Interaction: 'Samhandling' Under Risk

The authors of Interaction: ‘Samhandling’ Under Risk. A Step Ahead of the Unforeseen elucidate new views on emergency-preparedness management and understanding the unforeseen in society and learning processes by introducing the concept of ‘samhandling’, a Norwegian term that connotes interaction, collaboration and cooperation in one word. What are the basic structures of the concept of ‘samhandling’ under risk? How can ‘samhandling’ be created when conditions are unpredictable? These questions served as the springboard for 28 research studies, the results of which are now presented in this anthology, organized in four parts: Educational, Organizational, Operational Samhandling Structures and Theory Construction and The Way Forward. The book conveys new knowledge that forms the basis for a new view on strategic, emergency-preparedness management, and understanding of the unforeseen in society and in learning processes. The approach is interdisciplinary but has a particular focus on disciplines such as pedagogy, psychology, military science, health sciences, and organization and management, applied in various industries and sectors related to practical examples, experiences and challenges. The book’s primary target group is the scientific research communities within these disciplines

Muscle activation patterns in shoulder impingement patients

Introduction: Shoulder impingement is one of the most common presentations of shoulder joint problems 1. It appears to be caused by a reduction in the sub-acromial space as the humerus abducts between 60o -120o – the 'painful arc'. Structures between the humeral head and the acromion are thus pinched causing pain and further pathology 2. Shoulder muscle activity can influence this joint space but it is unclear whether this is a cause or effect in impingement patients. This study aimed to observe muscle activation patterns in normal and impingement shoulder patients and determine if there were any significant differences. Method: 19 adult subjects were asked to perform shoulder abduction in their symptomatic arm and non-symptomatic. 10 of these subjects (age 47.9 ± 11.2) were screened for shoulder impingement, and 9 subjects (age 38.9 ± 14.3) had no history of shoulder pathology. Surface EMG was used to collect data for 6 shoulder muscles (Upper, middle and lower trapezius, serratus anterior, infraspinatus, middle deltoids) which was then filtered and fully rectified. Subjects performed 3 smooth unilateral abduction movements at a cadence of 16 beats of a metronome set at 60bpm, and the mean of their results was recorded. T-tests were used to indicate any statistical significance in the data sets. Significance was set at P<0.05. Results: There was a significant difference in muscle activation with serratus anterior in particular showing a very low level of activation throughout the range when compared to normal shoulder activation patterns (<30%). Middle deltoid recruitment was significantly reduced between 60-90o in the impingement group (30:58%).Trends were noted in other muscles with upper trapezius and infraspinatus activating more rapidly and erratically (63:25%; 60:27% respectively), and lower trapezius with less recruitment (13:30%) in the patient group, although these did not quite reach significance. Conclusion: There appears to be some interesting alterations in muscle recruitment patterns in impingement shoulder patients when compared against their own unaffected shoulders and the control group. In particular changes in scapula control (serratus anterior and trapezius) and lateral rotation (infraspinatus), which have direct influence on the sub-acromial space, should be noted. It is still not clear whether these alterations are causative or reactionary, but this finding gives a clear indication to the importance of addressing muscle reeducation as part of a rehabilitation programme in shoulder impingement patients

Arctic Yearbook 2015 -- Arctic Governance and Governing

Preface - Arctic Governance Fran Ulmer “The most important thing for people to know about the governance of the Arctic is that we have a chance now to act to maintain the integrity of the system or to lose it. To lose it means that we will dismember the vital systems that make the Arctic work. It's not just a cost to the people who live there. It's a cost to all people everywhere.” -Sylvia Earle Governance is “the processes of interaction and decision-making among the actors involved in a collective problem that lead to the creation, reinforcement, or reproduction of social norms and institutions.”2 In short, it’s the effort to make good decisions for society

Public health interventions to promote oral health and well-being in patients with type 2 diabetes: a systematic review

Background and objective: Poor oral health and type 2 diabetes mellitus (T2DM) are chronic conditions affecting a wide proportion of the population. Both conditions share many risk factors and are linked by a chronic inflammation state. This review aimed at identifying public health interventions that could promote oral health and diabetes control in patients with poor oral health and T2DM. Methods: The systematic review was performed according to the PRISMA Statement and registered in the International Prospective Register of Systematic Reviews (PROSPERO registration: CRD42022310974). Seven electronic databases were searched (PubMed, Scopus, Embase, Web of Science, CINAHL, PsycInfo, Cochrane Library) from inception to 21 January 2022, and additional hand searching was performed across reviews’ references. A qualitative analysis was conducted, including all primary studies on diabetic patients, about interventions whose effectiveness and/or feasibility was measured for at least one outcome related to oral health or T2DM. Results: Of the 3153 records obtained after deduplication, 89 studies were considered eligible for inclusion. The most frequently evaluated outcomes were HbA1c and fasting glucose for T2DM, and parameters such as probing depth, bleeding on probing and clinical attachment loss for periodontitis. Most studies assessed the use of non-surgical periodontal treatment (especially scaling and root planing, sometimes corroborated by antibiotics): evidence confirmed effectiveness on periodontal parameters, but was more contrasting regarding T2DM outcomes. Three studies evaluated interventions involving group education for lifestyle modification, which showed to be effective on both outcomes. Also, community-based oral hygiene interventions and glycaemic control appeared to improve T2DM and periodontal outcomes. Conclusions: A variety of interventions are described in the literature. Of those included in this review, many indicated that there is a potential opportunity to promote good oral health alongside T2DM. An integrated approach involving health education, oral hygiene and glycaemic control may offer synergic improvement of both conditions

Proceedings of the Seventh Congress of the European Society for Research in Mathematics Education

International audienceThis volume contains the Proceedings of the Seventh Congress of the European Society for Research in Mathematics Education (ERME), which took place 9-13 February 2011, at Rzeszñw in Poland

Imagine the future world: How do we want to work tomorrow?:Abstract proceedings of the 16th EAWOP Congress 2013

The contributions summarized in this volume have been presented at the 16th Congress of the European Association of Work and Organizational Psychology (EAWOP) in Münster, Germany, May 22-25th, 2013. The bi-annual EAWOP Congress is one of the largest international conferences of work and organizational psychologists worldwide, and the largest in Europe. For the current congress, more than 1.700 abstract were submitted that were subject to a double-blind review process. The theme of the EAWOP Congress 2013 “Imagine the future world: How do we want to work tomorrow?” particularly focused on new challenges that we experience in work organizations today and tomorrow, such as globalization and digitalization of economic processes, flexible work with remote partners, demographic changes, financial turbulences, and growing climatic problems. Providing new and innovative ideas on mastering these challenges, this congress was not only a stimulating event for the community of work and organizational psychologists, but also offers new ideas and concepts for decision makers in related disciplines, consultancies, and politics