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Health care institutions, medical organizing, and physicians : a multilevel analysis /Barbour, Joshua Ben, January 2006 (has links)
Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 2006. / Source: Dissertation Abstracts International, Volume: 67-11, Section: A, page: 4036. Adviser: John C. Lammers. Includes bibliographical references (leaves 77-91) Available on microfilm from Pro Quest Information and Learning.
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Do media portrayals of drinking and sexual/romantic relationships shape teenagers' constructions of gendered identities?Hartley, Jane Elizabeth Katherine January 2011 (has links)
This study explores the possible influence of the media on teenagers’ constructions of gendered identities, with a specific focus on drinking alcohol and engaging in sexual/romantic relationships. Understanding the factors underlying alcohol consumption and sexual activity in this age group is an important public health priority. Teenagers in ‘western’ countries are drinking more alcohol than ever before and these drinking habits may be associated with risky behaviour, such as unprotected sex, and with morbidity and mortality. In comparison to other west European nations, the UK demonstrates a poor history of sexual health in teenagers, with the highest levels of teenage pregnancy and the second-highest level of abortions in women under the age of 20. Approximately half of all sexually transmitted infections diagnosed in the UK in 2009 were seen in the under-25s. Research also suggests that the mass media influence teenagers’ behaviours, including drinking alcohol and sexual practices. The question about the influence of the media is complex. There are two opposing theoretical positions which purport to explain the influence of the media: the 'media as powerful' versus the 'media audience as powerful'. This study adopts a theoretical approach which accommodates both of these: the 'influence of presumed media influence' theory (Milkie, 1999). A contentious issue is how the media is understood by teenagers to influence their alcohol consumption and their sexual/romantic relationships. This thesis has sought to address these issues by answering the following research questions: 1: Is the media integrated into the lives of teenage boys and girls? 2: How do teenagers’ understandings of gender-appropriate alcohol-use relate to media portrayals of alcohol use? 3: How do teenagers’ understandings of gender-appropriate engagement in sexual/romantic relationships relate to media portrayals of sexual/romantic relationships? 4: Is Milkie’s (1999) ‘influence of presumed media influence’ theory a useful way to understand the media’s position in teenagers’ lives, and specifically their understandings of gender-appropriate alcohol use, and of romantic and sexual relationships? 5: How are teenagers’ understandings of gender-appropriate behaviours with regards to drinking alcohol and sexual/romantic relationships used in the construction of their gendered identities? Fieldwork was conducted with teenagers aged 13-16 years, specifically in Edinburgh and in Ayrshire. The main sample comprised 25 semi-structured group discussions with 11 follow-up individual interviews, during which participants were asked to reflect on, and interpret, images from popular British television programmes that portrayed instances of alcohol use and sexual/romantic relationships. This method was intended both to prompt discussion on the process of media influence and to allow the participants to reflect on similar situations in their own lives. The research found that the mass media does shape teenagers’ perceptions and expectations of drinking alcohol and engaging in sexual/romantic relationships; and in doing so shapes their gendered identities. Importantly, the research confirmed Milkie’s ‘influence of presumed media influence’ theory that resolved the apparently incompatible ‘powerful media’ versus ‘powerful audience’ approaches to media influence. This suggests that media influence might be all the stronger for not being readily recognised or acknowledged as being influential. Media were more influential for teenagers’ understandings of gender-appropriate engagement in sexual/romantic relationships than they were for teenagers’ understandings of gender-appropriate drinking. The reason that media portrayals of drinking were considered to be only a minor influence among other stronger influences such as peers and family may be that these activities are more public. Sexual behaviour is less public therefore teenagers rely more on media to shape their images of what is considered to be appropriate behaviour. Sexual behaviour and drinking alcohol were intertwined. Many participants talked of how sexual negotiation and activities were often accompanied by drinking. Being drunk, or, importantly, pretending to be drunk, may be understood as a process that is useful for teenagers when trying out perceived gender-appropriate identities as they engage in their relationships. As with alcohol, romantic and sexual relationships are acted out in a particular way which is informed by discourses which specify gender-appropriate behaviour, attitudes and roles (and with the help of alcohol itself, which acts as a social ‘lubricant’) and in doing so is a component of the project of identity construction. The implication of this research is that existing concern about the influence of the media should be concentrated on the media portrayals of behaviours that are less public, such as sexual/romantic relationships, rather than media portrayals of behaviours that are more public, such as drinking alcohol.
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Lesbian identities and everyday space in contemporary urban RussiaStella, Francesca January 2009 (has links)
Within the social sciences, the extensive literature on homosexuality as a socio-cultural construct and on ‘queer’ identities and experiences generally focuses on Western European or Anglo-American societies. Sexuality and homosexuality remain relatively unexplored fields of enquiry within Russian studies, even if it is usually acknowledged that the complex transformations undergone by Russian society since the fall of the communist system have deeply affected sexual practices and attitudes to sex and sexuality. This thesis addresses a gap in the literature by exploring how ‘lesbian’ identities, broadly understood as encompassing the whole spectrum of LBT (lesbian, bisexual, transgender/transsexual) women’s sexualities, are (re)constructed and (re)negotiated in contemporary Russia. It draws on data generated through participant observation, ethnographic interviews with sixty-one queer-identified women, and expert interviews with activists in local community initiatives; ethnographic data is framed within a broader analysis of discourses on lesbianism in popular culture and the media. The thesis critically assesses the centrality of the ‘East/West’ binary in the existing literature on Russian sexualities. Rather than imposing Western-centric categories of identity, it explores women’s own identifications and the meanings they attach to them, framing them within shifting discourses on sexuality, gender and morality across the Soviet and post-Soviet period. The thesis also looks at how sexual identities are performed, negotiated and expressed across everyday contexts such as the home, the workplace, and the street. It interrogates women’s strategies of identity negotiation, highlighting the constraining effects of heteronormative and gendered notions of respectability, but also foregrounding the importance of individual agency. The thesis also maps ‘lesbian/queer’ space in the different urban settings of Moscow and provincial Ul’ianovsk. It explores how ‘lesbian/queer’ space is collectively carved out of the city landscape, while also examining the cultural practices and patterns of socialising attached to specific ‘lesbian’ settings; it also highlights the role of ‘lesbian/queer’ space in validating and performatively producing shared notions of non-heteronormative sexual identities.
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La science algérienne dans les années 1990 : une bibliométrique de la recherche universitaire à travers ses programmes, ses institutions et sa communauté universitaire de 1990 à 1999 / The Algerian science in the 1990s : a bibliometric study of the university research through its programs, institutions and university community from 1990 to 1999Yacine, Badiaa 12 May 2012 (has links)
L’objectif de ce travail est de contribuer à l’évaluation d’une politique publique : celle de l’Algérie en matière de recherche scientifique et technique. Nous nous limitons à l’espace de la recherche universitaire et à la période (troublée) de 1990-1999. La thèse s’inscrit dans le domaine de la sociologie des sciences. Le chapitre 1 souligne ce que nous devons aux études Mertoniennes (communautés scientifiques), à la révélation de "lois" de la production, et aux études sur les réseaux scientifiques. Nous empruntons aussi à la politique des sciences et de l’innovation. Le chapitre 2 spécifie le contexte Algérien, et les questions et procédures qu’il suggère. Au chapitre 3 nous exposons nos parti-pris méthodologiques (enquête directe : par questionnaire, et enquête indirecte : bibliométrique). Nous détaillons les outils utilisés. La 2° partie du travail (chapitres 4 à 7) expose les résultats. Le questionnaire aux chercheurs (chapitre 4), même décevant, a permis d’approcher leurs origines sociales et leurs pratiques professionnelles. La bibliométrie (chapitre 5) livre une vue d’ensemble de la production algérienne, de son évolution, de ses spécialités (bien particulières) et de son impact Nous entrons ensuite dans le détail de la répartition des capacités, par villes et par institutions. Le chapitre 6 est consacré à l’analyse des réseaux associant villes, institutions et co-auteurs nationaux ou internationaux. Il révèle quelques résultats des plus originaux. Le chapitre 7 enfin traite de la coopération scientifique internationale. L’ensemble de ces données nous permet d’ouvrir en conclusion une discussion sur la politique scientifique, passée et envisageable pour l’avenir. Le débat est ouvert : il n’est pas de solution universelle. / The objective of this work is to contribute to the assessment of a public policy: the one concerning Algerian scientific and technical research. We limit our study to the space of the academic research and to the troubled period of 1990-1999. The thesis is rooted in the field of the sociology of the sciences. The chapter 1 outlines what we owe to the Mertonian studies (scientific communities), the revelation of "laws" of the production (scientific productivity), and studies on the scientific networks. We also borrow from the literature dealing with science policies and with innovation. The Chapter 2 specifies the Algerian context, and which issues and procedures it suggests. In chapter 3 we present our methodological approach (direct survey through a questionnaire, and indirect approach through bibliometrics. We give a detailed description of the tools and software we have used. The 2nd part of the work (Chapters 4-7) present the results. The questionnaire to the researchers (chapter 4), even disappointing, allowed us to get a glimpse of their social origins and professional practices. The bibliometrics (chapter 5) allows us to get an overview of the Algerian production, its evolution, its specialties (very distinctive) and its impact. We then enter into the details of the distribution of capacities among cities and institutions. The chapter 6 is devoted to the analysis of the networks linking cities, institutions and national or international co-authors. It reveals some of the most original results. Finally, the chapter 7 deals with the international scientific cooperation. The set of these data allows us to open in conclusion a discussion on the scientific policies, past present and advisable for the future. The debate is open: for there is no universal solution.
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Workplace incivility in a large metropolitan healthcare organizationBrown, Kathryn 22 July 2014 (has links)
<p> Healthcare today is constantly transforming as hospital systems are challenged to maximize productivity and value. Factors such as occupational stress, difficult working conditions, unresolved conflict, lack of leadership, and increased complexity of healthcare foster disruptive and uncivil behavior and directly impact work performance, patient safety, and the physical well-being of those providing or supporting the care given to patients. The objectives of this study were to: 1. assess the prevalence of incivility within a large metropolitan healthcare organization, 2. determine differences in the frequency of incivility within select occupational groups, and 3. examine the relation between incivility and productivity, organizational commitment, job satisfaction, and workplace stress. The study was a cross-sectional, correlation design, using survey methodology. Data were collected from employees working in one organization consisting of an acute care facility, outpatient centers, and ambulatory locations. The study population included direct and non-direct patient care job categories and physicians.</p>
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Systems advocacy and the local long term care ombudsman program.Hollister, Brooke. January 2008 (has links)
Thesis (Ph.D.)--University of California, San Francisco, 2008. / Source: Dissertation Abstracts International, Volume: 69-09, Section: A, page: 3767. Adviser: Carroll L. Estes.
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Enacting molecular complexity : data and health in the metabonomics laboratoryLevin, Nadine S. January 2013 (has links)
In this dissertation, I examine how biological data practices enable researchers to interact with and enact biological life in statistical ways, and how this poses challenges to the use and integration of biological knowledge with clinical practices. Instead of considering data as a pre-existing cognitive representation of the world, I combine scholarship on the anthropology of science with scholarship from science and technology studies to consider data as a form of material practice. I consider, in other words, how data is intertwined with technologies, people, and values, such that data is used to make normative and naturalized claims about biology and disease. To explore the generation, interpretation, and use of biological data, I focus on the field of “metabonomics”—the post-genomic study of metabolism—as it is carried out within the Biomolecular Medicine Laboratory (BMM) at Imperial College London. In doing so, I examine how metabonomics researchers use biochemical techniques and multivariate statistics to investigate metabolism and disease. After providing an overview of the literature, central questions, and methodology that frame this dissertation, I examine how multivariate statistical practices are central to the historical identity and epistemic culture of metabonomics research at the BMM. From there, I demonstrate how multivariate statistics require and enable metabonomics to enact metabolism as an inherently complex entity. Consequently, I examine how researchers struggle to assign the categories of “normal” and “abnormal” to dynamic notions of metabolism and health. I then explore how the translation of metabonomics knowledge into clinical practices places value on multivariate forms and large volumes of information, eclipsing the importance of human interpretation and judgment. Finally, I examine how metabonomics research is used to develop personalized medicine, but in ways that make it difficult to address the health of individual patients.
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On secularisation : structural, institutional and cultural determinants shaping individual secularisationMüller, Tim Sven January 2012 (has links)
This thesis deals with the determinants and mechanisms of individual secularisation processes in a cross-national perspective. In this ‘collected volume’ of six stand-alone articles, I examine religious beliefs and behaviours as well as attitudes towards religion and politics, whereby the validity of the main theories of religious change (classical secularisation theory, existential security hypothesis, supply-side explanations, historical/cultural approaches and conflict theories) are put to an empirical test. The main conclusion is that the fundamental mechanisms suggested by secularisation theories are valid and that we can identify main determinants of religiosity worldwide. However, only a combination of existing approaches is capable of explaining a broad range of the phenomena observed. Chapter 1 (co-authored with Nan Dirk de Graaf and Peter Schmidt) deals with the fundamental mechanisms that facilitate the socialisation of religious beliefs. Under conditions of high inequality, religion acts as a source of social capital that benefits the religious socialisation of individuals outside of the family context. If levels of inequality fall, this ‘social value of religion’ is diminished and religious socialisation depends more strongly on parental efforts, thereby gradually leading to intergenerational secularisation. In Chapter 2 (co-authored with Anja Neundorf) we show that the state in Eastern Europe played a crucial role in de-establishing as well as re-establishing religious plausibility structures, which explains lower levels of religious belief in Cold War cohorts as well as the religious revival after the end of the Cold War. Chapters 3 and 4 examine the topic of religion and politics and the mechanisms behind the support for the 9/11 attacks in the Muslim world. Levels of existential security and income inequality have a strong impact on the preferences for religious politicians in a cross-sectional as well as in a longitudinal perspective. Moreover, religiosity and altruistic behaviour run the risk of being converted into pro-terrorist support under conditions of high levels of inequality and low development levels. The final two chapters show that –in a world-wide comparison development levels, inequality and the Socialist history of countries explain 75% of the variation in religiosity between countries. Furthermore, future developments in religious change will also be subject to changes in fertility. The main drivers of secularisation processes can be identified, but for the majority of the world population these conditions are not met at present, nor will they be met in the near future.
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A comparative study of volunteering and givingBennett, Matthew January 2013 (has links)
The main research question in this thesis explores why some people volunteer and give money compared to those that do not. The thesis builds on existing research that explains volunteering and giving, but is primarily concerned with showing how the social environment – or the context – in which people live can explain individual decisions to volunteer and give. This thesis answers three main research questions with this central theme in mind. First, how do the background characteristics of people explain whether they volunteer or give? Second, net of background characteristics of people, how does the social environment (context) that people live in explain volunteering and giving? Third, how do background characteristics of people and the social environment in which they live interact to explain volunteering and giving? Each of the four empirical chapters focuses on research questions that have received limited attention in the literature, while also utilizing relatively unique data, in relatively unique contexts. The main results of this study are as follows. Comparatively, the shared profile of a volunteer and charitable giver is someone who is middle aged, more educated, married, richer, healthier, and a religious service attendee. Contextual country characteristics also displayed an independent effect of these individual-level characteristics: religious diversity and belonging to a religious minority group was associated with a greater likelihood of volunteering, but are not associated with giving. Income inequality is associated with a decreased likelihood of volunteering and giving for respondents in developed countries, whereas the opposite is true for respondents in developing countries, supporting Wilkinson’s relative income hypothesis. A curvilinear relationship exists between national devoutness and volunteering, whereas a strong positive correlation exists between national devoutness and giving. Females are more likely to volunteer and give in societies that exhibit more gender equality; and the lower educated are more likely to volunteer in more educated societies, but that they are not more likely to give in these societies. There is no support for the idea that income disparities in volunteering and giving are exacerbated in more socially unequal societies. In England, there was no support for the idea that a stable residential area promotes volunteering and giving among adults, while neighbourhood deprivation and ethnic diversity were strong negative predictors of both behaviours. Among the youth demographic in England, religious diversity of schools is not associated with any form of civic engagement. Ethnic diversity is positively related to school extra curricular activities, but negatively with youth club participation. Youths attending private schools were more likely to take part in school-based extra-curriculars, but less likely to take part in out of school clubs and groups.
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Social mechanisms of tax behaviourIbarra Olivares, Rebeca January 2014 (has links)
The main goal of this thesis is to provide a sociologically informed analysis of tax avoidance and tax evasion in contemporary Mexico and Sweden, focusing particular attention on the explanatory role of social networks, social interactions, and positive feedback mechanisms. Two major data sources are used: (1) A panel dataset that includes all persons, 16 years or older, who resided in Stockholm County during at least one of the years 1990 to 2003 (N=1,967,993). The dataset includes detailed information on the socio-demographic characteristics, kinship networks, and criminal offences of these individuals; (2) A random sample of 36,949 firms that appeared in the Mexican Federal Register of Taxpayers for the year 2002. The records of the Mexican Federal Administrative Fiscal Tribunal provided data on all types of tax claims appealed before them during the 2002-2008 period. A variety of approaches and techniques are used such as agent-based simulation models, discrete time event history models, random effect logit models, and hierarchical linear models. These models are used to test different hypotheses related to the role of social networks, social interactions, and positive feedback mechanisms in explaining tax behaviour. There are five major empirical findings. (1) Networks seem to matter for individuals' tax behaviour because exposure to tax crimes of family members appears to increase a person’s likelihood of committing a tax crime. (2) Positive feedback mechanisms appear relevant because if a person commits a tax crime, it seems to increase the likelihood that the person will commit more tax crimes in the future. (3) Positive feedback mechanisms are also important for explaining corporate tax behaviour because a firm that has engaged in legal tax avoidance in the past appears to be more likely to engage in tax avoidance in the future. (4) Network effects are important in the corporate world because exposure to the tax avoidance of other firms increase the propensity of a firm to engage in tax avoidance. (5) Substitution effects between tax evasion and tax avoidance are likely to exist because when tax evasion becomes more prevalent in a firm’s environment, their likelihood of engaging in legal tax avoidance is lowered. The results underscore the importance of a sociological perspective on tax behaviour that takes into account social interactions and positive feedback mechanisms. In order to understand microscopic as well as macroscopic tax evasion patterns, the results presented in this thesis suggest that much more attention must be given to mechanisms through which taxation crimes breed more taxation crimes.
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