scholarly journals Evaluation of pain in outpatient diagnostic hysteroscopy with gas

2010 ◽  
Vol 8 (1) ◽  
pp. 24-28
Author(s):  
Daniela Barreto Fraguglia Quental Diniz ◽  
Daniella de Batista Depes ◽  
Ana Maria Gomes dos Santos ◽  
Simone Denise David ◽  
Salete Yatabe ◽  
...  

ABSTRACT Objective: To evaluate the intensity of pain reported by patients undergoing outpatient diagnostic hysteroscopy. Methods: Exam performed with a 5-mm lens hysteroscope, vaginal speculum, tenaculum and uterine distention with carbon dioxide gas. Before and after the examination, patients were interviewed to define, in a verbal scale from 0 to 10, pain values that they expected to feel and that they experienced after the end, and also if they would repeat it if indicated. Data were analyzed using Statistical Package for the Social Sciences 15.0, statistic significance was defined as p < 0.05 with a study power of 95%. Results: Fifty-eight patients were included with mean age of 50.9 years, with 32.8% at postmenopause and 6.9% nulliparous. Among those with previous deliveries, mean parity was 2.21 and at least one vaginal delivery had occurred in 63.8%. Only 24.1% of patients knew how the exam would be done, 62.1% needed an endometrial sample and the result was considered satisfactory in 89.7%. The means of expected and experienced pain were similar (6.0 versus 6.1), and 91.4% of women would repeat the hysteroscopy if necessary. The only factor associated with less pain after the exam was previous vaginal delivery, with a decrease of pain score from 7.1 to 5.5 (p = 0.03). Mean pain was significantly lower in those who agreed to repeat the exam (5.8 versus 9.4; p = 0.003). Conclusions: Outpatient diagnostic hysteroscopy with gas can be associated with moderate but tolerable discomfort and satisfactory results.

1999 ◽  
Vol 5 (12) ◽  
pp. 133-151
Author(s):  
Claudia de Lima Costa

This paper retraces the debates on life-histories before and after the linguistic turn in the social sciences, and, more specifically, in the anthropological tradition. It stresses how poststructuralist feminist methodological, theoretical, and political appropriations of personal narratives represent a significant textual intervention in the gendered social-cultural scripts of women’s lives.


Daedalus ◽  
2013 ◽  
Vol 142 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Thomas Dietz ◽  
Paul C. Stern ◽  
Elke U. Weber

Actions by individuals and households to reduce carbon-based energy consumption have the potential to change the picture of U.S. energy consumption and carbon dioxide emissions in the near term. To tap this potential, however, energy policies and programs need to replace outmoded assumptions about what drives human behavior; they must integrate insights from the behavioral and social sciences with those from engineering and economics. This integrated approach has thus far only occasionally been implemented. This essay summarizes knowledge from the social sciences and from highly successful energy programs to show what the potential is and how it can be achieved.


2020 ◽  
Vol 10 (5) ◽  
pp. 20190138 ◽  
Author(s):  
Glen Dowell ◽  
Jeff Niederdeppe ◽  
Jamie Vanucchi ◽  
Timur Dogan ◽  
Kieran Donaghy ◽  
...  

Reports from a variety of bodies have highlighted the role that carbon dioxide removal (CDR) technologies and practices must play in order to try to avoid the worst effects of anthropogenic climate change. Research into the feasibility of these technologies is primarily undertaken by scholars in the natural sciences, yet, as we argue in this commentary, there is great value in collaboration between these scholars and their colleagues in the social sciences. Spurred by this belief, in 2019, a university and a non-profit organization organized and hosted a workshop in Washington, DC, intended to bring natural and physical scientists, technology developers, policy professionals and social scientists together to explore how to better integrate social science knowledge into the field of CDR research. The workshop sought to build interdisciplinary collaborations across CDR topics, draft new social science research questions and integrate and exchange disciplinary-specific terminology. But a snowstorm kept many social scientists who had organized the conference from making the trip in person. The workshop went on without them and organizers did the best they could to include the team remotely, but in the age before daily video calls, remote participation was not as successful as organizers had hoped. And thus, a workshop that was supposed to focus on social science integration moved on, without many of the social scientists who organized the event. The social scientists in the room were supposed to form the dominant voice but with so many stuck in a snow storm, the balance of expertise shifted, as it often does when social scientists collaborate with natural and physical scientists. The outcomes of that workshop, lessons learned and opportunities missed, form the basis of this commentary, and they collectively indicate the barriers to integrating the natural, physical and social sciences on CDR. As the need for rapid, effective and successful CDR has only increased since that time, we argue that CDR researchers from across the spectrum must come together in ways that simultaneously address the technical, social, political, economic and cultural elements of CDR development, commercialization, adoption and diffusion if the academy is to have a material impact on climate change in the increasingly limited window we have to address it.


2020 ◽  
Vol 51 (5) ◽  
pp. 414-433 ◽  
Author(s):  
Jairus Grove

Quantum physics is being positioned as a new archive for addressing major theoretical problems in the field of international relations. Two of the major proponents of engaging quantum thinking within international relations, James Der Derian and Alexander Wendt, have argued that quantum thinking offers the possibility of a major paradigm shift in the field. Before we determine quantum’s revolutionary potential, the persistent and most pressing question for me is how to position quantum thinking among other kinds of and claims to knowledge. I want to horizontalize where different kinds of knowledge sit within the renewed attention to quantum theory. Rather than just horizontalize or flatten ontology, I want to see what happens when we place scientific and philosophical inquiry in dialogue, and what that conversation does to the authority and value of quantum thinking for the social sciences. The article reconstructs the dialogue between the first generation of quantum physicists and the philosophers who informed them. Rather than make an explicit argument about the philosophical debt of physics, I argue that a broad and highly interdisciplinary set of questions drove both fields well beyond the specific areas of expertise of any of these thinkers. I believe this adventure of ideas followed by physicists, philosophers, and social theorists alike offers us a way forward as the complexity of our contemporary global challenges confront us now with the necessity to think well beyond our disciplinary expertise.


2011 ◽  
Vol 306-307 ◽  
pp. 1122-1125 ◽  
Author(s):  
Hao Ze Wu ◽  
Jun Chang ◽  
Hua Wang

Steel slag and carbon dioxide were used as raw materials to prepare building material by carbonation. Effects of forming pressure on carbonation of steel slag and carbonated depth were studied by pore structural changes before and after carbonation and carbonated region. The results showed that these were visible pore structural changes between non-carbonated and carbonated steel slag, and after carbonation, the porosity of steel slag samples were decreased, the number of fine pore was increased and large pore was opposite. Carbon dioxide gas which was sequestrated by Ca(OH)2 and C3S were combined in CaCO3 crystal, and this process was form surface to interior. Clustered granular crystals were generated in the surface and 12 mm depth of samples, while none in the 20 mm depth of samples, no obvious granular crystal growth. The granular crystals which produced by carbonation filled the pores of the sample, in particular the arrangement of dense granular surface of crystal layer, which may impede the spread of CO2 gas to the depths, and carbonation reaction focused on the surface to 12 mm depth region.


2019 ◽  
Vol 19 (75) ◽  
Author(s):  
Lucieno De Moura Santos ◽  
James Anthony Falk

A prescrição médica informatizada, ou prescrição eletrônica, surgiu como meio de mudança na prática médica, onde na adoção dessa tecnologia, vislumbra-se a capacidade do profissional de associá-la no seu dia-a-dia para atingir melhorias para o paciente, para a instituição e para si. O estudo teve por objetivo avaliar a percepção de médicos e enfermeiros sobre a utilização do sistema de prescrição médica eletrônica em uma empresa de home care na cidade do Recife-PE. Trata-se de uma pesquisa de campo com abordagem quantitativa, de natureza exploratória e descritiva. Para a coleta de dados foi elaborado um questionário com respostas apresentadas por uma escala de Likert de cinco possibilidades. Os resultados obtidos foram analisados no software Statistical Package for the Social Sciences (SPSS). Neste, foram feitos os testes de Levine para igualdade de variâncias e o teste t para igualdade das médias. Todos apresentaram significância estatística, pois o valor de p foi menor que 0,005. Houve evidências estatísticas, ao nível de 5%, de diferenças entre o antes e depois para todas as variáveis. Médicos e enfermeiros perceberam o impacto positivo com a utilização da prescrição médica eletrônica nas variáveis segurança do paciente e da prescrição, bem como a redução de erros de prescrição. Onde estas foram também as mais citadas por eles.Palavras-chave: Tecnologia da informação; Prescrição médica; Assistência domiciliar. ABSTRACTThe computerized medical prescription, or electronic prescription, newcomer as a means of attention in the medical hour, where the technology is found, is a capacity of the professional to associate with the attention for the patient, the institution and for themselves. The purpose of this study was to evaluate the medical and nursing care about the use of the medical prescription system in a home care company in the city of Recife-PE. It is a field research with a quantitative approach, exploratory and descriptive in nature. For a data collection, a file with the answers of a Likert scale of five possibilities was elaborated. The results obtained were without software Statistical Package for Social Sciences (SPSS). In this, the Levine tests were made for equality of variables and the test of equality of averages. All values were significant, as the p value was lower than 0.005. The chance to play at the 5% level, to differentiate between before and after for all variables. Doctors and doctors have positively warned about the use of the medical prescription with the indication of the medical prescription, as well as the reduction of prescription errors. Where these were also more cited by them.Keywords: Information technology; Medical prescription; Home care.


2019 ◽  
Vol 3 (3) ◽  
pp. 146-164
Author(s):  
Joselinda Maria Rodrigues ◽  
Francisco Gilson Rebouças Porto Junior

O ensino de sociologia nos cursos de comunicação e jornalismo tem sido criticado, removido e perde espaço nos espaços formativos. Nesse cenário, a pesquisa qualitativa e documental, base desse artigo, sobre o ensino de sociologia, aconteceu entre 10 docentes, 05 de universidades brasileiras e 05 de universidades portuguesa.  Procedeu do exame dos projetos pedagógicos dos cursos de comunicação e jornalismo de 02 universidades brasileiras e 05 universidades portuguesas; da pesquisa dos programas da disciplina sociologia para verificar se o enfoque que é dado nos três campos das ciências sociais se devia a especificidades das próprias universidades e se sofriam interferências internas e externas,  e da verificação da metodologia de ensino da sociologia cruzando as bibliografias utilizadas, antes e depois das novas Diretrizes Curriculares de Jornalismo (no Brasil) e do Processo de Bolonha (em Portugal), com o objetivo de entender as escolhas bibliográficas de autores clássicos e contemporâneos.     Palavras-chave: Ensino. Sociologia. Comunicação. Jornalismo.     ABSTRACT   The teaching of sociology in the courses of communication and journalism has been criticized, removed and loses space in the training spaces. In this scenario, the qualitative and documentary research, the basis of this article, in the teaching of sociology, was carried out among 10 professors, 05 from Brazilian universities and 05 from Portuguese ones. Proceeded to examine the pedagogical projects of communication and journalism courses of 02 Brazilian universities and 05 Portuguese universities; of the research of the programs of the sociology discipline to verify if the approach that takes place in the three fields of the social sciences was due to the specificities of the universities themselves and if they suffered internal and external interferences and the verification of the methodology of teaching of sociology crossing the bibliographies used, before and after the new curriculum Journalism Guidelines (in Brazil) and the Bologna Process (in Portugal), in order to understand the options literature of classical and contemporary authors.   Keywords: Teaching. Sociology. Communication. Journalism.  


Author(s):  
Craig Rawlings ◽  
John Mohr

This article considers four of the ways in which measurement practices have been applied to create formal models of culture in the social sciences. It first examines the nature of formal measurement models in the social sciences and compares this mode of scholarship to more hermeneutic styles of research, paying attention to debates over method in the social sciences before and after the cultural turn. It then discusses four different types of formal (measurement) models that have been especially important to the cultural sciences over the last century: pre-cultural turn/non-hermeneutic, pre-cultural turn/hermeneutic, post-cultural turn/non-hermeneutic, and post-cultural turn/hermeneutic. It also cites an exemplar figure for each model, namely, Alfred Kroeber, Claude Lévi-Strauss, Paul DiMaggio, and Harrison White, respectively. Finally, it revisits the problem of how to conceptualize a scientific hermeneutics by comparing the theorization of the practice of data analysis to Paul Ricoeur’s theorization of the practice of text analysis.


2019 ◽  
Vol 37 (3) ◽  
pp. 312-326 ◽  
Author(s):  
Trent Engbers

The use of applied labs has long been an established practice in the natural sciences as a means of stressing application of theoretical principles and fostering disciplinary excitement. The social sciences have seen an advent of similar problem-based approaches, but have not adopted a lab-based model. Labs offer an opportunity to use class time for purposes of application without moving fully to a flipped classroom model. This article presents the use of labs in three undergraduate public administration classes: Introduction to Public Administration, Research Design and Data Collection, and Statistics and Data Analysis. The labs are collaborative and feature both peer and instructor support. They utilized an established problem-based strategy to demonstrate the real-life applicability of academic topics ( Kolb, 1984 ; Kramer and Schechter, 2011 ). Data collected from 10 sections of the courses before and after implementation show increased student satisfaction and greater self-reported learning, though the effect on academic performance is more moderated.


2021 ◽  
Author(s):  
Masaru Shintani ◽  
Ken Umeno

Abstract In recent years, the e-commerce market has grown with the spread of the internet worldwide every year. Accordingly, in service industries, purchasing products with reservations has become common. With the spread of online reservations, the booking curve, which is the concept of the time series in the cumulative number of reservations and has been used for sales optimization in the airline ticket and hotel industries, has been used in various industries. Booking curves in specific industries have been studied, but a universally applicable model across various industries has not been developed. In this study, we show that booking curves can be modeled universally by the exponential decay function, and we also show that the model is valid by using real data from some industries before and after the COVID-19 pandemic, that is, under completely different market conditions. The cross-industry exponential laws of booking curves constitute an important discovery in regard to mathematical laws in the social sciences and can be applied to give leading microeconomic indicators.


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