scholarly journals Treatment of a Fellow Doctor in a Public Sector Hospital: Ethnographic Study of Collegial Professionalism

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
EHSANULLAH TARIN
Keyword(s):  
Blood Pressure ◽  
Public Sector ◽  
Medical Profession ◽  
Clinical Care ◽  
Ethnographic Study ◽  
Doctor Who ◽  
Public Sector Hospital ◽  
Medical Education And Training ◽  
The Status ◽  
And Training

Ethics and collegiality in medical profession requires a doctor to treat fellow professional as brother and sister. Ethnography was employed to study the status of collegiality in public sector hospital, where an ailing doc-tor sought clinical care from a physician. The former, on account of the latter’s cold reception and behaviour, reacted with his blood pressure shooting-up. The communication gap led the ailing doctor, who com-plied by coming to the laboratory, was perturbed, making him firstly unfit and later decided not to undergo the prescribed test. While Pakistan Medical and Dental Council have the responsibility to oversee, the under-graduate medical education and training should also lay greater emphasis on ethics in medical practice and healthy collegiality in the medical profession.

scholarly journals Nursing in Times of Neoliberal Change: An Ethnographic Study of Nurses’ Experiences of Work Intensification

2013 ◽  
Vol 3 (2) ◽  
pp. 9 ◽  
Author(s):  
Rebecca Selberg
Keyword(s):  
Public Sector ◽  
Public Management ◽  
New Public Management ◽  
Medical Profession ◽  
Resource Depletion ◽  
Ethnographic Study ◽  
Care Work ◽  
New Public ◽  
Work Intensification ◽  
And Performance

Through an ethnographic study of nurses’ experiences of work intensification, this article shows how nurses respond to and act upon neoliberal transformations of work. The article identifies and explores those transformations considered by the informants, nurses working in public sector hospital wards, as central to changing conditions of work and experiences of work intensifications. It further analyzes nurses’ responses toward these transformations and locates these responses within a particular form of femininity evolving from rationalities of care, nurses’ conditions within the organization, and classed and gendered experiences of care work. The article illustrates that in times of neoliberal change and public sector resource depletion, nurses respond to women’s traditional caring responsibilities as well as to professional commitments and cover for the organization. Maintaining the level of frontline service is contingent on increased exploitation and performance control of ward nurses, and their ability and willingness to sacrifice their own time and health for the sake of their patients. The article argues that in the case of ward nurses in the Swedish public sector, work intensification is a multilayered process propelled by three intersecting forces: austerity ideology linked to the neoliberal transformation of the welfare state and public sector retrenchment; explicit care rationalities impelled by aspirations of the nursing profession to establish, render visible, and expand the nursing field both in relation to the medical profession and in relation to so-called unskilled care work performed by assistant nurses and auxiliaries; and the progressive aspect of New Public Management, which challenges the power and authority of the professions and contributes to strengthening the positions of clients and patients.

The Ochsner Legacy

2019 ◽  
Vol 85 (2) ◽  
pp. 121-126
Author(s):  
Don K. Nakayama
Keyword(s):  
Medical Profession ◽  
Clinical Excellence ◽  
Johns Hopkins Hospital ◽  
Charity Hospital ◽  
Medical Education And Training ◽  
The Family ◽  
Multidisciplinary Clinic ◽  
Significant Achievement ◽  
William Osler ◽  
And Training

One of the iconic families in American surgery is the Ochsners. The youngest son of Swiss immigrants, Henry Ochsner (1877–1902) was the first to enter the medical profession. His promising internship at the Johns Hopkins Hospital ended when he died of cholera, a tragedy deeply felt by his mentor William Osler. On another branch of the family tree, Albert Ochsner (1858–1925) wrote authoritative textbooks on surgery and became president of the ACS and the American Surgical Association. His most significant achievement may have been his mentorship of his cousin's son Alton (1896–1981), guiding his medical education and training in surgery. The younger Ochsner succeeded Rudolph Matas as chair of surgery at Tulane University at the age of only 31 years. Under his leadership, Charity Hospital in New Orleans became a leading program for surgical training and Tulane earned a reputation for clinical excellence. Ochsner and four partners from the Tulane faculty created a multidisciplinary clinic to attract patients from a wider area, a facility that would become today's Ochsner Clinic. His son John (1927–2018) followed him in the profession and received specialty training in cardiovascular surgery under Michael DeBakey in Houston, a Tulane graduate and an Ochsner trainee. John Ochsner returned to the Ochsner Clinic to establish a major cardiothoracic and vascular surgery program. Further generations of the Ochsner family continued the family legacy in surgery and medicine, exemplified by M. Gage Ochsner (1954–2013), Alton's grandson and John's nephew, who became a leading traumatologist and surgical educator in Savannah.

Correlation of Serum Uric Acid Level with Blood Pressure in Middle-aged Population: A Cross-Sectional Study from Public Sector Hospital of Islamabad

2021 ◽  
Vol 5 (1) ◽  
pp. 9-15
Author(s):  
Wara Jamil ◽  
Mohsin Maqsood ◽  
Sumera Naz ◽  
Tayyaba Rahat
Keyword(s):  
Blood Pressure ◽  
Uric Acid ◽  
Public Sector ◽  
Serum Uric Acid ◽  
Uric Acid Level ◽  
Acid Level ◽  
Tertiary Care ◽  
Middle Aged ◽  
Cross Sectional ◽  
Public Sector Hospital

In Pakistan hypertension is the leading cause of mortality and morbidity and is affecting approximately one‐third of the population, meanwhile hyperuricemia is also highly prevalent and has important clinical implications, but association of hypertension and hyperuricemia is still a matter of debate in Pakistani population. To determine the correlation between serum uric acid and Hypertension. Cross-sectional analytical study of six month duration was carried out at at tertiary care public sector hospital of Islamabad from February to August 2019. After taking the informed written consent 100 middle-aged (40 to 65 years) asymptomatic individuals visiting tertiary care hospital for the test of serum uric acid for the first time were enrolled. Beckman Coulter AU analyzers and uriucase method was used to measure uric acid as per manufacturer’s instructions. Blood pressure of all enrolled participants was measured through a mercury sphygmomanometer. Demographic information of the study participant, clinical history, height, weight, family history, uric acid level and blood pressure were recorded on pre-structured questionnaire. BMI was calculated by using WHO formula. Among 100 enrolled study participants, 50 (50%) were males and 50 (50%) were females. The mean age was 50±8 years. The frequency of hyperuricemia was 16.0% and among these 93.8% were hypertensive with a significant Pearson correlation coefficientp value of 0.014. There is a significat correlation between hyperuricemia and hypertension. Our findings remain to be confirmed in future prospective studies.

Clergy

2018 ◽  
Author(s):  
Mark Hill QC
Keyword(s):  
Employment Status ◽  
Church Of England ◽  
The Status ◽  
The Right ◽  
The Church ◽  
And Training

This chapter focuses on the clergy of the Church of England. It first explains the process of selection and training for deacons and priests, along with their ordination, functions, and duties. It then considers the status and responsibilities of incumbents, patronage, and presentation of a cleric to a benefice, and suspension of presentation. It also examines the institution, collation, and induction of a presentee as well as unbeneficed clergy such as assistant curates and priests-in-charge of parishes, the authority of priests to officiate under the Extra-Parochial Ministry Measure, the right of priests to hold office under Common Tenure, and the role of visitations in maintaining the discipline of the Church. The chapter concludes with a discussion of clergy retirement and removal, employment status of clergy, vacation of benefices, group and team ministries, and other church appointments including rural or area deans, archdeacons, diocesan bishops, suffragan bishops, and archbishops.

scholarly journals ‘We need to put what we do in my dad’s language, in pounds, shillings and pence’: Commercialisation and the reshaping of public-sector planning in England

Urban Studies ◽  
2021 ◽  
pp. 004209802198995
Author(s):  
Jason Slade ◽  
Malcolm Tait ◽  
Andy Inch
Keyword(s):  
Public Sector ◽  
Built Environment ◽  
Ethnographic Study ◽  
Professional Identities ◽  
Local Planning ◽  
Planning Practice ◽  
Neoliberal Governance ◽  
Original Contribution ◽  
Disciplinary Matrix ◽  
Planning Authority

This article furthers understanding of how commercial imperatives are reshaping dominant conceptions of planning practice in England, and by extension the production of the built environment more widely. We make an original contribution by tracing the emergence of the logic of commercialisation in England, demonstrating how the impacts of austerity and ‘market-led viability planning’ have entrenched the ‘delivery state’, a powerful disciplinary matrix representing late-neoliberal governance. Through in-depth, ethnographic study of a local planning authority, we argue that commercialisation within the delivery state creates a distinct ‘economy of attention’, reshaping planners’ agency and professional identities, and the substance and scope of their work. The conclusion draws out wider implications of commercialisation for planning in and beyond the delivery state.

scholarly journals Blood Pressure Trajectories Across the Life Course

2021 ◽  
Vol 34 (3) ◽  
pp. 234-241
Author(s):  
Norrina B Allen ◽  
Sadiya S Khan
Keyword(s):  
Blood Pressure ◽  
Measurement Errors ◽  
Clinical Care ◽  
Population Level ◽  
Cumulative Exposure ◽  
Older Adulthood ◽  
Individual Level ◽  
The Life Course ◽  
Level Group ◽  
Improve Health

Abstract High blood pressure (BP) is a strong modifiable risk factor for cardiovascular disease (CVD). Longitudinal BP patterns themselves may reflect the burden of risk and vascular damage due to prolonged cumulative exposure to high BP levels. Current studies have begun to characterize BP patterns as a trajectory over an individual’s lifetime. These BP trajectories take into account the absolute BP levels as well as the slope of BP changes throughout the lifetime thus incorporating longitudinal BP patterns into a single metric. Methodologic issues that need to be considered when examining BP trajectories include individual-level vs. population-level group-based modeling, use of distinct but complementary BP metrics (systolic, diastolic, mean arterial, mid, and pulse pressure), and potential for measurement errors related to varied settings, devices, and number of readings utilized. There appear to be very specific developmental periods during which divergent BP trajectories may emerge, specifically adolescence, the pregnancy period, and older adulthood. Lifetime BP trajectories are impacted by both individual-level and community-level factors and have been associated with incident hypertension, multimorbidity (CVD, renal disease, cognitive impairment), and overall life expectancy. Key unanswered questions remain around the additive predictive value of BP trajectories, intergenerational contributions to BP patterns (in utero BP exposure), and potential genetic drivers of BP patterns. The next phase in understanding BP trajectories needs to focus on how best to incorporate this knowledge into clinical care to reduce the burden of hypertensive-related outcomes and improve health equity.

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