795 research outputs found
Inter-generational family support provided by older people in Indonesia
No full textMost social research on ageing in Asia has focused on the support provided by adult children to their parents, and thereby suggests that as a matter of course older people are in need of support. This paper offers a different perspective. Drawing on ethnographic and quantitative data from a village in East Java, it examines the extent of older people's dependence on others and highlights the material and practical contributions that they make to their families. It is shown that only a minority of older people are reliant on children or grandchildren for their daily survival. In the majority of cases, the net flow of inter-generational support is either downwards – from old to young – or balanced. Far from merely assisting with childcare and domestic tasks, older people are often the economic pillars of multi-generational families. Pension and agricultural incomes serve to secure the livelihoods of whole family networks, and the accumulated wealth of older parents is crucial for launching children into economic independence and underwriting their risks. Parental generosity does not generally elicit commensurate reciprocal support when it is needed, leaving many people vulnerable towards the end of their lives
Princess Elisabeth Research Station at Antarctica: Renewable Energy Systems design, simulation and optimization
No full textThe Earth’s climate is changing. A better understanding on the climate mechanism is essential for future sustainable development. As Antarctica has an important role in the Earth system, a new Belgian research station - named Princess Elisabeth - is currently under construction in the Sør Rondane mountains (Droning Maud Land, East Antarctica). The Princess Elisabeth station is unique in its conception. It is only manned during the austral summer, but remains operational for full year monitoring. In addition, it aims at minimum environmental impact and the highest energy and waste efficiency, fundamental issues in the Antarctic Environmental Protocol. The objective of the energy concept is a 95% sustainable hybrid system consisting of solar and wind power, combined with electrical and thermal storage. A diesel system is mainly foreseen as back-up in emergency situations. This research investigates the feasibility of the energy concept and the component sizing of the hybrid system. In addition the sensitivity of the design is evaluated on the wind variation as wind power generates most of the energy. For this purpose, a synthetic wind series is created (first order Markov chain) and combined with long term observations of other polar stations. Finally, the current design is evaluated under the assumption the station is permanently manned. A dynamical simulation tool is developed to validate the design decisions. The hybrid system consists of 6 small wind turbines of 6 kW each, a 50 kWp photovoltaic system, a 6000 Ah battery bank (VRLA) and 2 back-up diesel generators of 35 kW each. For the thermal applications, 21 m2 flat solar thermal collectors and 1.5 m3 heat storage is foreseen. To keep the station up and running under normal conditions, the annual diesel consumption ranges between 1750 and 1250 litres, depending on the wind climate. 97% of the energy originates from renewable sources, which makes the Princess Elisabeth station the most environmental friendly manned polar station. The design is a benchmark for future polar stations. If the station is permanently manned, annual diesel consumption ranges from 17000 to 14000 litres. The renewable energy fraction is reduced to approximately 72%. Sensitivity analysis showed further diesel reduction is possible by adding wind turbines and electrical storage capacity; however the marginal gain is limited. Significant reduction on the loads is needed to achieve the low emission objective. Specific attention is needed on the generator selection and battery control algorithm if the station is manned permanently.Aerospace Engineerin
Så var fallet löst : En narratologisk analys av Freuds fallstudie "Fröken Elisabeth von R."
No full textThe main purpose of this paper has been to use narratological theory for uncovering the narrative structure in Freud‟s cases, such as anachronisms and focalizing. My aim was to investigate the narrative and through these viewpoints discover what impact Freud‟s writing‟s had on the look of hysterical women. I choose one of the earliest cases,"Fräulein Elisabeth von R." which is published in Studien über Hysterie (I‟ve used the text translated to Swedish and published in Tidiga skrifter och historik. Freud, Sigmund, 1997). I‟ve consulted both Iréne Matthis and Jurgen Reeder to get a broader perspective on the psychoanalytic theory. Another author whom been invaluable is Karin Johannisson, her essays on the aesthetics that characterize hysteria has been very useful. By using the narratological theories of Mieke Bal and Gérard Genette I‟ve been able to uncover the structure of my narrative. The main concepts have been "text", "story" and "fabula" which symbolize three layers of the narrative, for the investigation of these three aspects I‟ve looked closer into anachronisms, retroversions and anticipations (internal and external), focalizor, narrator, actors and agents. The conclusion I‟ve reached is that Freud, by separating himself into the –less knowing and the –analyst and use this –less knowing version of himself as an assistant in the hunt of the answer to hysteria, he writes off Elisabeth as a character. He excludes her from her own anamnesis and fills the hole with himself and uses it as a part of his theory. Left again is the woman, without having been really listened to
Så var fallet löst : En narratologisk analys av Freuds fallstudie "Fröken Elisabeth von R."
No full textThe main purpose of this paper has been to use narratological theory for uncovering the narrative structure in Freud‟s cases, such as anachronisms and focalizing. My aim was to investigate the narrative and through these viewpoints discover what impact Freud‟s writing‟s had on the look of hysterical women. I choose one of the earliest cases,"Fräulein Elisabeth von R." which is published in Studien über Hysterie (I‟ve used the text translated to Swedish and published in Tidiga skrifter och historik. Freud, Sigmund, 1997). I‟ve consulted both Iréne Matthis and Jurgen Reeder to get a broader perspective on the psychoanalytic theory. Another author whom been invaluable is Karin Johannisson, her essays on the aesthetics that characterize hysteria has been very useful. By using the narratological theories of Mieke Bal and Gérard Genette I‟ve been able to uncover the structure of my narrative. The main concepts have been "text", "story" and "fabula" which symbolize three layers of the narrative, for the investigation of these three aspects I‟ve looked closer into anachronisms, retroversions and anticipations (internal and external), focalizor, narrator, actors and agents. The conclusion I‟ve reached is that Freud, by separating himself into the –less knowing and the –analyst and use this –less knowing version of himself as an assistant in the hunt of the answer to hysteria, he writes off Elisabeth as a character. He excludes her from her own anamnesis and fills the hole with himself and uses it as a part of his theory. Left again is the woman, without having been really listened to
Diabetes:Therapy for gestational diabetes mellitus--time for a change?
No full textFor >30 years, insulin has been the drug of choice for the medical treatment of gestational diabetes mellitus. However, the use of oral hypoglycaemic agents has increased during the past 1–2 decades, so a recent comparison of treatment with glibenclamide, metformin or insulin in women with gestational diabetes mellitus is highly relevant
Pregnancy outcomes in women with diabetesd lessons learned from clinical research:The 2015 Norbert Freinkel award lecture
No full textAmongwomen with diabetes, theworst pregnancy outcome is seen in the subgroup of women with diabetic nephropathy. Development of severe preeclampsia that leads to early preterm delivery is frequent. Predictors and pathophysiological mechanisms for the development of preeclampsia among women with diabetes and observational studies that support antihypertension treatment for pregnant women with microalbuminuria or diabetic nephropathy preventing preeclampsia and early preterm delivery are presented here.Obtaining andmaintaining strict glycemic control before and during pregnancy is paramount to prevent pretermdelivery. The cornerstones of diabetes management are appropriate diet and insulin, although the risk of severe hypoglycemia always needs to be taken into account when tailoring a diabetes treatment plan. Pathophysiological mechanisms of the increased risk of hypoglycemia during pregnancy are explored, and studies evaluating the use of insulin analogs, insulin pumps, and continuous glucose monitoring to improve pregnancy outcomes and to reduce the risk of severe hypoglycemia in pregnant women with type 1 diabetes are reported. In addition to strict glycemic control, other factors involved in fetal overgrowth are explored, and restricting maternal gestationalweight gain is a promising treatment area. The optimal carbohydrate content of the diet is discussed. In summary, the lessons learned from this clinical research are that glycemic control, gestational weight gain, and antihypertension treatment all are of importance for improving pregnancy outcomes in pregnant women with preexisting diabetes. An example of how to use app technology to share the recent evidence-based clinical recommendations for women with diabetes who are pregnant or planning pregnancy is given.</p
Comparing the harmful effects of nontuberculous mycobacteria and Gram negative bacteria on lung function in patients with cystic fibrosis
No full textBACKGROUND: To better understand the relative effects of infection with nontuberculous mycobacteria and Gram negative bacteria on lung function decline in cystic fibrosis, we assessed the impact of each infection in a Danish setting. METHODS: Longitudinal registry study of 432 patients with cystic fibrosis contributing 53,771 lung function measures between 1974 and 2014. We used a mixed effects model with longitudinally structured correlation, while adjusting for clinically important covariates. RESULTS: Infections with a significant impact on rate of decline in %FEV1 were Mycobacterium abscessus complex with -2.22% points per year (95% CI -3.21 to -1.23), Burkholderia cepacia complex -1.95% (95% CI -2.51 to -1.39), Achromobacterxylosoxidans -1.55% (95% CI -2.21 to -0.90), and Pseudomonas aeruginosa -0.95% (95% CI -1.24 to -0.66). Clearing M. abscessus complex was associated with a change to a slower decline, similar in magnitude to the pre-infection slope. CONCLUSIONS: In a national population we have demonstrated the impact on lung function of each chronic CF pathogen. M. abscessus complex was associated with the worst impact on lung function. Eradication of M. abscessus complex may significantly improve lung function
Correction: Electromagnetic-Guided Bedside Placement of Nasoenteral Feeding Tubes by Nurses Is Non-Inferior to Endoscopic Placement by Gastroenterologists: A Multicenter Randomized Controlled Trial. (American Journal of Gastroenterology 2019 (114) (1012) DOI: 10.1038/ajg.2016.224)
No full textIn the August 2016 issue of The American Journal of Gastroenterology, in Electromagnetic-Guided Bedside Placement of Nasoenteral Feeding Tubes by Nurses Is Non-Inferior to Endoscopic Placement by Gastroenterologists: A Multicenter Randomized Controlled Trial the authors report a misspelling of an author's name in the author list. Author Elisabeth M. Mathus- Vliegent should have been written as Elisabeth M. Mathus-Vliegen
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