New technologies of representation, collaborative autoethnographies and ‘taking it public’: An example from ‘Facilitating Communication on Sexual Topics in Education’

New technologies for representing and communicating autoethnographies make it possible to be publically visible in new and interesting ways that weren’t possible prior to the digital revolution. An important ingredient in this process is the internet platforms that can make the digitisation of performances accessible across the world, even for short, modest creations from less experienced digital storytellers and film makers. As an illustration of the potential applications of digital technologies for ‘taking’ autoethnographic research to the ‘public,’ and making our research accessible to a wider audience we share ‘Reverberations,’ a collaborative autoethnography exploring bullying, homophobia, and other types of sexual harassment and associated feelings of shame, embarrassment and fear which often surround these topics

Ultrasound-guided umbilical venous catheterisation: A cost-effectiveness analysis

Introduction: Although the use of ultrasound for the insertion of central catheters has proven to be cost-effective in adults, it is not known if this is the case in the neonatal population. This study compared the cost-effectiveness of ultrasound-guided umbilical venous catheterisation with conventional catheterisation in a neonatal intensive care unit of a Public University Hospital. Patients and methods: A retrospective observational study was conducted on newborns that required an umbilical venous catheter before completing their first 24 h of extra-uterine life. Two retrospective cohorts were formed, including one with ultrasound-guided catheterisation and the other with conventional catheterisation. The effectiveness was measured using 2 variables: placement of ideal position and insertion without complications. The cost of human and material resources (consumable and non-consumable), the cost-effectiveness ratio, and the incremental cost-effectiveness ratio were estimated, as well as carrying out a sensitivity analysis. Results: Catheter obstruction was more frequent in guided catheterisation than in conventional catheterisation (7.7% vs. 0%, P = .04) and catheter dysfunction was higher in the latter (79% vs. 3.8%, P < .0001). The cost-effectiveness ratio of the guided catheterisation wa

The personal is political: reframing individual acts of kindness as social solidarity in social work practice

This paper develops the theoretical position proposed by Zygmunt Bauman (2009), that one of the greatest contemporary ‘social evils’ or injustices we face in society, is the total marketization and individualisation of our lived experience. Bauman (2009) along with Harvey (2005) argues that the last forty years of social, political, and economic reform under the zeitgeist of neoliberalism have transferred the burden of care from the state to the individual. This paper will explore the position that the dominant neoliberal culture within social work, in the form of ‘new managerialism’ has reconstituted social work institutionally as one where interventions now focus on minimum statutory interventions emphasising; risk management, resource allocation, audit culture, and the promotion of self-care through a case work methodology. The discussion will analyse these macro social, political and economic discourses using an ethnographic approach based upon Michael Burawoy’s Global Ethnographic (GE) methodology (Burawoy et al, 2010). Despite the current landscape the research highlights the importance of the personal reframed as the political, and the nuanced ways in which acts of defiance and resistance against the prevailing orthodoxies have been adopted by social workers on the front line

Cateterización venosa umbilical guiada por ultrasonografía: un análisis de coste-efectividad

Introducción: El uso de ultrasonografía para la inserción de catéteres centrales ha mostrado ser coste-efectivo en adultos; en neonatos se desconoce esta información. El objetivo del estudio fue comparar el coste-efectividad de la cateterización venosa umbilical guiada por ultrasonografía con la cateterización convencional en un servicio de cuidados intensivos neonatales de un hospital universitario y público. Pacientes y métodos: Estudio observacional retrospectivo en recién nacidos que requirieron catéter venoso umbilical antes de cumplir las primeras 24 h de vida extrauterina; se conformaron 2 cohortes históricas, una con cateterización guiada por ultrasonografía y otra con cateterización convencional. La efectividad se midió con 2 variables: colocación de posición ideal e inserción sin complicaciones. Se estimó el coste de recursos humanos y materiales (fungibles y no fungibles), la razón coste-efectividad y la razón coste-efectividad incremental; y se realizó análisis de sensibilidad. Resultados: La obstrucción del catéter fue más frecuente en la cateterización guiada que en la convencional (7,7 vs. 0%, p = 0,04) y la disfunción del catéter fue superior en esta última (79 vs. 3,8%, p < 0,0001). La razón coste-efectividad de la cateterización guiada fue 153,9 euros y de la convencional 484,6 euros; la razón coste-efectividad incremental fue 45,5 euros. El análisis de sensibilidad incrementó 2,6 euros en la razón coste-efectividad de la cateterización guiada y 47 euros, en la convencional. Conclusiones: El uso de la ultrasonografía para guiar la cateterización umbilical es más eficienteya que, a pesar de suponer un mayor consumo de recursos económicos, ofreció una mayorefectividad

Relationships of Osteoporosis Health Beliefs to Practiced Exercise Behaviors of Women

The purpose of this study was to examine the relationship of health beliefs contained in the Health Belief Model to practiced exercise behavior of women. A descriptive correlation design was used with a convenience sample of 201 women. The revised version of the Osteoporosis Health Belief Exercise Scale developed by Kim, Horan, Gendler and Patel (1991b) was used to measure health beliefs related to osteoporosis. The ARIC/Baecke questionnaire of Habitual Physical Activity was used to measure life style physical activity. Health motivation and exercise benefits were found to be positively correlated to exercise behavior. However, susceptibility and exercise barriers were inversely correlated to exercise behavior. Perceived exercise barriers and health motivation explained the greatest variance in exercise behaviors. The Health Belief Model can be used as a guide by nurses to promote health behaviors consistent with research findings

Lifestyle Can Exert a Significant Impact on the Development of Metabolic Complications and Quality Life in Patients with Inflammatory Bowel Disease

Inflammatory bowel diseases (IBDs) are associated with an increased risk of metabolic comorbidities. There is a lack of data regarding the relationship between lifestyle and metabolic diseases in IBD patients. A cross-sectional study on consecutive IBD outpatients was conducted. Adherence to the Mediterranean diet (MD) was assessed using a 14-item questionnaire from the PREDIMED study, and physical activity was evaluated using the GODIN-Leisure score. Body composition was studied based on body mass index and waist–hip ratio (WHR), while quality of life was assessed using a nine-item short questionnaire. Among the 688 evaluated IBD patients, 66% were overweight or obese, 72.7% did not lead an active lifestyle and 70.1% did not adhere to the MD. Metabolic syndrome was associated with age (OR = 1.07, p = 0.019), overweight/obesity (OR = 12.987, p p = 0.001). Type 2 diabetes mellitus or prediabetes was associated with age (OR = 1.063 p = 0.016), overweight/obesity (OR = 3.861, p p = 0.001). Overweight /obesity (OR = 5.494, p p = 0.005) and a non-active lifestyle (OR = 2.202, p = 0.0003) were associated with metabolic dysfunction-associated steatotic liver disease. Lifestyle, body composition and not solely systemic inflammation might exert a significant influence on the emergence of metabolic comorbidities such as MASLD, type 2 diabetes mellitus and metabolic syndrome in patients with IBD

Tractography reconstruction framework of the optic radiations.

<p>(1) Standard preprocessing of the DWIs including Echo Planar Imaging distortion correction, eddy current distortion correction and head motion correction. (2) Distortion correction of the DWI. (3) Quantitative diffusion fractional anisotropy (FA) mapping. (4-5) Subcortical segmentation and cortical parcellation from FS of the 3D-structural image. (6) Registration of the structural images to the corresponding DWI sequence. (7) Seed and target masks. (8) Probabilistic streamline fiber tracking by high order integration over fiber orientation distributions (iFOD2) derived from constrained spherical deconvolution (CSD) with a maximum harmonic order of 8 and use of ACT during tracking. (9) Conversion of the tract file into a track density image. (10) Exclusion mask comprising CSF, whole contralateral hemisphere and ipsilateral GM regions. (11) Final optic radiation reconstruction in track density image and 3D tract file.</p

Improved Framework for Tractography Reconstruction of the Optic Radiation - Fig 4

<p>Streamlines of the reconstructed OR in five patients with multiple sclerosis: (a) Lesion masks is shown in red. (b) Probabilistic streamlines fiber tracking by iFOD2. (c) Probabilistic streamlines fiber tracking by high order integration over fiber orientation distributions (iFOD2) adding the anatomical exclusion criteria (AEC).</p

Bland-Altman plots comparing the mean volume of OR in both HARDI datasets.

<p>Left panel corresponds to non-AEC and right panel corresponds to results with AEC method. The volume of optic radiation in each subject is the mean of both hemispheres. Most observed differences between the OR volumes in the two sequences are within mean ± 1.96 SD. Middle line indicate mean differences and dashed lines are limits of agreement, defined as mean difference plus (upper line) and minus (lower line) 1.96 SD of differences.</p

Venous hemodynamic changes in lower limb venous disease: the UIP consensus according to scientific evidence

There are excellent guidelines for clinicians to manage venous diseases but few reviews to assess their hemodynamic background. Hemodynamic concepts that evolved in the past have largely remained unchallenged in recent decades, perhaps due to their often complicated nature and in part due to emergence of new diagnostic techniques. Duplex ultrasound scanning and other imaging techniques which evolved in the latter part of the 20th century have dominated investigation. They have greatly improved our understanding of the anatomical patterns of venous reflux and obstruction. However, they do not provide the physiological basis for understanding the hemodynamics of flow, pressure, compliance and resistance. Hemodynamic investigations appear to provide a better correlation with post-treatment clinical outcome and quality of life than ultrasound findings. There is a far better prospect for understanding the complete picture of the patient's disability and response to management by combining ultrasound with hemodynamic studies. Accordingly, at the instigation of Dr Angelo Scuderi, the Union Internationale de Phlebologie (UIP) executive board commissioned a large number of experts to assess all aspects of management for venous disease by evidence-based principles. These included experts from various member societies including the European Venous Forum (EVF), American Venous Forum (AVF), American College of Phlebology (ACP) and Cardiovascular Disease Educational and Research Trust (CDERT). Their aim was to confirm or dispel long-held hemodynamic principles and to provide a comprehensive review of venous hemodynamic concepts underlying the pathophysiology of lower limb venous disorders, their usefulness for investigating patients and the relevant hemodynamic changes associated with various forms of treatment. Chapter 1 is devoted to basic hemodynamic concepts and normal venous physiology. Chapter 2 presents the mechanism and magnitude of hemodynamic changes in acute deep vein thrombosis indicating their pathophysiological and clinical significance. Chapter 3 describes the hemodynamic changes that occur in different classes of chronic venous disease and their relation to the anatomic extent of disease in the macrocirculation and microcirculation. The next four chapters (Chapters 4-7) describe the hemodynamic changes resulting from treatmen by compression using different materials, intermittent compression devices, pharmacological agents and finally surgical or endovenous ablation. Chapter 8 discusses the unique hemodynamic features associated with alternative treatment techniques used by the CHIVA and ASVAL. Chapter 9 describes the hemodynamic effects following treatment to relieve pelvic reflux and obstruction. Finally, Chapter 10 demonstrates that contrary to general belief there is a moderate to good correlation between certain hemodynamic measurements and clinical severity of chronic venous disease. The authors believe that this document will be a timely asset to both clinicians and researchers alike. It is directed towards surgeons and physicians who are anxious to incorporate the conclusions of research into their daily practice. It is also directed to postgraduate trainees, vascular technologists and bioengineers, particularly to help them understand the hemodynamic background to pathophysiology, investigations and treatment of patients with venous disorders. Hopefully it will be a platform for those who would like to embark on new research in the field of venous disease