I could go with you.

I could go with you. is a first-person account of the emotional aftermath following a specific traumatic event in one individual\u27s life, examined through image and word. The narrator\u27s internal struggle is delineated through retrospective sentiments and a fractured chronology. Text and image act as partners in I could go with you., challenging the nature of story telling, as well as the credibility of memory. This disjointed narrative mirrors how memory and Post Traumatic Stress Disorder function in the human psyche following an overwhelmingly shocking or painful experience

Attachment the construct : a construct validity study of parent-adolescent attachment measures

A dearth of research evaluating the psychometric properties of parentchild attachment measures has raised questions about the validity of scores when these self-report instruments are administered. The purpose of this study was to examine the construct validity of the scores produced by two parentadolescent attachment measures on a sample of 200 adolescents grades eight through twelve who volunteered to take part in the project. The scores obtained from the 200 adolescents on the parent-child attachment questionnaires were analyzed using confirmatory factor analysis of the measurement models delineated by the authors of the scales. Structural equations modeling in LISREL was used to address the invariance of the factor structures for each attachment scale across the sex groupings. When comparing the correlation coefficients within and between the score from the IPPA, PAQ, RCMAS, and SDQ-II, the study generally supported the convergent and discriminant validity of the two attachment measures. However, results from the current sample failed to provide support for the factor structure of the IPPA and the PAQ, and the invariance of the measurement models across female and male participants. Taken together, results from the current study suggest that school psychologists or counsellors can use the total scores of the parent forms of the IPPA and PAQ in group or individual assessment as initial indicators of parent-child attachment and felt security. However, as with all assessments, the results should be interpreted in the context of information gained from other methods including interviews, observations, and self-reports measuring other constructs.Education, Faculty ofEducational and Counselling Psychology, and Special Education (ECPS), Department ofGraduat

Improving access to palliative care for people experiencing socioeconomic inequities: findings from a community-based pilot research study

IntroductionIn Canada, people experiencing socioeconomic inequities have higher rates of late diagnosis and lower survival rates than the general population. Palliative care services focussed on this population are scarce. We developed a community-based nursing intervention to improve access to palliative care for people experiencing socioeconomic inequities and living with life-limiting illnesses in an urban Canadian setting. MethodsThis community-based, qualitative research study combined critical and participatory research methodologies. The study was conducted in partnership with the Palliative Care Outreach Advocacy Team (PCOAT) based in Edmonton, Alberta, a team dedicated to serving populations experiencing socioeconomic inequities who require palliative care. Following an exploratory phase that served to delineate the intervention, we undertook a one-year pilot implementation during which a part-time registered nurse (RN) joined PCOAT. The RN engaged in trust building, resolution of health and practical needs and complex care coordination. Twenty-five patients participated in the intervention. Participants were interviewed at least once to explore their experiences with the intervention. Data were analyzed through thematic analysis. ResultsMost participants were men, were Indigenous and had advanced cancer. Participants had significant financial concerns, lived or had lived in precarious housing situations and had previously faced serious challenges accessing health care. Participants reported social and health needs including housing, finances, transportation, symptom control, harm reduction and end-of-life care. Participants reported improved access to health and social services and expressed satisfaction with the study intervention. ConclusionStudy findings suggest the study intervention may have contributed to improved access to palliative care, improved experiences for participants and increased equity in the delivery of care

Améliorer l’accès aux soins palliatifs pour les personnes confrontées à des iniquités socioéconomiques : conclusions d’une étude pilote de recherche communautaire

IntroductionAu Canada, les personnes confrontées à des iniquités socioéconomiques présentent des taux supérieurs de diagnostics tardifs et des taux inférieurs de survie par rapport à la population générale. Peu de services de soins palliatifs sont destinés à ces personnes en particulier. Nous avons mis au point une intervention infirmière en milieu communautaire et en contexte urbain au Canada afin d’améliorer l’accès aux soins palliatifs pour les personnes confrontées à des iniquités socioéconomiques et atteintes d’une maladie limitant leur espérance de vie. MéthodologieCette étude de recherche qualitative communautaire combine des méthodes de recherche critiques et participatives. Elle a été réalisée en partenariat avec l’équipe PCOAT (Palliative Care Outreach Advocacy Team), basée à Edmonton (Alberta), qui offre des services de proximité aux populations désavantagées sur le plan socioéconomique ayant besoin de soins palliatifs. Après une phase exploratoire nous ayant permis de définir l’intervention, nous avons mis en oeuvre une phase pilote d’un an, durant laquelle une infirmière s’est jointe à l’équipe PCOAT. Cette infirmière a eu pour tâche d’établir des liens de confiance, de coordonner les soins complexes et de répondre aux besoins à la fois en matière de santé et sur le plan pratique. Vingt-cinq participants ont pris part à cette intervention. Ils ont été interviewés chacun au moins une fois afin de décrire leurs expériences en lien avec l’intervention. Nous avons ensuite effectué une analyse thématique des données. RésultatsLa plupart des participants étaient des hommes, étaient autochtones et étaient atteints d’un cancer à un stade avancé. Les participants avaient d’importantes difficultés financières, se trouvaient ou s’étaient déjà trouvés en situation de logement précaire et avaient précédemment connu de sérieuses difficultés d’accès à des soins de santé. Ils ont décrit leurs besoins sur le plan social et sur le plan de la santé, en matière notamment de logement, de finances, de transport, de soulagement des symptômes, de réduction des méfaits et de soins de fin de vie. Ils ont également déclaré que leur accès aux services sociaux et de santé s’était amélioré et se sont dits satisfaits de l’intervention liée à l’étude. ConclusionD’après les données recueillies, l’intervention liée à l’étude semble avoir favorisé un meilleur accès aux soins palliatifs, de meilleures expériences pour les participants et une prestation de soins plus équitable

Interleukin-4 and RANTES expression in maturing eosinophils derived from human cord blood CD34+ progenitors

Eosinophils elaborate a number of proinflammatory mediators, including immunoregulatory cytokines and chemokines. Interleukin (IL)-4 and RANTES are important cytokines that have previously been shown to be expressed by mature eosinophils. We hypothesized that de novo synthesis of IL-4 and RANTES occurs in nascent eosinophils, leading to storage of newly produced proteins in crystalloid granule-like structures. Cytokine mRNA and protein expression were examined in cultured eosinophil colonies, which were derived from purified cord blood CD34+ cells and generated in semisolid media (methylcellulose) in the presence of recombinant human (rh)IL-3 and rhIL-5. Cytokine mRNA profiles were analysed by the reverse transcription–polymerase chain reaction (RT–PCR) to determine transcription of IL-4 and RANTES in cells on days 0, 7, 14, 21 and 28 of culture. The expression of translated cytokine products and granule major basic protein (MBP) was confirmed, from day 23 onwards, for colonies cultured in semisolid media, by immunofluorescent labelling and confocal laser-scanning microscopy (CLSM). We found that mRNA sequences encoding IL-4 and RANTES were expressed in freshly prepared, non-differentiated CD34+ cells. Furthermore, RANTES mRNA localized to carbol chromotrope 2R-positive colony cells, as assessed using in situ RT–PCR on day 21 of culture in semisolid media, and was found to gradually decrease (relative to β2-microglobulin) in rhIL-3- and rhIL-5-treated colony cells (comprising > 90% eosinophil-like cells) up to day 28. Immunoreactivity for IL-4 and RANTES co-localized with MBP in maturing colony eosinophils on day 23 of culture in semisolid media, as judged by CLSM. These results suggest that synthesis and storage of immunoregulatory cytokines, essential for processes associated with adaptive immunity, occurs in nascent eosinophils during their growth and differentiation