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Health Management in the Age of the InternetBerg, Kristen Andrea 29 August 2011 (has links)
This study examines the way people use online resources within their personal healthcare practices to better understand how individuals manage their health issues in the age of the Internet. It specifically addresses the extent to which the Internet is used as an information database and associated patterns of use, whether the Internet represents a source of support or enables a supportive encounter and the implications of using the Internet as part of the health management across relationships with medical professionals and oneself.
Using a sequential mixed methods design, the data was gathered within a larger multidisciplinary research project conducted in East York, Ontario. An initial quantitative analysis of 350 surveys describes Internet usage. The qualitative analysis of the 86 follow-up interviews of people recounting their personal health management processes demonstrated the importance of social networks, subjective health status and Internet user-style.
The facile ability to engage with health information is transforming definitions and experiences of health and relationships with medical professionals. Examining medical encounters mindful of the aspects of trust, power, knowledge and privilege reveals an evolution to the doctor-patient relationship brought about by both information and personal empowerment.
Using the Internet reinforces primary relationships and points to the development of new relationships that are sought at moments of meaningful life events or circumstances. New types of connections are being built across the Internet based on shared experiences, health concerns and health identities. Applying Actor Network Theory furthers an understanding of how search engines and online resources can emerge as actors in health information seeking and health management processes.
Internet use is now a part of everyday life and is no longer limited to affluent early adopters as the gaps between those with access diminish in urban Canada. While its use is becoming intrinsically linked to health management it is not a panacea for improving health outcomes. As the populations’ collective health knowledge increases, so does the presumption that health management is a personal imperative. This notion that the achievement of good health is an individual responsibility or the theory of Healthism, frames the interpretation of the large percentage of the sample indicating they are striving to become healthier.
Social workers need to acknowledge the place of the Internet within its practice and to balance the emphasis on individualized health management with the perspective that health outcomes reflect community mores. It is important for social workers to treat the Internet as a medium of relationships and for social workers to become knowledgeable about what these connections can provide in terms of support and information and what the limitations and risks of these relationships can be.
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Making Crime TV: Producing Fictional Representations of Crime for Canadian TelevisionLam, Anita Yuen-Fai 19 January 2012 (has links)
Criminologists and sociolegal scholars have become increasingly interested in studying media representations of crime in popular culture. They have studied representations using content analyses, often examining their “accuracy” against academic research. Alternatively, these scholars have also studied media effects. In contrast to these studies, I focus on the television production process of making entertaining, dramatic representations of crime. In doing so, I empirically address the following research question: how do TV writers know about crime, and how do they transform that knowledge into fictional representations? I answer this question using a triangulation of methods to gather data – specifically, ethnography, archival research, and interviews with writers and producers – and through the juxtaposition of several case studies. My case studies include the following Canadian crime television programs: 1) the police drama 'The Bridge,' 2) an original Canadian drama about insurance fraud, 'Cra$h and Burn,' and 3) crime docudramas, such as 'F2: Forensic Factor' and 'Exhibit A: Secrets of Forensic Science.'
Taking cues from Bruno Latour’s actor-network theory, I focus on the site-specific, concrete, dynamic processes through which each television production makes fiction. I conceive of the writers’ room as a laboratory that creates representations through collaborative action and trial and error. This research demonstrates that, during the production process, representations of crime are unstable, constantly in flux as various creative and legal entities compel their revision. Legal entities, such as Errors and Omissions insurance and broadcasters’ Standards and Practices, regulate the content and form of representations of crime prior to their airing. My findings also reveal the contingency of (commercial) success, the heterogeneity of people who make up television production staff, and the piecemeal state of knowledge that circulates between producers, network executives and writers.
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Imagining the Internet and Making it Governable: Canadian Law and RegulationMopas, Michael S. 25 September 2009 (has links)
This dissertation builds upon the existing body of criminological and socio-legal literature on Internet governance by looking at how this technology and its use are regulated in Canada. Rather than focusing on the regulation of specific web-based activities (e.g., illegal downloading, child luring, etc.) or the control of certain types of online content (e.g., hate speech, pornography, etc.), the dissertation considers the ways that regulatory bodies have responded to the emergence of this new medium.
Three specific agencies involved in the governing of the Internet are studied in detail: The Canadian Radio-television and Telecommunications Commission (CRTC), the Media Awareness Network (MNet) and the courts. Using a variety of theoretical and conceptual tools taken from both governmentality studies and Actor-Network Theory (ANT), the dissertation empirically documents how these agencies imagine the Internet and make it governable. Instead of searching for global accounts that look to either Society or Technology as a source of explanation for why the technology is governed in a particular fashion, this project examines how certain knowledges about the Internet and its regulation get produced in the first place. Attention is paid here to how these agencies initially problematize the Internet, the kinds of regulatory strategies and practices that have emerged and the general impact this has had for our understanding of the Internet and the way in which it should be governed.
In keeping with the constructivist tradition in the field of Science and Technology Studies (S&TS), the dissertation approaches the regulation of the Internet as a site where the very nature of this technology – in terms of what it does, how it can be used and whether or not it can or should be regulated – gets invented and reinvented. However, rather than bracketing the building of the Internet from its governance, these processes are seen as mutually constitutive whereby the technology must be made governable in order to be governed. Consequently, given the many different and often competing visions about the Internet, the version that gets accepted (at least, momentarily) is shown to be crucial for how the technology is eventually received.
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Health Management in the Age of the InternetBerg, Kristen Andrea 29 August 2011 (has links)
This study examines the way people use online resources within their personal healthcare practices to better understand how individuals manage their health issues in the age of the Internet. It specifically addresses the extent to which the Internet is used as an information database and associated patterns of use, whether the Internet represents a source of support or enables a supportive encounter and the implications of using the Internet as part of the health management across relationships with medical professionals and oneself.
Using a sequential mixed methods design, the data was gathered within a larger multidisciplinary research project conducted in East York, Ontario. An initial quantitative analysis of 350 surveys describes Internet usage. The qualitative analysis of the 86 follow-up interviews of people recounting their personal health management processes demonstrated the importance of social networks, subjective health status and Internet user-style.
The facile ability to engage with health information is transforming definitions and experiences of health and relationships with medical professionals. Examining medical encounters mindful of the aspects of trust, power, knowledge and privilege reveals an evolution to the doctor-patient relationship brought about by both information and personal empowerment.
Using the Internet reinforces primary relationships and points to the development of new relationships that are sought at moments of meaningful life events or circumstances. New types of connections are being built across the Internet based on shared experiences, health concerns and health identities. Applying Actor Network Theory furthers an understanding of how search engines and online resources can emerge as actors in health information seeking and health management processes.
Internet use is now a part of everyday life and is no longer limited to affluent early adopters as the gaps between those with access diminish in urban Canada. While its use is becoming intrinsically linked to health management it is not a panacea for improving health outcomes. As the populations’ collective health knowledge increases, so does the presumption that health management is a personal imperative. This notion that the achievement of good health is an individual responsibility or the theory of Healthism, frames the interpretation of the large percentage of the sample indicating they are striving to become healthier.
Social workers need to acknowledge the place of the Internet within its practice and to balance the emphasis on individualized health management with the perspective that health outcomes reflect community mores. It is important for social workers to treat the Internet as a medium of relationships and for social workers to become knowledgeable about what these connections can provide in terms of support and information and what the limitations and risks of these relationships can be.
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Making Crime TV: Producing Fictional Representations of Crime for Canadian TelevisionLam, Anita Yuen-Fai 19 January 2012 (has links)
Criminologists and sociolegal scholars have become increasingly interested in studying media representations of crime in popular culture. They have studied representations using content analyses, often examining their “accuracy” against academic research. Alternatively, these scholars have also studied media effects. In contrast to these studies, I focus on the television production process of making entertaining, dramatic representations of crime. In doing so, I empirically address the following research question: how do TV writers know about crime, and how do they transform that knowledge into fictional representations? I answer this question using a triangulation of methods to gather data – specifically, ethnography, archival research, and interviews with writers and producers – and through the juxtaposition of several case studies. My case studies include the following Canadian crime television programs: 1) the police drama 'The Bridge,' 2) an original Canadian drama about insurance fraud, 'Cra$h and Burn,' and 3) crime docudramas, such as 'F2: Forensic Factor' and 'Exhibit A: Secrets of Forensic Science.'
Taking cues from Bruno Latour’s actor-network theory, I focus on the site-specific, concrete, dynamic processes through which each television production makes fiction. I conceive of the writers’ room as a laboratory that creates representations through collaborative action and trial and error. This research demonstrates that, during the production process, representations of crime are unstable, constantly in flux as various creative and legal entities compel their revision. Legal entities, such as Errors and Omissions insurance and broadcasters’ Standards and Practices, regulate the content and form of representations of crime prior to their airing. My findings also reveal the contingency of (commercial) success, the heterogeneity of people who make up television production staff, and the piecemeal state of knowledge that circulates between producers, network executives and writers.
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Analyzing Nursing as a Dispositif : Healing and Devastation in the Name of Biopower. A Historical, Biopolitical Analysis of Psychiatric Nursing Care under the Nazi Regime, 1933-1945Foth, Thomas 05 October 2011 (has links)
Under the Nazi regime in Germany (1933-1945) a calculated killing of chronic “mentally ill” patients took place that was part of a large biopolitical program using well-established, contemporary scientific standards on the understanding of eugenics. Nearly 300,000 patients were assassinated during this period. Nurses executed this program through their everyday practice. However, suspicions have been raised that psychiatric patients were already assassinated before and after the Nazi regime, suggesting that the motives for these killings must be investigated within psychiatric practice itself. My research aims to highlight the mechanisms and scientific discourses in place that allowed nurses to perceive patients as unworthy of life, and thus able to be killed.
Using Foucauldian concepts of “biopower” and “State racism,” this discourse analysis is carried out on several levels. First, it analyzes nursing notes in one specific patient record and interprets them in relation to the kinds of scientific discourses that are identified, for example, in nursing journals between 1900 and 1945. Second, it argues that records are not static but rather produce certain effects; they are “performative” because they are active agents. Psychiatry, with its need to make patients completely visible and its desire to maintain its dominance in the psychiatric field, requires the utilization of writing in order to register everything that happens to individuals, everything they do and everything they talk about. Furthermore, writing enables nurses to pass along information from the “bottom-up,” and written documents allow all information to be accessible at any time. It is a method of centralizing information and of coordinating different levels within disciplinary systems. By following this approach it is possible to demonstrate that the production of meaning within nurses’ notes is not based on the intentionality of the writer but rather depends on discursive patterns constructed by contemporary scientific discourses. Using a form of “institutional ethnography,” the study analyzes documents as “inscriptions” that actively interven in interactions in institutions and that create a specific reality on their own accord. The question is not whether the reality represented within the documents is true, but rather how documents worked in institutions and what their effects were. Third, the study demonstrates how nurses were actively involved in the construction of patients’ identities and how these “documentary identities” led to the death of thousands of humans whose lives were considered to be “unworthy lives.”
Documents are able to constitute the identities of psychiatric patients and, conversely, are able to deconstruct them. The result of de-subjectification was that “zones for the unliving” existed in psychiatric hospitals long before the Nazi regime and within these zones, patients were exposed to an increased risk of death. An analysis of the nursing notes highlights that nurses played a decisive role in constructing these “zones” and had an important strategic function in them. Psychiatric hospitals became spaces where patients were reduced to a “bare life;” these spaces were comparable with the concentration camps of the Holocaust.
This analysis enables the integration of nursing practices under National Socialism into the history of modernity. Nursing under Nazism was not simply a relapse into barbarism; Nazi exclusionary practices were extreme variants of scientific, social, and political exclusionary practices that were already in place. Different types of power are identifiable in the Nazi regime, even those that Foucault called “technologies of the self” were demonstrated, for example, by the denunciation of “disabled persons” by nurses. Nurses themselves were able to employ techniques of power in the Nazi regime.
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På gränsen mellan ordning och oordning - artefakternas betydelse vid marknadsombildningar : en studie av den svenska postmarknadens ombildningMattsson, Susanna January 2004 (has links)
Marknadiseringen av det svenska postväsendet iscensattes genom en omregleringsprocess i början av 1990-talet. Det visade sig snart att en rad problem uppstod när det gällde att skapa villkor för en fungerande konkurrens på lika villkor mellan Posten och övriga aktörer. Några av dessa problem avsåg postboxsystemet, postnummersystemet och Postens prissättningssystem. Dessa blev föremål för myndigheters och andra aktörers ansträngningar att via omreglering och regeltillämpning påverka förutsättningarna för övergång från statligt monopol till fungerande marknad när det gäller brevförmedling. I boken beskrivs och analyseras marknadiseringen som en konstruktionsprocess som inte bara sätts igång genom en inledande regelförändring utan som kontinuerligt kräver insatser avseende regeltillämpning och omreglering. Bland de myndigheter som involveras är Sveriges Regering och Riksdag, Konkurrensverket, Stockholms Tingsrätt, Marknadsdomstolen och Post- och Telestyrelsen. I avhandlingen används den s.k. aktör-nätverksansatsen (ANT, Actor Network Theory) som analysmetod. Särskild hänsyn tas i ANT till den roll som artefakter, och i vilka sammanhang de är inkopplade, har för sociala förändringar i vidsträckt mening. Studien visar hur de ovannämnda artefakterna, dvs. postboxsystemet, postnummersystemet och Postens prissättningssystem rekonfigureras genom normeringspraktiken men också att det är svårt att åstadkomma en stabil ordning. / Diss. Stockholm : Handelshögskolan, 2004
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Network Externalities in Developing EconomicsComola, Margherita 11 June 2008 (has links)
Esta tesis consta de tres ensayos basados en microeconometria, teoria de redes y desarrollo económico. En los primeros dos me focalizo en paises en desarrollo (Tanzania y Nepal respectivamente) por estudiar como los habitantes de zonas rurales forman redes sociales, y cómo la existencia de estos lazos informales afecta su bienestar. El tercer ensayo se centra en el comercio internacional de armas e investiga si la orientación política del gobierno tiene un impacto sobre la politica de exportacion de armamentos. / This thesis contains three essays on microeconometrics, networks and economic development. In the first two essays I focus on developing country settings (Tanzania and Nepal respectively) to study how rural villagers form their social networks, and how the existence of these informal links impacts their welfare. The third essay focuses on the international trade of weapons to investigate whether the political orientation of government in power makes any difference to arms export policy.
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Success factors for new business start-up in Hong Kong: a study of the external networks of small business start-upMa, Victor Kee Kin January 2009 (has links)
Most small new firms face problems in surviving the gestation process and achieving a viable performance thereafter because of the very fact of their smallness and newness. Due to a lack of internal resources, entrepreneurs of small new firms find it necessary to seek resources from outside the firm through their external social network. The theory of social capital that prescribes valuable resources are embedded in social relations is, thus, particularly relevant to the small business start-up situation. The embedded resources within an external network are hypothesized to have a positive impact on the business performance of these new firms. The main objective of the present study is to empirically investigate the impact of external networks, and in particular the initial social network of entrepreneurs, to the success of small firm start-up in Hong Kong. The second objective is to determine whether there is any interaction effect of the entrepreneur’s networking capability with the external network structure on the start-up success of small Hong Kong firms. / To carry out the research, this study offers a conceptual model linking initial network start-up success to initial network structure of start-up, and including an interaction effect from the entrepreneur’s networking capability. The study operationalizes social capital in four types of network constructs: network size, trustworthiness, network support and network diversity. A series of hypotheses relating to these four dimensions asserting external network determinants of the start-up success of small firms is posited. Other hypotheses which assert the interaction effect between an entrepreneur’s networking capability and the initial network structure on the success of small firm start-up, are also posited. A field survey, administered to 1,000 small Hong Kong firms of various industries, is used to gather the data. The questionnaire survey was developed in two languages – Chinese and English – to ensure a good level of understanding in the bilingual business environment of Hong Kong. Of the 1,000 questionnaires dispatched, a final sample of 89 small firms was used to empirically test the hypotheses using multiple regression analysis and multiple hierarchical regression analysis. Control variables such as entrepreneurs’ experiences and education prior to the firm start-up are included. / Empirical results indicate that the verification of social capital theory’s prescription for start-up success cannot be supported unequivocally. The results suggest that some initial network conditions such as initial size of strong tie network, network support and network diversity are positively associated with some measures of start-up success, but trustworthiness of network ties and the size of weak tie network do not figure among them. No evidence is found to support that entrepreneurs’ networking capability can positively enhance the effect of the initial network structure on start-up success. Overall, the study raises some questions on the positive linear relationship of certain operationalized constructs such as network size and trustworthiness of social capital with start-up success. Following the findings of this research, future studies may choose to further investigate social capital theory on small start-up success by refining the operationalization of social capital, and verify other interaction effects of entrepreneurs’ networking capabilities.
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A Hubterranean View of Syntax: An Analysis of Linguistic Form through Network TheoryJulie Louise Steele Unknown Date (has links)
Language is part of nature, and as such, certain general principles that generate the form of natural systems, will also create the patterns found within linguistic form. Since network theory is one of the best theoretical frameworks for extracting general principles from diverse systems, this thesis examines how a network perspective can shed light on the characteristics and the learning of syntax. It is demonstrated that two word co-occurrence networks constructed from adult and child speech (BNC World Edition 2001; Sachs 1983; MacWhinney 2000a) exhibit three non-atomic syntactic primitives namely, the truncated power law distributions of frequency, degree and the link length between two nodes (the link representing a precedence relation). Since a power law distribution of link lengths characterises a hubterranean structure (Kasturirangan 1999) i.e. a structure that has a few highly connected nodes and many poorly connected nodes, both the adult and the child word co-occurrence networks exhibit hubterranean structure. This structure is formed by an optimisation process that minimises the link length whilst maximising connectivity (Mathias & Gopal 2001 a&b). The link length in a word co-occurrence network is the storage cost of representing two adjacently co-occurring words and is inversely proportion to the transitional probability (TP) of the word pair. Adjacent words that co-occur often together i.e. have a high TP, exhibit a high cohesion and tend to form chunks. These chunks are a cost effective method of storing representations. Thus, on this view, the (multi-) power law of link lengths represents the distribution of storage costs or cohesions within adjacent words. Such cohesions form groupings of linguistic form known as syntactic constituents. Thus, syntactic constituency is not specific to language and is a property derived from the optimisation of the network. In keeping with other systems generated by a cost constraint on the link length, it is demonstrated that both the child and adult word co-occurrence networks are not hierarchically organised in terms of degree distribution (Ravasz and Barabási 2003:1). Furthermore, both networks are disassortative, and in line with other disassortative networks, there is a correlation between degree and betweenness centrality (BC) values (Goh, Kahng and Kim 2003). In agreement with scale free networks (Goh, Oh, Jeong, Kahng and Kim 2002), the BC values in both networks follow a power law distribution. In this thesis, a motif analysis of the two word co-occurrence networks is a richly detailed (non-functional) distributional analysis and reveals that the adult and child significance profiles for triad subgraphs correlate closely. Furthermore, the most significant 4-node motifs in the adult network are also the most significant in the child network. Utilising this non-functional distributional analysis in a word co-occurrence network, it is argued that the notion of a general syntactic category is not evidenced and as such is inadmissible. Thus, non-general or construction-specific categories are preferred (in line with Croft 2001). Function words tend to be the hub words of the network (see Ferrer i Cancho and Solé 2001a), being defined and therefore identified by their high type and token frequency. These properties are useful for identifying syntactic categories since function words are traditionally associated with particular syntactic categories (see Cann 2000). Consequently, a function word and thus a syntactic category may be identified by the interception of the frequency and degree power laws with their truncated tails. As a given syntactic category captures the type of words that may co-occur with the function word, the category then encourages consistency within the functional patterns in the network and re-enforces the network’s (near-) optimised state. Syntax then, on this view, is both a navigator, manoeuvring through the ever varying sea of linguistic form and a guide, forging an uncharted course through novel expression. There is also evidence suggesting that the hubterranean structure is not only found in the word co-occurrence network, but within other theoretical syntactic levels. Factors affecting the choice of a verb that is generalised early relate to the formation and the characteristics of hubs. In that, the property of a high (token) frequency in combination with either a high degree (type frequency) or a low storage cost, point to certain verbs within the network and these highly ‘visible’ verbs tend to be generalised early (in line with Boyd and Goldberg forthcoming). Furthermore, the optimisation process that creates hubterranean structure is implicated in the verb-construction subpart network of the adult’s linguistic knowledge, the mapping of the constructions’ form-to-meaning pairings, the construction inventory size as well as certain strategies aiding first language learning and adult artificial language learning.
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