480 research outputs found
Narrating the accumulation of dispossession: Stories of Aboriginal Elders
The lifeworld’s of Aboriginal people and relationships between Aboriginal and non-Aboriginal people in Australia continue to bear the scars of a colonial past and present. Liberation oriented approaches within psychology have emphasised the role of storytelling and the recovery of historical memory in affirming identity and belonging but also for disrupting wilful ignorance of a history of dispossession in order to transform relationships. In this paper we draw on stories shared as part of an oral history based project and in conversational interviews, to explore the ways in which Aboriginal people have understood oppression in their lives, past and present. Following data analyses, three community narratives were identified that collectively narrated the history, legacy, and continuity of colonial dispossession. These stories are important in showing up the circuits and consequences of dispossession and privilege and can be mobilised to challenge dominant cultural narratives that construct Aboriginal people as needing to move on. As the recovery of historical memory, these symbolic resources also serve to strengthen identity and belonging within Aboriginal communities, thus disrupting the internalisation of oppression
Monitoring the effects of disposal of fine sediments from maintenance dredging on suspended particulate matter concentration in the Belgian nearshore area
The impact of continuous disposal of fine-grained sediments from maintenance dredging works on the suspended particulate matter concentration in a shallow nearshore turbidity maximum was investigated during dredging experiment (port of Zeebrugge, southern North Sea). Before, during and after the experiment monitoring of SPM concentration using OBS and ADV altimetry was carried out at a location 5 km west of the disposal site. A statistical analysis, based on the concept of populations and sub-sampling, was applied to evaluate the effect. The data revealed that the SPM concentration near the bed was on average more than 2 times higher during the dredging experiment. The disposed material was mainly transported in the benthic layer and resulted in a long-term increase of SPM concentration and formation of fluid mud layers. The study shows that SPM concentration can be used as an indicator of environmental changes if representative time-series are available
Scoping literature review and focus groups with healthcare professionals on psychosocial and lifestyle assessments for childhood obesity care
Background: Childhood obesity is a complex disease resulting from the interaction of multiple factors. The effective management of childhood obesity requires assessing the psychosocial and lifestyle factors that may play a role in the development and maintenance of obesity. This study centers on available scientific literature on psychosocial and lifestyle assessments for childhood obesity, and experiences and views of healthcare professionals with regard to assessing psychosocial and lifestyle factors within Dutch integrated care. Methods: Two methods were used. First, a scoping review (in PubMed, Embase, PsycInfo, IBSS, Scopus and Web of Science) was performed by systematically searching for scientific literature on psychosocial and lifestyle assessments for childhood obesity. Data were analysed by extracting data in Microsoft Excel. Second, focus group discussions were held with healthcare professionals from a variety of disciplines and domains to explore their experiences and views about assessing psychosocial and lifestyle factors within Dutch integrated care. Data were analysed using template analysis, complemented with open coding in MAXQDA. Results: The results provide an overview of relevant psychosocial and lifestyle factors that should be assessed and were classified as child, family, parental and lifestyle (e.g. nutrition, physical activity and sleep factors) and structured into psychological and social aspects. Insights into how to assess psychosocial and lifestyle factors were identified as well, including talking about psychosocial factors, lifestyle and weight; the professional-patient relationship; and attitudes of healthcare professionals. Conclusions: This study provides an overview of psychosocial and lifestyle factors that should be identified within the context of childhood obesity care, as they may contribute to the development and maintenance of obesity. The results highlight the importance of both what is assessed and how it is assessed. The results of this study can be used to develop practical tools for facilitating healthcare professionals in conducting a psychosocial and lifestyle assessment.</p
Medicine-Based Evidence in Congenital Heart Disease: How Artificial Intelligence Can Guide Treatment Decisions for Individual Patients
Built on the foundation of the randomized controlled trial (RCT), Evidence Based Medicine (EBM) is at its best when optimizing outcomes for homogeneous cohorts of patients like those participating in an RCT. Its weakness is a failure to resolve a clinical quandary: patients appear for care individually, each may differ in important ways from an RCT cohort, and the physician will wonder each time if following EBM will provide best guidance for this unique patient. In an effort to overcome this weakness, and promote higher quality care through a more personalized approach, a new framework has been proposed: Medicine-Based Evidence (MBE). In this approach, big data and deep learning techniques are embraced to interrogate treatment responses among patients in real-world clinical practice. Such statistical models are then integrated with mechanistic disease models to construct a “digital twin,” which serves as the real-time digital counterpart of a patient. MBE is thereby capable of dynamically modeling the effects of various treatment decisions in the context of an individual's specific characteristics. In this article, we discuss how MBE could benefit patients with congenital heart disease, a field where RCTs are difficult to conduct and often fail to provide definitive solutions because of a small number of subjects, their clinical complexity, and heterogeneity. We will also highlight the challenges that must be addressed before MBE can be embraced in clinical practice and its full potential can be realized
Mud Origin, Characterisation and Human Activities (MOCHA): Final report
The cohesive sediments, which are frequently found in the Belgian nearshore zone (southern North Sea), are of different age such as tertiary clays and Holocene, modern and recently deposited muds. The area is characterised by a turbidity maximum. The source areas of the recently deposited muds and the effect of human impact vs. natural processes on the distribution and/or erosion of these sediments have been investigated using historic and recent bottom samples, in situ and remote sensing (satellite images) SPM concentration measurements, numerical modelling, GIS and clay mineral and microfossil analysis. The Schelde estuary, the potential erosion areas of cohesive sediments on the BCS and adjacent areas and the SPM transport through the Dover Strait have been considered as possible source areas.The historic bottom samples have been collected in the beginning of the 20th century, the quality of these samples and the meta-information is very high and they have proven to be a major reference to understand the evolution of the cohesive sediment distribution. The recent bottom samples consist of box core, Reineck core and Van Veen grab samples collected during the last 10 years. The processing of the historic and recent data on cohesive sediments was mainly based on field descriptions of the samples (consolidation, thickness) and morphological evolution. On some of the recent samples radioactive and gamma densitometric measurements have been carried out. During the processing the emphasis was put on the occurrence of thick layers (>30 cm) of freshly deposited to very soft consolidated mud and of clay and mud pebbles, because these sediments are witnesses of changes.Satellite images, in situ measurements and a 2D hydrodynamic numerical model have been combined to calculate the long term SPM transport through the Dover Strait and in the southern North Sea. The satellite images (SeaWiFS) provide synoptic views of SPM concentration. The representativness of SPM concentration maps derived from satellites for calculating long term transports has been investigated by comparing the SPM concentration variability from the in situ measurements with those of the satellite data. It is underlined that SPM concentration measurements should be carried out during at least one tidal cycle in high turbidity areas to obtain representative values of SPM concentration.Areas where the thickness of the Quaternary cover is less than 2.5 m were defined as potential erosion areas of Palaeogene clay containing deposits. In the framework of this project, the geological data related to the BCS have been reviewed and the relevant information was compiled into a GIS. This also included a small part of the French continental shelf. Additionally information was added from vibrocores analysis and Dutch geological data. Approximately 20 % of the BCS, 6 % of the small part of the French area and only 3% of the Dutch study area could possibly serve as a source for fine suspended sediments. Quaternary muds are mostly presented in the 2 eastern nearshore area; on the Dutch part they occur more offshore. Their occurrence represents 11% of the BCS and approximately 35% of the Rabsbank area Cretaceous microfossils are present in all samples and have been transported into the area with the residual water transport. Material from the east, in particular from the Eocene-Oligocene transitional strata, has been found in the eastern nearshore area up to about Oostende. This zone coincides with the extension of the Holocene mud and could indicate an erosion of these sediments and/or a transport of clay minerals from the Schelde estuary.Clay mineral analysis has been carried by two approaches in order to determine source areas. The results of the second approach show that no systematic differences in the clay mineralogy depending on geographic location could have been found within the samples. The results clearly prove the necessity of using more elaborate sample preparation procedures in examining the provenance of the mud deposits.Thick layers of fresh mud were deposited in the beginning of the 20th century mainly in a narrow band along the coast from about Nieuwpoort up to the mouth of the Westerschelde. These deposits were mainly the result of natural morphological changes. Today, most of the depositions of thick layers of fresh mud have been induced by anthropogenic operations, such as dumping, deepening of the navigation channels and construction and extension of the port of Zeebrugge. Comparing the actual situation with the situation 100 years ago reveals that the area around Zeebrugge where fresh mud is deposited extends more offshore today
Transgenic Expression of P1A Induced Thymic Tumor: A Role for Onco-Fetal Antigens in Tumorigenesis
P1A is the first known tumor rejection antigen. It is expressed in embryonic stem cells and multiple tumors but is silent in adult tissues except for the testis and placenta. Therefore, P1A represents a prototype for onco-fetal antigens. To test the potential function of P1A in tumorigenesis, we used a transgenic mouse expressing P1A in lymphoid cells. We observed that immunodeficient host P1A transgenic mice developed thymic tumors after 7 months of age and had shorter survival rates compared to control groups. Most of the 7 examined tumors displayed B cell lineage markers. The P1A transgenic bone marrow cells had higher proliferation ability and more potential progenitors compared to control bone marrow cells. To our knowledge, our data provided the first example that onco-fetal antigen can promote tumorigenesis
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