The construction of the risk of falling among and by older people

Risk is frequently invoked in contemporary accounts of ill health, but its construction is often constrained by a rationalist perspective that focuses on physical causes and functional outcomes, and that presents risk as external to the self and predictable. This paper describes an empirical study of the ways in which risk was realised and managed in a day hospital for older people. An ethnographic approach, with participant observation and semi-structured interviews, and discourse analysis were used to explore these issues with the staff and fifteen users. Whilst the service providers were orientated to the management of physical risk, as through the regimes for administering medication and their attention to risk reduction in the physical environment, the service users were more concerned with the risk to their personal and social identities, and they more frequently described its manifestations in inter-personal exchanges, sometimes as infantalisation and stereotyping. The paper develops this understanding of the potential for falls among older people to elucidate a broader interpretation of risk, and reveals that it is commonly constructed as a challenge to a person's self-image and identity. Such constructions help to explain older people's responses to complex health problems and to the services and treatments that attempt to solve them

Reply to "Comment on 'A linear optics implementation of weak values in Hardy's paradox'"

The comment by Lundeen et al. contains two criticisms of our proposal. While we agree that the state-preparation procedure could be replaced by a simpler setup as proposed by the authors of the comment, we do not agree with the authors on their second, and more important point regarding two-particle weak measurements. We believe this to be the result of a misunderstanding of our original paper.Comment: 2 pages, accepted in PR

Linear optics implementation of weak values in Hardy's paradox

We propose an experimental setup for the implementation of weak measurements in the context of the gedankenexperiment known as Hardy's Paradox. As Aharonov et al. showed, these weak values form a language with which the paradox can be resolved. Our analysis shows that this language is indeed consistent and experimentally testable. It also reveals exactly how a combination of weak values can give rise to an apparently paradoxical result.Comment: 4 pages, accepted by PR

Work-based training and job prospects for the unemployed: an evaluation of training for work

"Training for Work (TfW) was a major DfEE programme aimed at helping people who had been claimant unemployed for over six months to find jobs and improve their skills, by providing appropriate training and work experience. After initial assessment and guidance, entrants took one of three main routes: employer placements (with either trainee or employed status), full-time off-the-job training, or project placements... A nationally representative sample of TfW participants in England and Wales who left TfW during the autumn of 1995 was interviewed in spring 1996 and a second time in summer 1997. The present analysis excluded those who had been unemployed for less than six months at the point of entry to the programme (the 'special needs' group)." - Page 1

Weak Measurement of the Arrival Times of Single Photons and Pairs of Entangled Photons

In this paper we propose a setup for the weak measurement of photon arrival time. It is found that the weak values of this arrival time can lie far away from the expectation value, and in principle also in regions forbidden by special relativity. We discuss in brief the implications of these results as well as their reconciliation with the principle of causality. Furthermore, an analysis of the weak arrival times of a pair of photons in a Bell state shows that these weak arrival times are correlated.Comment: 4 pages, 1 figur

EAPC task force on education for psychologists in palliative care

It is argued that psychological aspects of care and psychosocial problems are essential components of palliative care. However, the provision of appropriate services remains somewhat arbitrary. Unlike medical and nursing care, which are clearly delivered by doctors and nurses respectively, psychological and psychosocial support in palliative care are not assigned exclusively to psychologists. It is generally expected that all professionals working in palliative care should have some knowledge of the psychological dynamics in terminal illness, as well as skills in communication and psychological risk assessment. On the one hand, palliative care education programmes for nurses and doctors comprise a considerable amount of psychological and psychosocial content. On the other hand, only a few palliative care associations provide explicit information on the role and tasks of psychologists in palliative care. Psychologists’ associations do not deal much with this issue either. If they refer to it at all, it is in the context of the care of the aged, end-of-life care or how to deal with grief

General implementation of all possible positive-operator-value measurements of single photon polarization states

Positive Operator Value Measures (POVMs) are the most general class of quantum measurements. We propose a setup in which all possible POVMs of a single photon polarization state (corresponding to all possible sets of two-dimensional Kraus operators) can be implemented easily using linear optics elements. This method makes it possible to experimentally realize any projective orthogonal, projective non-orthogonal or non-projective sets of any number of POVM operators. Furthermore our implementation only requires vacuum ancillas, and is deterministic rather than probabilistic. Thus it realizes every POVM with the correct set of output states. We give the settings required to implement two different well-known non-orthogonal projective POVMs.Comment: 5 pages, newer version with minor addition

Continuous sedation until death: The everyday moral reasoning of physicians, nurses and family caregivers in the UK, The Netherlands and Belgium

Copyright © 2014 Raus et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.Background - Continuous sedation is increasingly used as a way to relieve symptoms at the end of life. Current research indicates that some physicians, nurses, and relatives involved in this practice experience emotional and/or moral distress. This study aims to provide insight into what may influence how professional and/or family carers cope with such distress. Methods - This study is an international qualitative interview study involving interviews with physicians, nurses, and relatives of deceased patients in the UK, The Netherlands and Belgium (the UNBIASED study) about a case of continuous sedation at the end of life they were recently involved in. All interviews were transcribed verbatim and analysed by staying close to the data using open coding. Next, codes were combined into larger themes and categories of codes resulting in a four point scheme that captured all of the data. Finally, our findings were compared with others and explored in relation to theories in ethics and sociology. Results - The participants’ responses can be captured as different dimensions of ‘closeness’, i.e. the degree to which one feels connected or ‘close’ to a certain decision or event. We distinguished four types of ‘closeness’, namely emotional, physical, decisional, and causal. Using these four dimensions of ‘closeness’ it became possible to describe how physicians, nurses, and relatives experience their involvement in cases of continuous sedation until death. More specifically, it shined a light on the everyday moral reasoning employed by care providers and relatives in the context of continuous sedation, and how this affected the emotional impact of being involved in sedation, as well as the perception of their own moral responsibility. Conclusion - Findings from this study demonstrate that various factors are reported to influence the degree of closeness to continuous sedation (and thus the extent to which carers feel morally responsible), and that some of these factors help care providers and relatives to distinguish continuous sedation from euthanasia.The Economic and Social Research Council (UK), the Research Foundation Flanders (BE), the Flemish Cancer Association (BE), the Research Council of Ghent University (BE), the Netherlands Organization for Scientific Research (NL) and the Netherlands Organization for Health Research and Development (NL)

Yeast Irc6p is a novel type of conserved clathrin coat accessory factor related to small G proteins.

Clathrin coat accessory proteins play key roles in transport mediated by clathrin-coated vesicles. Yeast Irc6p and the related mammalian p34 are putative clathrin accessory proteins that interact with clathrin adaptor complexes. We present evidence that Irc6p functions in clathrin-mediated traffic between the trans-Golgi network and endosomes, linking clathrin adaptor complex AP-1 and the Rab GTPase Ypt31p. The crystal structure of the Irc6p N-terminal domain revealed a G-protein fold most related to small G proteins of the Rab and Arf families. However, Irc6p lacks G-protein signature motifs and high-affinity GTP binding. Also, mutant Irc6p lacking candidate GTP-binding residues retained function. Mammalian p34 rescued growth defects in irc6 cells, indicating functional conservation, and modeling predicted a similar N-terminal fold in p34. Irc6p and p34 also contain functionally conserved C-terminal regions. Irc6p/p34-related proteins with the same two-part architecture are encoded in genomes of species as diverse as plants and humans. Together these results define Irc6p/p34 as a novel type of conserved clathrin accessory protein and founding members of a new G protein-like family