scholarly journals Explanatory paradigms for professional boundary violations

2018 ◽  
Vol 24 (6) ◽  
pp. 384-385
Author(s):  
Gwen Adshead
Keyword(s):  
Small Proportion ◽  
Insecure Attachment ◽  
Potential Contribution ◽  
Boundary Violations ◽  
Professional Boundaries ◽  
Personality Dysfunction ◽  
Professional Boundary

SUMMARYIn this commentary, I draw on Hook & Devereux to explore the role of insecure attachment in boundary-violating doctors. I also explore the potential contribution of personality dysfunction in that small proportion of doctors who breach professional boundaries.DECLARATION OF INTERESTG. A. worked with Dr Hook at St George's Hospital, London, and has also worked at the Clinic for Boundaries Studies, where he has worked.

scholarly journals Dietary Modulation of Bacteriophages as an Additional Player in Inflammation and Cancer

Cancers ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2036
Author(s):  
Luigi Marongiu ◽  
Markus Burkard ◽  
Sascha Venturelli ◽  
Heike Allgayer
Keyword(s):  
Structural Damage ◽  
Folk Medicine ◽  
Gastrointestinal Diseases ◽  
Potential Contribution ◽  
Anticancer Properties ◽  
Specific Phage ◽  
Microbial Network ◽  
Inflammatory Bowel ◽  
Species Specific

Natural compounds such as essential oils and tea have been used successfully in naturopathy and folk medicine for hundreds of years. Current research is unveiling the molecular role of their antibacterial, anti-inflammatory, and anticancer properties. Nevertheless, the effect of these compounds on bacteriophages is still poorly understood. The application of bacteriophages against bacteria has gained a particular interest in recent years due to, e.g., the constant rise of antimicrobial resistance to antibiotics, or an increasing awareness of different types of microbiota and their potential contribution to gastrointestinal diseases, including inflammatory and malignant conditions. Thus, a better knowledge of how dietary products can affect bacteriophages and, in turn, the whole gut microbiome can help maintain healthy homeostasis, reducing the risk of developing diseases such as diverse types of gastroenteritis, inflammatory bowel disease, or even cancer. The present review summarizes the effect of dietary compounds on the physiology of bacteriophages. In a majority of works, the substance class of polyphenols showed a particular activity against bacteriophages, and the primary mechanism of action involved structural damage of the capsid, inhibiting bacteriophage activity and infectivity. Some further dietary compounds such as caffeine, salt or oregano have been shown to induce or suppress prophages, whereas others, such as the natural sweeter stevia, promoted species-specific phage responses. A better understanding of how dietary compounds could selectively, and specifically, modulate the activity of individual phages opens the possibility to reorganize the microbial network as an additional strategy to support in the combat, or in prevention, of gastrointestinal diseases, including inflammation and cancer.

Overcoming counter-knowledge through telemedicine communication technologies

2017 ◽  
Vol 31 (7/8) ◽  
pp. 730-745 ◽  
Author(s):  
Jorge Cegarra-Sanchez ◽  
Juan-Gabriel Cegarra-Navarro ◽  
Anthony Wensley ◽  
Jose Diaz Manzano
Keyword(s):  
Learning Process ◽  
Design Methodology ◽  
Communication Technologies ◽  
Regional Hospital ◽  
Potential Contribution ◽  
Exploration And Exploitation ◽  
Negative Effects ◽  
Content Type

Purpose Knowledge acquired from sources of unverified information such as gossip, partial truths or lies, in this paper it is termed as “counter-knowledge.” The purpose of this paper is to explore this topic through an exploration of the links between a Hospital-in-the-Home Units (HHUs) learning process (LP), counter-knowledge, and the utilization of communication technologies. The following two questions are addressed: Does the reduction of counter-knowledge result in the utilization of communication technologies? Does the development of counter-knowledge hinder the LP? Design/methodology/approach This paper examines the relevance of communication technologies to the exploration and exploitation of knowledge for 252 patients of a (HHU) within a Spanish regional hospital. The data collected was analyzed using the PLS-Graph. Findings To HHU managers, this study offers a set of guidelines to assist in their gaining an understanding of the role of counter-knowledge in organizational LPs and the potential contribution of communication technologies. Our findings support the proposition that the negative effects of counter-knowledge can be mitigated by using communication technologies. Originality/value It is argued in this paper that counter-knowledge may play a variety of different roles in the implementation of LPs. Specifically, the assignment of communication technologies to homecare units has given them the means to filter counter-knowledge and prevent users from any possible problems caused by such counter-knowledge.

scholarly journals Please, Do Not Interrupt Me: Work–Family Balance and Segmentation Behavior as Mediators of Boundary Violations and Teleworkers’ Burnout and Flourishing

2021 ◽  
Vol 13 (13) ◽  
pp. 7339
Author(s):  
Vânia Sofia Carvalho ◽  
Alda Santos ◽  
Maria Teresa Ribeiro ◽  
Maria José Chambel
Keyword(s):  
Well Being ◽  
Work And Family ◽  
Future Research ◽  
Boundary Violations ◽  
Family Balance ◽  
Work Family Balance ◽  
Work Family ◽  
Using Data ◽  
The Relationship

The lockdown, in the COVID-19 pandemic, is considered an external crisis that evokes innumerous changes in individuals lives. One of the changes is the work and family dynamics. Based on boundary theory we examine the mediated role of work and family balance and boundary segmentation behavior in the relationship between boundary violations and teleworkers’ stress and well-being. However, because women and men live their work and family differently, gender may condition the way teleworkers lead with boundary violations and boundary segmentation. Hypotheses were tested through moderated mediation modeling using data collected of 456 teleworkers during lockdown. In line with our expectations, teleworkers who have suffered most boundary violations were those with least boundary segmentation behaviors and with least work-family balance which, in turn was related to higher burnout and lower flourishing. Furthermore, gender was found to moderate the relationship between boundary violations from work-to-family and segmentation behavior in the same direction and this relationship was stronger for females than for males. We discuss implications for future research and for managing teleworkers, creating sustainability, both during a crise and stable days.

THE ROLE OF INSECTS IN THE SPREAD OF CUCUMBER MOSAIC VIRUS

1964 ◽  
Vol 44 (1) ◽  
pp. 1-6 ◽  
Author(s):  
R. J. McClanahan ◽  
G. E. Guyer
Keyword(s):  
Cucumber Mosaic Virus ◽  
Mosaic Virus ◽  
Small Proportion ◽  
Aphis Gossypii ◽  
Macrosiphum Euphorbiae ◽  
Asclepias Syriaca ◽  
Melanoplus Differentialis ◽  
Aphis Gossypii Glover ◽  
Echinocystis Lobata

Entomological aspects of the epidemiology of cucumber mosaic virus (CMV) were studied in Michigan. Myzus persicae (Sulzer) and Aphis gossypii Glover were efficient vectors of CMV between various hosts in the laboratory. Macrosiphum euphorbiae (Thomas) transmitted CMV between cucumber and Echinocystis lobata (Michx.) T. & G. Myzocallis asclepiadis (Monell) was shown to be a new vector of CMV between Asclepias syriaca L. Neither Melanoplus differentialis (Thomas) nor Acalymma vittata (Fabricius) transmitted the virus in limited trials.There was a small proportion of cucumber plants infected early in July, when alate M. persicae were present. In August the incidence of infection rose rapidly after a period of activity of alate A. gossypii. Alate aphids were trapped in yellow water pans situated in and around cucumbers. Seven known vectors of CMV were caught.

scholarly journals EXPRESS: Professional Boundaries in-Action: Using Reflective Spaces for Boundary Work to Incorporate a New Health Care Role

2021 ◽  
pp. 001872672110103
Author(s):  
Nina Lunkka ◽  
Noora Jansson ◽  
Tuija Mainela ◽  
Marjo Suhonen ◽  
Merja Meriläinen ◽  
...  
Keyword(s):  
Health Care ◽  
Boundary Work ◽  
Institutional Context ◽  
Professional Role ◽  
Division Of Labour ◽  
University Hospital ◽  
Professional Boundaries ◽  
Naturally Occurring ◽  
Transformative Potential ◽  
Professional Boundary

Prior research on professional boundary work emphasises the importance of subtle interactions among affected individuals when a new role is inserted into an established professional setting, which inevitably changes the prevalent division of labour. Thus, managers may set reflective spaces for professionals to collaboratively arrange their boundaries and make room for the new professional. This ethnomethodologically oriented study examines boundary arrangements in work development meetings in a university hospital, while professionals made room for a new role, a hospitalist. Examining professionals’ naturally occurring interactions in reflective spaces, the findings depict seven categorisations for the hospitalist. Elaborating on the dynamics of these categorisations, we propose that technically based categorisations sustain stability and context-bound categorisations allow change in work practices, whereas their combination enables transformation within the institutional context. Accordingly, the study adds to the literature on the transformative potential of reflective spaces by illuminating the intertwining of engaged professionals’ boundary talk-in-interaction with the consequences of configurational boundary work in relation to a new professional role.

Peran Ibu Rumah Tangga Nelayan Dalam Meningkatkan Pendapatan Keluarga di Kelurahan Sei Merbau Kecamatan Teluk Nibung Kota Tanjungbalai.

2021 ◽  
Vol 13 (1) ◽  
pp. 118
Author(s):  
Mbina Pinem ◽  
Rayhan Utami
Keyword(s):  
Small Proportion ◽  
Family Income ◽  
Social Role ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Analysis Technique ◽  
The Social ◽  
Data Collection Technique ◽  
Productive Role

This study aims to determine: (1) The productive role of fishermen housewives in increasing family income in Sei Merbau Village, Teluk Nibung District, Tanjungbalai City, (2) The reproductive role of fishermen housewives in increasing family income in Sei Merbau Village, Teluk Nibung Kota District Tanjungbalai, and (3) The social role of fisherman housewives in increasing family income in Sei Merbau Village, Teluk Nibung District, Tanjungbalai City. This research was conducted in Sei Merbau Village, Teluk Nibung District, Tanjungbalai City in 2020. The population of this study were all fishermen housewives in Sei Merbau Village, amounting to 592 people, while the sample in this study was 10% of the total population (59 people. ) and taken using the Simple Random Sampling technique. The data collection technique is done by direct communication (interview). While the data analysis technique used is descriptive qualitative analysis techniques. The results showed that: (1) The highest productive role (48.78%) was performed by housewives who worked as factory workers, while the lowest role (21%) was performed by housewives who worked as coconut peeler. Overall, the role played by housewives of fishermen is 33.35% and is in the low category. (2) The reproductive role played by the housewives of fishermen in Kelurahan Sei Merbau, namely having dependents of 1 to 6 children. Most (57.63%) fishermen housewives had 1-2 children and a small proportion (8.47%) had 5-6 children with an average of 2-3 children. (3) In general (81.36%) fishermen housewives participated in the social activities of the unfortunate union and a small proportion (25.42%) participated in arisan activities. In addition, the recitation activity is useful for moral contributions to housewives so that they can motivate husbands to work to increase income and also motivate children to improve education. The highest role of arisan activities was 76.92% while the lowest role was 22.73%. With an average of 43.47%.

L'attaccamento al partner e a Dio come risorsa psicologica nel processo di adattamento alla malattia cancro

2009 ◽  
pp. 59-74
Author(s):  
R. Cassibba ◽  
E. Costantino ◽  
S. Papagna ◽  
R. Montanaro ◽  
V. Mattioli
Keyword(s):  
Specific Aspect ◽  
Insecure Attachment ◽  
Attachment To God ◽  
Secure Attachment ◽  
Coping With Cancer ◽  
Behavioral System ◽  
Fighting Spirit ◽  
Diagnosis Of Cancer ◽  
Relational Resources

- The diagnosis of cancer troubles people and their identity; it is a threat for their survival. To cope with cancer, people have to collect all their psychological and relational resources. The behavioral system of attachment is activated when people are in danger and it makes them looking for significant others who can be a "secure base" for them. This study investigates the role of specific adult attachment relationships, such as the bond with God and with the partner, on coping with cancer, hypothesizing that patients with a secure attachment with God or with the partner cope better and perceive less stress, respect to patients with an insecure attachment. The results show that the intensity of religious beliefs and security of attachment with God and with the partner are associated to some specific coping strategies to cancer. In particular, insecurity of attachment to God and a specific aspect of insecurity of attachment to the partner (fear of loss) are connected to a higher level of anxiety and a lower level of fighting spirit in coping with cancer. Only attachment to God is associated to a lower level of perceived stress.

Abstract WMP31: Dedifferentiation of Smooth Muscle Cells and its Potential Contribution to Pathogenesis of Intracranial Aneurysms

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Mieko Oka ◽  
Nobuhiko Ohno ◽  
Takakazu Kawamata ◽  
Tomohiro Aoki
Keyword(s):  
Endothelial Cells ◽  
Smooth Muscle ◽  
Smooth Muscle Cells ◽  
Inflammatory Responses ◽  
Muscle Cells ◽  
Inflammatory Factors ◽  
Potential Contribution ◽  
Electron Microscopic

Introduction: Intracranial aneurysm (IA) affects 1 to 5 % in general public and becomes the primary cause of subarachnoid hemorrhage, the most severe form of stroke. However, currently, no drug therapy is available for IAs to prevent progression and rupture of lesions. Elucidation of mechanisms underlying the disease is thus mandatory. Considering the important role of vascular smooth muscle cells (SMCs) in the maintenance of stiffness of arterial walls and also in the pathogenesis of atherosclerosis via mediating inflammatory responses, we in the present study analyzed morphological or phenotypical changes of SMCs during the disease development in the lesions. Methods: We subjected rats to an IA model in which lesions are induced by increase of hemodynamic force loading on intracranial arterial bifurcations and performed histopathological analyses of induced lesions including the electron microscopic examination. We then immunostained specimens from induced lesions to explore factors responsible for dedifferentiation or migration of SMCs. In vitro study was also done to examine effect of some candidate factors on dedifferentiation or migration of cultured SMCs. Results: We first found the accumulation of SMCs underneath the endothelial cell layer mainly at the neck portion of the lesion. These cells was positive for the embryonic form of myosin heavy chain, a marker for the dedifferentiated SMCs, and the expression of pro-inflammatory factors like TNF-α. In immunostaining to explore the potential factor regulating the dedifferentiation of SMCs, we found that Platelet-derived growth factor-BB (PDGF-BB) was expressed in endothelial cells at the neck portion of IA walls. Consistently, recombinant PDGF-BB could promote the dedifferentiate of SMCs and chemo-attracted them in in vitro. Finally, in the stenosis model of the carotid artery, PDGF-BB expression was induced in endothelial cells in which high wall shear stress was loaded and the dedifferentiation of SMCs occurred there. Conclusions: The findings from the present study imply the role of dedifferentiated SMCs partially recruited by PDGF-BB from endothelial cells in the formation of inflammatory microenvironment at the neck portion of IA walls, leading to the progression of the disease.

An Examination of the Role of Online Technology in School Counseling

2014 ◽  
Vol 18 (1) ◽  
pp. 2156759X0001800 ◽  
Author(s):  
Tracy M. Steele ◽  
Darlene E. Jacokes ◽  
Carolyn B. Stone
Keyword(s):  
School Counselors ◽  
School Counselor ◽  
National Study ◽  
American School Counselor Association ◽  
Beliefs And Practices ◽  
Professional Boundaries ◽  
Online Technology ◽  
Online Technologies ◽  
Mitigating Factors

A national study conducted with the members of the American School Counselor Association (ASCA) database examined school counselors’ utilization of online technologies. The researchers also explored beliefs and practices and examined mitigating factors such as school counselors’ background, training, and experience. Training impacted counselors’ belief in the advantages of technology and their level of comfort. Females were significantly more likely to blur personal and professional boundaries irrespective of their training. The article discusses implications for school counselors.

scholarly journals Maternal mental health and child problem behaviours: disentangling the role of depression and borderline personality dysfunction

BJPsych Open ◽  
2017 ◽  
Vol 3 (6) ◽  
pp. 300-305 ◽  
Author(s):  
Fay Huntley ◽  
Nicola Wright ◽  
Andrew Pickles ◽  
Helen Sharp ◽  
Jonathan Hill
Keyword(s):  
Mental Health ◽  
Maternal Depression ◽  
Maternal Mental Health ◽  
Population Sample ◽  
Borderline Personality ◽  
General Population Sample ◽  
Problem Behaviours ◽  
Personality Dysfunction ◽  
In Pregnancy

BackgroundIt is not known whether associations between child problem behaviours and maternal depression can be accounted for by comorbid borderline personality disorder (BPD) dysfunction.AimTo examine the contributions of maternal depression and BPD symptoms to child problem behaviours.MethodDepression trajectories over the fist-year postpartum were generated using repeated measurement from a general population sample of 997 mothers recruited in pregnancy. In a stratified subsample of 251, maternal depression and BPD symptoms were examined as predictors of child problem behaviours at 2.5 years.ResultsChild problem behaviours were predicted by a high maternal depression trajectory prior to the inclusion of BPD symptoms. This association was no longer significant after the introduction of BPD symptoms.ConclusionsRisks for child problem behaviours currently attributed to maternal depression may arise from more persistent and pervasive difficulties found in borderline personality dysfunction.

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