Interventions for Indigenous Peoples making health decisions: a systematic review

Background: Shared decision-making facilitates collaboration between patients and health care providers for informed health decisions. Our review identified interventions to support Indigenous Peoples making health decisions. The objectives were to synthesize evidence and identify factors that impact the use of shared decision making interventions. Methods: An Inuit and non-Inuit team of service providers and academic researchers used an integrated knowledge translation approach with framework synthesis to coproduce a systematic review. We developed a conceptual framework to organize and describe the shared decision making processes and guide identification of studies that describe interventions to support Indigenous Peoples making health decisions. We conducted a comprehensive search of electronic databases from September 2012 to March 2022, with a grey literature search. Two independent team members screened and quality appraised included studies for strengths and relevance of studies’ contributions to shared decision making and Indigenous self-determination. Findings were analyzed descriptively in relation to the conceptual framework and reported using guidelines to ensure transparency and completeness in reporting and for equity-oriented systematic reviews. Results: Of 5068 citations screened, nine studies reported in ten publications were eligible for inclusion. We categorized the studies into clusters identified as: those inclusive of Indigenous knowledges and governance (“Indigenous-oriented”)(n = 6); and those based on Western academic knowledge and governance (“Western-oriented”)(n = 3). The studies were found to be of variable quality for contributions to shared decision making and self-determination, with Indigenous-oriented studies of higher quality overall than Western-oriented studies. Four themes are reflected in an updated conceptual framework: 1) where shared decision making takes place impacts decision making opportunities, 2) little is known about the characteristics of health care providers who engage in shared decision making processes, 3) community is a partner in shared decision making, 4) the shared decision making process involves trust-building. Conclusions: There are few studies that report on and evaluate shared decision making interventions with Indigenous Peoples. Overall, Indigenous-oriented studies sought to make health care systems more amenable to shared decision making for Indigenous Peoples, while Western-oriented studies distanced shared decision making from the health care settings. Further studies that are solutions-focused and support Indigenous self-determination are needed

Coupled magnetic plasmons in metamaterials

Magnetic metamaterials consist of magnetic resonators smaller in size than their excitation wavelengths. Their unique electromagnetic properties were characterized by the effective media theory at the early stage. However, the effective media model does not take into account the interactions between magnetic elements; thus, the effective properties of bulk metamaterials are the result of the "averaged effect" of many uncoupled resonators. In recent years, it has been shown that the interaction between magnetic resonators could lead to some novel phenomena and interesting applications that do not exist in conventional uncoupled metamaterials. In this paper, we will give a review of recent developments in magnetic plasmonics arising from the coupling effect in metamaterials. For the system composed of several identical magnetic resonators, the coupling between these units produces multiple discrete resonance modes due to hybridization. In the case of a system comprising an infinite number of magnetic elements, these multiple discrete resonances can be extended to form a continuous frequency band by strong coupling. This kind of broadband and tunable magnetic metamaterial may have interesting applications. Many novel metamaterials and nanophotonic devices could be developed from coupled resonator systems in the future.Comment: 10 papges, 10 figures, It is a review paper about coupled magnetic metamaterial

Nonlinear Localization in Metamaterials

Metamaterials, i.e., artificially structured ("synthetic") media comprising weakly coupled discrete elements, exhibit extraordinary properties and they hold a great promise for novel applications including super-resolution imaging, cloaking, hyperlensing, and optical transformation. Nonlinearity adds a new degree of freedom for metamaterial design that allows for tuneability and multistability, properties that may offer altogether new functionalities and electromagnetic characteristics. The combination of discreteness and nonlinearity may lead to intrinsic localization of the type of discrete breather in metallic, SQUID-based, and ${\cal PT}-$symmetric metamaterials. We review recent results demonstrating the generic appearance of breather excitations in these systems resulting from power-balance between intrinsic losses and input power, either by proper initialization or by purely dynamical procedures. Breather properties peculiar to each particular system are identified and discussed. Recent progress in the fabrication of low-loss, active and superconducting metamaterials, makes the experimental observation of breathers in principle possible with the proposed dynamical procedures.Comment: 19 pages, 14 figures, Invited (Review) Chapte

Human-computer interaction to human-computer-context interaction : towards a conceptual framework for conducting user studies for shifting interfaces

Computer interfaces have been diversifying: from mobile and wearable technologies to the human body as an interface. Moreover, new sensing possibilities have allowed input to interfaces to go beyond the traditional mouse- and keyboard. This has resulted in a shift from manifest to latent interactions, where interactions between the human and the computer are becoming less visible. Currently, there is no framework available that fully captures the complexity of the multidimensional, multimodal, often latent interactions with these constantly shifting interfaces. In this manuscript, the Hu-man-Computer-Context Interaction (HCCI) framework is proposed. This framework defines 5 relevant interaction levels to be considered during user research in all stages of the new product development process in order to optimize user experience. More specifically, the interaction context is defined in terms of user-object, user-user, user-content, user-platform and user-context interactions. The HCCI framework serves as a concrete tool to use in a new product development process by HCI researchers, design-ers, and developers and aims to be technology independent and future-proof. This framework is a preliminary suggestion to be matched against other innovation devel-opment projects and needs to be further validated

Structural-configurated magnetic plasmon bands in connected ring chains

Magnetic resonance coupling between connected split ring resonators (SRRs) and magnetic plasmon (MP) excitations in the connected SRR chains were theoretically studied. By changing the connection configuration, two different coupling behaviors were observed, and therefore two kinds of MP bands were formed in the connected ring chains, accordingly. These MPs were revealed with positive and negative dispersion for the homo- and anti-connected chain, respectively. Notably, these two MP modes both have wide bandwidth due to the conductive coupling. Moreover, the anti-connected chain is found supporting a novel negative propagating wave with a wide band starting from zero frequency, which is a fancy phenomenon in one-dimensional system.Comment: 7 pages, 4 figures Band structures of magnetic plasmons in one-dimenstional metamaterail

Die Holzartenzusammensetzung des nordrheinisch-westfälischen Waldes : bisherige Wandlungen und künftige Entwicklungen

von Herbert Hesme

Waldzusammensetzung und Waldbehandlung im Niedersächsischen Tiefland westlich der Weser und in der Münsterschen Bucht bis zum Ende des 18.Jahrhunderts : forstgeschichtlicher Beitrag zur Klärung der natürlichen Holzartenzusammensetzung und ihrer künstlichen Veränderungen bis in die frühe Waldbauzeit ; mit 9 Tabellen

Herbert Hesmer ; Fred-Günter SchroederLiteraturverz. S. 285 - 29

Mapping inter-element coupling in metamaterials: Scaling down to infrared

The coupling between arbitrarily positioned and oriented split ring resonators is investigated up to THz frequencies. Two different analytical approaches are used, one based on circuits and the other on field quantities that includes retardation. These are supplemented by numerical simulations and experiments in the GHz range, and by simulations in the THz range. The field approach makes it possible to determine separately the electric and magnetic coupling coefficients which, depending on orientation, may reinforce or may cancel each other. Maps of coupling are produced for arbitrary orientations of two co-planar split rings resonant at around 2 GHz and then with the geometry scaled down to be resonant at around 100 THz. We prove that the inertia of electrons at high frequencies results in a dramatic change in the maps of coupling, due to reduction of the magnetic contribution. Our approach could facilitate the design of metamaterials in a wide frequency range up to the saturation of the resonant frequency