1,263 research outputs found
Emplacing, re-imaging and transforming ‘missing’ life-events:a feminine sublime approach to the creation of socially engaged scenography in site-specific walking-performance in rural landscapes
The aim of this practice-as-research project is to contribute to the emerging field of ‘socially engaged scenography’ through the creation of site-specific walking-performance pursued in tandem with theoretical inquiry giving particular emphasis to notions of pilgrimage for rites of passage. These notions are however, reframed and reworked through the lens of the concept of the feminine sublime, which allows me to work with notions of transformation in such a way that is non prescriptive and open-ended. The practical elements of the thesis embraced two specifically designed site-specific landscape walking-performances. The underlying subject matter of those performances was biological childlessness-by-circumstance and the ‘missing’ life-event of biological motherhood. The Gathering (2014) revealed the day-to-day and seasonal workings of Hafod y Llan, an upland sheep farm in Snowdonia, Wales. It was evolved through an extended period of research at the farm. In the performance the reproductive cycles of the ewes became a metaphor for human fertility and infertility, biological and non-biological motherhood and other pathways to, and types of, mothering and parenting. Warnscale: A Land Mark Walk Reflecting On Infertility and Childlessness (Warnscale) (2015-on-going), is a self-guided walking-performance specific to the Warnscale fells in Cumbria that is mediated through a published multi-layered walking-guide/art-book and aimed at women who are biologically childless-by-circumstance. This practice-as-research project proposes that by emplacing ‘missing’ life-events, for which traditional rites of passage or ceremonies do not exist, into a rural landscape scenographic-led walking-performance can enable participants to reflect upon, re-image and transform, even in the smallest of ways, their relation to and understanding of those ‘missing’ life-events. I argued that this ‘transformation’ is achieved through an applied use of the theoretical concept of the feminine sublime, which I interpreted and evolved into six scenographic principles. I then applied these six principles to the creation and performing of The Gathering and Warnscale, which, I suggest, functioned/function as ‘socially engaged contemporary scenography’. The six principles were developed through a close study of Dorothy Wordsworth’s (1771-1855) approach to, way of engaging with and writing about landscape (her ‘mode’) documented in her Grasmere Journals (1800-1803). This ‘mode’ can, I suggest, be understood and analysed through the concept of the feminine sublime and offers a counterpoint to the ‘masculine’ or ‘transcendent sublime’, which was dominant in the Early Romantic period in which she, and some of her female contemporaries who also informed the principles, were writing. This ‘mode’ parallels my scenographic-led process. To be clear: the concept of the feminine sublime is not about the female gender but a sensibility that manifests as a way of engaging with, walking through, or dwelling in and observing the landscape. My written thesis reveals that the performances had personal (for participants) and wider social effects in relation to the underlying subject matter of biological childlessness-by-circumstance. This is evidenced in the way they enabled individuals to transform positively their personal experiences of that ‘missing’ life-event and in their contribution to the growing networks of communication about this social issue, which carries the potential for social and cultural change, in matters relating to the underlying subject
Exploring differences in referrals to a Hospice at Home Service in two socio-economically distinct areas of Manchester, UK.
Interdisciplinary working relationships of health care staff in late 20th century Britain: A cultural study of practices from the past and implications for the present
Interdisciplinary working is a common phenomenon in health care in many countries throughout the world, yet the United Kingdom cultural history of this employment model appears to be under-researched. A pilot study was therefore undertaken that sought to obtain insights into this form of working in clinical environments during the latter part of the 20th century in Britain. The participants were all retired British National Health Service (NHS) professionals. An oral history approach was used, and in addition participants were also encouraged to handle old historical medical objects dated to the time period under review. Three of the themes that emerged from the narrative data analysis, ‘hierarchy’ ‘altered hierarchy’ and ‘the family’, are discussed, and the authors review how these concepts acted as enablers, and sometimes barriers, within interdisciplinary working. The authors also question whether, in recent times, there has been a change to the sense of ‘belongingness’ that some of these ideas seemed to nurture. It is asked if, in the modern setting, some health care staff feel insecure as they no longer believe they are as supported, or as accepted by their interdisciplinary colleagues. The paper concludes by considering if the ideology of a ‘health care family’ could speak to those currently engaged in clinical work today
Patients' views on interactions with practitioners for type 2 diabetes:a longitudinal qualitative study in primary care over 10 years
BACKGROUND: It has been suggested that interactions between patients and practitioners in primary care have the potential to delay progression of complications in type 2 diabetes. However, as primary care faces greater pressures, patient experiences of patient-practitioner interactions might be changing.AIM: To explore the views of patients with type 2 diabetes on factors that are of significance to them in patient-practitioner interactions in primary care after diagnosis, and over the last 10 years of living with the disease.DESIGN AND SETTING: A longitudinal qualitative analysis over 10 years in UK primary care.METHOD: The study was part of a qualitative and quantitative examination of patient experience within the existing ADDITION-Cambridge and ADDITION-Plus trials from 2002 to 2016. The researchers conducted a qualitative descriptive analysis of free-text comments to an open-ended question within the CARE measure questionnaire at 1 and 10 years after diagnosis with diabetes. Data were analysed cross-sectionally at each time point, and at an individual level moving both backwards and forwards between time points to describe emergent topics.RESULTS: At the 1-year follow-up, 311 out of 1106 (28%) participants had commented; 101 out of 380 (27%) participants commented at 10-year follow-up; and 46 participants commented at both times. Comments on preferences for face-to-face contact, more time with practitioners, and relational continuity of care were more common over time.CONCLUSION: This study highlights issues related to the wider context of interactions between patients and practitioners in the healthcare system over the last 10 years since diagnosis. Paradoxically, these same aspects of care that are valued over time from diagnosis are also increasingly unprotected in UK primary care.</p
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Manipulating cellular microRNAs and analyzing high-dimensional gene expression data using machine learning workflows
MicroRNAs (miRNAs) are elements of the gene regulatory network and manipulating their abundance is essential toward elucidating their role in patho-physiological conditions. We present a detailed workflow that identifies important miRNAs using a machine learning algorithm. We then provide optimized techniques to validate the identified miRNAs through over-expression/loss-of-function studies. Overall, these protocols apply to any field in biology where high-dimensional data are produced. For complete details on the use and execution of this protocol, please refer to Wong et al. (2021a)
Nurses\u27 Alumnae Association Bulletin, June 1964
President\u27s Message
Officers and Committee Chairmen
Financial Report
Hospital and School of Nursing Report
Student Activities
Jefferson Expansion Program
Resume of Alumnae Meetings
Staff Nurses
Private Duty
Social Committee Reports
Program
Scholarship
Bulletin Committee Report
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Units in Jefferson Expansion Program Center
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A randomised controlled trial of three very brief interventions for physical activity in primary care.
BACKGROUND: Very brief interventions (VBIs) for physical activity are promising, but there is uncertainty about their potential effectiveness and cost. We assessed potential efficacy, feasibility, acceptability, and cost of three VBIs in primary care, in order to select the most promising intervention for evaluation in a subsequent large-scale RCT. METHODS: Three hundred and ninety four adults aged 40-74 years were randomised to a Motivational (n = 83), Pedometer (n = 74), or Combined (n = 80) intervention, delivered immediately after a preventative health check in primary care, or control (Health Check only; n = 157). Potential efficacy was measured as the probability of a positive difference between an intervention arm and the control arm in mean physical activity, measured by accelerometry at 4 weeks. RESULTS: For the primary outcome the estimated effect sizes (95 % CI) relative to the Control arm for the Motivational, Pedometer and Combined arms were respectively: +20.3 (-45.0, +85.7), +23.5 (-51.3, +98.3), and -3.1 (-69.3, +63.1) counts per minute. There was a73% probability of a positive effect on physical activity for each of the Motivational and Pedometer VBIs relative to control, but only 46 % for the Combined VBI. Only the Pedometer VBI was deliverable within 5 min. All VBIs were acceptable and low cost. CONCLUSIONS: Based on the four criteria, the Pedometer VBI was selected for evaluation in a large-scale trial. TRIAL REGISTRATION: Current Controlled Trials ISRCTN02863077 . Retrospectively registered 05/10/2012.This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number RP-PG-0608-10079). ATP and JV were supported by the NIHR Biomedical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. The funder had no role in study design, data collection, data analysis, data interpretation, the writing of the manuscript, and decision to submit the manuscript for publication.This is the final version of the article. It first appeared from BioMed Central via https://doi.org/10.1186/s12889-016-3684-
The Iowa Homemaker vol.3, no.9
Table of Contents
Books – Why Not? by Charles H. Brown, page 3
A Visit to the Bazaars of Stamboul by Eda Lord Murphy, page 4
Glimpses in a Christmas Shop by Helen Brennan, page 4
That Roast Fowl by Viola M. Bell, page 5
Echoes from State Home Economics Convention by Katherine Goeppinger, page 6
Toys That Interest by Bertha Mann, page 7
Christmas Festivities in Foreign Lands by Barbara Dewell, page 8
Christmas Dinner for Two – by Louise Doole, page 9
Italian Hemstitching by Lora Ann Stanke, page 10
Eda Lord Murphy Writes from Constantinople by Eda Lord Murphy, page 10
Who is Responsible for the Child? by Minne Elisabeth Allen, page 11
Holiday Sweets by Alma Riemenschneider, page 12
The Perfect Guest by Lucile Barta, page 12
The Evolution of Home Economics at Iowa State by Ruth Elaine Wilson, page 13
Baskets Which Will Lead Long Useful Lives by Viola Jammer, page 14
Who’s There and Where by Helen I. Putnam, page 1
Evaluation of a very brief pedometer-based physical activity intervention delivered in NHS Health Checks in England: The VBI randomised controlled trial.
BACKGROUND:The majority of people do not achieve recommended levels of physical activity. There is a need for effective, scalable interventions to promote activity. Self-monitoring by pedometer is a potentially suitable strategy. We assessed the effectiveness and cost-effectiveness of a very brief (5-minute) pedometer-based intervention ('Step It Up') delivered as part of National Health Service (NHS) Health Checks in primary care. METHODS AND FINDINGS:The Very Brief Intervention (VBI) Trial was a two parallel-group, randomised controlled trial (RCT) with 3-month follow-up, conducted in 23 primary care practices in the East of England. Participants were 1,007 healthy adults aged 40 to 74 years eligible for an NHS Health Check. They were randomly allocated (1:1) using a web-based tool between October 1, 2014, and December 31, 2015, to either intervention (505) or control group (502), stratified by primary care practice. Participants were aware of study group allocation. Control participants received the NHS Health Check only. Intervention participants additionally received Step It Up: a 5-minute face-to-face discussion, written materials, pedometer, and step chart. The primary outcome was accelerometer-based physical activity volume at 3-month follow-up adjusted for sex, 5-year age group, and general practice. Secondary outcomes included time spent in different intensities of physical activity, self-reported physical activity, and economic measures. We conducted an in-depth fidelity assessment on a subsample of Health Check consultations. Participants' mean age was 56 years, two-thirds were female, they were predominantly white, and two-thirds were in paid employment. The primary outcome was available in 859 (85.3%) participants. There was no significant between-group difference in activity volume at 3 months (adjusted intervention effect 8.8 counts per minute [cpm]; 95% CI -18.7 to 36.3; p = 0.53). We found no significant between-group differences in the secondary outcomes of step counts per day, time spent in moderate or vigorous activity, time spent in vigorous activity, and time spent in moderate-intensity activity (accelerometer-derived variables); as well as in total physical activity, home-based activity, work-based activity, leisure-based activity, commuting physical activity, and screen or TV time (self-reported physical activity variables). Of the 505 intervention participants, 491 (97%) received the Step it Up intervention. Analysis of 37 intervention consultations showed that 60% of Step it Up components were delivered faithfully. The intervention cost £18.04 per participant. Incremental cost to the NHS per 1,000-step increase per day was £96 and to society was £239. Adverse events were reported by 5 intervention participants (of which 2 were serious) and 5 control participants (of which 2 were serious). The study's limitations include a participation rate of 16% and low return of audiotapes by practices for fidelity assessment. CONCLUSIONS:In this large well-conducted trial, we found no evidence of effect of a plausible very brief pedometer intervention embedded in NHS Health Checks on objectively measured activity at 3-month follow-up. TRIAL REGISTRATION:Current Controlled Trials (ISRCTN72691150)
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