Perceptual accent rating and attribution in psychogenic FAS: some further evidence challenging Whitaker's operational definition

A 40-year-old, non-aphasic, right-handed, and polyglot (L1: French, L2: Dutch, L3: English) woman with a 12 year history of addiction to opiates and psychoactive substances, and clear psychiatric problems, presented with a foreign accent of sudden onset in L1. Speech evolved towards a mostly fluent output, despite a stutter-like behavior and a marked grammatical output disorder. The psychogenic etiology of the accent foreignness was construed based upon the patient’s complex medical history, and psychodiagnostic, neuropsychological, and neurolinguistic assessments. The presence of a foreign accent was affirmed by a perceptual accent rating and attribution experiment. It is argued that this patient provides additional evidence demonstrating the outdatedness of Whitaker’s (1982) definition of Foreign Accent Syndrome, as only one of the four operational criteria was unequivocally applicable to our patient: her accent foreignness was not only recognized by her relatives and the medical staff, but also by a group of native French-speaking laymen. However, our patient defied the three remaining criteria, as central nervous system damage could not conclusively be demonstrated, psychodiagnostic assessment raised the hypothesis of a conversion disorder, and the patient was a polyglot whose newly gained accent was associated with a range of foreign languages, which exceeded the ones she spoke

Local governance under austerity : hybrid organisations and hybrid officers

Using the case of Cardiff, Wales, we argue that the hybridisation of local governance forms is exacerbated by the downscaling and offloading of austerity politics. Conceptualising hybridity as a process which operates across governmental scales, at the organisational and at the individual level helps understand the growing complexities of local governance under austerity and the tensions which arise in seeking to assemble locally appropriate ideas and practices. Conceptualising hybridity as practice, we consider how 'hybrid officers' at the frontline experience austerity, their situated agency, and the implications for higher levels of governance

Can the ubiquitous power of mobile phones be used to improve health outcomes in developing countries?

BACKGROUND: The ongoing policy debate about the value of communications technology in promoting development objectives is diverse. Some view computer/web/phone communications technology as insufficient to solve development problems while others view communications technology as assisting all sections of the population. This paper looks at evidence to support or refute the idea that fixed and mobile telephones is, or could be, an effective healthcare intervention in developing countries. METHODS: A Web-based and library database search was undertaken including the following databases: MEDLINE, CINAHL, (nursing & allied health), Evidence Based Medicine (EBM), POPLINE, BIOSIS, and Web of Science, AIDSearch (MEDLINE AIDS/HIV Subset, AIDSTRIALS & AIDSDRUGS) databases. RESULTS: Evidence can be found to both support and refute the proposition that fixed and mobile telephones is, or could be, an effective healthcare intervention in developing countries. It is difficult to generalize because of the different outcome measurements and the small number of controlled studies. There is almost no literature on using mobile telephones as a healthcare intervention for HIV, TB, malaria, and chronic conditions in developing countries. Clinical outcomes are rarely measured. Convincing evidence regarding the overall cost-effectiveness of mobile phone " telemedicine" is still limited and good-quality studies are rare. Evidence of the cost effectiveness of such interventions to improve adherence to medicines is also quite weak. CONCLUSION: The developed world model of personal ownership of a phone may not be appropriate to the developing world in which shared mobile telephone use is important. Sharing may be a serious drawback to use of mobile telephones as a healthcare intervention in terms of stigma and privacy, but its magnitude is unknown. One advantage, however, of telephones with respect to adherence to medicine in chronic care models is its ability to create a multi-way interaction between patient and provider(s) and thus facilitate the dynamic nature of this relationship. Regulatory reforms required for proper operation of basic and value-added telecommunications services are a priority if mobile telecommunications are to be used for healthcare initiatives

Respiratory physiotherapy in intensive care.

by Alice Yee-men Jones (Nee Ho).Thesis (M.Phil.)--Chinese University of Hong Kong, 1992.Includes bibliographical references (leaves [196]-221).Abstract --- p.iPublications --- p.iiiAcknowledgement --- p.vChapter SECTION I --- INTRODUCTIONChapter Chapter 1 --- General Introduction --- p.1Chapter 1.1 --- ObjectivesChapter 1.2 --- History & Advances in Chest PhysiotherapyChapter 1.3 --- Problems of Chest Physiotherapy ResearchChapter 1.4 --- Plan of workChapter Chapter 2 --- Previous Studies in Chest Physiotherapy --- p.15Chapter 2.1 --- Chest Physiotherapy and oxygenationChapter 2.2 --- Chest Physiotherapy and sputum clearanceChapter 2.3 --- Chest Physiotherapy and lung functionChapter Chapter 3 --- "Chest Physiotherapy Practice in ICUs in Australia, the UK and Hong Kong" --- p.34Chapter SECTION II --- METHODSChapter Chapter 4 --- Measurement of Oxygenation --- p.55Chapter 4.1 --- Measurement of arterial oxygenationChapter 4.2 --- Indirect measurement of arterial oxygenationChapter Chapter 5 --- Respiratory Function Analysis --- p.66Chapter 5.1 --- Spirometry measurementChapter 5.2 --- Measurement of lung mechanicsChapter Chapter 6 --- Transcutaneous Electrical Nerve Stimulation --- p.74Chapter SECTION III --- RESPIRATORY PHYSIOTHERAPY TECHNIQUESChapter Chapter 7 --- Effects of Percussion and Bagging on Static Lung Compliance --- p.80Chapter Chapter 8 --- Peak Expiratory Flow from two Breathing Circuits --- p.106Chapter Chapter 9 --- Peak Expiratory Flow in Tracheal Intubated Patients --- p.127Chapter SECTION IV --- PHYSIOTHERAPY AND PAIN MANA GEMENT IN ICU PATIENTSChapter Chapter 10 --- Transcutaneous Electrical Nerve Stimulation (TENS) following Thoracotomy --- p.142Chapter Chapter 11 --- TENS following Cholecystectomy --- p.154Chapter Chapter 12 --- TENS and Entonox --- p.167Chapter SECTION V --- SUMMARY AND CONCLUSIONSChapter Chapter 13 --- Summary --- p.185Chapter Chapter 14 --- Conclusion --- p.194Chapter SECTION VI --- REFERENCES --- p.197Chapter SECTION VII --- APPENDICES --- p.22

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Deserving of charity or deserving of better? The continuing legacy of the 1834 Poor Law Amendment Act for Britain’s Deaf population

The 1834 Poor Law Amendment Act was a watershed in institutionalising official attitudes and provision for poor and needy people in the United Kingdom. By introducing the notion that the poor could be categorised as ‘deserving’ or ‘undeserving’, the long term political agenda for social welfare was established and is still evident today. Although deaf people were not specifically covered by the Act and its provisions, there were to be both detrimental and beneficial consequences for this particular group within society. The particular effects of deafness on employability, coupled with historical attitudes towards deafness as a ‘handicap’ and even ‘a visitation from God’, set deaf people in an ambiguous and often invidious position in terms of whether they were seen as ‘deserving’ or ‘undeserving’ poor. This paper will outline the effects of what came to be known as the New Poor Law on deaf people and the way they were treated as a result. The establishment of voluntary welfare groups in response to this treatment will be outlined, and a discussion will be offered on the way attitudes towards deaf people’s welfare rights are often determined by their inability to hear rather than their ability to work

Ethics for Radiation Protection in Medicine

This book presents an up to date ethical framework for radiological protection in medicine. It is consistent with the requirements of the system of radiation protection and with the expectations of medical ethics. It presents an approach rooted in the medical tradition, and alert to contemporary social expectations. It provides readers with a practical framework against which they can assess the safety and acceptability of medical procedures, including patients’ concerns. It will be an invaluable reference for radiologists, radiation oncologists, regulators, medical physicists, technologists, other practitioners, as well as academics, researchers and students of radiation protection in medicine. Features: An authoritative and accessible guide, authored by a team who have contributed to defining the area internationally Includes numerous practical examples/clinical scenarios that illustrate the approach, presenting a pragmatic approach, rather than dwelling on philosophical theories Informed by the latest developments in the thinking of international organization

Ethics for Radiation Protection in Medicine

This book presents an up to date ethical framework for radiological protection in medicine. It is consistent with the requirements of the system of radiation protection and with the expectations of medical ethics. It presents an approach rooted in the medical tradition, and alert to contemporary social expectations. It provides readers with a practical framework against which they can assess the safety and acceptability of medical procedures, including patients’ concerns. It will be an invaluable reference for radiologists, radiation oncologists, regulators, medical physicists, technologists, other practitioners, as well as academics, researchers and students of radiation protection in medicine. Features: An authoritative and accessible guide, authored by a team who have contributed to defining the area internationally Includes numerous practical examples/clinical scenarios that illustrate the approach, presenting a pragmatic approach, rather than dwelling on philosophical theories Informed by the latest developments in the thinking of international organization

Vital Subjects: Race and Biopolitics in Italy

Drawing on a range of canonical and non-canonical literary, cinematic and social scientific texts produced in post-Unification Italy, Vital Subjects: Race and Biopolitics in Italy is an interdisciplinary study of how racial and colonial discourses shaped the “making” of Italians as modern political subjects in the years between its administrative unification (1861-1870) and the end of the First World War (1919). The book includes readings of texts by Italian thinkers such as Leopoldo Franchetti and Paolo Mantegazza and it offers new readings of well- and lesser-known texts by a writer who has become Italy’s most infamous precursor to Mussolini: poet, novelist, and political provocateur Gabriele D’Annunzio. Vital Subjects concludes with an original analysis of an early film that figures prominently in the history of cinema: Giovanni Pastrone’s 1914 silent film Cabiria--produced in the wake of the Italian invasion of Libya (1911-12) and celebrating ancient Roman imperialism