- Lemert investigated chronic stuttering among Inuits in Canada and argued it was caused by an overemphasis on ceremonial speech making. Failure to speak well caused shame and anxiety, which made minor speech issues worse and led to chronic stuttering. In other words, public labeling turned a minor problem into a major one.
- Lemert distinguished between primary deviance, which involves isolated, insignificant rule-breaking that is not publicly labeled, and secondary deviance, which involves further deviant acts after being publicly labeled as deviant. Being labeled can lead to stigmatization and the development of a deviant identity.
- Labeling theory suggests deviant identities are constructed through interactions between social control agents who apply labels
El constante ataque mediático vía la publicidad contribuye en gran medida a sexualizar a los pequeños. Desde principios de esta década surgieron expresiones, posturas y códigos de vestimenta para infantes, que por ser prematuros definieron el concepto hipersexualización.
Los niños aprenden a formarse como personas mediante la imitación. Por lo tanto, es esencial que tengan a su disposición modelos a imitar que no promuevan o faciliten la sexualización en edades tempranas
La psicología criminal y los trastornos de la personalidad.Itzah RB
La siguiente presentación da a conocer la importancia de la psicología criminal para analizar el comportamiento, sentimientos y entorno social del criminal, también el análisis de los trastornos de la personalidad y como este tipo de conducta se presenta en la mayoria de los individuos antisociales.
Eric Berne defined a stroke as the “fundamental unit of social action”. A stroke is a unit of recognition, when one person recognizes another person. A stroke Can be Physical, Verbal or Non-verbal; Could be A hand shake, A compliment or A nod of the head;Could also be “Hello”, “Go away!” or A dismissive wave of the hand. (All of these acknowledge that the other person exists.)
Berne defined certain socially dysfunctional behavioural patterns as "games." According to Berne, Games are “sets of ulterior transactions, repetitive in nature, with a well-defined psychological payoff.” These repetitive, devious transactions are principally intended to obtain strokes, but instead they reinforce negative feelings and self-concepts, and mask the direct expression of thoughts and emotions.
In his book Games People Play, which achieved wide popular success in the early 1960s, Berne describes a series of games and gave them instantly recognizable names as:
"Why Don't You, Yes But"
"Now I've Got You, You SOB"
"I'm Only Trying To Help You".
El constante ataque mediático vía la publicidad contribuye en gran medida a sexualizar a los pequeños. Desde principios de esta década surgieron expresiones, posturas y códigos de vestimenta para infantes, que por ser prematuros definieron el concepto hipersexualización.
Los niños aprenden a formarse como personas mediante la imitación. Por lo tanto, es esencial que tengan a su disposición modelos a imitar que no promuevan o faciliten la sexualización en edades tempranas
La psicología criminal y los trastornos de la personalidad.Itzah RB
La siguiente presentación da a conocer la importancia de la psicología criminal para analizar el comportamiento, sentimientos y entorno social del criminal, también el análisis de los trastornos de la personalidad y como este tipo de conducta se presenta en la mayoria de los individuos antisociales.
Eric Berne defined a stroke as the “fundamental unit of social action”. A stroke is a unit of recognition, when one person recognizes another person. A stroke Can be Physical, Verbal or Non-verbal; Could be A hand shake, A compliment or A nod of the head;Could also be “Hello”, “Go away!” or A dismissive wave of the hand. (All of these acknowledge that the other person exists.)
Berne defined certain socially dysfunctional behavioural patterns as "games." According to Berne, Games are “sets of ulterior transactions, repetitive in nature, with a well-defined psychological payoff.” These repetitive, devious transactions are principally intended to obtain strokes, but instead they reinforce negative feelings and self-concepts, and mask the direct expression of thoughts and emotions.
In his book Games People Play, which achieved wide popular success in the early 1960s, Berne describes a series of games and gave them instantly recognizable names as:
"Why Don't You, Yes But"
"Now I've Got You, You SOB"
"I'm Only Trying To Help You".
Social Construction Of Deviance And Crime
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
5. INUITS of Canada
• Lemert investigated the longstanding problem of
chronic stuttering or stammering among the Inuits
• He argued that this is caused by the overemphasis on
ceremonial speech making
• Failure to speak well is a source of shame and
humiliation
• Children with the slightest speech difficulty became
overanxious because of peer group and parental
expectation
• This anxiety made the situation worse and led to
chronic stuttering, in other words public labelling
turned a minor problem into a major one
6. Primary and secondary deviance
• Edwin Lemert (1972) makes the distinction between
primary and secondary deviance.
• Primary deviance refers to acts which have not been
publically labelled. Isolated, relatively insignificant
rule-breaking
• Secondary deviance refers to acts which have been
publically labelled as deviant and to the defiance
which is generated by this labelling. the construction
of deviant identity as a result of social REACTION to
the initial act.
7. LEMERT
Primary deviance
To Lemert it is pointless to seek the causes of
primary deviance because it is so widespread
that it is unlikely to have a single cause, and in
any case it is often trivial. For example fare
dodging which often goes unpunished.
Offenders often rationalise their wrong-doing
with justifications like ‘everyone else is doing
it’ or ‘I had a moment of madness’ or ‘laws
are there to be broken’.....
8. LEMERT
Primary deviance
Therefore acts of primary deviance have little
or no bearing on the individual’s status or self-
concept.
In essence primary deviants do not generally
see themselves as deviant.
9. LEMERT
Secondary deviance
The problem is of course when the deviance is
labelled, and some deviance is always labelled
by society.
Secondary deviance is the result of societal
REACTION (which is what labelling is of
course).
10. LEMERT
Secondary deviance
Being caught and publically labelled as a
criminal or deviant can involve being
stigmatised, shamed, humiliated, shunned or
excluded from mainstream society.
Others may come to see that person only in
terms of the label.
This becomes their MASTER STATUS or
controlling identity overriding all others.
11. LEMERT
Secondary deviance
In the eyes of the world the person is no longer a
colleague, father, or neighbour...that has changed
into thief, criminal, gangster, druggie....in other
words an OUTSIDER.
This can provoke a crisis for the individual’s self-
concept or sense of identity. This may be resolved by
acceptance of the deviant label so the individual
comes to see themselves as the world sees them –
the SELF-FULFILLING PROPHECY. Now the individual
acts out or lives up to the deviant label causing
further deviance.
12. LEMERT
Secondary deviance
Lemert refers to the further deviance which
results from acting out the label as
SECONDARY DEVIANCE
In this theory then deviant identities are then
created and constructed through
INTERACTIONS between social control agents
(e.g. the police) and suspects.
13. Divide you into 4 groups
Junkie Paedo Area seen as
deviant or
criminal e.g.
Camp Hill in
Nuneaton,
The Bronx in
New York….
Chav
CAN WE BE REALLY CLEVER AND LINK THE LABELLING PROCESS IN THESE
CASES TO
• Lemert’s distinction between primary and secondary deviance
• Societal reaction?
• Actions of social control agents like the police
• Self-fulfilling prophecy?
• Master status?
14. Studies by William Chambliss, Jock Young.
How can we link this evidence to:
• Lemert’s notion of a distinction between
primary and secondary deviance – where is
the primary deviance and secondary
deviance?
• Societal reaction?
• Labelling?
• Self-fulfilling prophecy?
• Master status?
15. Labelling Theory challenges traditional theories
but turning traditional ideas on their head
• Why is some behaviour defined as criminal or
deviant in some contexts but not on others?
• Why are some individuals or groups more
likely to be defined as deviant?
• How do the responses of the agencies of
social control effect individuals future actions?
16. Societal reaction
• The reaction of society-the way others react
to someone labelled as deviant-may have a
dramatic effect on that person’s status and
identity and may lead to further deviant acts.
• Jock Young’s (1971) study of hippie marijuana
users in Notting Hill during the 1960s
illustrates this process.
17. A Based on this stereotype,
the police start to act against
hippies to control marihuana
use.
B The hippies develop a
deviant self-concept, including
distinctive clothes and long
hair.
C A common stereotype of
drug-takers is established by
the mass media.
D Police arrest more hippies
on drug charges.
E A fantasy crime wave has
been produced because of
the increase in arrests for
drug-taking.
F The drug squad now
become involved in further
arrests of hippies for drug-
taking.
G This reinforces the police
stereotype and leads to more
persecution of the hippies.
H The police share this
common stereotype of hippies
and label them as deviant.
I Hippies use marihuana as
a peripheral part of their
lifestyle.
J Drug-taking now becomes a
central activity for the hippy
culture.
K The hippies respond to
this action by retreating into a
small isolated group,
excluding others.
18. Jock Young Deviancy Amplification Spiral
• C or I → C or I
• → H
• →A
• → K
• → G
• → B
• → D
• → J
• → F
• → E
19. Becker
There is nothing intrinsically criminal about any act, it
only becomes so when the label is tagged to it.
‘deviant behaviour is behaviour that people so label’
• Becker – saw the labelling process as creating
criminal careers. The reaction of society is crucial
here - The way others react to someone labelled as
deviant may have a dramatic effect on that person’s
status and identity and may lead to further deviant
acts:
• Societal reaction
• Labelling
• Self-fulfilling prophecy – the prediction becomes the truth
• Master status - status which overrides all other statuses.
20. LABELLING THEORY
The work of Lemert and Young illustrate the idea
that it is not the act itself, but the hostile SOCIETAL
REACTION by the social audience that creates serious
deviance.
Ironically therefore the social control processes that
are meant to produce law-abiding behaviour may in
fact produce the very opposite.
Note the last concluding line in Chambliss’s study
The Saints and the Roughnecks
“….One lesson is inescapable: The less the
intervention in the minor crimes of juveniles the
better off they and society will be.”
21. FREE WILL / NOT DETERMINSTIC
Labelling theorists are well aware that they can be
accused of being deterministic (those labelled will
inevitably become more criminal and/or deviant) and
that their theories might offer a form of excuse for
nasty crime. That is why they are keen to stress that
there is nothing inevitable about the labelling
process. Downes & Rock (2003) argue that we can
never predict whether someone who has been
labelled will follow a deviant career because they are
always free not to deviate further
TASK: write down two ways in which a person might
resist, reject or throw off a label