Rheumatoid arthritis: diagnosis and treatment with a particular emphasis on South Sudan

No Abstrac

A QUALITATIVE STUDY EXPLORING AFRICAN-AMERICAN LESBIAN MOTHERS’ FAMILY EXPERIENCES USING BOTH AN INTERSECTIONALITY AND A RISK-RESILIENCE FRAMEWORK

Objectives: The purpose of this study was to: 1) generate an understanding of perspectives of lesbian African-American parents from the Philadelphia area on well-being, risk, and protection; 2) explore explanations of the reasons for risk and what the parents think they need to protect members of this cultural group, their families, and their community; 3) examine the possible impact of the legalization of gay marriage on members of this community who have partners and are raising children; 4) identify potential strategies to support lesbian-parenting families in which at least one partner is African American; and finally 5) collect data to inform and create educational programs for professionals that promote positive development and support within the lesbian African-American community. Methods: Data collection was through semi-structured, open-ended interviews with a purposeful sample of 15 African-American lesbian mothers. The participants were between the ages of 27 and 52, currently residing within fifty miles of Philadelphia, and had been with a partner for over a year. All interviews were audio recorded and transcribed, and analyzed using a modified constructivist grounded theory methodology. Results: The experiences of participants in this study did not fit easily into the categories of risk and protective factors. Some mothers experienced both safety and risk for the same factors. Each of the family constellations was unique and the mothers used diverse pathways to parenthood. Families experienced racism but often felt more protected from racism in predominately African-American neighborhoods but still experienced homophobia. Risks that most commonly presented themselves were feeling unsafe in their neighborhoods especially in the current political context, discrimination towards themselves, their families and their children, institutional racism, and having to come out over and over again. Protective and safety factors that were most prevalent were family support, the Black Lives Matter Movement and spiritual support. Prominent themes supporting family well-being were spending time together as a family, the home environment as a safe place, and the mothers experiencing family support within the household and from extended family. Class was a protective factor for individuals who were middle to upper class. Spirituality, marriage, and gender non-conforming presentation were considered both risk and protective factors. Participants also recommended that community providers create open communication with families, not make assumptions about who is in the family, use family-friendly language, and be willing to prepare themselves with being culturally competent. All of the participants engaged in parental teaching that prepares children to enter into an unjust world, which is a balance of modeling, teaching, and creating structure as the children move into increased independence in their teenage years. Conclusions: African-American lesbian parented families need additional community support and for community providers to recognize them as a family unit. Providers should prevent making microaggressions and create a welcoming and inclusive environment to foster safety and well-being for diverse families. Since most factors can be both protective and risk factors, families should be viewed through an individualized intersectional, context-informed lens. Families should have opportunities to voice their concerns, to contribute to creating change on a macro level and on a clinical level by having access to family friendly LGBTQIA events for people of color and culturally competent evidenced based treatments

A Home Death On Peaks Island

I believe that those who die, particularly those like my patient Martha, can teach the living a great deal about “Always Forward.” All too often I find that the immediate family of the deceased becomes stuck in grief, unable to move beyond their loss. My patient Martha, by allowing her children to participate directly in bathing her after she passed was very wise in anticipating how powerful grief can be. She wanted the healing to take place even on the day she passed. And I have to think that her insistence that I come by the house the night she died helped me as well

An investigation of the Effects of Imagination Enhancement Materiials on the Creative Abilities of Fifth Grade Students

Problem: The purpose of this study was to determine if enhancement of children\u27s imaginations by activities in a school classroom could improve their creative abilities. The study was divided into two parts. Part one dealt with the effect of the imagination enhancement materials on the figural and verbal creativity of children as measured by the Torrance Tests of Creative Thinking. Part two looked at the effect of the imaginative materials on children\u27s choice of reading materials and on the fantasy content of their creative writing. Procedure: The research population for this study was one fifth grade classroom consisting of 25 students, in the Grand Forks, North Dakota school district, during the 1975-76 school year. The classroom was selected with the aid of the Coordinator of Elementary Education of the School District. The teacher recommended was given the option of participation in the study. The teacher was given two preparatory sessions with the investigator prior to the beginning of the experimental period in order for him to become familiar with the materials to be used. Part one of the study was investigated in the following manner. The students were given the Torrance Tests of Creative Thinking - figural form A and verbal form B as a pretest. They were then given experiences with the imagination enhancement materials for 8 weeks. This constituted the experimental period. The materials primarily were composed of records of radio programs such as The Shadow and Suspense and games from the book Put Your Mother On The Ceiling. Following this experimental period students were posttested on the same forms of the Torrance Tests of Creative Thinking and a t test was run to determine significance. Part two of the study was performed heuristically. Each week the names of the books which were chosen from the school library were recorded and classified as to the fantasy or reality content in order to determine if any change in reading habit had occurred. Four times during the period the children\u27s creative writing was analyzed for certain fantasy factors to determine if more fantasy writing occurred in the later stages of the study. Results: 1. Imagination enhancement materials did not significantly affect verbal creativity scores. 2. Imagination enhancement materials did significantly affect figural creativity scores, especially fluency which was significant at the .001 level. 3. There was no generalized trend in the choice of reading materials of the students. 4. Creative writing showed no increase in fantasy factors. The stories, however, became longer and were written less in narrative style and more as dialogues

Analisis Pengaruh DPK, CAR, NPF Dan ROA Terhadap Pembiayaan Di PT Bank Muamalat Indonesia TBK. Periode 2007-2013

This study was conducted to determine the effect of third party funds (DPK), Capital Adequacy Ratio (CAR), Non Performing Financing (NPF), and Return on Assets (ROA) of the Financing in PT Bank Muamalat Indonesia Tbk. 2007-2013 period simultaneously and partially. The purpose of this study was to determine the effect DPK, CAR, NPF, and ROA simultaneously and partially to the financing of the PT. Bank Muamalat Indonesia Tbk. the period 2007-2013. File analysis method used is multiple regression analysis with significance value of 0.05 or 5%. From the research, found that the DPK, CAR, ROA NPF and simultaneously affect the financing. The four variables are able to explain the variable financing amounted to 94.81%, and the balance of 5.19% is explained by other factors. Based on t test, DPK and ROA variables significant effect on the financing of the significance of t count equal to 0.0000 and 0.0377 ( 0.05) so that no significant effect on the variable financing. Keywords: Third Party Fund (DPK), Capital Adequacy Ratio (CAR), Non Performing Financing (NPF), Return on Assets (ROA), Financing

Brightness and sparkle appearance of goniochromatic samples

n 2013 the European Metrology Research Program (EMRP) funded the research project, "Multidimensional Reflectometry for industry, xD-Reflect", to investigate the macroscopic optical properties related to visual appearance of modern surfaces and to develop and improve methodologies, tools and measurement devices able to provide a better description of material characteristics. One of the planned task developed several subjective tests on visual descriptors of gloss, sparkle, graininess, colour and their combined influences with reference to the measured values of reference samples. INRIM performed investigation on subjective descriptors of brightness and sparkle and their relationship with geometrical conditions of view, illuminating source characteristics, measured Radiometric Bidirectional Reflectance Distribution Function (BRDF), colorimetric attributes (CIE L*a*b*) and sparkles. This paper deals with the definition of subjective Brightness and Sparkle scales considering achromatic samples of goniochromatic materials, under LED and not LED lighting source. Key points of this study are the use of a soft metrology approach, with strong metrological characterization of the test behaviour (i.e.radiance and illuminance distribution, BRDF and sparkles of the samples), and the use of a large subject group (about 100 subject attended the test)

Graininess appearance of goniochromatic samples in lighting cabinets

In 2013 the European Metrology Research Program (EMRP) funded a 36 months research project, "Multidimensional Reflectometry for Industry, xD-Reflect", to investigate the macroscopic optical properties related to visual appearance of modern surfaces. During the three years duration of the project, over in August 2016, several visual experiments have been performed to investigate appearance of materials with goniochromatic and sparkling effects. Metal-flakes produce shiny effects whose definitions, quantities and metrological characterizations are still under development. This paper relates to the measurement and visual estimation of graininess and brightness perceived of metal flakes achromatic pigments materials. The subjective ranking on graininess and brightness of three different sample sets different for particles shape (silver dollar and corn-flakes) and dimension, were compared under similar viewing conditions on two commercial lighting booths, one based on LED lighting and one on fluorescent light, both reproducing CIE D65 illuminating conditions. The subjective rankings were compared with the graininess measured with a Byk-Mac instrument and the luminance measured with a luminancemeter in the experimental conditions inside both lighting booths. The performances of the two lighting cabinets and of the two different flake shapes were also compared. The results are useful both for shops lighting arrangements and industrial panelist investigations

Desafios enfrentados pela escola no debate sobre a diversidade sexual e na desconstrução do preconceito

Anais do II Seminário Seminário Estadual PIBID do Paraná: tecendo saberes / organizado por Dulcyene Maria Ribeiro e Catarina Costa Fernandes — Foz do Iguaçu: Unioeste; Unila, 2014A escola é uma instituição que possibilita o crescimento intelectual, profissional e humano, onde o professor deve transpor os conhecimentos científicos, relacionando-os com o cotidiano dos alunos afim de que desenvolvam outros conhecimentos e obtenham um saber próprio e diversificado de idéias e concepções. Pensando assim, este trabalho pretende, a partir da pesquisa, levar o debate sobre sexualidade para o espaço escolar, tratando inclusive dos temas polêmicos que a temática instiga, sem desvinculá-los de seus aspectos culturais, sociais, históricos e pedagógicos. Para tanto, será aplicado um questionário com 15 perguntas objetivas que abranjam os mais diversos temas da sexualidade e que possam indicar as dificuldades para se falar sobre o assunto, os conceitos, preconceitos e mitos que cada um possa ter, em 100 pessoas, alunos e professores, de 5 escolas públicas da região de Londrin

European EMRP Projects About LED Lighting

AbstractIndustrial and testing lighting laboratories underestimated the intrinsic metrological peculiarities of LED sources: concerns about performances, efficiency, ambiguous data and visual perception “de facto” slowed down their widespread implementation and their use in innovative systems in the first years of marketing. EU recognized these problems and funded projects with the European Metrology Research Programme (EMRP) to give a strong metrological basis to their optical, photometric and radiometric characterisation. The European Commission and the participating countries within the European Association of National Metrology Institutes (EURAMET) jointly support the EMRP. The overall goal of the EMRP is to accelerate innovation and competitiveness in Europe, enabling European metrology institutes, industrial organisations and academia to collaborate on joint research projects within specified fields. Among the EMRP programme two different 3 years projects about LED Lighting were funded in two different “Energy” calls: in 2010 “EMRP ENG05 Metrology for Solid State Lighting”, and in 2014 “EMRP ENG62 Metrology for Efficient and Safe Innovative Lighting”