520 research outputs found

    Behavioral Health Professionals’ Perception of Anxiety Disorders Amongst African American Clients

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    Abstract Anxiety disorders are frequent and increasing across the United States including for ethnically diverse populations (Carter et al., 2012). There is a need for education in the community on anxiety disorders about indicators of anxiety, severity and therapeutic approaches that would be beneficial (Johnson & Coles, 2013). It is imperative to know the variation in anxiety for African Americans to aid in therapeutic resources and counseling designed for this population (Hopkins & Shook, 2017). Prior research includes more of a focus on behavioral health professionals’ perspectives in conjectural situations rather than actual clinical practice (Joy & Bartholomew, 2021; Lawrence et al., 2015). The purpose of my hermeneutical phenomenological study of nine behavioral health professionals was to gather the meaning of these professionals’ identification of anxiety disorder symptom presentation, diagnostic process, use of screenings and assessments and therapeutic lens regarding African American clients with anxiety disorders (Gadamer, 1975/2013; Heidegger, 1962/2013). The key focus of this study the interview approach to focus on the behavioral health professional’s perception of anxiety disorder presentation across socioeconomic status and gender and how their positionality influences their perception for African American clients. The results of this study have important implications for behavioral health professionals in general and at university and college counseling centers, for health and wellness outreach, and for curriculum and cultural considerations in behavioral health graduate programs. This research study will be instrumental for enhanced training on anxiety disorders for African Americans in diagnostic coursework, trainings, and for the overall provision of counseling. Key Words: African American, Anxiety Disorders, Behavioral Health Professional

    Moir\'e Intralayer Excitons in a MoSe2_2/MoS2_2 Heterostructure

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    Spatially periodic structures with a long range period, referred to as moir\'e pattern, can be obtained in van der Waals bilayers in the presence of a small stacking angle or of lattice mismatch between the monolayers. Theoretical predictions suggest that the resulting spatially periodic variation of the band structure modifies the optical properties of both intra and interlayer excitons of transition metal dichalcogenides heterostructures. Here, we report on the impact of the moir\'e pattern formed in a MoSe2_2/MoS2_2 heterobilayer encapsulated in hexagonal boron nitride. The periodic in-plane potential results in a splitting of the MoSe2_2 exciton and trion in both emission and absorption spectra. The observed energy difference between the split peaks is fully consistent with theoretical predictions.Comment: just accepted in Nano Letters (10.1021/acs.nanolett.8b03266

    In another time and place: The Handmaiden as an adaptation

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    This article considers the South Korean auteur director Park Chan-wook’s latest film The Handmaiden, which is the film adaptation of British writer Sarah Waters’s third novel Fingersmith. Transporting the story of love and deception from Victorian England to 1930s Korea under Japanese colonial rule, the film offers a compelling case of transnational or cross-cultural adaptation. In the process of cultural relocation, the film gives prominence to the ethnic identities and hierarchies in colonial Korea, and in recounting the unfolding lesbian love story between a petty-thief-disguised-as-maid and a noble lady, the film provides a spectacular, visual ‘translation’ of the novel’s approach to the story of same-sex desire. Despite all the changes the film makes to the original novel, the author Waters claims that the film is ‘faithful’ to her work. Taking her comments as a framework, the article explores the ways in which the film carries over the transgressive allure of the original story, while addressing the issues of history and identity in another time and place

    Abnormal platelet activity in dogs and cats – impact and measurement

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    Abnormal platelet activity can either lead to bleeding tendencies or inappropriate thrombus formation and can occur secondarily to a wide variety of disease processes, with a range of clinical consequences and severity. This article will discuss the pathophysiology of platelet function abnormalities and consider a logical diagnostic approach applicable to veterinary practice. Recent advances in platelet function testing will then be discussed, with regards to detection of platelet dysfunction and tailoring of pharmacological manipulation. Although many of these tests are still confined to research or academic institutions, techniques for indirectly assessing platelet function are starting to become more widely available. Although we still require further research to develop guidelines for the use of these tests in clinical decision‐making, the recent advances in this field are an exciting step forward in being able to detect and manage platelet dysfunction in both primary care and referral practice

    Measurement and data transmission validity of a multi-biosensor system for real-time remote exercise monitoring among cardiac patients

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    Background: Remote telemonitoring holds great potential to augment management of patients with coronary heart disease (CHD) and atrial fibrillation (AF) by enabling regular physiological monitoring during physical activity. Remote physiological monitoring may improve home and community exercise-based cardiac rehabilitation (exCR) programs and could improve assessment of the impact and management of pharmacological interventions for heart rate control in individuals with AF.Objective: Our aim was to evaluate the measurement validity and data transmission reliability of a remote telemonitoring system comprising a wireless multi-parameter physiological sensor, custom mobile app, and middleware platform, among individuals in sinus rhythm and AF.Methods: Participants in sinus rhythm and with AF undertook simulated daily activities, low, moderate, and/or high intensity exercise. Remote monitoring system heart rate and respiratory rate were compared to reference measures (12-lead ECG and indirect calorimeter). Wireless data transmission loss was calculated between the sensor, mobile app, and remote Internet server.Results: Median heart rate (-0.30 to 1.10 b∙min-1) and respiratory rate (-1.25 to 0.39 br∙min-1) measurement biases were small, yet statistically significant (all P≤.003) due to the large number of observations. Measurement reliability was generally excellent (rho=.87-.97, all P<.001; intraclass correlation coefficient [ICC]=.94-.98, all P<.001; coefficient of variation [CV]=2.24-7.94%), although respiratory rate measurement reliability was poor among AF participants (rho=.43, P<.001; ICC=.55, P<.001; CV=16.61%). Data loss was minimal (<5%) when all system components were active; however, instability of the network hosting the remote data capture server resulted in data loss at the remote Internet server during some trials.Conclusions: System validity was sufficient for remote monitoring of heart and respiratory rates across a range of exercise intensities. Remote exercise monitoring has potential to augment current exCR and heart rate control management approaches by enabling the provision of individually tailored care to individuals outside traditional clinical environments

    Methodology for global sensitivity analysis of consequence models

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    Research Highlights A methodology for global sensitivity analysis of consequence models is presented using a statistical emulator The methodology is demonstrated on the Phast consequence model for steady-state discharges of high-pressure carbon dioxide Dispersion model input parameters that have a significant effect on the extent of the plume are identified The study demonstrates that Bayesian analysis of model sensitivity can be conducted quickly and easily There is the potential for this to become a routine part of consequence modelling Abstract A methodology is presented for global sensitivity analysis of consequence models used in process safety applications. It involves running a consequence model around a hundred times and using the results to construct a statistical emulator, which is essentially a sophisticated curve fit to the data. The emulator is then used to undertake the sensitivity analysis and identify which input parameters (e.g. operating temperature and pressure, wind speed) have

    Emergent organization and responsive technologies in crisis: Creating connections or enabling divides

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    I articulate and employ a situational boundary-making approach to study the emergence of organization and technology at a shelter during Hurricane Katrina. My analysis of qualitative data shows how emergent organization occurred at the shelter as situational entanglements consisting of three main elements: a salient moment in time, key actors, and boundary-making practices. Key actors' responses to salient moments in time enacted both distinction and dependency between organizational and technological actors, resulting in a divided organization. This analysis extends emergent approaches by showing how organization and technology are situationally organized and emerges through the (in)determinacy of meaning. Implications are also discussed for disaster managers to assess the success and failure of technology during a response. © The Author(s) 2012

    Airbnb and crime in Barcelona (Spain): testing the relationship using a geographically weighted regression

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    The existence of works proving the possible relationship empirically that Airbnb lodgings could have with crime in Spain is not known. This research analyzes the relationship between Airbnb lodgings and crimes against the properties and people in Barcelona’s neighbourhoods. To achieve this, we use an ordinary least squares regression model and a geographically weighted regression model. The results show a significant and positive relationship between the higher density of Airbnb lodgings and the higher crime rates in the neighbourhoods, especially of patrimonial nature. Divided by type of leased space, the Airbnb homes, in which the guest shares a room with other guests, show a higher relationship with crimes against property and people. The results of the local model show a spatial heterogeneity in all variables used, indicating the need to address non-stationary spatial processes that reveal hidden patterns. However, the only variable that shows statistically significant local variability is the total Airbnb lodgings variable. Finally, we discussed some unexpected results, proposing some future lines of research. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group, on behalf of Nanjing Normal University
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