Rural male farmers (RMFs) are an understudied population with high mortality, morbidity and co-morbidities due to preventable injury, most of which occur on-farm. This study examines how RMFs and their health needs are discussed in Ontario rural health policy documents. A retrospective analysis of policy was conducted to analyze the content of Ontario rural healthcare policy documents published since 2006. Discussions of RMFs were categorized by two themes: tokenism and mending fences. Tokenism refers to RMFs' invisibility, except when farming stereotypes were used to describe rural areas. Mending fences captures the desire of rural communities to be included in healthcare decisions, and to position RMFs as key stakeholders for healthcare organizations to engage with to improve how they are perceived by rural communities. This study asserts that including RMFs in health policy formation can improve rural healthcare delivery and relationships between rural healthcare organizations and the communities they serve.
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http://dx.doi.org/10.12927/hcpol.2018.25494 | DOI Listing |
Cell Calcium
April 2020
Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Sweden.
Na,K-ATPase is a ubiquitous multifunctional protein that acts both as an ion pump and as a signal transducer. The signaling function is activated by ouabain in non-toxic concentrations. In epithelial cells the ouabain-bound Na,K-ATPase connects with the inositol 1,4,5-trisphosphate receptor via a short linear motif to activate low frequency Ca2+ oscillations.
View Article and Find Full Text PDFHealthc Policy
May 2018
Professor, Arthur Labatt Family School of Nursing, Western University, London, ON.
Rural male farmers (RMFs) are an understudied population with high mortality, morbidity and co-morbidities due to preventable injury, most of which occur on-farm. This study examines how RMFs and their health needs are discussed in Ontario rural health policy documents. A retrospective analysis of policy was conducted to analyze the content of Ontario rural healthcare policy documents published since 2006.
View Article and Find Full Text PDFJ Gen Intern Med
July 2017
Emory University School of Medicine, Atlanta, GA, USA.
Published just over a century ago, Robert Frost's Mending Wall stands as one of the most eloquent meditations on boundaries and the complex and nuanced role they play in interpersonal relationships. Often anthologized, and perhaps as often misunderstood, Mending Wall has much to teach medical educators and practicing clinicians about the physician-patient relationship and the evolving dynamic between healer and patient. Remembered mostly for the seemingly contradictory repetition of the adage "Good fences make good neighbors," and the opening "something there is that doesn't love a wall," Frost mischievously navigates through the many meanings and functions of boundaries; how they separate, unite, and ultimately, how they might mend.
View Article and Find Full Text PDFEgo state therapy has often been cited as an effective treatment to help repair fragmentation related to posttraumatic stress and dissociative disorders. This article explores how specialized work with ego states can help to clarify and strengthen internal and external boundaries, create greater boundary flexibility, and contribute to containment and self-regulation. Applications of direct and indirect hypnosis to repair boundary issues through ego state therapy are emphasized, and clinical case examples are used to illustrate results.
View Article and Find Full Text PDFNonsexual boundary crossings can enrich psychotherapy, serve the treatment plan, and strengthen the therapist-client working relationship. They also can undermine the therapy, disrupt the therapist-patient alliance, and cause harm to clients. Building on T.
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