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Personal boundaries

Rijan Maharjan, Shomeek Mukhopadhyay, Benjamin Allen, Tobias Storz, Eric Brown
We experimentally characterize the impact response of concentrated suspensions consisting of cornstarch and water. We observe that the suspensions support a large normal stress-on the order of MPa-with a delay after the impactor hits the suspension surface. We show that neither the delay nor the magnitude of the stress can yet be explained by either standard rheological models of shear thickening in terms of steady-state viscosities, or impact models based on added mass or other inertial effects. The stress increase occurs when a dynamically jammed region of the suspension in front of the impactor propagates to the opposite boundary of the container, which can support large stresses when it spans between solid boundaries...
May 2018: Physical Review. E
Michael L Cardenas, Thomas R Mazur, Christina I Tsien, Olga L Green
Purpose: We present a rapid computational method for quantifying interfraction motion of the esophagus in patients undergoing stereotactic body radiation therapy on a magnetic resonance (MR) guided radiation therapy system. Methods and materials: Patients who underwent stereotactic body radiation therapy had simulation computed tomography (CT) and on-treatment MR scans performed. The esophagus was contoured on each scan. CT contours were transferred to MR volumes via rigid registration...
April 2018: Advances in Radiation Oncology
Alison Searle
The relationship between pain as a physical and emotional experience and the concept of suffering as an essential aspect of sanctification for faithful believers was a paradoxical and pressing theological and phenomenological issue for puritan and non-conformist communities in 17th-century England. Pain allows the paradox of non-conformists' valorisation and suppression of corporeality to be explored due to its simultaneous impact on the mind and body and its tendency to leak across boundaries separating an individual believer from other members of their family or faith community...
June 2018: Medical Humanities
Fiona Fylan, Lauren Caveney, Alastair Cartwright, Beth Fylan
BACKGROUND: A Personal Health Record (PHR) is an electronic record that individuals use to manage and share their health information, e.g. data from their medical records and data collected by apps. However, engagement with their record can be low if people do not find it beneficial to their health, wellbeing or interactions with health and other services. We have explored the beliefs potential users have about a PHR, how it could be made personally relevant, and barriers to its use. METHODS: A qualitative design comprising eight focus groups, each with 6-8 participants...
June 14, 2018: BMC Health Services Research
S M Labib, Meher Nigar Neema, Zahidur Rahaman, Shahadath Hossain Patwary, Shahadat Hossain Shakil
CO2 emissions from urban traffic are a major concern in an era of increasing ecological disequilibrium. Adding to the problem net CO2 emissions in urban settings are worsened due to the decline of bio-productive areas in many cities. This decline exacerbates the lack of capacity to sequestrate CO2 at the micro and meso-scales resulting in increased temperatures and decreased air quality within city boundaries. Various transportation and environmental strategies have been implemented to address traffic related CO2 emissions, however current literature identifies difficulties in pinpointing these critical areas of maximal net emissions in urban transport networks...
June 9, 2018: Journal of Environmental Management
Huaiqi Huang, Claudio Bruschini, Christian Antfolk, Christian Enz, Tao Li, Jörn Justiz, Volker M Koch
BACKGROUND: There is a need for providing sensory feedback for myoelectric prosthesis users. Providing tactile feedback can improve object manipulation abilities, enhance the perceptual embodiment of myoelectric prostheses and help reduce phantom limb pain. Many amputees have referred sensation from their missing hand on their residual limbs (phantom maps). This skin area can serve as a target for providing amputees with non-invasive tactile sensory feedback. One of the challenges of providing sensory feedback on the phantom map is to define the accurate boundary of each phantom digit because the phantom map distribution varies from person to person...
June 11, 2018: Biomedical Engineering Online
Alexandra Christine Graf, Gernot Wassmer, Tim Friede, Roland Gerard Gera, Martin Posch
With the advent of personalized medicine, clinical trials studying treatment effects in subpopulations are receiving increasing attention. The objectives of such studies are, besides demonstrating a treatment effect in the overall population, to identify subpopulations, based on biomarkers, where the treatment has a beneficial effect. Continuous biomarkers are often dichotomized using a threshold to define two subpopulations with low and high biomarker levels. If there is insufficient information on the dependence structure of the outcome on the biomarker, several thresholds may be investigated...
January 1, 2018: Statistical Methods in Medical Research
Michelle Gray
AIM: A theoretical discussion using categorisation theory to discuss the final analysis of findings from research which investigated midwives' responses to the changed registration-renewal requirements in Australia after the introduction of national registration. BACKGROUND: In 2010 the Health Practitioner Regulation National Law Act introduced national registration to standardise the regulation of health professionals in Australia. Annual registration-renewal standards required all health professionals to meet the same standards of clear police check, insurance for scope of practice, Continuing Professional Development (CPD) and Recency of Practice (ROP)...
June 7, 2018: Women and Birth: Journal of the Australian College of Midwives
Nicole F Dear, Chifundo Kadangwe, Themba Mzilahowa, Andy Bauleni, Don P Mathanga, Chifundo Duster, Edward D Walker, Mark L Wilson
BACKGROUND: Malaria is increasing in some recently urbanized areas that historically were considered lower risk. Understanding what drives urban transmission is hampered by inconsistencies in how "urban" contexts are defined. A dichotomized "urban-rural" approach, based on political boundaries may misclassify environments or fail to capture local drivers of risk. Small-scale agriculture in urban or peri-urban settings has been shown to be a major risk determinant. METHODS: Household-level Anopheles abundance patterns in and around Malawi's commercial capital of Blantyre (~ 1...
June 8, 2018: Malaria Journal
Christina Lundin, Emina Hadziabdic, Katarina Hjelm
BACKGROUND: With an increasing migrant population globally the need to organize interpreting service arises in emergency healthcare to deliver equitable high-quality care. The aims of this study were to describe interpretation practices in multilingual emergency health service institutions and to explore the impact of the organizational and institutional context and possible consequences of different approaches to interpretation. No previous studies on these issues in multilingual emergency care have been found...
June 5, 2018: BMC International Health and Human Rights
Rick Trinkner, Jonathan Jackson, Tom R Tyler
This paper expands previous conceptualizations of appropriate police behavior beyond procedural justice. The focus of the current study is on the notion of bounded authority-that is, acting within the limits of one's rightful authority. According to work on legal socialization, U.S. citizens come to acquire three dimensions of values that determine how authorities ought to behave: (a) neutral, consistent, and transparent decision-making; (b) interpersonal treatment that conveys respect, dignity, and concern; and (c) respecting the limits of one's rightful power...
June 2018: Law and Human Behavior
Chloé Dimeglio, Michelle Kelly-Irving, Thierry Lang, Cyrille Delpierre
It seems no longer possible to produce knowledge, even biological knowledge regardless of social, cultural and economic environments in which they were observed. Therefore never the term "social medicine" or more generally "social biology" has appeared more appropriate. This way of linking the social and the biological exceeds the sole social medicine by involving also other medical disciplines. As such, forensics, whose an important activity is represented by clinical forensics in charge of types of violence (physical, psychological, sexual, abuse) and persons held in custody could see its practice heavily modified through the use of various data describing both the clinical situation of patients but also their context of life...
July 2018: Journal of Forensic and Legal Medicine
Taylor L Benson, Sohee Park
Self-disturbances such as altered perception of one's own body boundary are central to the lived-in experience of schizophrenia. Bodily self-disturbances are also prevalent in healthy individuals who may carry latent liability for schizophrenia. Much of the research on self-disturbances rely on clinical interviews but these experiences are often difficult to verbalize, conceptualize and quantify. Furthermore, experimental evidence for plasticity of bodily self-experience in the schizophrenia-spectrum is scarce...
May 21, 2018: Schizophrenia Research
A Groenendijk, J Van Hecke
The treatment of severe mental illnesses is increasingly taking place in a domiciliary setting due to the deinstitutionalisation.<br/> AIM: Theoretical reflection on the influence of home treatment on the therapeutic alliance.<br/> METHOD: Qualitative review of possible effects of home treatment based on own experiences, the scientific literature, and recent handbooks on community mental health.<br/> RESULTS: The therapeutic relationship appears to be an important general factor in the outcomes of community mental health approaches...
2018: Tijdschrift Voor Psychiatrie
Gilberto de Lima Lopes, George R Nahas
Chimeric antigen receptor (CAR) T cells represent a medical and scientific breakthrough that may represent a paradigm for the future of personalized medicine in the age of cancer immunotherapy. As with many new cancer agents, such novel and incredible results come with a high price. At the time of the writing of this article, there are two CAR T cells available, Kymriah, produced by Novrtis with a price tag of US$475,000 and Yescarta produced by Gilead Pharmaceuticals with a price tag of US$373,000, neither price including the required hospital admission in order to administer the agent in addition to potential treatment of side effects...
April 2018: Chinese Clinical Oncology
Bart Sleutjes, Helga A G de Valk, Jeroen Ooijevaar
The debate on residential segregation often focuses on the concentration of migrant groups in specific neighbourhoods and its presumed effects on, e.g. personal life chances and social inclusion. However, cross-regional and international comparisons of segregation are hampered by differences in the size and delineation of the spatial units that are used for its measurement: the Modifiable Areal Unit Problem. This paper therefore measures segregation for scalable 'individualized neighbourhoods', defined by a predefined number of closest neighbours instead of by administrative or statistical boundaries...
2018: European Journal of Population
Ian J Davidson
This article is a cocitation network analysis of The Journal of Abnormal and Social Psychology ( JASP ) from 1925 to 1942. The analysis was conducted to help shed light on the historical roots of the intellectual and institutional relationships among social, personality, and abnormal psychology. JASP was a main venue for the boundary work of early- to mid-twentieth-century American psychologists. One of the main goals of these various research communities was to appropriate psychoanalytic and sociological concepts into preferred methods and approaches that favored an individualistic, quantifiable, and ultimately normal subject...
May 2018: History of Psychology
Michael Saraga, Donald Boudreau, Abraham Fuks
In order to understand the lived experiences of physicians in clinical practice, we interviewed eleven expert, respected clinicians using a phenomenological interpretative methodology. We identified the essence of clinical practice as engagement. Engagement accounts for the daily routine of clinical work, as well as the necessity for the clinician to sometimes trespass common boundaries or limits. Personally engaged in the clinical situation, the clinician is able to create a space/time bubble within which the clinical encounter can unfold...
May 8, 2018: Medicine, Health Care, and Philosophy
Genevieve C Lai, Emma V Taylor, Margaret M Haigh, Sandra C Thompson
Indigenous Australians are under-represented in the health workforce. The shortfall in the Indigenous health workforce compounds the health disparities experienced by Indigenous Australians and places pressure on Indigenous health professionals. This systematic review aims to identify enablers and barriers to the retention of Indigenous Australians within the health workforce and to describe strategies to assist with development and retention of Indigenous health professionals after qualification. Four electronic databases were systematically searched in August 2017...
May 4, 2018: International Journal of Environmental Research and Public Health
Monica Lacatus, Laura Costin, Virgil Bodean, Mircea Manuc, Cătălin Vasilescu
Background: Colorectal surgery in cirrhotic patients has had limited indications, but as the study aims to show, careful evaluation of risk factors can extend boundaries. Methods: From January 2011 to January 2016, using a case match cohort, 68 patients with colorectal malignancy and cirrhosis were compared against 136 persons with no liver disease. Significant risk criteria, morbidity and mortality were evaluated. Results: When analyzing specific risk factors age, etiology and severity of liver disease (MELD, Child-Pugh score, ascites and hypoalbuminemia) were found to be significant to surgical outcome...
March 2018: Chirurgia
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