3,789 research outputs found
‘You do act differently when you're in it’: lingerie and femininity
This paper examines British women’s accounts of buying and wearing lingerie taken from in-depth interviews exploring experiences of shopping in sex shops. Lingerie forms one
part of a sexual consumer culture that is positioned within a neoliberal discourse of postfeminism. Women’s engagement with the representation of lingerie, the way they enact lingerie buying and wearing in their everyday lives and the ways they speak about these practices show complex and often incongruous strategies of accommodation and
negotiation. Such strategies can make lingerie pleasurable and liveable whilst at the same time expressing forms of anxiety, ambivalence or laughter directed towards the
performance of femininity and feminine sexuality required and represented by lingerie.
I contend that it is precisely through this often contradictory engagement with lingerie that
strategic counter discourses emerge, by which women can resist some of the respectable
norms of female sexuality. Women position themselves in ambivalent ways in relation to
the visual imperative of feminine sexuality represented by lingerie, particularly through an
embodied discourse of comfort and discomfort, or through the playful and pleasurable
performance of non-naturalised gender roles
Systematic review of SGLT2 receptor inhibitors in dual or triple therapy in type 2 diabetes
Background Despite the number of medications for type 2 diabetes, many people with the condition do not achieve good glycaemic control. Some existing glucose-lowering agents have adverse effects such as weight gain or hypoglycaemia. Type 2 diabetes tends to be a progressive disease, and most patients require treatment with combinations of glucose-lowering agents. The sodium glucose co-transporter 2 (SGLT2) receptor inhibitors are a new class of glucose-lowering agents.
Objective To assess the clinical effectiveness and safety of the SGLT2 receptor inhibitors in dual or triple therapy in type 2 diabetes.
Data sources MEDLINE, Embase, Cochrane Library (all sections); Science Citation Index; trial registries; conference abstracts; drug regulatory authorities; bibliographies of retrieved papers.
Inclusion criteria Randomised controlled trials of SGLT2 receptor inhibitors compared with placebo or active comparator in type 2 diabetes in dual or combination therapy.
Methods Systematic review. Quality assessment used the Cochrane risk of bias score.
Results Seven trials, published in full, assessed dapagliflozin and one assessed canagliflozin. Trial quality appeared good. Dapagliflozin 10 mg reduced HbA1c by −0.54% (weighted mean differences (WMD), 95% CI −0.67 to −0.40) compared to placebo, but there was no difference compared to glipizide. Canagliflozin reduced HbA1c slightly more than sitagliptin (up to −0.21% vs sitagliptin). Both dapagliflozin and canagliflozin led to weight loss (dapagliflozin WMD −1.81 kg (95% CI −2.04 to −1.57), canagliflozin up to −2.3 kg compared to placebo).
Limitations Long-term trial extensions suggested that effects were maintained over time. Data on canagliflozin are currently available from only one paper. Costs of the drugs are not known so cost-effectiveness cannot be assessed. More data on safety are needed, with the Food and Drug Administration having concerns about breast and bladder cancers.
Conclusions Dapagliflozin appears effective in reducing HbA1c and weight in type 2 diabetes, although more safety data are needed
Understanding grip shifts:how form factors impact hand movements on mobile phones
In this paper we present an investigation into how hand usage is affected by different mobile phone form factors. Our initial (qualitative) study explored how users interact with various mobile phone types (touchscreen, physical keyboard and stylus). The analysis of the videos revealed that each type of mobile phone affords specific handgrips and that the user shifts these grips and consequently the tilt and rotation of the phone depending on the context of interaction. In order to further investigate the tilt and rotation effects we conducted a controlled quantitative study in which we varied the size of the phone and the type of grips (Symmetric bimanual, Asymmetric bimanual with finger, Asymmetric bimanual with thumb and Single handed) to better understand how they affect the tilt and rotation during a dual pointing task. The results showed that the size of the phone does have a consequence and that the distance needed to reach action items affects the phones’ tilt and rotation. Additionally, we found that the amount of tilt, rotation and reach required corresponded with the participant’s grip preference. We finish the paper by discussing the design lessons for mobile UI and proposing design guidelines and applications for these insights
Feasibility of a Peer Support Oriented Dialectical Behavior Therapy Skills Training Massive Open Online Course for Emotion Dysregulation
Public interest in mental health care modernization has steadily gained momentum since ratifying The United States Health Care Affordability Act (U.S. Office of the Legislative Counsel, 2010). Furthermore, with 1 in every 1000 people seeking online support for mental health issues (DeAndrea & Anthony, 2013), research concerning the development of virtual mental health applications is critical to ensure science guides their innovation. To this end, this study explores the feasibility of a mental health intervention that unites the experiential, recovery-oriented, and self-determined values of mental health peer support (Kaufman et al., 2014) with dialectical behavior therapy skills training (DBT-ST) (Linehan, 1993b) (Linehan, 2014a) (Linehan, 2014b) in a massive open online course (MOOC) format to create an adjunct, no-cost, DBT-ST resource for people with emotional difficulties. People stagnating on program waitlists, lacking access to comprehensive DBT, who want to brush up on prior DBT-ST, or who are simply curious and want to learn more about DBT-ST are most likely to benefit from this novel intervention. The pilot DBT-ST MOOC offers a robust user interface (see Appendix A for details), which increases flexibility in time and space and costs little to nothing compared to traditional brick and mortar learning environments (Hu, 2013). The DBT-ST program teaches all four skill sets prescribed in standard DBT: core mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills, respectively (see Figure 1) while presenting an introduction to the rapidly growing field of DBT-oriented Internet applications
A protocol for the development and piloting of quality measures to support the Healthier You : The NHS Diabetes Prevention Programme
Background
The increasing prevalence of type 2 diabetes in the UK creates an additional, potentially preventable burden on health care and service providers. The Healthier You: NHS Diabetes Prevention Programme aims to reduce the incidence of type 2 diabetes through identification of people at risk and the provision of intensive lifestyle change support. The provision of this care can be monitored through quality measurement at both the general practice and specialist service level.
Aim
To develop quality measures through piloting to assess the validity, credibility, acceptability, reliability and feasibility of any proposed measures.
Design and setting
The non-experimental mixed design piloting study consists of consensus testing and exploratory research with general practitioners (GPs), commissioners and patients from Herefordshire, England.
Methods
A mixed-method approach will be used to develop and validate measures for diabetes prevention care and evaluate their performance over a six month pilot period consisting of i) consensus testing using a modified RAND approach with GPs and commissioners, ii) four focus groups with 10-12 participants discussing experiences of non-diabetic hyperglycaemia, perceived ability to access care and prevent diabetes, and views on potential quality measures, iii) piloting final measures with at least 5 general practices for baseline and 6 month data.
Results
The findings will inform the implementation of the diabetes prevention quality measures on a national scale whilst addressing any issue with validity, credibility, feasibility, and cost-effectiveness.
Conclusion
Health care professionals and patients have the opportunity to evaluate the reliability, acceptability and validity of measure
Investigating how the hand interacts with different mobile phones
In this paper we investigate the physical interaction between the hand and three types of mobile device interaction: touchscreen, physical keyboard and stylus. Through a controlled study using video observational analysis, we observed firstly, how the participants gripped the three devices and how these grips were device dependent. Secondly we looked closely at these grips to uncover how participants performed what we call micro-movements to facilitate a greater range of interaction, e.g. reaching across the keyboard. The results extend current knowledge by comparing three handheld device input methods and observing the movements, which the hand makes in five grips. The paper concludes by describing the development of a conceptual design, proposed as a provocation for the opening of dialogue on how we conceive hand usage and how it might be optimized when designed for mobile devices
The Impact of Type of High School Institution on University Retention of Undergraduate Students
The primary purpose of this study was to determine the impact of the type of high school completed and selected academic and demographic characteristics on university retention to degree completion at a research university – very high research (RU/VH) in the Southern Region of the United States.
The dependent variable of this study was persistence to graduation within six years of first enrollment. The target population was defined as traditional-age undergraduate students enrolled in a research university – very high research (RU/VH) in the Southern Region of the United States. The accessible population was defined as traditional-age undergraduate students enrolled in one selected research university - very high research (RU/VH) in the Southern Region of the United States who began as first semester freshmen during the Fall semester 2014 (n = 5354). Of the 5354 students, who completed a high school program in 2014 and entered the study institution in the Fall 2014 entering class, 3168 completed a public high school program, 2157 completed a private high school program, and 29 completed a home school program. Students in each group were described on selected academic and demographic characteristics. Students in the three groups were found to be different on numerous characteristics. On most of the academic measures, public school graduates were different from private school graduates and home school graduates were not different from either of the other groups. On the personal demographic characteristics, especially race and gender, the home school graduates were very different from one or both of the other two groups. Additionally, a Multiple Discriminant analysis was utilized to identify a seven variable model explaining persistence to graduation.
The findings indicated that first semester GPA and attempted hours were the best predictors of a student’s persistence to graduation. The researcher concluded that interventions designed to improve student retention should intentionally target first semester students. Consequently, the researcher recommends implementation of an early warning system designed to identify student issues prior to the semester midpoint and the initiation of intervention programs designed to address problems that are identified in this early warning system
Understanding the independent dancer: roles, development and success
Little research has been published about the varied role of the independent dancer. The aim of this study was to provide insight into the work independent dancers undertake and how their careers change over time. Semi-structured interviews were conducted with 14 independent dancers. Content analysis revealed that the dancers had multifaceted careers that relied on both formal and informal activities, and varied according to three distinct stages (early, middle, late). The experiences reported by the dancers indicated that the realities of the independent dancer's role are not sufficiently recognised or supported within the industry
Media portrayals of bullying and cyberbullying: Using "Mean Girls" and "The DUFF" to analyze how the media portrays high school bullying
This study examines the media’s portrayal of traditional bullying and cyberbullying in two movies, Mean Girls and The DUFF. The movies include both forms of bullying that the researchers completed a study on by analyzing media portrayals of cyberbullying and bullying. Due to the increasing prevalence of cyberbullying in society, the researchers look to examine how the portrayals of cyberbullying and bullying instances may influence audiences. By analyzing the amount of technology in the films used for cyberbullying, the researchers were able to determine that as the technology increased in the film, so did the instances of the media portraying cyberbullying. The most common way that the portrayals of cyberbullying and bullying in the media were framed were through a comedic frame and a serious frame. Overall, the researchers determined that both traditional bullying and cyberbullying portrayals in the media increased in frequency
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