The daily digital practice as a form of self-care:Using photography for everyday well-being

Interest in the connection between involvement in digital communities and well-being has increased as these communities become more commonplace. Specific models of interaction that affect well-being have emerged; here, we examine one of those models, termed ‘digital daily practice’. Digital daily practices involve a commitment to doing one thing – exercise, photography and writing – every day and sharing it online. Participants in these practices agree that they provide an unexpected benefit of improving well-being. This article makes an in-depth examination of one digital daily practice, photo-a-day, using a practice theory framework to understand the affordances it offers for well-being. We engage with the literature on well-being and self-care, critiquing its presentation of well-being as an individual trait. We present data from an ethnographic study including interviews and observations to highlight how photo-a-day as a practice functions as self-care and how communities are formed around it. Photo-a-day is not a simple and uncomplicated practice; rather it is the complex affordances and variance within the practice that relate it to well-being. We conclude that this practice has multi-faceted benefits for improving well-being

Take a photo a day and call me in the morning:Exploring photography projects and well-being

The practice of taking a photo every day and sharing it online has increased in popularity across social media and image-sharing websites. This paper explores the potential well-being benefits of participating in this practice, examining the different social and creative ways in which participants use it. We interviewed sixteen people who currently participate in photo-a-day projects, and identified with the concept that participation in these projects had positive wellbeing benefits. Data were analysed using a grounded and iterative approach. Analysis focused on how participants derived well-being benefits in photo-a-day projects. Photo-a-day projects enabled participants to look differently at the world. There was something satisfying to participants about noticing the world around them more, perhaps giving a sense of being more alive because they were more aware. The negative impacts on well-being mainly centred around the rules and constraints of the projects, including feeling obliged to respond to comments. Nevertheless, photoa-day projects gave a sense of agency and choice, focused around a pleasant goal. Sharing photos could enhance social connections and lead to new relationships. The structure of taking one photo every day encouraged reminiscence, looking back on positive experiences and negative experiences overcome

Calciphylaxis following kidney transplantation: a case report

Introduction: Calciphylaxis occurring after kidney transplantation is rare and rarely reported. It results in chronic non-healing wounds and is associated with a poor prognosis and is often fatal. We present a case of proximal lower limb calciphylaxis that occurred early after kidney transplantation. The patient had no classic associated risk factors. He had previously had a total parathyroidectomy but had normal serum calcium-phosphate product and parathyroid hormone levels. The clinical outcome of this case was favorable and highlights some fundamental issues relating to management. Case prsentation: A 70-year-old British Caucasian man with end-stage renal failure secondary to IgA nephropathy presented six months post kidney transplantation with cutaneous calciphylaxis lesions involving the medial aspect of the thigh bilaterally. Conclusion: To the best of our knowledge, this is the first reported case of rapid onset cutaneous calciphylaxis occurring soon after kidney transplantation that was associated with a favorable outcome. Cutaneous calciphylaxis lesions should be promptly managed with meticulous wound care, antimicrobial therapy and the correction of calcium-phosphate product where indicated

Quantifying Wildlife Use of Escape Ramps Along a Fenced Highway

Wildlife exclusion fencing can significantly reduce wildlife–vehicle collisions. However, some animals breach the fence and become trapped in the highway corridor, thereby increasing risk of a wildlife–vehicle collision. An emerging solution to this problem is the installation of earthen escape ramps (i.e., jumpouts), which allow trapped animals to escape the highway corridor. Few studies have quantified wildlife use of jumpouts, and none have investigated intraspecific differences in use. We used camera traps to document wildlife use of 4 2m-high jumpouts associated with wildlife exclusion fencing along Highway 101 near San Luis Obispo, California, USA, from 2012 to 2017. We surveyed for 7,361 nights across all 4 jumpouts, yielding 1,015 visitation events by 10 different species of large- and medium-sized mammals. Mule deer (Odocoileus hemionus) accounted for 895 (88%) detections; they jumped out 20% of the time when detected at the top of the ramp and were never detected using the jumpout to enter the highway corridor. We differentiated male and female deer using the presence of antlers and found that they jumped out at similar rates, but females were detected 6 times more often and were more likely to return to the same jumpout. Two groups of 2–3 deer accounted for ~41% of deer detections, which allowed us to investigate their behavior over time. These results indicate that individual variation could influence jumpout use, which should be considered when quantifying their use. To increase the overall jumpout rate, we recommend a jumpout height between 1.75 and 2 m

Take a photo a day and call me in the morning: Exploring photography projects and well-being

The practice of taking a photo every day and sharing it online has increased in popularity across social media and image-sharing websites. This paper explores the potential well-being benefits of participating in this practice, examining the different social and creative ways in which participants use it. We interviewed sixteen people who currently participate in photo-a-day projects, and identified with the concept that participation in these projects had positive well-being benefits. Data were analysed using a grounded and iterative approach. Analysis focused on how participants derived well-being benefits in photo-a-day projects. Photo-a-day projects enabled participants to look differently at the world. There was something satisfying to participants about noticing the world around them more, perhaps giving a sense of being more alive because they were more aware. The negative impacts on well-being mainly centred around the rules and constraints of the projects, including feeling obliged to respond to comments. Nevertheless, photo-a-day projects gave a sense of agency and choice, focused around a pleasant goal. Sharing photos could enhance social connections and lead to new relationships. The structure of taking one photo every day encouraged reminiscence, looking back on positive experiences and negative experiences overcome

Simultaneous endovascular repair of an iatrogenic carotid-jugular fistula and a large iliocaval fistula presenting with multiorgan failure: a case report

<p>Abstract</p> <p>Introduction</p> <p>Iliocaval fistulas can complicate an iliac artery aneurysm. The clinical presentation is classically a triad of hypotension, a pulsatile mass and heart failure. In this instance, following presentation with multiorgan failure, management included the immediate use of an endovascular stent graft on discovery of the fistula.</p> <p>Case presentation</p> <p>A 62-year-old Caucasian man presented to our tertiary hospital for management of iatrogenic trauma due to the insertion of a central venous line into his right common carotid artery, causing transient ischemic attack. Our patient presented to a peripheral hospital with fever, nausea, vomiting, acute renal failure, acute hepatic dysfunction and congestive heart failure. A provisional diagnosis of sepsis of unknown origin was made. There was a 6.5 cm×6.5 cm right iliac artery aneurysm present on a non-contrast computed tomography scan. An unexpected intra-operative diagnosis of an iliocaval fistula was made following the successful angiographic removal of the central line to his right common carotid artery. Closure of the iliocaval fistula and repair of the iliac aneurysm using a three-piece endovascular aortic stent graft was then undertaken as part of the same procedure. This was an unexpected presentation of an iliocaval fistula.</p> <p>Conclusion</p> <p>Our case demonstrates that endovascular repair of a large iliac artery aneurysm associated with a caval fistula is safe and effective and can be performed at the time of the diagnostic angiography. The presentation of an iliocaval fistula in this case was unusual which made the diagnosis difficult and unexpected at the time of surgery. The benefit of immediate repair, despite hemodynamic instability during anesthesia, is clear. Our patient had two coronary angiograms through his right femoral artery decades ago. Unusual iatrogenic causes of iliocaval fistulas secondary to previous coronary angiograms with wire and/or catheter manipulation should be considered in patients such as ours.</p

An approach to improve direct runoff estimates and reduce uncertainty in the calculated groundwater component in water balances of large lakes

The final publication is available at Elsevier via © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/.Groundwater is important in the overall water budget of a lake because it affects the quantity and quality of surface water and the ecological health of the lake. The water balance equation is frequently used to estimate the net groundwater flow for small lakes but is seldom used to determine net groundwater flow components for large lakes because: (1) errors accumulate in the calculated groundwater term, and (2) there is an inability to accurately quantify the direct runoff component. In this water balance study of Lake Pyhäjärvi (155 km2) in Finland, it was hypothesized a hydrograph separation model could be used to estimate direct runoff to the lake and, when combined with a rigorous uncertainty analyses, would provide reliable net groundwater flow estimates. The PART hydrograph separation model was used to estimate annual per unit area direct runoff values for the watershed of the inflowing Yläneenjoki River (a subwatershed of the lake) which were then applied to other physically similar subwatersheds of the lake to estimate total direct runoff to the lake. The hydrograph separation method provided superior results and had lower uncertainty than the common approach of using a runoff coefficient based method. The average net groundwater flow into the lake was calculated to be +43 mm per year (+3.0% of average total inflow) for the 38 water years 1971–2008. It varied from −197 mm to 284 mm over that time, and had a magnitude greater than the uncertainty for 17 of the 38 years. The average indirect groundwater contribution to the lake (i.e., the groundwater part of the inflowing rivers) was 454 mm per year (+32% of average total inflow) and demonstrates the overall importance of groundwater. The techniques in this study are applicable to other large lakes and may allow small net groundwater flows to be reliably quantified in settings that might otherwise be unquantifiable or completely lost in large uncertainties.Maa- ja vesitekniikan tuki ry Foundation || Pyhäjärven suojelurahasto || Natural Sciences and Engineering Research Council of Canada (NSERC

Ureteric complications in recipients of kidneys from donation after circulatory death donors.

A large increase in the use of kidneys from donation after circulatory death (DCD) donors prompted us to examine the impact of donor type on the incidence of ureteric complications (UCs; ureteric stenosis, urinary leak) after kidney transplantation. We studied 1072 consecutive kidney transplants (DCD n=494, live donor [LD] n=273, donation after brain death [DBD] n=305) performed during 2008-2014. Overall, there was a low incidence of UCs after kidney transplantation (3.5%). Despite a trend toward higher incidence of UCs in DCD (n=22, 4.5%) compared to LD (n=10, 3.7%) and DBD (n=5, 1.6%) kidney transplants, donor type was not a significant risk factor for UCs in multivariate analysis (DCD vs DBD HR: 2.33, 95% CI: 0.77-7.03, P=.13). There was no association between the incidence of UCs and donor, recipient, or transplant-related characteristics. Management involved surgical reconstruction in the majority of cases, with restenosis in 2.7% requiring re-operation. No grafts were lost secondary to UCs. Despite a significant increase in the number of kidney transplants from DCD donors, the incidence of UCs remains low. When ureteric complications do occur, they can be treated successfully with surgical reconstruction with no adverse effect on graft or patient survival.This study was supported by the Cambridge NIHR Biomedical Research Centre and the NIHR Blood and Transplant Research Unit in Organ Donation and Transplantation at the University of Cambridge in collaboration with Newcastle University and in partnership with NHS Blood and Transplant (NHSBT). VK was supported by an Academy of Medical Sciences Grant and an Evelyn Trust Grant. DHM was supported by a RCSEng Research Fellowship

Predicting scale formation during electrodialytic nutrient recovery

Electro-concentration of nutrients from waste streams is a promising technology to enable resource recovery, but has several operational concerns. One key concern is the formation of inorganic scale on the concentrate side of cation exchange membranes when recovering nutrients from wastewaters containing calcium, magnesium, phosphorous and carbonate, commonly present in anaerobic digester rejection water. Electrodialytic nutrient recovery was trialed on anaerobic digester rejection water in a laboratory scale electro-concentration unit without treatment (A), following struvite recovery (B), and following struvite recovery as well as concentrate controlled at pH 5 for scaling control (C). Treatment A resulted in large amount of scale, while treatment B significantly reduced the amount of scale formation with reduction in magnesium phosphates, and treatment C reduced the amount of scale further by limiting the formation of calcium carbonates. Treatment C resulted in an 87 ± 7% by weight reduction in scale compared to treatment A. A mechanistic model for the inorganic processes was validated using a previously published general precipitation model based on saturation index. The model attributed the reduction in struvite scale to the removal of phosphate during the struvite pre-treatment, and the reduction in calcium carbonate scale to pH control resulting in the stripping of carbonate as carbon dioxide gas. This indicates that multiple strategies may be required to control precipitation, and that mechanistic models can assist in developing a combined approach