Impact Factor:1.137 | Ranking:21/36 in Social Sciences, Biomedical | 81/136 in Public, Environmental & Occupational Health | 5-Year Impact Factor:1.396Source:2012 Journal Citation Reports® (Thomson Reuters, 2013)
Multi-morbidity is receiving considerable attention in public policy, health and social care. From the perspective of the individual, multi-morbidity is a more complex experience than solely having a clinical diagnosis. In this article, we will argue that understanding multi-morbidity can be facilitated by considering the relationship between adversity (in this case multi-morbidity), resilience and social connectedness within a life course framework. This provides an approach that can capture the dynamics of social relationships, social connectedness and the fluctuations in the experience of multi-morbidity. We draw on a qualitative study of 17 people who have multiple conditions, but consider themselves as being able to maintain a sense of identity and self over time and in the face of adversity. From their accounts, a more varied picture emerges of living with multi-morbidity. This then depicts a more realistic representation of how each person shapes their multi-morbidity and resilient responses within their own social context, which can help to formulate more effective ways of supporting them. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Saturday, November 9, 2013
'It seemed churlish not to': How living non-directed kidney donors construct their altruism
Impact Factor:1.137 | Ranking:21/36 in Social Sciences, Biomedical | 81/136 in Public, Environmental & Occupational Health | 5-Year Impact Factor:1.396Source:2012 Journal Citation Reports® (Thomson Reuters, 2013)
Our objective was to explore how prospective altruistic kidney donors construct their decision to donate. Using a qualitative design and biographical-narrative semi-structured interviews, we aimed to produce text for analysis on two levels: the social implications for subjectivity and practice and a tentative psychodynamic explanation of the participants’ psychological investment in the discourses they used. A total of six prospective altruistic kidney donors were interviewed. A psychosocial approach to the analysis was taken. In-depth discourse analysis integrated Foucauldian with psycho-discursive approaches and psychodynamic theory was applied to sections of text in which participants seemed to have particular emotional investment. Analysis generated three major discursive themes: other-oriented, rational and self-oriented discourses. The desire to donate was experienced as compelling by participants. Participants used discourses to position themselves as concerned with the needs of the recipient, to resist questioning and criticism, and to manage difficult feelings around mortality. Participants tended to reject personal motivations for altruistic donation, positioning relatives’ disapproval as selfish and illogical. These results suggest that the term ‘altruistic’ for living non-directed organ donation constrains available discourses, severely limiting what can be said, felt, thought and done by donors, clinicians and the public. A more useful approach would acknowledge potential psychological motives and gains for the donor. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Our objective was to explore how prospective altruistic kidney donors construct their decision to donate. Using a qualitative design and biographical-narrative semi-structured interviews, we aimed to produce text for analysis on two levels: the social implications for subjectivity and practice and a tentative psychodynamic explanation of the participants’ psychological investment in the discourses they used. A total of six prospective altruistic kidney donors were interviewed. A psychosocial approach to the analysis was taken. In-depth discourse analysis integrated Foucauldian with psycho-discursive approaches and psychodynamic theory was applied to sections of text in which participants seemed to have particular emotional investment. Analysis generated three major discursive themes: other-oriented, rational and self-oriented discourses. The desire to donate was experienced as compelling by participants. Participants used discourses to position themselves as concerned with the needs of the recipient, to resist questioning and criticism, and to manage difficult feelings around mortality. Participants tended to reject personal motivations for altruistic donation, positioning relatives’ disapproval as selfish and illogical. These results suggest that the term ‘altruistic’ for living non-directed organ donation constrains available discourses, severely limiting what can be said, felt, thought and done by donors, clinicians and the public. A more useful approach would acknowledge potential psychological motives and gains for the donor. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
The management of situated risk: A parental perspective on child food allergy
Impact Factor:1.137 | Ranking:21/36 in Social Sciences, Biomedical | 81/136 in Public, Environmental & Occupational Health | 5-Year Impact Factor:1.396Source:2012 Journal Citation Reports® (Thomson Reuters, 2013)
Food allergy is an illness that requires constant risk management in everyday life. To date, there is no cure or preventive treatment, and the only way to manage the condition is therefore careful avoidance of the offending foodstuff and treatment of reactions when they occur. This article draws on a socio-cultural approach to explore parents’ understandings and management of child food allergy in the context of everyday life, as ‘situated’ risk. A focus group study was carried out with 31 parents of children diagnosed with food allergy at two children’s hospitals. The analysis of the focus group material reveals how the management of allergy risk seems to permeate most aspects of everyday life as well as how the parents draw on a dominant norm of risk avoidance as well as a counter-discourse of calculated risk taking. The patterns of risk management found in this study are discussed in terms of how risk avoidance and risk taking are intertwined and balanced in the context of moral parenthood. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Food allergy is an illness that requires constant risk management in everyday life. To date, there is no cure or preventive treatment, and the only way to manage the condition is therefore careful avoidance of the offending foodstuff and treatment of reactions when they occur. This article draws on a socio-cultural approach to explore parents’ understandings and management of child food allergy in the context of everyday life, as ‘situated’ risk. A focus group study was carried out with 31 parents of children diagnosed with food allergy at two children’s hospitals. The analysis of the focus group material reveals how the management of allergy risk seems to permeate most aspects of everyday life as well as how the parents draw on a dominant norm of risk avoidance as well as a counter-discourse of calculated risk taking. The patterns of risk management found in this study are discussed in terms of how risk avoidance and risk taking are intertwined and balanced in the context of moral parenthood. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Engineering the fitness of older patients for chemotherapy: An exploration of Comprehensive Geriatric Assessment in practice
Impact Factor:1.137 | Ranking:21/36 in Social Sciences, Biomedical | 81/136 in Public, Environmental & Occupational Health | 5-Year Impact Factor:1.396Source:2012 Journal Citation Reports® (Thomson Reuters, 2013)
Alexandra L McCarthy al.mccarthy{at}qut.edu.au Institute of Health and Biomedical Innovation, Queensland University of Technology; Division of Cancer Services, Princess Alexandra Hospital, Australia Peta S Cook University of Tasmania, AustraliaPatsy Yates Institute of Health and Biomedical Innovation, Queensland University of Technology; Division of Cancer Services, Princess Alexandra Hospital, Australia Clinicians often report that currently available methods to assess older patients, including standard clinical consultations, do not elicit the information necessary to make an appropriate cancer treatment recommendation for older cancer patients. An increasingly popular way of assessing the potential of older patients to cope with chemotherapy is a Comprehensive Geriatric Assessment. What constitutes Comprehensive Geriatric Assessment, however, is open to interpretation and varies from one setting to another. Furthermore, Comprehensive Geriatric Assessment’s usefulness as a predictor of fitness for chemotherapy and as a determinant of actual treatment is not well understood. In this article, we analyse how Comprehensive Geriatric Assessment was developed for use in a large cancer service in an Australian capital city. Drawing upon Actor–Network Theory, our findings reveal how, during its development, Comprehensive Geriatric Assessment was made both a tool and a science. Furthermore, we briefly explore the tensions that we experienced as scholars who analyse medico-scientific practices and as practitioner–designers charged with improving the very tools we critique. Our study contributes towards geriatric oncology by scrutinising the medicalisation of ageing, unravelling the practices of standardisation and illuminating the multiplicity of ‘fitness for chemotherapy’. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Alexandra L McCarthy al.mccarthy{at}qut.edu.au Institute of Health and Biomedical Innovation, Queensland University of Technology; Division of Cancer Services, Princess Alexandra Hospital, Australia Peta S Cook University of Tasmania, AustraliaPatsy Yates Institute of Health and Biomedical Innovation, Queensland University of Technology; Division of Cancer Services, Princess Alexandra Hospital, Australia Clinicians often report that currently available methods to assess older patients, including standard clinical consultations, do not elicit the information necessary to make an appropriate cancer treatment recommendation for older cancer patients. An increasingly popular way of assessing the potential of older patients to cope with chemotherapy is a Comprehensive Geriatric Assessment. What constitutes Comprehensive Geriatric Assessment, however, is open to interpretation and varies from one setting to another. Furthermore, Comprehensive Geriatric Assessment’s usefulness as a predictor of fitness for chemotherapy and as a determinant of actual treatment is not well understood. In this article, we analyse how Comprehensive Geriatric Assessment was developed for use in a large cancer service in an Australian capital city. Drawing upon Actor–Network Theory, our findings reveal how, during its development, Comprehensive Geriatric Assessment was made both a tool and a science. Furthermore, we briefly explore the tensions that we experienced as scholars who analyse medico-scientific practices and as practitioner–designers charged with improving the very tools we critique. Our study contributes towards geriatric oncology by scrutinising the medicalisation of ageing, unravelling the practices of standardisation and illuminating the multiplicity of ‘fitness for chemotherapy’. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Tuesday, October 29, 2013
Politics over cyclone relief heats up in Odisha
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Home News Opinion Business Sport S & T Features Books In-depth Jobs Classifieds Shopping Bus tickets National Andhra Pradesh Karnataka Kerala Tamil Nadu Other States National» Other StatesBERHAMPUR, October 29, 2013 Updated: October 29, 2013 14:41 IST
Politics over cyclone relief heats up in OdishaSantosh PatnaikShare · Comment · print · TweetTOPICS India Orissa
disaster and accident relief and aid organisation
politics state politics
Protesters block roads, loot supplies; 30 arrested for creating trouble at distribution pointsEven as the Odisha government faces the task of restoring power supply and communication services along the Gopalpur coast after Phailin disrupted services on October 12, politics over distribution of relief material is heating up in Ganjam and other districts of Odisha.The government was put on high alert regarding relief and resettlement measures following the cyclone and the consequent rains. “We faced a double whammy – the cyclone first and the torrential rains later. Once relief and damage assessment is over, we want to concentrate on rehabilitation measures,” District Collector Krishan Kumar said.However, Pradesh Congress Committee president Jaydeb Jena and several other Opposition leaders accused the government of not providing relief materials in time to the cyclone and flood victims.Revenue and Disaster Management Minister S.N. Patra categorically denied the charge saying no one should politicise the relief issue at a time when people were in distress.In some districts of the State, roads were blocked by protesters and relief material was looted. 30 politicians arrested“We have arrested 30 politicians on the charge of creating trouble at the time of relief distribution. We found that one of them had four criminal cases against him,” a senior official said on condition of anonymity.
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Manna in HeavenManna Dey, the legendary playback singer is no more. Enthralling his fans in many languages - Hindi, Bengali, Gujrati, Malayalam, he was also an unsung hero of Bollywood. His classical background resulted in many great songs which were considered difficult to perform by many music directors and his contemporaries. A pictorial tribute. Photos: The Hindu Archives. Compiled by V.B. Ganesan.more slideshows»ODISHA HELPLINE MAP Most PopularMost CommentedTwo arrested, hunt on for four more for Patna serial blasts Serial blasts rock Modi’s rally venue in Patna, five killed Bomb blast in Imphal MNS workers target Raj Kundra’s studio For Rahul, family means only grandmother, parents: Shivraj Flood havoc: Odisha demands assistance of Rs. 1,590 cr Court defers judgment on Jafri protest petition After Unnao, gold rush in Adampur Girl ends life after argument over FB MP polls: Congress decides candidates for 194 seats
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Respite for officials as rain stops in Ganjam Except for 20-25 villages road traffic to all marooned areas restored »
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Home News Opinion Business Sport S & T Features Books In-depth Jobs Classifieds Shopping Bus tickets National Andhra Pradesh Karnataka Kerala Tamil Nadu Other States National» Other StatesBERHAMPUR, October 29, 2013 Updated: October 29, 2013 14:41 IST Politics over cyclone relief heats up in OdishaSantosh PatnaikShare · Comment · print · TweetTOPICS India Orissa
disaster and accident relief and aid organisation
politics state politics
Protesters block roads, loot supplies; 30 arrested for creating trouble at distribution pointsEven as the Odisha government faces the task of restoring power supply and communication services along the Gopalpur coast after Phailin disrupted services on October 12, politics over distribution of relief material is heating up in Ganjam and other districts of Odisha.The government was put on high alert regarding relief and resettlement measures following the cyclone and the consequent rains. “We faced a double whammy – the cyclone first and the torrential rains later. Once relief and damage assessment is over, we want to concentrate on rehabilitation measures,” District Collector Krishan Kumar said.However, Pradesh Congress Committee president Jaydeb Jena and several other Opposition leaders accused the government of not providing relief materials in time to the cyclone and flood victims.Revenue and Disaster Management Minister S.N. Patra categorically denied the charge saying no one should politicise the relief issue at a time when people were in distress.In some districts of the State, roads were blocked by protesters and relief material was looted. 30 politicians arrested“We have arrested 30 politicians on the charge of creating trouble at the time of relief distribution. We found that one of them had four criminal cases against him,” a senior official said on condition of anonymity.
Keywords: Odisha government, cyclone Phailin, Odisha politics, cyclone relief fund
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Manna in HeavenManna Dey, the legendary playback singer is no more. Enthralling his fans in many languages - Hindi, Bengali, Gujrati, Malayalam, he was also an unsung hero of Bollywood. His classical background resulted in many great songs which were considered difficult to perform by many music directors and his contemporaries. A pictorial tribute. Photos: The Hindu Archives. Compiled by V.B. Ganesan.more slideshows»ODISHA HELPLINE MAP Most PopularMost CommentedTwo arrested, hunt on for four more for Patna serial blasts Serial blasts rock Modi’s rally venue in Patna, five killed Bomb blast in Imphal MNS workers target Raj Kundra’s studio For Rahul, family means only grandmother, parents: Shivraj Flood havoc: Odisha demands assistance of Rs. 1,590 cr Court defers judgment on Jafri protest petition After Unnao, gold rush in Adampur Girl ends life after argument over FB MP polls: Congress decides candidates for 194 seats O
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Respite for officials as rain stops in Ganjam Except for 20-25 villages road traffic to all marooned areas restored » The Hindu:Home |News |Opinion |Business |Sport |S & T |Features |Books |In-depth |Jobs |Classifieds |Shopping |Bus tickets |
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<i>The Hindu</i> was my window on the world, says MT
The Hindu Governor Nikhil Kumar with the writer M.T. Vasudevan Nair and K. Jayakumar, Vice-Chancellor, Thunchath Ezhuthachan Malayalam University, at a function to give away the Sree Chithira Thirunal award in Thiruvananthapuram on Monday. Photo: S. Gopakumar M.T. Vasudevan Nair, eminent writer, has said that he learnt the English language by literally travelling with The Hindu. “The Hindu was my window on the world. When I was a young boy, I had no means to access a paper like The Hindu. Those days, The Hindu used to be delivered by post. I would wait for the postman to come. He would give me the copy of the paper. I would remove the wrapper carefully and read the paper as I walked with him. On reaching the house for which the paper was meant, I would put the wrapper back and return the paper to the postman. That was how I learnt the language and saw the world of my time,” Malayalam’s celebrated writer said after receiving the Sri Chithira Tirunal Award. Presenting the award, Governor Nikhil Kumar said he was a great fan of MT whose film Nirmalyam had left a deep impact on him. He could still recall the final scenes of the film where the temple priest (played by P.J. Antony) cut himself in all fury and spit out blood. The award, instituted by the Sree Chithira Tirunal Trust, carries a cash prize of Rs. 1 lakh and a plaque. The jury, chaired by Palode Ravi, MLA, and having as its members the former Additional Chief Secretary D. Babu Paul and the former general secretary of the BCCI S.K. Nair, selected the writer for his contribution to Malayalam literature and films and for his efforts in establishing the Thunchath Ezhuthachan Malayalam University and Thunchan Parambu. 
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