn var det som påverkades mest efter sockerintag, dock märkte 28 % ingen större skillnad hos deras barn. Resultaten visade att förskolepersonal generellt hade en negativ till neutral attityd till socker i förskolan. Förskolepersonalen tyckte att barnens energi var det som påverkades mest efter intag av socker. Trenden enligt de som arbetar i förskolan är att sockerkonsumtionen i förskolor är nedåtgående och många beskrev sin egen förskola som sockerfri.