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Search Results: 1 - 10 of 1985 matches for " Lesley Andres "
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Ingrid Schoon and Rainer K. Silbereisen, eds., Transitions from School to Work: Globalization, Individualization, and Patterns of Diversity.
Lesley Andres
The Canadian Journal of Sociology , 2011,
Abstract: Book Review
The “New Doctorate” in Austria: Progress toward a Professional Model or Status Quo?
Hans Pechar,Gülay Ates,Lesley Andres
CEPS Journal : Center for Educational Policy Studies Journal , 2012,
Abstract: Until recently, both policy direction and public awareness of the Bologna Process has been focused almost unilaterally on the introduction of the Bachelor’s degree to European universities. This is understandable, as for most European countries, the Bachelor is a new academic degree. However, commencing with the Berlin Ministerial Conference (Realising the European Higher Education Area, 2003), reform of doctoral studies has been highlighted as a second equal pillar in the Bologna reform process. In this paper, we begin by providing an overview of the general policy background and the rationales that underlie the attempts to restructure doctoral studies in Europe. Next, we focus on the specific situation in Austria, where peculiarities of the status quo collide with uniquely Austrian approaches to reforming doctoral education. Finally, through two case studies, we examine initial attempts – and related challenges – to implement the “New Doctorate” in Austria.
Psychosocial aspects of risk appraisal
Lesley Fallowfield
Breast Cancer Research , 2008, DOI: 10.1186/bcr2174
Abstract: Research shows that innumeracy affects both sexes and that most lay populations lack the minimal skills needed to interpret health education materials. Surprisingly, this is not just a matter of education, because even among educated samples fewer than half were able to convert a proportion such as 1:1,000 to a percentage (0.1%) and only 70% could convert 20/100 into a percentage [1].There is a vast difference between the estimated magnitude of certain risks, perceptions, interpretations, acceptance of these and subsequent behaviours. Telling an individual that they have a risk of 1.3 in 10,000 compared with a general population risk of 1 in 10,000 does not concern most people, whereas saying that they have a 30% greater risk than the average person of succumbing to a disease is perceived as very risky, even though both statements are the same. A further difficulty for lay populations is that inherently probabilistic risk information is often converted into definitive or declarative statements that can influence decision making about screening or treatment.Many of the new treatments for breast cancer can look much better than the standard therapy, depending on how they are described. A 50% reduction in recurrence is not so impressive when it is pointed out that this only applies to the 5% who actually stood to gain any benefit from the drug. Absolute and relative risks are extremely difficult for patients to grasp. Even more troubling is the fact that many health care professionals themselves find the differences between absolute and relative risks difficult to understand and explain [2].We like to think that before making a decision about any form of treatment or screening women will first assemble all of the possible information provided by doctors, specialist nurses and others, consider these and make an option appraisal of the costs and benefits, and finally make a rational choice. However, many factors will influence this, including the personality characterist
Psychosocial controversies in breast cancer
Lesley Fallowfield
Breast Cancer Research , 2007, DOI: 10.1186/bcr1800
Abstract: Breast cancer advocacy groups worldwide have put breast cancer very firmly on the political agenda. Their lobbying has undoubtedly led to better quality breast cancer care, which is a model envied by those working in other tumour sites. Some providers of cancer services feel that breast cancer patients, because of their high profile, relentless activity and celebrity supporters, may be getting more of the health care budget than is fair.Patient representatives now play a formal role on most clinical trial steering committees. In the past their role was often tolerated rather than welcomed, but some have earned their place at the table by making valuable contributions to discussions not only about patient information sheets but also about the likely feasibility that a trial and its subprotocols will be acceptable to other patients. As these individuals and the groups supporting them have become more powerful, they have also demanded a greater say in the type of research that is conducted. Because it is often charitable groups that raise much of the money to pay for research, it seems only reasonable that they should have a say in what research is done; this is leading to tensions, particularly among basic, blue skies researchers who feel that the complexity and potential utility of their type of work is unfathomable and unattractive to laypeople compared with, say, supportive care research looking at pain relief or massage therapy.Although new systemic treatments for breast cancer have improved the outlook for patients in terms of disease-free and overall survival, many women will experience side effects that are often underestimated and consequently under-treated. In adjuvant treatment for early breast cancer, many women who have already successfully been treated with surgery and radiotherapy have chemotherapy or hormone therapy, from which they will derive no further benefit and merely iatrogenic harms. This can affect adherence and, if side effects are not dealt w
Why patient recorded outcomes should be mandatory in and outside clinical trials to guide management of patients with metastatic breast cancer
Lesley Fallowfield
Breast Cancer Research , 2007, DOI: 10.1186/bcr1805
Abstract: Patient well being, length of life and QoL must always be the main factors that influence decisions about treatment; however, the accuracy and reliability of clinicians' assessments of well being and QoL in busy clinics is questionable. I have referred above to the difficulty oncologists have in detecting psychological morbidity; some might argue that they are trained in cancer medicine not psychiatry, but how reliable is their detection of other cancer treatment related problems that might influence a patient's well being? Studies show that monitoring of other troubling treatment-related side effects and symptoms is also rather poor when patient recorded outcomes are compared with those recorded by physicians. Observation of oncologists working in busy clinics shows that the manner in which adverse events and side effects are recorded is not especially reliable. For example, even within the relatively tightly controlled setting of a clinical trial, the sensitivity and specificity of the detection of common chemotherapy side effects are unacceptably low [15]. Several other studies have examined the lack of congruence between patient and physician recording of side effects that have an impact on QoL; many are either underestimated or unrecognized altogether by clinicians [16-18]. This is serious because accurate recognition of bothersome side effects could influence the initiation, continuation, change, or termination of therapy, and may prompt timely instigation of other supportive and ameliorative interventions. Information from patient self-report questionnaires may provide a different viewpoint about tolerability and toxicity that is not always recognized as important by health care professionals, and accumulation and discussion of such information enables patients to make more informed choices regarding their treatment options. Some of the side-effects of treatment, especially vasomotor complaints, affect adherence to treatment even in women with advanced diseas
Disorder and Everyday Life in Barrancabermeja
Gill,Lesley;
Colombia Internacional , 2011,
Abstract: this article examines how years of political violence and neoliberal restructuring have disorganized social life in barrancabermeja. how, it asks, can working people grasp the future without the stability to understand the present and the ways that it both emerges and is different from the past? it explores how an extreme form of neoliberalism fragmented various forms of social solidarity, infused social life with fear, and generated violent, clientelistic networks that flourished in the absence of rights. it argues that unrestrained power and violence deprived people of the coherence needed to take care of themselves and to grasp the connections between the past, present, and future that are necessary "to make history."
Allotment Gardens: A Reflection of History, Heritage, Community and Self
Lesley Acton
Papers from the Institute of Archaeology , 2011, DOI: 10.5334/pia.379
Abstract: Allotments are small parcels of rented land, in rural and urban locations, used for growing fruits and vegetables for personal consumption. The demand for allotments and their availability have changed over time. In this article, I focus on the reasons for the changing demand and the motivation behind taking up this activity. In so doing, I refute the long held assumption that allotmenteering was taken up primarily for economic reasons. Instead, I show that while allotments have at various times been used for the alleviation of hunger, it is the social aspect of this hobby that primarily motivates most plot holders. Accordingly, I show the various ways in which allotments are valued both by the individual and the collective, including as part of our history and cultural heritage.
Strength Together: A Cooperative Venture into the World of French Resources
Lesley Doell
Partnership : the Canadian Journal of Library and Information Practice and Research , 2008,
Abstract: School boards, a regional college, a regional library system and a public library collaborated on a project with matching funds from the federal government resulting in increased access to French materials for public library patrons and teachers.
Risiko: Das Sexualverhalten weiblicher Jugendlicher Young Women, Sexual Behaviour and Sexual Decision-Making Riesgo: Mujeres jóvenes y toma de decisiones sexuales
Lesley Hoggart
Forum : Qualitative Social Research , 2006,
Abstract: Der vorliegende Beitrag untersucht das Sexualverhalten weiblicher Jugendlicher – genauer: das Problem von Teenagerschwangerschaften – vor dem Hintergrund der Politik von New Labour. Die vom Premieminister am Kanzleramt (Cabinet Office) 1997 eingerichtete "Social Exclusion Unit" versuchte 1999 zu ergründen, warum Gro britannien im europ ischen Vergleich die h chste Rate an Teenagerschwangerschaften aufzuweisen hat (SEU 1999). Eine der zentralen Einsichten war, dass Jugendliche in Gro britannien beim Geschlechtsverkehr vergleichsweise hohe Risiken eingehen. Zwar entwickelte New Labour seitdem Programme, um Jugendliche über unsichere Sexualpraktiken aufzukl ren. Es besteht jedoch eine Spannung zwischen der Gesundheitspolitik und dem Gesamtziel, Jugendliche mit dem Wissen und dem Selbstbewu tsein für sichere Sexualpraktiken zu versorgen einerseits und einer verbreiteten generellen Unerwünschtheit von Sex bei Minderj hrigen andererseits. Diese Spannung geht auf eine grunds tzliche Uneinigkeit zurück, die in den 1980er und 1990er Jahren besonders deutlich wurde. Einige Organisationen, die gegen Sexualerziehung und die Versorgung von Jugendlichen mit Verhütungsmitteln argumentierten, gingen davon aus, dass solche Ma nahmen zu Promiskuit t und riskantem Verhalten verleiten würden. Der Beitrag zeigt die unterschiedlichen Bedeutungen von Risiko und Verantwortung in den Selbstdarstellungen weiblicher Jungendlicher und junger Mütter zu ihrem Sexualverhalten. Er greift dazu auf zwei Forschungsprojekte zu weiblichen Jugendlichen, Sex und Entscheidungen zurück. URN: urn:nbn:de:0114-fqs0601283 This paper considers young people's sexual decision-making in the context of New Labour's policies on teenage pregnancy. In 1999, the newly formed Social Exclusion Unit sought to understand why the UK had the highest number of teenage conceptions in Europe (SEU 1999). One of the conclusions was that young people in the UK are engaging in "risky" rather than "safe" sex. Although New Labour has since developed policies designed to help young people avoid what is seen as risky sexual activity, there is a tension in sexual health policy between the overall aim of providing young people with the knowledge and confidence to practice "safe sex", and an underlying belief amongst many in the undesirability of "underage sex". This is partly a legacy of disagreements evident in the 1980s and 1990s when some organisations argued against sex education and contraceptive provision for young people on the grounds that it encouraged promiscuous and risky behaviour. The paper shows how alternative
Engaging students with ADHD in mainstream education: lessons from children, parents and teachers.
Lesley Hughes
International Journal of Emotional Education , 2009,
Abstract: The move towards inclusive education in the UK (DfEE, 1997; DfE, 2004), and more recently integrated working (DfEE 2003), has resulted in the development of a national framework calling for a change to the way organizations meet the needs of children. The Children Act (DfEE 2004a) provides the legal framework to legislate for these changes at national and local levels, and local service providers are required to work in partnership to provide a coordinated and coherent system of support aligned to the child's evolving needs. This paper reports on empirical findings taken from interviews with children with ADHD, their teachers and parents, to highlight what they perceive to be effective in providing support for the children in their learning environment. Examples are drawn from environmental, personal, organizational and structural factors that are believed to influence the children's behaviour. Suggestions are made over areas that need to be considered when setting up integrated services and how these can influence effective support for children.
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