Chemotherapy patient perception regarding communication with the healthcare staff

Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment.

La historia contemporánea en relación con la memoria, los museos y los espacios de memoria Internacionales - pasado, presente y futuro

El artículo examina los conceptos de Monumentos, Sitios y Museos conmemorativos a nivel internacional. Se comienza con la terminología de historia contemporánea como un término que se desarrolló y amplió desde 1950. La historia contemporánea influye también en el campo de las Bellas Artes. Los monumentos conmemorativos o sitios de la memoria en lugares auténticos son de gran importancia para la concienciación. En combinación con los museos tienen la posibilidad de recoger diversos objetos como fuentes escritas, artefactos, fotografías y registros de la historia oral como testimonios de los antiguos acontecimientos. En cuanto a los museos, esto se refleja particularmente en las concepciones de los museos para la Guerra y la Paz, los museos de la Memoria sobre el Genocidio, y los museos de Movimientos de Resistencia. Un artefacto particular del ataque terrorista del 11 de septiembre de 2001 es la Karyatide del famoso artista alemán Fritz Koenig, ahora colocado en el Battery Park al sur de Manhattan. Por último, el Memorial y Museo Nacional 11 de Septiembre se explica junto con su arquitectura, la idea de “Ausencia Reflexionada” y la Misión de la Memoria para el futuro.

El oráculo griego en la época de la producibilidad escrita: la crisis de la autoridad mántica en "Aves" (960-996) de Aristófanes

Este artículo se propone analizar la escena del cresmólogo intruso en Aves, revalorizando la comedia aristofánica como fuente de conocimiento histórico. Este análisis se centra en la práctica oracular como una técnica de producción escrita vinculada a la autoridad religiosa. De esta manera, se exploran dos campos de estudios, como la comedia antigua y la adivinación griega, cuyo vínculo no ha sido explorado en profundidad. Para dar cuenta del momento crítico de la institución oracular durante la Guerra del Peloponeso, se reconstruyen perspectivas sobre dicho fenómeno en otras fuentes como Tucídides o Demóstenes. Esto no solo ofrece una mirada «cómica» sobre la adivinación, sino que también permite comprender la práctica oracular como técnica y, en consecuencia, qué elementos de su funcionamiento podían ser manipulados.

Deconstrucción de los relatos evangélicos de la pasión. Sobre el arraigo de la ficción en la Historia de las religiones

Las más elementales exigencias de rigor crítico e independencia siguen a menudo sin cumplirse hoy en día en la reconstrucción histórica de la figura del judío Yeshua ben Yosef (Jesús el galileo), en parte porque el carácter inconsistente de las fuentes evangélicas no es tomado en serio. El presente artículo analiza las incongruencias de los relatos de la pasión, muestra en ellos los indicios de un proceso de despolitización, y señala el carácter insostenible de varias afirmaciones clave de muchos historiadores contemporáneos sobre el predicador galileo.

Neoliberalism as an ideology

In order to examine whether the usual identification of neoliberal ideas with an ideological discourse is valid, this paper starts off with an analysis of what Marx terms commodity fetishism in Capital, based on which a certain sense of the concept of ideology may be inferred which would result in its being both true and false. In order to determine whether this definition of ideology may be applied to neoliberal theory, we look at its fundamental features and how they continue with or break away from economic liberalism as studied in Michel Foucault’s Birth of biopolitics. Attention is later moved to the characteristics detected by David Harvey in the socalled flexible accumulation as the latest stage of capitalism which coincides with the political implementation of neoliberal doctrine. At the end of the road travelled, it is hypothesised that this theory would be a form of ideology containing a dimension of both truth and falsehood, in line with Marx’s thought.

„Welch werthvolle und kunstreich geschmiedete kleine Sache.“

Richard Schaukal (1874-1942) wurde als Dichter ignoriert, als Übersetzer geschätzt und als Literaturkritiker geachtet. Es ist erstaunlich, dass dieses Tätigkeitsfeld unvollständig aufgearbeitet ist, zumal bedeutende Exponenten der Zeit wie Thomas Mann, Hermann Hesse oder Rainer Maria Rilke Schaukal um Besprechungen ihrer Werke baten. Er verfasste für zahlreiche Publikationsorgane meist unbequeme Essays, die sich − mehr noch als seine dichterischen Arbeiten − in den Diskurs der kulturkonservativen kritischen Moderne einschrieben. Mit Blick auf seine frühe Phase als Literaturkritiker werden Richard Schaukals ästhetische Positionen, Einflüsse und Funktionen untersucht. Abschließend wird sein Aufsatz über Ferdinand von Saar (1899) einer exemplarischen Analyse unterzogen.

Cercanía y distancia como elementos dramáticos en "Odysseus. Verbrecher" de Ransmayr y "Odisej" de Stefanovski

La función dramática de los conceptos mentales y geográficos ‚cercanía‘ y ‚distancia‘ se pone a prueba de forma exitosa en el término ‚Heimat‘. Se analizan Odysseus. Verbrecher de Christoph Ransmayr y Odisej de Goran Stefanovskis. Se ve que un retorno puede ser decepcionante porque la idea mental de ‚Heimat‘ no coincide con la geográfica. El repatriado permanece en esta distancia mental, lo cual daña a su entorno y la formación de su identidad. El concepto alemán de ‚Heimat‘, tal y como lo explica Peter Blickle, se puede aplicar a ambos textos. En el texto de Ransmayr se puede observar, no obstante, que crea su posición y crítica a raíz de este concepto, mientras que la comparación con el texto de Stefanovski solo muestra semejanzas, pero ninguna congruencia con el concepto cultural de ‚Heimat‘.

Hegel’s Non-Metaphysical Idea of Freedom

the article explores the putatively non-metaphysical – non-voluntarist, and even non-causal – concept of freedom outlined in Hegel’s work and discusses its influential interpretation by robert Pippin as an ‘essentially practical’ concept. I argue that Hegel’s affirmation of freedom must be distinguished from that of Kant and Fichte, since it does not rely on a prior understanding of self-consciousness as an originally teleological relation and it has not the nature of a claim ‘from a practical point of view’.

On a first-name basis: Englishization and naming in Flanders

Following and contributing to the ongoing shift from more structuralist, system-oriented to more pragmatic, socio-cultural oriented anglicism research, this paper verifies to what extent the global spread of English affects naming patterns in Flanders. To this end, a diachronic database of first names is constructed, containing the top 75 most popular boy and girl names from 2005 until 2014. In a first step, the etymological background of these names is documented and the evolution in popularity of the English names in the database is tracked. Results reveal no notable surge in the preference for English names. This paper complements these database-driven results with an experimental study, aiming to show how associations through referents are in this case more telling than associations through phonological form (here based on etymology). Focusing on the socio-cultural background of first names in general and of Anglo-American pop culture in particular, the second part of the study specifically reports on results from a survey where participants are asked to name the first three celebrities that leap to mind when hearing a certain first name (e.g. Lana, triggering the response Del Rey). Very clear associations are found between certain first names and specific celebrities from Anglo-American pop culture. Linking back to marketing research and the social turn in onomastics, we will discuss how these celebrities might function as referees, and how social stereotypes surrounding these referees are metonymically attached to their first names. Similar to the country-of-origin-effect in marketing, these metonymical links could very well be the reason why parents select specific “celebrity names”. Although further attitudinal research is needed, this paper supports the importance of including socio-cultural parameters when conducting onomastic research.

Revision i små aktiebolag : En kvalitativ studie om varför små aktiebolag väljer att revidera sina räkenskaper trots att de inte omfattas av revisionsplikten

Bakgrund Revisionsplikten avskaffades 1 november 2010 i Sverige. Detta innebar att cirka 250,000 små aktiebolag inte längre var tvingade till revision. Idag har det gått drygt fem år sedan beslutet togs om att avskaffa revisionsplikten och trots detta väljer en del små aktiebolag att revidera sina räkenskaper. Syfte Syftet med studien var att få en djupare förståelse för varför små aktiebolag, som inte omfattas av revisionsplikten, väljer att revidera sina räkenskaper. Metod Vi har använt oss av en kvalitativ metod och genomfört semistrukturerade intervjuer med företagsrepresentanter för små aktiebolag. Det empiriska materialet har analyserats genom en innehållsanalys. Slutsats Vår studie visar att små aktiebolag efterfrågar frivillig revision främst av fyra anledningar. Dessa är:  Spritt delägarskap  Försäkran om att den interna bokföringen är korrekt  Rutinmässigt av företagsledning med erfarenhet från revisionspliktade företag  Önskan om att uppfattas som legitima

I fredlig hamn : Hur en fredlig hamn påverkades under en fientlig tid: Gävle Hamn under andra världskriget 1939-1945

Gävle hamn under andra världskriget är ett tidigare outforskat område. I denna uppsats undersöks hur hamnens verksamhet samt ekonomi påverkades under krigsåren 1939-1945. Uppsatsen fokuserar på stuveriarbetarförbundet samt den kommunala hamnstyrelsen. Vidare så undersöks huruvida det fanns dokumenterade åsikter angående Nazityskland och eventuella moraliska dilemman som uppstod i samband med handeln mellan Gävle hamn och Nazityskland. Resultatet visar att Nazitysklands ockupation av Danmark och Norge, samt spärren i Skagerack, som innebar ett stop för sjöfart mellan Östersjön och Atlanten, påverkade Gävle hamns verksamhet i stor utsträckning. Detta ledde till att Nazityskland var den enda möjliga stora handelspartnern för svenska Östersjöhamnar, vilket innebar att ekonomin och verksamheten i Gävle hamn upplevde störst nedgång efter att Nazitysklands krigslycka hade vänt. Dokumenterad kritik från stuveriarbetarförbundet mot Nazityskland var sparsam till mängden, men ökade något mot slutet av kriget.

Optimization of wastepaper sludge ash (WSA) in robust cementitious systems

Abstract : Wastepaper sludge ash (WSA) is generated by a cogeneration station by burning wastepaper sludge. It mainly consists of amorphous aluminosilicate phase, anhydrite, gehlenite, calcite, lime, C2S, C3A, quartz, anorthite, traces of mayenite. Because of its free lime content (~10%), WSA suspension has a high pH (13). Previous researchers have found that the WSA composition has poor robustness and the variations lead to some unsoundness for Portland cement (PC) blended WSA concrete. This thesis focused on the use of WSA in different types of concrete mixes to avoid the deleterious effect of the expansion due to the WSA hydration. As a result, WSA were used in making alkali-activated materials (AAMs) as a precursor source and as a potential activator in consideration of its amorphous content and the high alkaline nature. Moreover, the autogenous shrinkage behavior of PC concrete at low w/b ratio was used in order to compensate the expansion effect due to WSA. The concrete properties as well as the volume change were investigated for the modified WSA blended concrete. The reaction mechanism and microstructure of newly formed binder were evaluated by X-ray diffraction (XRD), calorimetry, thermogravimetric analysis (TGA), scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX). When WSA was used as precursor, the results showed incompatible reaction between WSA and alkaline solution. The mixtures were not workable and provided very low compressive strength no matter what kinds of chemical activators were used. This was due to the metallic aluminum in WSA, which releases abundant hydrogen gas when WSA reacts with strong alkaline solution. Besides, the results of this thesis showed that WSA can activate the glassy phase contained in slag, glass powder (GP) and class F fly ash (FFA) with an optimum blended ratio of 50:50. The WSA/slag (mass ratio of 50:50) mortar (w/b of 0.47) attained 46 MPa at 28 days without heat curing assistance. A significant fast setting was noticed for the WSA-activated binder due to the C3A phase, free lime and metallic aluminum contained in the WSA. Adding 5% of gypsum can delay the fast setting, but this greatly increased the potential risk of intern sulfate attack. The XRD, TGA and calorimetry analyses demonstrated the formation of ettringite, C-S-H, portlandite, hydrogarnet and calcium carboaluminate in the hydrated binder. The mechanical performance of different binder was closely related to the microstructure of corresponding binder which was proved by the SEM observation. The hydrated WSA/slag and WSA/FFA binder formed a C-A-S-H type of gel with lower Ca/Si ratio (0.47~1.6). A hybrid gel (i.e. C-N-A-S-H) was observed for the WSA/GP binder with a very low Ca/Si ratio (0.26) and Na/Si ratio (0.03). The SEM/EDX analyses displayed the formation of expansive gel (ettringite and thaumasite) in the gypsum added WSA/slag concrete. The gradual emission of hydrogen gas due to the reaction of WSA with alkaline environment significantly increased the porosity and degraded the microstructure of hydrated matrix after the setting. In the last phase of this research WSA-PC blended binder was tailored to form a high autogenous shrinkage concrete in order to compensate the initial expansion. Different binders were proportioned with PC, WSA, silica fume or slag. The microstructure and mechanical properties of concrete can be improved by decreasing w/b ratios and by incorporating silica fume or slag. The 28-day compressive strength of WSA-blended concrete was above 22 MPa and reached 45 MPa when silica fume was added. The PC concrete incorporating silica fume or slag tended to develop higher autogenous shrinkage at low w/b ratios, and thus the ternary binder with the addition of WSA inhibited the long term shrinkage due to the initial expansion property to WSA. In the restrained shrinkage test, the concrete ring incorporating the ternary binder (PC/WSA/slag) revealed negligible potential to cracking up to 96 days as a result of the offset effect by WSA expansion. The WSA blended regular concrete could be produced for potential applications with reduced expansion, good mechanical property and lower permeability.

Arbeitskreis „Repräsentationen“ (Hrsg.): Die ‚andere‘ Familie, Repräsentationskritische Analysen von der Frühen Neuzeit bis zur Gegenwart, Frankfurt am Main: Peter Lang 2013 [Rezension]

Rezension von: Arbeitskreis „Repräsentationen“ (Hrsg.): Die ‚andere‘ Familie, Repräsentationskritische Analysen von der Frühen Neuzeit bis zur Gegenwart, Frankfurt am Main: Peter Lang 2013 (497 S.; ISBN 978-3-631-64412-6; 78,95 EUR)