21,711 research outputs found
Exploring adaptations to the modified shuttle walking test
ABSTRACT
Objective: The 10 m modified shuttle walking test
(MSWT) is recommended to determine the functional
capacity in older individuals and for patients entering
cardiac rehabilitation. Participants are required to
negotiate around cones set 1 m from the end markers.
However, consistent comments indicate that for some
individuals manoeuvring around the cones can be
quite difficult. Therefore, the objective of this study
was to explore differences within and between noncardiac
and postmyocardial infarction (MI) males
during MSWT with and without the cones.
Design: Comparative study.
Participants: 20 post-MI (64.8±6.6, range
51–74 years) and 20 non-cardiac male controls
(64.1±5.7, range 52–74 years) participated.
Methods: Participants performed MSWT with and
without cones. Throughout, the participants expired
air, and the heart rate (bpm) (HR) and ratings of
perceived exertion (RPE) were measured. Participant
protocol preference was recorded verbatim.
Results: One-way analysis of variance found no
significant difference in VO2 peak (cones 20.4±5.1 vs nocones
21.9±4.8 ml/kg/min, p=0.197) or distance ambulated
(cones 631.8±132.9 m vs no-cones 662.4±164.1 m,
p=0.371) between protocols or groups. Analysis comparing
lines of regression showed a significant trajectory difference
in VO2 (ml/kg/min) (p<0.01) between protocols with higher
HR (p<0.01) and respiratory exchange ratio (RER, p<0.001)
values during cones. RPEs were higher for post-MIs versus
controls during both protocols (p<0.05). Post-MIs taking
?-blockers produce significantly lower HR values. The ?2
analysis found no significant difference in protocol
preference (no-cones: all n=25, 63%; post-MIs n=13, 65%;
and controls n=12, 60%).
Conclusions: Post-MIs found both protocols
subjectively harder than controls with no significant
difference in the VO2 peak. However, both groups worked
at a lesser percentage of their anaerobic threshold during
no-cones protocol as indicated by lower RER values.
Importantly, for the post-MIs, this would reduce their risk
of functional impairment. Therefore, though more
research is required, indicators at present are more
favourable for the use of the no-cones with post-MIs
Letter from Kate Dole, Cincinnati, Ohio, to Sir, May 1888
A letter written by Kate Dole of Cincinnati, Ohio, in which she sends the remedy for a nosebleed to her friend
Kate O'Brien and Virginia Woolf: Common Ground
Convergences in the work of Kate O'Brien and Virginia Woolf range from literary influences and political alignments, to a shared approach to narrative point of view, structure, or conceptual use of words. Common ground includes existentialist preoccupations and tropes, a pacifism which did not hinder support for the left in the Spanish Civil War, the linking of feminism and decolonization, an affinity with anarchism, the identification of the normativity of fascism, and a determination to represent deviant sexualities and affects. Making evident the importance of the connection, O'Brien conceived and designed The Flower of May (1953), one of her most experimental and misunderstood novels, to paid homage to Woolf's oeuvre. </jats:p
Metabolic equivalents for post-myocardial infarction patients during graded treadmill walking
The dialectic of self and other in Montaigne, Proust and Woolf
This thesis investigates the construction of identity in relation to an other. It considers three
writers who, working at moments when the nature of selfhood was an urgent issue, conduct
profound and original enquiries into the question of self- construction, and seeks both to
reassess their contributions to this debate, and, in bringing their preoccupations and methods
to bear upon each other, to open up new ways of approaching and reading their work.
Considering a range of socio-cultural and religious forms of otherness -- the cannibal, the
witch, the Jew, the aristocrat, the woman, the divine -- it embraces material from a number of
important modem critical fields, and suggests how these topics might be combined to offer a
coherent statement about the enduring issue of s elf- fashioning.
The thesis seeks to map out a trajectory of decreasing investment in external communities,
and an increasing perception of the self as a source and agent in the construction of identity.
Looking in turn at the work of Montaigne, Proust and Woolf, it argues that where the Essais
construct complex orders which appropriate the other to reinforce the identity of the self,
Proust and Woolf increasingly, although gradually, and by no means always successfully,
attempt to negotiate a less precisely- engaged relationship between other and self, and to
assign the other a less constitutive role in the realization and expression of identity. The
thesis also considers more briefly contexts in which this trajectory is reversed. To the extent
that they examine modernist subjectivity, Proust and Woolf articulate an anxiety about the
separation of self and world which leads to an attempted recuperation of the integrated orders
depicted by Montaigne
Valedictory Address: Kate Farrington
Valedictory Address given by Kate Farrington on May 9, 2002
Guidelines for Data Annotation
Included here are a coding manual and supplementary examples of gesture forms (in still images and video recordings) that informed the coding of the first author (Kate Mesh) and four project reliability coders
How do illness identity, patient workload and agentic capacity interact to shape patient and caregiver experience? Comparative analysis of lung cancer and chronic obstructive pulmonary disease.
Some patients have to work hard to manage their illness. When this work outweighs capacity (the resources available to patients to undertake the illness workload and other workloads such as that of daily life), this may result in treatment burden, associated with poor health outcomes for patients. This cross-sectional, comparative qualitative analysis uses an abductive approach to identify, characterise and explain treatment burden in chronic obstructive pulmonary disease (COPD) and lung cancer. It uses complementary qualitative methods (semi-structured interviews with patients receiving specialist care n = 19, specialist clinicians n = 5; non-participant observation of specialist outpatient consultations in two English hospitals [11 h, 52 min] n = 41). The findings underline the importance of the diagnostic process in relation to treatment burden; whether diagnosis is experienced as a biographically disruptive shock (as with lung cancer) or is insidiously biographically erosive (as with COPD)
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