76,906 research outputs found
Self-Evaluation of Black and White College Students
A major issue in the social psychology of race relations has been the axiom that blacks tend to manifest lower self-esteem than whites.[1] Much of the empirical support for this hypothesis came from studies demonstrating that blacks are stigmatized and subjected to a variety of unpleasant and derogatory experiences.[2] However, these studies are limited in two respects: first, by their use of small, nonrepresentative samples (primarily nursery school and kindergarten children) and second, by their reliance upon inferential (semi-projective) measures of self-esteem.[3
A feasibility study of a miniature solid-state pressure transducer
Potential electrical response of p-n junction to mechanical strai
Study to define low voltage and low temperature operating limits of the Pioneer 10/11 Meteoroid Detection Equipment (MDE) system
The Pioneer 10/11 meteoroid detection equipment (MDE) pressure cells were tested at liquid nitrogen (LN2) and liquid helium (LHe) temperatures with the excitation voltage controlled as a parameter. The cells failed by firing because of pressurizing gas condensation as the temperature was lowered from LN2 to LHe temperature and when raised from LHe temperature. A study was conducted to determine cell pressure as a function of temperature, and cell failure was estimated as a function of temperature and excitation voltage. The electronic system was also studied, and a profile of primary spacecraft voltage (nominally 28 Vdc) and temperature corresponding to electronic system failure was determined experimentally
Inflation, Renormalization, and CMB Anisotropies
In single-field, slow-roll inflationary models, scalar and tensorial
(Gaussian) perturbations are both characterized by a zero mean and a non-zero
variance. In position space, the corresponding variance of those fields
diverges in the ultraviolet. The requirement of a finite variance in position
space forces its regularization via quantum field renormalization in an
expanding universe. This has an important impact on the predicted scalar and
tensorial power spectra for wavelengths that today are at observable scales. In
particular, we find a non-trivial change in the consistency condition that
relates the tensor-to-scalar ratio "r" to the spectral indices. For instance,
an exact scale-invariant tensorial power spectrum, n_t=0, is now compatible
with a non-zero ratio r= 0.12 +/- 0.06, which is forbidden by the standard
prediction (r=-8n_t). Forthcoming observations of the influence of relic
gravitational waves on the CMB will offer a non-trivial test of the new
predictions.Comment: 4 pages, jpconf.cls, to appear in the Proceedings of Spanish
Relativity Meeting 2009 (ERE 09), Bilbao (Spain
Under the hood: How an authentic online course was designed, delivered and evaluated
A key challenge for university professionals is to identify how to construct more interactive, engaging and student-centred environments that promote 21st century skills and encourage selfdirected learning. Existing research suggests the use of real-life tasks supported by new technologies, together with access to the vast array of open educational resources on the Internet, have the potential to improve the quality of online learning. This paper describes how an authentic online professional development course for higher education practitioners was designed and implemented using a learning management system (LMS) and an open companion website. It also briefly discusses how the initial iteration was evaluated and identifies recommendations for improving future iterations of the cours
New Structure In The Shapley Supercluster
We present new radial velocities for 189 galaxies in a 91 sq. deg region of
the Shapley supercluster measured with the FLAIR-II spectrograph on the UK
Schmidt Telescope. The data reveal two sheets of galaxies linking the major
concentrations of the supercluster. The supercluster is not flattened in
Declination as was suggested previously and it may be at least 30 percent
larger than previously thought with a correspondingly larger contribution to
the motion of the Local Group.Comment: LaTex: 2 pages, 1 figure, includes conf_iap.sty style file. To appear
in proceedings of The 14th IAP Colloquium: Wide Field Surveys in Cosmology,
held in Paris, 1998 May 26--30, eds. S.Colombi, Y.Mellie
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Barriers and facilitators to GP-patient communication about emotional concerns in UK primary care: a systematic review.
Background
In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns.
Objective
To update and synthesize literature on barriers and facilitators to GP–patient communication about emotional concerns in UK primary care.
Design
Systematic review and qualitative synthesis.
Method
We conducted a systematic search on MEDLINE (OvidSP), PsycInfo and EMBASE, supplemented by citation chasing. Eligible papers focused on how GPs and adult patients in the UK communicated about emotional concerns. Results were synthesized using thematic analysis.
Results
Across 30 studies involving 342 GPs and 720 patients, four themes relating to barriers were: (i) emotional concerns are difficult to disclose; (ii) tension between understanding emotional concerns as a medical condition or arising from social stressors; (iii) unspoken assumptions about agency resulting in too little or too much involvement in decisions and (iv) providing limited care driven by little time. Three facilitative themes were: (v) a human connection improves identification of emotional concerns and is therapeutic; (vi) exploring, explaining and negotiating a shared understanding or guiding patients towards new understandings and (vii) upfront information provision and involvement manages expectations about recovery and improves engagement in treatment.
Conclusion
The findings suggest that treatment guidelines should acknowledge: the therapeutic value of a positive GP–patient relationship; that diagnosis is a two-way negotiated process rather than an activity strictly in the doctor’s domain of expertise; and the value of exploring and shaping new understandings about patients’ emotional concerns and their management
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Patients' experiences of seeking help for emotional concerns in primary care: doctor as drug, detective and collaborator
Background
NICE guidelines for the management of emotional concerns in primary care emphasise the importance of communication and a trusting relationship, which is difficult to operationalise in practice. Current pressures in the NHS mean that it is important to understand care from a patient perspective. This study aimed to explore patients’ experiences of primary care consultations for emotional concerns and what patients valued when seeking care from their GP.
Methods
Eighteen adults with experience of consulting a GP for emotional concerns participated in 4 focus groups. Data were analysed thematically.
Results
(1) Doctor as Drug: Patients’ relationship with their GP was considered therapeutic with continuity particularly valued. (2) Doctor as Detective and Validator: Patients were often puzzled by their symptoms, not recognising their emotional concerns. GPs needed to play the role of detective by exploring not just symptoms, but the person and their life circumstances. GPs were crucial in helping patients understand and validate their emotional concerns. (3) Doctor as Collaborator: Patients prefer a collaborative partnership, but often need to relinquish involvement because they are too unwell, or take a more active role because they feel GPs are ill-equipped or under too much pressure to help. Patients valued: GPs booking their follow up appointments; acknowledgement of stressful life circumstances; not relying solely on medication.
Conclusions
Seeking help for emotional concerns is challenging due to stigma and unfamiliar symptoms. GPs can support disclosure and understanding of emotional concerns by fully exploring and validating patients’ concerns, taking into account patients’ life contexts. This process of exploration and validation forms the foundation of a curative, trusting GP-patient relationship. A trusting relationship, with an emphasis on empathy and understanding, can make patients more able to share involvement in their care with GPs. This process is cyclical, as patients feel that their GP is caring, interested, and treating them as a person, further strengthening their relationship. NICE guidance should acknowledge the importance of empathy and validation when building an effective GP-patient partnership, and the role this has in supporting patients’ involvement in their care
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