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Biomedical subjects

Jane Dutton

Publications and source records attributed to Jane Dutton.

6 recordsLinked to original sources
PubMed2006

Primary health care for youth in New Zealand. Are current health strategies working?

This article presents a critique of New Zealand health strategies in terms of how well they are serving youth. It is argued that over the last two decades successive changes in government policy, while aimed at improving people's health, have either not worked or had negative effects for specific population groups. There is now clear evidence that lower socio-economic status has an adverse affect on health, particularly among disadvantaged groups such as Maori and Pacific Islanders. In discussions about disadvantage and health inequalities youth as an age group is often ignored. Yet young people have special needs in relation to their developmental stage, the transition between child and adult. They have high potential for behaviours identified as placing them 'at risk'; and that may impact on their future health. The New Zealand Health Strategy released by the Government in 2000, and the Primary Health Strategy (King, 2001) were intended, through additional funding and emphasis on primary health care, to lead to better health for all New Zealanders. For some groups, such as youth, these gains have not been achieved, and in many instanced the situation has worsened.

Adolescent↗
PubMed2005

How to play to your strengths.

Most feedback accentuates the negative. During formal employee evaluations, discussions invariably focus on "opportunities for improvement," even if the overall evaluation is laudatory. No wonder most executives--and their direct reports--dread them. Traditional, corrective feedback has its place, of course; every organization must filter out failing employees and ensure that everyone performs at an expected level of competence. But too much emphasis on problem areas prevents companies from reaping the best from their people. After all, it's a rare baseball player who is equally good at every position. Why should a natural third baseman labor to develop his skills as a right fielder? This article presents a tool to help you understand and leverage your strengths. Called the Reflected Best Self (RBS) exercise, it offers a unique feedback experience that counterbalances negative input. It allows you to tap into talents you may or may not be aware of and so increase your career potential. To begin the RBS exercise, you first need to solicit comments from family, friends, colleagues, and teachers, asking them to give specific examples of times in which those strengths were particularly beneficial. Next, you need to search for common themes in the feedback, organizing them in a table to develop a clear picture of your strong suits. Third, you must write a self-portrait--a description of yourself that summarizes and distills the accumulated information. And finally, you need to redesign your personal job description to build on what you're good at. The RBS exercise will help you discover who you are at the top of your game. Once you're aware of your best self, you can shape the positions you choose to play--both now and in the next phase of your career.

Administrative Personnel↗
PubMed2002

Clinical value of grading the scintigraphic appearances of tibial stress fractures in military recruits.

PURPOSE: This study evaluated the relation between the scintigraphic appearances of tibial stress fracture in military recruits and the likelihood that they would complete basic military training. MATERIALS AND METHODS: The authors retrospectively reviewed 58 Tc-99m MDP scans of recruits referred for possible tibial stress fracture and graded them according to the criteria of Zwas et al. (1987). Stress fracture appearances were correlated with clinical information such as the duration of rehabilitation and final outcome with regard to completion of the initial basic military training program. RESULTS: Thirty-seven of the 58 patients (64%) had tibial stress fractures, all of which were located in the tibial diaphysis, with most occurring in the middle and lower thirds. Most (23 of 37) patients had stress fractures of grade I or II, and the others had grade III or IV stress fractures. There was no statistical difference in the proportion of patients with bilateral fractures between grades I-II and III-IV. There was no significant difference in the duration of rehabilitation for recruits successfully recovering from grade III-IV fractures compared with grade I-II fracture. There was a greater proportion of patients with lower grade fractures than higher grade fractures (P = 0.0006) who, despite rehabilitation, could not continue training because of unremitting or recurring pain at the fracture site and were medically discharged from military service. CONCLUSIONS: Contrary to expectation, recruits with higher-grade stress fractures were not less likely to complete basic military training compared with recruits with lower grade stress fractures.

Fractures, Stress↗