Prehrana po delni ali popolni odstranitvi želodca

Po operaciji želodca mora biti prehrana energijsko in beljakovinsko dovolj bogata, da prepreči ali ustavi hujšanje, ter pravilne sestave, da prepreči ali omili dumping sindrom. Dumping sindrom združuje težave, ki se pojavijo zaradi zmanjšane prostornine želodca ali njegove popolne odstranitve. Pri tem je prehod hrane v črevo pospešen ali neposreden (takojšen) in zato lahko pride do motenj v prebavi ter vsrkavanju hranil v črevesju. Kmalu po zaužitem obroku se lahko pojavi neprijeten občutek polnosti v trebuhu, napihnjenost trebuha, trebušni krči, driska, hitro bitje srca, občutek šibkosti, mrzel znoj (predvsem na čelu), lahko tudi občutek toplote ali mrazenja ter včasih napadi rdečice. Vse to lahko spremljata tudi tiščanje in bolečina v žlički ter kasneje padec krvnega sladkorja - hipoglikemija

Between empowerment and self-discipline: governing patients' conduct through technological self-care

Recent health policy renders patients increasingly responsible for managing their health via digital technology such as health apps and online patient platforms. This paper discusses underlying tensions between empowerment and self-discipline embodied in discourses of technological self-care. It presents findings from documentary analysis and interviews with key players in the English digital health context including policy makers, health designers and patient organisations. We show how discourses ascribe to patients an enterprising identity, which is inculcated with economic interests and engenders self-discipline. However, this reading does not capture all implications of technological self-care. A governmentality lens also shows that technological self-care opens up the potential for a de-centring of medical knowledge and its subsequent communalization. The paper contributes to Foucauldian healthcare scholarship by showing how technology could engender agential actions that operate at the margins of an enterprising discourse

A Field Guide for Grasses and Grass-like Plants of Idaho

The purpose of this project is to develop a user-friendly field guide to grasses and grass-like plants in Idaho, specifically geared to those with limited background in botany. The guide will feature 60 Idaho grasses and grass-like plants, intended for K-16 educators and students, ranchers, land owners, recreationists, and nature enthusiasts, with accompanying K-12 lesson plans. In the form of both a printed book and an offline app for iPhones and Androids, the guide will include colorful images showing detailed characteristics and vegetative features of each grass, an easy-to-use dichotomous key, and information on each plant’s history, forage value, and fire resistance. This dual resource will meet the needs of land managers making economic decisions regarding livestock production and field treatments; university students in wildlife and range sciences conducting class exercises and field research; K-12 educators during field botany excursions, teaching the use of dichotomous keys, and ecosystem studies; and recreationists engaged in nature study. Both book and app will be distributed via the University of Idaho Rangeland Center and the Idaho Range Resource Commission

Plenartagungsbericht der Forschergruppe D-III-2

With our point of departure in the concept of cultural technology/technologies, the work of our research group strives first to gain an understanding of the conditions under which the description and representation of spatiality are possible within particular modalities of communication (geometric, algebraic, verbalized, as well as in drawings, models, and ›diagrams‹), and secondly, to analyze the role of the recording medium (in this case textuality) in these processes. Bearing in mind the focus of Research Group D-III the problematic of research group D-III (»Spatial Models and Spatial Thinking«) and that of Area D (»Theory and Science«) in the broadest terms, we seek on the basis of concrete case studies to describe the earliest instances of textuality, both the interdependence of materiality and object-form as well as the influence of textuality on the shaping and development of analytical thinking and the systematic acquisition of knowledge. The material focus is on documenting the cuneiform cultures of the Ancient Near East

Editorial : Dynamic Emotional Communication

Peer reviewedPublisher PD

The cultivation of digital health citizenship

Contemporary health policy discourse renders individuals responsible for managing their health by means of digital technology. Seeing the digital as productive of citizenship, rather than facilitative of it, this paper unpacks the contested role of technology in acts of digital health citizenship. Drawing on longitudinal data collected in the English healthcare context, this article shows that digital health citizenship is produced through patients' involvement in the generation of health knowledge, including ‘big’ health data, digital artefacts, experiential knowledge and service feedback. The paper adds to existing literature by disaggregating the contested role of technology in displays of digital health citizenship, showing that digital health technology can give rise to expressions of altruism, belonging, and demands for recognition and change in healthcare, whilst responsibilising citizens for the care of themselves and others. The discussion shows how, rather than merely facilitating the actions of a free and autonomous subject, this citizenship often becomes algorithmically produced (e.g. through nudges) and remains isolated to separate instances of engagement without a long-term orientation. Our study enriches the growing sociological literature on health citizenship by exploring how digital technology produces health citizenship at the intersection of biosociality and technosociality

Competencies for educators in citizenship education and the development of identity in first and second cycle programmes. Volume 2

These two books are structured as Volumes 1 & 2. The working team responsible for researching and writing them come from five member states within the European Union: Czech Republic, Germany, Ireland, Spain & Sweden. This book explores which specific competencies in Citizenship Education and Identity might be included in 1st & 2nd cycle courses that educate/train professionals who will work with children/young people. A secondary aspect of the booklets was to show how the ‘Tuning Principles’1 could be applied to develop Specific Competencies for undergraduate and graduate cycle programmes that relate to Citizenship Education & Identity with respect to young people. Volume Two relates closely to specific country contexts and examines comparables and competencies generated from the research data as well as discussion about the research process. Each Volume can be read independently, but for a greater understanding of the themes and key concepts it is advised that both are read together

Developing an implementation research logic model : Using a multiple case study design to establish a worked exemplar

Background Implementation science frameworks explore, interpret, and evaluate different components of the implementation process. By using a program logic approach, implementation frameworks with different purposes can be combined to detail complex interactions. The Implementation Research Logic Model (IRLM) facilitates the development of causal pathways and mechanisms that enable implementation. Critical elements of the IRLM vary across different study designs, and its applicability to synthesizing findings across settings is also under-explored. The dual purpose of this study is to develop an IRLM from an implementation research study that used case study methodology and to demonstrate the utility of the IRLM to synthesize findings across case sites. Method The method used in the exemplar project and the alignment of the IRLM to case study methodology are described. Cases were purposely selected using replication logic and represent organizations that have embedded exercise in routine care for people with cancer or mental illness. Four data sources were selected: semi-structured interviews with purposely selected staff, organizational document review, observations, and a survey using the Program Sustainability Assessment Tool (PSAT). Framework analysis was used, and an IRLM was produced at each case site. Similar elements within the individual IRLM were identified, extracted, and re-produced to synthesize findings across sites and represent the generalized, cross-case findings. Results The IRLM was embedded within multiple stages of the study, including data collection, analysis, and reporting transparency. Between 33-44 determinants and 36-44 implementation strategies were identified at sites that informed individual IRLMs. An example of generalized findings describing “intervention adaptability” demonstrated similarities in determinant detail and mechanisms of implementation strategies across sites. However, different strategies were applied to address similar determinants. Dependent and bi-directional relationships operated along the causal pathway that influenced implementation outcomes. Conclusions Case study methods help address implementation research priorities, including developing causal pathways and mechanisms. Embedding the IRLM within the case study approach provided structure and added to the transparency and replicability of the study. Identifying the similar elements across sites helped synthesize findings and give a general explanation of the implementation process. Detailing the methods provides an example for replication that can build generalizable knowledge in implementation research