1,721,003 research outputs found
Prise de décision concernant les grossesses non désirées chez les adolescents à Jamestown, Accra, Ghana.
No full textLes grossesses chez les adolescentes constituent un problème de santé publique dans le monde, en particulier dans les pays en voie de développement. La plupart de ces grossesses ne sont pas désirées et pourraient aboutir à des avortements à risque, souvent associés à des taux de mortalité et de morbidité élevés. Les études sur la prise de décision processus, les préférences, les défis et les expériences des adolescents lorsqu'ils sont confrontés à des grossesses non désirées sont rares au Ghana. Une revue systématique pour vérifier la prévalence et les déterminants des grossesses non désirées en Afrique subsaharienne a été réalisée. Cela a été suivi par une phase utilisant des méthodes qualitatives (entretiens et groupes de discussion) et quantitatives pour vérifier les expériences, les perceptions et les attitudes des adolescents et des parties prenantes envers les adolescents avortements et accouchements. Une réflexion éthique à travers le prisme des principes de l'éthique médicale proposée par Beauchamp et Childress et Immanuel Kant a aidé à comprendre le sens d'autonomie dans la prise de décision concernant la grossesse chez les adolescentes. Les adolescents ont simplement un faux sentiment de ayant pris eux-mêmes la décision finale. Rendre la prise de décision aussi autonome que possible est importante car la confiance est renforcée entre les adolescents et les prestataires de soins de santé, et ils sont donc plus susceptibles de prendre des décisions éclairées et de se conformer aux conseils et recommandations des prestataires de soins de santé. Nous proposons un concept d'autonomie relationnelle qui intègre la réalité socioculturelle dans cette communauté. Ceci est fondé sur le fait qu'un bon nombre de grossesses d'adolescentes sont intentionnelles et nécessiteraient une approche visant à dissuader les adolescents et la communauté de désirer des enfants au début du cours de la vie.Adolescent pregnancies constitute a public health concern globally, especially in low and medium income countries. Most of these pregnancies are unintended, and could end up in unsafe abortions, often associated with high mortality and morbidity rates. Studies investigating the decision making process, the preferences, challenges and experiences of adolescents when faced with unintended pregnancies in Ghana rare. A systematic review to ascertain the prevalence and determinants of unintended pregnancy in Sub – Saharan Africa was carried out. This was followed by an empirical phase using qualitative (interviews and focus group discussions) and quantitative methods to ascertain adolescent and stakeholders experiences, perceptions, and attitudes towards adolescent abortions and childbirths. An ethical reflection through the lens of the principles of medical ethics proposed by Beauchamp and Childress and Immanuel Kant's aided in understanding the meaning of autonomy in adolescent pregnancy decision making. Adolescents simply have a false feeling of having taken the final decision themselves. Rendering decision making as autonomous as possible is important as trust is enhanced between the adolescents and health care providers, and they are therefore more likely to take informed decisions and adhere to the advice and recommendations of the health care providers. We propose a concept of relational autonomy that integrates the social reality in this community of embracing early adolescent pregnancies. This is grounded on the fact that a good number of adolescent pregnancies are intentional, and would require a different approach to dissuade adolescents and the community from desiring kids early in an adolescent's life course
Revisiting the need for virtue in medical practice: a reflection upon the teaching of Edmund Pellegrino
No full textLegacy description not available</p
Revisiting the need for virtue in medical practice: a reflection upon the teaching of Edmund Pellegrino
No full textLegacy description not available</p
Decision making regarding unintended pregnancies among adolescents in Jamestown, Accra, Ghana
Full text linkAdolescent pregnancies constitute a public health concern globally, especially in low and medium income countries. Most of these pregnancies are unintended, and could end up in unsafe abortions, often associated with high mortality and morbidity rates. Studies investigating the decision making process, the preferences, challenges and experiences of adolescents when faced with unintended pregnancies in Ghana rare. A systematic review to ascertain the prevalence and determinants of unintended pregnancy in Sub – Saharan Africa was carried out. This was followed by an empirical phase using qualitative (interviews and focus group discussions) and quantitative methods to ascertain adolescent and stakeholders experiences, perceptions, and attitudes towards adolescent abortions and childbirths. An ethical reflection through the lens of the principles of medical ethics proposed by Beauchamp and Childress and Immanuel Kant's aided in understanding the meaning of autonomy in adolescent pregnancy decision making. Adolescents simply have a false feeling of having taken the final decision themselves. Rendering decision making as autonomous as possible is important as trust is enhanced between the adolescents and health care providers, and they are therefore more likely to take informed decisions and adhere to the advice and recommendations of the health care providers. We propose a concept of relational autonomy that integrates the social reality in this community of embracing early adolescent pregnancies. This is grounded on the fact that a good number of adolescent pregnancies are intentional, and would require a different approach to dissuade adolescents and the community from desiring kids early in an adolescent's life course.Les grossesses chez les adolescentes constituent un problème de santé publique dans le monde, en particulier dans les pays en voie de développement. La plupart de ces grossesses ne sont pas désirées et pourraient aboutir à des avortements à risque, souvent associés à des taux de mortalité et de morbidité élevés. Les études sur la prise de décision processus, les préférences, les défis et les expériences des adolescents lorsqu'ils sont confrontés à des grossesses non désirées sont rares au Ghana. Une revue systématique pour vérifier la prévalence et les déterminants des grossesses non désirées en Afrique subsaharienne a été réalisée. Cela a été suivi par une phase utilisant des méthodes qualitatives (entretiens et groupes de discussion) et quantitatives pour vérifier les expériences, les perceptions et les attitudes des adolescents et des parties prenantes envers les adolescents avortements et accouchements. Une réflexion éthique à travers le prisme des principes de l'éthique médicale proposée par Beauchamp et Childress et Immanuel Kant a aidé à comprendre le sens d'autonomie dans la prise de décision concernant la grossesse chez les adolescentes. Les adolescents ont simplement un faux sentiment de ayant pris eux-mêmes la décision finale. Rendre la prise de décision aussi autonome que possible est importante car la confiance est renforcée entre les adolescents et les prestataires de soins de santé, et ils sont donc plus susceptibles de prendre des décisions éclairées et de se conformer aux conseils et recommandations des prestataires de soins de santé. Nous proposons un concept d'autonomie relationnelle qui intègre la réalité socioculturelle dans cette communauté. Ceci est fondé sur le fait qu'un bon nombre de grossesses d'adolescentes sont intentionnelles et nécessiteraient une approche visant à dissuader les adolescents et la communauté de désirer des enfants au début du cours de la vie
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Eliminating the high abortion related complications and deaths in Cameroon: the restrictive legal atmosphere on abortions is no acceptable excuse
No full textLegacy description not available</p
Ethical issues surrounding the provider initiated opt – Out prenatal HIV screening practice in Sub – Saharan Africa: a literature review
No full textLegacy description not available</p
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
- …
