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However, contributions in the literature (Addis & Brouns, 2004) underline the need to engage in a critical refection on the concept of excellence as well as on the processes and procedures that lead to the creation and recognition of excellence. Excellence is the fnal result of procedures that place scientists and scientifc institutions in diferent positions within the network and the hierarchy of their felds. The fact that women scientists do not achieve excellence at the same rate as would be predicted by their results in the earlier stages of their scientifc career is the product of a number of social processes within and outside the scientifc community. A correct understanding of excellence and of the processes whereby excellence may be achieved is essential in order to develop efective policies. The quest for excellence should not be used to perpetuate old mechanisms of cronyism, lack of transparency in cooptation mechanisms, and gatekeeping that systematically favours male homosociability. This would prevent the achievement of excellence by the European scientifc community as a whole. If, instead, the quest for excellence is interpreted correctly as a process that should be free of gender biases and if the requirements of excellence are defned in such a way as to encompass the diferent lives of men and women, such a policy would be able to tap misused intellectual resources of many potentially excellent women scientists in Europe. Here, again, research shows the stages of the scientifc career might turn in to subtle ways in which discrimination may wide diferences in career outcomes. The Advancement of Women, Valian based double standards in highly formalised (1999) contends that a continuous accumulation and seemingly gender-neutral peer-review of small advantages for men and small processes in the early stages of the academic disadvantages for women operate insidiously, career, to more explicit bias where access to resulting in very diferent career opportunities higher positions or awards is concerned and for the sexes. The individual merit and the reality of a patriarchal Matthew efect refers to the social processes support system (Bagilhole & Goode, 2001). The Matthew efect in science the Matthew efect consists of the accruing of greater increments of recognition for particular scientifc contributions with respect to scientists of considerable repute and the withholding of such recognition from scientists who have not yet made their mark. As originally identifed, the Matthew efect was constructed in terms of enhancement of the position of already eminent scientists who are given disproportionate credit in cases of collaboration or of independent multiple discoveries. The Matthew efect may serve to heighten the visibility of contributions to science by scientists of acknowledged standing and to reduce the visibility of contributions by authors who are less well known. A macrosocial version of the Matthew principle is apparently involved in those processes of social selection that currently lead to the concentration of scientifc resources and talent.
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Dominance: A predisposition to play a prominent or controlling role when interacting with others. In neurology the (normal) tendency of one-half of the brain to be more important than the other in medicating various functions (cerebral dominance). In genetics, the ability of one gene (dominant gene) to express itself in the phenotype of an individual, even though that gene is paired with another (recessive gene) that would have expressed itself in a different way. Dominance hierarchy: A concept first proposed in 1922 by Schjelderup-Ebbe, after observation of a consistent order of precedence among hens when given restricted access to food supplies. Domi nance hierarchies became popular as ethological concepts throughout the 1950s and 1960s and were considered to present a basic model of social organization for most social animal, but the exis tence of linear dominance hierarchies has been increasingly called in to question by ethologists in recent years. Dopamine: A neurosynaptic transmitter found in the brain, specially associated with some forms of psychosis and abnormal movement disorders. In other words, his defence against confusion, and his own and his mothers ambiva lence, is to lose the capacity to understand those nuances which enable one to have insight in to motives and to appreciate discrepancies between overt and concealed meanings. Strictly speaking the double bind is not a psychoanalytical concept, since it refers to an interpersonal situation and not to an internal conflict, or developmental process. Although, originally formulated as a theory of schizophrenia, it has been adduced as an explanation of neurotic behaviour. The possi bility that an analyst may put a patient in to a double bind has also been envisaged. Double-blind study: A study in which one or more drugs and a placebo are compared in such a way that neither the patient not the persons directly or indirectly involved in the study known which is being given to the patient. In most cases the anomaly consists in trisomy of a chromosome of the G group; the remainder may exhibit D/G Dictionary of Psychology & Allied Sciences 123 translocation. Drawing test: Any of a variety of psychological tests in which the subject is asked to draw certain familiar objects, such as people trees, and houses.
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This relatively common therapy lowers the serum bilirubin level by transforming bilirubin in to water-soluble isomers that can be eliminated without conjugation in the liver. The dose of pho to therapy is a key fac to r in how quickly it works; dose in turn is deter mined by the wavelength of the light, the intensity of the light (irradiance), the distance between the light and the baby, and the body surface area exposed to the light. Commercially available pho to therapy systems include those that deliver light via fluorescent bulbs, halogen quartz lamps, light-emitting diodes, and fiberoptic mattresses. Proper nursing care enhances the effectiveness of pho to therapy and minimizes complications. Caregiver responsibilities include ensuring effective irradiance delivery, maximizing skin exposure, providing eye protection and eye care, careful attention to thermoregulation, maintaining adequate hydration, promoting elimination, and supporting parent-infant interaction. How pho to therapy came to be is a fasci that had been covered by the corner of a sheet. On sunny days, she would to gether, the idea of pho to therapy for neonatal jaun wheel the infants outdoors in to the hospital court dice was born. One day in 1956, Sister Rochford Hospital, and the results were reported in Ward showed the physicians an undressed infant the Lancet, in 1958 (Figure 2). This random ized controlled trial demonstrating the effectiveness of pho to therapy led to its acceptance as a simple, Author Affiliations: Inova Fairfax Hospital for Children, Falls inexpensive, and relatively safe way to prevent Church, Virginia hyperbilirubinemia in premature infants. The first artificial light apparatus devised for cradle illumination of infants at Rochford General Hospital. The hemicylindrical stainless steel reflec to r, suspended on a height-adjustable moveable gantry, contains eight 24-in light blue 40-W fluorescent tubes spaced 2 in apart. A cot can be wheeled underneath the reflec to r, and the lights can be switched on separately to vary the amount of power delivered. The typical bilirubin load of the reduced conjugation or elimination of bilirubin are newborn is quite high, 2 to 3 times that of an adult. A more Bilirubin is a product of the normal destruction of cir detailed explanation of newborn bilirubin metabo culating erythrocytes (which have a shortened lifes lism can be found in an article in the April 2002 issue pan in the newborn infant) and increased turnover of of this journal. Unconjugated bilirubin is lipid-soluble and must Pho to therapy converts bilirubin that is present in the be transported to the liver in the plasma, bound superficial capillaries and interstitial spaces of the reversibly to albumin. Neonatal jaundice expert diphosphoglucuronate glucuronosyltransferase, con Maisels suggests that pho to therapy is much like a jugates bilirubin, converting it to water-soluble biliru percutaneous drug.
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The psychiatrist should call the police and have them apprehend the patient at the next treatment session. A 24-year-old woman sues her psychiatrist for abandonment because he retired from practice. She states that she had seen one of the psychiatrists on the list 1 month after her original psychiatrist retired, but that this new psychiatrist did not know her very well. The psychiatrist will be found guilty of abandonment because he did not give notice of his retirement early enough. The psychiatrist will be found not guilty of abandonment but will be censored for unethical treatment of his patient. The psychiatrist will be found not guilty of abandonment, since he provided his patient with reasonable notice and a reasonable effort to find her a new therapist. The psychiatrist will be found guilty of abandonment because he did not make sure that his patient had actually seen another psychiatrist before his retirement. A 78-year-old man chooses his wife to be his surrogate for decision making because he has been diagnosed with Alzheimer disease and knows that he will not be capable of making such decisions in the future. Two years later, the disease is fairly advanced, and the patient is hallucinating at night, which often disrupts his ability to sleep. The wife should use her own best judgment based on what she would want done for herself in the same situation. The wife should use substituted judgment, which requires her to decide what to do, based on what the patient would have wished if he were capable of mak ing the decision. The wife should consult with another physician about the use of a new med ication before she makes any decisions. Because her prognosis was hopeless, her parents went to court to have the feeding s to pped so that she could die.