Doing, being, becoming and belonging in forging professional identity:Lived experiences of occupational therapists’ professional identity currently working in physical health community roles in the UK

Introduction: Professional identity is a multifaceted conceptual term combining behaviours, knowledge, skills, values, beliefs, contextual and socio-cultural factors with personal and group identity. The historical underpinning of occupational therapy is partly attributed to the difficulties occupational therapists face articulating their unique identity and the profession being misunderstood by others. Little is known about how occupational therapists working in community physical health settings experience their professional identity. Method: Interpretative phenomenological analysis was used to understand how five occupational therapists interpreted and made sense of their experiences of professional identity working in community UK physical health settings. Interviews were carried out following social media recruitment and analysed using interpretative phenomenological analysis guidance. Findings: Participants identified that their professional identity was forged through experiences over time developing skills, confidence and their inner understanding of who they were as an occupational therapists. Maintaining a secure professional identity was attributed to building their community of practice and creating a sense of belonging. Conclusion: Professional identity was forged through time and experience of ‘doing’, ‘being’ and ‘becoming’ occupational therapists. Building a community of practice and creating a sense of ‘belonging’ were key components of how these occupational therapists working in community physical health roles sustained their professional identity

Centring animal experience through comics-based research:The case of Pavlov’s dogs

The focus of this article is the collaborative creation of Pavlov and the Kingdom of Dogs, a graphic nonfiction novel aimed at highlighting the lives of dogs experimented upon by Ivan Pavlov in late 19th and early 20th-century Russia. The novel delves into the intricate human-canine relationships within the context of St. Petersburg’s scientific, cultural, and political landscape. The collaboration between a researcher, a professional illustrator, and a script editor aimed to challenge anthropocentric narratives prevalent in historical representations of Pavlov and experimental science. Rooted in animal studies and psychology, this project explores the potential of arts-based methods to centre animals and their relationships within historical contexts. It aims to deepen depictions of animal experiences and agency while bridging the gap between human-animal studies and psychology, where attention to animal lives in research settings remains limited. By focusing on Pavlov’s experiments, the project seeks to redefine experimental animals as active historical subjects, contributing to broader discussions on human-animal relationships and ethical responsibilities. The article delineates the theoretical and methodological underpinnings of the graphic novel, provides insights into the comics-based research process, and discusses the affordances and challenges of this approach. It concludes by reflecting on the potential of comics-based research to engage both academic and public audiences, ultimately advocating for a deeper understanding of human-animal entanglements and their implications in contemporary society

Numerical Investigation of Reinforced Concrete (RC) Columns Strengthened with Ultra-High-Performance Fiber-Reinforced Concrete (UHPFRC) Jackets

The strengthening of existing columns using additional reinforced concrete (RC) jackets is one of the most popular techniques for the enhancement of a column’s stiffness, load-bearing capacity and ductility. Important parameters affecting the effectiveness of this method are the strength of the additional concrete, concrete shrinkage and the connection between the old and the new concrete. In this study, the application of Ultra-High-Performance Fiber-Reinforced Concrete (UHPFRC) jackets for the structural upgrade of RC columns has been examined. Extensive numerical studies have been conducted to evaluate the effect of parameters such as the thickness of the jacket, concrete shrinkage and the addition of steel bars, and comparisons have been made with conventional RC jackets. The results of this study indicate that the use of UHPFRC can considerably improve the strength and the stiffness of existing reinforced concrete columns. The combination of UHPFRC and steel bars in the jacket leads to the most effective strengthening technique as a significant enhancement in the stiffness and the ultimate load capacity has been achieved

A modern way to teach and practice manual therapy

Background: Musculoskeletal conditions are the leading contributor to global disability and health burden. Manual therapy (MT) interventions are commonly recommended in clinical guidelines and used in the management of musculoskeletal conditions. Traditional systems of manual therapy (TMT), including physiotherapy, osteopathy, chiropractic, and soft tissue therapy have been built on principles such as clinician-centred assessment, patho-anatomical reasoning, and technique specificity. These historical principles are not supported by current evidence. However, data from clinical trials support the clinical and cost effectiveness of manual therapy as an intervention for musculoskeletal conditions, when used as part of a package of care. Purpose: The purpose of this paper is to propose a modern evidence-guided framework for the teaching and practice of MT which avoids reference to and reliance on the outdated principles of TMT. This framework is based on three fundamental humanistic dimensions common in all aspects of healthcare: safety, comfort, and efficiency. These practical elements are contextualised by positive communication, a collaborative context, and person-centred care. The framework facilitates best-practice, reasoning, and communication and is exemplified here with two case studies. Methods: A literature review stimulated by a new method of teaching manual therapy, reflecting contemporary evidence, being trialled at a United Kingdom education institute. A group of experienced, internationally-based academics, clinicians, and researchers from across the spectrum of manual therapy was convened. Perspectives were elicited through reviews of contemporary literature and discussions in an iterative process. Public presentations were made to multidisciplinary groups and feedback was incorporated. Consensus was achieved through repeated discussion of relevant elements. Conclusions: Manual therapy interventions should include both passive and active, person-empowering interventions such as exercise, education, and lifestyle adaptations. These should be delivered in a contextualised healing environment with a well-developed person-practitioner therapeutic alliance. Teaching manual therapy should follow this model

Decreases in mucosally-evoked tachykinin signaling pathways can explain age-related reductions in murine colonic motility patterns

Background: Increasing age increases the incidence of chronic constipation and fecal impaction. The contribution of the natural aging process to this phenotype is unclear. This study explored the effects of age on key motility patterns in the murine colon and determined the contribution that altered neurokinin 2 (NK2) -mediated signaling made to the aging phenotype.Methods: Mucosal reflexes, colonic migrating motor complexes (CMMCs) and colonic motility assays were explored in isolated ex vivo colons from 3, 12–14, 18-and 24-months old mice and the NK2-mediated response determined. Electrical field stimulation (EFS) or exogenous drug application were used to explore the role of the mucosa in colonic segments.Key Results: Aging reduced the force of contraction of the distal colon mucosal reflex, the frequency and force of contraction of CMMCs and the NK2-mediated component of both motility patterns. Ondansetron, a 5-HT3 receptor antagonist, blocked a component of both motility patterns in full thickness but not in mucosa-free segments of the distal colon. 5, hydroxytryptamine (5-HT) and EFS-evoked NK2-dependent contractions were reduced with increasing age. Smooth muscle sensitivity to 5-HT or neurokinin A (NKA) was not altered with age. In isolated colon motility assays application of NKA decreased transit time in 24-months colon and the NK2 antagonist GR159897 increased transit times in both 3-and 24-months old colons.Conclusions and Inferences: Aging impairs key motility patterns in the murine colon. These changes involve a decrease in mucosally-evoked NK2-mediated signaling. Targeting NK2-mediated signaling may provide a novel approach to treating age-related motility disorders in the lower bowel

Holding Space and Sitting with Emotions:The lived experiences of Physiotherapists using psychological strategies in pain care

Persistent pain is the biggest global cause of years lived with disability. Physiotherapists working in pain care aim to take a holistic perspective helping persons to gain a multidimensional understanding of their condition and achieve meaningful goals despite their symptoms. In recent years there has been a paradigm shift in physiotherapeutic pain care toward a psychologically informed physiotherapy approach. Physiotherapists have incorporated principles of strategies such as: cognitive behavioral therapy (CBT); acceptance and commitment therapy (ACT); psychological flexibility; or mindfulness-based therapies in helping persons move forwards despite their pain. The purpose of this study was to explore the lived experience of physiotherapists using psychological strategies in pain care. Seven participants were purposefully recruited for this study and data was collected through semi-structured interviews. Interpretative phenomenological analysis (IPA) methods were used to analyze the data. Master themes were developed to help express the qualitative meanings of the lived experiences. Seven master themes were identified: 1) Trust; 2) Active listening; 3) Developing understanding; 4) Exploring the journey; 5) Making it meaningful; 6) Being held; and 7) Holding space and sitting with emotions. All themes are interwoven and profoundly connected in the essence of a safe "space." Participants described a journey toward holding space and sitting with emotions. All themes were interwoven and profoundly connected in the essence of a safe "space," where persons can voice their emotions in a non-judgmental environment. The themes may represent a pathway for the physiotherapist to facilitate a person on their journey of healing

Infrared measurements of fluid temperature in a polymeric Pulsating Heat Pipe

Pulsating heat pipes are two-phase passive heat transfer devices partially filled with a working fluid in saturation conditions. During operation, supplying heat to one end of the system (named evaporator) results in a local increase in temperature and pressure, which drives the fluid through a transport section (named adiabatic section) towards the cooled, opposite end (named condenser) for effective heat dissipation. The local thermo-fluid dynamic state of the working fluid is sometimes assessed by means of non-intrusive techniques, such as infrared thermography. In this case, the radiative properties of the systems in the infrared spectrum must be known a priori. Nevertheless, since pulsating heat pipes may be manufactured with different materials, wall thicknesses and channel geometries, the radiative properties of the walls and the confined flow are not always known or assessable by means of the available literature. Hence, the work proposes to design a straightforward calibration procedure for quantitative infrared fluid temperature measurements in a polymeric pulsating heat pipe charged with FC-72 and having unknown radiative properties. The emissivity and transmissivity of the walls and confined fluid are estimated with good accuracy. The results will allow repeatable and reliable fluid temperature measurements in future experimentations on the mentioned device

Chapter 3:Uneven Vulnerability

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