Design for 'domestication': the decommercialisation of traditional crafts

This paper explores the contribution of design to the 'domestication' of traditional crafts: the reframing and support of such practices as amateur activities. Informed by twelve examples, six design strategies for the domestication of traditional crafts are identified and discussed. This issue emerges from a research project investigating the role of design in developing and revitalising culturally significant designs, products and associated practices. Within this paper, we focus on strategies that seek to revitalise traditional crafts by supporting domestic activity. This topic is introduced through a discussion of commercialisation, a more common approach to revitalisation. Two contemporary social trends support domestication: the strong interest – particularly in post-industrial countries – in provenance, local distinctiveness and authenticity; and the growth of maker culture and its ethos of amateur creativity. We gather twelve examples of various formats – such as books, kits, online communities, videos, workshops and holidays – which support amateur activity. The examples are analysed via a matrix, which considers their characteristics in terms of two variables: the way in which knowledge is exchanged, and the degree of experimentation facilitated by the activity. By categorising the examples, we identify six domestication strategies, each of which involves a different combination of design activities. Finally, we discuss domestication in terms of skill and innovation, arguing that amateur practice has much to offer in both respects

Wrestling with tradition: revitalizing the Orkney chair and other culturally significant crafts

Across the world, "culturally significant" designs, products, and practices – such as traditional crafts – have been pushed to the margins by the forces of modernization and globalization. Appreciation of the positive attributes of these traditions drive widespread revitalization initiatives, often involving designers. Awareness of the cultural ramifications of design-led revitalization may deter enthusiasm for radical initiatives and instead promote preservation efforts. Yet a deconstruction of the popular understandings of tradition and origin indicates a need for change and cross-cultural contact. This article proposes that social value – central to a traditional craft's cultural significance – should be used to guide revitalization

Habitual intake of anthocyanins and flavanones and risk of cardiovascular disease in men

Background: Although increased fruit intake reduces cardiovascular disease (CVD) risk, which fruits are most beneficial and what key constituents are responsible are unclear. Habitual intakes of flavonoids, specifically anthocyanins and flavanones, in which >90% of habitual intake is derived from fruit, are associated with decreased CVD risk in women, but associations in men are largely unknown. Objective: We examined the relation between habitual anthocyanin and flavanone intake and coronary artery disease and stroke in the Health Professionals Follow-Up Study. Design: We followed 43,880 healthy men who had no prior diagnosed CVD or cancer. Flavonoid intake was calculated with the use of validated food-frequency questionnaires. Results: During 24 y of follow-up, 4046 myocardial infarction (MI) and 1572 stroke cases were confirmed by medical records. Although higher anthocyanin intake was not associated with total or fatal MI risk, after multivariate adjustment an inverse association with nonfatal MI was observed (HR: 0.87; 95% CI: 0.75, 1.00; P = 0.04; P-trend = 0.098); this association was stronger in normotensive participants (HR: 0.81; 95% CI: 0.69, 0.96; P-interaction = 0.03). Anthocyanin intake was not associated with stroke risk. Although flavanone intake was not associated with MI or total stroke risk, higher intake was associated with a lower risk of ischemic stroke (HR: 0.78; 95% CI: 0.62, 0.97; P = 0.03, P-trend = 0.059), with the greatest magnitude in participants aged ≥65 y (P-interaction = 0.04). Conclusions: Higher intakes of fruit-based flavonoids were associated with a lower risk of nonfatal MI and ischemic stroke in men. Mechanistic studies and clinical trials are needed to unravel the differential benefits of anthocyanin- and flavanone-rich foods on cardiovascular health

Commentary 2: The devil is in the detail – lies, damned lies and accounting for the value of banking [part of Book review symposium: Locating banks, tracking money]

Not applicabl

The third Symptom Management Research Trial in Oncology (SMaRT Oncology-3): a randomised trial to determine the efficacy of adding a complex intervention for major depressive disorder (Depression Care for People with Lung Cancer) to usual care, compared to usual care alone in patients with lung cancer

Background: Depression Care for People with Lung Cancer is a complex intervention delivered by specially trained cancer nurses, under the supervision of a psychiatrist. It is given as a supplement to the usual care for depression, which patients receive from their general practitioner and cancer service. The third Symptom Management Research Trial in Oncology (SMaRT Oncology-3 Trial) will test its efficacy when compared to usual care alone. Design: A two arm parallel group multi-centre randomised controlled trial. 200 patients will be recruited through established systematic Symptom Monitoring Services, which screen patients for depression. Patients will have: a diagnosis of lung cancer; an estimated life expectancy of three months or more and a diagnosis of Major Depressive Disorder. Patients will be randomised to usual care or usual care plus Depression Care for People with Lung Cancer. Randomisation will be carried out by telephoning a secure computerised central randomisation system or by using a secure web interface. The primary outcome measure is average depression severity. This will be assessed using scores on the 20-item Symptom Hopkins Checklist (SCL-20D), collected every four weeks over 32 weeks. Secondary outcomes include severity of anxiety, pain and fatigue; self-rated improvement of depression; quality of life and satisfaction with depression care

Protecting children: the central role of knowledge

Following the deaths of Victoria Climbié and of Peter Connelly (Baby P) the media has raged about social work competence, the public have expressed dismay and the government has responded with proposals designed to alter practice procedures. Altering procedures gives the appearance of change without necessarily improving practice. Do social workers have sufficient knowledge to make the decisions that they are responsible for? This paper examines whether a restricted knowledge base contributes to social workers missing or misjudging signs of maltreatment. The paper also looks at evidence suggesting that social workers are resistant to developing new ways of working. A more positive approach to developing expert knowledge and engagement with the inter-professional knowledge base is proposed

Left Ventricular Function by Pressure‐Volume Loop Analysis before and after Percutaneous Repair of Large Atrial Septal Defects

Aim The intent of the present study was to evaluate changes in ventricular function with percutaneous closure of atrial septal defect (ASD), as it is associated with alterations in ventricular loading and function. Transcatheter occlusion of ASD imparts acute changes in volume loading of the left ventricle (LV) that obscures measurement of ventricular function by load‐dependent indices. To differentiate between changes in ventricular loading and function, load‐independent indices of ventricular function must be utilized . Methods During transcatheter occlusion of ASD, subjects underwent measurement of LV pressure and volume by the conductance catheter method. Load‐dependent indices of ventricular function included: systolic and diastolic pressures, +dP/dt max , and −dP/dt max . Load‐independent indices included: elastance and tau, the preload‐independent time constant ofisovolumic relaxation. To obtain elastance, afterload was augmented by phenylephrine bolus pre‐ and post‐device occlusion . Results In total, 29 patients (age 2–79 years) underwent ASD device occlusion (device size 12–38 mm, median 28 mm). Load‐dependent indices were obtained in all, and satisfactory pressure‐volume loops in 11. At baseline, LV end‐diastolic pressure was 5–23 mmHg (13 ± 5 mmHg) and tau was 31 ± 6 ms. Postclosure of the ASD, LV systolic and diastolic pressures rose by 10 ± 11 mmHg and 5 ± 3 mmHg, respectively (P < 0.05), and +dP/dt max rose from 1,288 ± 313 mmHg/sec to 1,415 ± 465 mmHg/sec (P < 0.05), but −dP/dt max was unchanged. Elastance significantly improved (9.4 ± 8.3 mmHg/mL vs. 13.0 ± 7.3 mmHg/mL, P < 0.05) and tau was unchanged . Conclusions Transcatheter occlusion of ASD is associated with acute improvement in load‐independent indices of systolic function in this cohort, without significant worsening of the preload‐independent index of diastolic function . (J Interven Cardiol 2014;27:204–211)Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106889/1/joic334.pd

Analysis of 22,655 presentations with back pain to Perth emergency departments over five years

BACKGROUND: Back pain is a significant cause of disability in the community, but the impact on Emergency Departments (EDs) has not been formally studied. Patients with back pain often require significant time and resources in the ED. AIMS: To examine the characteristics of patients presenting with back pain to the ED, including final diagnosis, demographics of those attending and temporal distribution of presentations. METHODS: Emergency presentations in the metropolitan area of Perth, Western Australia, for 2000-2004 were searched using a linked database covering all the major hospitals (Emergency Care Hospitalisation and Outcome Study database). All presentations with the triage code for back pain were extracted and analysed. RESULTS: A total of 22,655 presentations with back pain were identified, representing 1.9% of total presentations. Simple muscular or non-specific back pain accounted for only 43.8% of presentations, with other causes such as renal colic and pyelonephritis accounting for the majority. The young (75 years old) were more likely to have non-muscular causes for their back pain. Muscular back pain presentations occurred mostly between 0800 and 1600, with high proportions presenting on the weekends. Patients with simple muscular back pain spent a mean of 4.4 h in the ED, representing a significant outlay of resources. CONCLUSION: Back pain has a significant impact on EDs, and staff should be alert for another pathology presenting as back pain. There is a need for multidisciplinary back pain teams to be available 7 days a week, but only during the day

The roles of personality and resilience in associations between combat experiences and posttraumatic stress disorder among Canadian Armed Forces Veterans

Canadian Armed Forces (CAF) Veterans encounter unique challenges associated with their service. Exposure to service-related traumatic events places them at risk for developing adverse mental health outcomes, including posttraumatic stress disorder (PTSD). Our research aimed to assess whether the HEXACO personality model and resilience impacted associations between combat experiences and PTSD symptomatology in CAF Veterans in the past month. We recruited a sample of 245 CAF Veterans (81 % men; Mage = 48.47, SDage = 10.34) to complete a battery of questionnaires. PTSD symptoms were significantly associated with more combat experience, lower resilience, lower extraversion, higher emotionality, and lower agreeableness. However, personality traits did not moderate the relationship between combat experiences and PTSD symptoms. Overall, this research can be used to enhance researchers\u27 and clinicians\u27 understanding of personality traits as risk and protective factors for PTSD symptoms

Literature review of the traditional use of tobacco as a cultural practice and harm reduction effort for Indigenous communities

This literature review aims to highlight cultural strengths and protective health factors associated with traditional/ceremonial tobacco (versus commercial tobacco) use among Indigenous communities. While commercial cigarette smoking rates have decreased over the past 50+ years in the US, Indigenous communities continue to smoke commercial tobacco at higher rates compared to other racial/ethnic groups, and thus, experience significantly higher tobacco-related health inequities. Traditional use of the tobacco plant, most often Nicotiana rustica or Nicotiana tabacum, may include smoking (but not inhaling), burning for offering, smudging in ceremonies, or sprinkling on the bed of an ill person for healing among Indigenous communities. Unlike traditional tobacco, commercial tobacco refers to a product (i.e., cigarettes, chewing tobacco) containing thousands of added chemical compounds associated with cancer-related disparities. Furthermore, the negative health outcomes associated with commercial tobacco use, such as premature death, remain a significant cause for concern in public health efforts. Contemporarily, an issue arises from the use of commercial tobacco use in traditional practices, out of convenience or lack of knowledge about the cultural significance, which can result in earlier initiation of tobacco use, and reduce cultural respect for the plant. Interventions developed with predominantly non-Hispanic White (NHW) populations are typically less effective for Indigenous populations due to a lack of cultural considerations. Recent research suggests that Indigenous populations benefit from culturally inclusive adaptations for tobacco control and tobacco dependence interventions. This literature review will identify effective ways to address the need for culturally inclusive efforts to reduce tobacco-related health disparities while also acknowledging the unique difference between using traditional tobacco and commercial tobacco use. In addition, it will discuss results from previous studies that suggest protective factors associated with engaging in these cultural practices. These findings will inform future studies that investigate whether traditional tobacco use could be promoted for Indigenous communities as a way that supports traditional tobacco use in tandem with reducing the harm of commercial cigarette smoking and chewing tobacco for Indigenous communities.Psycholog