517 research outputs found

    Gymnothorax funebris Ranzani 1839

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    Gymnothorax funebris Ranzani 1839 — Green Moray Justification: UF (BIRNM, 2); REEF (28/61). Distribution: Böhlke et al. (1989): WA (BD, FL, GOM, BA, GA, VI, LA, WC, nSA, sSA).Published as part of Smith-Vaniz, William F. & Jelks, Howard L., 2014, Marine and inland fishes of St. Croix, U. S. Virgin Islands: an annotated checklist, pp. 1-120 in Zootaxa 3803 (1) on page 23, DOI: 10.11646/zootaxa.3803.1.1, http://zenodo.org/record/491782

    Shifting addressivity : In/Exclusionary practices in triadic medical interaction with unaccompanied foreign minors

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    In dealing with recent migration-related phenomena, inclusion has become an increasingly common normative ethical imperative in socio-political discourse. Considering inclusion as a situated interactive accomplishment, this article reports findings from a study on medical visits, each one involving a physician, an unaccompanied foreign minor (UFM) and a professional educator. Adopting a Conversation Analysis-informed approach to a corpus of video-recorded visits, we analyze (a) the physician’s shifts in addressivity, which either foster or hinder UFM’s inclusion during the history-taking phase, and b) when and how these shifts occur. We contend that, by shifting addressivity, the physician navigates the locally incompatible goals of gaining reliable information on UFM patients and fostering their active participation. We contend that the micro-practice of shifting addressivity is consistent with the management of cultural-linguistic diversity proposed by the intercultural dialogue perspective

    Digital Technology and Usability and Ergonomics of Medical Devices

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    Trying to identify what digital medical technologies are today is a practically unresolvable task. Over the last few years, we have seen a radical change in these technologies; they have become not only extremely sophisticated and complex but also capable of maintaining evolving relationships with their users

    The Interprofessional Team as an Emergent Structure of Participation : A Case Study on Primary Care Visits of Unaccompanied Foreign Minors

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    Adopting a constitutive model of communication, we illustrate how an interprofessional team can be conceived of as an on-stage, interactionally accomplished outcome of identifiable communicative practices rather than a pre-defined, normative model of participation. We identify an interaction pattern we call interprofessional attunement. Applying interaction analysis to observed primary care visits of unaccompanied foreign minors, we document how professionals from different hierarchically organized caregiving specialties manage the typical dilemma of triadic visits involving communicatively impaired patients: maximizing information comprehension versus fostering patient agency. Interprofessionality is accomplished through observable communicative resources mobilized in the unfolding visit that allow practitioners to collectively overcome this dilemma. Our approach offers practice-oriented findings emergent from, and sensitive to, the constraints and possibilities of actual, in vivo interprofessional collaboration

    Housing, Imputed Rent, and Households{'}Welfare

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    Housing is the most important durable good consumed by households. This paper assesses the distributional effects of including the value of the flow of dwelling’s services consumed by households with respect to the case where such value is excluded, testing different estimation methods in four developing countries. Including rental values leads to statistically significant and sizable changes in indicators of poverty and inequality that might also determine an international reranking of countries. This paper advances for the first time a step-by-step guide to the estimation of rental values, using information typically available in household surveys. As housing gains importance with the level of development of countries, accounting for rental values becomes significant in antipoverty programs, which need accurate information to minimize errors of inclusion and exclusion and the potential waste of scarce public resources

    The agency in language and the professionals’ intercultural competences: A case study on the educators’“pivot move” in medical visits of unaccompanied minors

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    The presence of unaccompanied minors (UAM) in the Italian health care system represents a recent phenomenon, not fully investigated from a pedagogical perspective. The article reports findings from an exploratory study on medical visits involving UAMs with low communicative competence in the language of interaction, and their accompanying educators. Adopting a Conversation Analysis-informed approach to a corpus of video-recorded visits, we analyze the “problem presentation” and “history taking” phases. We singled out two resources (the ‘pivot move’ and the ‘oscillating addressivity’) respectively used by the educator and the physician to 1) pursue the “incompatible goals” of their agendas and 2) manage the UAM’s participation in the interaction by attributing him agency (or not). Focusing on the (inter)professional challenges of this triadic medical encounter, in the conclusion we advance that the awareness of the communicative details through which agency can be allocated or revoked is part of the intercultural competences of professionals working for UAM’s inclusion in the host society

    Evaluating the Accuracy of Homeowners{'} Self-Assessed Rent in Metropolitan Lima

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    Attributing a rental value to homeowners' dwellings is essential in different contexts, including poverty and inequality analysis, the compilation of national accounts, consumer price indexes, and estimation of purchasing power parity indexes. The proposed solution is often to use homeowners' estimates of the market rent they would pay for their dwelling if they were renting it, which is usually referred to as homeowners' self-assessed rent. Lack of alternative surveys and up-to-date and complete administrative data about dwellings' market values typically bounds researchers to test the accuracy of homeowners' self-assessed rent using only information from household budget surveys. Using 13 years of the Peruvian household budget survey, this paper compares two methods to assess the accuracy of homeowners' self-assessed rent and finds that the average homeowner in Lima overestimates the market rent of her dwelling by between 8 and 15 percent. However, homeowners' self-assessment inaccuracy fades away in most years when homeowners are compared with their most observationally similar tenants

    Epistemic Trust as an Interactional Accomplishment in Pediatric Well Child Visits: Parents' Resistance to Solicited Advice as Performing Epistemic Vigilance

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    Epistemic trust – i.e. the belief in knowledge claims we do not understand or cannot validate – is pivotal in healthcare interactions where trust in the source of knowledge is the foundation for adherence to therapy as well as general compliance with the physician’s suggestions. However, in the contemporary knowledge society professionals can no longer count on unconditional epistemic trust: boundaries of the legitimacy and extension criteria of expertise have become increasingly fuzzier and professionals must take into account laypersons’ expertise. Drawing on a conversation analysis-informed study of 23 videorecorded pediatrician-led well-child visits, the article deals with the communicative constitution of healthcare-relevant phenomena such as: epistemic and deontic struggles between parents and pediatricians, the local accomplishment of (responsible) epistemic trust, and the possible outcomes of blurred boundaries between the layperson’s and the professional’s “expertise.” In particular, we illustrate how epistemic trust is communicatively built in sequences where parents request the pediatrician’s advice and resist it. The analysis shows how parents perform epistemic vigilance by suspending the immediate acceptance of the pediatrician’s advice in favor of inserting expansions that make it relevant for the pediatrician to account for her advice. Once the pediatrician has addressed parents’ concerns, parents perform (delayed) acceptance, which we assume indexes what we call responsible epistemic trust. While acknowledging the advantages of what seems to be a cultural change in parent-healthcare provider encounters, in the conclusion we advance that possible risks are implied in contemporary fuzziness of the legitimacy and extension criteria of expertise in doctor-patient interaction

    L’interazione pediatra-genitore nelle visite di controllo crescita. La resistenza del genitore come opportunità educativa

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    Il presente contributo riporta alcuni risultati di uno studio pedagogico sulla comunicazione pediatra-genitore durante i bilanci di salute (comunemente noti come “visite di controllo crescita”). In particolare, viene analizzata una sequenza interattiva in cui un genitore manifesta comportamenti comunicativi resistenti di fronte alla traiettoria diagnostica di una pediatra. Il contributo intende mostrare empiricamente come, nonostante la resistenza costituisca de facto una sfida all’autorità epistemica del pediatra, essa possa essere altresì letta come un’opportunità educativa
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