4,098 research outputs found
‘Drawing a line in the sand’: Physician diagnostic uncertainty in paediatric chronic pain
No full textBackground: Diagnostic uncertainty is the subjective perception of an inability to provide an accurate explanation of the patient’s health problem or that a label is missing or incorrect. While recently explored in youth with chronic pain and families, this is the first study to investigate diagnostic uncertainty from the perspectives of physicians. Methods: Individual, semi-structured interviews were conducted with sixteen pediatricians who assess and/or treat youth who experience complex chronic pain. Interviews explored pediatricians’ perceptions, beliefs, and confidence regarding the assessment and management of chronic pain in youth and how they manage uncertainty regarding the diagnosis. Interviews were analysed using inductive reflexive thematic analysis. Results: Analyses generated one prominent theme: ‘drawing a line in the sand’. Within this theme, physicians discussed uncertainty as inherent to their role treating youth with chronic pain. The metaphor of ‘drawing a line in the sand’ was used to describe a process of identifying a point at which physicians no longer sought a new diagnosis for the child’s pain or continued diagnostic investigations. This line was influenced by numerous factors, which are highlighted through four subthemes: physician training, experience, and mentorship; individual patient and family factors; perceived reassurance of diagnostic investigations; and the broader social context and implications. Conclusions: How physicians manage diagnostic uncertainty must be understood, as it is likely to critically impact how a diagnosis of chronic pain is communicated, the diagnostic investigations undertaken, the wait time to receiving a diagnosis, and ultimately youths’ pain experiences. <br/
Author, Philosopher Alexandra Stoddard to Speak March 2 at Williams Library
No full textOXFORD, Miss. – Contemporary philosopher, author, interior designer and speaker Alexandra Stoddard gives an inspirational lecture and reading March 2 at the University of Mississippi
Stages for the More Sustainable Farm
No full textCurrently, agricultural farm units are faced with a double and most times contradictory challenge, in order to be successful: on the one hand the invested capital has to be profitable and the economic performance has to be maximised. On the other hand, given the socio-environmental situation, it is necessary to preserve and to protect the environment and natural resources. Given the potential conflict of the two aims, since the satisfaction of one implies the underperformance of the other (and vice versa), the question then is: which is the solution to choose? We intend, in this work, to formulate a farm plan with the purpose of reconciling the criteria of environmental sustainability with that of economic competitiveness. For this achievement we proceed to the comparative study of sustainability of different groups of farms identified in the study area (first evaluation cycle) through MESMIS (“Marco para la Evaluación de Sistemas de Manejo de Recursos Naturales Mediante Indicadores de Sustentabilidad” - Framework for Evaluation of Natural-Resource Systems Handling through Sustainability Indicators) methodology, that allowed to select the more sustainable group of farms. Based on the found potentialities and weakness on these production systems, we stepped to the planning of a production unit of bovine meat, which obeys simultaneously to economic and environmental objectives, using Multicriteria Decision. We finished the work with the sustainability evaluation between groups of farms identified previously and the planned farms (second evaluation cycle), based, again, in the MESMIS methodology, to confirm (or not) the greatest sustainability of the last ones. Analyses of the results allow us to confirm the greatest relative sustainability of the planned farm, for the diverse traced scenarios.Decision taking, planning, sustainability, Environmental Economics and Policy, Farm Management,
Exhibiting Fashion Symposium: Dr. Alexandra Palmer “Fashion Exhibitions: The Good, the Bad, and the Pointless”
No full textThe Museum at FIT presented Exhibiting Fashion, its twenty-first academic symposium on Friday, March 8, 2019. This symposium explored the history of fashion curating, the different ways fashion is displayed in museum settings, and how national and regional identities influence fashion exhibitions. The symposium was organized in conjunction with Exhibitionism: 50 Years of The Museum at FIT, which commemorated the rich history of the museum, the site of more than 200 exhibitions since the 1970s.Dr. Alexandra Palmer is the Nora E. Vaughan Senior Curator at the Royal Ontario Museum. She has curated numerous exhibitions including Christian Dior, and she is the author of the book Christian Dior: History and Modernity, 1947–1957
Reescrita de si pelo outro: identidade portuguesa e paródia em Deus-dará, de Alexandra Lucas Coelho / Rewriting oneself through the other: Portuguese identity and parody in Deus-dará, by Alexandra Lucas Coelho
No full textResumo: O artigo aponta o modo como o romance Deus-dará de Alexandra Lucas Coelho, escritora portuguesa contemporânea, pode ser compreendido como um exercício de renegociação da identidade portuguesa em relação a questões referentes à colonização no Brasil. Mais do que isso, problematiza-se como, por meio da estratégia da paródia no texto ficcional, a autora consegue expressar uma necessidade e possibilidade de se redefinir pelo outro em um movimento contrário ao do discurso colonial – o que também ocorre em suas entrevistas e em suas narrativas de viagens, tais como em Vai, Brasil e Cinco Voltas na Bahia e um beijo para Caetano Veloso. Palavras-chave: identidade portuguesa; paródia; pós-modernismo; escrita portuguesa contemporânea; Alexandra Lucas Coelho. Abstract: The article observes how the novel Deus-dará, by Alexandra Lucas Coelho, a Portuguese contemporary writer consists in an exercise of renegotiation for the Portuguese identity in relation to issues that refer to the colonization process in Brazil. Moreover, this text seeks to show how parody as a fictional literary strategy helps the author in expressing a necessity and a possibility of redefining oneself through the other, in a direction that goes in the opposite way of the colonial speech. This necessity and this possibility also appear in the author’s interviews and travel books, such as Vai, Brasil and Cinco Voltas na Bahia e um beijo para Caetano Veloso, which will also be mentioned in this article.Keywords: Portuguese identity; parody; post-modernism; Portuguese contemporary writing; Alexandra Lucas Coelho
Author Rights Workshop
No full textLearning material associated with Alexandra Kohn's presentation as a part of the ABC Copyright 2020 Fall Speaker Series, hosted by the University of Alberta Copyright Office
Athaliah and Alexandra: Gender and Queenship in Josephus [Author Accepted Manuscript]
No full textAthaliah and Alexandra were the only two women to rule as queens of Judah/Judaea in their own right and both women’s reigns are reported in Josephus’ writings. Despite their uniqueness, however, Athaliah and Alexandra are rarely compared in scholarship; the former is usually dismissed, and focus centred on the latter. This article contends that there are historical similarities between the two, but literary differences. Josephus could have referred to Athaliah or used elements of her portrayal in his presentation of Alexandra but does not, creating the impression that Alexandra was completely different to her predecessor. It may be instructive, therefore, to consider why Josephus literarily isolates the queens and what this means for his interpretation of Alexandra
Diagnostic Uncertainty in Youth With Chronic Pain and Their Parents
No full textDiagnostic uncertainty—the perception of a lack of or incorrect label to explain symptoms—has been reported by parents of youth with chronic pain. This study was the first to examine diagnostic uncertainty in both youth with chronic pain and their parents using a qualitative methodology. Individual, face-to-face, semistructured interviews were conducted with 20 youth with chronic pain recruited from a pediatric chronic pain program. Independent interviews were also conducted with one of their parents. Interviews explored participants’ memories and perceptions around diagnosis. An in-depth thematic analysis revealed 4 themes: (1) The function of a diagnosis—Parents and youth struggled with the meaning of the diagnosis, needed further explanation for the pain, and perceived the ‘right’ diagnosis (ie, one that fit with their beliefs) as justification for the pain. (2) Haunted by something missing—Negative test results did not provide relief or counter the belief that something serious could have been missed by clinicians. (3) The search for an alternative diagnosis—A search persisted for the ‘right’ diagnosis, particularly when a nonpharmacological treatment plan was provided. (4) Mistrust in the medical system—Clinician communication and perceptions of clinicians’ uncertainty impacted parent and youth ‘buy in’ to the diagnosis. Findings suggest that many youth with chronic pain and their parents experience diagnostic uncertainty, which is integrally tied to their past experiences with the medical system. A greater understanding of diagnostic uncertainty may help tailor how clinicians deliver diagnoses to achieve buy in, increase understanding of pain and diagnosis, and improve treatment response. Perspective: A major challenge that youth with chronic pain and their parents face is understanding the cause of the pain. Youth with chronic pain and their parents experience uncertainty about their diagnosis, which may be linked to their buy in and treatment response.</p
Ferromagnetism and magnetic anisotropy in exfoliated flakes of CrTe2
No full textAuthor Alexandra Wagner, BScMasterarbeit Johannes Kepler Universität Linz 202
Alexandra Walsham, Catholic Reformation in Protestant Britain
No full textSince the publication of her Church Papists: Catholicism, Conformity and Confessional Polemic in Early Modern England (1993), the prolific Alexandra Walsham has never stopped adding nuances to our understanding of early modern English Catholicism. She is also the author of Providence in Early Modern England (Oxford UP, 1999), Charitable Hatred: Tolerance and Intolerance in England 1500-1700 (Manchester UP, 2006) and The Reformation of the Landscape: Religion, Identity and Memory in Early Mode..
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