Suchergebnisse

The article attempts to advance a definition of proletarianism which will allow the reader to grasp the precise nature of the process with particular reference to the economic and technical aspects. Proletarianisation is identified with a loss of the work of supervision and management, congruents of the work experience of the new middle class. This is followed by a critique of some current notions of proletarianisation as evidenced in the study of clerical labour. Finally, the article discusses proletarianisation in experiential terms.

Public health decisions are often based on short-term demands rather than long-term study, and policies & programs are sometimes developed from anecdotal evidence. To enhance evidence-based practice, this book provides practical guidance on the methodology and evaluation of such programs & policies.

One -- 1 Introduction: Sociology and Engineering -- 2 Engineering and the Social Process -- 3 Engineering and the British Economic Problem -- 4 The British Economy in Context -- 5 The Legal and Political Context of Engineering -- Two -- 6 Engineering Education -- 7 Theories of Work Motivation and Job Satisfaction -- 8 The Colleagues of the Engineer -- 9 The Organization and Experience of Engineering -- 10 Engineers, Professional Associations and Trade Unions -- 11 Engineering Work: The Division of Labour -- 12 Conclusions -- References -- Authorlndex.

The consequences of the COVID-19 pandemic are still working through health systems worldwide, and further reflections about the nature of health and disease, and about how to design and implement effective public health interventions are much needed. For numerous diseases and conditions, as well as for COVID-19, our knowledge base is rich. We know a lot about the biology of the disease, and we have plenty of statistics that relate health to socio-economic factors. In this paper, we argue that we need to add a third dimension to this knowledge base, namely a thorough description of the lifeworld of health and disease, in terms of the mixed biosocial mechanisms that operate in it. We present the concepts of lifeworld and of mixed mechanisms, and then illustrate how they can be operationalised and measured through mixed methodologies that combine qualitative and quantitative approaches. Finally, we explain the complementarity of our approach with the biological and statistical dimensions of health and disease for the design of public health interventions.

This article outlines a set of methodological, theoretical, and other issues relating to the conduct of good outcome studies. The article begins by considering the contribution of evidence-based medicine to the methodology of outcome research. The lessons which can be applied in outcome studies in nonmedical settings are described. The article then examines the role of causal pathways between interventions and outcomes and especially the importance of delineating them in advance of undertaking investigations. The development of designs based on randomized controlled trials (RCTs) with fully articulated causal pathways is described. Ways of supplementing RCTs with methods to highlight elements in the causal pathway in outcome studies are indicated. The importance of adhering to best practice in reporting and analysis is also noted.

The earliest human societies relied for their subsistence on the hunting of animals and the gathering of food. The small bands of people who lived together pursuing these activities appear to have been the prototype of all human organisation. Hunting and gathering was the predominant type of social organisation until perhaps 12,000 years ago. Tools and weapons were not made of metal till around 4,000 B.C., the plough was not in use until about a thousand years later, and iron tools and weapons were not used until around 1,000 B.C. (Lenski and Lenski, 1978). The history of the human race has been intextricably bound up with that of engineering when this is very broadly defined as the making of tools and other contrivances as aids and adjuncts to life. From the Stone, Bronze and Iron Ages at one end of human experience to the Steam, Jet, Atomic and Computer Ages at the other, technical‐engineering achievements have defined and delimited whatever is possible for human beings. Thus throughout the long historical transition from a predominantly agricultural to a predominantly industrial society engineers, or rather anyone whose principal activity was making and tinkering with three‐ dimensional artefacts, played a crucial role.

AbstractIn this article we argue that social practices, which consist of sayings and doings that extend across space and time, generate and sustain distinctive patterns of microbial interaction. In taking this approach, we position practice theory within and not outside the realm of contemporary biological processes, including processes that matter for human health. In working towards this conclusion, we show how categories and distinctions (e.g. between communicable and non-communicable disease) are embedded in medical responses and in the lives of potentially harmful bacteria like Helicobacter Pylori. Our next step is to explain how social practices engender patterns of cohabitation, interaction and mutual adaptation between microbes within and beyond the body, processes we illustrate with reference to anti-microbial resistance. The conclusion that human and microbial coexistence is, in various ways, defined by the lives of social practices provides an important bridge between the social and natural sciences and a starting point from which to approach fundamental questions about the dynamics of biosocial becoming, and the part that public policies play in these processes.

This article is concerned with a description of the way in which a small group of Civil Service trade unionists attempted to participate in the 1981 pay campaign by the British Civil Service trade unions. The problems faced by the group are analysed and the group members' experiences of their activity explored.

'Person‐centredness' is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person‐centredness and its attributes have tended to focus on the medico‐nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature‐based concept synthesis reported here identified 12 common attributes within the broad themes of 'understanding the person', 'engagement in decision‐making' and 'promoting the care relationship'. The review also contrasts how these attributes are applied across different interpretations of person‐centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a 'one‐size‐fits‐all' approach should be discouraged in community care.Key Practitioner Message: • 'Person‐centredness' is open to multiple interpretations, causing difficulties for services trying to gauge performance and quality; • Three themes are central to person‐centred services: 'understanding the person', 'engagement in decision‐making' and 'promoting the care relationship'; • A 'one‐size‐fits‐all' approach to applying person‐centredness is to be discouraged.

Worldwide, policymakers, health system managers, practitioners and researchers struggle to use evidence to improve policy and practice. There is growing recognition that this challenge relates to the complex systems in which we work. The corresponding increase in complexity-related discourse remains primarily at a theoretical level. This paper moves the discussion to a practical level, proposing actions that can be taken to implement evidence successfully in complex systems. Key to success is working with, rather than trying to simplify or control, complexity. The integrated actions relate to co-producing knowledge, establishing shared goals and measures, enabling leadership, ensuring adequate resourcing, contributing to the science of knowledge-to-action, and communicating strategically.

This 2016 theme section of the American Journal of Preventive Medicine is supported by funding from the NIH Office of Behavioral and Social Sciences Research (OBSSR) to support the dissemination of research on digital health interventions, methods, and implications for preventive medicine. This paper is one of the outputs of two workshops, one supported by the Medical Research Council (MRC)/National Institute for Health Research (NIHR) Methodology Research Program (PI Susan Michie), the OBSSR (William Riley, Director) and the Robert Wood Johnson Foundation (PI Kevin Patrick); and the other by the National Science Foundation (PI Donna Spruitj-Metz, proposal # 1539846). The Health Economics Research Unit is funded in part by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. Laura Bojke was supported in the preparation/submission of this paper by the HEOM Theme of the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber (NIHR CLAHRC YH, www.clarhrc-yh.nir.ac.uk). The views expressed in the paper are those of the authors alone and do not necessarily represent those of the funders. Elizabeth Murray is Managing Director of a not-for-profit Community Interest Company, HeLP-Digital, which aims to disseminate digital health interventions to the National Health Service. No other financial disclosures were reported by the author of this paper. ; Peer reviewed ; Postprint