Medical discourse and ideology in the Edinburgh Review: a Chaldean exemplar

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Addressing Coverage Challenges for Children Under the Affordable Care Act

Explores reform implementation issues for ensuring that children in families with varying eligibility for different types of insurance have access to coverage. Estimates the number of such children and examines the implications of specific provisions

Addressing Barriers to Health Insurance Coverage Among Children: New Estimates for the Nation, California, New York, and Texas

Outlines obstacles to children's health coverage under federal healthcare reform such as living with neither parent or parents being ineligible for Medicaid. Estimates the number and share of such children among all, uninsured, and CHIP-eligible children

Nursing Care of the Mechanically Ventilated Patient: What Does the Evidence Say? Part Two

The care of the mechanically ventilated patient is a fundamental component of a nurse's clinical practice in the intensive care unit (ICU). Published work relating to the numerous nursing issues of the care of the mechanically ventilated patient in the ICU is growing significantly, yet is fragmentary by nature. The purpose of this paper is to provide a single comprehensive examination of the evidence related to the care of the mechanically ventilated patient. In part one of this two-part paper, the evidence on nursing care of the mechanically ventilated patient was explored with specific focus on patient safety: particularly patient and equipment assessment. This article, part two, examines the evidence related to the mechanically ventilated patient's comfort: patient position, hygiene, management of stressors (such as communication, sleep disturbance and isolation), pain management and sedation

Sex, drugs, PrEP and STI: Trends among men who have sex with men

Pre-expositie profylaxe (PrEP) is een combinatie van antivirale middelen om hiv te voorkomen. PrEP kan als orale pil dagelijks of rondom de seks ingenomen worden. Een belangrijke doelgroep voor PrEP zijn mannen die seks hebben met mannen (MSM). PrEP beschermt niet tegen andere seksueel overdraagbare aandoeningen (soa’s), waaronder hepatitis C. Vóór de invoering van PrEP bestond de vrees dat MSM na het starten van PrEP minder vaak condooms zouden gebruiken en meer seksuele partners zouden hebben en daarom meer soa’s zouden kunnen oplopen. In Nederland is PrEP sinds 2015 geleidelijk uitgerold: eerst voor een beperkt aantal MSM die meededen aan wetenschappelijke studies en sinds 2019 via de vijfjarige landelijke PrEP pilot.De studies in dit proefschrift hadden als doel om trends te onderzoeken in seksueel gedrag, geseksualiseerd drugsgebruik, PrEP en soa’s onder MSM zonder hiv in Amsterdam, om zo aanbevelingen te kunnen geven voor de verdere uitrol van PrEP en voor hiv- en soa-preventie programma’s. We gebruikten hiervoor longitudinale gegevens van MSM zonder hiv die deelnamen aan de Amsterdam Cohort Studies naar hiv (1984-nog actief) en van deelnemers van het Amsterdam PrEP demonstratieproject (2015-2020). We beschreven de start en uitbreiding van PrEP-gebruik onder MSM en onderzochten veranderingen in seksueel gedrag en soa’s voor, tijdens en na het starten van PrEP. Daarnaast bestudeerden we patronen van PrEP-gebruik rondom het starten en stoppen van dagelijks gebruik en gebruik rondom de seks door de tijd heen

Federal Health Expenditures on Children on the Eve of Health Reform: A Benchmark for the Future

Analyzes trends in federal spending on children's health in 2010, changes over the past fifty years, factors that affect Medicaid and Children's Health Insurance Program coverage under the Affordable Care Act, and implications for federal spending

Medicine and improvement in the Scots Magazine; and Edinburgh Literary Miscellany, 1804-17

Megan Coyer’s chapter engages with periodical print as a vehicle for an improving medical culture in Scotland, concentrating on the second series of the Scots Magazine. Coyer demonstrates how the Scottish press often complemented improving civic initiatives like the Edinburgh Lunatic Asylum campaign. She focuses attention on the distinctive national dynamics associated with medical improvement efforts in early nineteenth-century Scotland, with the Scots Magazine ‘providing a public forum for the expression of a national medical identity’. This identity, as Coyer shows, had an ideology of improvement at its core. This work recovers the cultural significance of the Scots Magazine as ‘the third major player in popular periodical culture in Romantic-era Scotland’; a status overshadowed by the recent critical attention devoted to the second Edinburgh Review and Blackwood’s in Scottish Romantic studies. Coyer also shows how the efforts of public health reformers highlight the complexity of improvement as both a material and moral process. She argues that print efforts dedicated to improving public health represent a ‘discursive strand in the magazine identifying a lack of cleanliness … as a moral and material blight on an otherwise improving Scottish society’. This bringing together of moral and practical aspects of improvement in the Scots also finds expression in the magazine’s series of Scottish medical biographies, whose narratives, Coyer notes, provide ‘ideal exemplars of lives dedicated to a culture of improvement’

Psychometric Evaluation of the Calling and Vocation Questionnaire-Revised (CVQ-R) and Calling and Vocation Questionnaire-10 Item (CVQ-10)

The notion of calling toward career or life roles is salient for many, and as research on calling progresses, cohesive theories are solidifying. However, measurement challenges from lack of consensus on calling definition, and specifically perceived source of calling, pose a barrier. One of the most common definitions defines calling as being prosocial in nature, involving purposeful work, and arising from an external, transcendent summons. However, research suggests this definition may not adequately capture the experience of calling for people who instead or additionally perceive their calling as arising from an internal source. Consequently, I revised one of the most commonly used measures of calling, the Calling and Vocation Questionnaire (CVQ) to serve two purposes: (a) to add an internal summons dimension to the overall scale and (b) to create a short-version of the scale that would be suitable for research. My revisions included the creation of eight items assessing internal summons for the original CVQ and 10 items for a short form (CVQ-10). Items were administered to undergraduate students (N = 496) over age 18. Confirmatory factor analyses were used to evaluate a series of hypothesized models. Fit for the revised CVQ (including internal summons items) was inadequate (χ2 [429, N = 252] = 1026.058, p \u3c .001, CFI = .810, RMSEA = .074). This was likely due in part to poorer baseline model fit for the original CVQ (with no additional items) within this sample compared to the CVQ’s validation study. Inadequate model fit was also observed across subsequent models. Additionally, inadequate fit was observed for the CVQ-10 (χ2 [34, N = 252) = 498.560, p \u3c .001, CFI = .642, RMSEA = .209). Results suggest that further investigation is warranted regarding a potential internal summons dimension of calling. The unique context (e.g., Christian, liberal arts) of this research setting revealed curious and complex relations between the internal and transcendent sources of calling (i.e., negative regression weights and lower item-total correlations for transcendent summons items when internal summons items were added to the model), suggesting that items assessing calling source may not cleanly capture source across different populations