Nurses in alternative health care: Integrating medical paradigms

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This digital document is a journal article from Social Science & Medicine, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

Description:
The article is concerned with nurses in Israel who incorporate alternative health care practices into their work, and considers strategies used by them to reconcile a variety of theoretical and practice traditions. The analysis utilizes boundary theory and focuses on the following boundaries: territorial, epistemological, authority, and social. In-depth narrative interviews were carried out in 2004 with 15 nurses who were working or recently worked in both biomedical and complementary and alternative medicine (CAM) settings. The findings show that nurses using CAM practices do not seek to change the epistemological and authority boundaries of biomedicine. Even so many believe that CAM methods should be included within the cognitive boundaries of biomedicine. They are not disturbed that most of these techniques have not passed the test of biomedical research criteria, though they feel blocked by physicians who keep the cognitive boundaries of biomedicine closed.

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Regulatory objectivity and the generation and management of evidence in medicine

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This digital document is a journal article from Social Science & Medicine, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

Description:
The evolution of Western medicine since World War II has resulted in the emergence of new practices based on the direct interaction of biology and medicine. The post-war realignment of biology and medicine has been accompanied by the emergence of a new type of objectivity, regulatory objectivity, that is based on the systematic recourse to the collective production of evidence. Unlike forms of objectivity that emerged in earlier eras, regulatory objectivity consistently results in the production of conventions, sometimes tacit and unintentional but most often arrived at through concerted programs of action. These actions incorporate unprecedented levels of reflexivity, in the sense that biomedical practitioners in their debates and discussions take into account the conventional dimension of their endeavors. The conventions produced by regulatory objectivity create the conditions for a clinical objectivity that relies on the existence of entities and protocols produced and maintained far outside the intimate encounter between doctor and patient. By establishing endogenous forms of regulation, regulatory objectivity operates on a different plane and in a different mode from those suggested by analysts who treat all regulation as a form of rationalization imposed upon medicine from without.

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Integrating research and development: the emergence of rational drug design in the pharmaceutical industry

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This digital document is a journal article from Studies in History and Philosophy of Biol & Biomed Sci, published by Elsevier in . The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

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Rational drug design is a method for developing new pharmaceuticals that typically involves the elucidation of fundamental physiological mechanisms. It thus combines the quest for a scientific understanding of natural phenomena with the design of useful technology and hence integrates epistemic and practical aims of research and development. Case studies of the rational design of the cardiovascular drugs propranolol, captopril and losartan provide insights into characteristics and conditions of this integration. Rational drug design became possible in the 1950s when theoretical knowledge of drug-target interaction and experimental drug testing could interlock in cycles of mutual advancement. The integration does not, however, diminish the importance of basic research for pharmaceutical development. Rather, it can be shown that still in the 1990s, linear processes of innovation and the close combination of practical and epistemic work were interdependent.

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Biomedicine globalized and localized: western medical practices in an outpatient clinic of a Mexican hospital

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This digital document is a journal article from Social Science & Medicine, published by Elsevier in 2004. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

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Following contemporary globalization, biomedicine and western style hospitals have penetrated most corners of the world. We must therefore ask, ”How has the diffusion of biomedicine impacted biomedicine’s core features of practice cross culturally? How do physicians in different countries make diagnoses, explain etiology and treat patients? To what degree does a physician’s cultural understanding shape biomedicine?” Based on extensive fieldwork in a Mexican hospital (Physicians at work, patients in pain. Revised with new preface, Carolina Academic Press, Durham, 2001), this study analyzes the ways in which biomedicine becomes culturally reinterpreted as it moves from one cultural venue to another, and explores the theoretical and practical consequences of this reinterpretation. This analysis illuminates the relationship between biomedicine and the nature of social transformations and refines our understanding of globalization. From a practical perspective, the study is important because a nation’s epidemiological profiles are based on statistics drawn from the diagnoses that physicians make. We must not assume that because the same medical nomenclature is used to make the diagnoses, these diagnoses are based on culturally neutral and uniform assessments.

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French biomedicine in the mirror of America

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This digital document is a journal article from Studies in History and Philosophy of Biol & Biomed Sci, published by Elsevier in 2004. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

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