Patients' experiences of support for learning to live with diabetes to promote health and well-being : A lifeworld phenomenological study

Learning to live with diabetes in such a way that the new conditions will be a normal and natural part of life imposes requirements on the person living with diabetes. Previous studies have shown that there is no clear picture of what and how the learning that would allow persons to incorporate the illness into their everyday life will be supported. The aim of this study is to describe the phenomenon of support for learning to live with diabetes to promote health and well-being, from the patient's perspective. Data were collected by interviews with patients living with type 1 or type 2 diabetes. The interviews were analysed using a reflective lifeworld approach. The results show that reflection plays a central role for patients with diabetes in achieving a new understanding of the health process, and awareness of their own responsibility was found to be the key factor for such a reflection. The constituents are responsibility creating curiosity and willpower, openness enabling support, technology verifying bodily feelings, a permissive climate providing for participation and exchanging experiences with others. The study concludes that the challenge for caregivers is to create interactions in an open learning climate that initiates and supports reflection to promote health and well-being.

Live Work: The Impact of Direct Encounters in Statutory Child and Family Social Wor

The aim of this research project was to examine the impact of direct work on practitioners in the field of statutory child protection. The author’s premise was that this work was anything but straightforward and that surprisingly, given the intense scrutiny on Children’s Services following a child death, there was little research into the day-to-day practice of front line staff. The aim was to explore whether psychoanalytic theory could be useful in understanding and making sense of the social work task. Data was collected through observation and semi-structured interviews in one Local Authority Child in Need team over a period of six months. The findings indicated that practitioners experienced direct work with some individuals and families as profoundly disturbing and that this affected them physiologically as well as psychologically. These effects persisted over time and appeared very difficult for the workers to process or articulate. This could be expressed through embodied or non-verbal communication in the interview. Practitioners appeared to be ‘inhabited’ by particular clients, suggesting phenomena such as projective identification were in operation. The intensity and persistence of the impact on the practitioners appears to be directly related to the quality, nature and intensity of the psychic defences functioning for the particular client. Significantly, the research indicated that when practitioners were dealing with the negative and disturbing projections from the (adult) clients it seemed from the data that the focus on the child would slip so that the child appeared to recede from view. Symptoms experienced by the practitioners were akin to trauma and research and theory on primary and secondary trauma were considered. Other issues raised included shame, which affects the clients, practitioners and the organisation and the meaning and implications of this are explored. Links between neuroscience and projective identification are addressed as well as the role of the organisation, particularly as a container for these toxic and disturbing encounters.

Ecossistema domiciliar de pais cardiopatas e o modo de viver dos filhos: possibilidades de promoção da saúde pelo conhecimento da enfermagem/saúde

Objetivou-se compreender a possibilidade de o ecossistema domiciliar de pais portadores de morbidades cardiovasculares propiciar atitudes e comportamentos que corroborem para manifestações análogas na saúde dos filhos que convivem neste ambiente, e compreender como o cuidado de enfermagem/saúde com ações interativas de promoção de saúde domiciliar seja capaz de dissipar estas atitudes e comportamentos nos filhos. Para o conhecimento, a compreensão, interação do ecossistema domiciliar e o modo de viver dos filhos de pai/mãe cardiopata como um processo dinâmico e inter-relacional, foi utilizada a abordagem sistêmica de Ilya Prigogine, com enfoque nos princípios ecossistêmicos. O percurso metodológico se baseou na Teoria Fundamentada nos Dados, que, de maneira sistemática, interativa e criativa, possibilitou o desenvolvimento da teoria formal: Compreendendo possibilidades Interativas de orientações da Enfermagem/Saúde no Ecossistema domiciliar dos filhos de pais cardiopatas para mudanças de comportamentos e atitudes. Esta é uma teoria fidedigna e fundamentada nos dados da pesquisa, que culminou com o desenvolvimento de suas categorias. A coleta e análise dos dados foram realizadas conforme a preconização da teoria, de forma comparativa e constante, seguindo os passos: codificação inicial ou aberta, categorização e codificação teórica, sendo utilizada também a observação. Totalizou a amostra teórica onze filhos de pai/mãe cardiopatas, entrevistados no Brasil e em Portugal, onde, neste último, foi realizado um Intercâmbio de Doutorado com a finalidade de potencializar os conceitos e direcionar novas possibilidades aos fenômenos apresentados. Como processo de análise dos dados e agrupamento das categorias utilizou-se o modelo paradigmático desenvolvido por Glaser (1968) correspondente à família de códigos 6 Cs e de códigos interativos. A teoria formal emergiu a partir de dois fenômenos e suas categorias. O fenômeno, Conhecendo o ecossistema domiciliar de filhos de pai/mãe cardiopata na perspectiva das orientações da enfermagem/saúde, englobou as categorias: Demonstrando conhecimento sobre aspectos que possibilitam o infarto (condição causal); Associando a vivência da doença e orientações às modificações no modo de viver (condição estratégica); Relatando possibilidades de orientações para os filhos de pai/mãe cardiopata (condição de contingência); Reconhecendo a importância das orientações para o viver melhor (condição de consequência). Em relação ao fenômeno Conhecendo comportamentos e atitudes de filhos de pai/mãe cardiopata, as categorias elencadas foram: Descrevendo atitudes e comportamentos do(a) filho(a) antes da doença do(a) pai/mãe (condição causal); Relatando comportamentos e atitudes dos filhos pós-doença do(a) pai/mãe (condição estratégica); Reconhecendo a importância da mudança de comportamentos e atitudes para um viver saudável (condição de consequência). A teoria que emergiu por meio dos dados deste trabalho fundamenta a importância das ações de enfermagem/saúde para a promoção da saúde, confirma a tese proposta no projeto de pesquisa e permite concluir que a perspectiva ecossistêmica direciona para o conhecimento, a compreensão e discussão, evidentemente, mais amplos, dos contextos apresentados, pelas suas dinâmicas e interatividades.

Live and Feeder Cattle Options Markets: Returns, Risk, and Volatility Forecasting

unpublished

Investigation of the role of long non-coding RNAs in oncogene induced cellular senescence

Cellular senescence is a stable arrest of cell proliferation induced by several factors such as activated oncogenes, oxidative stress and shortening of telomeres. Senescence acts as a tumour suppression mechanism to halt the progression of cancer. However, senescence may also impact negatively upon tissue regeneration, thus contributing to the effects of ageing. The eukaryotic genome is controlled by various modes of transcriptional and translational regulation. Focus has therefore centred on the role of long non- coding RNAs (lncRNAs) in regulating the genome. Accordingly, understanding how lncRNAs function to regulate the senescent genome is integral to improving our knowledge and understanding of tumour suppression and ageing. Within this study, I set out to investigate the expression of lncRNAs’ expression within models of senescence. Through a custom expression array, I have shown that expression of multiple different lncRNAs is up-regulated and down regulated in IMR90 replicative senescent fibroblasts and oncogene-induced senescent melanocytes. LncRNA expression was determined to be specific to stable senescence-associated cell arrest and predominantly within the nucleus of senescent cells. In order to examine the function of lncRNA expression in senescence, I selected lncRNA transcript ENST0000430998 (lncRNA_98) to focus my investigations upon. LncRNA_98 was robustly upregulated within multiple models of senescence and efficiently depleted using anti-sense oligonucleotide technology. Characterisation and unbiased RNA-sequencing of lncRNA_98 deficient senescent cells highlighted a list of genes that are regulated by lncRNA_98 expression in senescent cells and may regulate aspects of the senescence program. Specifically, the formation of SAHF was impeded upon depletion of lncRNA_98 expression and levels of total pRB protein expression severely decreased. Validation and recapitulation of consequences of pRB depletion was confirmed through lncRNA_98 knock-out cells generated using CRISPR technology. Surprisingly, inhibition of ATM kinase functions permitted the restoration of pRB protein levels within lncRNA_98 deficient cells. I propose that lncRNA_98 antagonizes the ability of ATM kinase to downregulate pRB expression at a post-transcriptional level, thereby potentiating senescence. Furthermore, lncRNA expression was detected within fibroblasts of old individuals and visualised within senescent melanocytes in human benign nevi, a barrier to melanoma progression. Conversely, mining of 337 TCGA primary melanoma data sets highlighted that the lncRNA_98 gene and its expression was lost from a significant proportion of melanoma samples, consistent with lncRNA_98 having a tumour suppressor functions. The data presented in this study illustrates that lncRNA_98 expression has a regulatory role over pRB expression in senescence and may regulate aspects of tumourigenesis and ageing.

Live−dead comparison of benthic foraminiferal faunas from the Rhône prodelta (Gulf of Lions, NW Mediterranean): Development of a proxy for palaeoenvironmental reconstructions

Dead benthic foraminiferal faunas (> 150 μm) from the Rhône prodelta (Gulf of Lions, NW Mediterranean) were analysed at 41 stations (15–100 m water depth) sampled in June 2005 and September 2006, and compared to the living faunas investigated during previous studies at the same stations. The comparison between dead and living assemblages enhances the understanding of taphonomic processes that may modify the composition of the dead faunas in this area. We observed a loss of individuals from living to dead assemblages of species characterised by a fairly fragile test and therefore more prone to fragmentation or dissolution (e.g., Bolivina alata, Quinqueloculina tenuicollis). Allochthonous dead and/or live specimens may be transported to some parts of the prodelta, particularly the shallowest sites where hydrodynamic processes (i.e., river flood, storm swells, longshore currents) are more intense. These specimens may originate from relict deltaic structures (e.g., Elphidium spp. from the lobe of Bras de Fer) or from surrounding areas (e.g., Ammonia beccarii forma beccarii from the river). Opportunistic species (e.g., Bulimina marginata, Cassidulina carinata) characterised by high reproductive rates have much higher relative abundances in the dead than in the living fauna. Cluster analyses based on dead foraminiferal assemblages divide our study area into four main thanatofacies directly related to distinct local environmental conditions prevailing in the prodelta. Close to the river mouth, Ammonia beccarii forma beccarii and Ammonia tepida are found in sediments subject to a high riverine influence (i.e., bottom currents, high organic and inorganic material input of continental origin). Elphidium species are abundant in the silty-sandy relict deltaic lobe west of the river mouth which is characterised by strong longshore currents that disturb the benthic environment. Nonion fabum, Rectuvigerina phlegeri and Valvulineria bradyana are found along the coast west of the Rhône River mouth, in the area defined as the “river plume” thanatofacies. In the more stable and deeper prodeltaic area, species known to feed on fresh phytodetritus (e.g., Bulimina aculeata/marginata, C. carinata, Hyalinea balthica) dominate the faunas. Since only minor variations in species relative abundances and spatial distributional patterns are observed between the living and the dead faunas, we consider that our thanatofacies have not been influenced by substantial transport of dead tests. This suggests that fossil benthic foraminifera can provide a reliable tool for investigating the development of the palaeo-Rhône prodelta

LIVE-Fab – CNC-Programmierung und Montageplanung in einer virtuellen Lernfabrik. Konzepte, Grundlagen, Technik, Anwendung

Am Institut für Arbeitswissenschaft und Betriebsorganisation (ifab) Universität Karlsruhe wird zurzeit das Projekt LIVE-Fab (Lernen in der virtuellen Fabrik) gemeinsam mit der Fachhochschule Landshut, Fachbereich Maschinenbau, durchgeführt. Dieses Projekt wird vom Bundesministerium für Bildung und Forschung (BMBF) im Rahmen des Programms „Neue Medien in der Bildung“ gefördert. Das Ziel des Projektes ist die Entwicklung eines anschaulichen Lehr- und Lernmodells für eine Fabrik als funktionierendes Ganzes. Dazu soll im Rechner eine Modellfabrik mit den Bereichen Wareneingang, Fertigung, Montage und Qualitätssicherung abgebildet werden. Die Fabrik mit ihren Anlagen (Maschinen, Transportsysteme etc.) und Materialflüsse soll in einem 3D-Modell visuell erfassbar sein. Die Grundlagen zur Schaffung einer virtuell funktionierenden Produktion einschließlich Anlagenplanung, Arbeitsvorbereitung, die Mechanismen, Kundenbestellungen und Qualitätsmanagement sollen in einzelnen Fallstudien den Studierenden vermittelt werden. Den Studierenden aus den Fachbereichen Maschinenbau, Wirtschaftsingenieurwesen, Elektrotechnik und Betriebswirtschaft mit technischer Ausrichtung soll mit der virtuellen Fabrik ein Werkzeug an die Hand gegeben werden, mit dem sie die komplexen, ineinander verzahnten Vorgänge eines Produktionsprozesses besser verstehen lernen. Dies bedeutet, dass in der virtuellen Fabrik die inhaltlichen Aspekte mehrerer vorgelagerter Vorlesungen kombiniert werden und dadurch ein Verbund zum Verständnis der Produktionsprozesse geschaffen wird.(DIPF/Orig.)

Live Entertainment at Cedar Point

Through the years, Cedar Point's live entertainment has always varied. In the 1960s, the park offered Broadway-style revues, strolling acts, Dixieland bands, and country acts, all performed by college students studying music or theater.

RoMEO Studies 8: self-archiving: the logic behind the colour-coding used in the Copyright Knowledge Bank

Purpose – The purpose of this research is to show how the self-archiving of journal papers is a major step towards providing open access to research. However, copyright transfer agreements (CTAs) that are signed by an author prior to publication often indicate whether, and in what form, self-archiving is allowed. The SHERPA/RoMEO database enables easy access to publishers' policies in this area and uses a colour-coding scheme to classify publishers according to their self-archiving status. The database is currently being redeveloped and renamed the Copyright Knowledge Bank. However, it will still assign a colour to individual publishers indicating whether pre-prints can be self-archived (yellow), post-prints can be self-archived (blue), both pre-print and post-print can be archived (green) or neither (white). The nature of CTAs means that these decisions are rarely as straightforward as they may seem, and this paper describes the thinking and considerations that were used in assigning these colours in the light of the underlying principles and definitions of open access. Approach – Detailed analysis of a large number of CTAs led to the development of controlled vocabulary of terms which was carefully analysed to determine how these terms equate to the definition and “spirit” of open access. Findings – The paper reports on how conditions outlined by publishers in their CTAs, such as how or where a paper can be self-archived, affect the assignment of a self-archiving colour to the publisher. Value – The colour assignment is widely used by authors and repository administrators in determining whether academic papers can be self-archived. This paper provides a starting-point for further discussion and development of publisher classification in the open access environment.

An Indirect Genetic Algorithm for a Nurse Scheduling Problem

This paper describes a Genetic Algorithms approach to a manpower-scheduling problem arising at a major UK hospital. Although Genetic Algorithms have been successfully used for similar problems in the past, they always had to overcome the limitations of the classical Genetic Algorithms paradigm in handling the conflict between objectives and constraints. The approach taken here is to use an indirect coding based on permutations of the nurses, and a heuristic decoder that builds schedules from these permutations. Computational experiments based on 52 weeks of live data are used to evaluate three different decoders with varying levels of intelligence, and four well-known crossover operators. Results are further enhanced by introducing a hybrid crossover operator and by making use of simple bounds to reduce the size of the solution space. The results reveal that the proposed algorithm is able to find high quality solutions and is both faster and more flexible than a recently published Tabu Search approach.

Integrating Architecture for a Live-Work Lifestyle

Urban centers all around the world are striving to re-orient themselves to promoting ideals of human engagement, flexibility, openness and synergy, that thoughtful architecture can provide. From a time when solitude in one’s own backyard was desirable, today’s outlook seeks more, to cater to the needs of diverse individuals and that of collaborators. This thesis is an investigation of the role of architecture in realizing how these ideals might be achieved, using Mixed Use Developments as the platform of space to test these designs ideas on. The author also investigates, identifies, and re-imagines how the idea of live-work excites and attracts users and occupants towards investing themselves in Mixed Used Developments (MUD’s), in urban cities. On the premise that MUDs historically began with an intention of urban revitalization, lying in the core of this spatial model, is the opportunity to investigate what makes mixing of uses an asset, especially in the eyes to today’s generation. Within the framework of reference to the current generation, i.e. the millennial population and alike, who have a lifestyle core that is urban-centric, the excitement for this topic is in the vision of MUD’s that will spatially cater to a variety in lifestyles, demographics, and functions, enabling its users to experience a vibrant 24/7 destination. Where cities are always in flux, the thesis will look to investigate the idea of opportunistic space, in a new MUD, that can also be perceived as an adaptive reuse of itself. The sustainability factor lies in the foresight of the transformative and responsive character of the different uses in the MUD at large, which provides the possibility to cater to a changing demand of building use over time. Delving into the architectural response, the thesis in the process explores, conflicts, tensions, and excitements, and the nature of relationships between different spatial layers of permanence vs. transformative, public vs. private, commercial vs. residential, in such an MUD. At a larger scale, investigations elude into the formal meaning and implications of the proposed type of MUD’s and the larger landscapes in which they are situated, with attempts to blur the fine line between architecture and urbanism. A unique character of MUD’s is the power it has to draw in people at the ground level and lead them into exciting spatial experiences. While the thesis stemmed from a purely objective and theoretical standpoint, the author believes that it is only when context is played into the design thinking process, that true architecture may start to flourish. The unique The significance of this thesis lies on the premise that the author believes that this re-imagined MUD has immense opportunity to amplify human engagement with designed space, and in the belief that it will better enable fostering sustainable communities and in the process, enhance people’s lives.

The potential of Asparagopsis armata to control the bacterial load associated to live feed to improve Seabream (Sparus aurata) larvae performance

Dissertação de mestrado, Aquacultura e Pescas, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2014

Whole-cell-analysis of live cardiomyocytes using wide-field interferometric phase microscopy.

We apply wide-field interferometric microscopy techniques to acquire quantitative phase profiles of ventricular cardiomyocytes in vitro during their rapid contraction with high temporal and spatial resolution. The whole-cell phase profiles are analyzed to yield valuable quantitative parameters characterizing the cell dynamics, without the need to decouple thickness from refractive index differences. Our experimental results verify that these new parameters can be used with wide field interferometric microscopy to discriminate the modulation of cardiomyocyte contraction dynamics due to temperature variation. To demonstrate the necessity of the proposed numerical analysis for cardiomyocytes, we present confocal dual-fluorescence-channel microscopy results which show that the rapid motion of the cell organelles during contraction preclude assuming a homogenous refractive index over the entire cell contents, or using multiple-exposure or scanning microscopy.