scholarly journals Remediation of the Deficiencies of Physicians Across the Continuum From Medical School to Practice: A Thematic Review of the Literature

2009 ◽  
Vol 84 (12) ◽  
pp. 1822-1832 ◽  
Author(s):  
Karen E. Hauer ◽  
Andrea Ciccone ◽  
Thomas R. Henzel ◽  
Peter Katsufrakis ◽  
Stephen H. Miller ◽  
...  
Author(s):  
K. K. Luke

Abstract Since Harvey Sacks’ early observations on collaborative sentence-making, the joint production of turns has become a topic of abiding interest amongst conversation analysts. This paper offers a thematic review of the literature by looking into a number of issues surrounding joint productions, including their forms and interactional uses, major types and sub-types, syntactic and pragmatic contributions, unity and variation across languages, and reasons for its inherent fascination as a conversational practice. By re-examining a number of key concepts and distinctions, including completion, extension, projection, continuation, collaboration, and affiliation/disaffiliation, the paper offers a critical assessment of their perspicuity and usefulness for our understanding of joint production as a general phenomenon (which includes both co-completions and increments). In the second part of the paper, it is suggested that two further concepts be added to the analyst’s toolbox, namely, ‘parties’ (Schegloff 1995) and ‘voices’ (Bakhtin 1981). It is argued that with these notions, one would be better placed to explain the curious status of joint productions as at once collaborative and yet at the same time potentially transformative or even subversive. The overriding goal is conceptual clarification of this field, which hopefully will help place further research on firmer ground.


1998 ◽  
Vol 1 (2) ◽  
pp. 164-171 ◽  
Author(s):  
Rowena Spencer ◽  
William H. Robichaux

Prosopo-thoracopagus twins are united from the face down to the umbilicus, none with union in the brain but all with visceral anomalies intermediate between those of cephalopagus and thoracopagus. In a review of over 1200 cases of conjoined twins reported during the past 100 years, there were 14 that illustrate the continuum between cephalopagus and thoracopagus, including three that were united only from the cervical region to the umbilicus. Classic cephalopagus twins are joined from the top of the head to the umbilicus, sharing a single foregut as well as two relatively normal hearts, the “posterior” one often diminished. Typical thoracopagus, however, are conjoined only from the upper thorax to the umbilicus, each twin with a normal foregut but both sharing a single complex multiventricular heart. The intermediate cases shared either a single very abnormal heart or two hearts united by double aortic arches, and all except one had a single foregut. It is these cases intermediate between cephalopagus and thoracopagus which are the subject of this report.


Sign in / Sign up

Export Citation Format

Share Document