14,881 research outputs found
Spectrums of investment in Doctor Who fandom
No full textThis thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.Drawing upon a significant weight of empirical data, collected in the field, this thesis proposes a set of four spectrums of investment engaged in by cult media fans: the spectrum of financial investment; the spectrum of what is here termed 'participatory investment'; the spectrum of investment in the idea of textual authenticity; and the spectrum of multiple investments. The spectrum model allows the individual members of the research sample to be located within specific regions of each spectrum and correlations to be drawn between the distinct spectrums, in order for any patterns which emerge to be examined. The thesis also reviews a number of relevant theoretical concerns such as fan studies, ethnography and social psychology
Psychodynamic approaches to teaching medical students about the doctor-patient relationship: Randomised controlled trial
No full textAims and method:
To evaluate the effectiveness of two psychodynamic psychotherapy teaching methods, a student psychotherapy scheme (SPS) and participation in a Balint group, in teaching first-year clinical medical students about doctor-patient communication and the doctor-patient relationship. The 28 students, who were randomly allocated to three groups (SPS group, Balint group starting at baseline and Balint group starting at 3 months and acting as partial controls), were rated on a questionnaire testing their knowledge of emotional and psychodynamic aspects of the doctor-patient relationship administered at baseline, at 3 months and at 1 year.
Results:
At 3 months, students in the SPS and Balint groups scored higher than the partial control group, the difference approaching significance at the 5% level. At 1 year, participation in either teaching method led to significantly higher scores compared with baseline.
Clinical implications:
Psychodynamic psychotherapy teaching methods are effective in increasing students’ knowledge of the doctor-patient relationship and potentially also improving their communication skills
Doctor-patient communication and the consulting room use of computers in general practice.
No full textThis thesis examines the effects of general practitioners' use of a computer during consultations, on doctor-patlent communication and the delivery of care. The IBM Sheffield Primary Care System was used by GPs during routine consultations for the review and update of patients' records. The system also provided an interactive protocol for the management of patients with chronic hypertension. Video recordings were made of over 800 consultations with and without use of the computer. These were used to identify a comprehensive and reliable set of measures of doctor-patient communication. With medical collaboration measures of the standard of delivery of care were also developed. The measures were then used to investigate the effects of computer use. When used for the review and update of records the computer had little effect on doctor-patient communication. Doctors showed more solidarity with patients (e. g. by offering supportive comments), but there was no effect on the amount of information and advice offered or questions asked by either doctor or patient. However, overall, there was a slight impairment of the doctor's interpersonal manner and delivery of care. When the computer was used in direct support of clinical decision-making (i. e. through the hypertension management protocol) there was a marked improvement in the doctors’ clinical performance in terms of the number of relevant verbal and physical examinations conducted and recorded. The findings suggest ways in which future systems should be designed and used to avoid possible adverse consequences for doctor-patient communications. A research framework, including new methodologies, is also offered for the evaluation of future consulting room systems. Similar evaluative studies need to be performed on the more sophisticated systems now available, especially the clinically oriented ones which offer most potential
Patients Are Discovering 'My Doctor, the Author'
No full texthttp://deepblue.lib.umich.edu/bitstream/2027.42/85606/1/Patients Are Discovering 'My Doctor, the Author' - New York Times.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/85606/4/PatientsAreDiscoveringMyDoctorTheAuthor.pdfDescription of Patients Are Discovering 'My Doctor, the Author' - New York Times.pdf : Superseded.Description of PatientsAreDiscoveringMyDoctorTheAuthor.pdf : "What could be more central to the understanding of the human condition than a reflection on the diseases to which we are all susceptible?
'Conditions of time and space': a re-enactment experiment with the British TV series Doctor Who.
No full textThe aim of this thesis is to provide a contribution to knowledge in two areas. Firstly, it seeks to further our understanding of the historical conditions of British television drama production; in particular the constraining and liberating influences of production space on the role of the director, and their decision-making process to bring
script to screen. Secondly, the work develops the concept of re-enactment as a practice-based augmentation for archive-based textual reconstruction. As such, the thesis offers deeper discussions on the human context missing from current historiographic approaches to broadcast research.
The thesis develops a re-enactment methodology that, via practical realisation, allows researchers to gain insight into the production dynamics of a particular era in history to learn about ‘in the moment’ directing decision-making. This is applied to a practice based experiment that includes creating a simulation of 1960s production conditions in order to explore the following research question: how would the decision-making process of producing contemporary television drama be affected by the conditions of 1960s production space? I argue that contemporary location-based production is as constraining as the studio it purports to rise above, yet without the same possibilities for creative reaction to counteract the limitations that historical conditions allowed.
As a flagship BBC series reflecting contemporary industry practice, Doctor Who is used as the vehicle for analysis. The experiment focuses on a historical re-enactment
of a 2006 episode of Doctor Who, “Tooth and Claw”, written by series executive producer Russell T Davies. The re-enacted audio-visual text is provided on DVD along with artefacts that encapsulate the process of production, informing analysis and reflection
Estimating the number of visits to the doctor
No full textThe frequency of doctor consultations has direct consequences for health care budgets, yet little statistical analysis of the determinants of doctor visits has been reported. We consider the distribution of the number of visits to the doctor and, in particular, we model its dependence on a number of demographic factors. Examination of the Australian 1995 National Health Survey data reveals that generalized linear Poisson or negative binomial models are inadequate for modelling the mean as a function of covariates, because of excessive zero counts, and a mean-variance relationship that varies enormously over covariate values. A negative binomial model is used, with parameter values estimated in subgroups according to the discrete combinations of the covariate values. Smoothing splines are then used to smooth and interpolate the parameter values. In effect the mean and the shape parameters are each modelled as (different) functions of gender, age and geographical factors. The estimated regressions for the mean have simple and intuitive interpretations. However, the dependence of the (negative binomial) shape parameter on the covariates is more difficult to interpret and is subject to influence by extreme observations. We illustrate the use of the model by estimating the distribution of the number of doctor consultations in the Statistical Local Area of Ryde, based on population numbers from the 1996 census
Impact of health care system on socioeconomic inequalities in doctor use
No full textThis study examines the impact of health system characteristics on social inequities in health care use in Europe, using data from national surveys in 13 European countries. Multilevel logistic regression models are estimated to separate the individual level determinants of generalist and specialist use from the health system level and country specific factors. The results suggest that beyond the division between public and private funding and cost-sharing arrangements in health system, the role given to the general practitioners and/or the organization of the primary care might be essential for reducing social inequities in health care utilisation.Equity, Health system, Doctor utilisation, Multilevel, International
Zemstvo Doctor and Dramatist
No full textThe study of the life and professional activity of Hryhorii Maksymovych Borakovskyi (1846–?), zemstvo doctor, doctor of medicine, forensic expert, public figure, writer, extraordinary personality, has been carried out. He made a significant contribution to the development of zemstvo medicine in Katerynoslav-Dnipropetrovsk region. Hryhorii Borakovskyi headed the district and zemstvo hospital in Novomoskovsk for 27 years, performed a large number of surgeries. As an expert, he was invited to participate in complicated forensic cases. His reports about visits to hospitals in Moscow, Odesa, Palestine, Prague are of educational importance. Doctor H.M. Borakovskyi also occupies an honorable place in Ukrainian dramaturgy. He is an author of many vaudevilles, comedies, and dramas (the most famous one is «Marusya Churai»)
Doctor Adolf Tochterman (1892-1955) – medical doctor from Radom, officer of Polish Army and social activist
No full textW artykule przedstawiono życie i działalność Adolfa Tochtermana – polskiego lekarza, uważanego za jednego z najbardziej zasłużonych lekarzy dla społeczeństwa miasta Radomia. Autor dotarł do wszystkich dostępnych źródeł informacji, o których istnieniu wiedział. Oprócz materiałów typowo archiwalnych, szeroko wykorzystał wspomnienia żyjących pacjentów Adolfa Tochtermana oraz członków jego rodziny. Ponadto zebrał liczne lokalne publikacje dotyczące osoby Adolfa Tochtermana (zwłaszcza w lokalnej prasie), wyjaśniając wiele wątpliwości i nieścisłości dotyczących jego życiorysu (w szczególności przynależności narodowej, działalności naukowej, relacji z niemieckimi władzami okupacyjnymi w latach 1939-1945). Wyniki prac autora pozwoliły na całościowe przedstawienie sylwetki Adolfa Tochtermana jako lekarza, organizatora lokalnej służby zdrowia, oficera Wojska Polskiego, osoby prywatnej, człowieka, który przeżył trzy wielkie wojny, w których niósł pomoc rannym i chorym.This article presents the life and activity of Adolf Tochterman – Polish medical doctor, considered as one of the most prominent and supportive medical doctor for the society of the Radom city. Author of the article used all the available sources of information known to him. Except of the typically archival materials, the author used memories of still living patients of Adolf Tochterman and memories of his family members. Moreover, the author collected numerous, local publications related to Adolf Tochterman (particularly those obtained from local newspapers), explaining numerous doubts and inaccuracies related to his CV (in particular – his nationality, scientifical activity, relations to the German authorities on Polish territory during years 1939-1945). Result of author’s work allowed to present the wholistic silhouette of Adolfa Tochterman as medical doctor, organizer of local medical services, officer of Polish Army, private person and as human being who survived three great wars where he cured wounded and sick people
What makes a good doctor in the 21st century? A qualitative study
No full textSociety wants and expects good doctors. The definition of a good doctor is difficult to characterize. This study aims to identify those features considered by patients and health-care professionals to be important in making a good doctor.<br/
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