Identity and sense of self: the significance of personhood in rehabilitation

Recovery from conditions leading to illness/disability is often defined in terms of physical improvement; however, people themselves describe their own recovery as more than this alone: it is a returning to the life they led before their illness. These two approaches highlight a potential mismatch between the way we as health care professionals perceive our world (the observable) and the way the people we are caring for perceive their world (often hidden from us). In this presentation I will explore how we can access the subjective world of those who use our services by exploring the role of life narratives within rehabilitation. I will share ideas from research linked to life changes, sense of self, and agency which we can use to inform our practice and support people in their recovery and rehabilitation

The Arts in Arizona: A Discussion Document

Provides an assessment of contemporary issues facing arts institutions in Arizona and their impact on funding needs

Fostering Hope Through Palliative Rehabilitation

Cancer patients’ need for rehabilitation is growing, as more and more people live with the long-term consequences of disease and its treatment due to early detection and improved treatment regimens. There are a number of people living with incurable cancer who have symptoms that need to be managed for many years, paralleling long-term conditions. Beyond clinical management, a sense of hope is vital in enhancing their quality of life

Exploring positive adjustment in people with spinal cord injury.

This study explored adjustment in people with spinal cord injury; data from four focus groups are presented. Thematic analysis revealed four themes, managing goals and expectations, comparison with others, feeling useful and acceptance, showing participants positively engaged in life, positively interpreted social comparison information and set realistic goals and expectations. These positive strategies show support for adjustment theories, such as the Cognitive Adaptation Theory, the Control Process Theory and Response Shift Theory. These results also provide insight into the adjustment process of a person with spinal cord injury and may be useful in tailoring support during rehabilitation

How do you exercise with epilepsy? Insights into the barriers and adaptations to successfully exercise with epilepsy.

Exercise has been shown to be a physiological and psychological benefit for people with epilepsy (PWE). However, barriers prevent many PWE from exercising safely and confidently. This research explored current perceived barriers to exercise and adaptation techniques used by PWE in order to maintain physical activity levels. Three focus groups (2-3 participants per group) and three semi-structured interviews were conducted (11 participants total). Constructive grounded theory was used to frame the study and analyse the findings, presenting new insight into the motivation, perceived barriers, and adaptation techniques used to exercise. The main motivator to maintain physical activity levels was the benefit of exercise on physical and mental health. This was shown in an increase in mood, higher social interaction, and perceived improvement in overall physical health as a result of exercise. Current barriers to exercise included a fear of injury, lack of social support, and exercise-induced seizures (e.g., through overheating and/or high exercise intensity level). Adaptation techniques used were self-monitoring through the use of technology, reducing exercise frequency and intensity level, and exercising at certain times of the day. The importance of social support was shown to provide increased confidence and positive encouragement to exercise, contrasting with family and friends worrying for his/her safety and medical professionals requesting termination of some physical activities. These findings provide new insight into current adaptation techniques that are used and developed by PWE to overcome common barriers to exercise. These new additions to the literature can lead to further development of such techniques as well as examine current medical professionals' knowledge of the benefits of exercise for PWE

Generalizing Minimal Supergravity

In Grand Unified Theories (GUTs), the Standard Model (SM) gauge couplings need not be unified at the GUT scale due to the high-dimensional operators. Considering gravity mediated supersymmetry breaking, we study for the first time the generic gauge coupling relations at the GUT scale, and the general gaugino mass relations which are valid from the GUT scale to the electroweak scale at one loop. We define the index k for these relations, which can be calculated in GUTs and can be determined at the Large Hadron Collider and the future International Linear Collider. Thus, we give a concrete definition of the GUT scale in these theories, and suggest a new way to test general GUTs at future experiments. We also discuss five special scenarios with interesting possibilities. With our generic formulae, we present all the GUT-scale gauge coupling relations and all the gaugino mass relations in the SU(5) and SO(10) models, and calculate the corresponding indices k. Especially, the index k is 5/3 in the traditional SU(5) and SO(10) models that have been studied extensively so far. Furthermore, we discuss the field theory realization of the U(1) flux effects on the SM gauge kinetic functions in F-theory GUTs, and calculate their indices k as well.Comment: RevTex4, 14 pages, 4 tables, references added, version in PL

Infrared Fixed Point Solution for the Top Quark Mass and Unification of Couplings in the MSSM

We analyze the implications of the infrared quasi fixed point solution for the top quark mass in the Minimal Supersymmetric Standard Model. This solution could explain in a natural way the relatively large value of the top quark mass and, if confirmed experimentally, may be suggestive of the onset of nonperturbative physics at very high energy scales. In the framework of grand unification, the expected bottom quark - tau lepton Yukawa coupling unification is very sensitive to the fixed point structure of the top quark mass. For the presently allowed values of the electroweak parameters and the bottom quark mass, the Yukawa coupling unification implies that the top quark mass must be within ten percent of its fixed point values.Comment: 11 pages, 3 figures (not included), MPI-Ph/93-5

On the Unification of Couplings in the Minimal Supersymmetric Standard Model

The unification of gauge and Yukawa couplings within the minimal supersymmetric standard model is studied at the two loop level. We derive an expression for the effective scale, $T_{SUSY}$, which characterizes the supersymmetric particle threshold corrections to the gauge couplings, and demonstrate that $T_{SUSY}$ is only slightly dependent on the squark and slepton masses, and strongly dependent on the Higgsino masses as well as on the mass ratio of the gauginos of the strong and weak interactions. Moreover, the value of the top quark Yukawa coupling necessary to achieve the unification of bottom and tau Yukawa couplings is also governed by $T_{SUSY}$, and it yields predictions for the top quark mass which are close to the quasi infrared fixed point results associated with the triviality bounds on this quantity. From the requirement of perturbative consistency of the top quark Yukawa sector of the theory, we obtain constraints on the allowed splitting of the supersymmetric spectrum, which, for certain values of the running bottom quark mass, are stronger than those ones coming from the experimental constraints on the strong gauge coupling.Comment: 40 pages, MPI-Ph/93-1

A qualitative exploration of patient and healthcare-professional perspectives on barriers and facilitators to foot self-care behaviours in diabetes

INTRODUCTION: Diabetic foot ulcers contribute significantly to morbidity and mortality associated with diabetes, but are preventable with good foot self-care. This study sought to explore the perspectives of patients and healthcare professionals (HCPs) on barriers and/or facilitators to foot self-care behaviors in diabetes and areas of consensus and/or tension between patient and HCP perspectives. RESEARCH DESIGN AND METHODS: This was a sequential, qualitative study that used a hermeneutic phenomenological approach. Phase I involved nine in-depth, semi-structured patient interviews. Phase II involved seven in-depth semi-structured interviews with HCPs (podiatrists, diabetes nurses, foot health practitioners (FHPs) and general practitioners (GPs)). In phase III, findings from phases I and II were brought back to two patient interview groups (five patients in total) to try and identify any areas of consensus and tension between HCP and patient perspectives. RESULTS: Patient and HCP perspectives had several areas of alignment: concerns over consequences of diabetes complications; the importance of patient education and frustrations around aspects of health service delivery. There were also some notable tensions identified: mixed messaging from HCPs around whose responsibility patient foot health is; and who patients should initially consult following the development of a foot problem. Overall, patients expressed that motivation to undertake good foot self-care behaviors was generated from their lived experiences, and was enhanced when this aligned with the information they received from HCPs. HCPs appeared to attribute lack of patient motivation to lack of knowledge, which was not raised by patients. CONCLUSIONS: This study has identified points of misalignment between the views of patients and practitioners that may help to explain why adherence to foot self-care among patients with diabetes is low. Our results suggest that better outcomes may stem from HCPs focusing on supporting autonomous motivation for self-care and enhancing the rationale through referencing patients’ own experience rather than focussing on increasing patient knowledge. Renewed focus on consistency of messaging by HCPs around the roles and responsibilities relating to foot health in diabetes, and the benefit of foot-specific training being provided to non-foot specialist HCPs may also help to improve uptake and adherence to foot self-care behaviors in diabetes