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Special section examining risk discussions across clinical specialties using conversation analysis: From information transfer to an interactional perspective.
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Risk and uncertainty are pervasive in clinical settings, from diagnosis to treatment decision-making and disease management. Accordingly, risk communication has attracted a sustained interest, and is predominantly characterised by information transfer, with a focus on how messages are framed and received. Conversation analysis (CA) provides a different approach to analysing communication, examining the complexities of how risk is broached, is calibrated to individual contexts, and is sensitively negotiated across clinical encounters.
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Parasitic worms (ie, helminths) encompass a broad spectrum of organisms that lead to a myriad of acute, chronic, and multisystemic disease manifestations rooted in the life cycles of helminths, their migratory paths within humans, and the immunologic reactions they provoke. Although geographic distribution is traditionally given substantial consideration in the process of diagnosing these diseases, increased world travel and migration has resulted in cases all over the world. Because physicians in areas where these organisms are nonendemic are less likely to be familiar with them, the diseases are unexpected, resulting in difficulty and delay in diagnosis and appropriate treatment of patients.
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