2,925 research outputs found
'I'm so much more myself now, coming back to work' - Working class mothers, paid work and childcare
This paper explores the ways in which working class mothers negotiate mothering and paid work. Drawing on interviews with 70 families with pre-school children, we examine how caring and working responsibilities are conceptualised and presented in mothers' narratives. Mothers showed a high degree of commitment to paid work and, in contrast to findings from an earlier study with middle class and professional mothers, did not feel that keeping their children at home with them was always the best option for the children. We suggest that working class mothers in the labour market remain at risk of being defined as inadequate mothers because of a middle class emphasis on intense maternal engagement with the child as a key aspect of 'good' mothering
Comparison of embedded and added motor imagery training in patients after stroke: Results of a randomised controlled pilot trial
Copyright @ 2012 Schuster 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 cited.Background: Motor imagery (MI) when combined with physiotherapy can offer functional benefits after stroke. Two MI integration strategies exist: added and embedded MI. Both approaches were compared when learning a complex motor task (MT): ‘Going down, laying on the floor, and getting up again’. Methods: Outpatients after first stroke participated in a single-blinded, randomised controlled trial with MI embedded into physiotherapy (EG1), MI added to physiotherapy (EG2), and a control group (CG). All groups participated in six physiotherapy sessions. Primary study outcome was time (sec) to perform the motor task at pre and post-intervention. Secondary outcomes: level of help needed, stages of MT-completion, independence, balance, fear of falling (FOF), MI ability. Data were collected four times: twice during one week baseline phase (BL, T0), following the two week intervention (T1), after a two week follow-up (FU). Analysis of variance was performed. Results: Thirty nine outpatients were included (12 females, age: 63.4 ± 10 years; time since stroke: 3.5 ± 2 years; 29 with an ischemic event). All were able to complete the motor task using the standardised 7-step procedure and reduced FOF at T0, T1, and FU. Times to perform the MT at baseline were 44.2 ± 22s, 64.6 ± 50s, and 118.3 ± 93s for EG1 (N = 13), EG2 (N = 12), and CG (N = 14). All groups showed significant improvement in time to complete the MT (p < 0.001) and degree of help needed to perform the task: minimal assistance to supervision (CG) and independent performance (EG1+2). No between group differences were found. Only EG1 demonstrated changes in MI ability over time with the visual indicator increasing from T0 to T1 and decreasing from T1 to FU. The kinaesthetic indicator increased from T1 to FU. Patients indicated to value the MI training and continued using MI for other difficult-to-perform tasks. Conclusions: Embedded or added MI training combined with physiotherapy seem to be feasible and benefi-cial to learn the MT with emphasis on getting up independently. Based on their baseline level CG had the highest potential to improve outcomes. A patient study with 35 patients per group could give a conclusive answer of a superior MI integration strategy.The research project was partially funded by the Gottfried und Julia Bangerter-Rhyner Foundation
Renormalisation of heavy-light light ray operators
We calculate the renormalisation of different light ray operators with one
light degree of freedom and a static heavy quark. Both - and
-kernels are considered. A comparison with the light-light case suggests
that the mixing with three-particle operators is solely governed by the light
degrees of freedom. Additionally we show that conformal symmetry is already
broken at the level of the one loop counterterms due to the additional
UV-renormalisation of a cusp in the two contributing Wilson-lines. This general
feature can be used to fix the -renormalisation kernels up to a
constant. Some examples for applications of our results are given.Comment: 23 pages, 5 figures; v2: changed some wording, added a few references
and one appendix concerning some subtleties related to gauge fixing and ghost
terms; v3: clarified calculation in section 3.2., added an explicit
calculation in section 5.2, corrected a few typos and one figure, added a few
comments, results unchanged, except for typesetting matches version to appear
in JHE
A computationally inspired in-vivo approach identifies a link between amygdalar transcriptional heterogeneity, socialization and anxiety
Pharmaceutical breakthroughs for anxiety have been lackluster in the last half-century. Converging behavior and limbic
molecular heterogeneity has the potential to revolutionize biomarker-driven interventions. However, current in vivo models
too often deploy artificial systems including directed evolution, mutations and fear induction, which poorly mirror clinical
manifestations. Here, we explore transcriptional heterogeneity of the amygdala in isogenic mice using an unbiased multidimensional
computational approach that segregates intra-cohort reactions to moderate situational adversity and intersects
it with high content molecular profiling. We show that while the computational approach stratifies known features of
clinical anxiety including nitric oxide, opioid and corticotropin signaling, previously unrecognized druggable biomarkers
emerge, such as calpain11 and scand1. Through ingenuity pathway analyses, we further describe a role for neurosteroid
estradiol signaling, heat shock proteins, ubiquitin ligases and lipid metabolism. In addition, we report a remarkable
behavioral pattern that maps to molecular features of anxiety in mice through counterphobic social attitudes, which
manifest as increased, yet spatially distant socialization. These findings provide an unbiased approach for interrogating
anxiolytics, and hint toward biomarkers underpinning behavioral and social patterns that merit further exploration
Comparison of embedded and added motor imagery training in patients after stroke: Study protocol of a randomised controlled pilot trial using a mixed methods approach
Copyright @ 2009 Schuster 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 cited.Background: Two different approaches have been adopted when applying motor imagery (MI) to stroke patients. MI can be conducted either added to conventional physiotherapy or integrated within therapy sessions. The proposed study aims to compare the efficacy of embedded MI to an added MI intervention. Evidence from pilot studies reported in the literature suggests that both approaches can improve performance of a complex motor skill involving whole body movements, however, it remains to be demonstrated, which is the more effective one.Methods/Design: A single blinded, randomised controlled trial (RCT) with a pre-post intervention design will be carried out. The study design includes two experimental groups and a control group (CG). Both experimental groups (EG1, EG2) will receive physical practice of a clinical relevant motor task ('Going down, laying on the floor, and getting up again') over a two week intervention period: EG1 with embedded MI training, EG2 with MI training added after physiotherapy. The CG will receive standard physiotherapy intervention and an additional control intervention not related to MI.The primary study outcome is the time difference to perform the task from pre to post-intervention. Secondary outcomes include level of help needed, stages of motor task completion, degree of motor impairment, balance ability, fear of falling measure, motivation score, and motor imagery ability score. Four data collection points are proposed: twice during baseline phase, once following the intervention period, and once after a two week follow up. A nested qualitative part should add an important insight into patients' experience and attitudes towards MI. Semi-structured interviews of six to ten patients, who participate in the RCT, will be conducted to investigate patients' previous experience with MI and their expectations towards the MI intervention in the study. Patients will be interviewed prior and after the intervention period.Discussion: Results will determine whether embedded MI is superior to added MI. Findings of the semi-structured interviews will help to integrate patient's expectations of MI interventions in the design of research studies to improve practical applicability using MI as an adjunct therapy technique
Feasibility of a mental practice intervention in stroke patients in nursing homes; a process evaluation
<p>Abstract</p> <p>Background</p> <p>Within a multi-centre randomised controlled trial in three nursing homes, a process evaluation of a mental practice intervention was conducted. The main aims were to determine if the intervention was performed according to the framework and to describe the therapists' and participants' experiences with and opinions on the intervention.</p> <p>Methods</p> <p>The six week mental practice intervention was given by physiotherapists and occupational therapists in the rehabilitation teams and consisted of four phases: explanation of imagery, teaching patients how to use imagery, using imagery as part of therapy, and facilitating the patient in using it alone and for new tasks. It had a mandatory and an optional part. Data were collected by means of registration forms, pre structured patient files, patient logs and self-administered questionnaires.</p> <p>Results</p> <p>A total of 14 therapists and 18 patients with stroke in the sub acute phase of recovery were involved. Response rates differed per assessment (range 57-93%). Two patients dropped out of the study (total n = 16). The mandatory part of the intervention was given to 11 of 16 patients: 13 received the prescribed amount of mental practice and 12 practiced unguided outside of therapy. The facilitating techniques of the optional part of the framework were partly used. Therapists were moderately positive about the use of imagery in this specific sample. Although it was more difficult for some patients to generate images than others, all patients were positive about the intervention and reported perceived short term benefits from mental practice.</p> <p>Conclusions</p> <p>The intervention was less feasible than we hoped. Implementing a complex therapy delivered by existing multi-professional teams to a vulnerable population with a complex pathology poses many challenges.</p
Two-loop Corrections to the B to pi Form Factor from QCD Sum Rules on the Light-Cone and |V(ub)|
We calculate the leading-twist O(alphas^2 beta0) corrections to the B to pi
transition form factor f+(0) in light-cone sum rules. We find that, as
expected, there is a cancellation between the O(alphas^2 beta0) corrections to
fB f+(0) and the large corresponding corrections to fB, calculated in QCD sum
rules. This suggests the insensitivity of the form factors calculated in the
light-cone sum rules approach to this source of radiative corrections. We
further obtain an improved determination of the CKM matrix element |V(ub)|,
using latest results from BaBar and Belle for f+(0)|V(ub)|.Comment: 18 pages, 3 figure
Single-Atom Gating of Quantum State Superpositions
The ultimate miniaturization of electronic devices will likely require local
and coherent control of single electronic wavefunctions. Wavefunctions exist
within both physical real space and an abstract state space with a simple
geometric interpretation: this state space--or Hilbert space--is spanned by
mutually orthogonal state vectors corresponding to the quantized degrees of
freedom of the real-space system. Measurement of superpositions is akin to
accessing the direction of a vector in Hilbert space, determining an angle of
rotation equivalent to quantum phase. Here we show that an individual atom
inside a designed quantum corral can control this angle, producing arbitrary
coherent superpositions of spatial quantum states. Using scanning tunnelling
microscopy and nanostructures assembled atom-by-atom we demonstrate how single
spins and quantum mirages can be harnessed to image the superposition of two
electronic states. We also present a straightforward method to determine the
atom path enacting phase rotations between any desired state vectors. A single
atom thus becomes a real space handle for an abstract Hilbert space, providing
a simple technique for coherent quantum state manipulation at the spatial limit
of condensed matter.Comment: Published online 6 April 2008 in Nature Physics; 17 page manuscript
(including 4 figures) + 3 page supplement (including 2 figures);
supplementary movies available at http://mota.stanford.ed
The role of the genetic counsellor: a systematic review of research evidence
In Europe, genetic counsellors are employed in specialist genetic centres or other specialist units. According to the European Board of Medical Genetics, the genetic counsellor must fulfil a range of roles, including provision of information and facilitation of psychosocial adjustment of the client to their genetic status and situation. To evaluate the extent to which genetic counsellors fulfil their prescribed roles, we conducted a systematic review of the published relevant scientific evidence. We searched five relevant electronic databases (Medline, CINAHL, SocIndex, AMED and PsychInfo) using relevant search terms and handsearched four subject-specific journals for research-based papers published in English between 1 January 2000 and 30 June 2013. Of 419 potential papers identified initially, seven satisfied the inclusion criteria for the review. Themes derived from the thematic analysis of the data were: (i) rationale for genetic counsellors to provide care, (ii) appropriate roles and responsibilities and (iii) the types of conditions included in the genetic counsellor caseload. The findings of this systematic review indicate that where genetic counsellors are utilised in specialist genetic settings, they undertake a significant workload associated with direct patient care and this appears to be acceptable to patients. With the burden on genetic services, there is an argument for the increased use of genetic counsellors in countries where they are under-utilised. In addition, roles undertaken by genetic counsellors in specialist genetic settings could be adapted to integrate genetic counsellors into multi-disciplinary teams in other specialisms
Electric Field Control of Spin Transport
Spintronics is an approach to electronics in which the spin of the electrons
is exploited to control the electric resistance R of devices. One basic
building block is the spin-valve, which is formed if two ferromagnetic
electrodes are separated by a thin tunneling barrier. In such devices, R
depends on the orientation of the magnetisation of the electrodes. It is
usually larger in the antiparallel than in the parallel configuration. The
relative difference of R, the so-called magneto-resistance (MR), is then
positive. Common devices, such as the giant magneto-resistance sensor used in
reading heads of hard disks, are based on this phenomenon. The MR may become
anomalous (negative), if the transmission probability of electrons through the
device is spin or energy dependent. This offers a route to the realisation of
gate-tunable MR devices, because transmission probabilities can readily be
tuned in many devices with an electrical gate signal. Such devices have,
however, been elusive so far. We report here on a pronounced gate-field
controlled MR in devices made from carbon nanotubes with ferromagnetic
contacts. Both the amplitude and the sign of the MR are tunable with the gate
voltage in a predictable manner. We emphasise that this spin-field effect is
not restricted to carbon nanotubes but constitutes a generic effect which can
in principle be exploited in all resonant tunneling devices.Comment: 22 pages, 5 figure
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