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1

Walsh, Kieran. "Discussing discursive discussions." Medical Education 50, no. 12 (2016): 1269–70. http://dx.doi.org/10.1111/medu.13103.

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Shishkov, Andrey. "Discussing the Concept of Conservative Ecumenism." State Religion and Church 6, no. 1 (2019): 4–19. http://dx.doi.org/10.22394/2311-3448-2019-6-1-4-19.

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Modan, Gabriella, and Seuli Bose Brill. "Engaging death: Narrative and constructed dialogue in Advance Care Planning discussions." Communication and Medicine 11, no. 2 (2015): 153–65. http://dx.doi.org/10.1558/cam.v11i2.18616.

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Advance Care Planning (ACP) remains extremely low in the US, due to numerous institutional and cultural barriers and discomfort in discussing death. There is a need for guidance about how patient and healthcare providers can effectively engage in ACP discussion. Here we analyze the linguistic strategies that focus-group participants use when discussing ACP in detailed ways. Prevalent linguistic structures in effective ACP discussions were loved ones’ end-of-life narratives, hypothetical narratives, and constructed dialogue. In elucidating spontaneous, unprompted approaches to effective discussion of end-of-life issues, such research can help to dislodge communicative barriers to ACP so that more people are prepared to engage the process.
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Ekberg, Stuart, Susan Danby, Anthony Herbert, Natalie K. Bradford, and Patsy Yates. "Affording opportunities to discuss deterioration in paediatric palliative care consultations: a conversation analytic study." BMJ Supportive & Palliative Care 10, no. 2 (2017): e13-e13. http://dx.doi.org/10.1136/bmjspcare-2016-001130.

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ObjectiveDiscussing the potential deterioration of a child who has a life-limiting condition has recognised benefits for future care, but can be challenging in a clinical context where uncertain illness trajectories are common. Existing research is restricted to indirect forms of evidence such as self-report data from clinicians and families. This study directly explores how discussions about deterioration are managed within actual paediatric palliative care consultations.Methods9 consultations were video recorded in an Australian paediatric palliative care service. Each consultation involved the same paediatric palliative care specialist. Conversation analysis was used to identify and explore recurrent ways in which discussions about deterioration came to be realised.FindingsThe study identified two communicative practices used by a paediatric palliative care specialist that afforded opportunities to discuss deterioration: (1) soliciting the family's agenda for the consultation; (2) initiating and maintaining topics where discussing deterioration is a relevant possibility. Across these different practices, a common feature was indirect initiation of discussions about deterioration. This approach made such discussions possible, but without mandating or even suggesting that such discussion must occur.ConclusionsThese communicative practices balance the benefit of discussing deterioration against a recognised importance of allowing discussions to be directed by a child's family. This was achieved by creating opportunities for discussing deterioration, without making such discussions necessary.
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Dawes, Kwame S., and Cyril Dabydeen. "Discussing Columbus." World Literature Today 72, no. 1 (1998): 187. http://dx.doi.org/10.2307/40153691.

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Michel, Christoph M., and Micah M. Murray. "Discussing Gamma." Brain Topography 22, no. 1 (2009): 1–2. http://dx.doi.org/10.1007/s10548-009-0082-9.

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7

Edwards, Sonja, and Ian A. Campbell. "Discussing smoking." Foundation Years 2, no. 2 (2006): 55–57. http://dx.doi.org/10.1053/s1744-1889(06)70051-2.

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Singer, Peter. "Discussing infanticide." Journal of Medical Ethics 39, no. 5 (2013): 260. http://dx.doi.org/10.1136/medethics-2012-100853.

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Hampshire, Viv. "Discussing disability." Child Care 6, no. 6 (2009): 28–29. http://dx.doi.org/10.12968/chca.2009.6.6.42387.

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10

Stone, Tunja. "Discussing divorce." Child Care 7, no. 1 (2010): 24–25. http://dx.doi.org/10.12968/chca.2010.7.1.45731.

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Holt, Richard. "Discussing diabetes." Practice Nursing 16, no. 4 (2005): 162. http://dx.doi.org/10.12968/pnur.2005.16.4.17964.

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Lazreg, Marnia. "Discussing Torture." Journal of Palestine Studies 38, no. 4 (2009): 118–19. http://dx.doi.org/10.1525/jps.2009.38.4.118.

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13

Hursthouse, R. "Discussing Dilemmas." Christian Bioethics 14, no. 2 (2008): 141–50. http://dx.doi.org/10.1093/cb/cbn010.

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14

Campbell, Toby C., Elise C. Carey, Vicki A. Jackson, et al. "Discussing Prognosis." Cancer Journal 16, no. 5 (2010): 461–66. http://dx.doi.org/10.1097/ppo.0b013e3181f30e07.

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&NA;. "Discussing Prognosis." Cancer Journal 17, no. 1 (2011): 68. http://dx.doi.org/10.1097/ppo.0b013e31820c93f0.

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16

Nalukwago, Judith, Rik Crutzen, Bart van den Borne, et al. "Adolescents Discussing Sexual Behaviors With Key Influencing Audiences." Global Journal of Health Science 10, no. 8 (2018): 91. http://dx.doi.org/10.5539/gjhs.v10n8p91.

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There is an increasing concern on early initiation of sexual activity among adolescents, increasing sexually transmitted infections, and teenage pregnancy in Uganda. Adolescents perceptions of these sexual behaviors might be the result of discussing sexual and reproductive health issues with key influencing audiences. This study qualitatively explored the effect of sexuality discussions with key influencing audiences by means of in-depth interviews and focus group discussions with adolescents (N=83). Findings indicate that adolescence stage comes with changes of intense sexual desires, often presumed difficult to control thus leading adolescents to engage in sexual activities. Adolescents indicated that they were aware of the sexual behaviors such as condom use, contraception use, and multiple concurrent partnerships, but intertwined with persistent myths and misconceptions. Although discussing sexuality issues with someone was found to be instrumental, adolescent highlighted challenges that hinder discussion with key influencers. Challenges include, parents lack of time to talk to their children; some religious affiliations perceived to discourage use of contraception; limited skills of community health workers to address adolescent information needs; meetings held in groups not followed up with age-focused or one-on-one discussions; negative health workers’ attitudes and use of technical language; and peer pressure. These findings suggest the need to provide adequate and updated information to clear any misconceptions and strengthening of key influencers’ communication skills to gain confidence in addressing adolescent sexual and reproductive health needs.
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Harrison, Julianne, Elana Evan, Amy Hughes, Shahram Yazdani, Myke Federman, and Rick Harrison. "Understanding communication among health care professionals regarding death and dying in pediatrics." Palliative and Supportive Care 12, no. 5 (2013): 387–92. http://dx.doi.org/10.1017/s1478951513000229.

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AbstractObjective:Effective communication regarding death and dying in pediatrics is a vital component of any quality palliative care service. The goal of the current study is to understand communication among health care professionals regarding death and dying in children. The three hypotheses tested were: (1) hospital staff (physicians of all disciplines, nurses, and psychosocial clinicians) that utilize consultation services are more comfortable communicating about death and dying than those who do not use such services, (2) different disciplines of health care providers demonstrate varying levels of comfort communicating about a range of areas pertaining to death and dying, and (3) health care staff that have had some type of formal training in death and dying are more comfortable communicating about these issues.Methods:A primary analysis of a survey conducted in a tertiary care teaching children's hospital.Results:Health care professionals who felt comfortable discussing options for end of life care with colleagues also felt more comfortable: initiating a discussion regarding a child's impending death with his/her family (r = 0.42), discussing options for terminal care with a family (r = 0.58), discussing death with families from a variety of ethnic/cultural backgrounds (r = 0.51), guiding parents in developmentally age-appropriate discussions of death with their children (r = 0.43), identifying and seeking advice from a professional role model regarding management concerns (r = 0.40), or interacting with a family following the death of a child (r = 0.51). Among all three disciplines, physicians were more likely to initiate discussions with regards to a child's impending death (F = 13.07; p = 0.007). Health care professionals that received formal grief and bereavement training were more comfortable discussing death.Significance of the results:The results demonstrated that consultation practices are associated with a higher level of comfort in discussing death and dying in pediatrics.
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Baku, Elizabeth AKu, Isaac Agbemafle, Agnes Millicent Kotoh, and Richard M. K. Adanu. "Parents’ Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study." Advances in Public Health 2018 (November 1, 2018): 1–12. http://dx.doi.org/10.1155/2018/5784902.

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Background. Traditionally, discussion about sexuality is subdued in proverbs and is earmarked for adults. However, adolescents also need information about their sexuality to make informed choices regarding sexual behaviours. This study, therefore, seeks to explore the experiences of parents discussing sexuality topics with adolescents in the Accra Metropolis, Ghana. Methods. This was a qualitative study that used focus group discussions (FGDs) and in-depth interviews (IDIs) to assess parents’ experiences in discussing sexuality topics with adolescents. The FGDs, consisting of 8-12 parents each, were conducted for one “all fathers”, then another “all mothers”, and finally “fathers and mothers” groups. Parents who were not part of the FGDs were engaged in IDIs. The data was transcribed and analyzed manually. Results. Most of the parent-adolescent sexual discussions were based on physical changes, personal hygiene, abstinence, abortion, and saying “no” to forced sex. Parents discussed sexuality issues with adolescents to prevent them from premarital sex, pregnancy, and sexually transmitted infections. Parents sourced their knowledge about sexuality from books, television, radio, and personal experiences. Parents always seize opportunities such as television scenes to discuss sexual topics with their children. Although some parents expressed some level of comfort discussing sexual topics with adolescents, many still had difficulties explaining some terminologies related to sex. Preferentially, parents were protective of their girls than the boys when discussing issues on sexuality. Most parents received no sexuality education from their parents but a few reminisced precautionary advices on sex. Parents believed training on sexuality issues will help them to better discuss sexual topics with adolescents. Conclusions. Ghanaian parents preferentially discuss sex with their daughters as a protective tool against irresponsible sexual behaviours. Parents still have challenges discussing adolescent sexuality topics; hence equipping parents to effectively discuss such sensitive topics will improve adolescent reproductive health and sexual behaviour.
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19

Whitehead, Ishbel Orla. "DISCUSSING SPIRITUAL HEALTH IN PRIMARY CARE IN ENGLAND." Innovation in Aging 3, Supplement_1 (2019): S884. http://dx.doi.org/10.1093/geroni/igz038.3237.

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Abstract The organisation that regulates doctors and family physicians’ professional body in the UK both require doctors to consider patients’ spiritual health, especially towards the end of life. Discussion of spiritual health can encapsulate positive aspects of patients’ lives, and may be valuable for older people as physical and mental health decline. Tools are available for doctors to structure discussion of spiritual health in consultations but anecdotal reports suggest that this seldom happens. This study aimed to understand the barriers to GPs discussing spiritual health and their knowledge and views of current tools, particularly the HOPE tool by Anandarajah and Hight. Narrative literature review using systematic methods and mixed methods investigation into current practice, An online survey was conducted with 177 family physicians in England, investigating how doctors define spiritual health, their comfort with the topic, and their knowledge and acceptability of the HOPE tool, using patient vignettes. Definitions of spiritual health were heterogeneous, within three themes: self-actualisation and meaning; transcendence and relationships beyond self; and expressions of spirituality. Doctors felt more comfortable discussing spiritual health after a patient-led cue. Introduction of the HOPE tool increased doctors’ comfort with the topic. Discordance between doctor and patient beliefs and cultural backgrounds influenced views and practice. Concerns about regulator disapproval was a major barrier to discussions. Spiritual health does not appear to be a routine part of family practice in the UK. Tailored education, containing a structured tool such as HOPE, with regulatory approval, may help overcome barriers to discussion of spiritual health.
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20

Engstrom, Paul F. "Discussing Colorectal Cancer." Journal of the National Comprehensive Cancer Network 7, no. 8 (2009): 776. http://dx.doi.org/10.6004/jnccn.2009.0055.

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21

Capozzi, James D., Rosamond Rhodes, and Darwin Chen. "Discussing Treatment Options." Journal of Bone and Joint Surgery-American Volume 91, no. 3 (2009): 740–42. http://dx.doi.org/10.2106/jbjs.h.01104.

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22

Jiashan, Mi. "Discussing The Troubleshooters." Chinese Education & Society 31, no. 1 (1998): 8–14. http://dx.doi.org/10.2753/ced1061-193231018.

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23

Kemp, Kenneth W. "Discussing Creation Science." American Biology Teacher 50, no. 2 (1988): 76–81. http://dx.doi.org/10.2307/4448650.

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24

Zielińska, Karolina. "Discussing Israeli Identities." Polish Political Science Yearbook 47, no. 2 (2018): 448–49. http://dx.doi.org/10.15804/ppsy2018222.

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Adizes, Ichak Kalderon. "Discussing what matters." Society and Economy 32, no. 2 (2010): 163–78. http://dx.doi.org/10.1556/socec.32.2010.2.1.

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26

Denning, Peter J., and Dorothy E. Denning. "Discussing cyber attack." Communications of the ACM 53, no. 9 (2010): 29–31. http://dx.doi.org/10.1145/1810891.1810904.

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27

Mitchell, Rex C. "Discussing the Undiscussible." Journal of Educational and Psychological Consultation 3, no. 3 (1992): 265–69. http://dx.doi.org/10.1207/s1532768xjepc0303_5.

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28

Flint, Hilary, Mark Meyer, Monir Hossain, and Melissa Klein. "Discussing Serious News." American Journal of Hospice and Palliative Medicine® 34, no. 3 (2016): 254–57. http://dx.doi.org/10.1177/1049909115617140.

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Aim: The ability to communicate serious news to patients and families in a caring and compassionate way is a critical skill for physicians. This study explores the impact of a novel communication skills workshop that included bereaved parents in role play on pediatric residents’ confidence to communicate serious news. Methods: Following the workshop, pediatric residents were surveyed to assess their perceived efficacy of the educational intervention. The survey included anchored response and open-ended questions to yield qualitative and quantitative results. Results: After completing the workshop, residents’ confidence in discussing goals, managing emotions, and expressing empathy all increased significantly. Residents reported that the inclusion of bereaved parents was beneficial since it made the experience more realistic. In addition, they believed their ability to communicate with patients and families had improved. Conclusions: Including bereaved parents in this communication skills workshop improved the residents’ confidence in discussing serious topics and enhanced the reality of the experience.
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29

Bergevin, Patrick R., and Rita Morrell Bergevin. "Discussing DNR issues." American Journal of Hospice and Palliative Medicine® 12, no. 3 (1995): 10–11. http://dx.doi.org/10.1177/104990919501200304.

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30

Koebel, Catherine. "Discussing the solutions." Nature Immunology 7, no. 8 (2006): 785. http://dx.doi.org/10.1038/ni0806-785.

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31

Simmonds, Maureen J. "Discussing the Results." JPO Journal of Prosthetics and Orthotics 8, no. 4 (1996): 138–42. http://dx.doi.org/10.1097/00008526-199600840-00007.

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Simmonds, Maureen J. "Discussing the Results." JPO Journal of Prosthetics and Orthotics 8, no. 4 (1996): 138???142. http://dx.doi.org/10.1097/00008526-199610000-00007.

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33

Petrus, John. "Discussing The Undiscussable." GLQ: A Journal of Lesbian and Gay Studies 25, no. 1 (2019): 67–72. http://dx.doi.org/10.1215/10642684-7275488.

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34

Solomon, Joan. "Discussing nuclear power." Physics Education 24, no. 6 (1989): 344–47. http://dx.doi.org/10.1088/0031-9120/24/6/005.

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Meese, Tessa. "Discussing your duties." Dental Nursing 4, no. 12 (2008): 673. http://dx.doi.org/10.12968/denn.2008.4.12.31777.

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Lau, Dorothy Wai Sim. "Discussing Takeshi Kaneshiro." positions: asia critique 26, no. 4 (2018): 687–717. http://dx.doi.org/10.1215/10679847-7050530.

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Timmins, Nick. "Discussing avoidable deaths." British Journal of Healthcare Management 19, no. 8 (2013): 408. http://dx.doi.org/10.12968/bjhc.2013.19.8.408.

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38

Ksiazek, Thomas B., Limor Peer, and Andrew Zivic. "Discussing the News." Digital Journalism 3, no. 6 (2014): 850–70. http://dx.doi.org/10.1080/21670811.2014.972079.

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Taylor, Q. "Discussing Sunbelt Freedom." OAH Magazine of History 18, no. 1 (2003): 31–34. http://dx.doi.org/10.1093/maghis/18.1.31.

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von Gunten, Charles F. "Discussing Hospice Care." Journal of Clinical Oncology 20, no. 5 (2002): 1419–24. http://dx.doi.org/10.1200/jco.2002.20.5.1419.

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von Gunten, C. F. "Discussing Hospice Care." Journal of Clinical Oncology 21, no. 90090 (2003): 31s—36. http://dx.doi.org/10.1200/jco.2003.01.163.

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Stryer, Daniel B. "Discussing pharmaceutical gifts." Journal of General Internal Medicine 13, no. 9 (1998): 648. http://dx.doi.org/10.1046/j.1525-1497.1998.00195.x.

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43

Shmerling, Robert H., Susanna E. Bedell, Armin Lilienfeld, and Thomas L. Delbanco. "Discussing cardiopulmonary resuscitation." Journal of General Internal Medicine 3, no. 4 (1988): 317–21. http://dx.doi.org/10.1007/bf02595786.

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Hassenjürgen, Christoph. "Discussing savings products." Bankfachklasse 37, no. 9 (2015): 30–31. http://dx.doi.org/10.1007/s35139-015-0561-1.

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Powell, Pippa, Ravijyot Saggu, Steve Jones, et al. "Discussing treatment burden." Breathe 17, no. 1 (2021): 200284. http://dx.doi.org/10.1183/20734735.0284-2020.

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46

Gavilán Cevallos, Beatriz. "Reflexiones sobre el Neolítico andaluz." SPAL. Revista de Prehistoria y Arqueología de la Universidad de Sevilla, no. 6 (1997): 23–33. http://dx.doi.org/10.12795/spal.1997.i6.02.

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47

COELHO, Fatima Aparecida Gonini Coelho, Rita de Cássia PETRENAS, and Valéria Marta Nonato Fernandes MOKWA. "DISCUSSING GENDER AND HOMOSSEXUALITY WITH STUDENTS OF PEDAGOGY COURSE." Nucleus 12, no. 1 (2015): 303–14. http://dx.doi.org/10.3738/1982.2278.1369.

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48

Brown, Tony, Una Hanley, Susan Darby, and Nigel Calder. "Teachers’ conceptions of learning philosophies: discussing context and contextualising discussion." Journal of Mathematics Teacher Education 10, no. 3 (2007): 183–200. http://dx.doi.org/10.1007/s10857-007-9035-y.

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49

Hay, Casey M., Heidi S. Donovan, Erin G. Hartnett, et al. "Sexual Health as Part of Gynecologic Cancer Care: What Do Patients Want?" International Journal of Gynecologic Cancer 28, no. 9 (2018): 1737–42. http://dx.doi.org/10.1097/igc.0000000000001376.

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ObjectiveSexual health is important to quality of life; however, the sexual health of gynecologic cancer patients is infrequently and inadequately addressed. We sought to understand patient experiences and preferences for sexual health care to help inform strategies for improvement.Methods/MaterialsAn anonymous, cross-sectional survey of outpatient gynecologic cancer patients at a large academic medical center was performed as part of a larger study examining patient and caregiver needs. The survey explored patient-provider discussions about sexuality across 3 domains (experiences, preferences, barriers) and 4 phases of cancer care (diagnosis, treatment, treatment completion, follow-up). Age, relationship status, sexual activity, and cancer type were recorded.ResultsMean age was 63 years. Most patients had ovarian cancer (38%) or endometrial cancer (32%). Thirty-seven percent received treatment within the last month, 55% were in a relationship, and 35% were sexuality active. Thirty-four percent reported sexuality as somewhat or very important, whereas 27% felt that it was somewhat or very important to discuss. Importance of sexuality was associated with age, relationship status, and sexual activity but not cancer type. Fifty-seven percent reported never discussing sexuality. Age was associated with sexuality discussions, whereas relationship status, sexual activity, and cancer type were not. The most common barrier to discussion was patient discomfort. Follow-up was identified as the best time for discussion. Sexuality was most often discussed with a physician or advanced practice provider and usually brought up by the provider.ConclusionsDemographic predictors of importance of sexuality to the patient are age, relationship status, and sexual activity. Providers primarily use age as a proxy for importance of sexuality; however, relationship status and sexual activity may represent additional ways to screen for patients interested in discussing sexual health. Patient discomfort with discussing sexuality is the primary barrier to sexual health discussions, and awareness of this is key to developing effective approaches to providing sexual health care.
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50

Edi, Ashari Cahyo. "Can CSR be Politically Transformative? Discussing Its Prospects and Challenges." Politika: Jurnal Ilmu Politik 11, no. 1 (2020): 76–95. http://dx.doi.org/10.14710/politika.11.1.2020.76-95.

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Tulisan ini mengeskplorasi relevansi gagasan transformative politics (Tornquist & Stokke, 2013) dalam praktik corporate social responsibility (CSR) di industri ekstraktif dalam konteks desa di Indonesia. Penjajakan ini penting karena pendekatan pembangunan partisipatif dalam praktik CSR belum mampu mengikis defisit kapasitas politik warga komunitas di sekitar operasi industry agar lebih berdaya secara politik. Yang jamak berbagai prosedur, mekanisme, desain program, dan piranti kelembagaan CSR belum berdampak signifikan dalam menyeimbangkan timpangnya relasi-relasi kuasa komunitas-perusahaan dan komunitas-elite lokal. Alhasil wacana dan siklus program CSR (agenda setting, formulasi program, pembuatan keputusan, implementasi, dan framing atas klaim kesuksesan) masih jauh dari kontrol warga komunitas. Gagasan transformative politics menempatkan agenda, strategi, dan aliansi untuk menggunakan berbagai kelembagaan yang sudah ada—namun minimalis dari sisi substansi demokratisasinya—untuk mengenalkan politik dan kebijakan yang bisa membuka kesempatan-kesempatan bagi warga komunitas guna mendorong pengelolaan CSR yang lebih demokratis. Sebagai upaya awal, tulisan ini menghimpun sejumlah keterbatasan dan tantangan penguatan dimensi transformative politics dalam praktik CSR.
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