The influence of patient and doctor gender on diagnosing coronary heart disease

Using novel methods, this paper explores sources of uncertainty and gender bias in primary care doctors' diagnostic decision-making about coronary heart disease (CHD). Claims about gendered consultation styles and quality of care are re-examined, along with the adequacy of CHD models for women. Randomly selected doctors in the UK and the US (n=112, 56 per country, stratified by gender) were shown standardised videotaped vignettes of actors portraying patients with CHD. Patients' age, gender, ethnicity and social class were varied systematically. During interviews, doctors gave free-recall accounts of their decision-making, which were analysed to determine patient and doctor gender effects. We found differences in male and female doctors' responses to different types of patient information. Female doctors recall more patient cues overall, particularly about history presentation, and particularly amongst women. Male doctors appear less affected by patient gender but both male and especially female doctors take more account of male patients' age, and consider more age-related disease possibilities for men than women. Findings highlight the need for better integration of knowledge about female presentations within accepted CHD risk models, and do not support the contention that women receive better-quality care from female doctors.

Performance analysis of DSRC priority mechanism for road safety applications in vehicular networks

Dedicated short range communications (DSRC) has been regarded as one of the most promising technologies to provide robust communications for large scale vehicle networks. It is designed to support both road safety and commercial applications. Road safety applications will require reliable and timely wireless communications. However, as the medium access control (MAC) layer of DSRC is based on the IEEE 802.11 distributed coordination function (DCF), it is well known that the random channel access based MAC cannot provide guaranteed quality of services (QoS). It is very important to understand the quantitative performance of DSRC, in order to make better decisions on its adoption, control, adaptation, and improvement. In this paper, we propose an analytic model to evaluate the DSRC-based inter-vehicle communication. We investigate the impacts of the channel access parameters associated with the different services including arbitration inter-frame space (AIFS) and contention window (CW). Based on the proposed model, we analyze the successful message delivery ratio and channel service delay for broadcast messages. The proposed analytical model can provide a convenient tool to evaluate the inter-vehicle safety applications and analyze the suitability of DSRC for road safety applications.

Performance comparison of OFDM bandwidth request schemes in fixed IEEE 802.16 networks

IEEE 802.16 standard specifies two contention based bandwidth request schemes working with OFDM physical layer specification in point-to-multipoint (PMP) architecture, the mandatory one used in region-full and the optional one used in region-focused. This letter presents a unified analytical model to study the bandwidth efficiency and channel access delay performance of the two schemes. The impacts of access parameters, available bandwidth and subchannelization have been taken into account. The model is validated by simulations. The mandatory scheme is observed to perform closely to the optional one when subchannelization is active for both schemes.

Service differentiation for the bandwidth request scheme in fixed IEEE 802.16 networks

IEEE 802.16 standards have been developed as one of the technical solutions for broadband wireless access systems. It has high data rate, large network coverage, flexible QoS schemes and cheap network deployment. Various flexible mechanisms related to QoS provisioning have been specified for uplink traffic at the medium access control (MAC) layer in the standards. Among the mechanisms, contention based bandwidth request scheme can be used to indicate bandwidth demands to the base station for the non-real-time polling and besteffort services. These two services are used for most application with unknown traffic characteristics. Due to the diverse QoS requirements of those applications, service differentiation (SD) is anticipated over the contention based bandwidth request scheme. In this paper we investigate the SD with the bandwidth request scheme by means of assigning different channel access parameters and bandwidth allocation priorities. The effectiveness of the differentiation schemes are evaluated by simulations. It is observed that the initial backoff window can be efficient in SD, and if combined with the bandwidth allocation priority, the SD performances will be better. ��2008 IEEE.

Talking at cross-purposes? The missing link between feminist linguistics and translation studies

Following decades of feminist linguistic activism, and as a result of a greater awareness of the vital role that non-sexist language plays in achieving social equality, different campaigns were launched in many countries leading to a more frequent use of so-called inclusive language. Bringing this together with current theoretical approaches to translation studies which have been defining translation as an ideological act of intercultural mediation since the 1990s, this article seeks to examine to what extent feminist linguistics have had any influence on translation studies. My purpose is to assess whether particular feminist linguistic interventions in vogue when writing ���original��� texts within the realm of the source language are also adopted when (re)writing ���translated��� texts in the target language, bearing in mind the double (con)textual responsibility that translators have towards the source and the target (con)texts. I will examine the arguments for and against the use of inclusive language in (literary) translation through an analysis of the ���ideological struggle��� that emerged from two ideologically disparate rewritings of gender markers into Galician of the British bestseller The Curious Incident of the Dog in the Night-Time, by Mark Haddon (2003), focusing on the ideological, poetic and economic pressures that (still) define the professional practice of translation. It is my contention that the close scrutiny of these conflicting arguments will shed light not only on the existing gap between the theory and practice of translation, but may be also indicative of a possible ���missing link��� between feminist approaches to linguistics and to translation studies.

Service differentiation in OFDM-Based IEEE 802.16 networks

IEEE 802.16 network is widely viewed as a strong candidate solution for broadband wireless access systems. Various flexible mechanisms related to QoS provisioning have been specified for uplink traffic at the medium access control (MAC) layer in the standards. Among the mechanisms, bandwidth request scheme can be used to indicate and request bandwidth demands to the base station for different services. Due to the diverse QoS requirements of the applications, service differentiation (SD) is desirable for the bandwidth request scheme. In this paper, we propose several SD approaches. The approaches are based on the contention-based bandwidth request scheme and achieved by the means of assigning different channel access parameters and/or bandwidth allocation priorities to different services. Additionally, we propose effective analytical model to study the impacts of the SD approaches, which can be used for the configuration and optimization of the SD services. It is observed from simulations that the analytical model has high accuracy. Service can be efficiently differentiated with initial backoff window in terms of throughput and channel access delay. Moreover, the service differentiation can be improved if combined with the bandwidth allocation priority approach without adverse impacts on the overall system throughput.

A simulation study of service differentiation for the bandwidth request scheme in fixed IEEE 802.16 network

Various flexible mechanisms related to quality of service (QoS) provisioning have been specified for uplink traffic at the medium access control (MAC) layer in the IEEE 802.16 standards. Among the mechanisms, contention based bandwidth request scheme can be used to indicate bandwidth demands to the base station for the non-real-time polling and best-effort services. These two services are used for most applications with unknown traffic characteristics. Due to the diverse QoS requirements of those applications, service differentiation (SD) is anticipated over the contention based bandwidth request scheme. In this paper we investigate the SD with the bandwidth request scheme by means of assigning different channel access parameters and bandwidth allocation priorities at different packets arrival probability. The effectiveness of the differentiation schemes is evaluated by simulations. It is observed that the initial backoff window can be efficient in SD, and if combined with the bandwidth allocation priority, the SD performances will be better.

Digital business reporting standards:mapping the battle in France

Government agencies use information technology extensively to collect business data for regulatory purposes. Data communication standards form part of the infrastructure with which businesses must conform to survive. We examine the development of, and emerging competition between, two open business reporting data standards adopted by government bodies in France; EDIFACT (incumbent) and XBRL (challenger). The research explores whether an incumbent may be displaced in a setting in which the contention is unresolved. We apply Latour���s (1992) translation map to trace the enrolments and detours in the battle. We find that regulators play an important role as allies in the development of the standards. The antecedent networks in which the standards are located embed strong beliefs that become barriers to collaboration and fuel the battle. One of the key differentiating attitudes is whether speed is more important than legitimacy. The failure of collaboration encourages competition. The newness of XBRL���s technology just as regulators need to respond to an economic crisis and its adoption by French regulators not using EDIFACT create an opportunity for the challenger to make significant network gains over the longer term. ANT also highlights the importance of the preservation of key components of EDIFACT in ebXML.

Agency as vulnerability:accounting for children's movement to the streets of Accra

This paper considers the agency of children moving to the streets of Accra, Ghana's capital city. A much used but largely unexamined concept, agency is nevertheless commonly deployed in childhood studies as a means to stress the capacity of children to choose to do things. In the literature on street and working children, and a cognate area of study concerned with children's independent migration, this has involved accounts of children's agency made meaningful by reference to theories of rational choice or to the normative force of childhood. It is our argument that both approaches leave unanswered important questions and to counter these omissions we draw upon the arguments of social realists and, in particular, the stress they place on vulnerability as the basis for human agency. We develop this argument further by reference to our research with street children. By drawing upon the children's accounts of leaving their households and heading for Accra's streets, it is our contention that these children do frame their departures as matters of individual choice and self-determination, and that in doing so they speak of a considerable capacity for action. Nevertheless, a deeper reading of their testimonies also points to the children's understandings of their own vulnerability. By examining what we see as their inability to be dependent upon family and kin, we stress the importance of the children's perceptions of their vulnerability, frailty and need as the basis for a fuller understanding of their agency in leaving their households. �� 2013 The Author. The Sociological Review ���� 2013 The Editorial Board of The Sociological Review.

El g��nero (para)traducido:pugna ideol��gica en la traducci��n y paratraducci��n de 'O curioso incidente do can �� media noite'

Los discursos te��ricos de la actualidad conciben la traducci��n como un acto ideol��gico de mediaci��n intercultural. De este modo, rechazan la supuesta neutralidad y fidelidad al texto original o a la intenci��n autorial de anta��o, subvirtiendo al mismo tiempo la tradicional jerarqu��a entre original y traducci��n. Sin embargo, en el presente art��culo sostengo que estos discursos te��ricos por lo general desatienden otras relaciones de poder jer��rquicas que afectan a la traducci��n situ��ndola en una posici��n de inferioridad respecto a la paratraducci��n (Garrido Vilari��o 2005), definida ��sta como un acto de mediaci��n por el cual se decide la presentaci��n final del libro traducido en la sociedad meta. Para ilustrar las implicaciones de esta nueva jerarqu��a recurro al conflicto ideol��gico originado a partir de la traducci��n y paratraducci��n del g��nero en dos reescrituras en gallego de la novela de Mark Haddon The Curious Incident of the Dog in the Night-Time. Current theoretical debates on Translation Studies define translation as an ideological act of intercultural mediation. In this way, notions such as neutrality or fidelity to the original text or to the author���s intent prove untenable, challenging the traditional hierarchy between the original text and its translation. However, it is my contention that these theoretical discourses tend to disregard other hierarchical power relationships that also affect translation, placing it in a position of inferiority against paratranslation (Garrido Vilari��o 2005), the latter being an activity that determines crucially the final presentation of the translated book in the target society. I will illustrate the implications of this new hierarchy through an analysis of the ideological struggle that emerged from the translation and paratranslation of gender in two rewritings into Galician of the book The Curious Incident of the Dog in the Night-Time, by Mark Haddon.

Traductoras gallegas del siglo XX:reescribiendo la historia de la traducci��n desde el g��nero y la naci��n

Within the newly established field of Galician Studies, Feminist Theory has played a major role in revealing how women have contributed to the development of the Galician cultural polysystem. However, it is my contention that the translative facet of many women translators has not yet received enough critical attention. Therefore, within the framework of a growing interest in the roles played both by women and by translation in the development of societies, this article seeks to explore the history of translation in the context of Galicia, with a view to underscoring the contributions of women translators throughout the 20th century. The aim of the article is twofold: firstly, to offer an overview of translators such as Mercedes V��zquez Fern��ndez Pimentel, Mari Luz Morales, Teruca Bouza Vila, Mar��a Barbeito, Amparo Alvajar, Xohana Torres, and Teresa Barro, in order to open up new areas for research so that subsequent studies can further examine their contributions in more depth. Secondly, it seeks to analyse the power relations which inform the activity of translation both from a gender and national approach.

A talent for living:exploring Ghana's 'new' urban childhood

This paper considers the lives of children living in a large informal settlement in central Accra, Ghana. Its contention is that children remain largely absent from the renewal of interest in slums and that where they do feature it is largely as objects of risk and vulnerability. Such an exclusive focus, it is argued, risks effacing the ways in which children are capable of actively confronting the terrible constraints posed by slum environments and the 'talent for living' that this involves. Drawing upon the findings of a small qualitative exploratory research project, the paper examines sources of support and cooperation between children and how their decisions to work are perceived as a strategy to actively support mothers and families struggling for a subsistence. �� 2011 The Author(s). Children and Society ���� 2011 National Children's Bureau and Blackwell Publishing Limited.

Stability and continuity of women's core beliefs and psychopathological symptoms from pregnancy to one year postpartum

Unhealthy core beliefs are theorized to be stable constructs throughout the life-span, but no research to date, outside of the context of clinical intervention, has addressed this claim over a period of greater than 6 weeks. This study explores the stability and continuity of core beliefs and psychopathological symptoms in a group of women over a major life event and for 1 year subsequently. Eighty-seven women completed measures assessing their core beliefs and psychopathological symptoms during pregnancy and at 6 and 12 months after giving birth. General maternal psychopathological symptoms significantly decreased across the group between pregnancy and 6 months postpartum, and between pregnancy and 1 year, but showed evidence of stability in the ranks of individuals across time. The majority of core beliefs remained both stable and continuous throughout this period of major transition. These findings generally support the theoretical contention that core beliefs are relatively stable and continuous self-constructs. Science+Business Media, LLC.

Focus group method and methodology:current practice and recent debate

This paper considers the contemporary use of focus groups as a method of data collection within qualitative research settings. The authors draw upon their own experiences of using focus groups in educational and 'community' user-group environments in order to provide an overview of recent issues and debates surrounding the deployment of focus group methods and to pick out specific areas of contention in relation to both their epistemological and practical implications. Accordingly, the paper reflects on some of the realities of 'doing' focus groups whilst, at the same time, highlighting common problems and dilemmas which beginning researchers might encounter in their application. In turn, the paper raises a number of related issues around which there appears to have been a lack of academic discussion to date.

Invalid ballots and the ���crisis of representative democracy���:re-inventing protest at the 2012 Serbian elections

This article examines the ways in which invalidated electoral ballots may be articulated as acts of protest. We argue that some instances of ballot invalidation can be understood as protest and as a reaction to the broader ���crises of democracy��� which have also spurred on movements such as Occupy. We focus on Serbia���s 2012 elections as a case study, given the high increases in invalid ballots and calls for collective action calling for ballot invalidation. We discuss protest movements which coalesced around this election, calling for electoral ballot invalidation and using social media to frame this activity as protest. Through our case study, we explore the ways in which the ballot can become a tool of contention, and how protest can be expressed through an engagement with extant structures and institutions.