scholarly journals Being a victim of medical error in Brazil: an (un)real dilemma

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Vitor Silva Mendonça ◽  
Eda Marconi Custódio

Medical error stems from inadequate professional conduct that is capable of producing harm to life or exacerbating the health of another, whether through act or omission. This situation has become increasingly common in Brazil and worldwide. In this study, the aim was to understand what being the victim of medical error is like and to investigate the circumstances imposed on this condition of victims in Brazil. A semi-structured interview was conducted with twelve people who had gone through situations of medical error in their lives, creating a space for narratives of their experiences and deep reflection on the phenomenon. The concept of medical error has a negative connotation, often being associated with the incompetence of a medical professional. Medical error in Brazil is demonstrated by low-quality professional performance and represents the current reality of the country because of the common lack of respect and consideration for patients. Victims often remark on their loss of identity, as their social functions have been interrupted and they do not expect to regain such. It was found, however, little assumption of error in the involved doctors’ discourses and attitudes, which felt a need to judge the medical conduct in an attempt to assert their rights. Medical error in Brazil presents a punitive character and is little discussed in medical and scientific circles. The stigma of medical error is closely connected to the value and cultural judgments of the country, making it difficult to accept, both by victims and professionals.

Author(s):  
Michael James Winkelman

The worldwide development of raves and similar collective rituals characterized by all night communal rituals involving dance, drumming, music, and often the use of psychedelic substances can be understood as a modern manifestation of the same biological principles underlying shamanism. The shamanic ritual was a nighttime ceremony which engaged all of the community in a powerful interaction with the spirit world as the shaman beat drums or rattled while singing, chanting and dancing. The common underlying biogenetic structures of shamanism and raves involve: the social functions of ritual; the effects of dance and music as systems for social bonding and emotional communication; and the effects on consciousness that produce alterations of emotions, identity and consciousness and personal healing.


2015 ◽  
Vol 4 (1) ◽  
pp. 137-140
Author(s):  
Zhou Mingqiang

Pragmatic function and cognitive characteristics of discourse markers of complaintsDiscourse markers of complaints, mainly including ‘zhēnshì/yě zhēnshì’ (‘really / is really’), ‘zhēnshìde /yě zhēnshìde’ (‘really / is really’), ‘hébì ne’ (‘why bother’), ‘hékǔ ne’ (‘why bother’), ‘zhìyù mā’ (‘need you …’), ‘nǐ kàn nǐ’ (‘look at you’), ‘bù shì wǒ shuō nǐ’ (‘I want to remind you’), ‘bù shì wǒ V nǐ’ (‘I want to VERB you’), ‘kàn / qiáo nǐ shuōde’ (‘well, listen to you’), ‘nǐ zhè ge / zhè zhǒng rén a’ (‘oh, the likes of you’), ‘zài zěnme shuō’ (‘anyway’), etc., express complaint feelings.The pragmatic frame of discourse markers of complaints includes WHOM, WHY and WHAT, among which WHOM and WHAT are two vital factors. People usually complain in three cases: first is to complain behind the back of an interlocutor, which is graver than the second, to complain face to face; third is to complain about oneself, which is usually in a light way or just to boast with sly humor. The cause of complaints is sometimes identical to the content to be complained about, including complaining interlocutors’ behavior and its consequences, interlocutors’ thought and speech, among which the complaints about interlocutors’ behaviors and its consequences are more common than the complaints about interlocutors’ thought and speech. Different discourse markers of complaints might intensify, weaken or even alleviate the complaining feelings. Depending on different complaining interlocutors and the content to be complained about, the speakers choose corresponding discourse markers of complaints to make the complaining content fit their feelings. The sentiments of complaints can be classified into following categories: the first is a self-compliment, a false complaint concealing actual praise; the second is caring displeasure, a tender complaint with sympathy, friendliness and affection to remind the addresser of inappropriateness; the third is blaming in different degrees, a complaint of criticism with an excuse in a stern tone, or that of disapproval with no excuse in the same tone, or that of mocking in a teasing tone, as well as that of self-reproach, of persuasion, of rejection, of marked ellipsis with no gist and ground of the blame, etc. The sentiments of complaint may be expressed with the marked speech with criticism and blame at the fore, while the marked speech is indispensible from the changeable context of complaints due to a wide variety of complainees.The objects to be complained about can be the interlocutors, the speaker him/herself and the facts. When the object to be complained about is the interlocutor, the speaker may complain to them face to face, or behind their back; when an object to be complained about is facts, the complaints will be with a lighter tone, and only with comments and descriptions on the facts; when the object to be complained about is the speaker him/herself, the complaints will be with lightest tone. The discourse markers of complaints are usually used in the negative contexts, mainly by 4 means: first is to use negative sentences, second is to use contrast expressions, third is to use rhetorical questions, fourth is to use some other special expression, such as Chinese idioms ‘duì niú tán qín’ (‘play the lute to a cow’), ‘diū rén xiàn yǎn’ (‘disgraced’) etc., or commentary adverbs, such as ‘chàdiǎner’ (‘almost’), ‘jiǎnzhí’ (‘simply’), ‘lǎoshì’ (‘always’), ‘hébì’ (similar to ‘why must...’),or sentence constructions with negative connotation, such as ‘lián…dōu’,‘gēnběn bù…’,‘yě tài…’ etc. When discourse markers are used in the negative contexts, the scale of complaining tone is like this (from heavy to light): rhetorical question sentence > negative sentence > contrast sentence > other sentence.To choose the right discourse markers of complaints, the speakers must correctly understand the functions of the corresponding discourse markers. Meanwhile, listeners can catch the speakers’ real implication by seizing the characteristics of the discourse markers of complaints.The discourse markers of complaints can be researched in terms of the following aspects: the impacts of contexts, the common and distinct functions of the complaint markers, and the convergence of cognition on the pragmatic function.


Author(s):  
Beth Preston

Technical functions of artifacts are commonly distinguished from their social functions and from biological functions of organisms. Schemes for classifying functions often encounter what the author calls the continuum problem—the imperceptible merger of function kinds. This is a special case of a debate about natural kinds in philosophy of science, which has resulted in a turn to an epistemological construal of kinds, in contrast to the traditional, purely ontological construal. The author argues for an epistemic analysis of function kinds along the lines of John Dupré’s (1993) “promiscuous realism.” This provides leverage for asking new and important questions about the epistemic purposes served by our various schemes for classifying artifact functions, and about the epistemic role of technical functions in particular. The author argues that the common classification into technical, social, and biological functions has more disadvantages than it has advantages.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S36-S37
Author(s):  
Elizabeth Bownes ◽  
Martha R Crowther ◽  
Jennifer Cox

Abstract The current study examines the ways in which grandparents raising their grandchildren (GRCs) understand custody, perceive the legal system, and access resources related to their grandchild(ren)’s welfare. Due to the detrimental impact of the opioid crisis over the last decade, the number of skipped generation households is growing significantly not only in Alabama, but across the U.S.. Many GRCs lack crucial information regarding custody arrangements in a general sense or as it applies to education, healthcare, mental health, and financial aid. Critical gaps remain present in the GRC literature necessary to aid in future intervention studies and promote more effective support, resources, and policy for this population. The present study sought to examine the unique needs and experiences of GRCs, and to specifically explore legal aspects associated to their grandchild(ren)’s welfare. Using a mixed methods approach, GRCs in Tuscaloosa, Alabama completed a quiz of custodial knowledge, a survey on legal perception, and a semi-structured interview. Quantitative data revealed the most and least commonly understood aspects of custody, as well as opinions on associated legal systems related to a child’s “best interest.” Qualitative data analysis revealed the common themes related to custody to be unexpected assistance, ineffective assistance, leniency for parental deviance, fear of losing custody, and time and cost demands.


Sarcoma ◽  
2008 ◽  
Vol 2008 ◽  
pp. 1-7 ◽  
Author(s):  
G. D. Johnson ◽  
G. Smith ◽  
A. Dramis ◽  
R. J. Grimer

Introduction and aims. It is well established that soft tissue sarcomas (STSs) are more effectively treated in a specialist centre. However, delays in time taken for a patient to be referred to a specialist centre may lead to a poorer prognosis. This study aims to identify the length of these delays and where they occur.Patients and methods. Patients with a proven STS were included. They were recruited from both outpatient clinics and from the surgical ward of the Royal Orthopaedic Hospital (Birmingham, UK). A structured interview was used to take a detailed history of the patients' treatment pathway, before arriving at the specialist centre. Dates given were validated using the case notes.Results. The median time for the patient to present to a specialist centre from the onset of symptoms was 40.4 weeks. The median delay until presentation to a medical professional (patient delay) was 1.3 weeks. Median delay in referral to a specialist centre (service delay) was 25.0 weeks.Discussion. Medical professionals rather than patients contribute the greatest source of delay in patients reaching a specialist centre for treatment of STS. Adherence to previously published guidelines could decrease this delay for diagnosis of possible sarcoma. Steps should be taken to refer patients directly to a diagnostic centre if they have symptoms or signs suggestive of STS.


2015 ◽  
Vol 735 ◽  
pp. 99-103
Author(s):  
Mansooreh Rakhshanifar ◽  
M. Hosseini ◽  
Arham Abdullah

In the context of refurbishment projects, providing a safety and health checklist could assist in reducing noncompliance with health and safety regulations and would lead to improvement in communication between different participants in refurbishment projects. The practical checklist for refurbishment project is developed by revising current demolition checklist since there is no specific checklist applicable for refurbishment work at the moment. To achieve this target, demolition techniques, methods and accident reports on the refurbishment project is critically reviewed and investigated. A semi-structured interview based on reviewed literature and existing demolition checklist is organized which addresses a panel of Malaysian refurbishment experts and workers. The final results are provided by analyzing the response of interviewees in listing the common hazards occurring in the site and their recommendations regarding to appropriate precautions to prevent accidents in work site. Finally, refurbishment checklist is developed based on different categories of work phase, activities, precautionary actions and recommendations in which contents directly extracted from data collection and literature review.


2020 ◽  
Vol 18 (2) ◽  
pp. 125-136
Author(s):  
Niloofar Souri ◽  
◽  
Afsun Nodehi Moghadam ◽  
Farahnaz Mohammadi Shahbolaghi ◽  
◽  
...  

Objectives: Considering the significant role of physiotherapists in the process of rehabilitation, their ethical commitment is essential to successful interaction and care provision. However, investigations on the medical professional ethics ​​in Iran are limited. Generally, research in this regard is rare in Asia. Thus, such studies could improve the moral knowledge of the Iranian physiotherapy community. Accordingly, this study aimed to explore professional ethics issues in physiotherapy to provide a platform concerning the challenges of professional ethics in physiotherapy in Iran. Methods: This qualitative study was conducted in 2016-2017 using the content analysis method. The study samples were recruited through purposive sampling approach until data saturation (12 physiotherapists). The required data were gathered by an in-depth semi-structured interview. All of the interviews were transcribed and analyzed, inductively. Results: Physiotherapists in Ahvaz and Tehran cities, Iran experienced challenges in 6 different categories during daily practice. These aspects included the following: therapists’ self-interest-craving, observing patients’ rights, maintaining professional competence, the effect of workplace on ethical conduct, personal ethical outlook, and insufficient professional ethics education. This study implicated the existence of a trend of kick-backs in the physiotherapy community; a problematic trend in the medical community, i.e. addressed by physicians in several articles. Additionally, the lack of receiving ethical education leads to ethical judgments based on personal values rather than ethical codes. According to the current research findings, it To increase the visibility of the article as well as to increase the citation of your article, we suggest that Latin keywords be based on the MeSH list. See: https://meshb.nlm.nih.gov/search was problematic for practitioners.  Discussion: Three subcategories of the incompetence of the healthcare system, the lack of supervision on ethical principles, and the impact of poor insurance system on patient admission are related to the endemic conditions of the health system of the country. These issues require serious interventions from executive powers.


Author(s):  
Suprayogi Suprayogi ◽  
Pranoto Budi Eko

Currently, studies on English for Tourism course mainly focuses on need analysis and material development. A few studies highlight the teaching methods for successful learning of the course. This study discusses the implementation of virtual exhibition simulation as a project based learning in the course of English for Tourism enrolled by students of tertiary education majoring English Literature. It aims at revealing the learning process as well as revealing the opportunities and challenges of the activity. Five lecturers are selected as the subject of the study. The data collected through semi structured interview and further qualitatively analysed by seeing the common and unique features. The findings suggest that the implementation of virtual exhibition project should be followed by lecturers’ teaching strategies in the step of preparation, rehearsal and exhibition in order to achieve learning objectives. Despite the technical challenge on internet connection and students’ reluctance that lecturers should cope with, this activity is seen as an alternative method that reflect contextual learning and give students English learning opportunity through intensive interaction and creativity.


Author(s):  
Lucie Schwarzová

The aim of the paper is the theoretical anchoring of the autism spectrum disorder focusing mainly on the Asperger syndrome, as well as the classification of disorders according to the International Statistical Classification of Diseases (ICD-10) and the Diagnostic and Statistical Manual (DSM-V). The paper contains an overview of the legal regulations related to the possible modifications of the common part of the graduation exam. The research part is based on qualitative methodology, it includes a case study. Based on an intentional selection (age and diagnosis), a student with Asperger syndrome was chosen for the case study, who applied at the educational support center for the modification of the graduation exam conditions. Regarding the data collection, the research methods included a semi-structured interview with the legal representatives (with the consent of the student of age), and a class teacher, and the study of the documents kept in the educational support center. The research part contains information on the personal and schooling history, as well as on the symptoms reflecting the diagnostic dyad. The conclusion offers an overview of the specific support measures provided to the student for the common part of the national graduation exam. The aim of the study is to explore whether the symptoms of the Asperger syndrome diagnosis reflected in the deficiencies at school may be fully compensated through the modification of the graduation exam conditions.


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