311 research outputs found

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    Spatial Endogenous Fire Risk and Efficient Fuel Management and Timber Harvest

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    This paper integrates a spatial fire behavior model and a stochastic dynamic optimization model to determine the optimal spatial pattern of fuel management and timber harvest. Each years fire season causes the loss of forest values and lives in the western US. This paper uses a multi-plot analysis and incorporates uncertainty about fire ignition locations and weather conditions to inform policy by examining the role of spatial endogenous risk - where management actions on one stand affect fire risk in that and adjacent stands. The results support two current strategies, but question two other strategies, for managing forests with fire risk.Resource /Energy Economics and Policy,

    The illness-disease dynamic:psychological wellbeing in type 2 diabetes: an interpretative phenomenological analysis

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    Distress and depression often go unrecognised in people with diabetes. In this article, I present an Interpretative Phenomenological Analysis (IPA) of the lived experience of people with Type 2 diabetes, based on individual in-depth interviews with 10 patients. The purpose of this research was to gain a deeper understanding of these psychological symptoms through a detailed examination of how patients interpret and respond to their experience of the condition. I propose a revised model for the connection between the disease of diabetes and patients’ lived experiences of illness, as one of embodied coexistence rather than relation. Through my analysis, I identify the psychological processes that might need to be addressed in an effective preventative support system

    Acute Coronary Syndrome in Pregnancy

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    Acute coronary syndrome (ACS) in pregnancy has traditionally been considered to be a rare event, but the combination of normal physiological changes of pregnancy and more prevalent cardiovascular risk factors are increasing its incidence in this population. The present report describes a 39 year-old woman that is seven weeks pregnant presenting with a non ST elevation myocardial infarction. The incidence, risk factors, pathophysiology and management of ACS in pregnancy are discussed

    Can compassion be taught? A medical students' compassion discourse

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    Background: Universities of Brighton, Surrey and the Brighton and Sussex Medical School responded to a regional bid to provide compassion awareness training to the local health care workforce. An appreciative inquiry methodology was used to develop a toolkit which included a number of different activities focused on the following pillars. Appreciate (best of what has been), imagine (what might be), determine (what should be) and finally create (what will be). One of the toolkit resources focused on seeking and celebrating acts of compassion. Methods: Following a cultivating compassion workshop, a group of medical students in their third year decided to use this activity from the Compassion toolkit to observe acts of compassion occurring within their clinical setting and reflected on the impact this activity had on them. Results: Themes deduced from the 34 acts of compassion witnessed included; team compassion, patient-centred compassion, peer to peer compassion and patient to patient compassion. Students’ reflections about undertaking this activity were thematically analysed and emerging themes included self compassion, confidence about talking about compassion, changes in behaviour and finally how could compassion be taught at medical school. Conclusion: This study generated discussions on what was the difference between acts of compassion and normal human behaviour and the “hidden curriculum” of health professionals’ behaviour. Students realised the importance of compassion and yet the absence of that word within their own curriculum. This small pilot study made it possible to consider how compassion can be taught within the undergraduate curriculum, simply by empowering students to open their eyes and witness compassionate acts. The medical students were able to see compassionate behaviour that they wished to model and that would support them once qualified
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