Coping with Change is an innovative psycho-educational maternal health promotion program offered by the Women’s Health Clinic in Winnipeg to assist pregnant and postpartum women with their transition to mothering. In a climate of the mother/ child dyad and family support programming, where most programs for mothers focus on the child or on the physiological changes mothers may be experiencing, Coping with Change offers a different perspective based on the feminist philosophy that mothers are at the centre of care, and that shifts in social expectations and relational pressures are as equally important to physical changes in understanding women’s transition to motherhood. Drawing on a detailed evaluation of the Program, this article illustrates how Coping with Change successfully integrates the practices of feminist consciousness raising and feminist praxis during the “teachable moments” when postpartum women are wondering about the normalcy of their feelings as mothers. More specifically, the piece discusses how the feminist practice of speaking collectively helps to normalise women’s experiences, encourages them to recognise and acknowledge their strengths as mothers, and to identify when their experiences may require further attention. It also concretely illustrates the success of feminist praxis in the cognitive shift participants have in their understanding of postpartum emotional adjustments as a continuum rather than as a singular medicalised view of postpartum depression and the use of this shift by practitioners in their work with postpartum mothers.
{"title":"Coping with Change","authors":"P. Dwyer, J. Wyn","doi":"10.4324/9780203018712-8","DOIUrl":"https://doi.org/10.4324/9780203018712-8","url":null,"abstract":"Coping with Change is an innovative psycho-educational maternal health promotion program offered by the Women’s Health Clinic in Winnipeg to assist pregnant and postpartum women with their transition to mothering. In a climate of the mother/ child dyad and family support programming, where most programs for mothers focus on the child or on the physiological changes mothers may be experiencing, Coping with Change offers a different perspective based on the feminist philosophy that mothers are at the centre of care, and that shifts in social expectations and relational pressures are as equally important to physical changes in understanding women’s transition to motherhood. Drawing on a detailed evaluation of the Program, this article illustrates how Coping with Change successfully integrates the practices of feminist consciousness raising and feminist praxis during the “teachable moments” when postpartum women are wondering about the normalcy of their feelings as mothers. More specifically, the piece discusses how the feminist practice of speaking collectively helps to normalise women’s experiences, encourages them to recognise and acknowledge their strengths as mothers, and to identify when their experiences may require further attention. It also concretely illustrates the success of feminist praxis in the cognitive shift participants have in their understanding of postpartum emotional adjustments as a continuum rather than as a singular medicalised view of postpartum depression and the use of this shift by practitioners in their work with postpartum mothers.","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"29 1","pages":"377 - 377"},"PeriodicalIF":0.0,"publicationDate":"2004-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70567247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-01-01DOI: 10.1016/B978-0-12-373932-2.00112-5
Ramakrishna Hk
{"title":"Evidence-based medicine.","authors":"Ramakrishna Hk","doi":"10.1016/B978-0-12-373932-2.00112-5","DOIUrl":"https://doi.org/10.1016/B978-0-12-373932-2.00112-5","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"32 1","pages":"217-225"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54049906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2001-04-01DOI: 10.1136/adc.84.suppl_1.A53
D. Blake
Chapter 31 gives an overview of rheumatology, the study of rheumatic conditions which can involve the joints, soft tissues, and bones and also comprises connective tissue disorders, vasculitides, and a number of autoimmune conditions. The chapter outlines patterns of rheumatological disease (e.g. mono-, oligo-, and polyarthropathies), symmetrical versus asymmetrical presentations of disease, and explains how to try and differentiate between inflammatory and non-inflammatory disorders. The chapter provides information on common drug treatments, including dangerous side effects from improperly prescribed methotrexate. Advice is given on history taking and detailed hand examination, with clinical signs of rheumatoid arthritis: Swan neck deformity, Boutonniere’s deformity, Z deformity of thumb, Bouchard’s nodes (proximal interphalangeal joint), Heberden’s nodes (distal interphalangeal joint, first metacarpophalangeal joint), finger ulnar deviation (metacarpophalangeal joint), and wrist radial deviation and subluxation. The most common rheumatological disorders are discussed, including rheumatoid arthritis, spondyloarthropathy, ankylosing spondylitis, psoriatic arthritis, gout, and osteoporosis (including the ‘MESSAGE’ mnemonic for osteoporosis risk factors). The Chapel Hill classification for vasculitides is also covered.
{"title":"Rheumatology","authors":"D. Blake","doi":"10.1136/adc.84.suppl_1.A53","DOIUrl":"https://doi.org/10.1136/adc.84.suppl_1.A53","url":null,"abstract":"Chapter 31 gives an overview of rheumatology, the study of rheumatic conditions which can involve the joints, soft tissues, and bones and also comprises connective tissue disorders, vasculitides, and a number of autoimmune conditions. The chapter outlines patterns of rheumatological disease (e.g. mono-, oligo-, and polyarthropathies), symmetrical versus asymmetrical presentations of disease, and explains how to try and differentiate between inflammatory and non-inflammatory disorders. The chapter provides information on common drug treatments, including dangerous side effects from improperly prescribed methotrexate. Advice is given on history taking and detailed hand examination, with clinical signs of rheumatoid arthritis: Swan neck deformity, Boutonniere’s deformity, Z deformity of thumb, Bouchard’s nodes (proximal interphalangeal joint), Heberden’s nodes (distal interphalangeal joint, first metacarpophalangeal joint), finger ulnar deviation (metacarpophalangeal joint), and wrist radial deviation and subluxation. The most common rheumatological disorders are discussed, including rheumatoid arthritis, spondyloarthropathy, ankylosing spondylitis, psoriatic arthritis, gout, and osteoporosis (including the ‘MESSAGE’ mnemonic for osteoporosis risk factors). The Chapel Hill classification for vasculitides is also covered.","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"29 1","pages":"64 - 64"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/adc.84.suppl_1.A53","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63777987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-11-01DOI: 10.1142/9789812813688_0069
B. Blumberg
{"title":"Complex interactions of hepatitis B virus with its host and environment","authors":"B. Blumberg","doi":"10.1142/9789812813688_0069","DOIUrl":"https://doi.org/10.1142/9789812813688_0069","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"1 1","pages":"617-626"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64049325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The brain-gut axis in health and disease.","authors":"J McLaughlin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"475-7"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/1e/jrcollphyslond146954-0067.PMC9665505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21902962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The mission of the Wellcome Trust is 'to promote and foster research with the aim of improving human and animal health'. In this paper the Director of the Wellcome Trust describes the organisation's history, its current position in the UK and international arenas, and the strategies the Trust will pursue in meeting its mission. This includes an explanation of the role of the Trust in enhancing the UK science base by focusing on support of knowledge creation, scientific careers, infrastructure and the translation of research from the laboratory to the clinic, and in promoting the public's appreciation of and confidence in science.
{"title":"The role of the Wellcome Trust in support of biomedical research.","authors":"T M Dexter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mission of the Wellcome Trust is 'to promote and foster research with the aim of improving human and animal health'. In this paper the Director of the Wellcome Trust describes the organisation's history, its current position in the UK and international arenas, and the strategies the Trust will pursue in meeting its mission. This includes an explanation of the role of the Trust in enhancing the UK science base by focusing on support of knowledge creation, scientific careers, infrastructure and the translation of research from the laboratory to the clinic, and in promoting the public's appreciation of and confidence in science.</p>","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"469-73"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/1b/jrcollphyslond146954-0061.PMC9665492.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21902965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multi-organ dysfunction in the critically ill: effects on different organs.","authors":"D Brealey, M Singer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"428-31"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/ba/jrcollphyslond146954-0020.PMC9665516.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunopathogenesis of severe sepsis.","authors":"M Noursadeghi, J Cohen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"432-6"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/7f/jrcollphyslond146954-0024.PMC9665511.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multi-organ dysfunction in the critically ill: epidemiology, pathophysiology and management.","authors":"D Brealey, M Singer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"424-7"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/05/jrcollphyslond146954-0016.PMC9665522.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The implications of the Human Rights Act 1998.","authors":"A Bijlani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76057,"journal":{"name":"Journal of the Royal College of Physicians of London","volume":"34 5","pages":"458-9"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/69/jrcollphyslond146954-0050.PMC9665515.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21903084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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