1,506 research outputs found

    The Gothic threshold of Sabine Baring-Gould : a study of the Gothic fiction of a Victorian squarson

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    This thesis is a study of the Gothic fiction of Sabine Baring-Gould (1834- 1924), with particular attention given to Baring-Gould’s roles as squire and parson. I have chosen to analyze two of Baring-Gould’s Gothic works, the novel Mehalah (1880) and the novella Margery of Quether (1884), both which allow a particularly profitable examination of the influence of Baring-Gould’s roles on his fiction. In studying these texts I apply my theory of Gothic fiction as a particularly modern genre built upon a "Gothic threshold," a meeting point of extreme opposites which ambivalently contrasts and merges the categories of the modern and the medieval. In the first chapter I describe how Baring-Gould’s unique Hegelian-influenced Tractarian philosophy influenced his creation of the dialectical setting of Mehalah. I argue that because of this influence Mehalah should be recognized as a significant contribution to the literature of the Oxford Movement. In the second chapter I argue that Mehalah’s historical setting in the time of the French Revolution and the influence of Wuthering Heights reinforce Mehalah’s use of the “Gothic threshold” structure and contribute to its theme of ambivalent progress. In the third chapter I discuss the influence of Baring-Gould’s sermon-writing on Mehalah and consider connections between Baring-Gould’s role as parson and the novel’s botched marriage theme. In the final chapter I discuss Margery of Quether as an innovation in the Gothic and vampire tradition as perhaps the only Gothic work that directly dramatizes the Land Law debate and presents that debate as a "Gothic" contest. I argue that Margery channels Baring-Gould’s tensions as a landowner. In the conclusion I argue that Mehalah and Margery display Baring-Gould’s technique of constructing miniature Gothic battles that relate to larger confrontations, and that the ultimate terror presented in these works is the conclusion of the battle between ancient and modern forces

    760300_supp_mat – Supplemental material for Beyond total treatment effects in randomised controlled trials: Baseline measurement of intermediate outcomes needed to reduce confounding in mediation investigations

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    Supplemental material, 760300_supp_mat for Beyond total treatment effects in randomised controlled trials: Baseline measurement of intermediate outcomes needed to reduce confounding in mediation investigations by Sabine Landau, Richard Emsley and Graham Dunn in Clinical Trials</p

    Patterns of presentations of dizziness in primary care: a cross-sectional cluster analysis study

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    Objectives: Dizziness is a common symptom in adults in primary care. We explored in a sample of people recruited from general practice the existence of patterns of presentations, their characteristics, and clinical and health service predictors.Method: We assessed in a cross-sectional random sample of people registered at London general practices in the United Kingdom the following: subtypes of dizziness, effect on personal activity and physical function, relevant medical and drug history, level of anxiety or depression, treatments received, and information on whether help was sought from their general practitioners.Results: Of 1820 subjects, 442 (24.3%) reported symptoms of dizziness. We identified three clinical presentations. Group 1 was a “nonspecific” presentation experienced by 113 (25.5%) people and characterized by true vertigo, presyncope, disequilibrium, and other types of dizziness with severe impact on all aspects of function. The other two groups were characterized by true vertigo and presyncope. In Group 2 [193 (43.7%)], these symptoms had some impact on personal and daily function, whereas in Group 3 [136 (30.7%)], there was no impact. Eighty-four percent of the people in Group 1 consulted their family practitioner on account of their symptoms, 61% did so in Group 2, and only 38% in Group 3. On multinomial logistic regression analysis, current depression, unemployment, and use of prescribed medication were predictors of the Group 1 compared with Group 2, whereas increasing anxiety and depression scores on the Hospital Anxiety and Depression Scale were predictors of the Group 2 compared with the Group 3.Conclusions: This is the first step in classifying dizziness from a symptomatic and functional point of view. Further research is required on the natural progression of these presentations and their relationship to each other

    A randomized controlled trial of cognitive behavioral therapy (CBT) for adjusting to multiple sclerosis (the saMS trial): does CBT work and for whom does it work?

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    Objective: The aims were (a) to test the effectiveness of a nurse-led cognitive behavioral therapy (CBT) program to assist adjustment in the early stages of multiple sclerosis (MS) and (b) to determine moderators of treatment including baseline distress, social support (SS), and treatment preference. Method: Ninety-four ambulatory people with MS within 10 years of diagnosis were randomized to receive 8 individual sessions of CBT (n = 48) or supportive listening (n = 46), most delivered on the telephone, in a multicenter randomized controlled trial. The primary outcomes were distress and functional impairment. Secondary outcomes included global improvement, acceptance of illness, and dysfunctional cognitions. Assessments were completed at home and were coordinated by a blind assessor. Data were analyzed by intention-to-treat using multilevel models. Results: The CBT group was significantly less distressed at the end of treatment (estimated General Health Questionnaire group difference = 3.2 points, 95% CI 1.1 to 5.4 points) and at the 12-month follow-up (estimated group difference = 2.2 points, 95% CI 0.01 to 4.4 points). There were no differences between the groups on functional impairment. The CBT group also demonstrated significantly greater improvements on secondary outcomes at the end of treatment but not at the 12-month follow-up. CBT participants with poor SS and/or clinically defined levels of distress at baseline showed significantly greater gains on both primary outcomes. Treatment preference did not moderate treatment effects. Conclusion: CBT is more effective than supportive listening in reducing distress in people with MS. CBT appears most effective for patients with poor SS and high levels of distress. The loss of gains in the secondary outcomes by 12 months suggests further follow-up sessions may be warranted

    Protocol for the saMS trial (supportive adjustment for multiple sclerosis): a randomized controlled trial comparing cognitive behavioral therapy to supportive listening for adjustment to multiple sclerosis

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    BackgroundMultiple Sclerosis (MS) is an incurable, chronic, potentially progressive and unpredictable disease of the central nervous system. The disease produces a range of unpleasant and debilitating symptoms, which can have a profound impact including disrupting activities of daily living, employment, income, relationships, social and leisure activities, and life goals. Adjusting to the illness is therefore particularly challenging. This trial tests the effectiveness of a cognitive behavioural intervention compared to supportive listening to assist adjustment in the early stages of MS.MethodsThis is a two arm randomized multi-centre parallel group controlled trial. 122 consenting participants who meet eligibility criteria will be randomly allocated to receive either Cognitive Behavioral Therapy or Supportive Listening. Eight one hour sessions of therapy (delivered over a period of 10 weeks) will be delivered by general nurses trained in both treatments. Self-report questionnaire data will be collected at baseline (0 weeks), mid-therapy (week 5 of therapy), post-therapy (15 weeks) and at six months (26 weeks) and twelve months (52 weeks) follow-up. Primary outcomes are distress and MS-related social and role impairment at twelve month follow-up. Analysis will also consider predictors and mechanisms of change during therapy. In-depth interviews to examine participants’ experiences of the interventions will be conducted with a purposively sampled sub-set of the trial participants. An economic analysis will also take place. DiscussionThis trial is distinctive in its aims in that it aids adjustment to MS in a broad sense. It is not a treatment specifically for depression. Use of nurses as therapists makes the interventions potentially viable in terms of being rolled out in the NHS. The trial benefits from incorporating patient input in the development and evaluation stages. The trial will provide important information about the efficacy, cost-effectiveness and acceptability of the interventions as well as mechanisms of psychosocial adjustment.Trial registrationCurrent Controlled Trials ISRCTN91377356<br/

    KOMPARASI SEJARAH DAN ANALISIS TEKS SABINE SCHMIDTKE

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    This study looks at the numerous studies of Islamic theology conducted by Western nations since the early nineteenth century. They studied Muslim thinkers' writings and brought them to the West. Initially, the study of the manuscript was general in nature, but later thinkers narrowed it down to a specific study. Sabine Schmidtke is a modern Orientalist who specializes in manuscripts of Islamic theology, particularly Mu'tazilah theology. In this study, the author employs the library research method to examine Sabine Schmidtke's books and journals on the relationship between Jewish Karaites, Shia theology and Mu'tazilah theology. Based on the author's research, Sabine's comparative historical and textual studies have revealed that the Shia school of thought and the Jewish Karaites sect have adopted Mu'tazilah thought, specifically the thought of Abu al-Husayn al-Basri. They not only adopted ideas, but they also copied and preserved writings found in Yemen in the form of manuscripts. Keywords: Sabine Schmidtke, Jewish Karaites, Mu'tazilah
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