Shortlisted for the 2019 Irish Times Poetry Now Award Shortlisted for the 2019 Pigott Poetry Award Shortlisted for the 2019 Roehampton Poetry Prize Featured in the TLS & Irish Times Books of the Year 2018 Martina Evans's Now We Can Talk Openly about Men is a pair of dramatic monologues, snapshots of the lives of two women in 1920s Ireland. The first, Kitty Donovan, is a dressmaker in the time of the Irish War of Independence. The second, Babe Cronin, is set in 1924, shortly after the Irish Civil War. Kitty is a dressmaker with a taste for laudanum. Babe is a stenographer who has fallen in love with a young revolutionary. Through their separate, overlapping stories, Evans colours an era and a culture seldom voiced in verse. Set back some years from their stories, both women find a strand of humour in what took place, even as they recall the passion, vertigo and terror of those times. A dream-like compulsion in their voices adds a sense of retrospective inevitability. The use of intense, almost psychedelic colour in the first half of the book opposes the flattened, monochrome language of the second half. This is a work of vivid contrasts, of age and youth, women and men, the Irish and the English: complementary stories of balance, imbalance, and transition.
Are lone mothers 'going it alone' in late modernity? In this fascinating work, Martina Klett-Davies examines how women negotiate lone motherhood in Britain and Germany. She draws on interviews with 70 unmarried lone mothers living on state benefits in inner city areas to examine the complexity and diversity of their lives, the ways in which they try to manage choices and constraints, and how they position themselves as carers, dependants or as paid workers. Going it Alone? assesses the extent to which individualization can explain the experience of state-dependent lone mothers, further develops the concept and provides a better understanding of lone mothers. Suggestions with regard to paid employment, education and state benefits are provided as well as policy recommendations for increasing the options available to lone mothers.
Using the unique narrative form of her dramatic poem, 'Petrol', Martina Evans compresses her original novel, 'The Glass Mountain' into a new book of cinematic prose poetry. It is the early 1980s in Cork City and women are on the streets protesting against the contraceptives ban. The eighteen-year old narrator, Maeve, has just left the convent and it is not going well. She is failing science and trying to be a punk while Daddy Hitler keeps telling her that she is on the Highway to Nowhere. Before Maeve can figure what road she should be travelling, she finds herself making a life or death decision. "e;She shows an impressive command of what feels like the ideal narrative medium: individual moments and drive of narrative in perfect coordination, language alive and kicking."e; - Christopher Reid
Midnight Feast', winner of a Betty Trask Award, is the dark and funny story of love in a convent boarding school. When sixteen year-old Grace arrives at Mayo, she immediately falls for the mercurial and glamorously thin Colette MacSweeney. She soon finds herself descending with Colette into life-threatening anorexia, entangled in the dysfunction that seethes below the surface of Colette's family. This is a new and revised edition."e;A story of charismatic starvation (rather like an anorexic Madchen in Uniform), Evans's prose shimmers somewhere strange and changeable between peculiarly heightened realism and sheer fever."e; - Ali Smith, Times Literary Supplement"e;She'll give the Dublin Boys a good run for their money one day."e; - Amanda Craig, Literary Review"e;Superb"e; - Kate Figes, The Independent on Sunday"e;A nightmarish tale of two convent girls' descent into life-threatening bulimiacommunicates the irrationality of childhood fears and passions as well as the incomprehensible affliction of eating disorders."e; - The Irish Times
Interest in Mathematics and Science Learning, edited by K. Ann Renninger, Martin Nieswandt, and Suzanne Hidi, is the first volume to assemble findings on the role of interest in mathematics and science learning. As the contributors illuminate across the volume's 22 chapters, interest provides a critical bridge between cognition and affect in learning and development. This volume will be useful to educators, researchers, and policy makers, especially those whose focus is mathematics, science, and technology education.
This book traces the evolution of biotechnology from prehistoric organismal manipulation by our first settled ancestors through to speculation about future directions for the technology as it increasingly intersects with other high technologies such as IT and Nanotech. The trajectory is demonstrated by various events throughout history that have intersected or built on one another to lead to the forward progression of a technology.
In the winter of 2010, Australian health expert Jorja Himmermann arrives in Ulaanbaatar to work with the Mongolian Ministry of Health providing grants to clinics and hospitals. Her new job is relentless, and the reputation of her boss is formidable. Her Mongolian colleagues include three efficient women, a diligent government team, and Mr. Irresponsible. In the longest, bleakest winter on record, a flu epidemic strikes. Hospitals are overcrowded, vaccine supplies are depleted, and healthcare workers are pushed to their limits. Crops, cattle, children, and the elderly are dying. Amid accusations of sabotage, corruption, and misappropriation, Jorja finds peace from her apartment window, watching Brik the unmoving mastiff and Bruce the graceful wrestler. Jorja finds advice in the prophecies of message cards and ancient Mongolian proverbs. Then the unthinkable happens, and the shortness of life affects them all. Based on true events, this novel offers a portrait of strength, solidarity, and resilience in the face of a devastating Mongolian winter.
Spanning four decades of radical political and social change in Italy, this interdisciplinary study explores photography’s relationship with Italian painting, film, literature, anthropological research and international photography. Evocative and powerful, Italian social documentary photography from the 1930s to the 1960s is a rich source of cultural history, reflecting a time of dramatic change. This book shows, through a wide range of images (some published for the first time) that to fully understand the photography of this period we must take a more expansive view than scholars have applied to date, considering issues of propaganda, aesthetics, religion, national identity and international influences. By setting Italian photography against a backdrop of social documentary and giving it a distinctive place in the global history of photography, this exciting volume of original research is of interest to art historians and scholars of Italian and visual culture studies.
Much has been written on witchcraft by historians, theologians, philosophers, and anthropologists, but nothing by scientists. This book aims to reappraise witchcraft by applying to it the advances in cognitive sciences. The book is divided into four parts. Part I ("Deep History") deals with human emotions and the drive to represent witches as evil female agents. Part II ("Historical Times") focuses on those rare state and church repressions of malefice, which, surprisingly, did not feature in Islamic lands. Modern urbanization dealt a blow to the rural civilizations where accusations of witchcraft were rife. Part III ("In the Laboratory") applies neuroscience to specific case studies to investigate the personification of misfortune, the millenary stereotype witch = woman, the reality of evil, and the phenomenon of treasure hunting. Part IV ("Millenials") wonders whether intentional malefic hatred in a closed chapter in the history of humanity. An Anatomy of Witchcraft is ideal reading for students and scholars. Given its interdisciplinary nature, the book will be of interest to scholars from many fields including evolutionary psychology, anthropology, women’s history, and cognitive sciences.
This book is available as open access through the Bloomsbury Open programme and is available on www.bloomsburycollections.com. It is funded by The Wellcome Trust. The Diseased Brain and the Failing Mind charts changing cultural understandings of dementia and alzheimer's disease in scientific and cultural texts across the 20th Century. Reading a range of texts from the US, UK, Europe and Japan, the book examines how the language of dementia – regarding the loss of identity, loss of agency, loss of self and life – is rooted in scientific discourse and expressed in popular and literary texts. Following changing scientific understandings of dementia, the book also demonstrates how cultural expressions of the experience and dementia have fed back into the way medical institutions have treated dementia patients. The book includes a glossary of scientific terms for non-specialist readers.
Disability and Child Sexual Abuse examines the ways in which society marginalises, institutionalises and places disabled children in situations of unacceptable risk, and how - as evidenced in the survivors' narratives - patterns of service delivery can contribute to the problem. Based on the accounts of seven disabled individuals who were sexually abused in childhood, the book highlights a wide range of pertinent issues. Through case vignettes and empirical research, the authors ask practitioners to scrutinise their current professional practice, exploring participants' experiences of hospitalisation, education systems and local authorities. They consider the issue of who abuses and why, and highlight issues relating to the complexities involved in revisiting past experiences and confronting unwarranted and unwanted feelings of responsibility. The difficulty of recounting the abuse narrative is also examined within the research context. This book will be relevant for professionals and students in the social, health and education services, such as social workers, teachers and counsellors. It will also offer insights for those seeking a less disablist society, including disabled people themselves.
In EU Peacebuilding in Kosovo and Afghanistan: Legality and Accountability Martina Spernbauer offers a comprehensive account of the EU's peacebuilding toolbox in light of the Union's constitutional architecture under the Treaty of Lisbon. A detailed analysis of EU peacebuilding in Kosovo and Afghanistan, with a focus on the security and justice sectors, demonstrates that the Union's continuous dichotomy between the Common Foreign and Security Policy (CFSP) and other Union policies is difficult to maintain for this multi-faceted, comprehensive policy framework, which lies at the interface of security, justice and development. Within this analysis, the central questions of compliance of EU external action with international law and international human rights law in particular under CFSP, as well as accountability towards third countries and their nationals are addressed.
This report focuses on the use of technology to extend effective governance through remote access and electronic communication in housing associations. It also examines current practice in developing e-strategies, identifies good practice and considers the potential of ICT in enhancing service delivery, accountability and empowering residents.
The book provides an understanding of how service design and design thinking could address the needs of organisations in tackling processes of transformations which include changes in the way people behave, interact and grow. It addresses the demand of human resource management functions, which are primarily called to manage such transformations about what regards people, namely the employees. It suggests a framework that defines a course of action, based on design features, aimed at supporting organisations in facing organisational change.The book will be of interest of researchers in the field of service design, design thinking and HR management, consultants/practitioners working in those fields, and educators that would like to train learners in becoming human resource designers.
Martin Buber’s embrace of Hasidism at the start of the twentieth century was instrumental to the revival of this popular form of Jewish mysticism. Hoping to instigate a Jewish cultural and spiritual renaissance, he published a series of anthologies of Hasidic teachings written in German to introduce the tradition to a wide audience. In Aesthetics of Renewal, Martina Urban closely analyzes Buber’s writings and sources to explore his interpretation of Hasidic spirituality as a form of cultural criticism. For Buber, Hasidic legends and teachings were not a static, canonical body of knowledge, but were dynamic and open to continuous reinterpretation. Urban argues that this representation of Hasidism was essential to the Zionist effort to restore a sense of unity across the Jewish diaspora as purely religious traditions weakened—and that Buber’s anthologies in turn played a vital part in the broad movement to use cultural memory as a means to reconstruct a collective identity for Jews. As Urban unravels the rich layers of Buber’s vision of Hasidism in this insightful book, he emerges as one of the preeminent thinkers on the place of religion in modern culture.
Psychoneuroendocrinology is the clinical study of hormone fluctuations and their relationship to human behaviour. It may be viewed from the perspective of psychiatry, where in certain mood disorders, there are associated neuroendocrine or hormonal changes. It may also be viewed from the perspective of endocrinology, where certain endocrine disorders can be associated with psychiatric illness. It is the blend of psychiatry and endocrinology. This new book presents the latest research advances in the field.
F. Scott Fitzgerald on Silent Film is the first full-length monograph focusing on the silent movie adaptations of the celebrated author’s work. This ground-breaking book reveals the crucial role that Hollywood played in establishing Fitzgerald’s burgeoning reputation in the 1920s.
An unprecedented sartorial revolution occurred at the beginning of the twentieth century when the tight-laced silhouettes of Victorian women gave way to the figure of the flapper. Modernism, Fashion and Interwar Women Writers demonstrates how five female novelists of the interwar period engaged with an emerging fashion discourse that concealed capitalist modernity's economic reliance on mass-manufactured, uniform-looking productions by ostensibly celebrating originality and difference. For Edith Wharton, Jean Rhys, Rosamond Lehmann, Elizabeth Bowen and Virginia Woolf fashion was never just the provider of guidelines on what to wear. Rather, it was an important concern, offering them opportunities to express their opinions about identity politics, about contemporary gender dynamics and about changing conceptions of authorship and literary productivity. By examining their published work and unpublished correspondence, this book investigates how the chosen authors used fashion terminology to discuss the possibilities available to women to express difference and individuality in a world that actually favoured standardised products and collective formations.
Since 1945, what ‘conservative’ means has troubled intellectuals, politicians and parties in the United Kingdom and West Germany. In Britain conservatism was an accepted term of the political vocabulary, denoting a particular tradition of political thought and practice. In West Germany, by contrast, conservatism was a difficult concept for the young democracy to swallow. It carried a heavy antiliberal and antidemocratic burden and led people to question whether there was a place for conservatism within democratic culture after all. The Guardians of Concepts scrutinizes the debates about conservatism in the UK and the Federal Republic of Germany from the late 1940s to the early 1980s. Informed by historical semantics, it conceives of conservatism as a flexible linguistic structure, and shows the importance of language for the self-understanding of many conservatives, who not by chance, have regarded themselves as the guardians of concepts. The intense national and transnational debates about the meaning of conservatism had far-reaching consequences and continue to influence politics today.
When it comes to family, love, tradition and pride are a powerful brew . . . The fourth of the Sweet Tea story collections (SWEET TEA & JESUS SHOES, MORE SWEET TEA, ON GRANDMA'S PORCH) treats readers to a panorama of Southern life, both then and now. Family dramas, comic mishaps, sentimental remembrances and poignant choices illuminate these thirteen stories by new and established authors. There's something for every reader: The gritty realism of a hunt for wild boars, the gentle grieving for a home now filled only with memories, the funny battle between a woman and her recipe for deviled eggs, and much more. Come sit a spell on the front porch. Prop your feet up, sip a cold glass of sweet iced tea, and lose yourself in a way of life that's as irresistible as pecan pie and as unforgettable as a chilled slice of watermelon on a hot summer day. Welcome to a place that exists between the pages of How It Was and How It Might Have Been--just a little bit south of the long path home. Sweet Tea Collections: Sweet Tea & Jesus Shoes, On Grandma's Porch, and More Sweet Tea
The Open Access version of this book, available at https://www.taylorfrancis.com/books/9780367145644, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license. Environmental impact assessment is widely taught and researched, but rarely covers both lifestyle and building construction in a town or neighbourhood. This book provides a broad assessment of the environmental impact of the ecovillage Sieben Linden in Germany. The ecovillage was founded in 1997 and has a population of over one hundred people. This book shows how raising the awareness of individuals and adopting a consistent way of community living can be environmentally friendly. This applies both to everyday practices and the way the houses in the ecovillage are built. The tools used to measure the impact are Ecological Footprint and Carbon Footprint methodologies, making use of indicators such as Primary Energy Intensity and Global Warming Potential. Despite the difficulties encountered by using standardised methodologies, these research tools provide an overall assessment and have allowed comparisons with selected, similar cases and general values from statistic sources. This book will be of great use to professionals and scholars in the fields of environmental impact assessment, particularly at the town/district/city level, and of city and ecovillage management. It will particularly appeal to those engaged in a Sustainable Development Goal #11 perspective, as well as environmental policy makers at the local level.
The report summarizes key results from surveys carried out on urban and peri-urban agriculture (UPA) in Tamale (Ghana) and Ouagadougou (Burkina Faso) in 2013. The aim was to provide a broad overview of the state of UPA in the study cities and a basis for future research endeavors. The randomized sampling approach used aerial photography to identify 10 sites in different categories of farm in each city. Farmers provided information on their cropping and livestock-rearing activities. There were similarities between the cities, but the differences in the expression of UPA in Tamale and Ouagadougou were more intriguing, as in farm sizes, crops grown and livestock ownership. Farmers were particularly concerned about diminishing access to land in Tamale, where sales by chiefs to private investors were accelerating. In Ouagadougou, formal reallocation of land to homeowners by the state had similarly decreased available farmland. Water availability was a universal concern, and the quality of water used for irrigation was potentially more questionable in Ouagadougou than in Tamale. The results point to the need for further work on uncontaminated, perennial water sources and soil fertility management, alongside focuses on commercialization of animal production, and the legal, political and institutional context of UPA in different West African cities.
Vibrant worship music is part of the Charismatic liturgy all around the world, and has become in many ways the hallmark of Pentecostal-Charismatic Christianity. Despite its centrality, scholarly interest in the theological and ritual significance of worship for pentecostal spirituality has been sparse, not least in Africa. Combining rich theoretical and theological insight with an in-depth case study of worship practices in Nairobi, Kenya, this interdisciplinary study offers a significant contribution to knowledge and is bound to influence scholarly discussions for years to come. The book is a must-read for anyone interested in Pentecostal worship, ritual, and spirituality.
Against the general neglect of attention phenomena in linguistics, this study, anchored in Cognitive Semantics, offers a first systematic adaptation of Leonard Talmy's groundbreaking model of linguistic attention, applied to Webbased data of English from an emerging lexical network of emo(tion). Some fifty basic attention-related factors combine to yield increasingly complex patterns of interaction, convergence, and conflict affecting all levels of linguistic recombination, from simplex morphemes up to the text format. Differences in attentional profiles of linguistic representations may well account for conceptual alternativity, another fundamental cognitive principle in language: In their verbal interactions, interlocutors, in production and reception, will have to attend to bottom-up mechanisms and top-down strategies of attention in organizing conceptual content and conveying subtle ceptions of reality.
Wie gestalten sich die Arbeits- und Lebenswelten von jungen UNO-Beschäftigten in Zeiten des Postfordismus? Ausgehend von der Perspektive junger Beschäftigter an den UNO-Standorten in Genf und Wien befasst sich das Buch mit der zunehmenden Flexibilisierung und Arbeitsplatzunsicherheit. Die Studie legt ein besonderes Augenmerk auf mikrostrukturelle Machtpraktiken und die individuelle Agency. Sie zeigt, wie UNO-Beschäftigte ihre persönlichen Erzählungen mit dem in den vergangenen Jahren und Jahrzehnten kreierten Organisationsbild in Einklang bringen, und in welchem Wechselspiel die prekären Beschäftigungsverhältnisse mit einem moralischen Überlegenheitsgefühl stehen. Dabei wird deutlich, dass diese Entwicklungen keinen Widerspruch darstellen, sondern zwei Seiten derselben Medaille sind. Das Buch zeigt am Beispiel der UNO auf, wie flexible Beschäftigungsverhältnisse in Zeiten des kognitiv- und affektbasierten Kapitalismus auf Biographien wirken. https://creativecommons.org/licenses/by-sa/4.0/
This book argues for a new conceptual framework that analytically distinguishes between North-South monetary co-ordination, which involves an international key currency, and South-South arrangements between economies all marked by external indebtedness and the resulting macroeconomic instabilities ('original sin'). In this light, the book analyzes different types of monetary co-ordination, ranging from ad hoc exchange rate policy agreements to projects of a common supranational currency, and it examines selected regional cases in Eastern Europe, North and South America, Africa and Asia.
Using data from a variety of languages, this book explores a range of grammatical categories and constructions, including tense, aspect, subjunctive, case and demonstratives. It presents a new theory of grammatical categories - the Universal Spine Hypothesis - and reinforces generative notions of Universal Grammar while accommodating insights from linguistic typology.
Neurogenesis, or the birth of new neuronal cells, was thought to occur only in developing organisms. However, recent research has demonstrated that neurogenesis does indeed continue into and throughout adult life. On going neurogenesis is thought to be an important mechanism underlying neuronal plasticity, enabling organisms to adapt to environmental changes and influencing learning and memory throughout life. A number of different factors that regulate neurogenesis have been identified. Physicial activity and environmental conditions have been known to affect proliferation and survival of neurons. Hormones have also been found to influence the rate of neurogenesis in vertebrates (e.g. testosterone) and invertebrates (eg: ecdysone). Serotonin is believed to play a key role in neurogenesis.
How Paris, London, Chicago, Berlin, and Tokyo created modernity through science and technology by means of urban planning, international expositions, and museums. At the close of the nineteenth century, industrialization and urbanization marked the end of the traditional understanding of society as rooted in agriculture. Urban Modernity examines the construction of an urban-centered, industrial-based culture—an entirely new social reality based on science and technology. The authors show that this invention of modernity was brought about through the efforts of urban elites—businessmen, industrialists, and officials—to establish new science- and technology-related institutions. International expositions, museums, and other such institutions and projects helped stem the economic and social instability fueled by industrialization, projecting the past and the future as part of a steady continuum of scientific and technical progress. The authors examine the dynamic connecting urban planning, museums, educational institutions, and expositions in Paris, London, Chicago, Berlin, and Tokyo from 1870 to 1930. In Third Republic Paris, politicians, administrators, social scientists, architects, and engineers implemented the future city through a series of commissions, agencies, and organizations; in rapidly expanding London, cultures of science and technology were both rooted in and constitutive of urban culture; in Chicago after the Great Fire, Commercial Club members pursued civic ideals through scientific and technological change; in Berlin, industry, scientific institutes, and the popularization of science helped create a modern metropolis; and in Meiji-era Tokyo (Edo), modernization and Westernization went hand in hand.
Beautiful Creatures meets Gone with the Wind in the spellbinding second novel in the Heirs of Watson Island trilogy that “skillfully blends rich magic and folklore with adventure, sweeping romance, and hidden treasure” (Publishers Weekly, on Compulsion). Grieving the death of her godfather and haunted by her cousin Cassie’s betrayal, Barrie returns from a trip to San Francisco to find the Watson plantation under siege. Ghost-hunters hope to glimpse the ancient spirit who sets the river on fire each night, and reporters chase rumors of a stolen shipment of Civil War gold that may be hidden at Colesworth Place. The chaos turns dangerous as Cassie hires a team of archeologists to excavate beneath the mansion ruins. Because more than treasure is buried there. A stranger filled with magic arrives at Watson’s Landing claiming that the key to the Watson and Beaufort gifts—and the Colesworth curse—also lies beneath the mansion. With a mix of threats and promises, the man convinces Barrie and Cassie to cast a spell at midnight. But what he conjures may have deadly consequences. While Barrie struggles to make sense of the escalating peril and her growing feelings for Eight Beaufort, it’s impossible to know whom to trust and what to fight for—Eight or herself. Millions of dollars and the fate of the founding families is at stake. Now Barrie must choose between what she feels deep in her heart and what will keep Watson’s Landing safe in this stunning addition to a series filled with “decadent settings, mysterious magic, and family histories rife with debauchery” (Kirkus Reviews, on Compulsion).
The COVID-19 pandemic and the subsequent need for policy support have called the traditional separation between fiscal and monetary policies into question. Based on simulations of an open economy DSGE model calibrated to emerging and advance economies and case study evidence, the analysis shows when constraints are binding a more integrated approach of looking at policies can lead to a better policy mix and ultimately better macroeconomic outcomes under certain circumstances. Nonetheless, such an approach entails risks, necessitating a clear assessment of each country’s circumstances as well as safeguards to protect the credibility of the existing institutional framework.
This book helps students master the key learning skills they need to become successful learners throughout their degree and beyond. It clearly explains the core skills they will need right from the start of the course, such as writing and numeracy skills and how to organise studies. It also introduces more advanced skills that students will need as the course progresses, such as research and evidence based practice. It shows how to use these important skills to succeed both at university and as a registered nurse.
Dogs as an assistive aid for people with disabilities date as far back in time as the first century CE. Today, dogs are used in various settings to help and assist humans. ‘Assistance dogs’ is an umbrella term for guide dogs, hearing dogs and service dogs. They are custom trained to help and support their owners in their everyday life and thereby give them greater independence. Dogs who perform dog-assisted interventions are another type of working dog, where the dog and the owner work together as a team visiting people with various needs in different settings such as hospitals and nursing homes. These visits aim to strengthen people’s inner motivation, using the dog as an external motivator. There is a lack of evaluations of working dogs in the health technology assessment context, and in the health economic evaluation context. Hence, there is a need for structured analyses that include both the short and long-term effects and the costs of assistance dogs and dog-assisted interventions. The overall aim of this thesis is to explore and assess the use of assistance dogs and dog-assisted interventions. The research questions were investigated using a variety of methods. In paper I, inferential statistical analysis was used to analyse patient-reported outcomes measures. In paper II, a thematic content analysis was employed to explore the experiences of service and hearing dogs. To study the long-term cost-effectiveness of physical service dogs and diabetes alert dogs, a decision analytic model was used in paper III. The input data in studies I, II, and III was obtained from the Service and Hearing Dog Project. In paper III, the data was also supplemented with information from published literature and expert opinions. Paper IV investigated the effects and cost-effectiveness of dog-assisted interventions, and takes the form of a systematic review. Paper I showed that a service or hearing dog may have positive impact on its owner’s health-related quality of life, well-being and activity level. Paper II showed that owners of service or hearing dogs experienced both positive physical and psychosocial effects from their dog. Negative experiences were also identified, for example being denied access to public places and negative attitudes from other people. Paper III showed that physical service dogs and diabetes alert dogs are cost-effective in comparison with regular companion dogs, resulting in both lower costs and a gain in QALYs. The one-way sensitivity analysis did not change the results, but the probabilistic sensitivity analysis showed that the results were uncertain. Synthesizing the results from the review in paper IV showed that dog-assisted interventions for therapeutic purposes led to minor to moderate effects in psychiatric conditions. Dog-assisted interventions as an activity had minor to moderate effects on cognitive disorders, and dog-assisted interventions for support purposes were beneficial in different types of medical interventions. Studies of cost-effectiveness were lacking. To conclude, assistance dogs are valuable and may be cost-effective for use as assistive aids and dog-assisted interventions render minor to moderate effects in certain situations in healthcare settings. Användning av hundar som hjälpmedel för personer med funktionsnedsättning går att spåra ändå tillbaka till första århundradet e.Kr. Idag används hundar i människans tjänst i en mängd olika sammanhang. Assistanshundar är ett samlingsbegrepp för ledarhundar, signalhundar och servicehundar. De är specialutbildade för att hjälpa och stödja sina ägare i deras vardag och på så vis ge dem möjlighet till att leva ett mer självständigt liv. Hundar som utför hundassisterade interventioner är en annan typ av tjänstehund, men deras jobb är inte att hjälpa sin ägare. Istället arbetar hundar som utför hundassisterade interventioner och deras ägare som ett team. Tillsammans besöker de personer med olika behov i olika miljöer som exempelvis sjukhus eller äldreboende. De arbetar med att stärka motivationen hos personerna de träffar. Idag saknas det övergripande utvärderingar som tittar på olika aspekter av den här typen av hundar. Det saknas även utvärderingar som specifikt studerar effekter och kostnader av assistanshundar och hundassisterade interventioner. Det finns därför ett behov av strukturerade analyser som inkluderar både kort- och långsiktiga effekter samt kostnader för denna typ av hundar och interventioner. Det övergripande syftet med denna doktorsavhandling är att utforska och utvärdera användningen av assistanshundar och hundassisterade interventioner. Frågeställningarna studeras med ett brett urval av metoder. I studie I analyseras patientrapporterade utfallsmått med statistiska metoder. I studie II genomförs en tematisk innehållsanalys för att undersöka förarnas upplevelser av service- och signalhundar. För att analysera den långsiktiga kostnadseffektiviteten av fysiska servicehundar och alarmerande diabeteshundar i studie III konstrueras en beslutsmodell. Datamaterialet i studie I, II och III hämtas från service- och signalhundsprojektet. I studie III kompletteras data med information från publicerad litteratur och med expertutlåtande. I studie IV studeras effekterna och kostnadseffektiviteten av hundassisterade interventioner genom en systematisk litteraturöversikt. Studie I visade att en service- eller signalhund kan ha en positiv inverkan på deras ägares hälsorelaterade livskvalitet, välbefinnande och aktivitetsnivå. Resultaten från de tematiska analyserna i studie II påvisade att ägare av en service- eller signalhund upplevde både positiva fysiska och psykosociala effekter av sin hund. Negativa erfarenheter av hunden identifierades också, till exempel att hunden begränsade möjligheten att vistas i offentliga miljöer och andra personers negativa attityder. Studie III visade att fysiska servicehundar och alarmerande diabeteshundar är kostnadseffektiva i jämförelse med vanliga sällskapshundar, de var både kostnadsbesparande och innebar en QALY-vinst. Känslighetsanalyser av specifika parametrar påverkade inte resultaten, men den probabilistiska känslighetsanalysen visade att resultaten var osäkra. Resultaten från den systematiska litteraturöversikten i artikel IV visade att hundassisterad interventioner som ges i terapeutiskt syfte hade små till måttliga effekter vid psykiatriska tillstånd. Hundassisterade aktiviteter hade små till måttliga effekter vid kognitiva störningar och hundassisterade interventioner som gavs som stöd vid olika typer av medicinska insatser var fördelaktiga. Studier gällande kostnadseffektivitet av hundassisterade interventioner saknades. Sammanfattningsvis, assistanshundar som hjälpmedel ger positiva effekter i flera dimensioner för sina ägare och är sannolikt kostnadseffektiva. Hundassisterade interventioner uppvisar små till måttliga effekter i vissa situationer i hälso- och sjukvården.
James Joyce's interest in medicine has been well established--he attempted to embark on medical studies no fewer than three times--but a comprehensive assessment of the influence his interest in medicine had on his work has been lacking until now. Joyce, Medicine, and Modernity fills that gap as the first sustained study of Joyce's artistic uses of turn-of-the-century medical discourses. In this wide-ranging study, author Vike Plock balances close readings of Joyce's major texts with thorough archival research that retrieves principal late nineteenth- and early twentieth-century medical debates. The result is a fascinating book that details the ways in which Joyce reconciled, integrated, and blurred the paradigmatic boundaries between scientific and humanist learning.
This richly illustrated book discusses the fetal eye, offering a brief introduction to the topic and discussing its development and treatment. The high-quality reference images allow the morphological fetal age to be determined, and the authors provide examples of artifacts and real-world findings to simplify histopathological diagnosis. The book also discusses findings in fetal eyes, presenting typical examples of common malformations, including clinical and histological pictures as well as additional findings from other specialties (such as neuropathology, genetics). In addition, it covers non-specific ocular malformations. It particularly addresses documentation and interpretation of cases of suspected Shaken-Baby Syndrome, which is of forensic importance. In the context of retinopathy of prematurity, histopathological and clinical findings are correlated. The book provides reference images of fetal development and guidelines on grossing and handling fetal eyes, and also explores the complicated topic of artifacts, including case illustrations with comprehensive information concerning other specialties. Lastly it discusses clinically and forensically relevant findings in newborns. It guides ophthalmic and pediatric pathologists in the interpretation of ocular findings, helping to narrow down differential diagnoses in fetal pathology, while at the same time serving as a valuable tool for specialists who do not have a great deal of experience in the examination of fetal eyes.
Every day we are exposed to toxins and toxicants that can impact our health. Yet we rarely teach elementary and secondary students about these exposures and how they can reduce their risk to them. In this book we highlight activities and curriculum developed at nine universities in the United States from a grant funded by the National Institute of Environmental Health Sciences. Our goal is to extend these lessons to a global audience and for classroom teachers of all subjects and age levels to include environmental health in their teaching. ‘An invaluable tool for equipping informed citizens to think about the environment and its human impacts --both the science, and equally important, the social and ethical dimensions’ , Howard Frumkin, M.D., Dr. P.H., Dean, School of Public Health, University of Washington, Seattle, WA, USA
Merging coverage of two increasingly popular and quickly growing food trends, Organic Production and Use of Alternative Crops provides an overview of the basic principles of organic agriculture and highlights its multifunctionality with special emphasis on the conservation of rare crops and their uses. Considering more than 30 disregarded and negle
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