Never at Home? Migrants Between Societies

This chapter explores the dialectic meaning of ‘home’, and movement away from home. Movement away from home – migration – is characterized as a dynamic, dialectic, and developmental experience. We emphasize the sense of being at home and the intertwined sense of identity as interlinked and mutually defining anchors of our existence that become inevitably shaken and ruptured in the experience of migration. But when looking at how this rupture is experienced and managed, we highlight the inherently complex and dialectic nature of migration, instead of seeing it as a unidirectional sequence of rupture → shock → coping → new stable being. We discuss the complexities of migration experiences as entailing dialectics of home and non-home, rupture and continuity, novelty and everydayness, changing and remaining. The sense of being at home is simultaneously enabling and constraining, helping us to build self-continuity in a new environment, yet also holding us back and distancing us from novelty. Similarly, migration is a threat, yet also a promise; it is a painful, yet possibly exhilarating experience that makes us lose our centre of security and familiarity, yet also opens up opportunities for transformation and re-invention.

Stress, the hippocampus and the HPA axis: Implications for the development of psychotic disorders

The experience of stress is commonly implicated in models of the onset of psychotic disorders. However, prospective studies investigating associations between biological markers of stress and the emergence of psychotic disorders are limited and inconclusive. One biological system proposed as the link between the psychological experience of stress and the development of psychosis is the Hypothalamic-Pituitary-Adrenal (HPA) axis. This paper summarizes and discusses evidence supporting a role for HPA-axis dysfunction in the early phase of schizophrenia and related disorders. METHOD A selective review of psychiatric and psychological research on stress, coping, HPA-axis, the hippocampus and psychotic disorders was performed, with a particular focus on the relationship between HPA-axis dysfunction and the onset of psychotic disorders. RESULTS Individual strands of past research have suggested that the HPA-axis is dysfunctional in at least some individuals with established psychotic disorders; that the hippocampus is an area of the brain that appears to be implicated in the onset and maintenance of psychotic disorders; and that an increase in the experience of stress precedes the onset of a psychotic episode in some individuals. Models of the onset and maintenance of psychotic disorders that link these individual strands of research and strategies for examining these models are proposed in this paper. CONCLUSIONS The current literature provides some evidence that the onset of psychotic disorders may be associated with a higher rate of stress and changes to the hippocampus. It is suggested that future research should investigate whether a relationship exists between psychological stress, HPA-axis functioning and the hippocampus in the onset of these disorders. Longitudinal assessment of these factors in young people at 'ultra' high risk of psychosis and first-episode psychosis cohorts may enhance understanding of the possible interaction between them in the early phases of illness.

A novel approach to increasing inventory with the current panel: Increasing donation frequency by asking for a different blood product

BACKGROUND Ongoing shortages of blood products may be addressed through additional donations. However, donation frequency rates are typically lower than medically possible. This preliminary study aims to determine voluntary nonremunerated whole blood (WB) and plasmapheresis donors' willingness, and subsequent facilitators and barriers, to make additional donations of a different type. STUDY DESIGN AND METHODS Forty individual telephone interviews were conducted posing two additional donation pattern scenarios: first, making a single and, second, making multiple plasmapheresis donations between WB donations. Stratified purposive sampling was conducted for four samples varying in donation experience: no-plasma, new-to-both-WB-and-plasma, new-to-plasma, and plasma donors. Interviews were analyzed yielding excellent (κ values > 0.81) inter-rater reliability. RESULTS Facilitators were more endorsed than barriers for a single but not multiple plasmapheresis donation. More new-to-both donors (n = 5) were willing to make multiple plasma donations between WB donations than others (n = 1 each) and identified fewer barriers (n = 3) than those more experienced in donation (n = 8 no plasma, n = 10 new to both, n = 11 plasma). Donors in the plasma sample were concerned about the subsequent reduced time between plasma donations by adding WB donations (n = 3). The no-plasma and new-to-plasma donors were concerned about the time commitment required (n = 3). CONCLUSION Current donors are willing to add different product donations but donation history influences their willingness to change. Early introduction of multiple donation types, variation in inventory levels, and addressing barriers will provide blood collection agencies with a novel and cost-effective inventory management strategy.

New mobilities for accessible cities: Toward scenarios for seamless journeys

While cities increasingly attest to plans to make their resources accessible for people with disabilities, the realities of achieving the travel considered integral to urban life continue to be frustrating and prohibitive for this group. Accessing the basic opportunities of contemporary urban life now presupposes the supports and resources afforded by new mobilities, combining virtual and actual travel and communication in negotiating our work, leisure, connections with families and culture. For the researchers applying the new mobilities paradigm, this requires a focus which is suited to capturing movement and its spatial and temporal coordinates and should also turn to illuminate the darker side of these relationships: coerced immobility experienced by people with disabilities. This chapter discusses an approach to research and the development of design scenarios – concepts emerging from research that may inform design - that take seriously the role of movement, time and space in the achievement of valued connections by individuals with disabilities with particular reference to the journey to work. In particular we apply, in a case study, concepts of time and space that are relevant to the in situ experience of getting to work; raising questions regarding the way getting ready and travelling are experienced in the context of risk and contingency and the actual and potential role of the technical, material and social environment. We then respond to the analysis of this case with a discussion about the way emergent scenarios can imagine “possible or preferable futures” for the mobile citizenship of people with disabilities.

Australia’s first Pharmacists Immunisation Pilot – about the service

Background: The first phase of the Queensland Pharmacist Immunisation Pilot (QPIP) ran between April and August 2014, to pilot pharmacists administering influenza vaccinations for the flu season for the first time in Australia. Aim: An aim was to investigate factors facilitating implementation of a pharmacist vaccination service in the community pharmacy setting. Method: The QPIP pharmacies were divided into two arms; the South East Queensland arm consisting of 51 Terry White Chemists (TWCs), and 29 pharmacies in the North Queensland (NQ) arm. The TWCs featured pharmacies which previously provided a vaccination service and that were experienced with using an online booking system, providing an opportunity to capture booking data. Results: The TWCs delivered 9902 (90%) of the influenza vaccinations in QPIP. Of these, 48.5% of the vaccines were delivered via appointments made using the online booking system, while 13.3% were in-store bookings. Over one-third (38.2%) of the vaccinations delivered in were “walk-ins” where the vaccination was delivered ‘on the spot’ as spontaneous or opportunistic vaccinations. The absence of a booking system meant all vaccinations delivered in the NQ arm were “walk-ins”. The online-booking data showed 10:00 am and Tuesday being the most popular time and day for vaccinations. Patients preferred having their vaccinations in private consultation rooms, over areas which used a screen to partition off a private area. Discussion: The presence of an online booking system appeared to increase the efficiency and penetration of the of vaccine service delivery. Also, as the level of privacy afforded to patients increased, the number of patients vaccinated also increased. Conclusions: As pharmacist-delivered vaccination services start to progressively roll out across Australia; these findings pave the way for more efficient and effective implementation of the service.

It's not the heat, it's the humidity

The performance aspect of a PhD thesis. In 1976, The Saints released “I’m Stranded” and Brisbane was suddenly on the map. People starting talking about Brisbane bands in the same way they had talked about Liverpool bands or would talk about Seattle bands. The history of the Brisbane music scene has been constructed and interpreted by both journalists (at the time and since) and academics (in retrospect). These histories and analyses have come some way to painting a picture of a time and place that is somewhat mythic. As a significant member of this scene, my memory stores a different picture, different shadings: a vibrant social scene with cultural by-products (music, art, film, fashion). By gathering the ephemera of the time and embellishing with a series of interviews with some Brisbane musicians, I will be growing new, untold stories, grounded in shared experience and understanding. The interview footage, and the bounty of ephemera that continues to be unearthed, will be thrown together in the style of the times and presented in public as a live documentary filled with the faces, voices and music on which these times were built. The performances are the Creative Practice component of the PhD, and are the result of a curatorial process which will be examined in the exegetic component of the thesis due for delivery in mid 2016.

Looking out of the void : Scaffolds to assist drama higher research degree students on the path to artist–scholar

In recent years, a number of Australian and international universities have offered the ability to complete postgraduate qualifications using the research frame known as creative practice as research. This has been particularly prevalent in the Drama discipline in the Creative Industries Faculty at Queensland University of Technology (QUT). There has been a noticeable shift away from students undertaking a traditional research Master of Arts (Research) or Doctor of Philosophy to a higher proportion of research higher degree students undertaking research through their creative work. The somewhat ephemeral nature of the theatre and performance practice can generate anxieties for students about how to best represent, analyse and discuss the creative practice within a theoretical frame. The argument in this paper is situated in the experience of two artist-scholars who undertook their studies at QUT while under principal supervision of the author and explores the research scaffolds that supervisors in Drama at QUT have developed to assist research higher degree students to navigate the tricky persona of artist–scholar.

Asukkaan Helsinki? : Tapaustutkimus vuorovaikutteisuudesta kaupunkisuunnittelussa

This study examines the interaction between inhabitants and urban planning. In addition to traditional methods of participation there can be seen an increasing need to find new channels and means to influence on one´s environment. Hearing of inhabitants during planning is hoped to decrease the amount of claims and this way to speed up the planning process. Discussion that emphasizes competitiveness and innovativeness in planning has brought out the role of inhabitants as selective consumers and end users. This extension of civil perspective completes the thought of participation in city planning and adds the pressure on developing the interaction and user orientation. The aim of the study is to point out the present situation of inhabitant´s participation and influencing in Helsinki. Helsinki City Planning Department opened a new information and exhibiotion hall called Laituri in 2008. Laituri provides the latest information about planning projects in Helsinki and temporary exhibitions as well as it operates as communication channel and information point for the department. In this study Laituri is examined as a case study of interaction between citizen and planner. The study is divided into two principal themes. The aim is to research action and interactivity at Laituri from the inhabitants´and planners´point of view. The qualitative study has inquiries, interview surveys and observation as research methods. Empiricial data of the study consists of three parts which complement each other: Laituri operational reseach, inquiry directed to the members of Laituri team and interviews of three experts. The aim is to find answers to questions like, does Laituri reach the citizens and will the opportunities to participate improve along Laituri. The study examines also how the local knowledge of inhabitants will come across to planners and further to planning. The study combines discussions of inhabitants´ influencing in Finnish society and science community. Cornerstones of the study are inhabitant participation, interaction and local knowledge in urban planning. The theory behind the study is communicative planning theory. In addition the theory consists of key concepts. The study introduces a concept of Inhabitant´s Helsinki, which reflects the inhabitant as customer-citizen who is an active product developer in participative urban planning. According to the research results the experts of Laituri and majority of inhabitants in Helsinki experience that the inhabitant´s possibilities to participate will improve along Laituri. However half of the citizens in Helsinki believe that local knowledge and ideas will only have minor impact on the final plan. According to city dwellers the present practise used by Helsinki City Planning Department supports only partially adequate interaction. The experts of Laituri experience that the role of Laituri is first of all forum of communication and discussion channel instead of effective local data collector. Based on the results the study introduces a model of inhabitant´s participation field. According to the model Laituri can be seen as phenomenom in Helsinki urban planning which has the elements of network municipality. The planner is more like diplomatic trend-setter and visionary. The inhabitant of Helsinki is an expert in city living and participative producer of local knowledge. Participation methods are increasingly segmented and tailored in every plan and project. The study argues that Inhabitant´s Helsinki is a pluralistic milieu in constant pressure for change. Therefore reaching the everyday life experiencies of inhabintants should be at higher degree in Helsinki City Planning Department´s operations.

Aquatic Ecosystems: Conservation, Restoration and Management

Aquatic Ecosystems perform numerous valuable environmental functions. They recycle nutrients, purify water, recharge ground water, augment and maintain stream flow, and provide habitat for a wide variety of flora and fauna and recreation for people. A rapid population increase accompanied by unplanned developmental works has led to the pollution of surface waters due to residential, agricultural, commercial and industrial wastes/effluents and decline in the number of water bodies. Increased demands for drainage of wetlands have been accommodated by channelisation, resulting in further loss of stream habitat, which has led to aquatic organisms becoming extinct or imperiled in increasing numbers and to the impairment of many beneficial uses of water, including drinking, swimming and fishing. Various anthropogenic activities have altered the physical, chemical and biological processes within aquatic ecosystems. An integrated and accelerated effort toward environmental restoration and preservation is needed to stop further degradation of these fragile ecosystems. Failure to restore these ecosystems will result in sharply increased environmental costs later, in the extinction of species or ecosystem types, and in permanent ecological damage.

La apariencia como trans-parencia : una situación existencial del homo poeticus

Resumen: Dostoevskij atribuye a la belleza una función salvífica (“la belleza salvará al mundo”), poniéndola así en relación con el campo afectivo, salvación significa en efecto vida plena; para Matisse “Todo arte digno de tal nombre es religioso”, es decir, posee una función de “mediación-unión” entre órdenes diversos. La noción de “visión interior”, es la que mejor fundamenta estas convicciones. Ella atraviesa el tiempo y el espacio: está presente en la antigua cultura china, así como en la Grecia clásica y en la Antigüedad Tardía y permanece implícita durante todo el Medioevo; se la vuelve a encontrar en alguno de los máximos pintores modernos (Kandinsky, Chagal). Todos los testimonios de los artistas concuerdan en indicar que para alcanzarla es necesario una especie de ascesis: ésta consiste en una revelación, experimentada como un don, del Sentido oculto en lo sensible; por el hecho de dar inicio al pasaje de un nivel ontológico a otro (valencia re-ligiosa o syn-bolica) y de consistir en una experiencia de plenitud de vida, le pertenece además un efecto transformante (valencia afectiva). Esta vía propiamente humana de la “visión interior”, por la cual la apariencia (lo sensible) se vuelve trans-parencia de lo invisible, se presenta como la más adecuada al arte cristiano para el culto.

Experiencia social y tradición en el derecho penal

Resumen: El delito penal es aquello que la tradición, vivida en la experiencia de la familia y de la comunidad, permite a cada uno reconocer como un grave alejamiento de lo verdadero, lo bueno y lo correcto. El fundamento de la punibilidad penal es la imputación, el reconocimiento de la pertenencia del delito al sujeto como a su causa. Se intenta mostrar cómo este vínculo del derecho penal con la tradición jurídica sufrió dos rupturas: con el iluminismo jurídico y el kantismo se separó la imputación jurídica de su fundamento moral y con la codificación, se quebró la unidad del derecho penal universal fundado en lo bonum et aequum otorgando prevalencia a la idea de la legalidad esclava de los intereses de los Estados. Al mismo tiempo, se produjo una segunda ruptura: se predica una responsabilidad que se atribuye desde afuera, en forma objetiva, a centros de imputación –con frecuencia colectivos– que realizan la producción industrial. Así, según exigencias de la seguridad y la salud, el derecho penal se transforma en un instrumento de la política criminal y los contornos del tipo penal se operan a través de jueces y fiscales en prevención de las consecuencias futuras del “riesgo” progresivo de la producción industrial. La nota dominante es el “riesgo” colectivo y no el “hecho”.

Teología pastoral Inter Loci : una disciplina teológica ante el aporte de las experiencias creyentes en escenarios sociales contemporáneos

Resumen: El texto realiza una relectura del método Ver-Juzgar-Actuar teniendo en cuenta el acercamiento biográfico que ofrecen las ciencias sociales. Propone considerar que la Teología Pastoral desarrolla así un discurso sobre la Iglesia, la Academia y la Plaza Pública en el cruce que estos ámbitos tienen en las mismas prácticas cristianas, dando lugar a una Teología Inter Loci. Y describe el perfil teológico emergente en dicha experiencia utilizando el marco de las inteligencias múltiples.

La aventura de investigar. Una experiencia de investigación-acción participativa

[ES]El objetivo de este estudio consiste en desvelar las sensaciones, sentimientos y pensamientos que la aventura de implicarse en una investigación-acción participativa genera sobre los distintos grupos de personas implicadas en una experiencia de Deporte Escolar (DE)(docentes, escolares,coordinadores de DE, familias, monitores, equipos directivos,...). Al comienzo del trabajo se expone el marco teórico en el que se sustenta la investigación, que imbrica la perspectiva metodológica cualitativa y la orientación de pensamiento socio-crítica aplicada en el contexto del DE. A continuación, se describe el diseño de este estudio, que se desarrolló desde el curso escolar 2002/03 hasta el 2006/07, presentando a los participantes, los contextos de acción-formativa construidos, las técnicas de generación de datos utilizadas y, el procedimiento de análisis e interpretación de datos. Después, se pone especial interés en las voces de los participantes para ponerlas en discusión con lo que investigadores del campo han puesto de manifiesto con anterioridad sobre el poder formativo que ejerce la investigación-acción y, finalmente, se recogen las conclusiones principales obtenidas de este estudio.

A contribuição das tecnologias não-invasivas de cuidado de enfermagem para o empoderamento feminino na gravidez e no parto: adaptação do modelo de promoção da saúde de Nola Pender

Trata-se de um estudo do tipo estudo de caso, na abordagem qualitativa, que visa a analisar as vivências das mulheres que utilizaram as tecnologias não-invasivas de cuidado de enfermagem durante a gravidez e o parto e discutir quais e como essas tecnologias estimularam o empoderamento nelas. Para isso foram utilizadas referências que abordem conceitos de gênero, empoderamento e tecnologias. Como referencial teórico foi utilizado a de Promoção da Saúde de Nola Pender que, a partir da identificação dos fatores biopsicossociais do indivíduo, busca influenciar comportamentos saudáveis, visando ao bem-estar como proposta de promoção da saúde. O cenário do estudo foi a Casa de Parto David Capistrano Filho, localizada no município do Rio de Janeiro, e contou com a participação de dez mulheres que pariram na Casa. Para a coleta de dados, foi elaborado um diagrama semelhante ao de Pender, contendo alguns aspectos biopsicossociais das mulheres que pudessem ter influência na vivência de empoderamento delas. As entrevistas aconteceram entre os meses de março e maio de 2010. Os dados produzidos foram analisados e transformados em três categorias: características e vivências individuais da mulher; conhecimentos, sentimentos e influências, na gravidez e no parto, a partir do uso das tecnologias; e o resultado do empoderamento. A tecnologia relacional, como o acolhimento, o vínculo e a escuta sensível, influenciou de forma benéfica as mulheres desde o momento que elas iniciaram o pré-natal na Casa, já que no início da gravidez algumas tinham receio com as mudanças do corpo e com as responsabilidades da maternidade. A dor do parto também foi outra preocupação citada por desconhecerem a fisiologia do processo. Mas, através de tecnologias como a de informação, de apoio, de potencialização de expressão corporal, de favorecimento da presença do acompanhante e de respeito de escolha delas, o parto acabou sendo calmo, tranqüilo, acolhedor e prazeroso. Com isso, as tecnologias contribuíram para as vivências de fortalecimento do vínculo com o bebê, na maior autoconfiança em parir e no preparo da maternidade que despertou nelas um desejo de serem pessoas de opiniões próprias e de terem uma formação profissional para garantir um bom futuro para o filho. Percebeu-se, nesse estudo, que as tecnologias favoreceram o empoderamento delas em parir numa Casa de Parto sendo assistidas por enfermeiras obstetras. No entanto, elas ainda se mostram passivas à dominação masculina quando valorizam a capacidade feminina em conquistar o espaço público masculino, mesmo em detrimento de suas reais necessidades, mostrando a importância de mais discussão sobre a temática a fim de vislumbrar novas tecnologias que auxiliem às mulheres a transpor esse empoderamento, adquirido durante a gravidez e o parto, para o seu dia a dia.