429 research outputs found
Designers roles in civic pedagogies of co-making: lessons from the Global South and North
This paper investigates how designer-led co-making and civic pedagogy can increase urban learning and resilience through transversal relationalities. We explore two case studies in which designers work with communities to run civic pedagogical projects, using co-making as a tool: Collective Design Practice, in Mumbai, India, co-produced with Muktangan school; and the Eco Nomadic school, situated in Europe. We use theories of agency, correspondence and care to compare the roles of designers and identify the particular moments (or âknotsâ) where resilience is created. Situated in the Global South and North, respectively, we identify, compare and discuss the research methods and processes used. The research asks how pedagogically supported and designer-led co-making can increase resilience in different parts of the world, particularly when it relates to everyday life. We propose that the civic pedagogy of co-making can be powerful: through it people can have more agency to improve social relations and politics of place; it can make tangible and more understandable political statements and make physically evident the benefits of practice; it can build civic practices of resourcefulness and resilience
A discursive psychology analysis of emotional support for men with colorectal cancer
Recent research into both masculinity and health, and the provision of social support for people with cancer has focussed upon the variations that may underlie broad assumptions about masculine health behaviour. The research reported here pursues this interest in variation by addressing the discursive properties of talk about emotional support, by men with colorectal cancer - an understudied group in the social support and cancer literature. Semi-structured interviews were conducted with eight men with colorectal cancer, and the transcripts analysed using an intensive discursive psychology approach. From this analysis two contrasting approaches to this group of menâs framing of emotional support in the context of cancer are described. First, talk about cancer was positioned as incompatible with preferred masculine identities. Second, social contact that affirms personal relationships was given value, subject to constraints arising from discourses concerning appropriate emotional expression. These results are discussed with reference to both the extant research literature on masculinity and health, and their clinical implications, particularly the advice on social support given to older male cancer patients, their families and friends
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Evaluation of seismic interactions: Guidelines and application
It is readily recognized that a significant source of damage from earthquakes is due to interactions between structures and components, such as the fall of a masonry wall or a ceiling on equipment, or the impact of a valve on a wall or structure. There are also other significant, while less intuitively evident, sources of seismic interaction damage, such as flooding, spraying, fires, or electrical shorts. The understanding of all these sources of interaction damage and their evaluation in the field can easily turn into a significant effort. Yet, it is the opinion of the Senior Seismic Review and Advisory Panel (SSRAP) that the evaluation of interactions, in a commercial nuclear power plant, should account for about 10 to 20% of the seismic walkdown'' devoted to equipment seismic qualification. To this end, SSRAP recognizes the need for exercising of considerable judgement and experience -- so that the program remains cost effective.'
Depression, Rational Identity and the Educational Imperative: Concordance-Finding in Tricky Diagnostic Moments
It is well-documented, within most medical and much health psychology, that many individuals find diagnoses of depression confusing or even objectionable. Within a corpus of research and practical clinical guidance dominated by the social-cognitive paradigm, the explanation for resistance to a depression diagnosis (or advice pertaining to it) within specific interactions is bordering on the canonical; patients misunderstand depression itself, often as an output of an associated social stigma that distorts public knowledge. The best way to overcome corollary resistance in situ is, logically thus, taken to be a clarification of the true (clinical) nature of depression. In this paper, exploring the diagnosis of depression in UK primary care contexts, the social-cognitive position embedded in contemporary medical reasoning around this matter is critically addressed. It is firstly highlighted how, even in a great deal of extant public health research, the link between an individual holding âcorrectâ medical knowledge and being actively compliant with it is far from inevitable. Secondly, and with respect to concerns around direct communication in clinical contexts, a body of research emergent of Discursive Psychology and Conversation Analysis is explored so as to shed light on how non-cognitive concerns (not least those around the local interactional management of a patientâs social identity) that can inform the manner in which ostensibly âtrickyâ medical talk plays-out in practice, especially in cases where a mental illness is at stake. Finally, observations are drawn together in a formal Discursive Psychological analysis of a small but highly illustrative sample of three cases where a depression diagnosis is initially questioned or disputed by a patient in primary care but, following further in-consultation activity, concordance with the diagnosis is ultimately reachedâa specific issue hitherto unaddressed in either DP or CA fields. These cases specifically reveal the coordinative attention of interlocutors to immediate concerns regarding how the patient might maintain a sense of being an everyday and rational witness to their own lives; indeed, the very act of challenging the diagnosis emerges as a means by which a patient can open up conversational space within the consultation to address such issues. While the veracity of the social-cognitive model is not deemed to be without foundation herein, it is concluded that attention to local interactional concerns might firstly be accorded, such that the practical social concerns and skills of practitioners and patients alike might not be overlooked in the endeavour to produce generally applicable theories
Paraphrases and summaries: A means of clarification or a vehicle for articulating a preferred version of student accounts?
The use of group discussions as a means to facilitate learning from experiences is well documented in adventure education literature. Priest and Naismith (1993) assert that the use of the circular discussion method, where the leader poses questions to the participants, is the most common form of facilitation in adventure education. This paper draws on transcripts of facilitation sessions to argue that the widely advocated practice of leader summaries or paraphrases of student responses in these sessions functions as a potential mechanism to control and sponsor particular knowledge(s). Using transcripts from recorded facilitation sessions the analysis focuses on how the leader paraphrases the studentsâ responses and how these paraphrases or âformulationsâ function to modify or exclude particular aspects of the studentsâ responses. I assert that paraphrasing is not simply a neutral activity that merely functions to clarify a student response, it is a subtle means by which the leader of the session can, often inadvertently or unknowingly, alter the studentâs reply with the consequence of favouring particular knowledge(s). Revealing the subtle work that leader paraphrases perform is of importance for educators who claim to provide genuine opportunities for students to learn from their experience
Analysis of and workarounds for element reversal for a finite element-based algorithm for warping triangular and tetrahedral meshes
We consider an algorithm called FEMWARP for warping triangular and
tetrahedral finite element meshes that computes the warping using the finite
element method itself. The algorithm takes as input a two- or three-dimensional
domain defined by a boundary mesh (segments in one dimension or triangles in
two dimensions) that has a volume mesh (triangles in two dimensions or
tetrahedra in three dimensions) in its interior. It also takes as input a
prescribed movement of the boundary mesh. It computes as output updated
positions of the vertices of the volume mesh. The first step of the algorithm
is to determine from the initial mesh a set of local weights for each interior
vertex that describes each interior vertex in terms of the positions of its
neighbors. These weights are computed using a finite element stiffness matrix.
After a boundary transformation is applied, a linear system of equations based
upon the weights is solved to determine the final positions of the interior
vertices. The FEMWARP algorithm has been considered in the previous literature
(e.g., in a 2001 paper by Baker). FEMWARP has been succesful in computing
deformed meshes for certain applications. However, sometimes FEMWARP reverses
elements; this is our main concern in this paper. We analyze the causes for
this undesirable behavior and propose several techniques to make the method
more robust against reversals. The most successful of the proposed methods
includes combining FEMWARP with an optimization-based untangler.Comment: Revision of earlier version of paper. Submitted for publication in
BIT Numerical Mathematics on 27 April 2010. Accepted for publication on 7
September 2010. Published online on 9 October 2010. The final publication is
available at http://www.springerlink.co
Nonstationary heat conduction in one-dimensional models with substrate potential
The paper investigates non-stationary heat conduction in one-dimensional
models with substrate potential. In order to establish universal characteristic
properties of the process, we explore three different models ---
Frenkel-Kontorova (FK), phi4+ (+) and phi4- (). Direct numeric
simulations reveal in all these models a crossover from oscillatory decay of
short-wave perturbations of the temperature field to smooth diffusive decay of
the long-wave perturbations. Such behavior is inconsistent with parabolic
Fourier equation of the heat conduction and clearly demonstrates the necessity
of hyperbolic models. The crossover wavelength decreases with increase of
average temperature. The decay patterns of the temperature field almost do not
depend on the amplitude of the perturbations, so the use of linear evolution
equations for temperature field is justified. In all model investigated, the
relaxation of thermal perturbations is exponential -- contrary to linear chain,
where it follows a power law. However, the most popular lowest-order hyperbolic
generalization of the Fourier law, known as Cattaneo-Vernotte (CV) or telegraph
equation (TE) is not valid for description of the observed behavior of the
models with on-site potential. In part of the models a characteristic
relaxation times exhibit peculiar scaling with respect to the temperature
perturbation wavelength. Quite surprisingly, such behavior is similar to that
of well-known model with divergent heat conduction (Fermi-Pasta-Ulam chain) and
rather different from the model with normal heat conduction (chain of
rotators). Thus, the data on the non-stationary heat conduction in the systems
with on-site potential do not fit commonly accepted concept of universality
classes for heat conduction in one-dimensional models.Comment: 9 pages, 7 figures, corrected versio
âItâs hard to tellâ. The challenges of scoring patients on standardised outcome measures by multidisciplinary teams: a case study of Neurorehabilitation
Background
Interest is increasing in the application of standardised outcome measures in clinical practice. Measures designed for use in research may not be sufficiently precise to be used in monitoring individual patients. However, little is known about how clinicians and in particular, multidisciplinary teams, score patients using these measures. This paper explores the challenges faced by multidisciplinary teams in allocating scores on standardised outcome measures in clinical practice.
Methods
Qualitative case study of an inpatient neurorehabilitation team who routinely collected standardised outcome measures on their patients. Data were collected using non participant observation, fieldnotes and tape recordings of 16 multidisciplinary team meetings during which the measures were recited and scored. Eleven clinicians from a range of different professions were also interviewed. Data were analysed used grounded theory techniques.
Results
We identified a number of instances where scoring the patient was 'problematic'. In 'problematic' scoring, the scores were uncertain and subject to revision and adjustment. They sometimes required negotiation to agree on a shared understanding of concepts to be measured and the guidelines for scoring. Several factors gave rise to this problematic scoring. Team members' knowledge about patients' problems changed over time so that initial scores had to be revised or dismissed, creating an impression of deterioration when none had occurred. Patients had complex problems which could not easily be distinguished from each other and patients themselves varied in their ability to perform tasks over time and across different settings. Team members from different professions worked with patients in different ways and had different perspectives on patients' problems. This was particularly an issue in the scoring of concepts such as anxiety, depression, orientation, social integration and cognitive problems.
Conclusion
From a psychometric perspective these problems would raise questions about the validity, reliability and responsiveness of the scores. However, from a clinical perspective, such characteristics are an inherent part of clinical judgement and reasoning. It is important to highlight the challenges faced by multidisciplinary teams in scoring patients on standardised outcome measures but it would be unwarranted to conclude that such challenges imply that these measures should not be used in clinical practice for decision making about individual patients. However, our findings do raise some concerns about the use of such measures for performance management
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