178 research outputs found
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In dreams, in imagination: suspense, anxiety and the Cold War in Tim O'Brien's 'The nuclear age'
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Sciences / humans / humanities: Dexter Masters' The accident and being in the nuclear age
Introduction: the literature of the Anthropocene
Diletta De Cristofaro and Daniel Cordle introduce the special issue on the Literature of the Anthropocene. They provide the context for the issue and flesh out the main concerns of the essays included: form, scale, the reckoning of the human with the non-human, time, and the relationship between the Humanities and the Sciences
How Athletics Affect an Athlete’s Academic Performance
Involvement in both a collegiate sport and education can be overwhelming and stressful and has the potential to result in sacrificed educational advancement and attainment. Due to the lack of research done concerning this topic, limited knowledge is known regarding specific stressors encountered by athletes and their coping strategies used. As a result, there is little understanding about how to best support college-level student athletes. Therefore, the purpose of this study is to gain insight from university students as to how athletics affect their academic performance, and to battle against the stereotype of college athletes being average or just below average in their studies. Surveys and twenty minute interviews with thirteen Cedarville University Varsity female athletes were conducted. Data collection was analyzed revolving around the overarching subjects of: time-management, self-discipline, self-care involving sleep habits, responsibility, postgraduate athletic plans, values, and social skills. Overall, the trends highlight that athletes appreciate the structured schedule and have found the balancing to be beneficial towards their educational attainment. Athletes report that their sport has helped motivate them in their studies
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Challenges in Simulation of Aerodynamics, Hydrodynamics, and Mooring-Line Dynamics of Floating Offshore Wind Turbines
This paper presents the current major modeling challenges for floating offshore wind turbine design tools and describes aerodynamic and hydrodynamic effects due to rotor and platform motions and usage of non-slender support structures
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The impact of mental health recovery narratives on recipients experiencing mental health problems: Qualitative analysis and change model.
BACKGROUND: Mental health recovery narratives are stories of recovery from mental health problems. Narratives may impact in helpful and harmful ways on those who receive them. The objective of this paper is to develop a change model identifying the range of possible impacts and how they occur. METHOD: Semi-structured interviews were conducted with adults with experience of mental health problems and recovery (n = 77). Participants were asked to share a mental health recovery narrative and to describe the impact of other people's recovery narratives on their own recovery. A change model was generated through iterative thematic analysis of transcripts. RESULTS: Change is initiated when a recipient develops a connection to a narrator or to the events descripted in their narrative. Change is mediated by the recipient recognising experiences shared with the narrator, noticing the achievements or difficulties of the narrator, learning how recovery happens, or experiencing emotional release. Helpful outcomes of receiving recovery narratives are connectedness, validation, hope, empowerment, appreciation, reference shift and stigma reduction. Harmful outcomes are a sense of inadequacy, disconnection, pessimism and burden. Impact is positively moderated by the perceived authenticity of the narrative, and can be reduced if the recipient is experiencing a crisis. CONCLUSIONS: Interventions that incorporate the use of recovery narratives, such as peer support, anti-stigma campaigns and bibliotherapy, can use the change model to maximise benefit and minimise harms from narratives. Interventions should incorporate a diverse range of narratives available through different mediums to enable a range of recipients to connect with and benefit from this material. Service providers using recovery narratives should preserve authenticity so as to maximise impact, for example by avoiding excessive editing
Hip fracture evaluation with alternatives of total hip arthroplasty versus hemiarthroplasty (HEALTH): protocol for a multicentre randomised trial
Introduction: Hip fractures are a leading cause of mortality and disability worldwide, and the number of hip fractures is expected to rise to over 6 million per year by 2050. The optimal approach for the surgical management of displaced femoral neck fractures remains unknown. Current evidence suggests the use of arthroplasty; however, there is lack of evidence regarding whether patients with displaced femoral neck fractures experience better outcomes with total hip arthroplasty (THA) or hemiarthroplasty (HA). The HEALTH trial compares outcomes following THA versus HA in patients 50 years of age or older with displaced femoral neck fractures.
Methods and analysis: HEALTH is a multicentre, randomised controlled trial where 1434 patients, 50 years of age or older, with displaced femoral neck fractures from international sites are randomised to receive either THA or HA. Exclusion criteria include associated major injuries of the lower extremity, hip infection(s) and a history of frank dementia. The primary outcome is unplanned secondary procedures and the secondary outcomes include functional outcomes, patient quality of life, mortality and hiprelated complications—both within 2 years of the initial surgery. We are using minimisation to ensure balance between intervention groups for the following factors: age, prefracture living, prefracture functional status, American Society for Anesthesiologists (ASA) Class and centre number. Data analysts and the HEALTH Steering Committee are blinded to the surgical allocation throughout the trial. Outcome analysis will be performed using a χ2 test (or Fisher’s exact test) and Cox proportional hazards modelling estimate. All results will be presented with 95% CIs.
Ethics and dissemination: The HEALTH trial has received local and McMaster University Research Ethics Board (REB) approval (REB#: 06-151).
Results: Outcomes from the primary manuscript will be disseminated through publications in academic journals and presentations at relevant orthopaedic conferences. We will communicate trial results to all participating sites. Participating sites will communicate results with patients who have indicated an interest in knowing the results. Trial registration number: The HEALTH trial is registered with clinicaltrials.gov (NCT00556842)
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