The 1997 R.R. Bensley Award: Lisa Anne Elferink, Wayne State University.
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SEARCH · PubMed Health
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The science of human evolution is confronted with the popular chimpanzee theory and the earlier but largely ignored orangutan theory. The quality and scope of published documentation and verification of morphological features suggests there is very little in morphology to support a unique common ancestor for humans and chimpanzees. A close relationship between humans and African apes is currently supported by only eight unproblematic characters. The orangutan relationship is supported by about 28 well-supported characters, and it is also corroborated by the presence of orangutan-related features in early hominids. The uniquely shared morphology of humans and orangutans raises doubts about the almost universal belief that DNA sequence similarities necessarily demonstrate a closer evolutionary relationship between humans and chimpanzees. A new evolutionary reconstruction is proposed for the soft tissue anatomy, physiology, and behavioral biology of the first hominids that includes concealed ovulation, male beard and mustache, prolonged mating, extended pair-bonding, "house" construction, mechanical "genius," and artistic expression.
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A review and amplification of the article by authors Horelick and Zuckerman regarding the clinical phenomena of encountering patients (analysands) outside of the physical boundaries of the consultation room. Their clinical examples and the literature used to buttress their position and in particular the open disclosure of the deeply personal reactions they experienced are examined and used as launching points for further understanding. Ferenczi, Balint, Freud and other luminaries are incorporated into the topic of extra-analytic encounter, in an attempt to further demystify this inevitable and unplanned moment of disclosure, which, much like resistance and countertransference offer more opportunity than obstacle.
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A mother's experience of the death of her 23-year-old daughter, who died in the Accident and Emergency (A & E) department where access to the resuscitation room (and her daughter) were denied to her. This mother was a senior nursing sister in another department at the same hospital, and she subsequently wrote an open letter to the A & E department, outlining her experience of this traumatic event. It was her hope that this information might help to improve the situation for other families, who might have similar desires and needs, but might not feel they had the right or maybe the articulation skills to express them. Nursing and medical management made the decision not to circulate this open letter to other professionals in the department.
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OBJECTIVE: To examine the factors related to the decline of dietary variety among the rural community-dwelling Japanese elderly people and the implication on the planning of elderly people's nutritional improvement program in the future. DESIGN: A prospective cohort study during 8-year follow-up from 1992 to 2000. SETTING: This study was conducted in Nangai Village, a rural and mainly agricultural area of Akita Prefecture in the northern part of Honshu, one of four main islands in Japan. SUBJECTS: A total of 417 elderly people (160 men, 257 women) who completed interviews and food intake frequency surveys conducted in 1992, 1994, 1996, 1998, and 2000 were studied. METHODS: Dietary variety and variables potentially associated with dietary variety decline were identified from a face-to-face interview at the baseline and 8-year follow-up surveys. The dietary variety was measured using the dietary variety score (DVS), which covers the 10 main food groups in Japanese meals. RESULTS: During the 8-year follow-up, 36.2% of the subjects showed a decline in dietary variety. Health characteristics also change among the 8-year follow-up and these changes have an effect on the decline of dietary variety. Significant predictors for decline in dietary variety included loss of spouse, deterioration in self-perceived chewing ability, and decrease in intellectual activity score. CONCLUSIONS: Loss of spouse, deterioration in chewing ability, and decline in intellectual activity may increase the risk of decline in dietary variety in community-dwelling Japanese elderly people.
Practical approaches to the educational preparation of mental health nurses need to be shared in order to contribute to discipline development. This paper presents the results of an ethnographic study using case study and educational criticism to explore mental health classrooms and share practical approaches to teaching.
As women become more prominent players in the health sciences, it seems logical to ask the question, How are women affecting issues of health specific to women? Few authors have addressed this important query. In this article, I look at the views of a female researcher with respect to the literature about women's health research and the impact of women researchers on the information exchange between patient and physician, provider competence, and continuity of care. These factors all affect the quality of care being received by women in many different areas of health care.
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