The burden of neck pain: its meaning for persons with neck pain and healthcare providers, explored by concept mapping

PURPOSE: To empirically define the concept of burden of neck pain. The lack of a clear understanding of this construct from the perspective of persons with neck pain and care providers hampers adequate measurement of this burden. An additional aim was to compare the conceptual model obtained with the frequently used Neck Disability Index (NDI). METHODS: Concept mapping, combining qualitative (nominal group technique and group consensus) and quantitative research methods (cluster analysis and multidimensional scaling), was applied to groups of persons with neck pain (n = 3) and professionals treating persons with neck pain (n = 2). Group members generated statements, which were organized into concept maps. Group members achieved consensus about the number and description of domains and the researchers then generated an overall mind map covering the full breadth of the burden of neck pain. RESULTS: Concept mapping revealed 12 domains of burden of neck pain: impaired mobility neck, neck pain, fatigue/concentration, physical complaints, psychological aspects/consequences, activities of daily living, social participation, financial consequences, difficult to treat/difficult to diagnose, difference of opinion with care providers, incomprehension by social environment, and how person with neck pain deal with complaints. All ten items of the NDI could be linked to the mind map, but the NDI measures only part of the burden of neck pain. CONCLUSION: This study revealed the relevant domains for the burden of neck pain from the viewpoints of persons with neck pain and their care providers. These results can guide the identification of existing measurements instruments for each domain or the development of new ones to measure the burden of neck pain.

Vigilant pleasure as autoethnography : the life of the tea mind as critical history

I examine tea as cultural practice by exploring how it is implicated in the formation of individual subjectivities and national identity. While using the experience of learning and consuming tea lore as a foreigner as my explicit point of entry, I analyse how tea transmission practices are represented in Japanese films. My readings of these films are supported by a survey of the historical applications of tea as part of a project of national invention. Against tea's self-representation as purely cultural, I draw attention to this ideological silencing of its economic and political effects by claiming that institutionalised tea pedagogy has been a major player in a nationally distinctive discourse of transience. My thesis argues that autoethnography can be used to bring into view the ideological foundations of various social practices organised around tea sites and texts. Once ideology is visible autoethnography may mediate the effects of dominant discourses by making a modest form of private resistance possible. As a performance of critical and effective history, I explore the limits of consciously resisting institutionalised power by reflecting on how discourses of tea and social theory intersect in my autoethnographic account of tea experiences. I begin by locating my subjectivity in tea. After outlining how tea is useful to me in psychological, domestic and professional contexts, I survey autoethnographic writing and critical forms of textual analysis. Given that traditions of textual analysis set limits to what can be comprehended, I note that considerations of the role of subjectivity are sometimes absent from several modes of textual analysis. I contend that more delicate forms of textual analysis are possible when multiple forms of subjectivity are explicitly addressed. Subjectivity is emphasised as I move between performances of being a cultural insider of tea subculture and an ethnic and linguistic outsider of daily life in Japan when I examine the connections linking tea anecdotes, film narratives, individual tales and national myths. From the position of tea culture insider and consumer of social theory I examine the relationship between national culture and individual subjectivity. I identify internal contradictions in tea transmission practices and consider how tea pedagogy and its cult of personality are addressed in tea films. The thesis concludes by considering the utility of identities in a global economy and comment on recent theories addressing the ethical self and social practices. It is on this basis that I claim the readings advanced in the earlier chapters map the pleasures and limits of employing autoethnography as a form of private resistance against the dominant discourses of tea, nation, and leisure.

Hot working microstructure map for magnesium AZ31

A thermomechanical processing (TMP) structure map is proposed that plots the critical strains required for dynamic recrystallization along with the grain sizes that result. These maps are useful in identifying the limits to grain refinement and designing hot working processes. They are readily constructed for well studied alloys such as plain carbon steel. In light of the recent interest in the hot working of magnesium, initial steps are taken here to construct a TMP structure map for the most common wrought magnesium alloy, AZ31. The completion of dynamic recrystallization is estimated using a geometrical approach and a twinning region is identified.

Cultural orienteering: a map for Anthony Browne`s into the forest

Bullen and Parsons identify Anthony Browne's picture book Into the Forest as a re-gendered retelling of 'Little Red Riding Hood' that expresses recent assumptions about childhood, risk and the resources children need to survive in today's world. In Browne's version, the forest is the terrain in which a young male protagonist imaginatively explores his anxiety about his father's unexplained absence.

Reality therapy and the human energy field : working with needs that influence mind and body

There is accumulating evidence that body and mind, or rather the physical and the non-physical, are intrinsically connected. The mechanisms through which reality therapy works on mind and body may be explained via positive dynamics in the central nervous system, the body's biochemistry and the human energy field. The purpose of this paper is to show the relationship between choice theory and the nature of the power centers in the human energy field. Understanding the drivers behind human behavior and facilitating the choice to think realistically and to make responsible choices assists wholeness and enhances the physical, mental and spiritual health.

Activation of MAP kinase by insulin and vanadate in adipocytes from young and old rats

Vanadate has insulin-like effects in adipocytes without stimulating insulin receptor kinase activity. However, it activates IRS-1 associated PI 3-kinase, suggesting that it mimics insulin effects by stimulating signaling elements downstream of PI 3-kinase. Here we analysed the stimulation of MAPK by insulin and vanadate and observed that both elicit a rapid 3.5–4 fold activation which is abolished by wortmannin and PD98059. Simultaneous addition of insulin and vanadate does not result in an additive effect neither on MAPK nor in MEK. Whereas insulin action is transient, vanadate stimulation lasts up to 20 min. In insulin-resistant adipocytes from old rats, insulin stimulates poorly MAPK, whereas a normal activation is achieved with vanadate. We conclude that: (a) insulin and vanadate use a common signaling pathway from PI 3-kinase to MEK and MAPK; (b) vanadate but not insulin, elicits a sustained activation of both enzymes; (c) this pathway is functional in old rat adipocytes.

Representing the mind: adult talk to speech-delayed preschoolers

There is evidence from a range of studies that adult input influences a young child's language development Of interest is how adult input contributes to emotional and cognitive understandings. Children with special needs in mainstream schools are expected to develop social skills which entails the understanding of a situation from the perspective of other participants. The question is whether children with a speech delay hear adult language that helps them develop a theory of mind. The study of the acquisition of a theory of mind has focused on children who have been asked to carry out tasks demonstrating their understanding of what another person might be thinking. Tager-Flusberg et al. (2001) have found that children who perform better on theory of mind tasks are children who talk about thoughts and feelings. The present study looks at mental state language input provided to children that might help them learn to talk about thoughts and feelings. Activities involving children and their mothers, and activities in a preschool program were studied for cognitive and emotional content in the adult input. The input provided to normally developing children would be more supportive of the development of their talk about thoughts and feelings.

Priority frequency maptable for query optimization using materialized views

In this paper query optimization using materialized views has been analyzed and a comprehensive and efficient technique has been proposed to create Map-table. Materialized views can provide massive improvements in query processing time, especially for aggregation queries over large tables. To realize this potential, a number of existing techniques have been considered regarding the problem of maintaining materialized views as well as optimal searching time and memory overhead. Keeping this in mind, an optimal algorithm has been proposed in this paper for query optimization. It has been demonstrated that the proposed algorithm reduces the searching time substantially and reducing the memory size as well.

Portals of the mind

The idea of a gateway or portal to another world is common in myth and fantasy, and, obviously, far older than the use of the same notion in computing. While computing portals take researchers to other domains of data, the use of portals in myths is often far more complex. In creation myths, the passing of portals has immense consequences for humankind, as in Adam and Eve's expulsion from their carefree existence in the Garden of Eden (unleashing the world's woes upon their descendants), and in the carrying away of Persephone by Pluto into the Underworld (leaving a legacy of cold and sunless months each year). In other types of myths, and in the fantastic tales they have bequeathed, portals provide heroes with strange and wonderful adventures, and with experiences that leave heroes irrevocably changed. This article will now explore these types of portals in more detail.The idea of a gateway or portal to another world is common in myth and fantasy, and, obviously, far older than the use of the same notion in computing. While computing portals take researchers to other domains of data, the use of portals in myths is often far more complex. In creation myths, the passing of portals has immense consequences for humankind, as in Adam and Eve's expulsion from their carefree existence in the Garden of Eden (unleashing the world's woes upon their descendants), and in the carrying away of Persephone by Pluto into the Underworld (leaving a legacy of cold and sunless months each year). In other types of myths, and in the fantastic tales they have bequeathed, portals provide heroes with strange and wonderful adventures, and with experiences that leave heroes irrevocably changed. This article will now explore these types of portals in more detail.