scholarly journals Nephrologists between power and vulnerability in times of technology

2018 ◽  
Vol 40 (4) ◽  
pp. 403-409 ◽  
Author(s):  
José Miguel Viscarra Obregón ◽  
Marcio Fabri dos Anjos

ABSTRACT The doctor-patient relationship is often discussed from the perspective of patient vulnerability. Little attention is given to the vulnerability of nephrologists in their professional practice, a reality often affected by profound cultural transformation arising from technological development. Nephrology is based on research and procedure instrumentalization, both permeated with technology. In addition, the relationship between nephrologists and institutions is governed by market rules. Recent data showed a shortage of new nephrologists and the need to improve the technical training of new professionals, foster the establishment of interventional nephrology, and attract more graduating physicians to this medical specialty. Bioethics offers a different perspective on the issue, since it takes the subjective concerns of medical doctors and the social environments they participate in into consideration in order to enhance their ethical autonomy. These ideas may be discussed as part of undergraduate or specialization programs, thus reinforcing the acknowledgement of vulnerability as a condition and of the relevance of adopting a reflective attitude toward the events of everyday life that interact with the morality of nephrologists, so that risks are adequately faced having bioethical parameters as a reference.

2010 ◽  
Vol 18 (5) ◽  
pp. 928-935
Author(s):  
Ingryd Cunha Ventura Felipe ◽  
Antonio Marcos Tosoli Gomes

Alcohol consumption is considered a global problem, principally affecting adolescents. In this context, the aims of this study were to identify the pedagogical strategies developed by elementary school teachers in the approach to alcohol with adolescents; To analyze the attitudes, beliefs, values and practices of the elementary school teachers in relation to alcohol; To discuss the repercussions of the attitudes, beliefs, values and practices of the teachers about alcohol in the dialogue with the students and in the implementation of the strategies referred to above. This was a qualitative study performed with 26 teachers of a Rio de Janeiro public school. The data were analyzed through thematic content analysis and grouped into 5 categories. It was concluded that social imaginary and attitudinal construction of the teachers directly interferes with the personal and professional practice and has repercussions in the quotidian life of the students. It was noted that the focus should not just be on the students, but on the relationship of the teachers with their pedagogic strategies.


1992 ◽  
Vol 160 (2) ◽  
pp. 230-241 ◽  
Author(s):  
David A. Curson ◽  
Christos Pantelis ◽  
Jan Ward ◽  
Thomas R. E. Barnes

In their comparison of chronic schizophrenic patients in three British mental hospitals in 1960, Wing and Brown found a strong association between the poverty of the social environment and the severity of ‘clinical poverty’ (blunted affect, poverty of speech, and social withdrawal). Between 1960 and 1968 the social environments of all three hospitals improved and a weak causal relationship between social poverty and clinical poverty was reported in a proportion of patients. Using the same assessment instruments as Wing and Brown, the present study re-examined the relationship between social and clinical poverty in the long-stay schizophrenic population of a fourth British mental hospital in 1990. The association found between social and clinical poverty was much weaker than in 1960. Reluctance on the part of patients to be discharged from the institution was unrelated to length of stay. There was no significant difference in severity of illness between the patients in the present study and those in the earlier study. However, patients in the former group spent more time doing nothing than those in the hospital with the most understimulating environment three decades before, with four-fifths doing nothing for over five hours a day, despite a greatly increased ratio of nurses to patients.


Author(s):  
Joanna Miksa

In this paper I undertake to analyze the way in which the arrival of HETs may influence the therapeutic relationship between the medical doctor and the patient. I begin with presenting he notion of transhumanism, insisting especially on the fact that some of the technologies that can be classified as HETs are already in use. As a result, the traditionally difficult task of defining health and a disease is becoming even more complicated. This circumstance poses the risk that medical doctors in their relationship with the patient, because of the possibilities offered by new technologies, will oscillate in their professional practice between helping the patient to recover and satisfying needs that are not justified by the considerations of health. I will try to show how the therapeutic relationship between the medical doctor and the patient may be transformed because of new technologies by using the example of IVF procedure applied to postmenopausal patients. In order to understand why the relationship between the medical doctors and their patients is so vulnerable in the context of transhumanism, I propose to re-analyze the most basic notions which help us understand the nature of the therapeutic relationship: the status of medicine as contrasted with technology, basic principles of medical ethics, the notion of a disease and an illness.


Author(s):  
A. A. Kuligina ◽  
I. G. Yushmanov

Introduction. In recent years osteopathy has been rapidly developing as an individual medical specialty in the Russian Federation. A growing number of specialists are studying this specialty and represent it in Russia and abroad. A large number of studies clearly demonstrating the effectiveness of osteopathic treatment are being conducted. In addition, the Russian Federation has a regulatory framework according to which osteopathy is regulated by the government. However, many medical doctors, lecturers and students of medical universities do not have a clear understanding of osteopathy and put in question the effectiveness of osteopathic treatment. The goal of research — to study student′s knowledge about the principles, methods and scope of osteopathic treatment in order to develop a program for disseminating relevant information about osteopathy with regard to individual social characteristics.Materials and methods. We conducted an anonymous survey among students of Pavlov First St. Petersburg State Medical University using special forms. We also used the online tool Google Forms in the social network Vkontakte. 73 respondents took part in the survey. 8 communities from the social network Vkontakte, with the target audience being students of medical Universities, were reviewed. The search for references to osteopathy was made by the keyword «osteopath». A special questionnaire with 22 questions was developed in order to collect the necessary information. The first part of the questionnaire contains 16 questions about the specialty «osteopathy»; the second part (6 questions) allows to study the respondent′s personal characteristics: age, gender, year of studies, presence of medical doctors among family members, participation in the student′s scientific society (SSS). 14 questions from the fi rst part of the questionnaire were dichotomous and 2 questions had 3 or more answer options. 12 questions from the first part were aimed at studying students′ ideas about osteopathy. The correct answer was rated 1 point, the wrong answer — 0. The points obtained during the survey were summed up. In the subsequent processing of the results, the indicators of the respondent′s opinions, evaluated on a 12-point scale, were ranked into 3 groups: from 1 to 4 points — a low level of knowledge, from 5 to 8 points — an average level, from 9 to 12 — a high level.Results. It was found that 66 % of respondents have a low level of knowledge about the specialty «osteopathy», 30 % have an average level of knowledge, only 4 % of respondents have a high level of knowledge. The results indicate insufficient and extremely low level of awareness about the specialty «osteopathy» among students. Due to the lack of reliable sources of information within the system of education in higher medical educational institutions there is a spread of misconceptions about this specialty. It was established that students involved in SSS had a significantly higher level of knowledge about osteopathy than students who were not involved in SSS, and that students who had medical doctors in their families had a significantly lower level of knowledge about osteopathy than students who did not have medical doctors in their families.Conclusion. It is necessary to use different ways of informing students about the new medical specialty taking into account their individual characteristics, as well as to introduce awareness-raising about osteopathy (lectures, practical sessions) into the training system within the framework of an optional and/or elective courses, to improve the work of the student scientific society.


2016 ◽  
pp. 11 ◽  
Author(s):  
Mark Van der Maas

This study uses a large representative sample of gamblers in the Canadian province of Quebec to examine the relationship between social support and psychopathologies commonly associated with gambling problems. Generalized linear modeling is applied to the 2008 Canadian Community Health Survey to find that social support mediates the relationship between mood disorders and problems that a person experiences as a result of gambling. These findings are discussed in the context of developing a framework that understands the features of social support in relation to psychopathological predictors of gambling problems. The study concludes that prominent psychopathological predictors of problem gambling are best understood in the respective contexts of the social environments in which they are found.


2018 ◽  
Vol 2 (2) ◽  
pp. 67-75
Author(s):  
Nadia Alfira ◽  
Muriyati ◽  
Irma

Smoking behavior is influenced by several factors, one of which affects smoking behavior in adolescents is the social environment. The results of a preliminary study stated that many adolescents in Taccorong Village smoked because they were influenced by the number of smokers in the environment around the teenagers. This study aims to determine the relationship of the social environment with smoking behavior in adolescents in Taccorong Village, Gantarang District, Bulukumba Regency in 2017. This study is an analytic study with cross-sectional approach. Sampling is done by total sampling technique. The research sample taken amounted to 52 teenage male smokers in Taccorong Village, Gantarang District, Bulukumba Regency. Measuring instruments used were questionnaires and observations. Analysis of the data used by the Kolmogorov-Smirnov Z test with a value of ρ = 0,000 <α = 0.05 or p <0.001. Shows there is a relationship between the social environment with smoking behavior among adolescents in Taccorong Village, Gantarang District, Bulukumba District.  


Author(s):  
Nelpa Fitri Yuliani

The background of this research is based on the lack of students motivation in learning. The lack of student motivation can influenced  many factor, one of them is social environment of pesantren. The social environment of pesantren is a real relationship between humans, interaction between learners and educators with other people who are involved in the interaction of education in schools. The social environment can affect students' learning motivation in the pesantren. The aim of this study is to describe the social environment of pesantren, describing the students' learning motivation and the relationship between the social environments to motivate students to learn in pesantren. This research is quantitative correlation type with 28 research subjects students are studying in pesantren Madinatul Ilmi Islamiyah. The results of this study can  showing  that there is a significant relationship between social environment of pesantren with student’s learning motivation.


2012 ◽  
Vol 25 (2) ◽  
pp. 46-60
Author(s):  
Ericka Johnson ◽  
Cecilia Åsberg

Using the Pfizer funded Swedish informational site about erectile dysfunction (ED), www.potenslinjen.se, we examine how potential users, their partners, and medical doctors are enrolled in the process of creating the Swedish Viagra user. Contextualized against other critical work on Viagra, our analysis shows how the commercial discourse embeds the ED patient into a network of actors. Three separate actors are co-constituted and enrolled by this erectile dysfunction information discourse, comprising Viagra marketing material in a country which forbids direct to consumer advertising of prescription medication. Doctors are enrolled to produce the cultural authority of expert medical knowledge, whereas partners are given responsibility for the emotional aspects of a man’s sexuality and encouraged to direct the man toward the relationship-saving Viagra. Throughout, though, the man is the patient responsible for taking Viagra to fix his dysfunctioning penis. We problematize this individualised solution by contrasting it with the social aspects of the discourse and examining other qualitative and historical studies of impotence. We then ask if the enrolment presented by the Swedish Viagra website could be (mis)used to expand the circle of actors involved in ED, redefi ning the ‘problem’ and opening for a wider variety of treatments.


2020 ◽  
Vol 12 (2) ◽  
pp. 2-17
Author(s):  
Emily Baker ◽  
Shelby Messerschmitt-Coen ◽  
Darcy Haag Granello

The role of counselors has expanded to emphasize social justice principles and community action, encouraging social justice to become infused with counselor’s professional identity. As a result, counselor educators are examining strategies for promoting the social justice identity of students and new professionals. Curiosity has been positioned as theoretically related to the concept of social justice. The current study investigated the relationship between counselor curiosity with social justice identity across three domains (self-efficacy, interest, and commitment) in a sample of 124 counselors and counselor trainees. Results indicated that three types of curiosity (specific, diversive, and competence) predicted each domain of social justice identity. Strategies to incorporate counselor curiosity into social justice pedagogy are discussed.


2021 ◽  
Vol 8 (3) ◽  
pp. 155-169
Author(s):  
Joan Edwards ◽  
Jim Lawlor

Technological innovation is a process that involves the intertwining of social, cognitive, and material elements. The relationship among these features is non-linear, complex, and possesses the ability to transform as well as inform the configuration of markets, tools, users, and social environments. The concept of performativity can be used to explain this phenomenon. This paper identifies the performative elements present in the context of technological innovation and maps the social factors and the use of cognitive features in the innovation process. This identification explicitly addresses the entanglement of the material and social influences in the process, defines the agency of technological change, and focuses on the impact the nature of a technology has on the configuration of a market. A conceptual model of performativity in the innovation process is proposed.


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