The objective of this study is to design a tool that could be used in the cardiac rehabilitation setting to quickly assess dietary habits and identify individual participants? dietary education requirements. An initial study compared a research diet history of 4 0 participants against the results of the Diet Habits Questionnaire. Concurrent validity has been established as there was a significant difference between mean (95% CI) intake of 5 .7 (0.6 - 10.7) g saturated fat 6.8 (2.9 - 10.8) g fibre and 417 (5 - 838) mg sodium between participants requiring additional dietary advice and those who do not require additional intervention based on the DHQ score. The inter-rater reliability of the DHQ was high with strength of agreement rated as moderate for fat and substantial for fibre and sodium. The Diet Habits Questionnaire was found to be a valid and reliable screening tool for the assessment of dietary habits in cardiac rehabilitation programs. Further research may establish its usefulness not just in cardiac rehabilitation, but in other health centres such as general practice and community health settings.
This paper explores the idea of death spaces, in particular the ways that diverse, at times disruptive, meanings about the dead are inscribed in mortuary spaces. The author draws upon data from an ethnographic study based in a hospital's Department of Anatomical Pathology to introduce the concept of three co-constructed spaces: that of sentiment, science and spirit. The author explores the daily interactions between the living and the materially dead through description of perceptions and practices that form the discursive space of the mortuary.
This article focuses on two revelatory moments I experienced during hospital-based fieldwork. The first, involving a microscope, offered me a glimpse into the sensory intellectuality that attracts some doctors to the specialty of anatomical pathology. The second occurred as I gazed into an emptied human skull. This experience generated a gestalt-shift of insight into the capacity of pathologists to work with human remains. Both events opened a doorway to the sequestered science of death – the macroscopy and microscopy upon which anatomical pathology is built – and the enervating emotions that support the doctors who ‘mutilate’ the dead during autopsy.
Along with anatomical dissection, attendance at hospital autopsies has historically been seen as an essential part of medical education. While the use of the dead body for teaching purposes is losing favour in Australian medical schools, this shift is preceded by a significant decline in the rate of autopsies nationwide (and internationally). The decline of the autopsy has particular implications for pathology training where the capacity to perform an autopsy is a requirement. Rather than join the debates in medical literature about the merits of these shifts, this article goes behind the scenes of a hospital mortuary to study autopsy training and practice from the perspective of those who undertake it. The article first introduces the discipline of pathology-'the science of medicine'-which is built upon centuries of post-mortem study and establishes the fact of the disappearing autopsy. The article then draws upon data from anthropological fieldwork in a Department of Anatomical Pathology to discuss some of the ways trainees manage the work of cutting up the dead. Concepts such as detachment, immersion and disciplinary practice are covered in during this unveiling of everyday practice in a hospital mortuary.
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