1,481 research outputs found

    Kerr, John Hoare (1978-1984): Correspondence 16

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    Standardization and qualification of computer programs for circuit design

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    Study presents methods and initial procedures which may be obtained for development of more efficient uniform network analysis input language and theoretical tools to prove equivalence of data representations

    More than ever a relational approach is needed: Social Construction and the global pandemic

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    We are living in challenging times, surfacing many reactions, thoughts, visions and beliefs in an attempt to understand and offer ways to cope with the COVID crisis and the recovery of the world. We believe a constructionist stance can help us respond to this moment.  Everyday life is uncertain, although we most often act as if it is predictable and dependably redundant.  We organize our lives around certainties that lead us to feel that we are in control. The pandemic has pulled the rug from under our feet and uncertainty is now the slogan of our time. However, one “silver lining” of the pandemic might be the way it exposes the unfolding nature of our worlds. To that end, the pandemic helps us embody and thus “know from within” (Shotter, 2010) a constructionist sensibility.  This embodiment of social construction takes us far beyond a simple academic understanding. The confluence of the pandemic and learning about social construction can create the opportunity to put ideas into practice and, in so doing, our understanding of constructionist ideas is deepened. From a constructionist perspective, COVID-19 is not separate from us.  It is happening through us, in us, between us and because of us. Social construction helps us see the world as an interconnected and complex system in which macro and micro levels, as well as human and non-human entities are constantly creating and re-creating possible realities (Simon & Salter, 2020). Indeed, this highly contagious virus, initially framed as a public health issue,  soon revealed its complexity, having also political, social, economic, environmental and relational entanglements. Our attempt to balance the shutdowns (staying at home), for health protection, with the economic need for business to operate is an illustration of how interconnected these systems are. The virus also makes it necessary to balance physical distance with social connection and collective support.  Despite the fear and discomfort, the potential for change ignited by this global crisis is substantial. By coming together with a diversity of voices, experiences, and perspectives, new performances can be enacted, new ways to respond and cope can be imagined, and new forms of living can be created – and these are all changes that could possibly be sustained once the pandemic has past. The pandemic therefore is a perfect time for dialogue and innovation. Dialogue and relationality are fundamental pillars in the construction, de-construction and re-construction of knowledge and society (Gergen, 2009a). Change starts with us in our interactions, one interaction at a time. SC invites us to come together and share the challenges we face, co-creating new possibilities for health and connection. Through collective interactions, new meanings and possibilities emerge; we re-invent realities. How can we address this interconnected and complex reality? And how do we ignite change that supports a reconstruction of our world in ways that address the inequities we currently face? What are the social conditions that can ignite new forms of understanding that generate new and resourceful ways of living?

    Exponential sum approximations for tβt^{-\beta}

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    Given β>0\beta>0 and δ>0\delta>0, the function tβt^{-\beta} may be approximated for tt in a compact interval [δ,T][\delta,T] by a sum of terms of the form weatwe^{-at}, with parameters w>0w>0 and a>0a>0. One such an approximation, studied by Beylkin and Monz\'on, is obtained by applying the trapezoidal rule to an integral representation of tβt^{-\beta}, after which Prony's method is applied to reduce the number of terms in the sum with essentially no loss of accuracy. We review this method, and then describe a similar approach based on an alternative integral representation. The main difference is that the new approach achieves much better results before the application of Prony's method; after applying Prony's method the performance of both is much the same.Comment: 18 pages, 5 figures. I have completely rewritten this paper because after uploading the previous version I realised that there is a much better approach. Note the change to the title. Have included minor corrections following revie

    Family display, family type, or community? Limitations in the application of a concept

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    In this paper we develop the concept of family display by responding to David Morgan’s suggestion that researchers should consider whether ‘family displays’ are used to convey a ‘type’ of Family. We do so by applying the concept to the accounts of migrant family children living in an English city, and those of adults that grew-up in Mennonite communities in Mexico and Canada. Analysis uniquely shows that migrant family children do display a type of ‘Family’, and that this is influenced by familial constructs privileged by intended audiences. We contribute further by arguing that whilst some families do display core values attached to Family ‘types’, this is not the case in the example of the Mennonite community and researchers should be cognisant of applying this concept to all contexts. This is because the priority for display may not be the presentation of legitimate Family, but other features of collective identity

    Toward Transformative Dialogue

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    Drawing from a social constructionist theoretical orientation, and a range of congenial practices, we propose the concept of transformative dialogue which stresses relational responsibility, self-expression, affirmation, coordination, reflexivity, and the co-creation of new realities. We see conversational moves that accomplish these aims as highly promising; at the same time there is no attempt in the present article to suggest these as ultimate solutions to employ in situations of conflict. The present is an attempt to generate a potentially useful vocabulary rather than a strict set of rules for negotiating among incommensurate realities

    Case-control study of stroke and the quality of hypertension control in north west England

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    Objective: To examine the risk of stroke in relation to quality of hypertension control in routine general practice across an entire health district. Design: Population based matched case-control study. Setting: East Lancashire Health District with a participating population of 388,821 aged < or = 80. Subjects: Cases were patients under 80 with their first stroke identified from a population based stroke register between 1 July 1994 and 30 June 1995. For each case two controls matched with the case for age and sex were selected from the same practice register. Hypertension was defined as systolic blood pressure > or = 160 mm Hg or diastolic blood pressure > or = 95 mm Hg, or both, on at least two occasions within any three month period or any history of treatment with antihypertensive drugs. Main outcome measures: Prevalence of hypertension and quality of control of hypertension assessed by using the mean blood pressure recorded before stroke) and odds ratios of stroke (derived from conditional logistic regression). Results: Records of 267 cases and 534 controls were examined; 61% and 42% of these subjects respectively were hypertensive. Compared with non-hypertensive subjects hypertensive patients receiving treatment whose average pre-event systolic blood pressure was controlled to or = 160 mm Hg) or untreated had progressively raised odds ratios of 1.6, 2.2, 3.2, and 3.5 respectively. Results for diastolic pressure were similar; both were independent of initial pressures before treatment. Around 21% of strokes were thus attributable to inadequate control with treatment, or 46 first events yearly per 100,000 population aged 40-79. Conclusions: Risk of stroke was clearly related to quality of control of blood pressure with treatment. In routine practice consistent control of blood pressure to below 150/90 mm Hg seems to be required for optimal stroke prevention

    Acceptability of a technology-supported and solution-focused intervention (DIALOG+) for chronic depression: views of service users and clinicians.

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    BACKGROUND: Treating chronic depression represents a significant burden for the NHS, yet there is a lack of evidence-based interventions and research specifically focused on this condition. DIALOG+, a technology-assisted and resource-oriented intervention found effective for people with psychosis, may improve care for this service user group. The aim of this study was to explore the acceptability and relevance of DIALOG+ for the treatment of chronic depression in community-based settings. METHODS: A convenience sample of 16 mental health professionals and 29 service users with chronic depression tested the DIALOG+ intervention in routine community care appointments for 3 months across 3 different mental health NHS Trusts in England. Of these, 15 clinicians and 19 service users were individually interviewed about their experiences. Interview transcripts were analysed using thematic analysis by an analytic team which included a service user researcher. RESULTS: Analysis of the combined dataset identified five overarching themes: DIALOG+ Structure; Therapeutic Communication; Reflecting and Monitoring; Empowerment and Powerlessness; and The Impact of Technology. Overall, service users and clinicians were interested in the continued use of DIALOG+ as part of routine care. CONCLUSIONS: DIALOG+ was viewed as acceptable by both service users with chronic depression and their clinicians who work in community care settings, albeit with some caveats. Clinician training required significant improvements to address the issues that were referenced, most notably around support with using technology

    Couple-based psychosexual support following prostate cancer surgery: Results of a feasibility pilot randomized control trial

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    Introduction: Surgery for prostate cancer can result in distressing side effects such as sexual difficulties, which are associated with lower levels of dyadic functioning. The study developed and tested an intervention to address sexual, relational, and emotional aspects of the relationship after prostate cancer by incorporating elements of family systems theory and sex therapy. Aims: To develop and test the feasibility and acceptability of relational psychosexual treatment for couples with prostate cancer, determine whether a relational-psychosexual intervention is feasible and acceptable for couples affected by prostate cancer, and determine the parameters for a full-scale trial. Methods: Forty-three couples were recruited for this pilot randomized controlled trial and received a six-session manual-based psychosexual intervention or usual care. Outcomes were measured before, after, and 6 months after the intervention. Acceptability and feasibility were established from recruitment and retention rates and adherence to the manual. Main Outcome Measures: The primary outcome measurement was the sexual bother subdomain of the Expanded Prostate Cancer Index Composite. The Hospital Anxiety and Depression Scale and the 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE-15) were used to measure emotional and relational functioning, respectively. Results: The intervention was feasible and acceptable. The trial achieved adequate recruitment (38%) and retention (74%) rates. The intervention had a clinically and statistically significant effect on sexual bother immediately after the intervention. Small decreases in anxiety and depression were observed for the intervention couples, although these were not statistically significant. Practitioners reported high levels of adherence to the manual. Conclusion: The clinically significant impact on sexual bother and positive feedback on the study's feasibility and acceptability indicate that the intervention should be tested in a multicenter trial. The SCORE-15 lacked specificity for this intervention, and future trials would benefit from a couple-focused measurement
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