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Synonymous
Terms modified by Synonymous Selected AbstractsCr(III) reactivity and foot dermatitis in Cr(VI) positive patientsCONTACT DERMATITIS, Issue 3 2006Malene Barré Hansen Chromium allergy has become synonymous with Cr(VI) allergy. However, real exposure to chromium from leather products may include both Cr(III) and Cr(VI). In this study, we investigate the reactivity to both Cr(VI) and Cr(III) in consecutive patients to analyse the relation between foot eczema/leather exposure and reactivity to Cr(III). From March 2002 to December 2004, 2211 consecutive patients with suspected allergic contact dermatitis were patch tested with 0.5% potassium dichromate (Cr(VI)) and 13% chromium trichloride (Cr(III)). A total of 71 (3.2%) patients had a positive reaction to Cr(VI), of which 31 also had a positive Cr(III) reaction. No Cr(VI) negative patients had a positive reaction to Cr(III). An increased risk of foot dermatitis was found in Cr(VI) positive patients with a concomitant positive or doubtful reaction to Cr(III) compared with Cr(VI) positive patients with no reactions to Cr(III). The increased risk was not due to a higher degree of sensitivity to Cr(VI). Leather was reported most frequently as the suspected cause of chromium dermatitis (54%). However, Cr(VI) allergics having foot eczema and positive or doubtful Cr(III) reactions often had positive reactions to other shoe allergens. Thus, Cr(III) allergy is part of a multiple shoe allergy pattern. [source] John Dewey's "Wholly Original Philosophy" and Its Significance for MuseumsCURATOR THE MUSEUM JOURNAL, Issue 2 2006George E. Hein He attempted to construct a philosophical system that incorporated life as it is lived, not in some ideal form. He rejected all dualisms, such as those between thought and action, fine and applied arts, or stimulus and response. An analysis of "experience" (defined as almost synonymous with "culture") is central to Dewey's writing and leads him to emphasize process, continuity, and development, rather than static, absolute concepts. This paper examines the significance of Dewey's educational views for museum exhibitions and education programs, and his complex definitions of relevant concepts, with special emphasis on his interpretation of "experience." Dewey's faith in democracy and his moral philosophy require that the value of any educational activity depends on its social consequences as well as its intellectual content, a proposition that is discussed and applied to museums. This argument suggests that exhibitions and programs can strengthen democracy by promoting skills that improve visitors' ability to become critical thinkers and by directly addressing controversial issues, taking the side of social justice and democracy. [source] Standardizing Knowledge in a Multicultural SocietyCURRICULUM INQUIRY, Issue 1 2005CHRISTINE SLEETER ABSTRACT Across the United States, in an attempt to raise standards for student learning, states have developed curriculum standards that specify what students are to learn. Raising standards has become synonymous with standardizing curriculum. This study critically examines the reading/language arts and history-social science standards documents in California to explore how the standards movement has reconfigured codes of power, and in whose interests. To address this question, we used Bernstein's (1975) theory of codes of power in curriculum. Bernstein suggested that codes of power can be uncovered by examining how curriculum is classified and framed. Our analysis suggests that the state's curriculum standards fit within a political movement to reconfigure power relations among racial, ethnic, language, and social class groupings. This is not simply about trying to improve student learning, but more important, about reasserting who has a right to define what schools are for, whose knowledge has most legitimacy, and how the next generation should think about the social order and their place within it. [source] Mesotherapy and Phosphatidylcholine Injections: Historical Clarification and ReviewDERMATOLOGIC SURGERY, Issue 4 2006ADAM M. ROTUNDA MD BACKGROUND Mesotherapy was originally conceived in Europe as a method of utilizing cutaneous injections containing a mixture of compounds for the treatment of local medical and cosmetic conditions. Although mesotherapy was traditionally employed for pain relief, its cosmetic applications, particularly fat and cellulite removal, have recently received attention in the United States. Another treatment for localized fat reduction, which was popularized in Brazil and uses injections of phosphatidylcholine, has been erroneously considered synonymous with mesotherapy. Despite their attraction as purported "fat-dissolving" injections, the safety and efficacy of these novel cosmetic treatments remain ambiguous to most patients and physicians. OBJECTIVE To distinguish mesotherapy from phosphatidylcholine injections by reviewing their history and the relevant experimental or clinical findings. METHODS A comprehensive search of Medline indexed literature and conference proceedings. RESULTS All the published studies evaluating the clinical efficacy of traditional mesotherapy currently originate from Europe. These reports focus primarily on musculoskeletal pain and vascular disease, rather than cosmetic applications. Although experimental data suggest that a number of traditional mesotherapy ingredients may theoretically reduce fat, these effects have not been supported in peer-reviewed studies. An increasing number of reports demonstrate that subcutaneous injections of a formula containing phosphatidylcholine combined with its emulsifier, deoxycholate, are effective in removing small collections of adipose tissue. Cell lysis, resulting from the detergent action of deoxycholate, may account for this clinical effect. CONCLUSIONS Mesotherapy is distinct from a method of treating adipose tissue with subcutaneous injections of deoxycholate alone or in combination with phosphatidylcholine. Additional clinical and experimental studies are necessary to more definitively establish the safety and efficacy of these treatments. [source] Ludwig II, King of Bavaria: a royal medical historyACTA PSYCHIATRICA SCANDINAVICA, Issue 6 2008H. Förstl Objective:, The case of Ludwig II, King of Bavaria, had soon become synonymous with paranoia, after he had drowned at the age of 40 together with the neuropsychiatrist Gudden. Method:, We were granted access to the Secret Archive of the House of Wittelsbach to study documents on Ludwig's medical history. Results:, The documents underlying Gudden's expert opinion which led to Ludwig being deposed would be insufficient for a diagnosis of schizophrenia according to contemporary standards. The autopsy revealed prominent prefrontal brain atrophy. Conclusion:, The evidence is compatible with a diagnosis of schizotypal personality and suspected frontotemporal degeneration. [source] Integrating DNA data and traditional taxonomy to streamline biodiversity assessment: an example from edaphic beetles in the Klamath ecoregion, California, USADIVERSITY AND DISTRIBUTIONS, Issue 5 2006Ryan M. Caesar ABSTRACT Conservation and land management decisions may be misguided by inaccurate or misinterpreted knowledge of biodiversity. Non-systematists often lack taxonomic expertise necessary for an accurate assessment of biodiversity. Additionally, there are far too few taxonomists to contribute significantly to the task of identifying species for specimens collected in biodiversity studies. While species level identification is desirable for making informed management decisions concerning biodiversity, little progress has been made to reduce this taxonomic deficiency. Involvement of non-systematists in the identification process could hasten species identification. Incorporation of DNA sequence data has been recognized as one way to enhance biodiversity assessment and species identification. DNA data are now technologically and economically feasible for most scientists to apply in biodiversity studies. However, its use is not widespread and means of its application has not been extensively addressed. This paper illustrates how such data can be used to hasten biodiversity assessment of species using a little-known group of edaphic beetles. Partial mitochondrial cytochrome oxidase I was sequenced for 171 individuals of feather-wing beetles (Coleoptera: Ptiliidae) from the Klamath ecoregion, which is part of a biodiversity hotspot, the California Floristic Province. A phylogram of these data was reconstructed via parsimony and the strict consensus of 28,000 equally parsimonious trees was well resolved except for peripheral nodes. Forty-two voucher specimens were selected for further identification from clades that were associated with many synonymous and non-synonymous nucleotide changes. A ptiliid taxonomic expert identified nine species that corresponded to monophyletic groups. These results allowed for a more accurate assessment of ptiliid species diversity in the Klamath ecoregion. In addition, we found that the number of amino acid changes or percentage nucleotide difference did not associate with species limits. This study demonstrates that the complementary use of taxonomic expertise and molecular data can improve both the speed and the accuracy of species-level biodiversity assessment. We believe this represents a means for non-systematists to collaborate directly with taxonomists in species identification and represents an improvement over methods that rely solely on parataxonomy or sequence data. [source] Public opinion on needle and syringe programmes: avoiding assumptions for policy and practiceDRUG AND ALCOHOL REVIEW, Issue 4 2007CARLA TRELOAR Abstract Despite evidence for their effectiveness, harm reduction services such as needle and syringe programmes (NSPs) are highly vulnerable to perceptions of community disapproval. This paper reviews Australian research on community attitudes to harm reduction services and its impact on research, policy and practice. The literature on community attitudes to NSPs in Australia comprises a small number of representative national samples and surveys of local communities affected by specific services. Despite these extremely limited data, negative community attitudes are often cited by policy-makers and health professionals as a primary constraint on policy-making. The main finding of this literature review is that community perceptions of NSPs are largely positive. Also, support for NSPs was not synonymous with condoning drug use. The failure of policy-makers and politicians to recognise positive community attitudes to NSPs has led in some instances to hasty political responses to adverse media reports, including the closure of services. This literature review showing positive community attitudes to harm reduction services should embolden researchers, practitioners and policy-makers to challenge such reactionary responses. Further, this evidence should be used in countering negative publicity surrounding these services. [Treloar C, Fraser S. Public opinion on needle and syringe programmes: avoiding assumptions for policy and practice. Drug Alcohol Rev 2007;26:355,361] [source] THE RATE OF GENOME STABILIZATION IN HOMOPLOID HYBRID SPECIESEVOLUTION, Issue 2 2008C. Alex Buerkle Homoploid hybrid speciation has been recognized for its potential rapid completion, an idea that has received support from experimental and modeling studies. Following initial hybridization, the genomes of parental species recombine and junctions between chromosomal blocks of different parental origin leave a record of recombination and the time period before homogenization of the derived genome. We use detailed genetic maps of three hybrid species of sunflowers and models to estimate the time required for the stabilization of the new hybrid genome. In contrast to previous estimates of 60 or fewer generations, we find that the genomes of three hybrid sunflower species were not stabilized for hundreds of generations. These results are reconciled with previous research by recognizing that the stabilization of a hybrid species' genome is not synonymous with hybrid speciation. Segregating factors that contribute to initial ecological or intrinsic genetic isolation may become stabilized quickly. The remainder of the genome likely becomes stabilized over a longer time interval, with recombination and drift dictating the contributions of the parental genomes. Our modeling of genome stabilization provides an upper bound for the time interval for reproductive isolation to be established and confirms the rapid nature of homoploid hybrid speciation. [source] Robustness of a 3 min all-out cycling test to manipulations of power profile and cadence in humansEXPERIMENTAL PHYSIOLOGY, Issue 3 2008Anni Vanhatalo The purpose of this study was to assess whether end-test power output (EP, synonymous with ,critical power') and the work done above EP (WEP) during a 3 min all-out cycling test against a fixed resistance were affected by the manipulation of cadence or pacing. Nine subjects performed a ramp test followed, in random order, by three cadence trials (in which flywheel resistance was manipulated to achieve end-test cadences which varied by ,20 r.p.m.) and two pacing trials (30 s at 100 or 130% of maximal ramp test power, followed by 2.5 min all-out effort against standard resistance). End-test power output was calculated as the mean power output over the final 30 s and the WEP as the power,time integral over 180 s for each trial. End-test power output was unaffected by reducing cadence below that of the ,standard test' but was reduced by ,10 W on the adoption of a higher cadence [244 ± 41 W for high cadence (at an end-test cadence of 95 ± 7 r.p.m.), 254 ± 40 W for the standard test (at 88 ± 6 r.p.m.) and 251 ± 38 W for low cadence (at 77 ± 5 r.p.m.)]. Pacing over the initial 30 s of the test had no effect on the EP or WEP estimates in comparison with the standard trial. The WEP was significantly higher in the low cadence trial (16.2 ± 4.4 kJ) and lower in the high cadence trial (12.9 ± 3.6 kJ) than in the standard test (14.2 ± 3.7 kJ). Thus, EP is robust to the manipulation of power profile but is reduced by adopting cadences higher than ,standard'. While the WEP is robust to initial pacing applied, it is sensitive to even relatively minor changes in cadence. [source] Multilocus sequence typing confirms synonymy but highlights differences between Candida albicans and Candida stellatoideaFEMS YEAST RESEARCH, Issue 5 2008Mette D. Jacobsen Abstract We used multi-locus sequence typing (MLST) to investigate 35 yeast isolates representing the two genome-sequenced strains plus the type strain of Candida albicans, four isolates originally identified as Candida stellatoidea type I and 28 representing type strains of other species now regarded as synonymous with C. albicans. DNA from all 32 C. albicans synonyms readily formed PCR products with the C. albicans MLST primer sets. Their sequences placed all of them within the existing C. albicans clade structure, represented by 1516 isolates. One isolate, originally received as Mycotorula sinensis, was resistant to flucytosine, but no other unusual susceptibilities were found to polyene, azole or echinocandin antifungal agents. The four isolates of C. stellatoidea type I coclustered with two other sucrose-negative isolates, originally identified as examples of Candida africana, in a group of strains highly distinct from the majority of C. albicans. Our results not only confirm the synonymity of all the isolates with C. albicans but also confirm an obvious genotypic difference in the case of C. stellatoidea type I. [source] Training as a vehicle to empower carers in the community: more than a question of information sharingHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 2 2001MSc (Econ), Nicholas Clarke BSc MSc Abstract Much confusion still surrounds the concept of empowerment and how it is to be translated into practice within the context of community care for service users and carers. A major limitation has been the tendency to treat empowerment as synonymous with participation in decision-making with little attention given to the ,ecological' model of empowerment where linkages have been found between community participation and measures of psychological empowerment. Training has been suggested as a means through which carers might become empowered, yet to date little empirical evidence has appeared within the literature to support this proposition. This study investigated whether attendance on a training programme to empower carers resulted in improvements in carers' levels of perceived control, self-efficacy and self-esteem as partial measures of psychological empowerment. The findings demonstrated that whereas carers' knowledge of services and participation increased as a result of the programme, no changes were found in measures of carer empowerment. The failure to consider how training needs to be designed in order to achieve changes in individual competence and self-agency are suggested as the most likely explanation for the lack of change observed in carers' psychological empowerment. It is suggested that community care agencies should focus greater energies in determining how the policy objectives of empowerment are to be achieved through training, and in so doing make far more explicit the supposed linkages between training content, design, and its posited impact on individual behaviour or self-agency. [source] A pediatric screening instrument to detect problematic infant,parent interactions: Initial reliability and validity in a sample of high- and low-risk infantsINFANT MENTAL HEALTH JOURNAL, Issue 4 2001Barbara H. Fiese The purpose of this study was to determine the initial reliability and validity of a screening instrument developed to detect problematic interactions between infants and parents as part of a pediatric well-baby exam. Participants included 117 infant,mother dyads (57 preterms and 60 full terms) assessed when infants were 6 to 9 months old. Mothers and infants were observed playing an interactional game such as peek-a-boo during the course of the pediatric exam. The game was scored for degree of interactional reciprocity using the Pediatric Infant Parent Exam (PIPE). Acceptable levels of interrater reliability were achieved. As predicted, higher risk infants and their mothers exhibited more problematic interactions than lower risk infants and their mothers. Results indicated that the PIPE was a reliable means of screening for interactional difficulties, that was sensitive to, but not synonymous with, neonatal health indices. ©2001 Michigan Association for Infant Mental Health. [source] Fossilization: five central issuesINTERNATIONAL JOURNAL OF APPLIED LINGUISTICS, Issue 2 2004ZhaoHong Han Second language acquisition research over the past three decades has generated a wide spectrum of different interpretations of "fossilization", a construct introduced by Selinker (1972) for characterizing lack of grammatical development in second language learning. These conceptual differences found in the literature, it has become increasingly clear, create confusion rather than offering clarification, thereby obstructing a coherent understanding of the theoretical notion as well as empirical research findings. This article addresses the conceptual differences by raising and discussing five central issues: (1) Is fossilization global or local? (2) Is L2 ultimate attainment isomorphic with fossilization? (3) Is fossilization a product or a process? (4) Is stabilization synonymous with fossilization? (5) Should empirical studies of fossilization span five years or more? [source] Inflammation-associated remodelling and fibrosis in the lung , a process and an end pointINTERNATIONAL JOURNAL OF EXPERIMENTAL PATHOLOGY, Issue 2 2007William A.H. Wallace Summary Fibrosis by common usage in the pathological and clinical literature is the end result of a healing process and synonymous with scarring. We would argue that its use to describe a dynamic series of events which may be reversible is unhelpful and that the term ,lung remodelling' is a better description for this process as it reflects changes in tissue organization that may or may not progress to ,fibrosis' as a final fixed point. Resolution, through reversal of active lung remodelling, by therapeutic intervention is possible providing the alveolar architecture remains intact. If the lung architecture is lost then healing by permanent fibrosis with loss of organ function is inevitable. [source] Development and psychometric testing of a new geriatric spiritual well-being scaleINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 3 2008Karen S. Dunn PhD Aims and objectives., Assess the psychometric properties of a new geriatric spiritual well-being scale (GSWS), specifically designed for older adults. Background., Religiosity and spiritual wellness must be measured as two distinct concepts to prevent confounding them as synonymous among atheist and agnostic population. Design., A test,retest survey design was used to estimate the psychometric properties. Methods., A convenience sample of 138 community-dwelling older adults was drawn from the inner city of Detroit. Data were collected using telephone survey interviews. Data analyses included descriptive statistics, structural equation modelling, reliability analyses, and point-biserial correlations. Results., The factorial validity of the proposed model was not supported by the data. Fit indices were ,2 = 185.98, d.f. = 98, P < 0.00, goodness-of-fit index of 0.85, comparative fit index of 0.87 and root mean error of approximation of 0.08, indicating a mediocre fit. Reliability statistics for the subscales ranged from being poor (0.36) to good (0.84) with an acceptable overall scale alpha of 0.76. Participants' performance stability and criterion-related validity were also supported. Conclusions., The GSWS is an age-specific assessment tool that was developed specifically to address a population's cultural diversity. Future research endeavors will be to test the psychometric properties of this scale in culturally diverse older adult populations for further instrument development. Relevance to clinical practice., Nurses need to recognize that agnostics/atheists have spiritual needs that do not include religious beliefs or practices. Thus, assessing patients' religious beliefs and practices prior to assessing spiritual well-being is essential to prevent bias. [source] "Chain-End-Controlled Isotactic" and "Stereoblock-Isotactic" Polypropylene: Where Is the Difference?ISRAEL JOURNAL OF CHEMISTRY, Issue 4 2002Vincenzo Busico This communication describes the microstructure of "stereoblock-isotactic" polypropylene obtained with sterically hindered "oscillating" metallocene catalysts, points out in which respects it differs from that of "chain-end-controlled isotactic" polypropylene, and explains why the two definitions cannot be used as synonymous (as is commonly found in the literature). [source] Individual distinctiveness in the mobbing call of a cooperative bird, the noisy miner Manorina melanocephalaJOURNAL OF AVIAN BIOLOGY, Issue 5 2009Robert A. W. Kennedy Individual differentiation is usually advantageous in maximising the fitness benefits of interactions with conspecifics. In social species, where intraspecific interactions are frequent, this is likely to be particularly important. Indeed, some form of differentiation underpins most hypotheses proposed to account for cooperative behaviour in birds. The auditory modality is a likely candidate for this function, particularly for species where individuals are widely spaced and in dense vegetation. In this study, we examined the acoustic structure of a distinctive mobbing signal, the ,chur' call, of the cooperatively breeding noisy miner Manorina melanocephala. Using 250,calls from 25 individuals, a combination of spectrographic-based measurement of call parameters, cross-correlation and multi-dimensional scaling was used to test for systematic individual differences in call structure. Strong differences between individuals were observed in all measures, indicating that this call encodes sufficient information to facilitate individual differentiation. We then conducted a series of field playbacks to test the effect of the behaviour on conspecifics. Results demonstrated that the call, in isolation, has a clear attractant effect. Given that chur calls are synonymous with the characteristic cooperative mobbing behaviour of this species, these findings suggest they are likely to have an important function in coordinating complex social behaviour. [source] Effects of consumer perceptions of brand experience on the web: brand familiarity, satisfaction and brand trustJOURNAL OF CONSUMER BEHAVIOUR, Issue 6 2005Hong-Youl Ha Abstract Creating a customer experience that is synonymous with a particular (website) brand is becoming increasingly recognised as a vital driver of e-performance. E-tailors are just as likely to try to influence consumers' shopping behaviour, through atmospherics and service, as brick-and-mortar stores. This study investigates several questions that have been left unanswered in recent studies of consumer behaviour in the context of internet-based marketing. Its focus lies in addressing the issue of whether there is a direct relationship between brand experience and brand trust or whether there is an indirect relationship via satisfaction or brand familiarity. The results of an empirical study of e-consumer behaviour show that brand trust is achieved through the following dimensions operating and interrelating as antecedent constructs: first, various brand experiences and the search for information, secondly, a high level of brand familiarity, and thirdly, customer satisfaction based on cognitive and emotional factors. These findings should assist marketers and academics in their understanding of the development of brand trust in an internet-based environment. Copyright © 2005 John Wiley & Sons, Ltd. [source] Variation in synonymous codon use and DNA polymorphism within the Drosophila genomeJOURNAL OF EVOLUTIONARY BIOLOGY, Issue 1 2006N. BIERNE Abstract A strong negative correlation between the rate of amino-acid substitution and codon usage bias in Drosophila has been attributed to interference between positive selection at nonsynonymous sites and weak selection on codon usage. To further explore this possibility we have investigated polymorphism and divergence at three kinds of sites: synonymous, nonsynonymous and intronic in relation to codon bias in D. melanogaster and D. simulans. We confirmed that protein evolution is one of the main explicative parameters for interlocus codon bias variation (r2, 40%). However, intron or synonymous diversities, which could have been expected to be good indicators of local interference [here defined as the additional increase of drift due to selection on tightly linked sites, also called ,genetic draft' by Gillespie (2000)] did not covary significantly with codon bias or with protein evolution. Concurrently, levels of polymorphism were reduced in regions of low recombination rates whereas codon bias was not. Finally, while nonsynonymous diversities were very well correlated between species, neither synonymous nor intron diversities observed in D. melanogaster were correlated with those observed in D. simulans. All together, our results suggest that the selective constraint on the protein is a stable component of gene evolution while local interference is not. The pattern of variation in genetic draft along the genome therefore seems to be instable through evolutionary times and should therefore be considered as a minor determinant of codon bias variance. We argue that selective constraints for optimal codon usage are likely to be correlated with selective constraints on the protein, both between codons within a gene, as previously suggested, and also between genes within a genome. [source] Variation in enterovirus receptor genesJOURNAL OF MEDICAL VIROLOGY, Issue 1 2003Ĺse Karttunen Abstract The increased incidence of a enterovirus infections observed in patients with type 1 diabetes preceding the development of the clinical disease could be partially explained by variation in the genes coding for enterovirus receptors. We carried out sequence analysis of the most common enterovirus receptor molecules in 21 diabetic children and 20 healthy adults. DNA was isolated from the leukocytes, and gene regions known to code for virus-recognizing domains in major enterovirus receptors were amplified and sequenced. Heterozygous single-nucleotide polymorphism (SNP), Ala 67 (GCG),,,Thr (ACG), was detected in the poliovirus receptor gene in four individuals in the diabetes group, but not in the control group. However, serological studies could not confirm that this substitution would convey different susceptibility to poliovirus infection. A heterozygous SNP, Lys 29 (AAG),,,Met (ATG), was found in the intracellular adhesion molecule-1 (ICAM-1) (receptor for rhinoviruses and some coxsackie A viruses) in one individual in both groups. A silent SNP in the ,2 integrin subunit gene (echovirus 1 receptor) was frequently found in both groups, a silent heterozygotic SNP in coxsackievirus-adenovirus receptor (coxsackie B virus receptor) gene was seen in one individual in the diabetes group, whereas no variation was found in the DAF (echovirus receptor) and ,3 integrin subunit sequences (receptor for coxsackievirus A9) studied. In conclusion, both synonymous and nonsynonymous sequence variability of genes coding for enterovirus and rhinovirus receptors was shown to occur, but no pattern directly specific for type 1 diabetes was found. J. Med. Virol. 70:99,108, 2003. © 2003 Wiley-Liss, Inc. [source] Building the capacity for evidence-based clinical nursing leadership: the role of executive co-coaching and group clinical supervision for quality patient servicesJOURNAL OF NURSING MANAGEMENT, Issue 2 2007BA (Hons), JO ALLEYNE DProf Aim, The general aims of this article were to facilitate primary care nurses (District Nurse Team Leaders) to link management and leadership theories with clinical practice and to improve the quality of the service provided to their patients. The specific aim was to identify, create and evaluate effective processes for collaborative working so that the nurses' capacity for clinical decision-making could be improved. Background, This article, part of a doctoral study on Clinical Leadership in Nursing, has wider application in the workplace of the future where professional standards based on collaboration will be more critical in a world of work that will be increasingly complex and uncertain. This article heralds the type of research and development activities that the nursing and midwifery professions should give premier attention to, particularly given the recent developments within the National Health Service in the United Kingdom. The implications of: Agenda for Change, the Knowledge and Skills Framework, ,Our Health, Our Care, Our Say' and the recent proposals from the article Modernising Nursing Career, to name but a few, are the key influences impacting on and demanding new ways of clinical supervision for nurses and midwives to improve the quality of patient management and services. Method, The overall approach was based on an action research using a collaborative enquiry within a case study. This was facilitated by a process of executive co-coaching for focused group clinical supervision sessions involving six district nurses as co-researchers and two professional doctoral candidates as the main researchers. The enquiry conducted over a period of two and a half years used evidence-based management and leadership interventions to assist the participants to develop ,actionable knowledge'. Group clinical supervision was not practised in this study as a form of ,therapy' but as a focus for the development of actionable knowledge, knowledge needed for effective clinical management and leadership in the workplace. Findings, ,,Management and leadership interventions and approaches have significantly influenced the participants' capacity to improve the quality of services provided to their patients. ,,Using various techniques, tools, methods and frameworks presented at the sessions increased participants' confidence to perform. ,,A structured approach like the Clinical Nursing Leadership Learning and Action Process (CLINLAP) model makes implementing change more practical and manageable within a turbulent care environment. The process of Stakeholder Mapping and Management made getting agreement to do things differently much easier. Generally it is clear that many nurses and midwives, according to the participants, have to carry out management and leadership activities in their day-to-day practice. The traditional boundary between the private, the public and the voluntary sector management is increasingly becoming blurred. Conclusion, It is conclusive that the district nurses on this innovative programme demonstrated how they were making sense of patterns from the past, planning for the future and facilitating the clinical nursing leadership processes today to improve quality patient services tomorrow. Their improved capacity to manage change and lead people was demonstrated, for example, through their questioning attitudes about the dominance of general practitioners. They did this, for example, by initiating and leading case conferences with the multi-disciplinary teams. It became evident from this study that to use group clinical supervision with an executive co-coaching approach for the implementation and to sustain quality service demand that ,good nursing' is accepted as being synonymous with ,good management'. This is the future of ,new nursing'. [source] PHYLOGENY OF FOUR DINOPHYSIACEAN GENERA (DINOPHYCEAE, DINOPHYSIALES) BASED ON rDNA SEQUENCES FROM SINGLE CELLS AND ENVIRONMENTAL SAMPLES,JOURNAL OF PHYCOLOGY, Issue 5 2009Sara M. Handy Dinoflagellates are a highly diverse and environmentally important group of protists with relatively poor resolution of phylogenetic relationships, particularly among heterotrophic species. We examined the phylogeny of several dinophysiacean dinoflagellates using samples collected from four Atlantic sites. As a rule, 3.5 kb of sequence including the nuclear ribosomal genes SSU, 5.8S, LSU, plus their internal transcribed spacer (ITS) 1 and 2 regions were determined for 26 individuals, including representatives of two genera for which molecular data were previously unavailable, Ornithocercus F. Stein and Histioneis F. Stein. In addition, a clone library targeting the dinophysiacean ITS2 and LSU sequences was constructed from bulk environmental DNA from three sites. Three phylogenetic trees were inferred from the data, one using data from this study for cells identified to genus or species (3.5 kb, 28 taxa); another containing dinoflagellate SSU submissions from GenBank and the 12 new dinophysiacean sequences (1.9 kb, 56 taxa) from this study; and the third tree combing data from identified taxa, dinophysiacean GenBank submissions, and the clone libraries from this study (2.1 kb, 136 taxa). All trees were congruent and indicated a distinct division between the genera Phalacroma F. Stein and Dinophysis Ehrenb. The cyanobionts containing genera Histioneis and Ornithocercus were also monophyletic. This was the largest molecular phylogeny of dinophysoid taxa performed to date and was consistent with the view that the genus Phalacroma may not be synonymous with Dinophysis. [source] Writing the reflexive self: an autoethnography of alcoholism and the impact of psychotherapy cultureJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 7 2010A. GRANT ba (hons) ma phd cert res meth pgctlhe, enb 650 cert Accessible summary ,,Experimental ethnography allows for the use of fiction in writing. Fiction both enables the preservation of anonymity in accounts based on real people and events and breaks down the barrier between art and science in ethnographic work. The use of fiction, which should not be regarded as synonymous with falsehood, arguably facilitates telling tales in a dramatic and enjoyable way. It is also a useful way of ,writing the self', so that the researcher and the researched become one and the same. Writing the self means using fiction and other literary tools to both construct and clarify the person being written about. In the case of autoethnography, this person is both the researcher and the researched. ,,The short story, which forms the heart of this paper, is based on the author's battle with alcoholism over two decades. It utilizes literary devices, including poetry, time changes, and moves from describing the main protagonist in the story in first to third person. The story describes the author's experiences of feeling increasingly stigmatized and treated as ,other' by members of the humanistic counselling and therapy fraternity. ,,The paper draws to an end with a theoretical discussion of the development of selfhood in society, including the ways in which alcoholic selves can become stigmatized and ,othered'. The author invites readers to contribute towards ending ,us,them' divisions. Abstract Experimental ethnography enables the use of fictionalized accounts that celebrate partial truths and challenge realist and positivist ethnographic authority. Literary devices drawn from fiction arguably allow social researchers to better portray real events. Fiction, which should not be regarded as synonymous with falsehood, enables the telling of tales in dramatic and enjoyable ways. In this account , an autoethnography of alcoholism and the impact of therapy culture , the author's intention is not to make claims for a final word or closure on the topics raised, and juxtaposed with appropriate social theory. It is rather hoped that the text will trigger further meaning creation on the part of the reader and, in terms of praxis, contribute towards creating a kinder and more humane mental health nursing and therapy practice and in the ,off duty' world. [source] "Britain's Spiritual Life: How Can It Be Deepened?": Seebohm Rowntree, Russell Lavers, and the "Crisis of Belief", ca.JOURNAL OF RELIGIOUS HISTORY, Issue 1 2005This article examines the response of two social investigators in the early post-World War II period to the apparent secularization of British society. It explains how an unpublished survey that the two men carried out, along with the work of other Christian and non-Christian commentators in this period, expressed the hope that religious influences would be strengthened through secular institutions, including communal organizations, workplaces, and the military. A revival of Christian belief, in some form, was seen as a bulwark against communism in the context of the Cold War in which the Soviet regime was seen to present a threat to the "Christian civilization" of the West. The "spiritual life of the nation" was synonymous with the "national character," and for the information and opinion on which their study was based, Seebohm Rowntree and Russell Lavers turned to those who they believed were in a position to influence the "national character." [source] The Changing Focus of Child Maltreatment Research and Practice Within PsychologyJOURNAL OF SOCIAL ISSUES, Issue 4 2006Mark Chaffin Professions functionally define a field by the types of behaviors or circumstances to which they direct their attention and efforts. For psychology and mental health professionals concerned with child maltreatment, child sexual abuse has been the dominant interest over the past two decades and has been virtually synonymous with child maltreatment within psychology. This is discrepant from the broader scope of child maltreatment, as seen both in child welfare populations and in the general population. In child welfare, sexual abuse is an important but nonetheless relatively less frequent issue. Child neglect and physical abuse dominate child welfare caseloads, and historically always have. The disconnect between the interests of mental health professionals and child welfare appears to be waning, both in terms of dialogue within psychology and apportioning of research resources. This article examines what this emerging change may mean for practice and research in terms of the changing nature of populations involved, different types and locations of services, different roles and new multidisciplinary alliances. [source] Critical Evaluation of How the Rosgen Classification and Associated "Natural Channel Design" Methods Fail to Integrate and Quantify Fluvial Processes and Channel Response,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 5 2007A. Simon Abstract:, Over the past 10 years the Rosgen classification system and its associated methods of "natural channel design" have become synonymous to some with the term "stream restoration" and the science of fluvial geomorphology. Since the mid 1990s, this classification approach has become widely adopted by governmental agencies, particularly those funding restoration projects. The purposes of this article are to present a critical review, highlight inconsistencies and identify technical problems of Rosgen's "natural channel design" approach to stream restoration. This paper's primary thesis is that alluvial streams are open systems that adjust to altered inputs of energy and materials, and that a form-based system largely ignores this critical component. Problems with the use of the classification are encountered with identifying bankfull dimensions, particularly in incising channels and with the mixing of bed and bank sediment into a single population. Its use for engineering design and restoration may be flawed by ignoring some processes governed by force and resistance, and the imbalance between sediment supply and transporting power in unstable systems. An example of how C5 channels composed of different bank sediments adjust differently and to different equilibrium morphologies in response to an identical disturbance is shown. This contradicts the fundamental underpinning of "natural channel design" and the "reference-reach approach." The Rosgen classification is probably best applied as a communication tool to describe channel form but, in combination with "natural channel design" techniques, are not diagnostic of how to mitigate channel instability or predict equilibrium morphologies. For this, physically based, mechanistic approaches that rely on quantifying the driving and resisting forces that control active processes and ultimate channel morphology are better suited as the physics of erosion, transport, and deposition are the same regardless of the hydro-physiographic province or stream type because of the uniformity of physical laws. [source] Rural household responses to fuelwood scarcity in Nyando District, KenyaLAND DEGRADATION AND DEVELOPMENT, Issue 1 2003I. O. Mahiri Abstract The fuelwood debate over supply,demand balances is well rehearsed; and the use of simplistic linear models to explain supply,demand differentials hardly captures the complex patterns of use and dynamics of fuelwood in the rural household. This paper shows that households in Nyando District have evolved sophisticated local response mechanisms and strategies in coping with the fuelwood scarcity. Data collected through a multi-method approach revealed, among others, a higher percentage of planted trees in Kochogo than in Awasi study sites. Despite this high proliferation of trees, rural households in Kochogo still identified fuelwood scarcity as a growing problem. The seeming ,abundance' of trees is not synonymous with the supply of fuelwood, or the alleviation of fuelwood scarcity. Rural households in Kochogo therefore resort to the market to purchase fuelwood, as well as adapt various fuel-saving strategies and mechanisms to cope with the apparent scarcity. The purchase of crop residues from the market is a strong indicator of this scarcity, being simply lack of access to or entitlement to trees. The situation is different in Awasi, where there is a higher percentage of natural trees and clump bushes, which provide a relative abundance of fuelwood. This condition has encouraged local households not to keep a stock of fuelwood, but simply to collect from nearby bushes when required. Copyright © 2002 John Wiley & Sons, Ltd. [source] Aldhelm and the Two Cultures of Anglo-Saxon PoetryLITERATURE COMPASS (ELECTRONIC), Issue 5 2007Christopher Abram Old English literature dominates the study of Anglo-Saxon culture as a whole, to the extent that ,Anglo-Saxon' and ,Old English' were for a long time considered synonymous. The Anglo-Saxons, however, also produced a large body of texts in Latin. In this survey, I examine the often false dichotomy sometimes made between Old English and Anglo-Latin literary aesthetics and textual production as they are revealed through Anglo-Saxon poetry, and discuss the post-medieval intellectual contexts that produce and sustain this dichotomy. The figure and work of Aldhelm (c.639 ce,709 ce) is used as an example of how Anglo-Saxon poets often occupied a liminal position between Latinate and Germanic culture. I argue that a proper understanding of Anglo-Saxon culture (and poetry's place within it) requires us to disassemble the artificial barriers that have been erected between Old English and Anglo-Latin verse. [source] Genetic variability of hepatitis C virus NS3 protein in human leukocyte antigen-A2 liver transplant recipients with recurrent hepatitis CLIVER TRANSPLANTATION, Issue 2 2004F. Xavier López-Labrador The association between the severity of chronic hepatitis C and the variability of the hepatitis C virus (HCV) genome remains controversial, but to our knowledge few data are available to date regarding T-cell epitope coding regions in transplant patients. In the current study, we identified 21 human leukocyte antigen (HLA)-A2-positive Spanish patients with chronic hepatitis C, 14 immunosuppressed liver transplant recipients, and 7 immunocompetent controls. Alanine aminotransferase, aspartate aminotransferase, viral load, and rate of fibrosis progression were determined. Genetic distances of HCV isolates and variations in epitopes of the HCV nonstructural 3 protein (NS3-1393 LIFCHSKKK and NS3-1406 KLVALGINAV) were compared between patients with slow or fast progression of fibrosis. Isolates from transplant patients with fast progression were found to be more divergent (P =.03), had a higher mean value of synonymous (dS) variations (P =.02), and some were differentiated in a phylogenetic tree, compared with isolates from patients with slow progression. The HLA-A2-restricted NS3-1406 epitope was found to be more variable (20 of 21 isolates differed from the prototype) compared with the A3-restricted NS3-1392 epitope (19% vs. 1.25% variation). A shift in the viral peptide was not detected in a subset of transplant patients, but was evident in two of three nontransplant patients with follow-up. There was no correlation noted between a particular amino acid variation and fibrosis progression (slow or fast) in either transplant or nontransplant patients. The results of the current study suggest that 1) there may be different HCV-1b strains in our geographic area, 2) immunosuppression appears to have little effect in amino acid variation at the HCV NS3-1406 epitope, and 3) variations over time might be more frequent in nonimmunosuppressed patients. (Liver Transpl 2004;10:217,227.) [source] Recent innovations in marine biologyMARINE ECOLOGY, Issue 2009Ferdinando Boero Abstract Modern ecology arose from natural history when Vito Volterra analysed Umberto D'Ancona's time series of Adriatic fisheries, formulating the famous equations describing the linked fluctuations of a predator,prey system. The shift from simple observation to careful sampling design, and hypothesis building and testing, often with manipulative approaches, is probably the most relevant innovation in ecology, leading from descriptive to experimental studies, with the use of powerful analytical tools to extract data (from satellites to molecular analyses) and to treat them, and modelling efforts leading to predictions. However, the historical component, time, is paramount in environmental systems: short-term experiments must cope with the long term if we want to understand change. Chaos theory showed that complex systems are inherently unpredictable: equational, predictive science is only feasible over the short term and for a small number of variables. Ecology is characterized by a high number of variables (e.g. species) interacting over wide temporal and spatial scales. The greatest recent conceptual innovation, thus, is to have realized that natural history is important, and that the understanding of complexity calls for humility. This is not a return to the past, because now we can give proper value to statistical approaches aimed at formalizing the description and the understanding of the natural world in a rigorous way. Predictions can only be weak, linked to the identification of the attractors of chaotic systems, and are aimed more at depicting scenarios than at forecasting the future with precision. Ecology was originally split into two branches: autecology (ecology of species) and synecology (ecology of species assemblages, communities, ecosystems). The two approaches are almost synonymous with the two fashionable concepts of today: ,biodiversity' and ,ecosystem functioning'. A great challenge is to put the two together and work at multiple temporal and spatial scales. This requires the identification of all variables (i.e. species and their ecology: biodiversity, or autoecology) and of all connections among them and with the physical world (i.e. ecosystem functioning, or synecology). Marine ecosystems are the least impacted by human pressures, compared to terrestrial ones, and are thus the best arena to understand the structure and function of the natural world, allowing for comparison between areas with and areas without human impact. [source] | |||||||||||||||||||||||||||||||||||||||||||