The journey

NASA Astrophysics Data System (ADS)

Cohen, Lori A.

1995-12-01

Kodak Optical Products has embarked on a journey that will ultimately lead to manufacturing excellence and total customer satisfaction. With quality as our compass we have already obtained ISO 9001 and Manufacturing Resource Planning (MRP) II certifications. Seeking and attaining these certifications enabled us to understand and enhance fundamentals relative to the operation of our business. This has provided a solid foundation from which we can launch continuous improvement activities. Now we continue our journey to such destinations as 10X reduction in both defects and cycle time, measuring and reducing our cost of poor quality, and upgrading our quality information system. Our presentation will emphasize our 10X improvement process and how it applies to high-volume production of precision plastic optics.

Canoe Journeys and Cultural Revival

ERIC Educational Resources Information Center

Johansen, Bruce E.

2012-01-01

For the state of Washington's one-hundredth birthday, in 1989, Native peoples there decided to revive a distinctive mode of transportation--long-distance journeys by canoe--along with an entire culture associated with it. Born as the "Paddle to Seattle," during the past two decades these canoe journeys have become a summertime staple for…

The Journey of Interstellar Dust

NASA Technical Reports Server (NTRS)

Dwek, Eliahu

2007-01-01

Interstellar dust particles undergo a complex journey in space. It commences with their formation in stellar outflows or outbursts, but may end in very different ways. Their fates range from sudden "death by destruction" promptly after their formation to maturity and inclusion in protoplanetary objects in stellar nursery homes. Throughout this journey dust grains are subjected to a host of interstellar processes in different astrophysical environments which leave their imprint on the dust and affects their surrounding environment. In this review I will summarize our current knowledge of the field, emphasizing what we still need to know to gain a full understanding of interstellar dust grains and their journey through the ISM.

Geotourist itineraries along the Italian territory: examples of mapping the geoheritage in different geomorphological and historical contexts

NASA Astrophysics Data System (ADS)

Panizza, Valeria; Brandolini, Pierluigi; Laureti, Lamberto; Nesci, Olivia; Russo, Filippo; Savelli, Daniele

2016-04-01

In the framework of the studies dealing with geomorphosites mapping, many researches were carried out in the last years presenting both applied examples and proposals for tourist fruition. Researchers had to face many different challenges in transferring the knowledge about the geomorphological heritage on maps. The most relevant are those concerning the use of maps for tourist promotion, taking into account the requirements of clearness of representation of landforms and also the need of pointing out possible geomorphological hazards along tourist paths. Within the activity of the Working Group "Geomorphosites and Cultural Landscape" of AIGeo (Italian Association of Physical Geography and Geomorphology), some Italian itineraries, focused on the promotion of the geomorphological heritage by means of geotourist maps, are presented. They have the goal of: promoting landscape through its geomorphological and geological heritage; disseminating geoheritage knowledge focusing its relationships with cultural landscape and human history; assessing geomorphological hazards and possible risk situations The proposed itineraries are localised in different Italian regions and they concern: - the area around the remains of the Roman town of Ostra. The town is placed on the left side of the Misa River (Marche region, Italy), atop a stream terrace dating back to the uppermost Pleistocene-early Holocene. Detailed geomorphological field and remote-sensing mapping started in 2015. The surveying is aimed at focusing the geomorphological evolution as well as at assessing possible geomorphological hazard for both conservation and exploitation scopes. A geotourist trail is proposed with the aim of highlighting and integrating geomorphological and archaeological elements and information. - a geotourist trail along the coastal terraced slopes of Cinque Terre (Liguria, NW Italy): worldwide considered as one of the most outstanding examples of human integration with the natural landscape

Hawaii's Annual Journey Through the Universe Program

NASA Astrophysics Data System (ADS)

Harvey, J.; Daou, D.; Day, B.; Slater, T. F.; Slater, S. J.

2012-08-01

Hawaii's annual Journey through the Universe program is a flagship Gemini public education and outreach event that engages the public, teachers, astronomers, engineers, thousands of local students and staff from all of the Mauna Kea Observatories. The program inspires, educates, and engages teachers, students, and their families as well as the community. From February 10-18, 2011, fifty-one astronomy educators from observatories on Mauna Kea and across the world visited over 6,500 students in 310 classrooms at 18 schools. Two family science events were held for over 2,500 people at the 'Imiloa Astronomy Education Center and the University of Hawaii at Hilo. The local Chamber of Commerce(s) held an appreciation celebration for the astronomers attended by over 170 members from the local government and business community. Now going into its eighth year in Hawaii, the 2012 Journey Through the Universe program will continue working with the observatories on Mauna Kea and with the NASA Lunar Science Institute (NLSI). As a new partner in our Journey program, NLSI will join the Journey team (Janice Harvey, Gemini Observatory, Journey Team Leader) and give an overview of the successes and future developments of this remarkable program and its growth. The future of America rests on our ability to train the next generation of scientists and engineers. Science education is key and Journey through the Universe opens the doors of scientific discovery for our students. www.gemini.edu/journey

Land-markings: 12 Journeys through 9/11 Living Memorials [DVD

Treesearch

Erika S. Svendsen; Lindsay K. Campbell; Phu Duong

2007-01-01

The Land-markings DVD was created from a multimedia exhibition of 12 digitally authored journeys through more than 700 living memorials nationwide. Land-markings captures stories and images of how we use the landscape as a way to remember people, places, and events. Ranging from single tree plantings, to the creation of new parks, to the restoration of existing forests...

Travelling Far--Drawing Closer: Journeys That Shape Identity

ERIC Educational Resources Information Center

Schatz-Oppenheimer, Orna; Kalnisky, Esther

2014-01-01

This article presents findings from a qualitative narrative research study conducted during a journey to Ethiopia undertaken by graduates of an academic program in Israel in 2005. The study focuses on the significance of the journey as a process that helped reconstruct their identity. During the journey, twelve Ethiopian education graduates were…

Latina Titans: A Journey of Inspiration

ERIC Educational Resources Information Center

Menchaca, Velma D.; Mills, Shirley J.; Leo, Filomena

2016-01-01

This qualitative research examined the journey of renowned female leadership in higher education. Two top level Latina administrators of universities were interviewed extensively to discover their journey to leadership. The theoretical framework used was Latina critical race theory, feminist theory, and counter-storytelling. Themes that surfaced…

Identity, storytelling and the philanthropic journey.

PubMed

Maclean, Mairi; Harvey, Charles; Gordon, Jillian; Shaw, Eleanor

2015-10-01

This article develops theoretical understanding of the involvement of wealthy entrepreneurs in socially transformative projects by offering a foundational theory of philanthropic identity narratives. We show that these narratives are structured according to the metaphorical framework of the journey , through which actors envision and make sense of personal transformation. The journey provides a valuable metaphor for conceptualizing narrative identities in entrepreneurial careers as individuals navigate different social landscapes, illuminating identities as unfolding through a process of wayfinding in response to events, transitions and turning-points. We delineate the journey from entrepreneurship to philanthropy, and propose a typology of rewards that entrepreneurs claim to derive from giving. We add to the expanding literature on narrative identities by suggesting that philanthropic identity narratives empower wealthy entrepreneurs to generate a legacy of the self that is both self- and socially oriented, these 'generativity scripts' propelling their capacity for action while ensuring the continuation of their journeys.

Identity, storytelling and the philanthropic journey

PubMed Central

Maclean, Mairi; Harvey, Charles; Gordon, Jillian; Shaw, Eleanor

2015-01-01

This article develops theoretical understanding of the involvement of wealthy entrepreneurs in socially transformative projects by offering a foundational theory of philanthropic identity narratives. We show that these narratives are structured according to the metaphorical framework of the journey, through which actors envision and make sense of personal transformation. The journey provides a valuable metaphor for conceptualizing narrative identities in entrepreneurial careers as individuals navigate different social landscapes, illuminating identities as unfolding through a process of wayfinding in response to events, transitions and turning-points. We delineate the journey from entrepreneurship to philanthropy, and propose a typology of rewards that entrepreneurs claim to derive from giving. We add to the expanding literature on narrative identities by suggesting that philanthropic identity narratives empower wealthy entrepreneurs to generate a legacy of the self that is both self- and socially oriented, these ‘generativity scripts’ propelling their capacity for action while ensuring the continuation of their journeys. PMID:26456976

Etiologies of epilepsy and health-seeking itinerary of patients with epilepsy in a resource poor setting: analysis of 342 Nigerian Africans.

PubMed

Ogunrin, Olubunmi A; Adeyekun, Ademola; Adudu, Philomena

2013-09-01

The understanding of causation of epilepsy, especially in resource poor African countries where prevalence rates are very high, would aid strategies for primary prevention. This study sought to determine the causes of epilepsy in Nigerian Africans and health-itinerary of patients with epilepsy. This was an observational, cross-sectional descriptive study of consecutive newly diagnosed adult patients with epilepsy using a mixed-methods approach of face-to-face in-depth interview of patients' parents and relations, health care personnel who had given medical attention at any time and telephone interview. A structured interview schedule was used to obtain demographic information, details of seizure variables, health seeking itinerary and history of previous hospitalizations. Data was analyzed descriptively with SPSS version 17. Three hundred and forty-two patients with epilepsy with a mean age of 31.4±11.98 years participated in the study. Most of the patients (68.1%; 233/342) were unemployed and students. There were 270 (78.9%) patients with generalized epilepsy. No identifiable etiology was found in 37.7%, but of the remaining 62.3%, the commonest causes included post traumatic (19.6%), recurrent childhood febrile convulsions (13.2%), post-stroke (6.7%), brain tumors (5.9%), neonatal jaundice (5.3%), birth-related asphyxia (5%) and history of previous CNS infections (4.7%). Family history of epilepsy was obtained in 9.9%, all of whom had primarily generalized seizures. 61.4% of them sought initial attention from the traditional healers or in prayer houses. This study showed the pattern of causes of epilepsy in Nigerian Africans. The health seeking behavior and itinerary of the PWE revealed a preference for traditional healers. There is need for health policies and epilepsy awareness campaigns to prevent causes of seizures and improve the knowledge of the public respectively. Copyright © 2013 British Epilepsy Association. Published by Elsevier Ltd. All rights

A Journey to the East?: Trials and Tribulations of a Personal Journey with Technology and Languages

ERIC Educational Resources Information Center

Sadoux, Marion

2015-01-01

Marion Saddoux describes the stages of her professional journey that began when she started teaching languages in an Institution Wide Language Programme (IWLP) at the beginning of the 1990s. She chronicles her journey as she describes how the use and knowledge of technology in language learning and teaching has developed over time, how contact…

The Dis-Art Creative Journey, Art Therapy for Persons with Disabilities: Adaptation of the Creative Journey

ERIC Educational Resources Information Center

Luzzatto, Paola; Bruno, Teresa; Cosco, Marianna; Del Curatolo, Annamaria; Frigenti, Franca; Macchioni, Silvia

2017-01-01

This article describes a 10-session group art therapy program for people with physical and neurological disabilities. This program, the DIS-ART Creative Journey, was adapted from the Creative Journey used with cancer patients, and was tested in Italy by 4 art therapists. The 5-step structure of each session and the 10 facilitating techniques used…

Unsettling care: Troubling transnational itineraries of care in feminist health practices.

PubMed

Murphy, Michelle

2015-10-01

Responding to the call by Maria Puig de la Bellacasa for Science and Technology Studies to take up 'matters of care', this article cautions against equating care with positive feelings and, in contrast, argues for the importance of grappling with the non-innocent histories in which the politics of care already circulates, particularly in transnational couplings of feminism and health. The article highlights these histories by tracing multiple versions of the politics of care in a select set of feminist engagements with the pap smear and cervical cancer. Drawing on postcolonial and indigenous feminist commitments, as well as amplifying Donna Haraway's call to 'stay with the trouble', the article seeks to disturb hegemonic histories and arrangements of race, colonialism, and political economy, while simultaneously valuing divergent multi-local itineraries as relevant to technoscientific matters of care. This call for a politics of 'unsettling' care strives to stir up and put into motion what is sedimented, while embracing the generativity of discomfort, critique, and non-innocence.

The complete conformational free energy landscape of β-xylose reveals a two-fold catalytic itinerary for β-xylanases† †Electronic supplementary information (ESI) available. See DOI: 10.1039/c4sc02240h Click here for additional data file.

PubMed Central

Iglesias-Fernández, Javier; Raich, Lluís; Ardèvol, Albert

2015-01-01

Unraveling the conformational catalytic itinerary of glycoside hydrolases (GHs) is a growing topic of interest in glycobiology, with major impact in the design of GH inhibitors. β-xylanases are responsible for the hydrolysis of glycosidic bonds in β-xylans, a group of hemicelluloses of high biotechnological interest that are found in plant cell walls. The precise conformations followed by the substrate during catalysis in β-xylanases have not been unambiguously resolved, with three different pathways being proposed from structural analyses. In this work, we compute the conformational free energy landscape (FEL) of β-xylose to predict the most likely catalytic itineraries followed by β-xylanases. The calculations are performed by means of ab initio metadynamics, using the Cremer–Pople puckering coordinates as collective variables. The computed FEL supports only two of the previously proposed itineraries, 2SO → [2,5B]ǂ → 5S1 and 1S3 → [4H3]ǂ → 4C1, which clearly appear in low energy regions of the FEL. Consistently, 2SO and 1S3 are conformations preactivated for catalysis in terms of free energy/anomeric charge and bond distances. The results however exclude the OE → [OS2]ǂ → B2,5 itinerary that has been recently proposed for a family 11 xylanase. Classical and ab initio QM/MM molecular dynamics simulations reveal that, in this case, the observed OE conformation has been enforced by enzyme mutation. These results add a word of caution on using modified enzymes to inform on catalytic conformational itineraries of glycoside hydrolases. PMID:29560204

Medical therapeutic itineraries of women with breast cancer diagnosis affiliated to the People's Health Insurance in San Luis Potosí, central Mexico.

PubMed

Tejada-Tayabas, Luz María; Salcedo, Liseth Amell; Espino, Joel Monárrez

2015-01-01

This study aims to describe the medical itineraries followed by breast cancer women affiliated to the People's Health Insurance in San Luis Potosí, central Mexico. We used an ethnographic approach based on oral histories of 12 women diagnosed with breast cancer in the year prior to the first meeting. Two face-to-face sessions per participant lasting 60 minutes each were conducted followed by a telephone interview. Content and diachronic analyses were used. Three main itineraries were identified: (1) diagnostic process, (2) final diagnosis to treatment, and (3) cancer control and relapse. Findings suggested that infrastructure and human resources to adequately screen and timely diagnose breast cancer were scant and insufficiently trained, respectively. Deferral of medical assessment was related with lack of information about breast cancer consequences, with women being afraid of a positive result, and with economic constraints. The current screening program needs to be redesigned to prevent diagnostic delays, as these seem to explain the high frequency of advanced stages reported at the time of diagnosis.

Memory modulates journey-dependent coding in the rat hippocampus

PubMed Central

Ferbinteanu, J.; Shirvalkar, P.; Shapiro, M. L.

2011-01-01

Neurons in the rat hippocampus signal current location by firing in restricted areas called place fields. During goal-directed tasks in mazes, place fields can also encode past and future positions through journey-dependent activity, which could guide hippocampus-dependent behavior and underlie other temporally extended memories, such as autobiographical recollections. The relevance of journey-dependent activity for hippocampal-dependent memory, however, is not well understood. To further investigate the relationship between hippocampal journey-dependent activity and memory we compared neural firing in rats performing two mnemonically distinct but behaviorally identical tasks in the plus maze: a hippocampus-dependent spatial navigation task, and a hippocampus-independent cue response task. While place, prospective, and retrospective coding reflected temporally extended behavioral episodes in both tasks, memory strategy altered coding differently before and after the choice point. Before the choice point, when discriminative selection of memory strategy was critical, a switch between the tasks elicited a change in a field’s coding category, so that a field that signaled current location in one task coded pending journeys in the other task. After the choice point, however, when memory strategy became irrelevant, the fields preserved coding categories across tasks, so that the same field consistently signaled either current location or the recent journeys. Additionally, on the start arm firing rates were affected at comparable levels by task and journey, while on the goal arm firing rates predominantly encoded journey. The data demonstrate a direct link between journey-dependent coding and memory, and suggest that episodes are encoded by both population and firing rate coding. PMID:21697365

Journey of Ethiopia Astronomy

NASA Astrophysics Data System (ADS)

Belay Tessema, Solomon

2015-08-01

Ancient astronomy had contributed away for the modern development of astronomy. The history of astronomy development in Ethiopian was liked with different beliefs and culture of the society. The Ethiopians were the first who invented the science of stars, and gave names to the planets, not at random and without meaning, but descriptive of the qualities which they conceived them to possess; and it was from them that this art passed, still in an imperfect state, to the Egyptians. Even though, Ethiopian’s contributions for astronomy in the world were immense but the journey of modern astronomy is still in the infant stage. The modern astronomy and space program in Ethiopia was started in 2004 in well organized form from three individuals to the public. In the past eleven years of journey of astronomy development in Ethiopia was the most challenging from national to international level. After strong struggle of a few committed individuals for the past eleven years the development of astronomy is completely changed from dark age to bright age. This paper will try to address the details of journey of astronomy in Ethiopia.

Journey Through the Universe

NASA Astrophysics Data System (ADS)

Harvey, J.

2005-12-01

Journey through the Universe held its first Journey Week January 21-28, 2005 in Hilo, Hawaii. This ambitious program uses the fi elds of space, earth science and exploration to engage communities with long-term connections to science, mathematics and technology. All content is aligned to state and national education standards. Last year, the Hawaii-based program trained 135 teachers, visited more than 120 classrooms, talked to more than 5,000 students and hosted three family science events for more than 2,500 people. In 2006 the program seeks to reach an additional 8,000 students in public, private and charter schools in North Hawaii.

Becoming More Numerate: The Journey of Tania

ERIC Educational Resources Information Center

Galligan, Linda

2010-01-01

This is the academic numeracy journey of Tania, who participated in a research study that investigated the academic numeracy skills of nursing students. Tania is a mature aged woman, and her story represents many of such mature aged students as they journey into a largely unknown university culture. The data for this research came from student…

My Holocaust Journey.

ERIC Educational Resources Information Center

Glanz, Jeffrey

2000-01-01

An education professor whose father was a Holocaust survivor recounts a journey to visit World War II concentration camps in Czechoslovakia, Poland, and Germany. He realized that Nazis were systematic exterminators, and cities had been sanitized to banish unseemly memories. Today vigilance and character education are essential. (MLH)

The mental health consequences of student "Holocaust memorial journeys".

PubMed

Mimouni-Bloch, Aviva; Walter, Garry; Ross, Sharon; Bloch, Yuval

2013-08-01

Our aim was to study the mental health consequences of Israeli adolescents' 8-day "Holocaust memorial journey" to Poland. A survey to ascertain the experience of Israeli child and adolescent psychiatrists and residents in the specialty was conducted. Participants were asked about referrals regarding the memorial journey, and to compare these cases with referrals for other potentially traumatic events, including school "sleep-out" trips. Fifty child and adolescent psychiatrists and residents participated. According to their collective experience, the adolescents' memorial journey triggered a variety of mental health problems, including psychosis, but only one case of post-traumatic stress disorder (PTSD). Judging by the number of referrals, there was a higher rate of mental health problems following the memorial journey than after the annual sleep-out school trip. Although it may seldom lead to PTSD, the Holocaust memorial journey can be a major stressor for some participating teenagers. Evaluating "high risk" adolescents prior to their planned exposure to likely stressors and conducting large, prospective studies that examine the impact of pre-planned stressors on the lives of adolescents are warranted. Providing support to all adolescents before, during and after exposure to anticipated stressors is important.

Dangerous journey: documenting the experience of Tibetan refugees.

PubMed

Dolma, Sonam; Singh, Sonal; Lohfeld, Lynne; Orbinski, James J; Mills, Edward J

2006-11-01

Since the 1950 invasion of Tibet by China, Tibetan refugees have attempted to flee into Nepal over the Himalayan mountains. We documented the experiences of a group of refugees making this journey. We conducted semistructured interviews with 50 recent refugees at the Tibetan Refugee Transit Centre in Kathmandu, Nepal. Participants ranged in age from 8 to 56 years, and 21 were female. The average length of their journey from Tibet to Nepal was 34 days. During their journey, a majority of the refugees encountered authorities or became involved in altercations with Nepali Maoist groups. Most of these interactions resulted in extortion and threats of expulsion. Several Tibetans were tortured, beaten with weapons, threatened with being shot, and robbed. Three women were sexually assaulted at gunpoint. The refugees who took part in this study experienced physical and mental hardships and, often, human rights abuses on their journey to Nepal. International pressure is needed to prevent human rights violations and reduce potential long-term physical and mental health effects associated with this dangerous crossing.

Qualitative Research as a Hero's Journey: Six Archetypes to Draw on

ERIC Educational Resources Information Center

Villate, Vanessa M.

2012-01-01

Is the research process similar to a hero's journey? Just as a hero draws on different archetypes during the journey, a researcher moves through phases and must draw upon different strengths. In this article, the six archetypes that Pearson (1998) links to the hero's journey are described. Then, each phase of a qualitative research study is…

Secondhand smoke in cars: assessing children's potential exposure during typical journey conditions.

PubMed

Semple, Sean; Apsley, Andrew; Galea, Karen S; MacCalman, Laura; Friel, Brenda; Snelgrove, Vicki

2012-11-01

To measure levels of fine particulate matter in the rear passenger area of cars where smoking does and does not take place during typical real-life car journeys. Fine particulate matter (PM(2.5)) was used as a marker of secondhand smoke and was measured and logged every minute of each car journey undertaken by smoking and non-smoking study participants. The monitoring instrument was located at breathing zone height in the rear seating area of each car. Participants were asked to carry out their normal driving and smoking behaviours over a 3-day period. 17 subjects (14 smokers) completed a total of 104 journeys (63 smoking journeys). Journeys averaged 27 min (range 5-70 min). PM(2.5) levels averaged 85 and 7.4 μg/m(3) during smoking and non-smoking car journeys, respectively. During smoking journeys, peak PM(2.5) concentrations averaged 385 μg/m(3), with one journey measuring over 880 μg/m(3). PM(2.5) concentrations were strongly linked to rate of smoking (cigarettes per minute). Use of forced ventilation and opening of car windows were very common during smoking journeys, but PM(2.5) concentrations were still found to exceed WHO indoor air quality guidance (25 μg/m(3)) at some point in the measurement period during all smoking journeys. PM(2.5) concentrations in cars where smoking takes place are high and greatly exceed international indoor air quality guidance values. Children exposed to these levels of fine particulate are likely to suffer ill-health effects. There are increasing numbers of countries legislating against smoking in cars and such measures may be appropriate to prevent the exposure of children to these high levels of secondhand smoke.

An Educational Journey

ERIC Educational Resources Information Center

Marshall, James D.

2009-01-01

In this article, the author provides a self-portrait of his intellectual life. He states that his educational journey has always been something of an ongoing fight from his first day at primary school, to the secondary school curriculum and a social philosophy, and what he learned practically in the Navy. Changing the philosophy curriculum in…

The journey toward shared governance: the lived experience of nurse managers and staff nurses.

PubMed

Ott, Joyce; Ross, Carl

2014-09-01

The purpose of the study was to explore the lived experience of nurse managers and staff nurses in shared governance. Shared governance refers to systems and services aligned in partnership. The information gained by studying the lived experience of nurse managers and staff nurses in shared governance is valuable for providing knowledge of empowerment. A qualitative design was used. Data were collected through a semi-structured interview using five questions with 11 Registered Nurses. Data were analysed through thematic analysis. Four themes emerged from data analysis. Nurse managers identified the journey of patient satisfaction; journey of empowerment; journey of self-management and journey of wellness. Staff nurses identified the journey of development and implementation of best practice; journey to provide quality patient care, journey to a new culture of nursing; and journey of a variety of challenges. This study supports the idea that collaboration between nurse managers and staff nurses develops a journey toward shared governance. Nursing management can use findings to empower nurses to collaborate with nurse managers toward best practice. This adds to current knowledge that partnership of nurse managers and staff nurses, supports and encourages ownership in shared governance. © 2013 John Wiley & Sons Ltd.

Journey Through the Universe: Tenth Anniversary in 2014!

NASA Astrophysics Data System (ADS)

Harvey, J.

2014-07-01

Hawaii will celebrate its tenth anniversary of the flagship Journey through the Universe program that began in 2004. The Gemini-led initiative has engaged hundreds of astronomers and astronomy educators that have visited over 2,700 classrooms, visiting over 60,000 students over the course of the last nine years. The scientists have brought excitement and inspiration about the life-long possibilities available in science, technology and mathematics to our students. The Journey program nurtures our students' innate curiosity, offers workshops for hundreds of teachers in Science, Technology, Engineering, and Math (STEM) education, and provides an opportunity for our community members to visit the classrooms alongside our astronomers. This ten-day annual event also includes Family Science Events that are enjoyed by thousands. For the 2013 program, our governor, Neil Abercrombie, inquired about the program and its enormous impact on Hawaii's students. Governor Abercrombie actively participated by visiting classrooms at different schools and attending our chamber of commerce appreciation event. This paper will share how the Journey program came to be and what is anticipated for the tenth anniversary. Journey through the Universe is a model outreach initiative that could be duplicated in other locations.

Spiralling towards Transformational Action Research: Philosophical and Practical Journeys

ERIC Educational Resources Information Center

Titchen, Angie; Manley, Kim

2006-01-01

The two-stranded spiral shown in Figure 1 represents two aspects of the authors' journey in becoming critical. The journey, conveyed through discussion, reflexive accounts and illustrations of particular and summary achievements, shows how Carr and Kemmis's work has influenced the authors as action researchers, both individually and together, in…

The Educational Journey of a Latina Feminist Community Psychologist

ERIC Educational Resources Information Center

Guzman, Bianca

2012-01-01

This narrative describes how my educational journey led me to become a Latina feminist community psychologist. My experiences as a Central American woman living in the United States has made me deeply committed to feminist community values and the importance of social justice. Throughout the journey, I connect how immigration status, culture, and…

BENNU’S JOURNEY

NASA Image and Video Library

2017-12-08

Asteroid Bennu is a time capsule, containing the raw ingredients of the solar system. Bennu has settled in a near-Earth orbit. Today, a NASA spacecraft OSIRIS-REx is going to retrieve a sample to learn more about our Solar System’s history. OSIRIRS-REx is a NASA sample return mission to visit Asteroid Bennu. We plan to grab a piece of Bennu, because it’s a time capsule that can tell us about the origins of our planet and our entire solar system. Watch the full video: youtu.be/gtUgarROs08 Learn more about NASA’s OSIRIS-REx mission and the making of Bennu’s Journey: www.nasa.gov/content/goddard/bennus-journey/ More information on the OSIRIS-REx mission is available at: www.nasa.gov/mission_pages/osiris-rex/index.html www.asteroidmission.org NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

BENNU’S JOURNEY

NASA Image and Video Library

2017-12-08

This large asteroid, a proto-star undergoes fusion and our sun is born. This is the parent of Asteroid Bennu. Today, a NASA Spacecraft has the chance to retrieve a sample from Bennu to reveal the history of our solar system. OSIRIRS-REx is a NASA sample return mission to visit Asteroid Bennu. We plan to grab a piece of Bennu, because it’s a time capsule that can tell us about the origins of our planet and our entire solar system. Watch the full video: youtu.be/gtUgarROs08 Learn more about NASA’s OSIRIS-REx mission and the making of Bennu’s Journey: www.nasa.gov/content/goddard/bennus-journey/ More information on the OSIRIS-REx mission is available at: www.nasa.gov/mission_pages/osiris-rex/index.html www.asteroidmission.org NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Journey to Transformation: A Study of the Teachers' Perceptions of Technology Professional Development in a Rural School District

ERIC Educational Resources Information Center

Fulton, Monica M.

2017-01-01

This single-case qualitative study explored the eighth and ninth grade teachers' perceptions of their experiences from participating in the district's technology professional development program and its influence on the district's journey to pedagogical transformation. The participants responded to a questionnaire, were observed, and interviewed…

[An analysis of psychosocial care for adolescents in crisis based on their therapeutic itineraries].

PubMed

Pereira, Melissa de Oliveira; Sá, Marilene de Castilho; Miranda, Lilian

2014-10-01

This study analyzes the care provided to adolescents in crisis in a municipality in Greater Metropolitan Rio de Janeiro, Brazil. The article reports on a qualitative health study that used Therapeutic Itinerary and Life Narratives as the methodological resources. The principal theoretical reference was psychoanalyst René Kaës. Based on the adolescents' own verbal accounts, the study aimed to grasp the collective realities that could potentially shed light on the different types of logic and professional practices applied to care for adolescents in psychosocial crisis situations. The underlying assumption was that an approach to the dialectical nature of the crisis required maintaining a framework that would allow establishing a space for transition within which to develop the necessary conditions for disruptive and paradoxical elements to be elaborated. However, crisis care in the context studied here proved to be hampered by infrastructure issues, institutional rigidity, and fragmentation of activities, with little orientation towards inter-sector work.

Pedestrian Safer Journey

Science.gov Websites

Pedestrian Safer Journey Skills for Safe Walking for Ages 5 to 18 Use in the classroom or one-on -one. To start, click on an age group below: Ages 5-9 Ages 10-14 Ages 15-18 What is Pedestrian Safer get the conversation started with children and youth. Three videos - one for each of three age groups

Creating and sustaining peace within for the journey of nursing leadership.

PubMed

Brown, Cynthia J; Bishop, Mary; Bar, Bonnie B

2013-01-01

Peace within self or an inner calmness may be created and sustained by caring for self at a deep level, committing to an inner journey, and by dedication to maintaining a practice of self-care. Suggestions for creating and sustaining peace within self, using the model "Listen, Envision and Take Action" (LET or allow), are explored as a guide to support and maintain an inner journey. The authors describe how a peaceful presence may guide the journey of nursing leadership. Along the path of self-care focused on the inner journey, the nursing leader may experience enhanced health, self-knowledge, resilience, and a transformation of relationships personally and professionally. As nursing leaders' role model care for self in the workplace, the organization may experience an increase in nurse satisfaction.

A Journey in Leadership

ERIC Educational Resources Information Center

Shoop, Robert J.

2009-01-01

In 1997, two faculty members at Kansas State University began the process of creating something special and distinctive that never existed before. They clearly understood that they were embarking on a journey that would be exciting, yet not totally within their control. They were passionate about the value of developing a leadership studies…

Spiritual Borderlands: A Black Gay Male College Student's Spiritual Journey

ERIC Educational Resources Information Center

Means, Darris R.; Jaeger, Audrey J.

2015-01-01

This case study explored the spiritual journey and spaces of one Black gay male college student. Data collection included semi-structured interviews, field observations, and photovoice. Findings indicate that the student experienced tension during his spiritual journey because of his racial and sexual orientation identities but was able to…

The Trainee Teacher Journey

ERIC Educational Resources Information Center

Cain, Toni; Davey, Jemima; Colliety, Georgi; Hayward, Maddy; Robinson, Camilla; Kerr, Regan; Shaw, Rob

2017-01-01

The authors are all students in the final year of a three-year undergraduate teacher-training programme at St Mary's University, Twickenham, London. For one of their courses they were asked to identify their science-learning journey to date. In this article, trainee teachers talk about science and explore their reasons for becoming science…

One Way or Return? The Journey from Practitioner to Researcher

ERIC Educational Resources Information Center

Buoro, Ivano

2015-01-01

The journey from VET practitioner to academic researcher is not an easy one, especially for VET teachers whose educational research training in action and ethnographic research have been inculcated through years of practice. This paper discusses the highlights of the journey from practitioner to practitioner researcher including a discussion of…

Mama's Turn: A Mother's Musical Journey

ERIC Educational Resources Information Center

Koops, Lisa Huisman; Kuebel, Christa; Smith, Sarah Starr Alleman

2017-01-01

The purpose of this narrative inquiry was to document the musical journey of Sarah, a young mother taking piano lessons. The research questions explored how Sarah's journey influenced her young children's musical expressions, their expressed desires to participate in music outside of their current experiences, and Sarah's experience of musical…

Itinerary of the "Knower": Mapping the Ways of "Gnosis," "Sophia," and Imaginative Education

ERIC Educational Resources Information Center

Lukenchuk, Antonina

2012-01-01

My conversion into a knower has been a long and winding road. From childhood reverie to the years of formal schooling, education has never ceased to lure me into its magical power. How do we really get to know/see/learn whatever happens on our educational journey? In this paper, I will re-trace my quest for knowledge that reaches beyond the…

A Journey of Many Dimensions: Reflections on Change and Possibility

ERIC Educational Resources Information Center

DePauw, Karen P.

2010-01-01

This article presents the author's nineteenth Delphine Hanna commemorative lecture that focuses on a journey of many dimensions. Dr. Delphine Hanna, noted scholar and teacher, undertook a journey of many dimensions. As stated so eloquently by Minnie Linn, "there is something ageless and prophetic in the portrait of Dr. Delphine Hanna, in academic…

Interactive Chemistry Journey (by Steven D. Gammon, Lynn Hunsberger, Sharon Hutchison)

NASA Astrophysics Data System (ADS)

McCool, Debra J.

1998-05-01

Prentice Hall: Upper Saddle River, NJ, 1997. CD-ROM (Hybrid, MAC and WIN). ISBN 013 548116-3. 26.25 purchased separately; 10.00 when purchased with Prentice Hall Textbook. Interactive Chemistry Journey is a single CD-ROM packed with excellent chemistry content. Every topic that would be covered in high school chemistry and first-year college chemistry is well represented: basic skills, energy and matter, atomic structure, molecular structure, gases, kinetics, and equilibrium. Each content unit has interactive lessons and problems, including MCAT review questions. Several units have simulations that the student can manipulate to better understand the concepts.

Cosmic Journeys: To the Edge of Gravity, Space, and Time ...

NASA Technical Reports Server (NTRS)

Wanjek, Christopher

2000-01-01

We are embarking upon a cosmic journey. From the safety of our home planet Earth, scientists plan to explore the very limits of the known Universe. Our travels will take us to where space and time cease to exist as we know them, and to where the secrets of the past and future lie captured in the starlight of the present across an expanse of billions of light-years. Cosmic Journeys, a new series of NASA space science missions, will take us to the limits of gravity, space, and time. This virtual journey will use the power of resolution far greater than what current telescopes can muster to transport us to the rim of a black hole, to eagle-eye views of the galaxies and voids that pervade the Universe, and to the earliest moments of time, just fractions of a second after the Big Bang. The goal of our Cosmic Journeys is to solve the mystery of gravity, a force that is all around us but cannot be seen.

[Therapeutic itineraries of users of medication in a unit of the Family Heatlh Strategy].

PubMed

Guerin, Giliane Dorneles; Rossoni, Eloá; Bueno, Denise

2012-11-01

Therapeutic itineraries represent the trajectories taken by individuals in an attempt to resolve their health problems. The objective of this study was to analyze the trajectory when user prescription medication needs were not met in a Family Health Strategy Unit of the city of Porto Alegre. A database of users whose prescription needs were not fully met and the application of a questionnaire during home visits was performed. Users interviewed were between 53 and 85 years of age. The main problems reported were lack of money, physical difficulty in locomotion, side effects, illegible prescriptions, unavailability of medication in the local pharmacies of the city, fear of effects attributed to the medication, and "bureaucracy." When the medication is not available at the health unit, most users (60%) reported buying it. With respect to the communication of the family health team in the orientation of ways that the user can gain access to the medication, 25% of the respondents reported that the team did not provide necessary information about the alternate location for the acquisition of the medication that was lacking.

Multi-dimensional knowledge translation: enabling health informatics capacity audits using patient journey models.

PubMed

Catley, Christina; McGregor, Carolyn; Percival, Jennifer; Curry, Joanne; James, Andrew

2008-01-01

This paper presents a multi-dimensional approach to knowledge translation, enabling results obtained from a survey evaluating the uptake of Information Technology within Neonatal Intensive Care Units to be translated into knowledge, in the form of health informatics capacity audits. Survey data, having multiple roles, patient care scenarios, levels, and hospitals, is translated using a structured data modeling approach, into patient journey models. The data model is defined such that users can develop queries to generate patient journey models based on a pre-defined Patient Journey Model architecture (PaJMa). PaJMa models are then analyzed to build capacity audits. Capacity audits offer a sophisticated view of health informatics usage, providing not only details of what IT solutions a hospital utilizes, but also answering the questions: when, how and why, by determining when the IT solutions are integrated into the patient journey, how they support the patient information flow, and why they improve the patient journey.

BENNU’S JOURNEY Poster

NASA Image and Video Library

2017-12-08

The Origins Spectral Interpretation Resource Identification Security -- Regolith Explorer spacecraft (OSIRIS-REx) will travel to a near-Earth asteroid, called Bennu, and bring a sample back to Earth for study. The mission will help scientists investigate how planets formed and how life began, as well as improve our understanding of asteroids that could impact Earth. OSIRIS-REx is scheduled for launch in late 2016. As planned, the spacecraft will reach its asteroid target in 2018 and return a sample to Earth in 2023. Watch the full video: youtu.be/gtUgarROs08 Learn more about NASA’s OSIRIS-REx mission and the making of Bennu’s Journey: www.nasa.gov/content/goddard/bennus-journey/ More information on the OSIRIS-REx mission is available at: www.nasa.gov/mission_pages/osiris-rex/index.html www.asteroidmission.org NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Journeying "Down the Rabbit Hole"

ERIC Educational Resources Information Center

Rossman, Alan; Dummer, John

2004-01-01

In describing the professional development journey of science teachers, the National Science Standards (NRC 1996) provides a useful cartography. Inquiry, those standards suggest, is the central strategy for the teaching of science. By illustrating the parallels between inquiry as a form of scientific investigation and inquiry as a classroom…

Journeys through antigravity?

NASA Astrophysics Data System (ADS)

Carrasco, John Joseph M.; Chemissany, Wissam; Kallosh, Renata

2014-01-01

A possibility of journeys through antigravity has recently been proposed, with the suggestion that Weyl-invariant extension of scalars coupled to Einstein gravity allows for an unambiguous classical evolution through cosmological singularities in anisotropic spacetimes. We compute the Weyl invariant curvature squared and find that it blows up for the proposed anisotropic solution both at the Big Crunch as well as at the Big Bang. Therefore the cosmological singularities are not resolved by uplifting Einstein theory to a Weyl invariant model.

Design Lessons From the Analysis of Nurse Journeys in a Hospital Ward.

PubMed

Nazarian, Masoumeh; Price, Andrew; Demian, Peter; Malekzadeh, Masoud

2018-01-01

The objective is to establish design strategies to help minimize nurse journeys and inform future decision-making. The impact of the ward layout was investigated through a case study ward in a multispecialty hospital in Tehran. Nurse teams have the most direct contact with ward patients. Time spent on activities not part of care provision should be minimized. Literature suggests that a significant part of nurses' time is spent moving between different places within wards, which emphasizes the importance of ward layout. The ethnographic method was adopted for observing nurses' actions based on routes that form a significant share of nurses' daily journeys. Data were collected from 42 nursing staff over 120 hr during different shifts. This provided empirical data on the frequency of each journey which revealed meaningful patterns. Approximately 1,300 room-to-room journeys were made. Conclusions were drawn about the criticality of each route. There is a significant difference between the frequencies of different routes in the case study ward. The distances between origins and destinations of the most frequently used journeys must remain minimal. Awareness of less frequent routes allows for greater flexibility in ward design. Arrangement of ward spaces can minimize journey times. Healthcare planners and designers can explore the implications of chosen systems on walking distance and, consequently, the nursing staff productivity. For existing wards, rearrangement of space utilization can improve staff productivity. The recommendations can be applied wherever productivity is influenced by walking distances.

Community and inquiry: journey of a science teacher

NASA Astrophysics Data System (ADS)

Goldberg, Jennifer; Welsh, Kate Muir

2009-09-01

In this case study, we examine a teacher's journey, including reflections on teaching science, everyday classroom interaction, and their intertwined relationship. The teacher's reflections include an awareness of being "a White middle-class born and raised teacher teaching other peoples' children." This awareness was enacted in the science classroom and emerges through approaches to inquiry . Our interest in Ms. Cook's journey grew out of discussions, including both informal and semi-structured interviews, in two research projects over a three-year period. Our interest was further piqued as we analyzed videotaped classroom interaction during science lessons and discovered connections between Ms. Cook's reflections and classroom interaction. In this article, we illustrate ways that her journey emerges as a conscientization. This, at least in part, shapes classroom interaction, which then again shapes her conscientization in a recursive, dynamic relationship. We examine her reflections on her "hegemonic (cultural and socio-economic) practices" and consider how these reflections help her reconsider such practices through analysis of classroom interaction. Analyses lead us to considering the importance of inquiry within this classroom community.

Self-rated health: patterns in the journeys of patients with multi-morbidity and frailty.

PubMed

Martin, Carmel Mary

2014-12-01

Self-rated health (SRH) is a single measure predictor of hospital utilization and health outcomes in epidemiological studies. There have been few studies of SRH in patient journeys in clinical settings. Reduced resilience to stressors, reflected by SRH, exposes older people (complex systems) to the risk of hospitalization. It is proposed that SRH reflects rather than predicts deteriorations and hospital use; with low SRH autocorrelation in time series. The aim was to investigate SRH fluctuations in regular outbound telephone calls (average biweekly) to patients by Care Guides. Descriptive case study using quantitative autoregressive techniques and qualitative case analysis on SRH time series. Fourteen participants were randomly selected from the Patient Journey Record System (PaJR) database. The PaJR database recorded 198 consecutively sampled older multi-morbid patients journeys in three primary care settings. Analysis consisted of triangulation of SRH (0 very poor - 6 excellent) patterns from three analyses: SRH graduations associations with service utilization; time series modelling (autocorrelation, and step ahead forecast); and qualitative categorization of deteriorations. Fourteen patients reported mean SRH 2.84 (poor-fair) in 818 calls over 13 ± 6.4 months of follow-up. In 24% calls, SRH was poor-fair and significantly associated with hospital use. SRH autocorrelation was low in 14 time series (-0.11 to 0.26) with little difference (χ(2)  = 6.46, P = 0.91) among them. Fluctuations between better and worse health were very common and poor health was associated with hospital use. It is not clear why some patients continued on a downward trajectory, whereas others who destabilized appeared to completely recover, and even improved over time. SRH reflects an individual's complex health trajectory, but as a single measure does not predict when and how deteriorations will occur in this study. Individual patients appear to behave as complex adaptive

Remembering to learn: independent place and journey coding mechanisms contribute to memory transfer.

PubMed

Bahar, Amir S; Shapiro, Matthew L

2012-02-08

The neural mechanisms that integrate new episodes with established memories are unknown. When rats explore an environment, CA1 cells fire in place fields that indicate locations. In goal-directed spatial memory tasks, some place fields differentiate behavioral histories ("journey-dependent" place fields) while others do not ("journey-independent" place fields). To investigate how these signals inform learning and memory for new and familiar episodes, we recorded CA1 and CA3 activity in rats trained to perform a "standard" spatial memory task in a plus maze and in two new task variants. A "switch" task exchanged the start and goal locations in the same environment; an "altered environment" task contained unfamiliar local and distal cues. In the switch task, performance was mildly impaired, new firing maps were stable, but the proportion and stability of journey-dependent place fields declined. In the altered environment, overall performance was strongly impaired, new firing maps were unstable, and stable proportions of journey-dependent place fields were maintained. In both tasks, memory errors were accompanied by a decline in journey codes. The different dynamics of place and journey coding suggest that they reflect separate mechanisms and contribute to distinct memory computations. Stable place fields may represent familiar relationships among environmental features that are required for consistent memory performance. Journey-dependent activity may correspond with goal-directed behavioral sequences that reflect expectancies that generalize across environments. The complementary signals could help link current events with established memories, so that familiarity with either a behavioral strategy or an environment can inform goal-directed learning.

REMEMBERING TO LEARN: INDEPENDENT PLACE AND JOURNEY CODING MECHANISMS CONTRIBUTE TO MEMORY TRANSFER

PubMed Central

Bahar, Amir S.; Shapiro, Matthew L.

2012-01-01

The neural mechanisms that integrate new episodes with established memories are unknown. When rats explore an environment, CA1 cells fire in place fields that indicate locations. In goal-directed spatial memory tasks, some place fields differentiate behavioral histories (journey-dependent place fields) while others do not (journey-independent place fields). To investigate how these signals inform learning and memory for new and familiar episodes, we recorded CA1 and CA3 activity in rats trained to perform a standard spatial memory task in a plus maze and in two new task variants. A switch task exchanged the start and goal locations in the same environment; an altered environment task contained unfamiliar local and distal cues. In the switch task, performance was mildly impaired, new firing maps were stable, but the proportion and stability of journey-dependent place fields declined. In the altered environment, overall performance was strongly impaired, new firing maps were unstable, and stable proportions of journey-dependent place fields were maintained. In both tasks, memory errors were accompanied by a decline in journey codes. The different dynamics of place and journey coding suggest that they reflect separate mechanisms and contribute to distinct memory computations. Stable place fields may represent familiar relationships among environmental features that are required for consistent memory performance. Journey-dependent activity may correspond with goal directed behavioral sequences that reflect expectancies that generalize across environments. The complementary signals could help link current events with established memories, so that familiarity with either a behavioral strategy or an environment can inform goal-directed learning. PMID:22323731

On the Journey with the Dying: How General Practitioners Experience the Death of Their Patients

ERIC Educational Resources Information Center

Zambrano, Sofia C.; Barton, Christopher A.

2011-01-01

A grounded theory study was undertaken to understand how general practitioners (GPs) experience the death of their patients. Eleven GPs participated in semi-structured interviews. The participants explained their experience of a patient's death using the "death journey" metaphor. This journey, the Journey with the Dying, could be…

The Long Journey

NASA Technical Reports Server (NTRS)

Cameron, W. Scott

2003-01-01

In analyzing people's careers it should be define and write down one to three things they must have in an assignment, and as many wants as they wish. Compare people's list to the must and wants of potential assignments we can see if there is match. We should discuss career coaching with another manager. Career development by definition is a long journey. As coach help shape the career of other, it does him no good to forget that his own careers will continue to develop.

Complex adaptive chronic care - typologies of patient journey: a case study.

PubMed

Martin, Carmel M; Grady, Deirdre; Deaconking, Susan; McMahon, Catherine; Zarabzadeh, Atieh; O'Shea, Brendan

2011-06-01

Complex adaptive chronic care (CACC) is a framework based upon complex adaptive systems' theory developed to address different stages in the patient journey in chronic illness. Simple, complicated, complex and chaotic phases are proposed as diagnostic types. To categorize phases of the patient journey and evaluate their utility as diagnostic typologies. A qualitative case study of two cohorts, identified as being at risk of avoidable hospitalization: 12 patients monitored to establish typologies, followed by 46 patients to validate the typologies. Patients were recruited from a general practitioner out-of-hours service. Self-rated health, medical and psychological health, social support, environmental concerns, medication adherence and health service use were monitored with phone calls made 3-5 times per week for an average of 4 weeks. Analysis techniques included frequency distributions, coding and categorization of patients' longitudinal data using a CACC framework. Twelve and 46 patients, mean age 69 years, were monitored for average of 28 days in cohorts 1 and 2 respectively. Cohorts 1 and 2 patient journeys were categorized as being: stable complex 66.66% vs. 67.4%, unstable complex 25% vs. 26.08% and unstable complex chaotic 8.3% vs. 6.52% respectively. An average of 0.48, 0.75 and 2 interventions per person were provided in the stable, unstable and chaotic journeys. Instability was related to complex interactions between illness, social support, environment, as well as medication and medical care issues. Longitudinal patient journeys encompass different phases with characteristic dynamics and are likely to require different interventions and strategies - thus being 'adaptive' to the changing complex dynamics of the patient's illness and care needs. CACC journey types provide a clinical tool for health professionals to focus time and care interventions in response to patterns of instability in multiple domains in chronic illness care. © 2011 Blackwell

Learning to Supervise: Four Journeys

ERIC Educational Resources Information Center

Turner, Gill

2015-01-01

This article explores the experiences of four early career academics as they begin to undertake doctoral supervision. Each supervisor focused on one of their supervisees and drew and described a Journey Plot depicting the high and low points of their supervisory experience with their student. Two questions were addressed by the research: (1) How…

Flight range, fuel load and the impact of climate change on the journeys of migrant birds

PubMed Central

Sheard, Catherine; Butchart, Stuart H. M.

2018-01-01

Climate change is predicted to increase migration distances for many migratory species, but the physiological and temporal implications of longer migratory journeys have not been explored. Here, we combine information about species' flight range potential and migratory refuelling requirements to simulate the number of stopovers required and the duration of current migratory journeys for 77 bird species breeding in Europe. Using tracking data, we show that our estimates accord with recorded journey times and stopovers for most species. We then combine projections of altered migratory distances under climate change with models of avian flight to predict future migratory journeys. We find that 37% of migratory journeys undertaken by long-distance migrants will necessitate an additional stopover in future. These greater distances and the increased number of stops will substantially increase overall journey durations of many long-distance migratory species, a factor not currently considered in climate impact studies. PMID:29467262

SSC-20170608-Journey Band Member Tours Stennis

NASA Image and Video Library

2017-06-08

Ross Valory, bass guitar player with the Rock and Roll Hall of Fame band Journey, visited NASA’s Stennis Space Center on June 8. Valory, along with several members of their crew, toured various facilities at Stennis including the B-2 Test Stand which will be used to test the core stage for NASA’s Space Launch System or SLS. The SLS is a powerful, advanced launch vehicle for a new era of human exploration beyond Earth’s orbit. With its unprecedented power and capabilities, SLS will launch crews of up to four astronauts in the agency’s Orion spacecraft on missions to explore multiple, deep-space destinations eventually including Mars. During the tour, Valory made this short video about America’s journey to Mars.

An American's Journey to Kindergarten's Birthplace.

ERIC Educational Resources Information Center

Moore, Mary Ruth

2002-01-01

Describes one educator's research journey to Friedrich Froebel's homeland of Germany to study the beginnings of the early childhood profession and to celebrate Froebel's important contributions. Offers descriptions of early Froebel schools and Froebel artifacts to illustrate his educational philosophy and practice. (KB)

"The Matrix": An allegory of the psychoanalytic journey.

PubMed

Mischoulon, David; Beresin, Eugene V

2004-01-01

"The Matrix" has been a huge commercial and critical success and has spawned a series of books and essays exploring the philosophical and religious themes in the story. The authors propose is that "The Matrix" can be interpreted as an allegory for an individual's journey into spiritual and mental health, achieved by overcoming one's intrapsychic conflicts with the help of psychodynamic psychotherapy or psychoanalysis. Neo's story parallels the journey undertaken by the individual who chooses to enter psychotherapy and illustrates several themes of analytic psychotherapy, its benefits, and liabilities. The movie may therefore serve as a teaching tool for psychiatric residents about the goals, functions, and intricacies of psychodynamic psychotherapy.

PREFACE: A Stellar Journey A Stellar Journey

NASA Astrophysics Data System (ADS)

Asplund, M.

2008-10-01

The conference A Stellar Journey was held in Uppsala, Sweden, 23 27June 2008, in honour of Professor Bengt Gustafsson's 65th birthday. The choice of Uppsala as the location for this event was obvious given Bengt's long-standing association with the city stemming back to his school days. With the exception of a two-year postdoc stint in Copenhagen, five years as professor at Stockholm University and two years as director of the Sigtuna foundation, Bengt has forged his illustrious professional career at Uppsala University. The symposium venue was Museum Gustavianum, once the main building of the oldest university in Scandinavia. The title of the symposium is a paraphrasing of Bengt's popular astronomy book Kosmisk Resa (in English: Cosmic Journey) written in the early eighties. I think this aptly symbolizes his career that has been an astronomical voyage from near to far, from the distant past to the present. The original book title was modified slightly to reflect that most of his work to date has dealt with stars in one way or another. In addition it also gives credit to Bengt's important role as a guiding light for a very large number of students, colleagues and collaborators, indeed for several generations of astronomers. For me personally, the book Kosmisk Resa bears particular significance as it has shaped my life rather profoundly. Although I had already decided to become an astronomer, when I first read the book as a 14-year-old I made up my mind then and there that I would study under Bengt Gustafsson and work on stars. Indeed I have remained true to this somewhat audacious resolution. I suspect that a great number of us have similar stories how Bengt has had a major influence on our lives, whether on the professional or personal level. Perhaps Bengt's most outstanding characteristic is his enthralling enthusiasm. This is equally true whether he is pondering some scientific conundrum, supervising students or performing in front of an audience, be it an

Understanding the World of Teaching: English Teaching Assistants' Journey to Role Realization

ERIC Educational Resources Information Center

Gube, Jan C.; Phillipson, Sivanes

2011-01-01

This study explored the role realization journey of 11 English Teaching Assistants (ETAs) in Hong Kong. Their journey is framed through the lenses of Shulman's (1987) teaching elements of content pedagogical knowledge, knowledge of learners and their characteristics, and knowledge of educational contexts. Data from four different inquiry methods…

Flight range, fuel load and the impact of climate change on the journeys of migrant birds.

PubMed

Howard, Christine; Stephens, Philip A; Tobias, Joseph A; Sheard, Catherine; Butchart, Stuart H M; Willis, Stephen G

2018-02-28

Climate change is predicted to increase migration distances for many migratory species, but the physiological and temporal implications of longer migratory journeys have not been explored. Here, we combine information about species' flight range potential and migratory refuelling requirements to simulate the number of stopovers required and the duration of current migratory journeys for 77 bird species breeding in Europe. Using tracking data, we show that our estimates accord with recorded journey times and stopovers for most species. We then combine projections of altered migratory distances under climate change with models of avian flight to predict future migratory journeys. We find that 37% of migratory journeys undertaken by long-distance migrants will necessitate an additional stopover in future. These greater distances and the increased number of stops will substantially increase overall journey durations of many long-distance migratory species, a factor not currently considered in climate impact studies. © 2018 The Authors.

"The Moon Village and Journey to Mars enable each other"

NASA Astrophysics Data System (ADS)

Beldavs, Vidvuds

2016-07-01

NASA has proposed the Journey to Mars, a multi-decade collaborative international effort to establish permanent manned operations on the Martian surface as well as in orbit, most likely on the Martian moons. NASA's proposed the Journey to Mars has come under politically motivated attack as illusory, as beyond NASA's capabilities and anticipated NASA budgets in the foreseeable future. [1]. Other concerns come from various communities of researchers concerned about securing sustaining funding for their largely robotic research missions. ESA's Director General Dietrich Woerner's proposed Moon Village faces challenges ESA member states concerned about sustaining funding for projects already underway or in planning. Both the Journey to Mars and Moon Village raise the question - who will or who can pay for it? The 2013 US Research Council study suggested potential benefits to a mission to Mars from activities on the Moon [2]. The NASA funded Flexible Lunar Architecture study came to similar conclusions using a different methodology [3]. A logistics analysis by an MIT team suggested the possibility of cost savings through use of lunar water for propellant to reach Mars [4]. The highly promising private-public financing approach has been examined for potential application to funding the costs of reaching Mars [5]. Insofar as the feasibility of utilization of lunar water has not been determined these conclusions are speculative. This study will examine the following alternative scenarios for establishing sustainable, manned operations on Mars and permanent manned operations on the Moon: A. NASA-led Journey to Mars without an ESA-led Moon Village B. ESA-led Moon Village without NASA-led Journey to Mars C. NASA-led Journey to Mars with an ESA-led Moon Village D. Shared Infrastructure scenario - NASA-led Journey to Mars with ESA-led Moon Village and with a potential JAXA-led space-based-solar power initiative E. Space Industrialization scenario - Shared Infrastructure scenario

Therapeutic itineraries of 'depressed' women in Greece: power relationships and agency in therapeutic pluralism.

PubMed

Peglidou, Athena

2010-04-01

This paper explores the treatment quests followed by women diagnosed with depression at the local centre for mental health. The data resulting from this investigation were collected during ethnographic research conducted in 1998 and 2001 from an urban context in north-western Greece. 'Depression' was analysed as a medicalized form of female suffering in a Greek context, and three aspects of therapeutic pluralism were examined. The criteria through which patients prioritise certain practitioners over others, the role exerted by relatives in treatment research and manners of reconciliation of contradictory and heteroclite types of therapy were all investigated. In encounters with male practitioners (psychiatrists, priests and mediums) and close relatives attempting to help find a remedy in order to avoid stigmatization of mental disorder, female patients appear to oscillate between gender and healing powers. The field of therapeutic itineraries interacts with gender power relations to produce various technologies of discipline and practices of resistance as female patients are subjected to the bipolar power of male healers and their male relatives. These gender dynamics are interfaced in the broader competition for therapeutic authority between institutional psychiatry, the Orthodox Church and other alternative healers.

Digital Journeys: A Perspective on Understanding the Digital Experiences of International Students

ERIC Educational Resources Information Center

Chang, Shanton; Gomes, Catherine

2017-01-01

The authors in this conceptual paper draw on the literature on information seeking behavior, social media use, and international student experiences to propose Digital Journeys as a framework which helps us understand the online behavior of international students. Here we theorize that the Digital Journey is the transition that individuals make…

My Journey as a Reader

ERIC Educational Resources Information Center

Cevellos, Tatiana

2008-01-01

In this case history, the author describes how her journey as a reader evolved from a poor reader who did not like to read in elementary school into an avid trilingual reader in graduate school. Once she discovered the joy of reading, each language in which she read had its own purpose and emotional connection. She credits self-selected reading…

A Learning Journey around the World

ERIC Educational Resources Information Center

Duraisingh, Liz Dawes

2016-01-01

This compilation of articles describes three projects aimed at offering students authentic opportunities to develop global competencies. The first article describes Out of Eden Learn, an initiative from Project Zero at Harvard Graduate School of Education. The project engages students in learning journeys that follow Pulitzer Prize-winning…

Single molecules and single nanoparticles as windows to the nanoscale

NASA Astrophysics Data System (ADS)

Caldarola, Martín; Orrit, Michel

2018-05-01

Since the first optical detection of single molecules, they have been used as nanometersized optical sensors to explore the physical properties of materials and light-matter interaction at the nanoscale. Understanding nanoscale properties of materials is fundamental for the development of new technology that requires precise control of atoms and molecules when the quantum nature of matter cannot be ignored. In the following lines, we illustrate this journey into nanoscience with some experiments from our group.

Women's journey of recovery from sexual assault trauma: a grounded theory--part 2.

PubMed

Duma, S E; Mekwa, J N; Denny, L D

2007-12-01

The purpose of the study was to explore and analyse the journey of recovery which is undertaken by women who have been sexually assaulted, with the aim of discovering the grounded theory of recovery from sexual assault within the first six months following the event of rape. The main research question was: 'What is the journey of recovery that is undertaken by women within the first six months following sexual assault?' Another question that developed during data collection and data analysis was 'What is the meaning that women attach to recovery?' The findings are discussed under the eight concepts or categories and the context and the intervening conditions that influence the journey of recovery from sexual assault trauma. Refer to part 1 article. These are complemented with abstracts of data from the participants' voices and the related discussions. The developed theory highlights the process and the interconnectedness of the different stages of what the women experience in their journey of recovery from sexual assault trauma.

A journey of leadership: from bedside nurse to chief executive officer.

PubMed

Comack, Margret Tannis

2012-01-01

Understanding leadership from the inside out was a journey that spanned a 40-year career in health care. This article describes an individual's journey of becoming an effective executive leader using the LEADS in a caring environment--capabilities framework. This framework was recently developed in Canada and is now used broadly to understand the complexity and depth of health care leadership skills and challenges. The author utilizes the framework to explore leadership skill development from a personal perspective to a broader system transformation level. Challenges and successes along this journey are included to highlight the manner in which leadership evolves with experience, time, and determination. A retrospective view of a successful career in health care provides the model for others to consider a similar career path using a theoretical base and a thoughtful process of personal development.

Dissertation Journeys of Scholar-Practitioners in an Educational Leadership for Social Justice Program

ERIC Educational Resources Information Center

Dailey, Ardella; Harris, Margaret; Plough, Bobbie; Porfilio, Brad; Winkelman, Peg

2016-01-01

The task of guiding the development of scholar-practitioners as leaders for social justice is inherently challenging. The dissertation journey, unlike any other journey practitioner-based doctoral students face in urban school settings, provides a steep learning curve as they transition from practitioner to scholar-practitioner. This journey…

Chinese Learning Journeys: Chasing the Dream

ERIC Educational Resources Information Center

Su, Feng, Ed.

2011-01-01

Eight students from mainland China chart their learning journeys across national and continental boundaries and socio-cultural contexts. The five women and three men structure their experiences of studying in China and the West around the turning points and life changing choices they made in chasing their dreams. They embody its emergent…

"The Secret Garden": A Literary Journey.

ERIC Educational Resources Information Center

Jordan, Anne Devereaux

1998-01-01

Outlines the life of Frances Hodgson Burnett, author of "The Secret Garden." Argues that it not only tells an enthralling tale, but takes readers on a journey through the history of English literature. Discusses the gothic tradition and romanticism of "The Secret Garden." Lists classic elements in the book and offers five ideas…

My Journey with Inquiry-Based Learning

ERIC Educational Resources Information Center

Gonzalez, Joseph J.

2013-01-01

The author chronicles his experiments with inquiry-based learning (IBL) as he applied lessons from the literature and assessed the results. He describes a difficult journey with the result that, with the help of the literature, supportive colleagues and patient, creative students, he learned how to design courses that invite undergraduates to…

A Torrent of Change: Enhancing Effective Change in Special Education--One School's Journey

ERIC Educational Resources Information Center

Morris, Chris; Katon, Shirley

2006-01-01

This article is the story of a school's journey from a deficit model of special education needs programming to an inclusive model of student learning support. The heart of this journey was the identification and management of tensions and complexities surrounding educational beliefs, school values, and pedagogical practices. This article will…

Journey to work, 2000 : census 2000 brief

DOT National Transportation Integrated Search

2004-03-01

This report, one of a series that presents population and housing data collected during Census : 2000, provides information on the place-of-work and journey-to-work characteristics of workers 16 years and over who were employed and at work during the...

From Reluctant Teacher to Empowered Teacher-Researcher: One Teacher's Journey toward Action Research

ERIC Educational Resources Information Center

Esposito, Jennifer; Smith, Shayla

2006-01-01

The focus of this paper will be one of the authors' transformation from reluctant teacher-researcher to empowered teacher-researcher. The authors will describe Shayla's journey through action research because it was this journey from circumspection to empowerment that strengthened her in ways that she had not foreseen or anticipated. It allowed…

Indicators of undergraduate nursing students' satisfaction with their learning journey: An integrative review.

PubMed

Walker, Sandra; Rossi, Dolene; Anastasi, Jennifer; Gray-Ganter, Gillian; Tennent, Rebeka

2016-08-01

In Australia Bachelor of Nursing programmes are delivered via both internal and distance modes yet there is little knowledge of the indicators of undergraduate nursing students' satisfaction with the learning journey. This integrative review was undertaken to uncover the indicators of undergraduate nursing students' satisfaction with their learning journey. Integrative review. A review of key papers was undertaken. Only peer-reviewed papers published in scholarly journals from 2008 onwards were included in this integrative review. Pubmed, CINAHL, Google Scholar, Cochrane, Wiley Online and ProQuest Central databases were searched for relevant papers. 49 papers were appraised, by a minimum of two team members. CASP tools were used when evaluating qualitative research, systematic and integrated reviews while survey research was evaluated using a tool specifically developed for this purpose by the research team. All tools used to assess the quality of the research studies contained comprehensive checklists and questions relevant for the particular type of study. Data related to these checklists was extracted and the research team appraised the quality of each article based on its relevance to the topic, internal and external validity, appropriateness of data analysis technique(s), and whether ethical considerations were addressed. Seventeen papers were included in the final analysis. Data analysis involved a systematic approach using content analysis techniques. This integrative review sought to identify indicators of nursing students' satisfaction with their learning journey. Authentic learning, motivation, resilience, support, and collaborative learning were identified by this integrative review as being key to nursing students' satisfaction with their learning journey. Sub themes were identified within each of these themes that assist in explaining nursing students' views of their learning journey. The findings showed that higher satisfaction levels are attained

Microsoft health patient journey demonstrator.

PubMed

Disse, Kirsten

2008-01-01

As health care becomes more reliant on electronic systems, there is a need to standardise display elements to promote patient safety and clinical efficiency. The Microsoft Health Common User Interface (MSCUI) programme, developed by Microsoft and the National Health Service (NHS) was born out of this need and creates guidance and controls designed to increase patient safety and clinical effectiveness through consistent interface treatments. The Microsoft Health Patient Journey Demonstrator is a prototype tool designed to provide exemplar implementations of MSCUI guidance on a Microsoft platform. It is a targeted glimpse at a visual interface for the integration of health-relevant information, including electronic medical records. We built the demonstrator in Microsoft Silverlight 2, our application technology which brings desktop functionality and enriched levels of user experience to health settings worldwide via the internet. We based the demonstrator on an easily recognisable clinical scenario which offered us the most scope for demonstrating MSCUI guidance and innovation. The demonstrator is structured in three sections (administration, primary care and secondary care) each of which illustrates the activities associated within the setting relevant to our scenario. The demonstrator is published on the MSCUI website www.mscui.net The MSCUI patient journey demonstrator has been successful in raising awareness and increasing interest in the CUI programme.

The shift to early palliative care: a typology of illness journeys and the role of nursing.

PubMed

Wittenberg-Lyles, Elaine; Goldsmith, Joy; Ragan, Sandra

2011-06-01

For the current study, clinical observations of communication between patients, families, and clinicians during chronic, serious, or terminal illness in a cancer care trajectory were examined for patterns and trends. Five communication characteristics were concluded, which informed a typology of illness journeys experienced by patients with cancer and their families. The isolated journey characterizes an illness path in which communication about terminal prognosis and end-of-life care options are not present; communication is restricted by a curative-only approach to diagnosis as well as the structure of medical care. The rescued journey signifies a transition between curative care (hospital narrative) to noncurative care (hospice narrative), challenging patients and their families with an awareness of dying. The rescued journey allows communication about prognosis and care options, establishes productive experiences through open awareness, and affords patients and families opportunities to experience end-of-life care preferences. Finally, palliative care prior to hospice provides patients and families with an illness journey more readily characterized by open awareness and community, which facilitates a comforted journey. Nurses play a pivotal role in communicating about disease progression and plans of care. The typology presented can inform a structured communication curriculum for nurses and assist in the implementation of early palliative care.

A journey through the microscopic ages of DNA replication.

PubMed

Reinhart, Marius; Cardoso, M Cristina

2017-05-01

Scientific discoveries and technological advancements are inseparable but not always take place in a coherent chronological manner. In the next, we will provide a seemingly unconnected and serendipitous series of scientific facts that, in the whole, converged to unveil DNA and its duplication. We will not cover here the many and fundamental contributions from microbial genetics and in vitro biochemistry. Rather, in this journey, we will emphasize the interplay between microscopy development culminating on super resolution fluorescence microscopy (i.e., nanoscopy) and digital image analysis and its impact on our understanding of DNA duplication. We will interlace the journey with landmark concepts and experiments that have brought the cellular DNA replication field to its present state.

A journey of critical consciousness: an educational strategy for health care leaders.

PubMed

Getzlaf, Beverley A; Osborne, Margaret

2010-01-01

Healthcare leaders who develop a critical perspective of the relationship between culture and health; value respect for differences, inclusiveness, equity, and social justice; and use their power to enact these values in their spheres of influence, both professionally and personally, are better able to improve care for a diversity of clients. Graduate students can be assisted to develop such a critical perspective through a course designed as a journey of critical consciousness. We describe this journey that takes students through phases of awareness, reflection, and action in which they come to understand the concepts of critical theory and discourse analysis and begin to use these to create changes in their work settings in the direction of equity and social justice. We suggest broader implications for programs and invite readers to begin their own journeys of critical consciousness.

The APPA Journey and RMA Fourteeners Club

ERIC Educational Resources Information Center

Morris, John P.

2012-01-01

The APPA journey represents a continuum through one's career in educational facilities management. Early in one's career, APPA can assist with professional development such as the Facilities Drive-In Workshop, the Supervisor's Toolkit, the APPA Institute for Facilities Management, and the APPA Leadership Academy. APPA provides for both…

Adoption: A Lifelong Journey for Children & Families.

ERIC Educational Resources Information Center

McManus, Marilyn, C., Ed.

1996-01-01

Several issues surrounding adoption are addressed in this journal. "Openness in Adoption," by Ruth G. McRoy and others, explores the movement away from confidentiality in adoption. "Mid-Life Reflections on Adoption" by Carol Yttri and "An Adoption Journey" by Shannon Latimer detail the experiences of adults who were…

A Journey from Coercion to Building Courage

ERIC Educational Resources Information Center

DeSalvatore, Gino; Millspaugh, Carla; Long, Cindy

2009-01-01

Historically, behavior management in treatment settings has focused on external controls such as points, tokens, and level systems. This article describes one program's transformation where troubled youth develop internal controls and become active participants in their own change. The authors describe their program's journey to help troubled and…

The Journey: A Handbook for Parents of Children Who are Gifted and Talented

ERIC Educational Resources Information Center

Online Submission, 2004

2004-01-01

The journey for children who are gifted and talented can be exciting and challenging. There are so many twists and turns, detours, and confusing signs that many parents feel they need some sort of road map to guide their children on this journey. Because each child is different, there is no one road map to follow. What this handbook can offer…

Patients as story-tellers of healthcare journeys.

PubMed

Lamprell, Klay; Braithwaite, Jeffrey

2016-09-01

There are gaps in our comprehension of patients' subjective experiences as they engage with and transit through the healthcare environments implicated in their treatment trajectories. Patients' stories, unlike patient experience data gathered in questionnaires and surveys, express the deeply personal, narrative nature of the journeys that patients take, creating opportunities for qualitative healthcare research. Yet narrative capabilities and propensities vary with individuals, and are affected by the stresses of illness and treatment. This article extends the growing interest in narrative competence training for both practitioners and patients with the investigation of a story-telling model that could facilitate patients to narrate their experiences of healthcare systems. This model is derived from the literary arts. In fiction and autobiography, the journey arc of the central character is often one in which he or she is compelled to leave the comfort of everyday life and face a series of extraordinary events involving challenge and change which forces the character towards practical, intellectual, psychological and philosophical adjustments that define, by the end of the story, the character's 'new normal'. This pattern is known as the 'hero journey'. Its parallels with patients' experiences of healthcare and the way people narrate their stories of illness have long been recognised. We present here a new idea for applying this model as a narrative structure by which patients may construct their stories about being in and moving through the healthcare system. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Motivating student learning using a formative assessment journey

PubMed Central

Evans, Darrell J R; Zeun, Paul; Stanier, Robert A

2014-01-01

Providing formative assessment opportunities has been recognised as a significant benefit to student learning. The outcome of any formative assessment should be one that ultimately helps improve student learning through familiarising students with the levels of learning required, informing them about gaps in their learning and providing feedback to guide the direction of learning. This article provides an example of how formative assessments can be developed into a formative assessment journey where a number of different assessments can be offered to students during the course of a module of teaching, thus utilising a spaced-education approach. As well as incorporating the specific drivers of formative assessment, we demonstrate how approaches deemed to be stimulating, interactive and entertaining with the aim of maximising enthusiasm and engagement can be incorporated. We provide an example of a mixed approach to evaluating elements of the assessment journey that focuses student reaction, appraisal of qualitative and quantitative feedback from student questionnaires, focus group analysis and teacher observations. Whilst it is not possible to determine a quantifiable effect of the assessment journey on student learning, usage data and student feedback shows that formative assessment can achieve high engagement and positive response to different assessments. Those assessments incorporating an active learning element and a quiz-based approach appear to be particularly popular. A spaced-education format encourages a building block approach to learning that is continuous in nature rather than focussed on an intense period of study prior to summative examinations. PMID:24111930

Keeley's journey: from service user to service provider.

PubMed

Cassinello, Keeley; Bramley, Sally

2012-01-01

This paper presents the vocational journey of a young British woman, Keeley, who changed her career aspirations to become a mental health worker following an episode of significant mental health difficulties. Keeley's story illustrates the application of the locally developed WORKS framework in conceptualising and supporting Keeley's vocational recovery. A narrative approach highlights the partnerships that developed between Keeley, the Occupational Therapist, Sally, and the User Support and Employment Service. The WORKS framework supported Keeley and Sally to collaboratively develop a successful employment pathway. Strategies, including attention to Keeley's view of her capabilities and aspirations, volunteer placements, support of peers, employer engagement and planning for sustainable employment, assisted Keeley to establish her chosen career. Keeley's journey highlights the leadership role that mental health services can assume by providing paid work for people with experience of mental health difficulties.

The charismatic journey of mastery learning.

PubMed

Inui, Thomas S

2015-11-01

A collection of articles in this issue examine the concept of mastery learning, underscoring that our journey is from a 19th-century construct for assuring skill development (i.e., completing a schedule of rotations driven by the calendar) to a 21st-century sequence of learning opportunities focused on acquiring mastery of special key competencies within clerkships or other activities. Mastery learning processes and standards have the potential to clarify learning goals and competency measurement issues in medical education. Although mastery learning methods originally focused on developing learners' competency with skillful procedures, the author of this Commentary posits that mastery learning methods may be usefully applied more extensively to broader domains of skillful practice, especially those practices that can be linked to outcomes of care. The transition to mastery-focused criteria for educational advancement is laudatory, but challenges will be encountered in the journey to mastery education. The author examines several of these potential challenges, including expansion of mastery learning approaches to effective but relational clinician advice-giving and counseling behaviors, developing criteria for choosing critical competencies that can be linked to outcomes, avoiding a excessively fragmented approach to mastery measurement, and dealing with "educational comorbidity."

Reflections on Pedagogy: A Journey of Collaboration

ERIC Educational Resources Information Center

Woods, Christine

2011-01-01

One of the goals of autoethnography is to "offer lessons for further conversation". In this article, the author reflects on several lessons that were learnt along a journey in management education in the area of indigenous entrepreneurship. In particular, the author outlines her pedagogical practice as an academic engaged in teaching…

Learning through the Ages: An Epistemological Journey

ERIC Educational Resources Information Center

Reid, J. Courtney

2009-01-01

This paper explores how three nineteenth-century women writers guided my thinking about education, oppression and spirituality during different decades of my twentieth-century life. In order to re-collect my epistemological journey, a process that requires analysis and reflection, the paper combines the critical lens of feminist theory with the…

Navigating in the turbulent sea of data: the quality measurement journey.

PubMed

Lloyd, Robert C

2010-03-01

This article provides a roadmap for your quality measurement journey. It begins with a discussion of 3 approaches to measurement (improvement, accountability and research) and challenges readers to be clear about why they are measuring. Key milestones along the quality measurement journey are then presented and a framework for selecting measures, developing clear operational definitions, building data collection plans, and understanding the variation that exists in data is outlined. The article ends with a discussion of why data need to be linked to improvement strategies. Copyright 2010 Elsevier Inc. All rights reserved.

Establishing Research Universities in Ukrainian Higher Education: The Incomplete Journey of a Structural Reform

ERIC Educational Resources Information Center

Hladchenko, Myroslava; de Boer, Harry F.; Westerheijden, Don F.

2016-01-01

The idea of the research university as a key institution for social and economic development in knowledge-intensive societies has been adopted by the Ukrainian government after the fall of the communist regime. Establishing research universities is a long journey during which many things might happen. To understand this journey better in the case…

Women's journey of recovery from sexual assault trauma: a grounded theory--part 1.

PubMed

Duma, S E; Mekwa, J N; Denny, L D

2007-12-01

Thousands of women and children experience sexual assault trauma annually in South Africa. The challenge posed by recovery from sexual assault trauma is a reality that confronts the survivors of sexual assault, their families and the larger community of service providers. Yet, little research has been conducted on recovery from sexual assault as a phenomenon. The purpose of the study was to explore and analyse the journey of recovery which is undertaken by women who have been sexually assaulted, with the aim of discovering and developing the grounded theory of recovery from sexual assault trauma within the first six months following the event of rape. The main research question was: What constitutes the journey of recovery undertaken by women within the first six months following sexual assault? A longitudinal qualitative study was conducted using the principles of grounded theory methodology as proposed by Strauss and Corbin (1990, 1998). A series of in-depth one-to-one interviews were conducted with a sample of ten women. The participants were selected through open, purposive and theoretical sampling procedures. The study was conducted over a period of six months following the event of sexual assault. The substantive theory was discovered and constructed through the inductive and deductive analysis of data, grounded on the ten women's descriptions of their journey of recovery from sexual assault. The theory of women's journey of recovery that was discovered and developed consisted of eight theoretical concepts or categories. These included the following concepts: 1. Sexual assault trauma 2. Awakening 3. Pragmatic acceptance 4. Turning point 5. Reclaiming what was lost 6. Defining own landmarks of healing 7. Readiness for closure 8. Returning to self. The grounded theory of the journey of recovery from sexual assault is a contribution to the knowledge about women's journey of recovery from sexual assault. It provides a process and language for understanding women

"A journey around the world": Parent narratives of the journey to pediatric resective epilepsy surgery and beyond.

PubMed

Baca, Christine B; Pieters, Huibrie C; Iwaki, Tomoko J; Mathern, Gary W; Vickrey, Barbara G

2015-06-01

Although shorter time to pediatric resective epilepsy surgery is strongly associated with greater disease severity, other nonclinical diagnostic and sociodemographic factors also play a role. We aimed to examine parent-reported barriers to timely receipt of pediatric epilepsy surgery. We conducted 37 interviews of parents of children who previously had resective epilepsy surgery at University of California Los Angeles (UCLA; 2006-2011). Interviews were audio-recorded, transcribed, and systematically coded using thematic analysis by two independent coders, and subsequently checked for agreement. Clinical data, including "time to surgery" (age of epilepsy onset to surgery) were abstracted from medical records. The mean time to surgery was 5.3 years (standard deviation [SD] 3.8); surgery types included 32% hemispherectomy, 43% lobar/focal, and 24% multilobar. At surgery, parents were on average 38.4 years (SD 6.6) and children were on average 8.2 years (SD 4.7). The more arduous and longer aspect of the journey to surgery was perceived by parents to be experienced prior to presurgical referral. The time from second antiepileptic drug failure to presurgical referral was ≥ 1 year in 64% of children. Thematic analysis revealed four themes (with subthemes) along the journey to surgery and beyond: (1) recognition--"something is wrong" (unfamiliarity with epilepsy, identification of medical emergency); (2) searching and finding--"a circuitous journey" (information seeking, finding the right doctors, multiple medications, insurance obstacles, parental stress); (3) surgery is a viable option--"the right spot" (surgery as last resort, surgery as best option, hoping for candidacy); and (4) life now--"we took the steps we needed to" (a new life, giving back). Multipronged interventions targeting parent-, provider-, and system-based barriers should focus on the critical presurgical referral period; such interventions are needed to remediate delays and improve access to

Exploring the requirements for multimodal interaction for mobile devices in an end-to-end journey context.

PubMed

Krehl, Claudia; Sharples, Sarah

2012-01-01

The paper investigates the requirements for multimodal interaction on mobile devices in an end-to-end journey context. Traditional interfaces are deemed cumbersome and inefficient for exchanging information with the user. Multimodal interaction provides a different user-centred approach allowing for more natural and intuitive interaction between humans and computers. It is especially suitable for mobile interaction as it can overcome additional constraints including small screens, awkward keypads, and continuously changing settings - an inherent property of mobility. This paper is based on end-to-end journeys where users encounter several contexts during their journeys. Interviews and focus groups explore the requirements for multimodal interaction design for mobile devices by examining journey stages and identifying the users' information needs and sources. Findings suggest that multimodal communication is crucial when users multitask. Choosing suitable modalities depend on user context, characteristics and tasks.

One Teacher's Journey through the Mediated Intersections

ERIC Educational Resources Information Center

Beach, Crystal L.

2015-01-01

Today's classrooms often have a plethora of new ways of reading and writing entering the room, but too often these new ways of "doing" are disregarded and checked at the door. For this reason, one educator shares her journey through the mediated intersections of media, culture, and education. In this piece, she explores how literacy…

A journey from reductionist to systemic cell biology aboard the schooner Tara.

PubMed

Karsenti, Eric

2012-07-01

In this essay I describe my personal journey from reductionist to systems cell biology and describe how this in turn led to a 3-year sea voyage to explore complex ocean communities. In describing this journey, I hope to convey some important principles that I gleaned along the way. I realized that cellular functions emerge from multiple molecular interactions and that new approaches borrowed from statistical physics are required to understand the emergence of such complex systems. Then I wondered how such interaction networks developed during evolution. Because life first evolved in the oceans, it became a natural thing to start looking at the small organisms that compose the plankton in the world's oceans, of which 98% are … individual cells-hence the Tara Oceans voyage, which finished on 31 March 2012 in Lorient, France, after a 60,000-mile around-the-world journey that collected more than 30,000 samples from 153 sampling stations.

Five for Sydney--A Journey through Science

ERIC Educational Resources Information Center

Lam, Stephen

2014-01-01

What is science? Depending on who is asked, it may mean the pursuit of knowledge, explanations of the everyday world, a difficult subject at school, or a field populated by larger than life characters such as Einstein, Feynman, or Hawking. For the author, science has been and remains an unexpected journey, an adventure and an ever-changing career.…

Coast salish and U.S. Geological Survey: Tribal journey water quality project

USGS Publications Warehouse

Akin, Sarah K.; Grossman, Eric E.; Lekanof, Debra; O'Hara, Charles J.

2008-01-01

The Coast Salish Peoples and U.S. Geological Survey (USGS) have commenced on a partnership to examine water quality throughout the Georgia Straits and Puget Sound, blending tradition and science, in response to this deterioration of coastal environments and loss of essential habitats and marine resources of cultural and ecological importance throughout the ancestral waters of the Salish Sea. This report describes the Coast Salish Tribal Journey Water Quality Project, its inception, the results of the 2008 Tribal Journey project, lessons learned, and recommendations for future directions.

BENNU’S JOURNEY - Early Earth

NASA Image and Video Library

2017-12-08

This is an artist's concept of the young Earth being bombarded by asteroids. Scientists think these impacts could have delivered significant amounts of organic matter and water to Earth. Image Credit: NASA's Goddard Space Flight Center Conceptual Image Lab The Origins Spectral Interpretation Resource Identification Security -- Regolith Explorer spacecraft (OSIRIS-REx) will travel to a near-Earth asteroid, called Bennu, and bring a sample back to Earth for study. The mission will help scientists investigate how planets formed and how life began, as well as improve our understanding of asteroids that could impact Earth. OSIRIS-REx is scheduled for launch in late 2016. As planned, the spacecraft will reach its asteroid target in 2018 and return a sample to Earth in 2023. Watch the full video: youtu.be/gtUgarROs08 Learn more about NASA’s OSIRIS-REx mission and the making of Bennu’s Journey: www.nasa.gov/content/goddard/bennus-journey/ More information on the OSIRIS-REx mission is available at: www.nasa.gov/mission_pages/osiris-rex/index.html www.asteroidmission.org NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

A pilot study on understanding the journey of advanced prostate cancer patients.

PubMed

Wagholikar, Amol; Fung, Maggie; Nelson, Colleen

2011-01-01

To understand the journey of advanced prostate cancer patients for supporting development of an innovative patient journey browser. Prostate cancer is one of the common cancers in Australia. Due to the chronic nature of the disease, it is important to have effective disease management strategy and care model. Multi-disciplinary care is a well-proven approach for chronic disease management. The Multi-disciplinary team (MDT) can function more effectively if all the required information is available for the clinical decision support. The development of innovative technology relies on an accurate understanding of the advanced prostate cancer patient's journey over a prolonged period. This need arises from the fact that advanced prostate cancer patients may follow various treatment paths and change their care providers. As a result of this, it is difficult to understand the actual sources of patient's clinical records and their treatment patterns. The aim of the research is to understand variable sources of clinical records, treatment patterns, alternative therapies, over the counter (OTC) medications of advanced prostate cancer patients. This study provides better and holistic understanding of advanced prostate cancer journey. The study was conducted through an on-line survey developed to seek and analyse the responses from the participants. The on-line questionnaire was carefully developed through consultations with the clinical researchers at the Australian Prostate Cancer Research Centre-Queensland, prostate cancer support group representatives and health informaticians at the Australian E-Health Research Centre. The non-identifying questionnaire was distributed to the patients through prostate cancer support groups in Queensland, Australia. The pilot study was carried out between August 2010 and December 2010. The research made important observations about the advanced prostate cancer journey. It showed that General Practitioner (GP) was the common source of

Community and Inquiry: Journey of a Science Teacher

ERIC Educational Resources Information Center

Goldberg, Jennifer; Welsh, Kate

2009-01-01

In this case study, we examine a teacher's journey, including reflections on teaching science, everyday classroom interaction, and their intertwined relationship. The teacher's reflections include an awareness of being "a White middle-class born and raised teacher teaching other peoples' children." This awareness was enacted in the science…

When Teachers Reflect: Journeys toward Effective, Inclusive Practice.

ERIC Educational Resources Information Center

Tertell, Elizabeth A., Ed.; Klein, Susan M., Ed.; Jewett, Janet L., Ed.

On the premise that hearing other preschool teachers talk about their challenges in creating inclusive settings is a powerful impetus to reflect about one's own teaching practice, this book contains personal narratives by 18 teachers about their journeys toward inclusive, developmentally appropriate practice in early childhood education. The…

Growing Up: A Journey toward Theoretical Understanding

ERIC Educational Resources Information Center

Dillow, Celia

2009-01-01

This article describes a struggle and a journey. It shows a struggle between the need to be scholarly and the desire to be evocative; it travels carefully along a path toward less certainty. The article discusses how the author, as a doctoral student, was aware of the need to address her innate resistance to "use" theory and how she struggled to…

Journey length and high temperatures: effects on rabbit welfare and meat quality.

PubMed

Liste, G; María, G A; Buil, T; García-Belenguer, S; Chacón, G; Olleta, J L; Sañudo, C; Villarroel, M

2006-02-01

The transport of domestic animals by road can increase levels of stress and decrease meat quality, especially in unfavourable climates. The purpose of this study was to investigate the effect of journey duration and vertical position on the transport truck on some physiological indicators of stress and on instrumental meat quality parameters in commercial rabbits. In the summer months (June and July, 2003), 78 rabbits were subjected to either long (7 h) (LJ) or short (1 h) (SJ) journeys (3 replicates each, n = 6) between the farm and an abattoir in northern Spain. The position (top, middle, or bottom) occupied by the rabbits on the Multi-Floor cage Rolling Stand (MFRS) of the transport truck was recorded. Blood samples were collected at sticking and meat pH was measured at 24 h post-mortem (pH24). At 48 h post-mortem, samples of the M. longissimus dorsi were used to determine water-holding capacity (WHC) and instrumental tenderness using an INSTRON machine. The levels of corticosterone, glucose, lactate, and creatine kinase were slightly higher in LJ than in SJ samples, but the difference was not statistically significant (p < or = 0.10). Independent of journey length, rabbits in the middle and bottom of the MFRS showed higher levels (p < or = 0.05) of glucose and creatine kinase (middle), and corticosterone (bottom) than the rabbits located at the top floor. The pH 24 and WHC values of the SJ and LJ rabbits did not differ significantly. Journey length had a significant effect (p < or = 0.01) on meat tenderness. The meat from rabbits subjected to LJ had higher values of maximum stress and total toughness than did the SJ rabbits (p < or = 0.05). There were similar differences (p < or = 0.05) between LJ and SJ rabbits in their stress values of compression at 20% and 40% (measures of the tenderness of raw meat). In hot weather, the position on the transport truck appeared to have a greater effect on rabbit welfare than the duration of the journey.

[Therapeutic itineraries of transvestites from the central region of the state of Rio Grande do Sul, Brazil].

PubMed

Souza, Martha Helena Teixeira de; Signorelli, Marcos Claudio; Coviello, Denise Martin; Pereira, Pedro Paulo Gomes

2014-07-01

The scope of this paper is to shed light on the therapeutic itineraries of transvestites from Santa Maria in the central region of the state of Rio Grande do Sul in southern Brazil. The study sought to follow the complex trajectories followed by transvestites in their quest for health care. Field research was conducted between January and November 2012 with transvestites from different cities in the state who were living in Santa Maria at the time. It involved qualitative methodology using ethnographic research. The results showed that the interviewees avoid institutionalized health services, opting for other forms of health care. In this respect, it is noteworthy that of the group of 49 transvestites who were included in this study, 48 sought health care in "African religion groups" or "batuque" ("drumming"), as they refer to them. The transvestites stated that they opted for "African religion groups" as they saw them as places that were able to afford forms of care and protection, without questioning bodily changes and sexual orientation. This article may help to shed light on some of the unusual trajectories of transvestites in their quest for health care.

Central Institute of Psychiatry: A fictional journey to past in a time machine

PubMed Central

Aich, Tapas Kumar; Das, Basudeb; Bhat, T. Sudhakar

2018-01-01

A fictional journey was planned and carried out in a time machine, to know and understand the glorious past of Central Institute of Psychiatry (CIP), Ranchi. As Dr. Anand, the protagonist, went through different periods in the history of CIP, he narrated his experiences while meeting different peoples in different clinical settings. In this journey, he met Lt. Col Berkeley-Hill at European Mental Hospital, as it was in the 1930s. He tried to understand the relevance of Professor Mapother's report and its essence in relation to European and Indian psychiatric scenario during inter-war period, the significance of Moore-Taylor's report, and the direction of psychiatric training and teaching during postindependence era under Major RB Davis as the superintendent of Hospital for Mental Diseases (HMD). Here, Dr. Anand met the great rebel poet of Bengal (and the national poet of Bangladesh later), Kazi Nazrul Islam, who was here for a short period, before being shifted to Europe for further treatment. Dr. Anand also met other superintendents/directors of CIP during postindependence period and tried to understand the significance of those periods in the total journey of CIP till today. The journey started in the present and went back in time. Finally, a brief comparative analysis has been made regarding the status of CIP vis-à -vis other important psychiatric institutes/hospitals in the past and present. PMID:29527063

A Journey into Collaborative Leadership: Moving toward Innovation and Adaptability

ERIC Educational Resources Information Center

Otter, Ken; Paxton, Doug

2017-01-01

This case study explores the journey of an executive leadership team seeking to become more collaborative, innovative, and adaptive in their approach to organizational leadership, using a values-based collaborative leadership program.

My Long Journey from Suffering to Life

ERIC Educational Resources Information Center

Deng, Santino Atem

2006-01-01

Santino Atem Deng, one of the '"lost" boys from Sudan, recounts his story of trauma and resilience, when as a nine-year-old, he fled from the civil war in his home country of southern Sudan. Separated from his parents, he joined a group of adults who were able to take care of him and other young people as they journeyed to Ethiopia. Deng…

Immigrant and Refugee Youth: Migration Journeys and Cultural Values

ERIC Educational Resources Information Center

Fong, Rowena

2007-01-01

Professionals working with immigrant and refugee youth in schools, mental health clinics, hospitals, and adolescent-serving organizations are better equipped to offer culturally appropriate interventions and prevention strategies if they understand their clients' migration journeys and legal status. Professionals who understand the cultural…

Continuing Caritas Journey-Reflections Upon a Shared Private Pilgrimage.

PubMed

Watson, Jean

2014-09-01

This manuscript is a continuing saga of an earlier walking pilgrimage (El Camino in northern Spain): now a journey to Nepal, Bhutan, and Tibet, this time with others instead of alone. As I journeyed in close company with five others we experienced and expressed surprises about our selves and each other-our shared vulnerability, tolerance, and humility-uncovering lessons in living Caritas. As I trekked through these inner and outer adventures, Bhutan was discovered as a light of hope-a living metaphor of a people and a culture that hold and practice Caritas principles of loving-kindness, compassion, and equanimity for all sentient beings. Bhutan, a small country bordered by China and India, the only country in the world with a gross national happiness index and shared Caritas consciousness of oneness and connectedness of all, serves as a sacred path for humanity-a geographic Bodhisattva. © The Author(s) 2014.

An Evaluation of Understandability of Patient Journey Models in Mental Health.

PubMed

Percival, Jennifer; McGregor, Carolyn

2016-07-28

There is a significant trend toward implementing health information technology to reduce administrative costs and improve patient care. Unfortunately, little awareness exists of the challenges of integrating information systems with existing clinical practice. The systematic integration of clinical processes with information system and health information technology can benefit the patients, staff, and the delivery of care. This paper presents a comparison of the degree of understandability of patient journey models. In particular, the authors demonstrate the value of a relatively new patient journey modeling technique called the Patient Journey Modeling Architecture (PaJMa) when compared with traditional manufacturing based process modeling tools. The paper also presents results from a small pilot case study that compared the usability of 5 modeling approaches in a mental health care environment. Five business process modeling techniques were used to represent a selected patient journey. A mix of both qualitative and quantitative methods was used to evaluate these models. Techniques included a focus group and survey to measure usability of the various models. The preliminary evaluation of the usability of the 5 modeling techniques has shown increased staff understanding of the representation of their processes and activities when presented with the models. Improved individual role identification throughout the models was also observed. The extended version of the PaJMa methodology provided the most clarity of information flows for clinicians. The extended version of PaJMa provided a significant improvement in the ease of interpretation for clinicians and increased the engagement with the modeling process. The use of color and its effectiveness in distinguishing the representation of roles was a key feature of the framework not present in other modeling approaches. Future research should focus on extending the pilot case study to a more diversified group of

An Evaluation of Understandability of Patient Journey Models in Mental Health

PubMed Central

2016-01-01

Background There is a significant trend toward implementing health information technology to reduce administrative costs and improve patient care. Unfortunately, little awareness exists of the challenges of integrating information systems with existing clinical practice. The systematic integration of clinical processes with information system and health information technology can benefit the patients, staff, and the delivery of care. Objectives This paper presents a comparison of the degree of understandability of patient journey models. In particular, the authors demonstrate the value of a relatively new patient journey modeling technique called the Patient Journey Modeling Architecture (PaJMa) when compared with traditional manufacturing based process modeling tools. The paper also presents results from a small pilot case study that compared the usability of 5 modeling approaches in a mental health care environment. Method Five business process modeling techniques were used to represent a selected patient journey. A mix of both qualitative and quantitative methods was used to evaluate these models. Techniques included a focus group and survey to measure usability of the various models. Results The preliminary evaluation of the usability of the 5 modeling techniques has shown increased staff understanding of the representation of their processes and activities when presented with the models. Improved individual role identification throughout the models was also observed. The extended version of the PaJMa methodology provided the most clarity of information flows for clinicians. Conclusions The extended version of PaJMa provided a significant improvement in the ease of interpretation for clinicians and increased the engagement with the modeling process. The use of color and its effectiveness in distinguishing the representation of roles was a key feature of the framework not present in other modeling approaches. Future research should focus on extending the pilot

A journey with Fred Hoyle. The search for cosmic life

NASA Astrophysics Data System (ADS)

Wickramasinghe, Chandra; Wickramasinghe, Kamala

2005-01-01

This is the story of the author's unique scientific journey with one of the most remarkable men of 20th century science. The journey begins in Sri Lanka, the author's native country, with his childhood acquaintance with Fred Hoyle's writings. The action then moves to Cambridge, where the famous Hoyle-Wickramasinghe collaborations begin. A research programme which was started in 1962 on the carbonaceous nature of interstellar dust leads, over the next two decades, to developments that are continued in both Cambridge and Cardiff. These developments prompt Hoyle and the author to postulate the organic theory of cosmic dust (which is now generally accepted), and then to challenge one of the most cherished paradigms of contemporary science - the theory that life originated on Earth in a warm primordial soup.

Experiences and perspectives on the GIST patient journey

PubMed Central

Macdonald, Nancy; Shapiro, Ari; Bender, Christina; Paolantonio, Marc; Coombs, John

2012-01-01

Purpose The tyrosine kinase inhibitor (TKI) imatinib has improved outcomes for patients with unresectable or metastatic gastrointestinal stromal tumors (GIST), and for patients receiving adjuvant therapy following GIST resection. This qualitative study explored the experiences and emotions of patients through GIST diagnosis, treatment initiation, disease control, and in some patients, loss of response and therapy switch. Patients and methods Ethnographic investigations were conducted, including semi- structured qualitative interviews of patients with resected or metastatic/unresectable GIST and their caregivers, from Canada (n = 15); the United States (n = 10); and Brazil, France, Germany, Russia, and Spain (n = 5 each). Some interviewees also kept 7-day photo journals. Responses were qualitatively analyzed to identify gaps and unmet needs where communication about disease, treatments, and adherence could be effective. Results Patients shared common experiences during each stage of disease management (crisis, hope, adaptation, new normal, and uncertainty). Patients felt a sense of crisis during diagnosis, followed by hope upon TKI therapy initiation. Over time, they came to adapt to their new lives (new normal) with cancer. With each follow-up, patients confronted the uncertainty of becoming TKI resistant and the possible need to switch therapy. During uncertainty many patients sought new information regarding GIST. Cases of disease progression and drug switching caused patients to revert to crisis and restart their emotional journey. Patients with primary or unresectable/metastatic GIST shared similar journeys, especially regarding uncertainty, although differences in the scope and timing of phases were observed. Strategies patients used to remain adherent included obtaining family support, setting reminder mechanisms, taking medicine at routine times, and storing medicine in prominent places. Conclusions Physicians and support staff can manage patient

Experiences and perspectives on the GIST patient journey.

PubMed

Macdonald, Nancy; Shapiro, Ari; Bender, Christina; Paolantonio, Marc; Coombs, John

2012-01-01

The tyrosine kinase inhibitor (TKI) imatinib has improved outcomes for patients with unresectable or metastatic gastrointestinal stromal tumors (GIST), and for patients receiving adjuvant therapy following GIST resection. This qualitative study explored the experiences and emotions of patients through GIST diagnosis, treatment initiation, disease control, and in some patients, loss of response and therapy switch. Ethnographic investigations were conducted, including semi- structured qualitative interviews of patients with resected or metastatic/unresectable GIST and their caregivers, from Canada (n = 15); the United States (n = 10); and Brazil, France, Germany, Russia, and Spain (n = 5 each). Some interviewees also kept 7-day photo journals. Responses were qualitatively analyzed to identify gaps and unmet needs where communication about disease, treatments, and adherence could be effective. Patients shared common experiences during each stage of disease management (crisis, hope, adaptation, new normal, and uncertainty). Patients felt a sense of crisis during diagnosis, followed by hope upon TKI therapy initiation. Over time, they came to adapt to their new lives (new normal) with cancer. With each follow-up, patients confronted the uncertainty of becoming TKI resistant and the possible need to switch therapy. During uncertainty many patients sought new information regarding GIST. Cases of disease progression and drug switching caused patients to revert to crisis and restart their emotional journey. Patients with primary or unresectable/metastatic GIST shared similar journeys, especially regarding uncertainty, although differences in the scope and timing of phases were observed. Strategies patients used to remain adherent included obtaining family support, setting reminder mechanisms, taking medicine at routine times, and storing medicine in prominent places. Physicians and support staff can manage patient expectations and encourage adherence to therapy, which may

Missing Links: A Serendipitous Journey into Teaching Styles.

ERIC Educational Resources Information Center

Worfel, Paul

This paper documents the journey of a researcher into the teacher effectiveness movement and efforts to find missing links to show the correlations between teacher behavior and student learning. The paper also considers how the forces within education tend to consume embryonic ideas in teacher education, rather than nurture them in an effort to…

ABCs of Being Smart: J Is for Journey

ERIC Educational Resources Information Center

Foster, Joanne

2013-01-01

The old saying, "life is a journey" may sound cliched, but the words are nevertheless true. Children can learn a great deal from the travels and directions chosen by others, and especially from people whose life stories or experiences offer inspiration by virtue of their effort, perseverance, and acquired success. This article presents a…

The journey into fatherhood: A grounded theory study.

PubMed

Sansiriphun, Nantaporn; Kantaruksa, Kannika; Klunklin, Areewan; Baosuang, Chavee; Liamtrirat, Saowanee

2015-12-01

The objective of this study was to explore the process of transition into fatherhood for Thai men from childbirth to the postpartum period. Forty-one first-time Thai fathers were voluntarily recruited from two hospitals in Chiang Mai, Thailand, from December 2012 to June 2013. In-depth interviews were used to collect the data, which were analyzed based on grounded theory methodology. The basic social process that emerged as the core category was termed: "the journey into fatherhood." This process was divided into three phases: labor, delivery, and family beginning. Within this process, there were various situations, challenges, and pressures, which caused many changes of mood and feelings for the first-time fathers. Throughout this process, they applied various strategies to manage their concerns and needs, in order to develop into masterly fathers. Identifying the process of the journey into fatherhood provides nurses and midwives insight into the new fathers' experiences, which will enable them to be more sensitive, respectful, and effective caregivers. © 2015 Wiley Publishing Asia Pty Ltd.

New data on Jean-Étienne Guettard's journey to Poland in the years 1760-1762

NASA Astrophysics Data System (ADS)

Tarkowski, Radosław

2004-10-01

This paper presents new information on the journey of the French geologist Jean-Étienne Guettard to Poland in the years 1760-1762. Search in the Archives of the Academy of Sciences in Paris, especially a review of his biographic dossier and collections of documents reports delivered at the meetings of the Academy, made it possible to find rich material (letters, reports, notes from field studies, drafts of lectures and others), a large part of which refers to this journey. This hitherto overlooked material well supplements our knowledge of the journey and casts some new light on the scope and extent and results of geological and meteorological studies carried out by J.-É. Guettard during his stay in Poland. To cite this article: R. Tarkowski, C. R. Geoscience 336 (2004).

Collaboration Handbook: Creating, Sustaining, and Enjoying the Journey.

ERIC Educational Resources Information Center

Winer, Michael; Ray, Karen

This book provides activities and examples for learning about creating, sustaining, and enjoying new ways of working together. The book helps to develop a new language to deal with complicated situations on the journey to collaboration. The book is divided into four parts. Part 1, "How Do We Begin?" shares a story to develop the scenario. Part 2,…

Don't Stop Believing: Mapping Distance Learners' Research Journeys

ERIC Educational Resources Information Center

Brahme, Maria E.; Gabriel, Lizette; Stenis, Paul V.

2016-01-01

Journey mapping, a method of collecting data that illustrates individuals' paths toward a specific goal, was originally developed for use in retail/customer service environments. Much of the literature describes its application in examining customer behavior when navigating merchants' Websites, allowing researchers to examine the effectiveness,…

Carbon footprint of patient journeys through primary care: a mixed methods approach.

PubMed

Andrews, Elizabeth; Pearson, David; Kelly, Charlotte; Stroud, Laura; Rivas Perez, Martin

2013-09-01

The NHS has a target of cutting its carbon dioxide (CO2) emissions by 80% below 1990 levels by 2050. Travel comprises 17% of the NHS carbon footprint. This carbon footprint represents the total CO2 emissions caused directly or indirectly by the NHS. Patient journeys have previously been planned largely without regard to the environmental impact. The potential contribution of 'avoidable' journeys in primary care is significant. To investigate the carbon footprint of patients travelling to and from a general practice surgery, the issues involved, and potential solutions for reducing patient travel. A mixed methods study in a medium-sized practice in Yorkshire. During March 2012, 306 patients completed a travel survey. GIS maps of patients' travel (modes and distances) were produced. Two focus groups (12 clinical and 13 non-clinical staff) were recorded, transcribed, and analysed using a thematic framework approach. The majority (61%) of patient journeys to and from the surgery were made by car or taxi; main reasons cited were 'convenience', 'time saving', and 'no alternative' for accessing the surgery. Using distances calculated via ArcGIS, the annual estimated CO2 equivalent carbon emissions for the practice totalled approximately 63 tonnes. Predominant themes from interviews related to issues with systems for booking appointments and repeat prescriptions; alternative travel modes; delivering health care; and solutions to reducing travel. The modes and distances of patient travel can be accurately determined and allow appropriate carbon emission calculations for GP practices. Although challenging, there is scope for identifying potential solutions (for example, modifying administration systems and promoting walking) to reduce 'avoidable' journeys and cut carbon emissions while maintaining access to health care.

Integrated travel network model for studying epidemics: Interplay between journeys and epidemic.

PubMed

Ruan, Zhongyuan; Wang, Chaoqing; Hui, Pak Ming; Liu, Zonghua

2015-06-15

The ease of travelling between cities has contributed much to globalization. Yet, it poses a threat on epidemic outbreaks. It is of great importance for network science and health control to understand the impact of frequent journeys on epidemics. We stress that a new framework of modelling that takes a traveller's viewpoint is needed. Such integrated travel network (ITN) model should incorporate the diversity among links as dictated by the distances between cities and different speeds of different modes of transportation, diversity among nodes as dictated by the population and the ease of travelling due to infrastructures and economic development of a city, and round-trip journeys to targeted destinations via the paths of shortest travel times typical of human journeys. An example is constructed for 116 cities in China with populations over one million that are connected by high-speed train services and highways. Epidemic spread on the constructed network is studied. It is revealed both numerically and theoretically that the traveling speed and frequency are important factors of epidemic spreading. Depending on the infection rate, increasing the traveling speed would result in either an enhanced or suppressed epidemic, while increasing the traveling frequency enhances the epidemic spreading.

The Journey as a Transcultural Experience for International Students

ERIC Educational Resources Information Center

Loynes, Chris; Gurholt, Kirsti Pedersen

2017-01-01

An international two-year Erasmus Mundus MA, Transcultural European Outdoor Studies (TEOS), uses the journey as a central metaphorical concept, the "peregrinatio academica", and experiential pedagogy. Students study human nature interactions through the lens of outdoor education and recreation while travelling for a semester at a time in…

Coproducing Aboriginal patient journey mapping tools for improved quality and coordination of care.

PubMed

Kelly, Janet; Dwyer, Judith; Mackean, Tamara; O'Donnell, Kim; Willis, Eileen

2016-12-08

This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented. Data were thematically analysed. In the absence of suitable existing tools, a new analytical framework and mapping approach was developed. The utility of the tools in other settings was then tested with health professionals, and the tools were further modified for use in quality improvement in health and education settings in South Australia and the Northern Territory. A central set of patient journey mapping tools with flexible adaptations, a workbook, and five sets of case studies describing how staff adapted and used the tools at different sites are available for wider use.

A Journey through the Labyrinth of Mental Illness

ERIC Educational Resources Information Center

Cowan, Katherine C.

2015-01-01

Behind every student dealing with a mental health problem is a family trying to grasp what's happening to their child and struggling to do its best. This personal story shares the journey of a family as it confronts a child with Generalized Anxiety and Panic Disorder and describes the many starts and stops and confusion of diagnosing and…

The Moons of Jupiter / Journey to the Stars

NASA Astrophysics Data System (ADS)

Litwak, J.; Chatzichristou, E.

2017-09-01

The Moons of Jupiter/ Journey to the Stars uses the arts, most particularly theatre arts to inspire curiosity about science education. Using characters which include famous scientists as well as mythological figures, the project provokes thought and offers opportunity for discovery. The play and the subsequent creative teaching tools are accessible to scientists, artists and lay people in an out of the classroom.

The college journey and academic engagement: how metaphor use enhances identity-based motivation.

PubMed

Landau, Mark J; Oyserman, Daphna; Keefer, Lucas A; Smith, George C

2014-05-01

People commonly talk about goals metaphorically as destinations on physical paths extending into the future or as contained in future periods. Does metaphor use have consequences for people's motivation to engage in goal-directed action? Three experiments examine the effect of metaphor use on students' engagement with their academic possible identity: their image of themselves as academically successful graduates. Students primed to frame their academic possible identity using the goal-as-journey metaphor reported stronger academic intention, and displayed increased effort on academic tasks, compared to students primed with a nonacademic possible identity, a different metaphoric framing (goal-as-contained-entity), and past academic achievements (Studies 1-2). This motivating effect persisted up to a week later as reflected in final exam performance (Study 3). Four experiments examine the cognitive processes underlying this effect. Conceptual metaphor theory posits that an accessible metaphor transfers knowledge between dissimilar concepts. As predicted in this paradigm, a journey-metaphoric framing of a possible academic identity transferred confidence in the procedure, or action sequence, required to attain that possible identity, which in turn led participants to perceive that possible identity as more connected to their current identity (Study 4). Drawing on identity-based motivation theory, we hypothesized that strengthened current/possible identity connection would mediate the journey framing's motivating effect. This mediational process predicted students' academic engagement (Study 5) and an online sample's engagement with possible identities in other domains (Study 6). Also as predicted, journey framing increased academic engagement particularly among students reporting a weak connection to their academic possible identity (Study 7).

The Journey of the Learner: Personal and Universal Story.

ERIC Educational Resources Information Center

Drake, Susan M.

1991-01-01

With the mythological example of Theseus and the Minotaur, learning is described as a journey. Using this metaphor, educators should demonstrate passion for the subject matter, make it meaningful, call learners to adventure, help them deal with anxiety, foster collaboration and self-direction, and encourage them to contribute what they have…

Antarctica: Scientific Journeys from McMurdo to the Pole.

ERIC Educational Resources Information Center

Brand, Judith, Ed.

2002-01-01

This issue of Exploratorium Magazine focuses on Antarctica. Antarctica has one of the most extreme climates in the world with an untouched environment inviting researchers with great opportunities for study. This issue describes the journey of four Exploratorium staff members to frozen Antarctica. Chapters include: (1) "Life at the Bottom of…

The 'values journey' of nursing and midwifery students selected using multiple mini interviews; Year One findings.

PubMed

Callwood, Alison; Bolger, Sarah; Allan, Helen T

2018-05-01

To explore how adult, child and mental health nursing and midwifery students, selected using multiple mini interviews, describe their 'values journey' following exposure to the clinical practice environment. Values based recruitment (VBR) incorporates assessment of healthcare students' personal values using approaches like multiple mini interviews. Students' experience of adjustment to their values during their programme is conceptualized as a 'values journey'. The impact of VBR in alleviating erosion of personal values remains unclear. A cross-professional longitudinal cohort study was commenced at one university in England in 2016 with data collection points at the end of years one, two and three. Non-probability consecutive sampling resulted in 42 healthcare students (8 adult, 8 child and 9 mental health nursing and 17 midwifery students) taking part. Six semi-structured focus groups were conducted at the end of participants' Year One (DC1). Data analysis incorporated inductive and deductive approaches in a hybrid synthesis. Participants described a 'values journey' where their values, particularly communication, courage and wanting to make a difference, were both challenged and retained. Participants personal journeys also acknowledged the: 'courage it takes to use values'; 'reality of values in practice' and 'need for self-reflection on values'. A 'values journey' may begin early in a healthcare student's education programme. This is important to recognize so that appropriate interventions designed to support students in higher education and clinical practice can be implemented. The values incorporated in VBR should be continually evaluated for fitness for purpose. © 2017 John Wiley & Sons Ltd.

Carbon footprint of patient journeys through primary care: a mixed methods approach

PubMed Central

Andrews, Elizabeth; Pearson, David; Kelly, Charlotte; Stroud, Laura; Rivas Perez, Martin

2013-01-01

Background The NHS has a target of cutting its carbon dioxide (CO2) emissions by 80% below 1990 levels by 2050. Travel comprises 17% of the NHS carbon footprint. This carbon footprint represents the total CO2 emissions caused directly or indirectly by the NHS. Patient journeys have previously been planned largely without regard to the environmental impact. The potential contribution of ‘avoidable’ journeys in primary care is significant. Aim To investigate the carbon footprint of patients travelling to and from a general practice surgery, the issues involved, and potential solutions for reducing patient travel. Design and setting A mixed methods study in a medium-sized practice in Yorkshire. Method During March 2012, 306 patients completed a travel survey. GIS maps of patients’ travel (modes and distances) were produced. Two focus groups (12 clinical and 13 non-clinical staff) were recorded, transcribed, and analysed using a thematic framework approach. Results The majority (61%) of patient journeys to and from the surgery were made by car or taxi; main reasons cited were ‘convenience’, ‘time saving’, and ‘no alternative’ for accessing the surgery. Using distances calculated via ArcGIS, the annual estimated CO2 equivalent carbon emissions for the practice totalled approximately 63 tonnes. Predominant themes from interviews related to issues with systems for booking appointments and repeat prescriptions; alternative travel modes; delivering health care; and solutions to reducing travel. Conclusion The modes and distances of patient travel can be accurately determined and allow appropriate carbon emission calculations for GP practices. Although challenging, there is scope for identifying potential solutions (for example, modifying administration systems and promoting walking) to reduce ‘avoidable’ journeys and cut carbon emissions while maintaining access to health care. PMID:23998839

Extracting Models in Single Molecule Experiments

NASA Astrophysics Data System (ADS)

Presse, Steve

2013-03-01

Single molecule experiments can now monitor the journey of a protein from its assembly near a ribosome to its proteolytic demise. Ideally all single molecule data should be self-explanatory. However data originating from single molecule experiments is particularly challenging to interpret on account of fluctuations and noise at such small scales. Realistically, basic understanding comes from models carefully extracted from the noisy data. Statistical mechanics, and maximum entropy in particular, provide a powerful framework for accomplishing this task in a principled fashion. Here I will discuss our work in extracting conformational memory from single molecule force spectroscopy experiments on large biomolecules. One clear advantage of this method is that we let the data tend towards the correct model, we do not fit the data. I will show that the dynamical model of the single molecule dynamics which emerges from this analysis is often more textured and complex than could otherwise come from fitting the data to a pre-conceived model.

Redemptive Journey: The Storytelling Motif in Andersen's "The Snow Queen."

ERIC Educational Resources Information Center

Misheff, Sue

1989-01-01

Discusses how Hans Christian Andersen's "The Snow Queen" uses the motif of storytelling to describe the journey taken by the heroine Gerda. Identifies a story as that which is alive and active and which causes catharsis for those who participate in it. (MG)

Perspectives on the Community College: A Journey of Discovery.

ERIC Educational Resources Information Center

Thomas, Noreen, Ed.

This monograph was designed to provide a comprehensive and enlightened view of the community college as it faces complicated new demands. It offers articles written by community college professionals, including the following: (1) "A Journey of Discovery" by Albert L. Lorenzo; (2) "Organizational Readiness: Middle Age and the Middle Way" by Cindy…

Literacy on the Move: A Journal for the Journey

ERIC Educational Resources Information Center

Curtis, Laurie J.

2013-01-01

Travel provides students with multiple opportunities to learn about people, places, and the world around them. At times, students are given opportunities to travel causing them to be absent from the classroom. This manuscript provides a practical suggestion for engaging students in learning while on the journey. Students are asked to share and…

Integrated travel network model for studying epidemics: Interplay between journeys and epidemic

PubMed Central

Ruan, Zhongyuan; Wang, Chaoqing; Ming Hui, Pak; Liu, Zonghua

2015-01-01

The ease of travelling between cities has contributed much to globalization. Yet, it poses a threat on epidemic outbreaks. It is of great importance for network science and health control to understand the impact of frequent journeys on epidemics. We stress that a new framework of modelling that takes a traveller’s viewpoint is needed. Such integrated travel network (ITN) model should incorporate the diversity among links as dictated by the distances between cities and different speeds of different modes of transportation, diversity among nodes as dictated by the population and the ease of travelling due to infrastructures and economic development of a city, and round-trip journeys to targeted destinations via the paths of shortest travel times typical of human journeys. An example is constructed for 116 cities in China with populations over one million that are connected by high-speed train services and highways. Epidemic spread on the constructed network is studied. It is revealed both numerically and theoretically that the traveling speed and frequency are important factors of epidemic spreading. Depending on the infection rate, increasing the traveling speed would result in either an enhanced or suppressed epidemic, while increasing the traveling frequency enhances the epidemic spreading. PMID:26073191

Integrated travel network model for studying epidemics: Interplay between journeys and epidemic

NASA Astrophysics Data System (ADS)

Ruan, Zhongyuan; Wang, Chaoqing; Ming Hui, Pak; Liu, Zonghua

2015-06-01

The ease of travelling between cities has contributed much to globalization. Yet, it poses a threat on epidemic outbreaks. It is of great importance for network science and health control to understand the impact of frequent journeys on epidemics. We stress that a new framework of modelling that takes a traveller’s viewpoint is needed. Such integrated travel network (ITN) model should incorporate the diversity among links as dictated by the distances between cities and different speeds of different modes of transportation, diversity among nodes as dictated by the population and the ease of travelling due to infrastructures and economic development of a city, and round-trip journeys to targeted destinations via the paths of shortest travel times typical of human journeys. An example is constructed for 116 cities in China with populations over one million that are connected by high-speed train services and highways. Epidemic spread on the constructed network is studied. It is revealed both numerically and theoretically that the traveling speed and frequency are important factors of epidemic spreading. Depending on the infection rate, increasing the traveling speed would result in either an enhanced or suppressed epidemic, while increasing the traveling frequency enhances the epidemic spreading.

In Search of "Best Practice": A Professional Journey

ERIC Educational Resources Information Center

Martin, Karen

2012-01-01

In this article, the author tells her professional journey as an educator of students who are deaf and hard of hearing. The author started her career in 1991, fresh out of college with her bachelor's degree in education of the deaf K-12. She took a job at the Delaware School for the Deaf (DSD) as a resident advisor in the dorm program. Here she is…

Where We Were... Where We Are Heading: One Multiplicative Journey

ERIC Educational Resources Information Center

Hurst, Chris; Hurrell, Derek

2017-01-01

A journey into multiplicative thinking by three teachers in a primary school is reported. A description of how the teachers learned to identify gaps in student knowledge is described along with how the teachers assisted students to connect multiplicative ideas in ways that make sense.

Speaking to the Ghost: An Autoethnographic Journey with Elwyn

ERIC Educational Resources Information Center

Heyward, Paul; Fitzpatrick, Esther

2016-01-01

As educators we are haunted. This haunting takes place on several levels, through our personal histories, through key theoretical ideas we have encountered on our journeys, and by those significant educators who have gone before. This paper highlights how Elwyn S. Richardson continues to haunt education in New Zealand. Also how Elwyn, in turn, was…

Exploration of Praxis through Personal and Professional Journey: Implications

ERIC Educational Resources Information Center

Singh, Navin Kumar

2012-01-01

This paper explores the meaning of praxis through the personal and professional journey of the author, emphasizing the thoughts of major proponents of praxis and their contributions in the field. What emerges through this exploration is that praxis is not knowing but putting the knowing into action for the betterment of all humankind through…

The Dudley Challenges: Virtual Balloon Journeys and Real Learning

ERIC Educational Resources Information Center

Hackett, Shirley; Davies, John; Tibble, Eric

2005-01-01

The Dudley Challenges were developed to celebrate the millennium and the first year of the Dudley Grid for Learning. Three Challenges, Challenge 2000 the original resource, Challenge Europa and Junior Trek, are based on virtual balloon journeys, visiting a series of interesting cultural centres. Access to each centre visited is by solving a series…

Measuring the Impact of Online Evidence Retrieval Systems using Critical Incidents & Journey Mapping.

PubMed

Westbrook, Johanna I; Coiera, Enrico W; Braithwaite, Jeffrey

2005-01-01

Online evidence retrieval systems are one potential tool in supporting evidence-based practice. We have undertaken a program of research to investigate how hospital-based clinicians (doctors, nurses and allied health professionals) use these systems, factors influencing use and their impact on decision-making and health care delivery. A central component of this work has been the development and testing of a broad range of evaluation techniques. This paper provides an overview of the results obtained from three stages of this evaluation and details the results derived from the final stage which sought to test two methods for assessing the integration of an online evidence system and its impact on decision making and patient care. The critical incident and journey mapping techniques were applied. Semi-structured interviews were conducted with 29 clinicians who were experienced users of the online evidence system. Clinicians were asked to described recent instances in which the information obtained using the online evidence system was especially helpful with their work. A grounded approach to data analysis was taken producing three categories of impact. The journey mapping technique was adapted as a method to describe and quantify clinicians' integration of CIAP into their practice and the impact of this on patient care. The analogy of a journey is used to capture the many stages in this integration process, from introduction to the system to full integration into everyday clinical practice with measurable outcomes. Transcribed interview accounts of system use were mapped against the journey stages and scored. Clinicians generated 85 critical incidents and one quarter of these provided specific examples of system use leading to improvements in patient care. The journey mapping technique proved to be a useful method for providing a quantification of the ways and extent to which clincians had integrated system use into practice, and insights into how information

Journey to the center of the galaxy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chaisson, E.

1980-08-01

The solar system is a member of the Orion Arm of the Milky Way, far from the center of the Galaxy. This article takes the reader on a hypothetical journey from the solar system to the center of the Galaxy. Results from radio and infrared studies are used to suggest what such a journey might reveal. Traveling from the solar system toward the center, one crosses the Cygnus Arm, then the Sagittarius Arm, and then the so-called Three-kiloparsec Arm. The Arms contain a mixture of young stars as well as lots of gas and dust. Radio studies show that themore » Three-kiloparsec Arm is more like a ring than an arm. Inside this ring, is another ring composed of giant molecular clouds. Radio and infrared astronomers have discovered that the heart of the Galaxy is composed of matter in most perplexing states. There are three regions known within this innermost thousand light-years. First, there is a large zone of thin, hot ionized gas. Within this, there is a whirlpool of dense, warm matter. And further embedded, there seems to be a small supermassive object at the center. Possibly this object could be a blackhole. Researchers are continuing to examine, monitor, and model this mysterious region, the galactic nuclei. (SC)« less

Returning to work: The cancer survivor’s transformational journey of adjustment and coping

PubMed Central

Barnard, Antoni; Clur, Loraine; Joubert, Yvonne

2016-01-01

The aim of this study was to explore cancer survivors’ return to work (RTW) experience with a specific focus on the adjustment and coping process underlying their journey. The study was conducted in the Southern Cape, South Africa, with eight cancer survivors having returned to work following successful treatment of various types of cancer. Unstructured interviews were conducted and data were analysed following the principles of hermeneutic phenomenological reflection and analysis. Four themes emerged, representing the changing adjustment responses and coping during the RTW journey. Participants evolve from being overwhelmed with emotions and applying avoidant coping to seeking understanding and positive affectivity in their attempt to comprehend the reality of their situation. Participants’ external locus of control change to a more active approach and problem-solving orientation, demonstrating a need to take control and responsibility. Ultimately, adjustment and coping become most constructive when cancer survivors resolve to re-assess life and self through meaning-making, resulting in renewed appreciation of life, appropriate life style changes, and regained confidence in their relational role. A process perspective is proposed to facilitate an understanding of, and working with, cancer survivors’ transition through the RTW journey towards optimal coping phases. PMID:27852419

Beyond Learning Literacy at School: One Chinese Adolescent's Educational Journey

ERIC Educational Resources Information Center

Ma, Wen

2009-01-01

Drawing on a variety of qualitative data, this case study explored one Chinese adolescent's decade-long educational journey at various American schools. The findings reveal academic triumphs, familial conflicts, and developmental dilemmas experienced by the student and the family across different sociocultural spaces. This research has…

Heuristic Inquiry: A Personal Journey of Acculturation and Identity Reconstruction

ERIC Educational Resources Information Center

Djuraskovic, Ivana; Arthur, Nancy

2010-01-01

Heuristic methodology attempts to discover the nature and meaning of phenomenon through internal self-search, exploration, and discovery. Heuristic methodology encourages the researcher to explore and pursue the creative journey that begins inside one's being and ultimately uncovers its direction and meaning through internal discovery (Douglass &…

The Spiritual Journey: Black Female Adult Learners in Higher Education

ERIC Educational Resources Information Center

Jones Tinner, LaShanta Y.

2013-01-01

This study explored the experience of Black female adult learners and how spirituality influenced their academic journeys. Research concerning Black female adult learners in higher education is ostensibly partial. These data offered an extended understanding of Black female adult learners' academic experiences, while also investigating common…

The Public Health Journey: The Meaning and the Moment

ERIC Educational Resources Information Center

Koh, Howard K.

2013-01-01

The public health journey is a remarkable one, filled with twists and turns as well as risks and rewards. Because promoting the health of others represents a mission brimming with meaning, our professional work is also profoundly personal. At this extraordinary moment in our nation's public health history, I reflect on the purpose of the…

A Journey Backwards: History through Style in Children's Fiction

ERIC Educational Resources Information Center

Ringrose, Christopher

2007-01-01

A & C Black's "Flashbacks" series invites its readers to "Read a "Flashback"..take a journey backwards in time". There are several ways in which children's fiction has encouraged its readers to engage with and care about history: through the presence of ghosts, through frame stories, time travel, or simply setting the narrative in the past.…

Patterns and durations of journeys by horses transported from the USA to Canada for slaughter

PubMed Central

Roy, R. Cyril; Cockram, Michael S.

2015-01-01

Concern has been expressed over the welfare of horses transported from the USA for slaughter in Canada. United States Department of Agriculture owner/shipper certificates for the year 2009 were analyzed to provide quantitative information on the patterns and durations of these journeys. In 2009, horses from 16 states in the northern USA were transported to 6 equine slaughter plants in Canada. Thirty-two percent of loads were from auction centers, 33% from feedlots, and 35% from horse collection centers. The median duration of the journey was 19 h. Thirty-six percent of horses were transported for < 6 h, 11% for 6 to 18 h, 13% for 18 to 24 h, 25% for 24 to 36 h, 9% for 36 to 48 h, and apparently 6% > 48 h. Some journeys exceeded those specified in regulations and, based on other research, would put these horses at risk of negative welfare outcomes, such as dehydration, injury, and fatigue. PMID:26028678

Single Black Working Mothers' Perceptions: The Journey to Achieve Leadership Positions

ERIC Educational Resources Information Center

Raglin, Sherrell

2017-01-01

Single Black working mothers faced significant challenges in achieving high-level or senior-level leadership positions. The purpose of this qualitative narrative study was to collect, analyze and code the stories told by 10 participants to understand the perceptions and insights of the challenges and barriers single Black working mothers faced in…

A Narrative Analysis of a Teacher Educator's Professional Learning Journey

ERIC Educational Resources Information Center

Vanassche, Eline; Kelchtermans, Geert

2016-01-01

This article reports on a narrative analysis of one teacher educator's learning journey in a two-year professional development project. Professional development is conceived of as the complex learning processes resulting from the meaningful interactions between the individual teacher educator and his/her working context. Our analysis indicates…

A recovery journey for people with personality disorder.

PubMed

Castillo, Heather; Ramon, Shulamit; Morant, Nicola

2013-05-01

The study investigates the process of recovery for people diagnosed with personality disorder, a client group that suffers significant social exclusion known to impact on demand for health and other public services. It aims to examine efforts that attempt to reverse this social exclusion as an aspect of the recovery process. and The following study aims to (1) explore what recovery means to people with personality disorder; (2) develop a conceptual model of recovery in personality disorder; and (3) evaluate the contribution of the setting (The Haven) to recovery practice. The study uses a Participatory Action Research (PAR) design. Data was collected from 66 participants by focus groups and individual interviews. A map based on thematic analysis of data collected during the study is proposed of the recovery journey for people with this diagnosis, shown as a pyramid that represents a hierarchy of progress, from building trust through stages of recovery to social inclusion. The findings offer contributions to knowledge in terms of the service design and propose a new model of recovery in personality disorder. This is defined as a journey of small steps highlighting recovery as a process rather than a goal, leading to the emergence of the new concept of transitional recovery.

Learning to reason: a journey of professional socialisation.

PubMed

Ajjawi, Rola; Higgs, Joy

2008-05-01

One of the key attributes that health professional students and new graduates develop during professional socialisation is clinical reasoning ability. Clinical reasoning is a complex skill that is essential for professional practice. There is limited research specifically addressing how physiotherapists learn to reason in the workplace. The research reported in this paper addressed this gap by investigating how experienced physiotherapists learned to reason in daily practice. This learning journey was examined in the context of professional socialisation. A hermeneutic phenomenological research study was conducted using multiple methods of data collection including observation, written reflective exercises and repeated, semi-structured interviews. Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants' learning journeys were diverse, although certain episodes of learning were common or similar. Role models, mentors and colleagues were found to be influential in the development of reasoning. An important implication for the professional socialisation of physiotherapists and other health professionals and for those involved in practice development is the need to recognise and enhance the role of practice communities in the explicit learning of clinical reasoning skills.

Silent Partners: Actor and Audience in Geese Theatre's "Journey Woman"

ERIC Educational Resources Information Center

Bottoms, Stephen

2010-01-01

This essay considers the performance context and aesthetics of "Journey Woman", a play devised to initiate a week-long rehabilitative groupwork programme for female prisoners. Although Geese Theatre UK are one of the country's longest-established companies specialising in drama work within the criminal justice sector, this 2006 piece is…

Advancing the Journey to Mars on This Week @NASA – October 30, 2015

NASA Image and Video Library

2015-10-30

During an Oct. 28 keynote speech at the Center for American Progress, in Washington, NASA Administrator Charlie Bolden spoke about the advancement made on the journey to Mars and what lies ahead for future administrations and policy makers. NASA’s recently released report “Journey to Mars: Pioneering Next Steps in Space Exploration,” outlines its plan to reach Mars in phases – with technology demonstrations and research aboard the International Space Station, followed by hardware and procedure development in the proving ground around the moon, before sending humans to the Red Planet. Also, Space station spacewalk, Another record in space for Kelly, Mars Landing Sites/ Exploration Zones Workshop, Cassini’s “deep dive” flyby and more!

The educational journeys of first-generation college women in STEM: A grounded theory study

NASA Astrophysics Data System (ADS)

Geier, Susan

The purpose of this study was to ascertain the various factors that influenced these first-generation college women as they chose a college and selected a STEM major and subsequently persisted to upper level (junior/senior) status. Twenty-five first-generation college women in STEM majors who attended a research-intensive university in the Midwest were interviewed. Approaching this study using constructivist grounded theory provided the opportunity for deeper insights by examining data at a conceptual level while preserving the voices of the women in this study. The women faced numerous challenges on their journeys, yet they persisted. As the women in this study selected and persisted in STEM, they demonstrated thoughtful determination, experienced shifting identities, established purposeful relationships and applied forward thinking, as they practiced high-stakes decision-making during their journeys. The experiences of these women, namely first-generation women in STEM fields, may inform students, parents, educators, researchers, and policymakers concerned with (a) inspiring students to consider STEM majors, (b) fostering student success in STEM throughout their academic journeys, and (c) ultimately increasing the number of underrepresented minorities and women in the STEM fields.

Journey to 2030 : transportation plan of the Boston region metropolitan planning organization.

DOT National Transportation Integrated Search

2007-06-28

JOURNEY to 2030, the Transportation Plan of the Boston Region Metropolitan Planning Organization (referred to as the Plan), is the long-range, comprehensive transportation planning document for the Boston region. The region encompasses 101 cities and...

Journey to vaccination: a protocol for a multinational qualitative study.

PubMed

Wheelock, Ana; Miraldo, Marisa; Parand, Anam; Vincent, Charles; Sevdalis, Nick

2014-01-31

In the past two decades, childhood vaccination coverage has increased dramatically, averting an estimated 2-3 million deaths per year. Adult vaccination coverage, however, remains inconsistently recorded and substandard. Although structural barriers are known to limit coverage, social and psychological factors can also affect vaccine uptake. Previous qualitative studies have explored beliefs, attitudes and preferences associated with seasonal influenza (flu) vaccination uptake, yet little research has investigated how participants' context and experiences influence their vaccination decision-making process over time. This paper aims to provide a detailed account of a mixed methods approach designed to understand the wider constellation of social and psychological factors likely to influence adult vaccination decisions, as well as the context in which these decisions take place, in the USA, the UK, France, India, China and Brazil. We employ a combination of qualitative interviewing approaches to reach a comprehensive understanding of the factors influencing vaccination decisions, specifically seasonal flu and tetanus. To elicit these factors, we developed the journey to vaccination, a new qualitative approach anchored on the heuristics and biases tradition and the customer journey mapping approach. A purposive sampling strategy is used to select participants who represent a range of key sociodemographic characteristics. Thematic analysis will be used to analyse the data. Typical journeys to vaccination will be proposed. Vaccination uptake is significantly influenced by social and psychological factors, some of which are under-reported and poorly understood. This research will provide a deeper understanding of the barriers and drivers to adult vaccination. Our findings will be published in relevant peer-reviewed journals and presented at academic conferences. They will also be presented as practical recommendations at policy and industry meetings and healthcare

Journey to vaccination: a protocol for a multinational qualitative study

PubMed Central

Wheelock, Ana; Miraldo, Marisa; Parand, Anam; Vincent, Charles; Sevdalis, Nick

2014-01-01

Introduction In the past two decades, childhood vaccination coverage has increased dramatically, averting an estimated 2–3 million deaths per year. Adult vaccination coverage, however, remains inconsistently recorded and substandard. Although structural barriers are known to limit coverage, social and psychological factors can also affect vaccine uptake. Previous qualitative studies have explored beliefs, attitudes and preferences associated with seasonal influenza (flu) vaccination uptake, yet little research has investigated how participants’ context and experiences influence their vaccination decision-making process over time. This paper aims to provide a detailed account of a mixed methods approach designed to understand the wider constellation of social and psychological factors likely to influence adult vaccination decisions, as well as the context in which these decisions take place, in the USA, the UK, France, India, China and Brazil. Methods and analysis We employ a combination of qualitative interviewing approaches to reach a comprehensive understanding of the factors influencing vaccination decisions, specifically seasonal flu and tetanus. To elicit these factors, we developed the journey to vaccination, a new qualitative approach anchored on the heuristics and biases tradition and the customer journey mapping approach. A purposive sampling strategy is used to select participants who represent a range of key sociodemographic characteristics. Thematic analysis will be used to analyse the data. Typical journeys to vaccination will be proposed. Ethics and dissemination Vaccination uptake is significantly influenced by social and psychological factors, some of which are under-reported and poorly understood. This research will provide a deeper understanding of the barriers and drivers to adult vaccination. Our findings will be published in relevant peer-reviewed journals and presented at academic conferences. They will also be presented as practical

Instructional Design Practice as Innovative Learning: Journeys into the Unfamiliar

ERIC Educational Resources Information Center

Yanchar, Stephen C.

2016-01-01

Critical discussions within the field of instructional design have addressed the roles and competencies of designers, as well as the nature of design work per se. This article presents an overarching metaphor--namely, instructional design as a journey into the unfamiliar--that views design as a two-fold learning enterprise (i.e., innovative and…

Linking Action Learning and Inter-Organisational Learning: The Learning Journey Approach

ERIC Educational Resources Information Center

Schumacher, Thomas

2015-01-01

The article presents and illustrates the learning journey (LJ)--a new management development approach to inter-organisational learning based on observation, reflection and problem-solving. The LJ involves managers from different organisations and applies key concepts of action learning and systemic organisational development. Made up of…

Journey-time exposure to particulate air pollution

NASA Astrophysics Data System (ADS)

Gulliver, John; Briggs, David J.

Journey-time exposures to particulate air pollution were investigated in Leicester, UK, between January and March 2005. Samples of TSP, PM 10, PM 2.5, and PM 1 were simultaneously collected using light scattering devices whilst journeys were made by walking an in-car. Over a period of two months, 33 pairs of walking and in-car measurements were collected along two circular routes. Average exposures while walking were seen to be higher than those found in-car for each of the particle fractions: average walking to in-car ratios were 1.2 (± 0.6), 1.5 (± 0.6), 1.3 (± 0.6), and 1.4 (± 0.6) μg m -3 for coarse (TSP-PM 10), intermediate (PM 10-PM 2.5), fine (PM 2.5-PM 1), and very fine particles (PM 1), respectively. Correlations between walking and in-car exposures were seen to be weak for coarse particles ( r=0.10, p=0.58), moderate for the intermediate particles ( r=0.49, p<0.01) but strong for fine ( r=0.89, p<0.01) and very fine ( r=0.90, P<0.01) particles. PM 10 exposures while walking were on average 70% higher than a nearby roadside fixed-site monitor whilst in-car exposures were 25% higher than the same fixed-site monitor. Particles with an aerodynamic diameter of less than 2.5 μm were seen to be highly correlated between walking and in-car particle exposures and a rural fixed-site monitor about 30 km south of Leicester.

Pressure ulcer prevention program: a journey.

PubMed

Delmore, Barbara; Lebovits, Sarah; Baldock, Philip; Suggs, Barbara; Ayello, Elizabeth A

2011-01-01

The Centers for Medicare & Medicaid Services' regulations regarding nonpayment for hospital-acquired conditions such as pressure ulcers have prompted a marked increase in focus on preventive care. Our hospital also used this change in payment policy as an opportunity to strengthen our pressure ulcer prevention practices. We used an 8-spoke prevention wheel to develop and implement practice changes that reduced pressure ulcer incidence from 7.3% to 1.3% in 3 years. Because it is about the journey, we will describe the mechanisms we designed and implemented, and identify strategies that worked or did not work as we promulgated a quality improvement process for pressure ulcer prevention in our large urban hospital center.

Combining patient journey modelling and visual multi-agent computer simulation: a framework to improving knowledge translation in a healthcare environment.

PubMed

Curry, Joanne; Fitzgerald, Anneke; Prodan, Ante; Dadich, Ann; Sloan, Terry

2014-01-01

This article focuses on a framework that will investigate the integration of two disparate methodologies: patient journey modelling and visual multi-agent simulation, and its impact on the speed and quality of knowledge translation to healthcare stakeholders. Literature describes patient journey modelling and visual simulation as discrete activities. This paper suggests that their combination and their impact on translating knowledge to practitioners are greater than the sum of the two technologies. The test-bed is ambulatory care and the goal is to determine if this approach can improve health services delivery, workflow, and patient outcomes and satisfaction. The multidisciplinary research team is comprised of expertise in patient journey modelling, simulation, and knowledge translation.

The Arizona Journey Schools Program: A Strategy for Change. Final Report.

ERIC Educational Resources Information Center

Laughran, Laura J.; Shaw, Jerome M.

The Arizona Journey Schools Program (JSP) was a two-year professional development experience whose stated purpose was to build the leadership capacity of school/community teams and establish a network of professionals to support teams as they bring about systemic change in mathematics and science teaching, learning, and assessment. This report…

Stretching the Circle: First-Generation College Students Navigate Their Educational Journey

ERIC Educational Resources Information Center

Adsitt, Nicole Zervas

2017-01-01

This dissertation is a qualitative study that explores how first-generation college students experienced their educational journey in a private four-year institution of higher education. Using data from in depth interviews with 19 first generation college students from three private four year institutions, this study looked at how participants…

Development of a web-based executive functioning intervention for adolescents with epilepsy: The Epilepsy Journey.

PubMed

Modi, Avani C; Schmidt, Matthew; Smith, Aimee W; Turnier, Luke; Glaser, Noah; Wade, Shari L

2017-07-01

Youth with epilepsy exhibit significant deficits in executive functioning (EF), yet there are few interventions to improve EF for adolescents. The aims of the current study were to develop an individually-tailored intervention, called Epilepsy Journey, to improve aspects of EF through an iterative, patient-centered process including focus groups and usability testing. Five adolescents and caregivers participated in focus groups. This input was used to develop ten learning modules based on subscales of the Behavioral Rating Inventory of Executive Functions and key issues that may impact EF in adolescents. Six adolescents participated in usability testing and a usability expert conducted a heuristic evaluation. Demographic information, chart reviews and measures of EF were also completed. Focus group participants and their parents reported difficulties with memory, attention, organization, monitoring, initiation, impulsivity, emotional control, sleep, awareness in schools and managing stress. They also identified successful strategies to address memory and organizational difficulties. Usability testing of the resultant Epilepsy Journey modules revealed problems with navigation and identified features that promoted usability, including progress bars and interactive modules. Program modifications were made after each usability trial resulting in a relatively brief, interactive and readily navigable program. Perceived utility was high with all but one participant. Participants rated the content as helpful and indicated they would recommend Epilepsy Journey to others. Feedback from the focus group and usability testing yielded a feasible, acceptable, relevant and user-friendly web-based intervention for adolescents with epilepsy. The Epilepsy Journey program will be further tested in an open pilot with adolescents with epilepsy and associated EF deficits. Copyright © 2017 Elsevier Inc. All rights reserved.

The Journey to School: Space, Geography and Experiences of Rural Children

ERIC Educational Resources Information Center

Morojele, Pholoho; Muthukrishna, Nithi

2012-01-01

This paper gives prominence to rural children's accounts of their journey to school. Twelve children (male = 6; female = 6) from three different rural villages in Lesotho participated in the study. Individual and focus group interviews were used to generate data, and these were preceded by three participatory research techniques: family drawings,…

Integrating Diversity Education and Service Learning: A 15+ Year Journey Continues

ERIC Educational Resources Information Center

Womble, Myra N.; Adams, Elaine

2016-01-01

This paper reports the 15+ year journey undertaken by university faculty to integrate service learning with diversity education. It has taken the faculty from its initial integration of academic community learning and diversity education in 1999 to its current course offering in 2015. The purpose of this integration has remained the same, to…

A Journey from STEM to STEAM: A Middle School Case Study

ERIC Educational Resources Information Center

Hunter-Doniger, Tracey; Sydow, Lindsey

2016-01-01

This article examines the initial journey of a middle school in South Carolina from a STEM (science, technology, engineering, and math) curriculum to a STEAM (STEM + art) curriculum. This is the first of a three-year longitudinal study that investigated the perceptions of the effectiveness, relative importance, and sustainability of a STEAM…

Accessing Creativity: Jungian Night Sea Journeys, Wandering Minds, and Chaos.

PubMed

Rosen, Diane

2016-01-01

NDS theory has been meaningfully applied to the dynamics of creativity and psychology. These complex systems have much in common, including a broad definition of "product" as new order emerging from disorder, a new whole (etymologically, 'health') out of disintegration or destabilization. From a nonlinear dynamical systems perspective, this paper explores the far-from-equilibrium zone of creative incubation: first in the Jungian night sea journey, a primordial myth of psychological and creative transformation; then in the neuroscience of mind wandering, the well-spring of creative ideation within the larger neural matrix. Finally, chaos theory grounds the elusive subject of creativity, modeling chaotic generation of idea elements that tend toward strange attractors, combine unpredictably, and produce change by means of tension between opposites, particularly notes consciousness (light) and the poetic unconscious (darkness). Examples from my own artwork illustrate this dialectical process. Considered together, the unconscious mythic sea journey, the unknowing wandering mind, and the generative paradigm of deterministic chaos suggest conditions that facilitate creativity across disciplines, providing fresh indications that the darkness of the unknown or irrational is, paradoxically, the illuminative source and strength of creativity.

The Hero's Journey: How Educators Can Transform Schools and Improve Learning.

ERIC Educational Resources Information Center

Brown, John L.; Moffett, Cerylle A.

This book's central theme is that shared vision, purpose, and inquiry, combined with the use of the collective wisdom of myth, legend, and metaphor, can transform a school. The book profiles six phases of the mythic hero's journey from unconscious innocence to ultimate self-awareness. The text is divided into eight chapters. Chapter 1 summarizes…

The Ed Tech Journey and a Future Driven by Disruptive Change

ERIC Educational Resources Information Center

Grush, Mary, Ed.

2010-01-01

In this article, the author talks about the education technology journey and a future driven by disruptive change. The author first provides a definition of disruptive change. To understand the potential for disruptive change in higher education--a disruption fueled by technology and related trends--the author begins with a look at the past and…

Action Research: A Personal Epiphany and Journey with Evidence-Based Practice

ERIC Educational Resources Information Center

Ballard, Susan D.

2015-01-01

The author reveals in this article that her action research journey in the land of evidence-based practice was not her own idea. She writes that she was lured by the profession's finest scholars who advocated for reflective dispositions for practitioners to improve their practice and demonstrate the school librarian's critical role in teaching and…

From the Mountains to the Sea: A Journey in Environmental Citizenship.

ERIC Educational Resources Information Center

Environment Canada, Ottawa (Ontario).

This booklet is designed to help people make environmentally responsible decisions. This activity booklet is targeted at students as part of a learning campaign to help Canadians improve their understanding of the environment. The imaginary journey From the Mountains to the Sea is a trip along the Eco River following molecules of water from high…

Learning Journeys: A Resource Handbook on Adult Learning and Mental Health.

ERIC Educational Resources Information Center

Mather, Joy; Atkinson, Sue

This document explains how tutors and managers in adult education programs across the United Kingdom can smooth the journeys of adults with mental health difficulties who are returning to learning. The handbook begins with suggestions for its use and case studies of two adult learners with mental health difficulties. Sections 1 through 4 discuss…

In search of plutonium: A nonproliferation journey

NASA Astrophysics Data System (ADS)

Hecker, Siegfried

2010-02-01

In February 1992, I landed in the formerly secret city of Sarov, the Russian Los Alamos, followed a few days later by a visit to Snezhinsk, their Livermore. The briefings we received of the Russian nuclear weapons program and tours of their plutonium, reactor, explosives, and laser facilities were mind boggling considering the Soviet Union was dissolved only two months earlier. This visit began a 17-year, 41 journey relationship with the Russian nuclear complex dedicated to working with them in partnership to protect and safeguard their weapons and fissile materials, while addressing the plight of their scientists and engineers. In the process, we solved a forty-year disagreement about the plutonium-gallium phase diagram and began a series of fundamental plutonium science workshops that are now in their tenth year. At the Yonbyon reprocessing facility in January 2004, my North Korean hosts had hoped to convince me that they have a nuclear deterrent. When I expressed skepticism, they asked if I wanted to see their ``product.'' I asked if they meant the plutonium; they replied, ``Well, yes.'' Thus, I wound up holding 200 grams of North Korean plutonium (in a sealed glass jar) to make sure it was heavy and warm. So began the first of my six journeys to North Korea to provide technical input to the continuing North Korean nuclear puzzle. In Trombay and Kalpakkam a few years later I visited the Indian nuclear research centers to try to understand how India's ambitious plans for nuclear power expansion can be accomplished safely and securely. I will describe these and other attempts to deal with the nonproliferation legacy of the cold war and the new challenges ahead. )

Evaluation of the Acceptance Journeys Social Marketing Campaign to Reduce Homophobia.

PubMed

Hull, Shawnika J; Davis, Catasha R; Hollander, Gary; Gasiorowicz, Mari; Jeffries, William L; Gray, Simone; Bertolli, Jeanne; Mohr, Anneke

2017-01-01

To evaluate the effectiveness of the Acceptance Journeys social marketing campaign to reduce homophobia in the Black community in Milwaukee, Wisconsin. We assessed the campaign's effectiveness using a rolling cross-sectional survey. Data were collected annually online between 2011 and 2015. Each year, a unique sample of Black and White adults, aged 30 years and older, were surveyed in the treatment city (Milwaukee) and in 2 comparison cities that did not have antihomophobia campaigns (St. Louis, MO, and Cleveland, OH; for total sample, n = 3592). Black self-identification and Milwaukee residence were significantly associated with exposure to the campaign, suggesting successful message targeting. The relationship between exposure and acceptance of gay men was significantly mediated through attitudes toward gay men, perceptions of community acceptance, and perceptions of the impact of stigma on gay men, but not through rejection of stereotypes. This model accounted for 39% of variance in acceptance. This evidence suggests that the Acceptance Journeys model of social marketing may be a promising strategy for addressing homophobia in US Black communities.

Bridging Identity "Chasms": Occupational Therapy Academics' Reflections on the Journey towards Scholarship

ERIC Educational Resources Information Center

Fortune, Tracy; Ennals, Priscilla; Bhopti, Anoo; Neilson, Cheryl; Darzins, Susan; Bruce, Christopher

2016-01-01

The performative context of higher education demands that practice-oriented academics shift their priorities from preparing practitioners for the profession, towards "productive" scholarship. We present narratives from occupational therapy academics at the end of a year-long journey through an action research project focussed on academic…

Incorporating walking or cycling into car journeys to and from work: The role of individual, workplace and environmental characteristics

PubMed Central

Panter, Jenna; Desousa, Carol; Ogilvie, David

2013-01-01

Objective Small increases in walking or cycling for transport could contribute to population health improvement. We explore the individual, workplace and environmental characteristics associated with the incorporation of walking and cycling into car journeys. Methods In 2009, participants from the Commuting and Health in Cambridge study (UK) reported transport modes used on the commute in the last week as well as individual, workplace and environmental characteristics. Logistic regression was used to assess the explanatory variables associated with incorporating walking or cycling into car commuting journeys. Results 31% of car commuters (n = 419, mean age 43.3 years, SD 0.3) regularly incorporated walking or cycling into their commute. Those without access to car parking at work (OR: 26.0, 95% CI:11.8 to 57.2) and who reported most supportive environments for walking and cycling en route to work (highest versus lowest tertile, OR: 2.7, 95% CI 1.4 to 5.5) were more likely to incorporate walking or cycling into their car journeys. Conclusions Interventions that provide pleasant and convenient routes, limit or charge for workplace car parking and provide free off-site car parking may encourage car commuters to incorporate walking and cycling into car journeys. The effects of such interventions remain to be evaluated. PMID:23375993

Incorporating walking or cycling into car journeys to and from work: the role of individual, workplace and environmental characteristics.

PubMed

Panter, Jenna; Desousa, Carol; Ogilvie, David

2013-03-01

Small increases in walking or cycling for transport could contribute to population health improvement. We explore the individual, workplace and environmental characteristics associated with the incorporation of walking and cycling into car journeys. In 2009, participants from the Commuting and Health in Cambridge study (UK) reported transport modes used on the commute in the last week as well as individual, workplace and environmental characteristics. Logistic regression was used to assess the explanatory variables associated with incorporating walking or cycling into car commuting journeys. 31% of car commuters (n=419, mean age 43.3 years, SD 0.3) regularly incorporated walking or cycling into their commute. Those without access to car parking at work (OR: 26.0, 95% CI:11.8 to 57.2) and who reported most supportive environments for walking and cycling en route to work (highest versus lowest tertile, OR: 2.7, 95% CI 1.4 to 5.5) were more likely to incorporate walking or cycling into their car journeys. Interventions that provide pleasant and convenient routes, limit or charge for workplace car parking and provide free off-site car parking may encourage car commuters to incorporate walking and cycling into car journeys. The effects of such interventions remain to be evaluated. Copyright © 2013 Elsevier Inc. All rights reserved.

W.K.H. Panofsky Prize: The Long Journey to the Higgs Boson: ATLAS

NASA Astrophysics Data System (ADS)

Jenni, Peter

2017-01-01

The discovery of the Higgs boson announced in July 2012 by ATLAS and CMS was a culminating point for a very long journey in the realization of the LHC project. Building up the experimental programme with this unique high-energy collider, and developing the very sophisticated detectors built and operated by world-wide collaborations, meant a fabulous scientific and human adventure spanning more than three decades. This talk will recall the initial motivation for the project, tracing its history, as well as illustrate some of the many milestones that finally led to the rich harvest of physics so far. The talk will focus on the ATLAS experiment, including also new, very recent results from the ongoing 13 TeV Run-2 of LHC. And this is only the beginning of this fantastic journey into unchartered physics territory with the LHC.

A complex journey: transmission of microbial symbionts

PubMed Central

Bright, Monika; Bulgheresi, Silvia

2010-01-01

The perpetuation of symbioses through host generations relies on symbiont transmission. Horizontally transmitted symbionts are taken up from the environment anew by each host generation, and vertically transmitted symbionts are most often transferred through the female germ line. Mixed modes also exist. In this Review we describe the journey of symbionts from the initial contact to their final residence. We provide an overview of the molecular mechanisms that mediate symbiont attraction and accumulation, interpartner recognition and selection, as well as symbiont confrontation with the host immune system. We also discuss how the two main transmission modes shape the evolution of the symbiotic partners. PMID:20157340

Ecomuseum itineraries, a path of rediscovery and enhancement of the territory

NASA Astrophysics Data System (ADS)

La Longa, Federica; Lanza, Tiziana; Crescimbene, Massimo

2013-04-01

globalization takes us to lose sight of the concept of place in favor of the non-place, an environment free of characteristics and boundaries. This trend, if on one hand helps to share problems and solutions related to environmental protection, other hand risks producing a variety of effects that lead communities to disown the values of their territory. Instead the experience realized takes us in an opposite direction. We believe that educational projects structured on eco museum itineraries can promote in young people an experiential path of rediscovery and enhancement of the territory (genius loci). The active techniques used in the project (dramatization, creative writing, music, etc.) favored boys in the acquisition of knowledge and skills that allow enhance of territorial resources and sharing it with the community.

Standing at Sinai with Autism: A Young Man's Bar Mitzvah Journey

ERIC Educational Resources Information Center

Hyman, Mia

2009-01-01

This article describes the journey that a family and community took to prepare Leon, a young man with autism, for his Bar Mitzvah. A positive behavior support (PBS) intervention was used to prepare Leon for this symbolic rite of passage into the Jewish culture. He had specific problem behaviors that needed to be addressed for him to participate in…

From Tragedy to Triumph: Counselor as Companion on the Hero's Journey.

ERIC Educational Resources Information Center

Halstead, Richard W.

2000-01-01

A counselor discusses his experiences while working with a male client on a "hero's journey," or the path to self-realization. The author explains how he grappled with what his role, as counselor, should be in this process. He concludes that he should act as the "hero's travel guide," someone who makes the clients' path shorter, smoother, or less…

The Making of Griots: One Black Filmmaker's Journey with Six Teenagers

ERIC Educational Resources Information Center

Dowdy, Joanne Kilgour; Reedus, Narcel G.; Anderson-Thompkins, Sibby; Heim, Patricia Lee

2003-01-01

The Media Project was created to facilitate the journey of "inner city" high school students as they learned to make their first short films. Their leader chose to enlist the support of a professional cinematographer, production manager, editor, and director, to see that the final short films are of a high quality. The six teenagers experienced…

Transparency in a Pediatric Quality Improvement Collaborative: A Passionate Journey by NPC-QIC Clinicians and Parents.

PubMed

Lihn, Stacey L; Kugler, John D; Peterson, Laura E; Lannon, Carole M; Pickles, Diane; Beekman, Robert H

2015-01-01

Transparency-sharing data or information about outcomes, processes, protocols, and practices-may be the most powerful driver of health care improvement. In this special article, the development and growth of transparency within the National Pediatric Cardiology Quality Improvement Collaborative is described. The National Pediatric Cardiology Quality Improvement Collaborative transparency journey is guided by equal numbers of clinicians and parents of children with congenital heart disease working together in a Transparency Work Group. Activities are organized around four interrelated levels of transparency (individual, organizational, collaborative, and system), each with a specified purpose and aim. A number of Transparency Work Group recommendations have been operationalized. Aggregate collaborative performance is now reported on the public-facing web site. Specific information that the Transparency Work Group recommends centers provide to parents has been developed and published. Almost half of National Pediatric Cardiology Quality Improvement Collaborative centers participated in a pilot of transparently sharing their outcomes achieved with one another. Individual centers have also begun successfully implementing recommended transparency activities. Despite progress, barriers to full transparency persist, including health care organization concerns about potential negative effects of disclosure on reputation and finances, and lack of reliable definitions, data, and reporting standards for fair comparisons of centers. The National Pediatric Cardiology Quality Improvement Collaborative's transparency efforts have been a journey that continues, not a single goal or destination. Balanced participation of clinicians and parents has been a critical element of the collaborative's success on this issue. Plans are in place to guide implementation of additional transparency recommendations across all four levels, including extension of the activities beyond the

Beginning a Journey with Music Education: Voices from Pre-Service Primary Teachers

ERIC Educational Resources Information Center

Kenny, Ailbhe

2017-01-01

This study examines pre-service primary teachers' first engagement with music education at university level in the Republic of Ireland. Data from focus group interviews and coursework present voices from the students in prolematising their learning journeys with music education. These qualitative research methods are used to investigate student…

The promotion of geotourism in protected areas: a proposal of itinerary through the Matese Massif (Campania and Molise regions, Italy).

NASA Astrophysics Data System (ADS)

Rosskopf, Carmen Maria; Filocamo, Francesca; Amato, Vincenzo; Cesarano, Massimo

2016-04-01

success. Meanwhile, there are various initiatives that promote geotourism separately in the Molise and Campania sectors. However, a network of geotourism initiatives linking the two sectors and allowing the exploitation of the geological heritage of the Matese area as a whole is still lacking. Aim of this study is, obviously, the promotion of the geoheritage of the Matese Massif. Specific objects are to contribute to a better connectivity between its two sectors, the development of an overall geotourism network and, somehow, the establishment of the Matese National Park/Geopark. We propose a first geological itinerary that runs through the entire Matese Massif, from south to north. The proposed itinerary includes geosites of local to national relevance and various scientific interest (from Paleontology to Geomorphology). It allows also non-scientific audiences to understand the main steps of the rich geological history of the Matese Mountains and the geomorphic processes that have given rise to the high variety of paleo- and active landscapes and landforms, but also to appreciate its natural heritage.

A preliminary survey on mode choice and its effect in users’ satisfaction on their journey to the railway station

NASA Astrophysics Data System (ADS)

Ali, Nur Fahriza Mohd; Sadullah, Ahmad Farhan Mohd; Zulkiple, Adnan

2018-04-01

This paper focuses on two lines of investigation with regard to mode choice to Klang Komuter Station. Firstly, the profile of the access modes on journeys to the railway station is analysed. Secondly, the relationship of users’ mode choice towards overall perception on traveling from home to the railway station is estimated. The data collection was conducted via Revealed Preferences / Stated Preferences (RP/SP) Survey. Meanwhile, the analysis that was implemented in this study was correspondence analysis. This paper discussed more on journey purposes and the effects of distances from home to the railway, users’ trip purposes and travel time between car and bus that was found to have an important effect on the users’ mode choice and their satisfaction on their journey to the railway station. The results show that users were more satisfied to reach the station by car instead of the bus.

Social and Emotional Learning in the Greek Educational System: An Ithaca Journey

ERIC Educational Resources Information Center

Hatzichristou, Chryse; Lianos, Panayiotis G.

2016-01-01

This article portrays the ongoing and ever-expanding journey of the Center for Research and Practice of School Psychology (CRPSP) of the National and Kapodistrian University of Athens. Based on an integrative approach to school community well-being that includes positive psychology perspectives and systems interventions, all activities of the…

A Reflective Journey through Theory and Research in Mathematical Learning and Development

ERIC Educational Resources Information Center

Belbase, Shashidhar

2010-01-01

This paper is an attempt to reflect on class sessions during the fall 2010 in a course "Theory and Research in Mathematical Learning and Development". This reflection as a learning journey portrays discussions based on foundational perspectives (FP), historical highlights (HH), and guiding questions (GQ) related to mathematics learning and…

A Journey Toward Cultural Competence: The Role of Researcher Reflexivity in Indigenous Research.

PubMed

Nilson, Caroline

2017-03-01

This article highlights the personal journey of reflective development that a non-Aboriginal White researcher and health professional underwent to be "fully positioned" in the everyday lives of a rural Australian Aboriginal community in Western Australia. The article explains the researcher's personal development in areas important to building respect, building relationships, and ensuring reciprocity while undertaking Aboriginal research. The researcher reports on the reflective evaluation of her worldview. Understanding that judgment is a natural tendency, the researcher used reflexivity as a tool to examine and contextualize her judgments, presumptions, and preconceptions, which positioned her to be open to differing viewpoints and actively explore alternate perspectives. The researcher explores her evolutionary understanding that cultural competence is not a destination but a continual journey, and she details her knowledge development regarding the Aboriginal research paradigm, which requires that all the learning, sharing, and growth taking place is reciprocal and engages all parties actively.

Gifted Homeschooling: Our Journey with a Square Peg. A Mother's Perspective

ERIC Educational Resources Information Center

Olmstead, Gwen

2015-01-01

The author shares that her journey with gifted homeschooling was filled with folly and a slow learning curve. By sharing some of the struggles and insights she faced, the author hopes others will benefit or find solace in knowing they are not alone when their square peg children do not fit into round holes. In this article the author discusses:…

Meeting the Mentor: The Role of the Teacher-Director in Engineering a Hero's Journey for Participants in an Educational Drama Workshop Series

ERIC Educational Resources Information Center

Van Vuuren, Petro Janse

2004-01-01

This paper will make a critical comparison between the stages of the Hero's Journey as presented by Christopher Vogler and the taxonomy of personal engagement as articulated by Educational Drama theorists. Both Vogler's journey and the taxonomy describe how a person travels from one world into another and back again, combining the two results in a…

The Relationship Between Health Management and Information Behavior Over Time: A Study of the Illness Journeys of People Living With Fibromyalgia.

PubMed

Chen, Annie T

2016-10-25

Over the course of a chronic illness, patients face many challenges, including understanding what is happening to them and developing an effective strategy for managing illness. While there is existing literature concerning how people seek health-related information and cope with chronic illnesses, there is a need for additional research on how information affects patients' understandings of their illness, and how changes in this understanding affect their health management strategies over time. This study examined how health management, information seeking, and information consumption and use processes are related throughout an illness. A diversified recruitment strategy involving multiple media channels was used to recruit participants for an interview study. During the interviews, participants were asked to draw an "illness journey" timeline. The data were analyzed using a qualitative approach drawn from Interpretative Phenomenological Analysis and Grounded Theory. The study identified four main health management features of illness journeys: onset, progression toward diagnosis, acceptance, and development of an effective management strategy. The study then focused on how information seeking changes over illness journeys, particularly in terms of a transition from active information seeking to monitoring with intermittent focused searching. Last, the paper describes the information consumption and use processes that patients engaged in throughout their journey. This study makes three important contributions to the field. First, it presents an integrated conceptualization of how health management and information behaviors are related on illness journeys. Second, it adds to our existing knowledge on health literacy and self-management of chronic illness. Third, the study has implications for health interface design.

A metaphysical journey in a comatose state.

PubMed

Gimenez, R

1992-01-01

This paper is about the intense experience of being in the hospital in a comatose state resulting from an aneurysm with a massive brain hemorrhage and two subsequent surgeries. The event begins with a premonition of what will happen from a street name. The experience of brain surgeries, along with the fine care of the nurses, left me with a truly memorable impression. This paper describes the various feelings and strong emotions that I experienced while in a comatose state. It suggests that a patient in a comatose state can exist in a deep state of emotions close to ecstasy. The paper concludes with gratefulness to all the people who followed me step by step on this journey.

Pushing Boundaries: My Personal and Scientific Journey

NASA Astrophysics Data System (ADS)

Sarachik, Myriam P.

2018-03-01

This autobiographical narrative offers a brief account of my journey and adventures in condensed matter physics (a.k.a. solid state physics) and some of the personal events that shaped my life and my career: my early years in Europe, my family's escape from the Nazis, growing up in Cuba, the difficult road into a field that was essentially closed to women, a personal disaster that knocked the wind out of my sails for more than a decade, and my return to a successful career in physics. In closing, I argue that, although we have made remarkable progress, we know but a thimble-full in our inexhaustible search for an understanding of the laws of nature.

The journey beyond silos. Teaching and learning interprofessional ethics at UTHealth.

PubMed

Flaitz, Catherine M; Carlin, Nathan; Shepherd, Boyd W; McWherter, Jayne A; Bebermeyer, Richard D; Walji, Muhammad F; Spike, Jeffrey

2011-08-01

Interprofessional education and ethics education are two educational programs that blend together well, and, moreover, they are a natural fit for teaching in an academic health science center. The purpose of this paper is to describe our recent journey of developing and implementing an interprofessional ethics curriculum across the six schools of UTHealth. We provide an overview of the goals of the Campus-wide Ethics Program, which is housed in the McGovern Center for Humanities and Ethics, and we highlight certain innovative developments that are the result of the collaborative work of faculty and administrators from all six schools of UTHealth. In addition, a brief synopsis of the specific didactic and clinical courses in which ethics is a significant component is outlined for both the dental and the dental hygiene curricula. Lastly, we describe some of the recent scholarly activities that are a product of this new program. We are excited about our evolving efforts and the potential benefits of weaving interprofessional ethics within our school and across our campus. This article tells the story of our journey beyond "the silos" that are common among academic health science centers.

Examining the Influence of Technology and Project-Supported Thinking Journey on Achievement

ERIC Educational Resources Information Center

Baran, Medine; Maskan, Abdulkadir

2013-01-01

The purpose of this study was to investigate the influence of the technology and project-supported Thinking Journey on 11th grade high school students' achievements in the subject of electricity units. The participants were 68 high school 11th grade students from two different science classes. Control and experimental groups were selected at…

A 2e Parent's Journey: Persistence, Partnership, and the Provision of Unconditional Love

ERIC Educational Resources Information Center

Brownstein, Michelle

2015-01-01

I have four children, three of whom are twice exceptional in the context of the new Community of Practice (2e CoP) definition highlighted in this issue. I share a personal story of a parent's journey in persistence, partnerships, and the provision of unconditional love.

Three Women's Educational Doctoral Program Experiences: A Case Study of Performances and Journeys

ERIC Educational Resources Information Center

Selmer, Sarah; Graham, Meadow; Goodykoontz, Erin

2011-01-01

Three academic women joined to write this piece to explore individual doctoral program experiences and to establish common understandings. They collectively analyzed their experiences using the conceptual approach of doctoral program performances and journeys. This case study shares their experiences within the conceptual approach through emerging…

Being Alive to the Present: Perceiving Meaning on a Wilderness River Journey

ERIC Educational Resources Information Center

Morse, Marcus

2015-01-01

In an earlier paper I identified two key forms of "meaningful experience" for participants on a wilderness river rafting journey, namely a feeling of humility and being alive to the present. However, space considerations led me to describe only the first of these forms in any detail. In this paper I identify and describe the qualities of…

Development and Evaluation of an Educational Display for Older Adults: Journey through Health

ERIC Educational Resources Information Center

Jung, Seung Eun; Hermann, Janice; Parker, Stephany; Smith, Brenda J.

2015-01-01

The Journey Through Health educational display was developed using the Health Belief Model and provided information on how the Dietary Guidelines Consumer Brochure messages can positively influence nutrition and physical activity choices to prevent or delay age-related changes throughout the body. The display consisted of 12 posters, educational…

Challenges to the Doctoral Journey: A Case of Female Doctoral Students from Ethiopia

ERIC Educational Resources Information Center

Bireda, Asamenew Demessie

2015-01-01

This study aimed to investigate some challenges female doctoral students experience in their doctoral journey. The study used a qualitative design and structured interviews. The theoretical framework that guided the study was that of Urie Bronfenbrenner's ecosystemic theory. A purposely selected sample of five female doctoral students from the…

High-Tech Playground: Cultural Center Journey Expands Student Horizons of Faith and Culture.

ERIC Educational Resources Information Center

Andersen, Colleen Curry

2003-01-01

Discusses how the John Paul II Cultural Center is an example of how Catholic educators have begun taking advantage of new teaching resources to help students understand their personal faith. Center contains hands-on and interactive journey to learning about Catholicism and the faiths of other people. (MZ)

Re-Presenting and Representing with Seven Features: Guiding an Arts-Based Educational Journey

ERIC Educational Resources Information Center

Ludecke, Michelle

2016-01-01

This paper outlines a journey of arts-based inquiry into teacher education and identity transformation in the transition to teaching, guided by Barone and Eisner's Seven Features of Arts-Based Educational Inquiry. Employing a theatre-based research approach the researcher investigated teachers' epiphanic or revelatory "first" moments of…

Cosmic Journeys: To the Edge of Gravity, Space and Time...

NASA Technical Reports Server (NTRS)

Wanjek, Christopher

2000-01-01

A star explodes, blowing its contents into interstellar space. At its core, a black hole may form. Or maybe a neutron star or white dwarf, depending on the size of the original star. Over the next million years, a new star may form from the left over gas. The ever-changing Universe is the ultimate recycler. NASA's Cosmic Journeys is a set of missions that will of explore the Universe's many mysteries. An summary of future missions is presented.

MLC Libraries--A School Library's Journey with Students, Staff and Web 2.0 Technologies: Blogs, Wikis and E-Books--Where Are We Going Next?

ERIC Educational Resources Information Center

Viner, Jane; Lucas, Amanda; Ricchini, Tracey; Ri, Regina

2010-01-01

This workshop paper explores the Web 2.0 journey of the MLC Libraries' teacher-librarians, librarian, library and audio visual technicians. Our journey was initially inspired by Will Richardson and supported by the School Library Association of Victoria (SLAV) Web 2.0 professional development program. The 12 week technological skills program…

The online use of Violence and Journey metaphors by patients with cancer, as compared with health professionals: a mixed methods study

PubMed Central

Semino, Elena; Demjén, Zsófia; Demmen, Jane; Koller, Veronika; Payne, Sheila; Hardie, Andrew; Rayson, Paul

2017-01-01

Objective To compare the frequencies with which patients with cancer and health professionals use Violence and Journey metaphors when writing online; and to investigate the use of these metaphors by patients with cancer, in view of critiques of war-related metaphors for cancer and the adoption of the notion of the ‘cancer journey’ in UK policy documents. Design Computer-assisted quantitative and qualitative study of two data sets totalling 753 302 words. Setting A UK-based online forum for patients with cancer (500 134 words) and a UK-based website for health professionals (253 168 words). Participants 56 patients with cancer writing online between 2007 and 2012; and 307 health professionals writing online between 2008 and 2013. Results Patients with cancer use both Violence metaphors and Journey metaphors approximately 1.5 times per 1000 words to describe their illness experience. In similar online writing, health professionals use each type of metaphor significantly less frequently. Patients’ Violence metaphors can express and reinforce negative feelings, but they can also be used in empowering ways. Journey metaphors can express and reinforce positive feelings, but can also be used in disempowering ways. Conclusions Violence metaphors are not by default negative and Journey metaphors are not by default a positive means of conceptualising cancer. A blanket rejection of Violence metaphors and an uncritical promotion of Journey metaphors would deprive patients of the positive functions of the former and ignore the potential pitfalls of the latter. Instead, greater awareness of the function (empowering or disempowering) of patients’ metaphor use can lead to more effective communication about the experience of cancer. PMID:25743439

Our Human Journey to Mars - The Next Steps

NASA Technical Reports Server (NTRS)

Singer, Jody

2016-01-01

The United States National Aeronautics and Space Administration (NASA) will be launching the super-heavy-lift Space Launch System (SLS) by the end of the decade. This launch marks the next steps of human exploration of Mars and continues the journey that began over 50 years ago with Mariner and most recently ExoMars. SLS is the only rocket with the power capable of sending humans to deep space and the large systems necessary for human exploration all the way to Mars. Exploration Mission (EM)-1 will be the first integrated flight of the SLS rocket and Orion spacecraft - journeying farther into space than Apollo. NASA will also expand the science and exploration capability of SLS by deploying thirteen small satellites into deep space for the first time. These small satellites, created through partnerships with small businesses, Universities and international partners, will carry out various scientific missions to better understand our universe and the challenges of living and working in deep space. SLS EM-1 will provide the framework and serve as a test flight, not only for vehicle systems, but also for payload accommodations, ground processing and on-orbit operations. The results of this mission will validate capabilities for sending explorers to Mars and create the opportunity to pioneer solutions to challenges to deep space exploration. SLS's versatile design will evolve for future exploration needs and accommodate bigger payloads, such as large aperture telescopes for scientific research or manned human deep space exploration missions to Mars. The achievement of EM-1 will demonstrate NASA's commitment and capability to extend human existence to deep space and inspire the world to pursue greatness in the exploration of our universe.

“A journey around the world”: Parent narratives of the journey to pediatric resective epilepsy surgery and beyond

PubMed Central

Baca, Christine B.; Pieters, Huibrie C.; Iwaki, Tomoko J.; Mathern, Gary W.; Vickrey, Barbara G.

2015-01-01

OBJECTIVE Although shorter time to pediatric resective epilepsy surgery is strongly associated with greater disease severity, other non-clinical diagnostic and sociodemographic factors also play a role. We aimed to examine parent-reported barriers to timely receipt of pediatric epilepsy surgery. METHODS We conducted 37 interviews of parents of children who previously had resective epilepsy surgery at UCLA (2006–2011). Interviews were audio-recorded, transcribed and systematically coded using thematic analysis by two independent coders and subsequently checked for agreement. Clinical data, including `time to surgery' (age of epilepsy onset to surgery) were abstracted from medical records. RESULTS The mean time to surgery was 5.3 years (SD=3.8); surgery types included 32% hemispherectomy, 43% lobar/focal, 24% multilobar. At surgery, parents were on average 38.4 years (SD=6.6) and children were 8.2 years (SD=4.7). The more arduous and longer aspect of the journey to surgery was perceived by parents to be experienced prior to presurgical referral. The time from second anti-epileptic drug failure to presurgical referral was ≥1 year in 64% of children. Thematic analysis revealed four themes (with subthemes) along the journey to surgery and beyond: (1) recognition: “something is wrong” (unfamiliarity with epilepsy, identification of medical emergency), (2) searching and finding: “a circuitous journey” (information seeking, finding the right doctors, multiple medications, insurance obstacles, parental stress), (3) surgery is a viable option: “the right spot” (surgery as last resort, surgery as best option, hoping for candidacy), and (4) life now: “we took the steps we needed to” (a new life, giving back). SIGNIFICANCE Multi-pronged interventions targeting parent-, provider- and system-based barriers should focus on the critical presurgical referral period; such interventions are needed to remediate delays and improve access to subspecialty care for

Journey of a Woman With Terminal Cervical Cancer.

PubMed

Kessler, Theresa A

2016-06-01

When a cervical cancer diagnosis is made during a terminal stage, a woman is faced with many challenges. Although a terminal illness has many negative effects, such as physical pain, scarring, fear, and sexual dysfunction, women may experience a positive impact on their life, such as improved well-being and a greater appreciation of daily life. The individual experience can lead to personal revelations. Sometimes, the diagnosis can even be seen as a blessing. Understanding a personal experience in a real-life context of the terminal stages of disease is important. This story shares the day-to-day journey of a woman living with a terminal illness of cervical cancer.

Formative Journeys of First-Year College Students: Tensions and Intersections with Intercultural Theory

ERIC Educational Resources Information Center

Shaw, Marta; Lee, Amy; Williams, Rhiannon

2015-01-01

Development of intercultural skills is recognized as an essential outcome of a college education, but in order to facilitate students' growth effectively, we must understand the points of the developmental journey at which students enter the college classroom. This study tests four hypotheses developed on the basis of leading models of…

Advocacy Journey Promoting Child Sexual Abuse Prevention in Hong Kong.

PubMed

Cheung, Monit; Leung, Carol A; Liu, Elaine Suk-Ching

2017-01-01

In a country without a mandatory child abuse reporting system, advocacy for child welfare law can be a tedious and difficult process. This article documents a 10-year advocacy journey based on the capacity-building concept in social sustainability theory which aims to: raise public awareness of child sexual abuse, provide an idea for branding an inquiry column, and connect advocacy efforts to law reforms. Over the past decade in Hong Kong, a total of 336 public inquiries were anonymously sent to Wu Miu Column and published in three local major newspapers. Among these inquiries, 131 inquiries involved child sexual abuse that the "affected individuals" were molested in school or at home and knew the abusers but did not report their cases to child protection services. Inquirers reported more male than female abusers. Proportionally and significantly, female abusers tended to abuse younger children, compared to male abusers who tended to abuse older children. Many abusers were minors who abused younger children, which explains people's reluctance to report the abuse to child protection services. The discovery of this underage phenomenon motivated child advocates to challenge the common law presumption that a boy under the age of 14 is incapable of sexual intercourse. Social workers in this advocacy journey must sustain continuous efforts to prevent youth from becoming future perpetrators.

Geosciences help to protect human health: estimation of the adsorbed radiation doses while flight journeys, as important step to radiation risk assessment

NASA Astrophysics Data System (ADS)

Chernov, Anatolii; Shabatura, Olexandr

2016-04-01

Estimation of the adsorbed radiation dose while flight journeys is a complex problem, which should be solved to get correct evaluation of equivalent effective doses and radiation risk assessment. Direct measurements of the adsorbed dose in the aircrafts during regional flights (3-10 hours) has shown that the radiation in the plane may increase 10-15 times (to 2-4 mSv/h) compared to the values on the surface of the Earth (0.2-0.5 mSv/h). Results of instrumental research confirmed by the other investigations. It is a fact that adsorbed doses per year while flight journeys are less than doses from medical tests. However, while flight journeys passengers get the same doses as nuclear power plant staff, people in zones of natural radiation anomalies and so should be evaluated. According to the authors' research, flight journeys are safe enough, when solar activity is normal and if we fly under altitude of 18 km (as usual, while intercontinental flights). Most of people travel by plane not so often, but if flight is lasting in dangerous periods of solar activity (powerful solar winds and magnetic field storms), passengers and flight crew can adsorb great amount of radiation doses. People, who spend more than 500 hours in flight journeys (pilots, business oriented persons', government representatives, etc.) get amount of radiation, which can negatively influence on health and provoke diseases, such as cancer. Authors consider that problem actual and researches are still going on. It is revealed, that radiation can be calculated, using special equations. Great part of radiation depends on very variable outer-space component and less variable solar. Accurate calculations of doses will be possible, when we will take into account all features of radiation distribution (time, season of year and exact time of the day, duration of flight), technical features of aircraft and logistics of flight (altitude, latitude). Results of first attempts of radiation doses modelling confirmed

"Journey to the Stars": Presenting What Stars Are to Global Planetarium Audiences by Blending Astrophysical Visualizations Into a Single Immersive Production at the American Museum of Natural History

NASA Astrophysics Data System (ADS)

Emmart, Carter; Mac Low, M.; Oppenheimer, B. R.; Kinzler, R.; Paglione, T. A. D.; Abbott, B. P.

2010-01-01

"Journey to the Stars" is the latest and fourth space show based on storytelling from data visualization at the Rose Center for Earth and Space at the American Museum of Natural History. This twenty five minute, full dome movie production presents to planetarium audiences what the stars are, where they come from, how they vary in type and over time, and why they are important to life of Earth. Over forty scientists from around the world contributed their research to what is visualized into roughly fifteen major scenes. How this production is directed into a consolidated immersive informal science experience with learning goals is an integrative process with many inputs and concerns for scientific accuracy. The goal is a seamless merger of visualizations at varying spatial and temporal scales with acuity toward depth perception, revealing unseen phenomena, and the layering of concepts together to build an understanding of stars; to blend our common experience of them in the sky with the uncommon meaning we have come to know through science. Scripted by Louise Gikow who has worked for Children's Television Workshop, narrated by Whoopie Goldberg, and musically scored by Robert Miller, this production strives to guide audiences through challenging scientific concepts by complimenting the natural beauty the subject matter presents with understandable prose and musical grandeur. "Journey to the Stars" was produced in cooperation with NASA's Science Mission Directorate, Heliophysics Division and is in release at major planetariums, worldwide.

Expert perspectives on hereditary angioedema: Key areas for advancements in care across the patient journey

PubMed Central

Baş, Murat; Bernstein, Jonathan A.; Boccon-Gibod, Isabelle; Bova, Maria; Dempster, John; Grumach, Anete Sevciovic; Magerl, Markus; Poarch, Kimberly; Ferreira, Manuel Branco

2016-01-01

Background: Published literature documents the substantial burden of hereditary angioedema (HAE) with C1 inhibitor deficiency on the quality of life and work productivity of patients. However, despite advances in the field and the availability of guidelines to advise health care providers (HCP) on the diagnosis and management of HAE, there are still many challenges to overcome. For example, delayed diagnosis and misdiagnosis are common, and treatment practices vary worldwide. Objective: An international expert panel was convened to consider opportunities for improvements that would benefit patients with HAE. Methods: Based on professional and personal experiences, the experts developed schematics to describe the journey of patients through the following stages: (1) onset of symptoms and initial evaluation; (2) referral/diagnosis; and (3) management of HAE. More importantly, the panel identified key areas in which it was possible to optimize the support provided to patients and HCPs along this journey. Results: Overall, this approach highlighted the need for wider dissemination of algorithms and scientific data to more effectively educate HCPs from multiple disciplines and the need for more research to inform appropriate treatment decisions. Furthermore, HAE awareness campaigns, accurate online information, and referral to patient advocacy groups were all considered helpful approaches to support patients. Conclusion: More detailed and widespread information on the diagnosis and management of HAE is needed and may lead to advancements in care throughout the journey of the patient with HAE. PMID:27661998

Early Literacy and Assessment for Learning (K-3) Series: Little Book Insert: Little Honu's Journey

ERIC Educational Resources Information Center

Noto, Lee

2005-01-01

This illustrated children's story accompanies "Exploring Comprehension through Retelling: A Teacher's Story", part of the Early Literacy and Assessment for Learning (K-3) Series (ED490189). It describes a baby turtle's adventures on his journey to the ocean.

Becoming a blind teacher in Turkey: A long journey.

PubMed

Koca-Atabey, Müjde

2016-06-08

The story of Hakan profoundly calls attention to the dialectical relationship between the macro and the micro influences on the social and political situated nature of disability, work life expectations and the transformative power of life-long learning. All of these are reflected in Hakan's journey and his capacity to self-manage his needs and adapt in spite of disability adversity and impairment challenges at the turning points in his life. He used his ingenuity when faced with challenges by tapping into non-disabling environments (finding a university program that fit with his needs and he was able to meet standard examination expectations) and familiar human relationships (finding friends or family that agreed to read to him). His early experiences in the formal and informal labour markets that were available to him provided grounding into various workplace acumen and social requirements. In effect these experiences were part of his early employment socialization that are often overlooked as essential to being ready to shift from a job to deciding on a career in a changing labour economy. While Hakan developed his capacity and competencies to be ready for work in a viable career, the policy's of prescriptive employment for the disabled shifted slightly to open up the door to more persons with impairments. Read on to find out the details of Hakan's numerous experiences with turning points, shifts and his efforts to persist in becoming a teacher. Following this article there are reflective questions for deeper consideration and contemplation of the many relationships that shaped the journey.

Decoding the Regulatory Network for Blood Development from Single-Cell Gene Expression Measurements

PubMed Central

Haghverdi, Laleh; Lilly, Andrew J.; Tanaka, Yosuke; Wilkinson, Adam C.; Buettner, Florian; Macaulay, Iain C.; Jawaid, Wajid; Diamanti, Evangelia; Nishikawa, Shin-Ichi; Piterman, Nir; Kouskoff, Valerie; Theis, Fabian J.; Fisher, Jasmin; Göttgens, Berthold

2015-01-01

Here we report the use of diffusion maps and network synthesis from state transition graphs to better understand developmental pathways from single cell gene expression profiling. We map the progression of mesoderm towards blood in the mouse by single-cell expression analysis of 3,934 cells, capturing cells with blood-forming potential at four sequential developmental stages. By adapting the diffusion plot methodology for dimensionality reduction to single-cell data, we reconstruct the developmental journey to blood at single-cell resolution. Using transitions between individual cellular states as input, we develop a single-cell network synthesis toolkit to generate a computationally executable transcriptional regulatory network model that recapitulates blood development. Model predictions were validated by showing that Sox7 inhibits primitive erythropoiesis, and that Sox and Hox factors control early expression of Erg. We therefore demonstrate that single-cell analysis of a developing organ coupled with computational approaches can reveal the transcriptional programs that control organogenesis. PMID:25664528

Culturally and linguistically diverse palliative care patients' journeys at the end-of-life.

PubMed

Green, Anna; Jerzmanowska, Natalia; Thristiawati, Safrina; Green, Marguerite; Lobb, Elizabeth A

2018-06-04

To understand the clinical and psychosocial journey of culturally and linguistically diverse (CALD) palliative care patients. This study was conducted at a subacute hospital with a specialist palliative care unit and a community palliative care service in a metropolitan region of New South Wales, Australia. Medical records of 100 deceased patients from CALD backgrounds over a 12-month period from 2014 to 2015 were recorded on a data mining tool. The cohort had transitioned to either community or inpatient palliative care services with a life-limiting illness. We used descriptive statistical analyses to identify the patients' end-of-life journeys in the physical, psychological, spiritual, and social palliative care domains. Staff case notes were used to enrich the quantitative data.ResultThe most common symptoms burdening the patients were decreased mobility (82%), pain (76%), and poor appetite (60%). The majority of patients (87%) were diagnosed with cancer. Language was a major barrier to the assessment and management of symptoms. The vast majority of patients were born in Europe and Asia. Twenty-nine percent of the patients preferred to use English. However, among patients who required an interpreter on admission, only 9% used professional interpreters. Family distress around patients' lack of food consumption was prominent, along with provider concern when this led to families "force feeding" patients. Only 5% of files documented patients', and 21% of files documented families', cultural wishes or needs. Care of the body after death was only documented in 20% of files.Significance of resultsThe increasing cohort of older people from CALD backgrounds will have significant implications for the planning and delivery of palliative care services. There is an emerging need to address the physical, psychological, spiritual, and social palliative care domains in the end-of-life journeys of patients from CALD backgrounds to ensure the provision of quality care.

Journey to Becoming a Thai English Teacher: New Perspective on Investigating Teacher Attrition

ERIC Educational Resources Information Center

Prabjandee, Denchai

2014-01-01

In this study, the author provides a unique perspective on teacher shortage by focusing on teacher retention, in terms of why teachers stay in the teaching profession, rather than focusing on teacher attrition, or why teachers leave the teaching profession. The change in perspective created an opportunity to study the journey of how teachers chose…

The Transformational Learning Journey of a Novice ESL Teacher of Low-Literate Adults

ERIC Educational Resources Information Center

DeCapua, Andrea; Marshall, Helaine W.; Frydland, Nan

2018-01-01

This article reports on one teacher's journey, Nan's, as she struggled to provide appropriate instruction to low-literate day laborers in an English as a second language (ESL) class for adult learners. In her efforts to do so, Nan became inspired to implement alternative pedagogy based on a culturally responsive approach that resonated strongly…

Using "Journeys in Film" to Bring Authentic STEM Activities to the K-12 Classroom.

NASA Astrophysics Data System (ADS)

Rock, B. N.

2017-12-01

The "Journeys in Film" project brings important films and documentaries ("The Martian," "Hidden Figures," "River of Gold" and others) and curriculum-based, educational support activities to the classroom. Faculty from the University of New Hampshire, in partnership with selected local middle and high school teachers, developed a STEM Lesson Plan for Journeys in Film" focused on the soon-to-released documentary "River of Gold" which highlights tropical deforestation and illegal gold mining activities in the Peruvian jungles of the Amazon Basin. Using film clips (the Trailer) from the movie and the Lesson Plan, this approach allows pre-college students to learn how to use "Google Earth" to monitor chang-over-time and to quantify the areas of deforestation and mining using multi-date NOAA/USGS Landsat Thematic Mapper and ESA Copernicus satellite data. This approach will allow students to dconduct authentic hands-on science and mathematics to address a wide range of social and environmental issues associated with tropical deforestation in Peru.

Understanding women's journey of recovering from anorexia nervosa.

PubMed

Weaver, Kathryn; Wuest, Judith; Ciliska, Donna

2005-02-01

Previous studies of recovery from anorexia nervosa (AN) have concentrated on discrete behavioral responses of individual women. Little is understood about the subjective process of women's recovery in the context of family, community, or society. In this feminist grounded theory study, the authors explored the perceptions of 12 women who considered themselves recovered or recovering from AN. They discovered a substantive theory of self-development that explains, within the current social context, women's journey from the perilous self-soothing of devastating weight loss to the informed self-care of healthy eating and problem-solving practices. The findings provide an urgently needed explanatory framework to inform women, clinicians, and health policy makers in their prevention and recovery efforts.

Utopia, University and Architecture: A Journey that Changed the Design of Contemporary Universities

ERIC Educational Resources Information Center

Calvo-Sotelo, Pablo Campos

2006-01-01

In 1927, a group of advisors to King Alfonso XIII of Spain, led by the architect Modesto Lopez-Otero, set out for the United States and Canada. Previously, they had visited a number of European cities where they examined the medieval architectural form of some famous universities. Inspired by a Utopian vision, the journey to the New World studied…

Plant Reproduction and the Pollen Tube Journey--How the Females Lure the Males

ERIC Educational Resources Information Center

Lorbiecke, Rene

2012-01-01

The growth of pollen tubes is one of the most characteristic events in angiosperm reproduction. This article describes an activity for visualizing the journey and guidance of pollen tubes in the reproductive structures of a flowering plant. The activity uses a semi-in vivo system with rapid-cycling "Brassica rapa," also known as Fast Plants.…

Four Stages and Four Wisdom Lessons: Harry Potter and the Male Spiritual Journey

ERIC Educational Resources Information Center

Evans, Allen

2005-01-01

The "Harry Potter" series has proven to be immensely popular to readers of all ages worldwide. In particular, the series has strong appeal to boys. This paper examines selected characters and events from the books in light of the "male spiritual journey," a concept currently being explored by Richard Rohr and others. A general definition of…

Female Superintendents: A Qualitative Study of the Journey to the Role of Superintendent

ERIC Educational Resources Information Center

Schmidt, Stacey M.

2011-01-01

This qualitative study examines the journey of females to the role of superintendent. This study is based on interviews of six female superintendents from Indiana and Illinois in cities with a population of 15,000 people or more. Three of the superintendents had more than 25 years of experience in education, and three of the superintendents had 25…

The Pilgram's Progress: Reflections on the journey building Australia's solid earth information infrastructure (Invited)

NASA Astrophysics Data System (ADS)

Woodcock, R.

2013-12-01

Australia's AuScope provides world class research infrastructure as a framework for understanding the structure and evolution of the Australian continent. Since it conception in 2005, Data Scientists have led the Grid and Interoperability component of AuScope. The AuScope Grid is responsible for the effective management, curation, preservation and analysis of earth science data across the many organisations collaborating in AuScope. During this journey much was learned about technology and architectures but even more about organisations and people, and the role of Data Scientists in the science ecosystem. With the AuScope Grid now in operation and resulting techniques and technologies now underpinning Australian Government initiatives in solid earth and environmental information, it is beneficial to reflect upon the journey and observe what has been learned in order to make data science routine. The role of the Data Scientist is a hybrid one, of not quite belonging and yet highly valued. With the skills to support domain scientists with data and computational needs and communicate across domains, yet not quite able to do the domain science itself. A bridge between two worlds, there is tremendous satisfaction from a job well done, but paradoxically it is also best when it is unnoticeable. In the years since AuScope started much has changed for the Data Scientist. Initially misunderstood, Data Scientists are now a recognisable part of the science landscape in Australia. Whilst the rewards and incentives are still catching up, there is wealth of knowledge on the technical and soft skills required and recognition of the need for Data Scientists. These will be shared from the AuScope journey so other pilgrims may progress well.

Mapping the Landscape, Journeying Together: The Gold Foundation's Model for Research-Based Advocacy in Humanism in Medicine.

PubMed

Gaufberg, Elizabeth

2017-12-01

Mapping the Landscape, Journeying Together (MTL) is an initiative of the Arnold P. Gold Foundation Research Institute. The MTL initiative awards teams with a grant to complete a rigorous review of the literature on a topic related to humanism in health care. Teams may then seek a discovery or advocacy grant to fill in gaps in knowledge or to make or advocate for change. In this Commentary, the author reveals the MTL journey through the metaphor of cartography. She describes the initial development of a road map, as well as the MTL community's experience of navigation, discovery, and exploration. MTL participants are not only incrementally adding to a complex body of knowledge but also actively cultivating a robust community of practice.

Using Academic Literacies and Genre-Based Models for Academic Writing Instruction: A "Literacy" Journey

ERIC Educational Resources Information Center

Wingate, Ursula

2012-01-01

Three writing development initiatives carried out at King's College London UK are discussed in this article to illustrate the need to draw on different theoretical models to create effective methods of teaching academic writing. The sequence of initiatives resembles a journey: the destination is to develop academic writing programmes suitable for…

My Voice Heard: The Journey of a Young Man with a Cerebral Visual Impairment

ERIC Educational Resources Information Center

Macintyre-Beon, Catriona; Mitchell, Kate; Gallagher, Ian; Cockburn, Debbie; Dutton, Gordon N.; Bowman, Richard

2012-01-01

This longitudinal case study presents John's journey through childhood and adolescence, living with visual difficulties associated with a cerebral visual impairment. It highlights the day-to-day problems that John encountered, giving practical solutions and strategies that have enabled his dream of going to a university to be realized. John and…

Crossing the Digital Divide Safely and Trustingly: How Ecologies of Learning Scaffold the Journey

ERIC Educational Resources Information Center

Henning, Elizabeth; Van der Westhuizen, Duan

2004-01-01

The article addresses the issue of "learning to elearn" in borderless programs in a globalised learning landscape and the associated problems of scaffolding the journey across the digital divide. The authors argue that the assumption underlying such courses is that cross-cultural programs are viable because they are conceived and…

Immigrant Students at School: Easing the Journey towards Integration. OECD Reviews of Migrant Education

ERIC Educational Resources Information Center

OECD Publishing, 2015

2015-01-01

How school systems respond to immigration has an enormous impact on the economic and social well-being of all members of the communities they serve, whether they have an immigrant background or not. "Immigrant Students at School: Easing the Journey towards Integration" reveals some of the difficulties immigrant students encounter--and…

Journey to the Nevada Test Site Radioactive Waste Management Complex

ScienceCinema

None

2018-01-16

Journey to the Nevada Test Site Radioactive Waste Management Complex begins with a global to regional perspective regarding the location of low-level and mixed low-level waste disposal at the Nevada Test Site. For decades, the Nevada National Security Site (NNSS) has served as a vital disposal resource in the nation-wide cleanup of former nuclear research and testing facilities. State-of-the-art waste management sites at the NNSS offer a safe, permanent disposal option for U.S. Department of Energy/U.S. Department of Defense facilities generating cleanup-related radioactive waste.

Exploring the Issues of Incorporating Cultural Differences in Education: A Curriculum Journey in Playwriting

ERIC Educational Resources Information Center

Thom, Jennifer S.; Blades, David

2014-01-01

In response to a mandate to develop a more welcoming university for students, especially those of Aboriginal inheritance, we set out on a journey for ways of accommodating cultural differences in our university classrooms. Over the course of a year, we met regularly and audiotaped our conversations. By talking, transcribing, writing, and…

Processes and Dynamics behind Whole-School Reform: Nine-Year Journeys of Four Primary Schools

ERIC Educational Resources Information Center

Li, Yuk Yung

2017-01-01

Despite decades of research, little is known about the dynamics of sustaining change in school reform and how the process of change unfolds. By tracing the nine-year reform journeys of four primary schools in Hong Kong (using multiyear interview, observational, and archival data), this study uncovers the micro-processes the schools experienced…

Creating an EBP framework on a journey to becoming an EBP agency: pioneers in the field of children's mental health.

PubMed

Archer-Kuhn, Beth; Bouchard, Terrance Thomas; Greco, Adelle

2014-01-01

Agencies servicing children, youth, and families have been particularly pressured to demonstrate service effectiveness and accountability by government funders. The human service fields have not fully embraced research evidence into the organizational culture creating a challenge of introducing research evidence into agencies. Gaps in knowledge have been identified when agencies attempt to travel down the path of introducing evidence-based practice into organizational culture. The paradigm shift of introducing research into practice was the journey taken by one mid-sized agency in southwestern Ontario, Canada. A framework for assessing evidence-based practice programs in services was created as part of their journey.

Caring for culturally diverse patients: one agency's journey toward cultural competence.

PubMed

Romeo, Cathy

2007-03-01

Across the United States, spanning urban, suburban, and rural areas, racial and ethnic minority populations are growing faster than White English-speaking populations. Increasingly, healthcare professionals are providing care to patients from diverse cultures with traditions and beliefs that may be unfamiliar and with health practices that may conflict with western medicine. How can home care and hospice professionals navigate this new terrain and communicate effectively across cultural boundaries? One agency's journey toward cultural competency may provide a road map for others.

Historical Thinking inside the Box: Preservice Elementary Teachers Use Journey Boxes to Craft Counter Narratives

ERIC Educational Resources Information Center

Alarcon, Jeannette; Holmes, Kathlene; Bybee, Eric

2015-01-01

This article details the "journey box" project process enacted by two elementary preservice teacher cohorts. Engaging in activities and projects that promote a sense of investment in not only consuming but producing historical narratives, preservice teachers potentially become interested in sharing this type of learning with their…

Service-Learning's Ongoing Journey as a Method of Instruction: Implications for School-Based Agricultural Education

ERIC Educational Resources Information Center

Roberts, Richie; Edwards, M. Craig

2015-01-01

American education's journey has witnessed the rise and fall of various progressive education approaches, including service-learning. In many respects, however, service-learning is still undergoing formation and adoption as a teaching method, specifically in School-Based, Agricultural Education (SBAE). For this reason, the interest existed to…

Journey to become a nurse leader mentor: past, present and future influences.

PubMed

McCloughen, Andrea; O'Brien, Louise; Jackson, Debra

2014-12-01

Mentorship, often viewed as a central capacity of leadership, is acknowledged as influential in growing nurse leaders. Mentoring relationships are perceived as empowering connections offering a dynamic guided experience to promote growth and development in personal and professional life. A hermeneutic phenomenological approach informed by Heidegger and Gadamer was used to explore understandings and experiences of mentorship for nurse leadership by 13 Australian nurse leaders. We found that learning and transformation associated with becoming a nurse leader mentor was experienced as an enduring evolutionary process. Participants' life journeys provided experiences that developed their understandings and established their personal identity as a leader and mentor. We considered the journey motif in terms of its inextricable connection with lived time and used Heidegger's ecstasies of temporality as a lens to understand how the temporal dimensions of past, present and future influenced and shaped the development of nurse leader mentors. We found that our temporal existence influences interpretation of ourselves and the world. Individuals can benefit from multiple separate mentoring interludes, with different mentors, over a lifetime. For some nurses, becoming a leader and mentor is a lifelong transformative process that grows from diverse experience and influential role modelling rather than formal instruction. © 2013 John Wiley & Sons Ltd.

A journey of restoring self-confidence: the life experiences of women recipients of augmentation mammaplasty.

PubMed

Wu, Wan-Ru; Chung, Ue-Lin; Chang, Sophia C N

2007-06-01

The purpose of this qualitative research study was to explore the preoperative through postoperative phase experience of women who had undergone augmentation mammaplasty. Nine women undergoing augmentation mammaplasty were selected by purposive sampling and interviewed using semi- structured, open-ended interview guidelines. Researchers used Symbolic interactionism to frame their overall perspective and analyzed data with the content analysis method. Rigors of data analysis were adopted credibility, transferability, dependability and confirmability proposed by Guba and Lincoln. The main theme of living experience of women who received augmentation mammaplasty could be summarized as "a journey to restore self-confidence". The categories identified within this journey included: (1) the invisible standards of breast beauty; (2) Taking courageous action to make changes; (3) conflicts between the natural and artificial. The above findings provided initial qualitative data from Taiwanese women's perspective. By better understanding their experience, nurses can become increasingly sensitive to patients' psychosocial adjustment and provide prudential nursing care.

Meet-Up for Success: The Story of a Peer Led Program's Journey

ERIC Educational Resources Information Center

Kimmins, Lindy R.

2013-01-01

Technological advancements have forced space and time to evolve to present a virtual university that allows increasing numbers of students to study from a university rather than at university. The best people to guide and advise students through their university journey are experienced students. As Longfellow, May, Burke, and Marks-Maran (2008, p.…

Ambivalent journeys of hope: embryonic stem cell therapy in a clinic in India.

PubMed

Prasad, Amit

2015-03-01

Stem cell therapy in non-Western countries such as India has received a lot of attention. Apart from media reports, there are a number of social science analyses of stem cell policy, therapy, and research, their ethical implications, and impact of advertising on patients. Nevertheless, in the media reports as well as in academic studies, experiences of patients, who undertake overseas journeys for stem cell therapy, have largely been either ignored or presented reductively, often as a "false hope." In this article, I analyze the experiences of patients and their "journeys of hope" to NuTech Mediworld, an embryonic stem cell therapy clinic in New Delhi, India. My analysis, which draws on my observations in the clinic and patients' experiences, instead of seeking to adjudicate whether embryonic stem cell therapy in clinics such as NuTech is right or wrong, true or false, focuses on how patients navigate and contest these concerns. I utilize Gilles Deleuze and Felix Guattari's "concepts," lines of flight and deterritorialization, to highlight how embryonic stem cell therapy's "political economy of hope" embodies deterritorialization of several "regimes of truth" and how these deterritorializations impact patients' experiences. © The Author(s) 2014.

Red Earth, Brown Earth: Walking in Two Worlds, the Journey of Indigenous Women in Academia

ERIC Educational Resources Information Center

Herrera, Michelle D.

2011-01-01

This dissertation is both an autobiographical and collaborative exploration of the complexities experienced by Indigenous women in their academic journey. But more than that, the entire study was conducted in ways that are in accordance with Traditional Indigenous worldview, Indigenous Storytelling/Oral Tradition and the role of women in…

How To Avoid Crossfire and Seek Common Ground: A Journey for the Sake of Children.

ERIC Educational Resources Information Center

Ledell, Marjorie

A democracy must tolerate many points of view without becoming divided. Therefore, public educators and the communities they serve are challenged to help students understand political and religious issues without proselytizing. This handbook provides guidelines for beginning the journey toward common ground, for moving from a climate of antagonism…

Narratives of Adolescent Girls Journeying via Feminist Participatory Action Research through the Aftermath of Divorce

ERIC Educational Resources Information Center

Botha, Carolina S.; Hay, Johnnie

2016-01-01

This article documents the (often counter-normative) narrative journey of four South African adolescent girls whose biological parents had divorced--and one (or both) parent(s) remarried. Through purposive sampling within a qualitative research paradigm of feminist participatory action research, they were supported in group context by the primary…

Visualizing Caribbean Performance (Jamaican Dancehall and Trinidadian Carnival) as Praxis: An Autohistoria of Kiki's Journey

ERIC Educational Resources Information Center

Carey, A'Keitha

2016-01-01

I discuss my journey in the construction, pedagogy, and philosophy of the dance technique CaribFunk™. CaribFunk fuses Afro-Caribbean (traditional and social dance), classical ballet, modern, and fitness elements. It also encourages exploration of self while investigating identity, citizenship, and culture through a kinesthetic expression of the…

Journey to the 'New Normal' and Beyond: Reflections on Learning in a Community of Practice

ERIC Educational Resources Information Center

Watson-Gegeo, Karen Ann

2005-01-01

Through poetry and strips of narrative, this paper discusses the embodied experience of chemical sensitivity and the anthropologist author's and other patients' journey through altered perception towards knowledge, community and transformation in the context of a medical clinic. The narratives are situated in several strands of relevant theory,…

77 FR 67861 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-14

... passengers do not travel in the same aircraft from origin to destination but must change planes at an... single flight number for the passenger's entire itinerary even though the passenger changes planes, but... of missed connections. However, although change-of-gauge flights can offer valuable consumer benefits...

More Than a Destination: Contraceptive Decision Making as a Journey.

PubMed

Downey, Margaret Mary; Arteaga, Stephanie; Villaseñor, Elodia; Gomez, Anu Manchikanti

Contraceptive use is widely recognized as a means of reducing adverse health-related outcomes. However, dominant paradigms of contraceptive counseling may rely on a narrow definition of "evidence" (i.e., scientifically accurate but exclusive of individual women's experiences). Given increased enthusiasm for long-acting, reversible contraceptive methods, such paradigms may reinforce counseling that overprivileges effectiveness, particularly for groups considered at high risk of unintended pregnancy. This study investigates where and how women's experiences fit into the definition of evidence these counseling protocols use. Using a qualitative approach, this analysis draws on semistructured interviews with 38 young (ages 18-24) Black and Latina women. We use a qualitative content analysis approach, with coding categories derived directly from the textual data. Our analysis suggests that contraceptive decision making is an iterative, relational, reflective journey. Throughout contraceptive histories, participants described experiences evolving to create a foundation from which decision-making power was drawn. The same contraceptive-related decisions were revisited repeatedly, with knowledge accrued along the way. The cumulative experience of using, assigning meanings to, and developing values around contraception meant that young women experienced contraceptive decision making as a dynamic process. This journey creates a rich body of evidence that informs contraceptive decision making. To provide appropriate, acceptable, patient-centered family planning care, providers must engage with evidence grounded in women's expertise on their contraceptive use in addition to medically accurate data on method effectiveness, side effects, and contraindications. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Personal Reflection: Rough Seas to Calmer Waters: The Journey of an Early Career Academic

ERIC Educational Resources Information Center

Kruger, Mellissa L.

2012-01-01

As an early career academic I have had the opportunity to reflect on my early experiences in academia. This paper is a reflection on my journey through rough seas to calmer waters. This paper describes an uneasy voyage of experience, from confident practitioner to uncertain academic. Helping to steer me through uncharted waters on the high seas of…

Journey to a Star Rich with Planets

NASA Technical Reports Server (NTRS)

2007-01-01

[figure removed for brevity, see original site] Click on the image for movie of Journey to a Star Rich with Planets

This artist's animation takes us on a journey to 55 Cancri, a star with a family of five known planets - the most planets discovered so far around a star besides our own.

The animation begins on Earth, with a view of the night sky and 55 Cancri (flashing dot), located 41 light-years away in the constellation Cancer. It then zooms through our solar system, passing our asteroids and planets, until finally arriving at the outskirts of 55 Cancri.

The first planet to appear is the farthest out from the star -- a giant planet, probably made of gas, with a mass four times that of Jupiter. This planet orbits its star every 14 years, similar to Jupiter's 11.9-year orbit.

As the movie continues, the three inner planets are shown, the closest of which is about 10 to 13 times the mass of Earth with an orbital period of less than three days.

Zooming out, the animation highlights the newest member of the 55 Cancri family - a massive planet, likely made of gas, water and rock, about 45 times the mass of Earth and orbiting the star every 260 days. This planet is the fourth out from the star, and lies in the system's habitable zone (green). A habitable zone is the place around a star where liquid water would persist. Though the newest planet probably has a thick gaseous envelope, astronomers speculate that it could have one or more moons. In our own solar system, moons are common, so it seems likely that they also orbit planets in other solar systems. If such moons do exist, and if they are as large as Mars or Earth, astronomers speculate that they would retain atmospheres and surface liquid water that might make interesting environments for the development of life.

The animation ends with a comparison between 55 Cancri and our solar system.

The colors of the illustrated planets were chosen to resemble those of our own solar

Exploring Shamanic Journeying: Repetitive Drumming with Shamanic Instructions Induces Specific Subjective Experiences but No Larger Cortisol Decrease than Instrumental Meditation Music

PubMed Central

Gingras, Bruno; Pohler, Gerald; Fitch, W. Tecumseh

2014-01-01

Exposure to repetitive drumming combined with instructions for shamanic journeying has been associated with physiological and therapeutic effects, such as an increase in salivary immunoglobulin A. In order to assess whether the combination of repetitive drumming and shamanic instructions is specifically associated with these effects, we compared the effect of listening to either repetitive drumming or instrumental meditation music for 15 minutes on salivary cortisol concentration and on self-reported physiological and psychological states. For each musical style, two groups of participants were exposed to two conditions: instructions for shamanic journeying or relaxation instructions. A total of 39 participants (24 females) inexperienced in shamanic journeying completed the experiment. Salivary cortisol concentrations were measured before and after exposure to music. In addition, participants filled out a mood questionnaire before and after the experiment and completed a post experiment questionnaire on their experiences. A significant decrease in the concentration in salivary cortisol was observed across all musical styles and instructions, indicating that exposure to 15 minutes of either repetitive drumming or instrumental meditation music, while lying down, was sufficient to induce a decrease in cortisol levels. However, no differences were observed across conditions. Significant differences in reported emotional states and subjective experiences were observed between the groups. Notably, participants exposed to repetitive drumming combined with shamanic instructions reported experiencing heaviness, decreased heart rate, and dreamlike experiences significantly more often than participants exposed to repetitive drumming combined with relaxation instructions. Our findings suggest that the subjective effects specifically attributed to repetitive drumming and shamanic journeying may not be reflected in differential endocrine responses. PMID:24999623

Secondary health conditions and spinal cord injury: an uphill battle in the journey of care.

PubMed

Guilcher, Sara J T; Craven, B Cathy; Lemieux-Charles, Louise; Casciaro, Tiziana; McColl, Mary Ann; Jaglal, Susan B

2013-06-01

To understand the journey of care in the prevention and management of secondary health conditions (SHCs) following spinal cord injury (SCI). This was a case study design with 'Ontario' as the case. The Network Episode Model was used as the conceptual framework. Data sources included in depth interviews with persons with SCI, care providers, and policy and decision makers. Document analysis was also conducted on relevant materials and policies. Key informants were selected by purposeful sampling as well as snowball sampling to provide maximum variation. Data analysis was an iterative process and involved descriptive and interpretive analyses. A coding structure was developed based on the conceptual framework which allowed for free nodes when emerging ideas or themes were identified. Twenty-eight individuals were interviewed (14 persons with SCI and 14 persons representing care providers, community advocacy organization representatives, system service delivery administrators and policy-makers). A major over-arching domain that emerged from the data was the concept of 'fighting'. Eleven themes were identified: at the micro-individual level: (i) social isolation and system abandonment, (ii) funding and equitable care, (iii) bounded freedom and self-management; at the meso care provider level: (iv) gender and caregiving strain, (v) help versus disempowerment, (vi) holistic care-thinking outside the box, (vii) poor communication and coordination of care; and at the macro health system level: (viii) fight for access and availability, (ix) models of care tensions, (x) private versus public tensions and (xi) rigid rules and policies. Findings suggest that the journey is challenging and a persistent uphill struggle for persons with SCI, care providers, and community-based advocates. If we are to make significant gains in minimizing the incidence and severity of SHCs, we need to tailor efforts at the health system level. • Secondary health conditions are problematic for

A Journey to Wholeness Through Tai Chi

NASA Astrophysics Data System (ADS)

Al-Turki, Faiza

Healing is a multifaceted venture. Whereas many traditional cultures see healing as a journey that, by necessity, combines body, mind, and spirit, today's Western society frequently divides healing, relegating its parts to various experts--body to physicians, mind to psychologists, spirit to religions. Employing heuristic and alchemical hermeneutic methodologies, this thesis explores tai chi as a healing tool that bridges that division, exploring the following question: is it possible that the connection of body, mind, and spirit offered by tai chi is the very mechanism by which it facilitates healing? The cultural and historical context of tai chi is introduced, as well as research showing various Western views. A heuristic approach offers personal examples of the use of tai chi as a process partner, while a depth psychological lens informs the use of tai chi principles to guide moments of self-exploration and transformation in a therapeutic way.

Racism in nursing education: a reflective journey.

PubMed

Markey, Kathleen; Tilki, Mary

This article discusses the personal and professional journey of discovery experienced by a nurse lecturer as a result of engagement in a project exploring the impact of racism in the nursing classroom. The findings of the study demonstrated the existence and complexity of racism, the impact of racism on student learning, the limitations of lecturers in recognizing and addressing racism and organizational factors which perpetuate institutional racism. The authors describe the insight gained from the research process and how this has influenced the practice of the first author and how reflection and mentorship by the second author have challenged personal ethnocentricity, encouraged new ways of thinking, enhanced confidence and encouraged experiential teaching strategies. The article highlights the ways in which nurse lecturers might become culturally competent and in particular addressing issues of racism in the classroom and enabling learning which is applicable in practice.

Developing National Board Certified Teachers in North Carolina: A Journey from the Classroom to Leadership

ERIC Educational Resources Information Center

Bunch, Audrey Worrell

2012-01-01

This qualitative study examined a culture of teacher leadership that has evolved in North Carolina over the past 20 years, conveying the professional journey of teachers who had moved out of the classroom into other educational leadership roles after attainment of National Board for Professional Teaching Standards (NBPTS) certification. The study…

Journey to the Center of a Neutron Star

NASA Technical Reports Server (NTRS)

Wanjek, Christopher

2003-01-01

A neutron star is not a place most would want to visit. This dense remnant of a collapsed star has a magnetic field billions of times stronger than Earth's, enough to shuffle your body's molecules long before you even land. The featureless surface is no fun either. Crushing gravity ensures that the star is a near perfect sphere, compressing all matter so that a sand-grain-sized scoop of neutron star material would weigh as much as a battleship on Earth. At least black holes offer the promise of funky singularity, time warps, and the Odyssean temptation to venture beyond a point of no return. What s a journey to a neutron star good for, one might ask? Well, for starters, it offers the possibility of confirming a theorized state of matter called quark-gluon plasma, which likely existed for a moment after the Big Bang and now might only exist in the superdense interiors of neutron stars. Beneath the neutron star crust, a kilometer-thick plate of crystalline matter, lies the great unknown. The popular theory is that the neutron star interior is made up of a neutron superfluid - a fluid without friction. With the help of two NASA satellites - the Rossi X-Ray Timing Explorer and the Chandra X-Ray Observatory - scientists are journeying to the center of a neutron star. Matter might be so compressed there that it breaks down into quarks, the building blocks of protons and neutrons, and gluons, the carrier of the strong nuclear force. To dig inside a neutron star, no simple drill bit will do. Scientists gain insight into the interior through events called glitches, a sudden change in the neutron star s precise spin rate. 'Glitches are one of the few ways we have to study the neutron star interior,' says Frank Marshall of NASA s Goddard Space Flight Center, who has used the Rossi Explorer to follow the escapades of the glitchiest of all neutron stars, dubbed the Big Glitcher and known scientifically as PSR J0537-6910.

Profiling Derald Wing Sue: Blazing the Trail for the Multicultural Journey and Social Justice in Counseling

ERIC Educational Resources Information Center

Romero, Dan; Chan, Anne

2005-01-01

This article reviews contributions of Derald Wing Sue to the counseling profession through his scholarship, teaching, leadership, and innovation in articulating multicultural issues in counseling.The article profiles Sue's multicultural journey by blending summaries from his writings, comments from professional colleagues, and information from a…

Dialog on a country path: the qualitative research journey.

PubMed

Sorrell, Jeanne M; Cangelosi, Pamela R; Dinkins, Christine S

2014-03-01

There is little information in the literature describing how students learn qualitative research. This article describes an approach to learning that is based on the pedagogical approach of Dinkins' Socratic-Hermeneutic Shared Inquiry. This approach integrates shared dialog as an essential aspect of learning. The qualitative pedagogy described in this article focused on three questions: What is knowing in qualitative research? How do we come to know qualitative research? What can we do with qualitative research? Students learned the basics of qualitative research within a context that fostered interpretive inquiry. In this way, the course framework mirrored the combination of interviewing, storytelling, and journeying toward understanding that constitute qualitative research. © 2013.

A New Model of Governance: One University's Journey.

PubMed

Brooks, Beth A; Scanlan, Therese

2015-01-01

In the nearly 50 years, since the Medicare Program established funding for nursing education in the United States, there has been a steady migration away from hospital-controlled programs toward those which function as wholly owned subsidiaries within larger health care systems. Private sector health care organizations in particular are under increasing pressure to adapt at the risk of losing all of their funding. However, accomplishing this presents multiple challenges for today's nursing education programs in terms of their regulatory compliance, accreditation, autonomy, and, above all, governance model. The authors outline the journey toward, and specific challenges involved in creating, implementing and administering a new governance model, which sustains the overall mission and vision of the education institution while functioning seamlessly within a modern corporate health care system.

A Journey in Science: Medical Scientist in Translation

PubMed Central

Hansson, Göran K

2014-01-01

Real innovations in medicine and science are historic and singular; the stories behind each occurrence are precious. At Molecular Medicine we have established the Anthony Cerami Award in Translational Medicine to document and preserve these histories. The monographs recount the seminal events as told in the voice of the original investigators who provided the crucial early insight. These essays capture the essence of discovery, chronicling the birth of ideas that created new fields of research; and launched trajectories that persisted and ultimately influenced how disease is prevented, diagnosed and treated. In this volume, the Cerami Award Monograph is by Göran K Hansson, MD, PhD, Karolinska Institute. A visionary in the field of cardiovascular research, this is the story of Dr. Hansson’s scientific journey. PMID:25356751

Use of the 'patient journey' model in the internet-based pre-fitting counseling of a person with hearing disability: study protocol for a randomized controlled trial.

PubMed

Manchaiah, Vinaya K C; Stephens, Dafydd; Andersson, Gerhard; Rönnberg, Jerker; Lunner, Thomas

2013-01-24

Hearing impairment is one of the most frequent chronic conditions. Persons with a hearing impairment (PHI) have various experiences during their 'journey' through hearing loss. In our previous studies we have developed a 'patient journey' model of PHI and their communication partners (CPs). We suggest this model could be useful in internet-based pre-fitting counseling of a person with hearing disability (PHD). A randomized controlled trial (RCT) with waiting list control (WLC) design will be used in this study. One hundred and fifty eight participants with self-reported hearing disability (that is, score > 20 in the Hearing Handicap Questionnaire (HHQ)) will be recruited to participate in this study. They will be assigned to one of two groups (79 participants in each group): (1) Information and counseling provision using the 'patient journey' model; and (2) WLC. They will participate in a 30 day (4 weeks) internet-based counseling program based on the 'patient journey' model. Various outcome measures which focuses on hearing disability, depression and anxiety, readiness to change and acceptance of hearing disability will be administered pre (one week before) and post (one week and six months after) intervention to evaluate the effectiveness of counseling. Internet-based counseling is being introduced as a viable option for audiological rehabilitation. We predict that the 'patient journey' model will have several advantages during counseling of a PHD. Such a program, if proven effective, could yield cost and time-efficient ways of managing hearing disability. ClinicalTrials.gov Protocol Registration System NCT01611129.

Insights from Six Women on Their Personal Journeys to Becoming Deans of Agriculture: A Qualitative Study

ERIC Educational Resources Information Center

Kleihauer, Sarah; Stephens, Carrie Ann; Hart, William E.

2012-01-01

Understanding one's personal journey provides for effective learning, growth, and development (Madsen, 2010). Reflection on the influences and experiences of successful women leaders is essential to understanding the factors that have enabled them to obtain and sustain leadership positions in nontraditional career fields. The purpose of this…

Journey to Mars Update on This Week @NASA – September 30, 2016

NASA Image and Video Library

2016-09-30

NASA Administrator Charlie Bolden joined other leaders of the world’s space agencies to discuss the latest technological breakthroughs and developments in space exploration at the 67th International Astronautical Congress, Sept. 26-30th in Guadalajara, Mexico. At the event, NASA discussed new elements to its multi-phase Journey to Mars to extend the human footprint all the way to the Red Planet. NASA will continue operations aboard the International Space Station through 2024. Work currently underway aboard the station to encourage commercial development of low-Earth orbit, develop deep space systems, life support and human health is part of the Earth Reliant phase of the Journey to Mars. In the 2020s, during the Proving Ground phase when NASA steps out farther, the agency now plans to send an astronaut crew on a yearlong mission to a deep space destination near the moon. They will conduct activities to verify habitation and test our readiness for Mars. A round-trip robotic Mars sample return mission is being targeted for the 2020s, as part of the Earth Independent phase before finally sending humans on a mission to orbit Mars in the early 2030s. Also, Zurbuchen Named Head of NASA Science, Hubble Spots Possible Water Plumes on Europa, Rosetta’s Mission Ends, and Armstrong Celebrates 70 Years of Flight Research!

Wellbeing in the Secondary Music Classroom: Ideas from Hero's Journeys and Online Gaming

ERIC Educational Resources Information Center

Countryman, June; Stewart Rose, Leslie

2017-01-01

This paper explores the idea that wellbeing and healthy development should be the central goal of school music programs. After establishing a framework of student wellbeing, the metaphor of rites of passage experiences is employed--through Joseph Campbell's hero's journey and Jane McGonigal's analysis of the benefits of online gaming--as one way…

Joseph Campbell, Jung, Anne Tyler, and "The Cards": The Spiritual Journey in "Searching for Caleb."

ERIC Educational Resources Information Center

Thomson, Karen M.

Joseph Campbell, Carl Jung, and Anne Tyler have all dealt with spiritual journeys and card reading in their writings. In his book "Tarot Revelations," Joseph Campbell discusses his first association with tarot cards, dating from 1943, when he was introduced to the symoblism of playing cards by his friend and mentor, Heinrich Zimmer. Carl…

Experiential Learning of History through Youth Journeys to Poland: Israeli Jewish Youth and the Holocaust

ERIC Educational Resources Information Center

Romi, Shlomo; Lev, Michal

2007-01-01

National history and collective memory and their impact on adolescents' knowledge and attitudes are the topic of this article. A follow-up study, it examines the long-term impact of a journey to historical monuments. Israeli Jewish high-school students have the option of experiential study, visiting cities and death camps in Poland. The first…

Lewis & Clark: The Journey of the Corps of Discovery. Teacher's Guide and Video Segment Index.

ERIC Educational Resources Information Center

Public Broadcasting Service, Washington, DC.

This teacher's guide accompanies the Public Broadcasting System (PBS) four-part videotape documentary about the journey of Meriwether Lewis and William Clark as they made their way from the Missouri River to the Pacific Ocean. The guide introduces the documentary's major themes through 4 lessons which focus on the geography and events that shaped…

Helping parents live with the hole in their heart: The role of health care providers and institutions in the bereaved parents' grief journeys.

PubMed

Snaman, Jennifer M; Kaye, Erica C; Torres, Carlos; Gibson, Deborah V; Baker, Justin N

2016-09-01

Bereaved parents experience significant psychosocial and health sequelae, suggesting that this population may benefit from the ongoing extension of support and resources throughout the grief journey. The interaction of hospital staff with patients and families at the end of a child's life and after death profoundly affects parental grief, offering a unique opportunity for the medical community to positively impact the bereavement experience. The current study was conducted to explore the role of the health care team and medical institutions in the grief journeys of parents whose child died a cancer-related death. Eleven bereaved parents participated in 2 focus groups. Responses to each of the 3 main prompts were coded and analyzed independently using semantic content analysis techniques. Four main concepts were identified within the parental narratives, including the importance of strong and ongoing relationships between providers and bereaved families, the importance of high-quality communication, the effect of negative experiences between providers and families on parental grief, and the importance of the institution's role in the grief journeys of bereaved parents. Bereaved parents consistently identified the critical role played by medical staff and medical institutions throughout the grief journey. Key components of bereavement support identified by parents should serve to guide the actions of providers as well as provide a template for the development of a comprehensive bereavement program within an institution. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2757-2765. © 2016 American Cancer Society. © 2016 American Cancer Society.

Brokers, consumers and the internet: how North American consumers navigate their infertility journeys.

PubMed

Speier, Amy R

2011-11-01

North Americans who suffer infertility often reach an end to treatment options at home, whether it is due to a lack of egg donors in Canada or the high cost of treatment in the USA. Patients navigate their way onto the internet, seeking support and other options. As women and couples 'do the research' online, they conduct endless Google searches, come across IVF brokers, join support groups, read blogs and meet others on the road of infertility. This paper considers the journeys that North American patients make to clinics in Moravia, Czech Republic. Along these travels, patients engage with support groups, other patients, IVF brokers and clinic co-ordinators. Since the distance travelled between North America and Europe is extensive, reproductive travels may be arranged by clinical staff, travel brokers and patients. Acting as consumers, North Americans make different 'choices' along their journeys – the use of a broker, if and when they should join online communities, which clinic to visit and where to stay. This study focuses on the question of how patient choices often determine the success of brokers and clinics, thus influencing the structure of cross-border reproductive care in the Czech Republic. Copyright © 2011 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

A Web-based geographic information system for monitoring animal welfare during long journeys.

PubMed

Ippoliti, Carla; Di Pasquale, Adriano; Fiore, Gianluca; Savini, Lara; Conte, Annamaria; Di Gianvito, Federica; Di Francesco, Cesare

2007-01-01

Animal welfare protection during long journeys is mandatory according to European Union regulations designed to ensure that animals are transported in accordance with animal welfare requirements and to provide control bodies with a regulatory tool to react promptly in cases of non-compliance and to ensure a safe network between products, animals and farms. Regulation 1/2005/EC foresees recourse to a system of traceability within European Union member states. The Joint Research Centre of the European Commission (JRC) has developed a prototype system fulfilling the requirements of the Regulation which is able to monitor compliance with animal welfare requirements during transportation, register electronic identification of transported animals and store data in a central database shared with the other member states through a Web-based application. Test equipment has recently been installed on a vehicle that records data on vehicle position (geographic coordinates, date/time) and animal welfare conditions (measurements of internal temperature of the vehicle, etc.). The information is recorded at fixed intervals and transmitted to the central database. The authors describe the Web-based geographic information system, through which authorised users can visualise instantly the real-time position of the vehicle, monitor the sensor-recorded data and follow the time-space path of the truck during journeys.

[Social and esthetic care in oncology, a part of the patient's journey].

PubMed

Christ, Dominique; Reaux, Martine

2013-10-01

Socio-aesthetic care in oncology, a parenthesis in the patient's journey. Socio-aesthetics, which is an aspect of support care, is carried out within the hospital. The treatments given into the suggestion of paramedical teams or at the request of patients provide relief and well-being to women and men who are treated for cancer. Recourse to services of socio-esthetics at various stages of the cancer treatment helps avoid isolation, regain confidence in one's self image and prepare for life "after cancer".

Latina University Professors, Insights into the Journeys of Those Who Strive to Leadership within Academia

ERIC Educational Resources Information Center

Vasquez-Guignard, Sandra Jeannette

2010-01-01

The statistics on Latinas who hold positions as professors and leaders in higher education are grim. Although there are more Latinas going to college, only 1% of professors in the U.S. are Latina. The purpose of this phenomenological study was to explore the lived experiences of 4 Latina professors to learn about their journeys to secure positions…

Journey to Library 2.0: One Library Trains Staff on the Social Tools Users Employ

ERIC Educational Resources Information Center

Hastings, Robin

2007-01-01

In December 2006, the Missouri River Regional Library (MRRL) in Jefferson City, embarked on a journey. They had been watching the Public Library of Charlotte-Mecklenburg County (PLCMC), NC, on its adventure through the wilds of Web 2.0, and they decided to follow the trail it had blazed. What PLCMC had done was pretty revolutionary. The library…

Between Fan Pilgrimage and Dark Tourism: Competing Agendas in Overseas Field Learning

ERIC Educational Resources Information Center

McMorran, Chris

2015-01-01

An overseas field learning itinerary can be a powerful pedagogical tool for both directing student attention and complicating preexisting spatial narratives. However, one must beware of using the itinerary to replace one narrative with another. This paper examines the itinerary negotiation for a 15-day overseas field module conducted three…

Smoke, Wind, and That Journey Upwards: Augustinian Reflections on the Role of Humility in Virtue Formation

ERIC Educational Resources Information Center

Herdt, Jennifer A.

2015-01-01

Augustine's training in pagan rhetoric, his classical education, and the productive tensions he experienced between pagan and Christian exemplars played a formative role in his spiritual journey. An examination of the generative aspects of these encounters with otherness yields insights for our own understanding, not just of the importance to…

GeoJourney: A Field-Based, Interdisciplinary Approach to Teaching Geology, Native American Cultures, and Environmental Studies

ERIC Educational Resources Information Center

Elkins, Joe; Elkins, Nichole M. L.; Hemmings, Sarah N. J.

2008-01-01

GeoJourney is an interdisciplinary field trip in geology, Native American studies, and environmental studies designed for introductory-level undergraduates. The program travels 23,345 kilometers by van to national parks, industrial sites, museums, and Indian reservations in 24 of the United States. During the day, students carry out hands-on…

The chaotic journey: Recovering from hip fracture in a nursing home.

PubMed

Killington, Maggie; Walker, Ruth; Crotty, Maria

2016-01-01

To understand the journey experienced by nursing home residents following hip fracture and impressions of an outreach rehabilitation program offered after their return home. A qualitative investigation was undertaken in parallel with a randomised controlled trial investigating the efficacy and cost utility of providing a hospital outreach rehabilitation program for older nursing home residents who have recently returned from hospital following hip fracture. Family members and nursing home staff of 28 (out of the first 30) participants (14 from intervention and 14 from control) agreed to participate in interviews and focus groups to provide information and perceptions of each person's journey. NVivo 10 qualitative data analysis software package was used to identify major themes (via open, then axial and finally selective coding). Both family members and staff described nursing home residents with dementia as receiving poor post-operative care from hospital staff who seemed unfamiliar with dementia and delirium. Discharge from hospital soon after surgery (median 4.5days) occurred with poor transfer of information. Difficulties with residents' emotions, pain management and commencing mobilisation seemed more prevalent within usual care group, whereas fewer overall problems were encountered by those with access to a geriatrician and additional therapy. This research suggests that an integrated care pathway including the hospital stay and first weeks back at nursing homes should be developed. Performance indicators should include carer measures on the quality of the transfer, pain management measures in the first month and return to walking. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

When the Light Turns Blue: Journeying into Disability Studies Guided by the Work of Ellen Brantlinger

ERIC Educational Resources Information Center

Collins, Kathleen M.; Broderick, Alicia

2013-01-01

Ellen Brantlinger's research and activism created opportunities for scholars who seek to locate and interrupt the social processes that shape educational inequities. In this essay, we reflect on Ellen's contributions by identifying three key "signposts"--lessons from Ellen's work that guided our own journeys and shaped the…

A Story of a Journey in Implementing an E-Assessment System at a South African University

ERIC Educational Resources Information Center

Singh, U. G.; Wassermann, J. M.

2016-01-01

Following the challenges faced in the selection and implementation of e-assessment tools for student assessment, I undertook a journey of implementing an e-assessment system within the University of KwaZulu-Natal (UKZN). This article describes the path traversed and highlights the potholes and expressways on this road towards e-assessment…

The Epistemological Differences between a Teacher and Researcher: A Personal Journey Illustrating Second Order Action Research

ERIC Educational Resources Information Center

Nicholl, Bill

2009-01-01

This keynote address tells the personal journey of a former teacher who is now involved in educational research. Educational research is topical at the moment in Design and Technology (D&T) Education, as many initial teacher training (ITE) courses make the transition to masters level accreditation, something endorsed by the teacher training and…

[Pictures and documents from the journey of the count palatine Ottheinrich to Cracow and Berlin in 1536/37].

PubMed

Marsch, Angelika

2003-01-01

Just in time for teh 500th anniversary of the count palatine and later elector Ottheinrich (1502-1558) in April 2002, it became known that to this Renaissance rule we owe the earliest pictures of towns and residences from Upper Bavaria, Franconia and the Upper Palatine, from Bohemia, Silesia, Poland, Brandenburg and Saxonia. These pictures are the first series of town views after the wood engravings of the Schedel World Chronicle of 1493. Fifty plates in the size of about 30 x 40-86 cm show seventy town views, of which before only the cities of Breslau, Neisse, Prag and Eichstätt were reproduced in the work of 1493. For centuries the genesis of these pen-and-ink-drawings, coloured with watercolour and opaque water colour and ornamented with heightened gold, lay in obscurity. We only knew that they came from the monastery of Ebrach to the university library of Wurzburg in the course of teh secularisation in the year 1803. Lately these pictures, that show no signatures, but only the names of towns in the banderoles, could be identified as picture documents of a rather unknown journey of the Count Palatine Ottheinrich to Cracow and Berlin. The reason for Ottheinrich's journey was to discharge the unpaid promissory note of the marriage portion of his grandmother, the Polish Princess Hedwig who had married George the Rich of Bavaria-Landshut in 1475. The examination of hte pictures and their genesis, made by Angelika Marsch together with ten German, Polish and Czech scientists, also led to the finding of hitherto unknown documents proving that Ottheinrich's ride to his great-uncle King Sigismund the Elder had been successful. These documents also show by whom Ottheinrich was accompanied and why he didn't choose the direct way back from Cracow to Neuburg, but via Berlin. These journey pictures of Ottheinrich date fom the early times of the depiction of real towns. At the same time the first handed down picture documentation of a principal journey is of great interest

Affirmation through disability: one athlete's personal journey to the London Paralympic Games.

PubMed

Kavanagh, Emma

2012-03-01

This article explores the personal narrative of a British Paralympic wheelchair tennis player who experienced a spinal cord injury (SCI) following a motorcycle accident in 2001 that left her paralysed from the waist down. The study responds to the call by Swain and French, among others, for alternative accounts of disability that demonstrate how life following impairment need not be empty and meaningless, but can actually reflect a positive, if different, social identity. This study draws upon life history data to investigate the journey of one athlete who has managed to achieve international sporting success following a life-changing accident. A pseudonym has not been used for this study as the athlete wanted to be named in the research account and for her story to be shared. A chronological approach was adopted to map the pre- and post-accident recovery process. The account examines life before the trauma, the impact of the accident, the process of rehabilitation and the journey to athletic accomplishment. Negative views of disability can be challenged if disability is viewed in the context of positive life narratives. The story of one Paralympian demonstrates how an 'ordinary' person has made the most of an extraordinary situation and become a world-class athlete. This paper demonstrates that in contrast to typical discourse in disability studies, becoming disabled or living with a disability need not be a tragedy but may on the contrary enhance life and lead to positive affirmation.

The Nobel Legacy: A Journey through Chemistry Inspired by the Achievements of Nobel Laureates.

PubMed

Novara, Francesca Rita; Ross, Haymo

2018-03-15

The Prize is right! Chemistry-A European Journal will start an exciting journey exploring the significance of Nobel Prize awards in Chemistry in the corresponding contemporary chemistry fields. In this new journal feature called "The Nobel Legacy", a recurring series of invited Review-type articles each one connected to a particular Nobel Prize in Chemistry will be published. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

View of near full Moon photographed by Apollo 13 during transearth journey

NASA Technical Reports Server (NTRS)

1970-01-01

This view of a near full Moon was photographed from the Apollo 13 spacecraft during its transearth journey homeward. Though the explosion of the oxygen tank in the Service Module forced the cancellation of the scheduled lunar landing, Apollo 13 made a pass around the Moon prior to returning to Earth. Some of the conspicuous lunar features include the Sea of Crisis, the Sea of Fertility, the Sea of Tranquility, the Sea of Serenity, The Sea of Nector, the Sea of Vapors, the Border Sea, Smyth's Sea, the crater Langenus, and the crater Tsiolkovsky.

"May all Be Shattered into God": Mary Barnes and Her Journey through Madness in Kingsley Hall.

PubMed

Chapman, Adrian

2018-06-02

Contributing to renewed scholarly interest in R. D. Laing and his circle, and in the radical therapeutic community of Kingsley Hall, London (1965-1970), this article offers the first article-length reading of Mary Barnes' and Joseph Berke's Mary Barnes: Two Accounts of a Journey through Madness. This text offers views of anti-psychiatry 'on the ground' that critique the 1960s utopianism of Laing's championing of madness as a metanoic, quasi-psychedelic voyage. Barnes' story, too, reveals tensions within the anti-psychiatric movement. Moving beyond existing criticism of the text, Barnes, it is argued here, emerges as far more than an exemplary patient, victim or anti-psychiatric puppet. Particular attention is paid in this reading of Two Accounts to the following: the ways in which the spiritually inclined Barnes and the psychoanalytic Berke differ in this dual narrative text; the ways in which each differs from Laing; the metaphor of the journey; and the setting of Barnes' story in the often conflicted, experimental household of Kingsley Hall.

Leadership as a Personal Journey: An Indigenous Perspective.

PubMed

Doyle, Kerrie; Hungerford, Catherine

2015-05-01

Indigenous Australians have higher levels of mental illness, self-harm, suicide and substance abuse than non-Indigenous Australians, as well as more frequent contact with the criminal justice system. These indices point to the need for strong leadership to support Close the Gap programmes that have now been implemented across Australia. This article considers leadership as a journey of learning for Australian Indigenous leaders. Through the use of story, it is suggested that a situational leadership approach, incorporating the principles of mindfulness, provides the most appropriate framework for Indigenous leaders who work with Indigenous communities. Flexible approaches are needed to meet the needs of diverse Indigenous populations, and address the complex challenges involved, including lateral violence. Such flexibility will enable Indigenous leaders and communities to work together to achieve improvements in the health outcomes, not only for Indigenous Australians, but also for Indigenous populations worldwide.

A Journey toward Womanhood: Effects of an Afrocentric Approach to Pregnancy Prevention among African-American Adolescent Females.

ERIC Educational Resources Information Center

Dixon, Angela Coleman; Schoonmaker, Christopher T.; Philliber, William W.

2000-01-01

Compares past participants (n=33) in an Afrocentric pregnancy prevention program for adolescent females with nonparticipants (n=32). Results suggest that A Journey Toward Womanhood had a positive impact, delaying the initiation of sexual intercourse, increasing contraceptive use among those who were having intercourse, and reducing the incidence…

UNFINISHED JOURNEY Project. Quarterly report, September 1994--December 1994

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1998-02-01

In September, 1994, the U.S. Department of Energy (Nevada Operations Office) made a $199,708 grant (through the Mathematics, Science, and Technology Education Program), to the UNFINISHED JOURNEY Project. The Project began in April, 1994, to develop and implement an innovative model of student outreach by San Jose State University (SJSU) to underserved, underrepresented student populations of the East Side Union High School District (ESUHSD). The Project was formed by a consortium involving SJSU, ESUHSD, some 20 private sector organizations (foundations/corporations), numerous local community/professional organizations, and approximately 100 private funders. This proposal to the U.S. Department of Energy was to havemore » the Department join this unique partnership to focus University outreach to underserved student populations to pursue careers in mathematics, science, and technology.« less

The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation

PubMed Central

McAlearney, Ann Scheck; Hefner, Jennifer L; Sieck, Cynthia J; Huerta, Timothy R

2015-01-01

Objective To improve understanding of facilitators of EHR system implementation, paying particular attention to opportunities to maximize physician adoption and effective deployment. Data Sources/Study Setting Primary data collected from 47 physician and 35 administrative key informants from six U.S. health care organizations identified because of purported success with EHR implementation. Study Design We conducted interviews and focus groups in an extensive qualitative study. Data Collection/Extraction Methods Verbatim transcripts were analyzed both deductively and inductively using the constant comparative method. Principal Findings Conceptualizing EHR adoption as loss through the lens of Kübler-Ross's five stages of grief model may help individuals and organizations more effectively orient to the challenge of change. Coupled with Kotter's eight-step change management framework, we offer a structure to facilitate organizations' movement through the EHR implementation journey. Combining insights from these frameworks, we identify 10 EHR strategies that can help address EHR implementation barriers. Conclusions Loss is one part of change often overlooked. Addressing it directly and compassionately can potentially facilitate the EHR implementation journey. We offer a summarized list of deployment strategies that are sensitive to these issues to support physician transition to new technologies that will bring value to clinical practice. PMID:25219627

A journey towards inclusive education; a case study from a 'township' in South Africa.

PubMed

Luger, Rosemary; Prudhomme, Debbie; Bullen, Ann; Pitt, Catherine; Geiger, Martha

2012-01-01

The purpose of this case study was to relate part of the journey to appropriate education for two young children with physical disabilities in a low socio-economic peri-urban informal settlement - or 'township' - in South Africa. The part of the on-going journey described here spanned four-and-a-half years and included the two children, their families, their teachers, their community and a small team of rehabilitation professionals working for a non-profit organisation in the area. The rehabilitation professionals' goals were to provide support for the children, their families, their current special care centre and the school(s) they would attend in the future. The steps from the special care centre, to a mainstream early childhood development (ECD) centre for both of them, and then on to (a) a school for learners with special educational needs (LSEN) for one child and (b) a mainstream primary school for the other, are described. Challenges encountered on the way included parental fears, community attitudes and physical accessibility. Practical outcomes included different placements for the two children with implications and recommendations for prioritised parent involvement, individual approaches, interdisciplinary and community-based collaborations. Recommendations are given for clinical contexts, curricula and policy matters; for research and for scaling up such a programme through community workers.

STS-30 Magellan spacecraft arrives at KSC after six-day journey from Colorado

NASA Technical Reports Server (NTRS)

1989-01-01

The Payload Environmental Transportation System (PETS) (semi-truck and trailer), which transported the Magellan spacecraft on its six-day journey from Martin Marietta in Denver, Colorado, to Kennedy Space Center (KSC), arrives safely at the Space Assembly and Encapsulation Facility 2 (SAEF-2) planetary checkout facility. The spacecraft, destined for unprecedented studies of Venusian topographic features, is to be deployed by the crew of NASA's STS-30 mission in April 1989. View provided by KSC with alternate number KSC-88PC-1082.

From Wisconsin to Wyoming and Back Again: The Journey to a Bachelor's Degree and Teacher Licensure

ERIC Educational Resources Information Center

Finkel-Hoffman, Susan

2016-01-01

Susan Finkel-Hoffman, Ed.D. is the interim director of outreach for the Department of Special and Early Childhood Education at the University of Wisconsin-Oshkosh, and a coordinator for the Northern Arapaho Teacher Education Program. In this memior Finkel-Hoffman, recalls the journey of a group of teacher education students which began almost 10…

Evolving Digital Divides in Information Literacy and Learning Outcomes: A BYOD Journey in a Scondary School

ERIC Educational Resources Information Center

Adhikari, Janak; Scogings, Chris; Mathrani, Anuradha; Sofat, Indu

2017-01-01

Purpose: The purpose of this paper is to seek answers to questions on how equity of information literacy and learning outcomes have evolved with the ongoing advances in technologies in teaching and learning across schools. The authors' report on a five-year long bring your own device (BYOD) journey of one school, which was one of the earliest…

The Effect of Journey around the World Curriculum on Prosocial Behavior in Elementary School Children: A Pilot Study

ERIC Educational Resources Information Center

Cha, Jae Seung

2017-01-01

This small-scale pilot study explored the effectiveness of proposed research instruments in measuring the outcomes of the prosocial and global education curriculum, "Journey Around the World" ("JAWD"), regarding attitudes toward school, affective language, prosocial motivation and behavior of second-grade school students.…

A three-decade-long journey at the College of Optical Sciences

NASA Astrophysics Data System (ADS)

Sarid, Dror

2014-09-01

In 1980, Peter Franken, the second director of the Optical Sciences Center, recruited an international quartet of faculty members from the US, Canada, England and Israel (DS). Peter shaped the Center as a clockwork operation, nailing down every aspect of its administration, business model and academic vision. I found myself from day one in a highly competitive environment with extreme peer pressure to make good science and generate a lot of funds. This paper describes the academic journey through my three decades at the Optical Sciences Center that became the College of Optical Sciences (Optical Sciences, in short) until my retirement in 2010, by highlighting selected areas of my group's research.

The Journey to Become a Health Literate Organization: A Snapshot of Health System Improvement

PubMed Central

BRACH, Cindy

2017-01-01

A health literate health care organization is one that makes it easy for people to navigate, understand, and use information and services to take care of their health. This chapter explores the journey that a growing number of organizations are taking to become health literate. Health literacy improvement has increasingly been viewed as a systems issue, one that moves beyond siloed efforts by recognizing that action is required on multiple levels. To help operationalize the shift to a systems perspective, members of the National Academies Roundtable on Health Literacy defined ten attributes of health literate health care organizations. External factors, such as payment reform in the U.S., have buoyed health literacy as an organizational priority. Health care organizations often begin their journey to become health literate by conducting health literacy organizational assessments, focusing on written and spoken communication, and addressing difficulties in navigating facilities and complex systems. As organizations’ efforts mature, health literacy quality improvement efforts give way to transformational activities. These include: the highest levels of the organization embracing health literacy, making strategic plans for initiating and spreading health literate practices, establishing a health literacy workforce and supporting structures, raising health literacy awareness and training staff system-wide, expanding patient and family input, establishing policies, leveraging information technology, monitoring policy compliance, addressing population health, and shifting the culture of the organization. The penultimate section of this chapter highlights the experiences of three organizations that have explicitly set a goal to become health literate: Carolinas Healthcare System (CHS), Intermountain Healthcare, and Northwell Health. These organizations are pioneers that approached health literacy in a systematic fashion, each exemplifying different routes an

The Journey to Become a Health Literate Organization: A Snapshot of Health System Improvement.

PubMed

Brach, Cindy

2017-01-01

A health literate health care organization is one that makes it easy for people to navigate, understand, and use information and services to take care of their health. This chapter explores the journey that a growing number of organizations are taking to become health literate. Health literacy improvement has increasingly been viewed as a systems issue, one that moves beyond siloed efforts by recognizing that action is required on multiple levels. To help operationalize the shift to a systems perspective, members of the U.S. National Academies of Sciences, Engineering, Medicine Roundtable on Health Literacy defined ten attributes of health literate health care organizations. External factors, such as payment reform in the U.S., have buoyed health literacy as an organizational priority. Health care organizations often begin their journey to become health literate by conducting health literacy organizational assessments, focusing on written and spoken communication, and addressing difficulties in navigating facilities and complex systems. As organizations' efforts mature, health literacy quality improvement efforts give way to transformational activities. These include: the highest levels of the organization embracing health literacy, making strategic plans for initiating and spreading health literate practices, establishing a health literacy workforce and supporting structures, raising health literacy awareness and training staff system-wide, expanding patient and family input, establishing policies, leveraging information technology, monitoring policy compliance, addressing population health, and shifting the culture of the organization. The penultimate section of this chapter highlights the experiences of three organizations that have explicitly set a goal to become health literate: Carolinas Healthcare System (CHS), Intermountain Healthcare, and Northwell Health. These organizations are pioneers that approached health literacy in a systematic fashion, each

Here, There, and Back Again with the Social Foundations of Education: Tracing "Conocimientos" in/toward Coalitional Journeys

ERIC Educational Resources Information Center

Villenas, Sofia A.

2018-01-01

This article narrates a parallel personal and professional journey of scholarly engagement with the field of the social foundations of education and its home in the American Educational Studies Association. It draws on Gloria Anzaldúa's (2000) notion of "conocimiento" as multileveled and connective knowings, and María Lugones's (2008)…

Cedar Middle School's Response to Intervention Journey: A Systematic, Multi-Tier, Problem-Solving Approach to Program Implementation

ERIC Educational Resources Information Center

Dulaney, Shannon Kay

2010-01-01

The purpose of the present study was to record Cedar Middle School's (CMS) response to intervention implementation journey. It is a qualitative case study that examines one school's efforts to bring school improvements under the response to inventory (RtI) umbrella in order to achieve a more systematic approach to providing high-quality…

From Kabul to the Academy: Narratives of Afghan Women's Journeys to and through U.S. Doctoral Programs

ERIC Educational Resources Information Center

Aryan, Bushra

2010-01-01

This study explored the experiences of seven Afghan women pursuing doctoral degrees in a variety of disciplines and programs across the United States. The guiding question for this study was: What factors influence Afghan women's journeys to and experiences in doctoral programs? In an attempt to understand Afghan women doctoral students, I…

Innovations in Endosurgery-Journey into the Past of the Future: To Ride the SILS Bandwagon or Not?

PubMed

Agarwal, Brij B; Chintamani; Ali, Kamran; Goyal, Karan; Mahajan, Krishan C

2012-06-01

Progress in surgical practice has paralleled the civilizational evolution. Surgery has progressed from being the last resort in saving life to being form and function preserver. Post-renaissance Industrial age gave an impetus to this march of surgery. The currently on going digital technological revolution has further catalysed this march. Having achieved the stabilized and acceptable clinical outcomes, the surgeon has embarked on a journey of improving patient reported outcomes (PRO). Improvement in PROs with the advent of laparoscopic surgery with the attendant emphasis on minimising invasion has led to debates about invasion being just parietal or holistic in physiological sense. There is a concern that parietal invasiveness shouldn't be a trade-off for compromised clinical outcomes. Single Incision Laparoscopic Surgery (SILS) in its current avatar with current instrumentation seems to be an enthusiastic bandwagon rolling on with the cosmetic benefits acting as veil to hide the potential clinical concerns. History of surgical innovations is riddled with tales of vindictiveness and vicissitude. Lest the same fate befalls SILS we would do better to examine the SILS bandwagon in its current form till the emerging technologies address the current concerns.

Transcultural spirituality: the spiritual journey of hospitalized patients with schizophrenia in Taiwan.

PubMed

Yang, Chun-Tien; Narayanasamy, Aru; Chang, Sung-Ling

2012-02-01

The aim of this study was to explore how hospitalization and the diagnosis of schizophrenia have an impact on Taiwanese patients' spiritual life. Psychiatric nurses tend to construe patients' spiritual issues as pathological problems and consequently are reluctant to address patient's spirituality, which results in spirituality being overlooked in mental illness. An individual's spiritual journey is dependent upon their cultural background and beliefs; however, the professional's preconceived ideas suppress the voice of patients with schizophrenia to share their experiences of their spiritual journey. The lack of research exploring spirituality in mental illness in Taiwan means that spiritual care is overlooked in practice. This study sets out to explore spirituality from the perspectives of patients in two mental hospitals in Taiwan. Using a qualitative approach, 22 long-term hospitalized patients diagnosed with schizophrenia were interviewed. Several themes from the data were identified using Ritchie and Spencer's (1994) five stages analytical framework. The study was carried out from 2006 to 2008. Patients revealed spiritual distress as a consequence of prolonged hospitalization. They used referents consistent with traditional Chinese philosophical perspectives derived from Taoism and Confucianism to describe various features of their spiritual distress and their longing for spiritual revival, transcendence and to be accepted as normal persons. In this age of globalization, nurses need to be fully cognisant of the cultural aspects of patients to respond to a mental health patient's spirituality. Clinical and educational guidelines and policies could be developed for spiritual care in Taiwan. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

A deskilling and challenging journey: the lived experience of Indonesian nurse returnees.

PubMed

Kurniati, A; Chen, C-M; Efendi, F; Ogawa, R

2017-12-01

To illuminate the lived experiences of Indonesian nurses who previously worked as caregivers in Japanese residential care facilities, by exploring the journey of becoming returnees. The creation of bilateral agreements between Indonesia and Japan has facilitated the movement of Indonesian nurses to work as caregivers in Japan since 2008. While this decision raised concerns with regard to the degradation of nursing skills, little is known about this issue from the perspective of nurse returnees and how the experience affects their life. A hermeneutic phenomenological method was employed for this study. A purposive sample of 15 Indonesian nurse returnees participated in this study. Semi-structured interviews were conducted in four of Indonesia's provinces between August and October 2015. Data were analysed thematically, supported by QSR NVIVO 10 software. Four key themes emerged from the data analysis: (i) returning home; (ii) going back to zero; (iii) walking through a difficult journey; and (iv) overcoming barriers. These findings described the lived experiences of nurse returnees when they got back to the country of origin. Indonesian nurse returnees experienced deskilling and struggled to re-enter the nursing profession or to find other non-nursing jobs. The significant impact of this migration on individual nurses with regard to maximizing the benefits of return migration deserves further investigation. The Indonesian government, jointly with other stakeholders, should develop a brain gain strategy to align returnees' expertise with the needs of the national labour market. The public-private partnership should be strengthened to utilize returnees in healthcare services. © 2017 International Council of Nurses.

A Journey in Science: “Not Lost in Translation”

PubMed Central

Mak, Tak

2016-01-01

Real innovations in medicine and science are historic and singular; the stories behind each occurrence are precious. At Molecular Medicine we have established the Anthony Cerami Award in Translational Medicine to document and preserve these histories. The monographs recount the seminal events as told in the voice of the original investigators who provided the crucial early insight. These essays capture the essence of discovery, chronicling the birth of ideas that created new fields of research; and launched trajectories that persisted and ultimately influenced how disease is prevented, diagnosed, and treated. In this volume, the Cerami Award Monograph is by Tak Mak, PhD, Professor, The Campbell Family Institute for Breast Cancer Research, Ontario Cancer Institute, Princess Margaret Cancer Centre in Toronto. A visionary in the field of cancer, this is the story of Dr. Mak’s scientific journey. PMID:27819109

Pathway to the Presidency: The Perceived Impact of Identity Structures on the Journey Experiences of Women College Presidents

ERIC Educational Resources Information Center

Oikelome, Gloria

2017-01-01

This phenomenological study utilizes the framework of Intersectionality to explore the perceived impact of race, gender, and other identity structures on the journey experiences of seven White and six African American women college presidents. Findings suggest that while gender is becoming more peripheral, the interlocking tensions of race and…

Dealing with colon cancer: one woman's emotional journey.

PubMed

Wilson, Candice T; Fletcher, Paula C

2002-11-01

Although death is inevitable, it continues to remain a taboo issue for society. A failure to discuss the unavoidable may represent a safeguard to avoid dealing with mortality and related fears. Many patients who are terminally ill spend their days feeling alone, misunderstood, and afraid. Kubler-Ross attempted to strip death of its negative connotations and to provide a venue for the terminally ill to have a voice. Using information from more than 200 clinical interviews, Kubler-Ross revealed a trend in emotions over time in most, but not all, of her patients, which enabled her to formulate a model of coping with death that included 5 interdependent emotional stages: denial, anger, bargaining, depression, and acceptance. This model has become the most widely accepted and popularized model on death and dying, often cited as the Five Stages of Grief." However, given the lack of research concerning Kubler-Ross's model, completing work in this area seems warranted. The purpose of this case study was to examine one individual's emotional journey after being diagnosed with terminal colon cancer. More specifically, the goals were twofold: (1) to provide the participant with a voice and to allow her story to be told by examining the major external events (ie,surgery, chemotherapy) occurring since the diagnosis that affected her emotional and physical well-being and (2) to determine whether the participant's emotional journey paralleled Kubler-Ross's model, to what extent, and whether new emotions or stages occurred. The participant, a 50-year-old female, was diagnosed with stage 4 Duke Stage D colon cancer. Qualitative information was collected in face-to-face interviews, newspaper articles about the participant, and e-mail correspondence (as form letters to a group of friends and supporters) and subsequently analyzed for trends. The overall results revealed clear existence of the 5 stages of grief as outlined in the Kubler-Ross model. Analyses also revealed that the

An Introduction to Education Research Methods: Exploring the Learning Journey of Pre-Service Teachers in a Transnational Programme

ERIC Educational Resources Information Center

White, Sonia; Hepple, Erika; Tangen, Donna; Comelli, Marlana; Alwi, Amyzar; Shaari, Zaira Abu Hassan

2016-01-01

Internationally there is interest in developing the research skills of pre-service teachers as a means of ongoing professional renewal with a distinct need for systematic and longitudinal investigation of student learning. The current study takes a unique perspective by exploring the research learning journey of pre-service teachers participating…

Reflections on the journey: six short stories

PubMed Central

2011-01-01

One of the goals of the 2011 International Year of Chemistry is to celebrate the contributions of women to science. A question that has been frequently asked in this regard is... Why is it necessary to highlight women in the "age of equality"? The reasons are varied but the facts are that many women scientists worked in obscurity throughout the 19th and even well into the 20th century, sometimes publishing anonymously to be heard. This celebration of Women in Science is one way to recognize both the resiliency and passion of these women. As part of this celebration, Chemistry Central Journal's Thematic Series of "Women in Chemistry" includes this article describing the path several women took as they pursued chemistry careers spanning the latter part of the 20th century and into the early 21st century. Sharon Haynie, Nancy Jones, Cheryl Martin, Paula Olsiewski, Mary Roberts and Amber Hinkle each have unique story of their personal journey from childhood to adulthood. As you read these stories, listen generously, and feel free to share your own stories, comments and thoughts. PMID:22059695

Yes I Need Help! A Day in the Journey of Adult Learners Pursuing Higher Education: A Caribbean Perspective

ERIC Educational Resources Information Center

Hunter-Johnson, Yvonne; Smith, Sharlene

2015-01-01

Within more recent years, there has been a gravitation of non-traditional adult learners to higher education. Despite the motivational factors associated with this decision, it is evident that compared to the traditional learner, the non-traditional learner journey in higher education is equipped with numerous barriers. Such barriers can hinder or…

What If Education Is Not a Race?: The Need within Democratic Life to See Education as a Personal, Interpersonal, and Transpersonal Journey and the Present Possibilities for Helping the People to See This

ERIC Educational Resources Information Center

Novak, Bruce

2010-01-01

In this paper, the author outlines what No Child Left Behind policy might mean first in personal then in philosophical terms. First, the author will trace a bit of Obama's own educational development: how he was first set on a personal educational journey and how, proceeding along with that journey, he eventually came to successfully elicit…

The conformational free-energy landscape of β-D-mannopyranose: evidence for a (1)S(5) → B(2,5) → (O)S(2) catalytic itinerary in β-mannosidases.

PubMed

Ardèvol, Albert; Biarnés, Xevi; Planas, Antoni; Rovira, Carme

2010-11-17

The mechanism of glycosidic bond cleavage by glycosidases involves substrate ring distortions in the Michaelis complex that favor catalysis. Retaining β-mannosidases bind the substrate in a (1)S(5) conformation, and recent experiments have proposed an unusual substrate conformational pathway ((1)S(5) → B(2,5) → (O)S(2)) for the hydrolysis reaction. By means of Car-Parrinello metadynamics simulations, we have obtained the conformational free-energy surface (FES) of a β-d-mannopyranose molecule associated with the ideal Stoddart conformational diagram. We have found that (1)S(5) is among the most stable conformers and simultaneously is the most preactivated conformation in terms of elongation/shortening of the C1-O1/C1-O5 bonds, C1-O1 orientation, and charge development at the anomeric carbon. Analysis of the computed FES gives support to the proposed (1)S(5) → B(2,5) → (O)S(2) catalytic itinerary, showing that the degree of preactivation of the substrate in glycoside hydrolases (GHs) is related to the properties of an isolated sugar ring. We introduce a simple preactivation index integrating several structural, electronic, and energetic properties that can be used to predict the conformation of the substrate in the Michaelis complex of any GH.

A journey toward wholeness, a journey to God: physical fitness as embodied spirituality.

PubMed

Greenwood, Tracey C; Delgado, Teresa

2013-09-01

Physical fitness expressed through exercise can be, if done with the right intention, a form of spiritual discipline that reflects the relational love of humanity to God as well as an expression of a healthy love of the embodied self. Through an analysis of the physiological benefits of exercise science applied to the human body, this paper will demonstrate how such attention to the optimal physical fitness of the body, including weight and cardiovascular training and nutrition, is an affirmation of three foundational theological principles of human embodiment: as created in the "imago Dei", as unified body/spirit, and as part of God's creation calling for proper stewardship. In a contemporary climate where women's bodies in particular are viewed through the lens of commodification-as visual objects for sale based on prescribed notions of superficial esthetics and beauty-as well as the consistently high rates of eating disorders such as anorexia, bulimia, and obesity, authors Greenwood and Delgado offer a vision of how women and men can imagine a subjective relationship with their own bodies that reflects the abundant love of God for God's creation. Spoken from the lived experience of professional fitness competitor and trainer, as well as trained biokineticist, Dr. Greenwood presents the most current scientific data in the field of biokinetics that grounds the theological analysis offered by Dr. Delgado, whose personal journey through anorexia and scholarly emphasis on Christian theological anthropology inform this work. Taken together, Greenwood and Delgado suggest a response to God's love for humanity, including our physical bodily humanity, which entails a responsibility to attend to the physical fitness of our bodies in order to live into the fullness, flourishing and love of God's creation as God intended.

THE USE AND ABUSE OF OMNIPOTENCE IN THE JOURNEY OF THE HERO.

PubMed

Steiner, John

2015-07-01

The author uses Joseph Campbell's (1949) account of the "Journey of the Hero" to examine a sequence of stages in which the hero must first use omnipotence in order to embark on an adventure, and then relinquish it in order to return to the ordinary world. The author detects parallels to this theme in descriptions of the fate of Lucifer in Milton's Paradise Lost (1674), and in the development of toddlers as described in Mahler's (1972) observations on separation-individuation. Finally, he traces a similar process in clinical material drawn from near the end of a patient's analysis. © 2015 The Psychoanalytic Quarterly, Inc.

View of near full Moon photographed by Apollo 13 during transearth journey

NASA Image and Video Library

1970-04-14

AS13-60-8703 (11-17 April 1970) --- This outstanding view of a near full moon was photographed from the Apollo 13 spacecraft during its trans-Earth journey homeward. Though the explosion of the oxygen tank in the Service Module (SM) forced the cancellation of the scheduled lunar landing, Apollo 13 made a pass around the moon prior to returning to Earth. Some of the conspicuous lunar features include the Sea of Crisis, the Sea of Fertility, the Sea of Tranquility, the Sea of Serenity, the Sea of Nectar, the Sea of Vapors, the Border Sea, Smyth's Sea, the crater Langrenus, and the crater Tsiolkovsky.

Journey of a molecular biologist.

PubMed

Nomura, Masayasu

2011-01-01

My journey into a research career began in fermentation biochemistry in an applied science department during the difficult post-World War II time in Japan. Subsequently, my desire to do research in basic science developed. I was fortunate to be a postdoctoral fellow in the United States during the early days of molecular biology. From 1957 to 1960, I worked with three pioneers of molecular biology, Sol Spiegelman, James Watson, and Seymour Benzer. These experiences helped me develop into a basic research scientist. My initial research projects at Osaka University, and subsequently at the University of Wisconsin, Madison, were on the mode of action of colicins as well as on mRNA and ribosomes. Following success in the reconstitution of ribosomal subunits, my efforts focused more on ribosomes, initially on the aspects of structure, function, and in vitro assembly, such as the construction of the 30S subunit assembly map. After this, my laboratory studied the regulation of the synthesis of ribosomes and ribosomal components in Escherichia coli. Our achievements included the discovery of translational feedback regulation of ribosomal protein synthesis and the identification of several repressor ribosomal proteins used in this regulation. In 1984, I moved to the University of California, Irvine, and initiated research on rRNA transcription by RNA polymerase I in the yeast Saccharomyces cerevisiae. The use of yeast genetics combined with biochemistry allowed us to identify genes uniquely involved in rRNA synthesis and to elucidate the mechanism of initiation of transcription. This essay is a reflection on my life as a research scientist.

Partnerships that Facilitate a Refugee's Journey to Wellbeing.

PubMed

Marano, Nina; Wojno, Abbey E; Stauffer, William M; Weinberg, Michelle; Klosovsky, Alexander; Ballew, J Daniel; Shetty, Sharmila; Cookson, Susan; Walker, Patricia; Cetron, Martin S

2016-11-02

The current global refugee crisis involves 65.3 million persons who have been displaced from their homes or countries of origin. While escaping immediate harm may be their first priority, displaced people go on to face numerous health risks, including trauma and injuries, malnutrition, infectious diseases, exacerbation of existing chronic diseases, and mental health conditions. This crisis highlights the importance of building capacity among health-care providers, scientists, and laboratorians to understand and respond to the health needs of refugees. The November 2016 American Society of Tropical Medicine and Hygiene (ASTMH) conference in Atlanta will feature an interactive exhibit entitled "The Refugee Journey to Wellbeing" and three symposia about refugee health. The symposia will focus on tropical disease challenges in refugee populations, careers in refugee health, and recent experiences of governmental agencies and nongovernmental organizations in responding to the global refugee crisis. We invite ASTMH attendees to attend the exhibit and symposia and consider contributions they could make to improve refugee health through tropical disease research or clinical endeavors. © The American Society of Tropical Medicine and Hygiene.

Media Fellow Journeys to the “Other Side”

NASA Astrophysics Data System (ADS)

Weiss, Marissa

2011-03-01

On the heels of defending my Ph.D. in soil ecology, I headed off to northern Colorado last September for the next step in my scientific journey: working at a radio station. AGU was sponsoring me as a mass media fellow, a scientist-reporter temporarily working at a news media outlet. In graduate school I had pursued some science writing training, but I had never been employed as a journalist. I hoped the experience would help me understand why it can be hard for scientists and journalists to communicate with each other and what the barriers are to providing accurate and comprehensive coverage of science in the media. That's the kind of understanding that the fellowship program, run by the American Association for the Advancement of Science, was meant to promote. It helps scientists learn from experience about how science reporting is done, and in an age when science desks have been eliminated by most major news outlets, it puts an eye on science back in the newsroom.

A journey towards inclusive education; a case study from a ‘township’ in South Africa

PubMed Central

Luger, Rosemary; Prudhomme, Debbie; Bullen, Ann; Pitt, Catherine

2012-01-01

The purpose of this case study was to relate part of the journey to appropriate education for two young children with physical disabilities in a low socio-economic peri-urban informal settlement – or ‘township’ – in South Africa. The part of the on-going journey described here spanned four-and-a-half years and included the two children, their families, their teachers, their community and a small team of rehabilitation professionals working for a non-profit organisation in the area. The rehabilitation professionals’ goals were to provide support for the children, their families, their current special care centre and the school(s) they would attend in the future. The steps from the special care centre, to a mainstream early childhood development (ECD) centre for both of them, and then on to (a) a school for learners with special educational needs (LSEN) for one child and (b) a mainstream primary school for the other, are described. Challenges encountered on the way included parental fears, community attitudes and physical accessibility. Practical outcomes included different placements for the two children with implications and recommendations for prioritised parent involvement, individual approaches, interdisciplinary and community-based collaborations. Recommendations are given for clinical contexts, curricula and policy matters; for research and for scaling up such a programme through community workers. PMID:28729975

The Impact of Financial Hardship on Single Parents: An Exploration of the Journey From Social Distress to Seeking Help.

PubMed

Stack, Rebecca Jayne; Meredith, Alex

2018-01-01

Single parent families are at high risk of financial hardship which may impact on psychological wellbeing. This study explored the impact of financial hardship on wellbeing on 15 single parents. Semi-structured interviews were conducted and analysed using constructivist thematic analysis. Participants described food and fuel poverty, and the need to make sacrifices to ensure that children's basic needs were met. In some cases, participants went without food and struggled to pay bills. Isolation, anxiety, depression, paranoia, and suicidal thoughts were described. However, participants reported that psychological services not able to take the needs of single parents in to account. Support for single parents must acknowledge the impact of social circumstances and give more consideration economic drivers of distress.

Affective journeys: the emotional structuring of medical tourism in India.

PubMed

Solomon, Harris

2011-04-01

This paper examines the grid of sentiment that structures medical travel to India. In contrast to studies that render emotion as ancillary, the paper argues that affect is fundamental to medical travel's ability to ease the linked somatic, emotional, financial, and political injuries of being ill 'back home'. The ethnographic approach follows the scenes of medical travel within the Indian corporate hospital room, based on observations and interviews among foreign patients, caregivers, and hospital staff in Mumbai, New Delhi, Chennai, and Bangalore. Foreign patients conveyed diverse sentiments about their journey to India ranging from betrayal to gratitude, and their expressions of risk, healthcare costs, and cultural difference help sustain India's popularity as a medical travel destination. However, although the affective dimensions of medical travel promise a remedy for foreign patients, they also reveal the fault lines of market medicine in India.

Publications - DGGS Publications Series | Alaska Division of Geological &

Science.gov Websites

Report IC - Information Circular IR - Itinerary Report LN - Laboratory Notes LR - Laboratory Report MI . IR - Itinerary Report This series includes reports produced by the Territorial Department of Mines

Hannah's Feeding Journey: A Multidisciplinary Treatment Approach to Establishing Oral Acceptance for a Toddler with a Complex Medical History

ERIC Educational Resources Information Center

Dunn, Dena M.; Galbally, Sandra Lynn; Markowitz, Goldie; Pucci, Kristy N.; Brochi, Ligia; Cohen, Sherri Shubin

2017-01-01

This article presents the importance of multidisciplinary, family-centered care, and a developmental bio-psycho-social approach to treating feeding difficulties in a child with a complex medical history. Hannah spent the first 9 months of her life in the hospital and was discharged dependent on nasogastric tube feeding. Her journey to recovery…

Journey of oocyte from metaphase-I to metaphase-II stage in mammals.

PubMed

Sharma, Alka; Tiwari, Meenakshi; Gupta, Anumegha; Pandey, Ashutosh N; Yadav, Pramod K; Chaube, Shail K

2018-08-01

In mammals, journey from metaphase-I (M-I) to metaphase-II (M-II) is important since oocyte extrude first polar body (PB-I) and gets converted into haploid gamete. The molecular and cellular changes associated with meiotic cell cycle progression from M-I to M-II stage and extrusion of PB-I remain ill understood. Several factors drive oocyte meiosis from M-I to M-II stage. The mitogen-activated protein kinase3/1 (MAPK3/1), signal molecules and Rho family GTPases act through various pathways to drive cell cycle progression from M-I to M-II stage. The down regulation of MOS/MEK/MAPK3/1 pathway results in the activation of anaphase-promoting complex/cyclosome (APC/C). The active APC/C destabilizes maturation promoting factor (MPF) and induces meiotic resumption. Several signal molecules such as, c-Jun N-terminal kinase (JNK2), SENP3, mitotic kinesin-like protein 2 (MKlp2), regulator of G-protein signaling (RGS2), Epsin2, polo-like kinase 1 (Plk1) are directly or indirectly involved in chromosomal segregation. Rho family GTPase is another enzyme that along with cell division cycle (Cdc42) to form actomyosin contractile ring required for chromosomal segregation. In the presence of origin recognition complex (ORC4), eccentrically localized haploid set of chromosomes trigger cortex differentiation and determine the division site for polar body formation. The actomyosin contractile activity at the site of division plane helps to form cytokinetic furrow that results in the formation and extrusion of PB-I. Indeed, oocyte journey from M-I to M-II stage is coordinated by several factors and pathways that enable oocyte to extrude PB-I. Quality of oocyte directly impact fertilization rate, early embryonic development, and reproductive outcome in mammals. © 2018 Wiley Periodicals, Inc.

The Journey of a Sandwich: Computer-Based Laboratory Experiments about the Human Digestive System in High School Biology Teaching

ERIC Educational Resources Information Center

Sorgo, Andrej; Hajdinjak, Zdravka; Briski, Darko

2008-01-01

Teaching high school students about the digestive system can be a challenge for a teacher when s/he wants to overcome rote learning of facts without a deeper understanding of the physiological processes inside the alimentary tract. A series of model experiments illustrating the journey of a sandwich was introduced into teaching high school…

The Water of Life: Creative Non-Fiction and Lived Experience on an Interdisciplinary Canoe Journey on Scotland's River Spey

ERIC Educational Resources Information Center

Higgins, Peter; Wattchow, Brian

2013-01-01

This paper focuses on an educational encounter between staff, students and the River Spey, Scotland in September 2009. The themes of water and embodied and culturally constructed ways of knowing the river were used to inform a creative non-fiction narrative that was drafted during and shortly after the journey, and was later refined. Textual…

Parents' perspective of their journey caring for a child with chronic neuropathic pain.

PubMed

Gaughan, Veronica; Logan, Deirdre; Sethna, Navil; Mott, Sandra

2014-03-01

When a child has chronic pain, it affects the parents. Their response and how it is factored into their lives and family function was the phenomenon of interest that drove this study. The available literature was sparse, especially when the pain etiology was neuropathic. The purpose of this study was to describe the parents' perception of the pain journey from the initial occurrence of their child's pain through the labyrinth of treatment options to successful outcome, to gain a better understanding of parental beliefs about pain, and to learn how parental attitudes and behaviors relate to children's response to treatment for chronic pain. Qualitative descriptive design was used to better understand the phenomenon from those who were the experts because they had experienced it. Parents whose child was enrolled in a pain rehabilitation program participated in open-ended interviews. The children/adolescents were 8-18 years old and diagnosed with complex regional pain syndrome or a related chronic pain condition. During data immersion, the investigators uncovered the pervasive underlying themes of suffering and disempowerment. In addition, the multiple meaning elements were grouped into three categories and supportive subcategories labeled as follows: parent distress, with subcategories schism in parenting, searching, and disabled parenting; and lack of control, with the subcategories family/community, fear, and empowerment. The voices of parents were heard in their description of the exhausting and difficult journey in search of pain relief for their child. Their comments provided insight into how they defined the child's pain and their related parental role. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Female and male Hispanic students majoring in science or engineering: Their stories describing their educational journeys

NASA Astrophysics Data System (ADS)

Brown, Susan Wightman

National statistics clearly demonstrate an underrepresentation of minorities in the fields of science and engineering. Blacks, Hispanics, American Indians, and Asians do not typically choose science or engineering as their college major; therefore, there is a very small representation of these minorities in the science and engineering labor force. The decision not to major in science and engineering may begin as soon as the child can begin to recognize role models in the media. News stories, magazine articles, television programs, teachers, parents, administrators, and other agencies have painted the picture of a scientist or engineer as being dominantly a White male. Schools have continued society's portrayal by using curriculum, textbooks, role models, instructional strategies, and counseling that continues to encourage the White male to succeed in science and engineering, but discourages the minority students, male and female, from succeeding in these fields. In this qualitative study, 22 Hispanic students, 12 female and 10 male, who are majoring in science or engineering, were interviewed using Seidman's in-depth interviewing technique. These students were shadowed in their college science or engineering classes; their high school and college transcripts were analyzed; and, a focus group was brought together at the end of the interviewing process in order to allow interaction between the participants. The goal was to explore the educational journeys of the 22 Hispanic students. What made a difference in the journeys of these 22 students so that they could succeed in majors that have historically discouraged minority students? Seven themes emerged: family support, honors program, challenging and interactive curriculum, college preparation in high school courses, caring and kind teachers, small class size, and small communities. Gender comparison of the educational journeys documents these differences between the females and males: college preparation, mentoring

Mapping the Ethnographic Journey: A "Road Map" for Novice Researchers Wanting to Engage in Ethnography, Critical Theory and Policy Analysis

ERIC Educational Resources Information Center

Naidu, Sham

2012-01-01

In this article, the "researcher" narrates the issues faced by novice researchers in choosing the correct lenses to conduct research when searching for the truth via the use of qualitative methodology. It is argued that choosing an appropriate research approach and methodology can be described as an "arduous" journey. For the…

Fluctuating lesion of the scalp after a journey to the tropics: a case of furunculoid myiasis.

PubMed

Geyer, Sara; Balakirski, Galina; Tappe, Dennis; Cacch, Claudio; Knüchel-Clarke, Ruth; Schmit, Laurenz

2018-02-15

Fluctuating lesions or furuncles of the scalp occur frequently in dermatological practice. This clinical condition is often caused by gram positive bacteria (e.g. staphylococcal or streptococcal skin infection) or fungal infection (e.g. Kerion celsi). However, a rare diagnosis such as myiasis might be considered, especially if a journey to an endemic area is reported. Herein, we present a case of furunculoid myiasis of the scalp and review the pathogenesis and therapeutic options to treat this condition.

Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.

PubMed

Low, Daniel K; Reed, Mark A; Geiduschek, Jeremy M; Martin, Lynn D

2013-07-01

We describe our aim to create a zero-error system in our pediatric ambulatory surgery center by employing effective teamwork and aviation-style challenge and response 'flow checklists' at key stages of the patient surgical journey. These are used in addition to the existing World Health Organization Surgical Safety Checklists (Ann Surg, 255, 2012 and 44). Bellevue Surgery Center is a freestanding ambulatory surgery center affiliated with Seattle Children's Hospital, WA, USA. Approximately three thousand ambulatory surgeries are performed each year across a variety of surgical disciplines. Key points in the patient surgical journey were identified as high risk (different time points from the WHO safer surgery checklists). These were moments when the team, patient, and equipment have to been reconfigured to maximize patient safety. These points were departure from induction room, arrival in the operating room, departure from operating room, and arrival in the postanesthesia care unit. Traditionally, the anesthesiologist has memorized a list of 'do-not-forget items' for each of these stages. We recognized the potential for error to occur if the process was solely the responsibility of one individual and their memory. So we created 'flow checklists' executed by the team at every one of these high-risk points. We adopted a challenge and response system for these flow checklists as this is a tried and tested system widely used in aviation for critical tasks such as configuring an aircraft pretakeoff and prelanding. A staff survey with a 72% response rate (n = 29) showed that the team valued the checklists and thought they contributed to patient safety. To date, we have had zero incidence of omitting any of the 24 items listed on the four flow checklists. We have created a reproducible model of care involving multiple checklists at high-risk points in the patient surgical journey. The model is reliable and has a high degree of staff engagement. It promotes patient safety

Farzana's Journey: A Children's Book for Research-based, Educational Outreach in Remote Communities of Bangladesh

NASA Astrophysics Data System (ADS)

Peters, C.; Hornberger, G. M.; Machado, M.

2017-12-01

Academics are encouraged to integrate their environmental research with education and societal outreach, but the methods of doing so can be transient and insubstantial. Here, we use a children's book to create a sustainable relationship with vulnerable communities in Bangladesh. Farzana's Journey is a children's book based on current multidisciplinary Vanderbilt University research on the coupling and coevolution of the physical and human systems in coastal Bangladesh. Written, illustrated, and freely distributed in the Bengali-language, the book is a place-based tool to teach rural Bangladesh communities about the natural world and disseminate our scientific findings. The narrative follows a young girl, Farzana, who must walk a long distance to fetch her family's water. Her usual journey develops into an adventure as she meets a variety of animal characters, who relay a story about her ever-changing environment and the subsequent human adaptation. After exploring environmental topics, such as geomorphology, water availability, and climate, Farzana appreciates the uniqueness of her local environment and the adaptations of her ancestors and future generations. Through the development and distribution of the book, we encouraged dialogue, collaboration, and public outreach with scientists, artists, and students concerned with enhancing educational and social opportunity in rural communities. We also ensure a tangible tie through the book itself after the culmination of the research project. The book achieves the primary goal of sparking children's curiosity in the local environment, while also demonstrating an effective means for sustainable educational outreach with impoverished, remote communities.

Participation in the Journey to Life Conversation Map Improves Control of Hypertension, Diabetes, and Hypercholesterolemia.

PubMed

Crawford, Paul; Wiltz, Scott

2015-01-01

The Diabetes Conversation Map program includes 4 "board game-like" education tools. We describe how the Journey to Life Conversation Map Education Class improves diabetes performance measures of hemoglobin A1c (HbA1c), low-density lipoprotein (LDL), and blood pressure (BP). Retrospective case-control study in a military family medicine clinic from January 2007 to January 2010. We included 202 patients who completed ≥1 conversation map class and a comparison group of 209 patients who did not attend. Attendees started with HbA1c 8.25 (95% confidence interval [CI], 7.86-8.64) and decreased to 6.96 (95% CI, 6.69-7.23). Patients in the comparison group started at 8.57 (95% CI, 8.18-8.95) and decreased to 8.27 (95% CI, 8.01-8.54) (P < .001). Attendees began with LDL of 111 mg/dL (95% CI, 103-119) and decreased to 94 mg/dL (95% CI, 81-106). Patients in the comparison group started at 89 mg/dL (95% CI, 81-98) and increased to 98 mg/dL (95% CI, 85-110) (P < .007). Systolic BP decreased 5.4 mmHg among attendees versus 0.8 mmHg among those in the comparison group (P = .014), whereas diastolic BP was unchanged (P = .110). The Journey to Life Healthy Interactions Conversation Map Education Class for diabetes improves diabetes performance measures. © Copyright 2015 by the American Board of Family Medicine.

Defining American Heroes: Analyzing the Metamorphosis of the War Hero in Twentieth Century War Films Using Joseph Campbell's, "Hero's Journey."

ERIC Educational Resources Information Center

Frith, Luci A.

In "The Hero's Journey" Joseph Campbell identifies the patterns that inform the myths of the "hero" throughout recorded history. By using Campbell's template, this paper examines how the American war hero is portrayed and has been portrayed in film. The paper states that Americans not only define their war heroes in films but…

Stories and metaphors in the sensemaking of multiple primary health care organizational identities.

PubMed

Rodríguez, Charo; Bélanger, Emmanuelle

2014-03-04

The Quebec primary health care delivery system has experienced numerous reforms over the last 15 years. In this study, we sought to examine how managers and primary care providers made sense of the creation of successive new primary care organizational forms. We conducted a longitudinal qualitative case study in a primary care practice group located in Montreal, Quebec, for over 6 years (2002 to 2008). The data sources for the study include 31 semi-structured interviews with key informants, in-situ observations of group meetings, as well as documents and field notes. Textual material was submitted to narrative and metaphor analysis. The core metaphor of the journey came from a set of stories in which the members of this primary care group depicted the processes undertaken towards developing a multidisciplinary cooperative practice, which include an uneasy departure, uncertainty about the destination, conflict among members who jump ship or stay on board, negotiations about the itinerary, and, finally, enduring challenges in leading the way and being pioneers of change in the organization of primary care in their institutional context. Identification with the initial family medicine unit identity was persistent over time, but successive reforms further enriched its meaning as it became a multidisciplinary primary care practice pioneering organizational change. In order to support primary care reforms in complex institutional fields, this study proposes that decision-makers undertake a journey in which they recognize both the need to capitalize on existing meaningful and legitimated organizational identities, as well as the necessity for collective leadership in the management of multiple organizational identities over time.

Quantitative survey on health and violence endured by refugees during their journey and in Calais, France

PubMed Central

Bouhenia, Malika; Farhat, Jihane Ben; Coldiron, Matthew E; Abdallah, Saif; Visentin, Delphine; Neuman, Michaël; Berthelot, Mathilde; Porten, Klaudia; Cohuet, Sandra

2017-01-01

Abstract Background In 2015, more than 1 million refugees arrived in Europe. During their travels, refugees often face harsh conditions, violence and torture in transit countries, but there is a lack of quantitative evidence on their experiences. We present the results of a retrospective survey among refugees in the ‘Jungle’ of Calais, France, to document their health problems and the violence they endured during their journeys. Methods We conducted a cross-sectional population-based survey in November and December 2015. The sample size was set at 402 individuals, and geospatial simple random sampling was used. We collected data on demographics, routes travelled, health status, violence and future plans. Results Departures from the country of origin increased beginning in September 2015. Sixty-one percent of respondents reported having at least one health problem, especially while in Calais. Overall, 65.6% (95% CI 60.3–70.6) experienced at least one violent event en route; 81.5% of refugees wanted to go to the UK. Conclusions This first quantitative survey conducted among refugees in Europe provides important socio-demographic data on refugees living in Calais and describes the high rate of violence they encountered during their journeys. Similar documentation should be repeated throughout Europe in order to better respond to the needs of this vulnerable population. PMID:29325099

Illuminating the inner leadership journey by engaging intention and mindfulness as guided by caring theory.

PubMed

Pipe, Teresa Britt

2008-01-01

Sustained, high-performance nursing leadership can be effectively guided by caring theory. While much of leadership performance is manifested by external behaviors, highly effective leaders are also grounded by internal work of self-reflection and growth. This article focuses primarily on the inward journey of leadership as guided by Jean Watson's Theory of Human Caring. Key elements of the theory are interpreted within the context of the emerging, urgent, high-stakes challenges of the current healthcare environment. The links between self-nurturance and caring-healing leadership of others are explored.

A model of the biogeographical journey from Proto-pan to Pan paniscus.

PubMed

Myers Thompson, Jo A

2003-04-01

Pan paniscus is unique in the group of African apes because of its range south of the Congo River. Examination of the bio-geographical journey of the genus Pan to the species P. paniscus is important when discussing the evolution of African apes. This paper is a review of the paleo-geographic events, the zoogeography, and faunal sorting which influenced P. paniscus divergence from the Proto-pan ancestor within the recent Miocene through Pliocene Epochs, approximately 10-2 MYA. Finally, by elucidating modern day evidence of food plant forms in the southern periphery exploited by P. paniscus in the forest/savanna mosaic habitat, we are able to conclude with those extrinsic events that most influenced the occurrence and distribution of P. paniscus.

Gemini Observatory Takes its Local Communities on an Expanding Journey

NASA Astrophysics Data System (ADS)

Harvey, Janice; Michaud, Peter

2012-08-01

Currently in its 7th year (2011) Hawaii's annual Journey through the Universe (JttU) program is a flagship Gemini Observatory public education/outreach initiative involving a broad cross-section of the local Hawai'i Island astronomical community, the public, educators, businesses, local government officials, and thousands of local students. This paper describes the program, its history, planning, implementation, as well as the program's objectives and philosophy. The success of this program is documented here, as measured by continuous and expanding engagement of educators, the community, and the public, along with formal evaluation feedback and selected informal verbal testimony. The program's success also serves as justification for the planned adaptation of a version of the program in Chile in 2011 (adapted for Chilean educational and cultural differences). Finally, lessons learned are shared which have refined the program for Gemini's host communities but can also apply to any institution wishing to initiate a similar program.

In retrospect--a reflection on a 50-year research journey.

PubMed

Howie, John G R

2014-02-01

This essay is a personal review of a research journey extending over 50 years during which time the understanding of medical practice has changed out of all recognition and the quality and standing of the discipline of general practice has improved substantially. Three main bodies of work are reviewed and set against the reasons why they were undertaken. The first, on the pathology of the appendix and the management of possible appendicitis, was carried out almost entirely in the hospital setting. The second, about the prescribing of antibiotics for respiratory illnesses, and the third, about the determinants of good consulting practice, were carried out in general practice. The essay concludes with a reflection on the relevance of the work to some contemporary academic and health service issues. Although the work was carried out in the UK in the context of its National Health Service (NHS), the conclusions are widely generalizable and have contributed to health service and academic developments in many other countries.

Toxoplasma gondii dissemination: a parasite's journey through the infected host.

PubMed

Harker, K S; Ueno, N; Lodoen, M B

2015-03-01

Toxoplasma gondii is a highly successful global pathogen that is remarkable in its ability to infect nearly any nucleated cell in any warm-blooded animal. Infection with T. gondii typically occurs through the ingestion of contaminated food or water, but the parasite then breaches the intestinal epithelial barrier and spreads from the lamina propria to a large variety of other organs in the body. A key feature of T. gondii pathogenesis is the parasite's ability to cross formidable biological barriers in the infected host and enter tissues such as the brain, eye and placenta. The dissemination of T. gondii into these organs underlies the severe disease that accompanies human toxoplasmosis. In this review, we will focus on seminal studies as well as exciting recent findings that have shaped our current understanding of the cellular and molecular mechanisms by which T. gondii journeys throughout the host and enters organs to cause disease. © 2014 John Wiley & Sons Ltd.

"The Way to a Man's Heart." Journey and War Metaphors. Metaphorical Conceptualisations of the Western Romance Model in English and Spanish.

ERIC Educational Resources Information Center

Lopez, Maria Angeles Navarrete

2001-01-01

This paper examines two examples of the Western model of romance in English and Spanish discourse: the English metaphor, "the (best) way to a man's heart is through his stomach" (journey metaphor) and its Spanish counterpart, "Al hombre se le conquista por el estomago" (war metaphor). Both central metaphors entail a number of…

Recovery Journeys of Counselors and Clients: A Case Study of the Therapeutic Alliance in a Drug Treatment and Rehabilitation Center in Malaysia

ERIC Educational Resources Information Center

Amat, Mohamad Isa

2013-01-01

The therapeutic alliance is a significant research area in counseling. The understanding of the therapeutic alliance, particularly in drug treatment settings helps counselors and clients to increase the treatment outcomes and its treatment process. The present study investigated the journeys of recovering counselors and clients in a private…

Healing journey: a qualitative analysis of the healing experiences of Americans suffering from trauma and illness

PubMed Central

Scott, John Glenn; Warber, Sara L; Dieppe, Paul; Jones, David; Stange, Kurt C

2017-01-01

Objectives To elucidate pathways to healing for people having suffered injury to the integrity of their function as a human being. Methods A team of physician-analysts conducted thematic analyses of in-depth interviews of 23 patients who experienced healing, as identified by six primary care physicians purposefully selected as exemplary healers. Results People in the sample experienced healing journeys that spanned a spectrum from overcoming unspeakable trauma and then becoming healers themselves to everyday heroes functioning well despite ongoing serious health challenges. The degree and quality of suffering experienced by each individual is framed by contextual factors that include personal characteristics, timing of their initial or ongoing wounding in the developmental life cycle and prior and current relationships. In the healing journey, bridges from suffering are developed to healing resources/skills and connections to helpers outside themselves. These bridges often evolve in fits and starts and involve persistence and developing a sense of safety and trust. From the iteration between suffering and developing resources and connections, a new state emerges that involves hope, self-acceptance and helping others. Over time, this leads to healing that includes a sense of integrity and flourishing in the pursuit of meaningful goals and purpose. Conclusion Moving from being wounded, through suffering to healing, is possible. It is facilitated by developing safe, trusting relationships and by positive reframing that moves through the weight of responsibility to the ability to respond. PMID:28903969

The start of the transplant journey: Referral for pediatric solid organ transplantation

PubMed Central

Shellmer, Diana; Brosig, Cheryl; Wray, Jo

2014-01-01

The focus of the majority of the psychosocial transplant literature is on post-transplant outcomes but the transplant journey starts much earlier than this, at the point when transplantation is first considered and a referral for transplant evaluation is made. In this review we cover information regarding the meaning of the referral process for solid organ transplantation. We discuss various factors of the referral for transplantation including the impact of referral on the pediatric patient and the family, potential expectations and misconceptions held by pediatric patients and parents, the role of health literacy, decision making factors, and the informational needs of pediatric patients and parents. We elucidate steps that providers can take to enhance transplant referral and provide suggestions for much needed research within this area. PMID:24438194

Patient journey following lumbar spinal fusion surgery (LSFS): protocol for a multicentre qualitative analysis of the patient rehabilitation experience (FuJourn)

PubMed Central

Staal, J Bart; Verra, Martin; Emms, Andrew; Cole, Ashley; Willems, Paul; Benneker, Lorin; Masson, Annabel

2018-01-01

Introduction There has been a 65% increase in lumbar spinal fusion surgery (LSFS) worldwide over the last 13 years, with costs of £26 million to the UK National Health Service annually. Patient dissatisfaction with outcome and persistent pain and disability incurs further costs. Three trials provide low-quality evidence for the role of physiotherapy. Our UK surveys investigating physiotherapy/surgeon practice concluded rehabilitation should be tailored to the individual patient owing to considerable clinical heterogeneity. This study will explore the perceptions of patients who undergo LSFS to inform precision rehabilitation. Methods and analysis A qualitative study, using interpretive phenomenological analysis, will recruit a purposive sample (n=40) to ensure patterns of similarity and difference in their journeys can be explored. In-depth semistructured interviews will be undertaken following discharge from hospital and at 12 months postsurgery. Patients’ preoperative and postoperative experiences, underlying attitudes and beliefs towards the surgical intervention, facilitators and barriers to recovery, adherence to advice and physiotherapy, experiences of rehabilitation and return to normal function/activity/work will be explored. A 12-month patient diary will provide real time access to patient data, capturing a weekly record of life as lived, including symptoms, medication, experiences of stages of recovery, rehabilitation adherence, healthcare professional appointments, attitudes, their feelings and experiences throughout their journey. Data will be analysed in a number of stages in accordance with interpretive phenomenological analysis, supported using NVivo software. Analysis of the first interviews and patient diaries will afford a rich density of data to build an overall understanding of the patients’ lived experiences, informing the 12-month interview. Strategies (eg, reflexivity) will ensure trustworthiness. Ethics and dissemination The study

Single-molecule paleoenzymology probes the chemistry of resurrected enzymes

PubMed Central

Perez-Jimenez, Raul; Inglés-Prieto, Alvaro; Zhao, Zi-Ming; Sanchez-Romero, Inmaculada; Alegre-Cebollada, Jorge; Kosuri, Pallav; Garcia-Manyes, Sergi; Kappock, T. Joseph; Tanokura, Masaru; Holmgren, Arne; Sanchez-Ruiz, Jose M.; Gaucher, Eric A.; Fernandez, Julio M.

2011-01-01

A journey back in time is possible at the molecular level by reconstructing proteins from extinct organisms. Here we report the reconstruction, based on sequence predicted by phylogenetic analysis, of seven Precambrian thioredoxin enzymes (Trx), dating back between ~1.4 and ~4 billion years (Gyr). The reconstructed enzymes are up to 32° C more stable than modern enzymes and the oldest show significantly higher activity than extant ones at pH 5. We probed their mechanisms of reduction using single-molecule force spectroscopy. From the force-dependency of the rate of reduction of an engineered substrate, we conclude that ancient Trxs utilize chemical mechanisms of reduction similar to those of modern enzymes. While Trx enzymes have maintained their reductase chemistry unchanged, they have adapted over a 4 Gyr time span to the changes in temperature and ocean acidity that characterize the evolution of the global environment from ancient to modern Earth. PMID:21460845

Cancer: A Personal Journey. Notes from the Edge.The Diary of Peter J. Morgan, M.D.

PubMed

Chabner

1997-01-01

It is a mistake to think that all personal experiences with cancer are the same. For certain, all cancer patients do confront the possibility of an early death and the prospect of pain and suffering due to the tumor and its treatment. But the specific emotional issues differ with each patient and each family, and the responses to these issues take many forms. In an eloquent and moving film, "Cancer: A Personal Journey. Notes from the Edge.," we are given the privilege of accompanying a remarkable young physician, Peter J. Morgan, on his journey with cancer, a two and one-half year journey that ended with his death at age 31. At age 29, Dr. Morgan, an internist-in-training who intended to pursue a career in hematology and oncology, noted a mass on his leg. Tragically, metastasis to the lungs had already taken place at the time of diagnosis of a synovial sarcoma. There followed the all-too-familiar story of chemotherapy and experimental treatments, pain, debilitation, and ultimately demise, and in itself this experience would move us with the sorrow of a precious life lost. What makes this particular story so remarkable are the insights of this young physician and the struggle for survival of a spirit that would not succumb to the "chaos" of cancer. In the two-year period of his life as a cancer patient, Peter Morgan kept a diary that records his thoughts, his emotional turmoil, and his reflections on life and an untimely death. In particular, we are able to understand the need for his spiritual self to remain alive and to grow despite the deterioration of his physical being. And we see that spiritual triumph in his compelling relationships with his family and his colleagues, in his reflections on art and music and nature, and most of all in his writings and his appreciation of the immense possibilities for joy in life. This is not an easy journey to watch, but the intense sadness of his experience is balanced by his friendships and the great satisfaction he derived

Economic tour package model using heuristic

NASA Astrophysics Data System (ADS)

Rahman, Syariza Abdul; Benjamin, Aida Mauziah; Bakar, Engku Muhammad Nazri Engku Abu

2014-07-01

A tour-package is a prearranged tour that includes products and services such as food, activities, accommodation, and transportation, which are sold at a single price. Since the competitiveness within tourism industry is very high, many of the tour agents try to provide attractive tour-packages in order to meet tourist satisfaction as much as possible. Some of the criteria that are considered by the tourist are the number of places to be visited and the cost of the tour-packages. Previous studies indicate that tourists tend to choose economical tour-packages and aiming to visit as many places as they can cover. Thus, this study proposed tour-package model using heuristic approach. The aim is to find economical tour-packages and at the same time to propose as many places as possible to be visited by tourist in a given geographical area particularly in Langkawi Island. The proposed model considers only one starting point where the tour starts and ends at an identified hotel. This study covers 31 most attractive places in Langkawi Island from various categories of tourist attractions. Besides, the allocation of period for lunch and dinner are included in the proposed itineraries where it covers 11 popular restaurants around Langkawi Island. In developing the itinerary, the proposed heuristic approach considers time window for each site (hotel/restaurant/place) so that it represents real world implementation. We present three itineraries with different time constraints (1-day, 2-day and 3-day tour-package). The aim of economic model is to minimize the tour-package cost as much as possible by considering entrance fee of each visited place. We compare the proposed model with our uneconomic model from our previous study. The uneconomic model has no limitation to the cost with the aim to maximize the number of places to be visited. Comparison between the uneconomic and economic itinerary has shown that the proposed model have successfully achieved the objective that

Learning patient-centred communication: The journey and the territory.

PubMed

Cushing, Annie M

2015-10-01

The student entering medical school is about to undergo a socialisation process that profoundly shapes their development as a professional. A central feature is the formal and informal curriculum on the doctor-patient relationship and patient-centred communication. In this paper I will chart some of the features of the student journey which might impact on learning and practice. The medical undergraduate's role is largely that of observer and learner, rather than a provider of care, so much of the formal teaching on patient-centred communication is within simulated practice. Clinical practice environments are the most powerful influences on learning about professional behaviour. Challenges for educational practitioners include how to support authenticity in learners, respond to their agendas, and foster insight to enable flexibility about communication in different contexts. Parallels between the doctor-patient relationship and the student-tutor relationship are explored for their relevance. A number of educational theories can inform curriculum design and educational practice, notably Vygotsky's Zone of Proximal Development. Application of this and other social learning theories, together with students' reflections can enrich our planning of educational interventions and understanding of their impact. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

A Long Journey of Mathematics and Astronomy in Romania

NASA Astrophysics Data System (ADS)

Stavinschi, Magda

2010-10-01

Bucharest Astronomical Observatory celebrated recently its centenary. Its founders were all mathematicians or, better said, astronomers specialized in celestial mechanics. Their first doctoral theses were defended at Sorbonne, in the second half of the 19th century, under the guidance of the greatest specialists of the time. After they returned home, they continued what they had begun in Paris, namely celestial mechanics. The instruments they ordered and the first programmes of astronomical observations had an increasingly closer relation to mathematics, as they referred to astrometry and especially to stellar catalogues. Naturally, there were also astrophysical concerns, timid ones in the beginning, and then ever larger, especially beginning with the International Geophysical Year. The evolution of world astronomy, as well as that of Romania, seems to be following but one direction: astrophysics. The truth is that astrometry and celestial mechanics continue to lie at the basis of all astrophysical researches, actually in an entirely new and modern form. The astrometry schools recently organized, the new astrometry textbooks, as well as the IAU working groups dedicated to modern astrometry prove that the long journey of mathematics and astronomy is not over yet.

Measuring a Journey without Goal: Meditation, Spirituality, and Physiology

PubMed Central

2015-01-01

The secular practice of meditation is associated with a range of physiological and cognitive effects, including lower blood pressure, lower cortisol, cortical thickening, and activation of areas of the brain associated with attention and emotion regulation. However, in the context of spiritual practice, these benefits are secondary gains, as the primary aim is spiritual transformation. Despite obvious difficulties in trying to measure a journey without goal, spiritual aspects involved in the practice of meditation should also be addressed by experimental study. This review starts by considering meditation in the form of the relaxation response (a counterpart to the stress response), before contrasting mindfulness research that emphasizes the role of attention and alertness in meditation. This contrast demonstrates how reference to traditional spiritual texts (in this case Buddhist) can be used to guide research questions involving meditation. Further considerations are detailed, along with the proposal that research should triangulate spiritual textual sources, first person accounts (i.e., neurophenomenology), and physiological/cognitive measures in order to aid our understanding of meditation, not only in the secular context of health benefits, but also in the context of spiritual practice. PMID:26137495

The Journey Project: a case study in providing health information to mitigate health disparities

PubMed Central

Leisey, Monica

2009-01-01

The Journey Project, part of the Virginia Commonwealth University Libraries' Social Work Information Specialist in Context Fellowship, was designed to merge social work and consumer health librarianship skills in order to improve the provision of health information to patients. A resource notebook was created encompassing the many dimensions of cancer health information. A social work informationist distributed the notebooks and provided individualized consultations with respect to patients' health information needs. Areas of congruence as well as key differences between social work and consumer health librarianship emerged during the course of the project. Merging the two professions into the role of a social work informationist increased the ability to attend holistically to clients' health information needs. PMID:19159008

More than what the eye can see: the emotional journey and experience of powerlessness of integrated care service users and their carers

PubMed Central

Boudioni, Markella; Hallett, Nina; Lora, Cristina; Couchman, Wendy

2015-01-01

Purpose This article presents the emotional journey and experience of powerlessness of integrated care service users and carers. Materials and methods The experiences of seven integrated care service users and carers affected by complex conditions in a London borough were captured as video stories. The integrated care service coordinated a system of health and social care: primary care, community matrons, social workers, and the voluntary sector. The service was designed to respond to identified cases of high-risk individuals with long-term, multiple, and age-related conditions needing preventive interventions. The video stories were analyzed by researchers in collaboration with service users using a visual thematic qualitative approach. This report is part of an independent analysis of the integrated care service evaluation that used the experience-based codesign model. Results The findings are presented in the respective contexts of people with complex conditions and their carers. The overwhelming feelings and emotions of both were loss of control and power throughout their emotional journey, with family carers adopting a protective attitude toward the patients. Their experience of powerlessness was variable throughout their emotional journey. They were affected more strongly when in need of extra help and support and while they were undergoing the process of receiving extra services. When they were receiving help and support outside and within hospitals, some participants were empowered, gaining skills and knowledge by being provided with the mechanisms to cope with their condition at present and in the future. Conclusion Feelings of powerlessness were very common among integrated care service users and their carers. Powerless/empowerment has been poorly investigated to date. Visual methods and collaborative visual analysis with service users have proved to be powerful methods too, but have been rarely reported. PMID:25848232

A mosquito sperm's journey from male ejaculate to egg: Mechanisms, molecules, and methods for exploration

PubMed Central

Degner, Ethan C.

2016-01-01

SUMMARY The fate of mosquito sperm in the female reproductive tract has been addressed sporadically and incompletely, resulting in significant gaps in our understanding of sperm‐female interactions that ultimately lead to fertilization. As with other Diptera, mosquito sperm have a complex journey to their ultimate destination, the egg. After copulation, sperm spend a short time at the site of insemination where they are hyperactivated and quickly congregate near the entrance of the spermathecal ducts. Within minutes, they travel up the narrow ducts to the spermathecae, likely through the combined efforts of female transport and sperm locomotion. The female nourishes sperm and maintains them in these permanent storage organs for her entire life. When she is ready, the female coordinates the release of sperm with ovulation, and the descending egg is fertilized. Although this process has been well studied via microscopy, many questions remain regarding the molecular processes that coordinate sperm motility, movement through the reproductive tract, maintenance, and usage. In this review, we describe the current understanding of a mosquito sperm's journey to the egg, highlighting gaps in our knowledge of mosquito reproductive biology. Where insufficient information is available in mosquitoes, we describe analogous processes in other organisms, such as Drosophila melanogaster, as a basis for comparison, and we suggest future areas of research that will illuminate how sperm successfully traverse the female reproductive tract. Such studies may yield molecular targets that could be manipulated to control populations of vector species. Mol. Reprod. Dev. 83: 897–911, 2016. © 2016 The Authors. Molecular Reproduction and Development Published by Wiley Periodicals, Inc. PMID:27147424

The Journey of the Autophagosome through Mammalian Cell Organelles and Membranes.

PubMed

Molino, Diana; Zemirli, Naïma; Codogno, Patrice; Morel, Etienne

2017-02-17

Autophagy is an intracellular degradation process carried out by a double-membrane organelle, termed the autophagosome, which sequesters cytoplasmic material destined for lysosomal degradation and recycling. Autophagy and autophagosome biogenesis are highly conserved processes in eukaryotes and are essential for cell survival, stress responses, and homeostasis. Autophagosomes are dynamic and complex organelles that can originate from several different membrane compartments. Autophagosomes traffic through the cell to fuse with lysosomes or other compartments. Despite identification of key proteins necessary for autophagosome assembly and transport, such as those encoded by the autophagy-related genes, the relationship and interdependence of the autophagosome with other intracellular endo-membranes, including those of organelles involved in exocytosis and endocytic trafficking pathways, are still poorly understood. Here we discuss formation of autophagosomes, the journey of these organelles through the cell, and their close interplay with other mammalian organelles from points of view of signalization platforms and membrane dynamics. Copyright © 2016 Elsevier Ltd. All rights reserved.

Looking back, looking forward: Recovery journeys in a high secure hospital.

PubMed

McKeown, Mick; Jones, Fiona; Foy, Paul; Wright, Karen; Paxton, Tracey; Blackmon, Mike

2016-06-01

A qualitative study of staff and service users' views of recovery was undertaken in a UK high secure hospital working to implement recovery practices. 30 staff and 25 service users participated in semi-structured interviews or focus groups. Thematic analysis identified four broad accounts of how recovery was made sense of in the high secure environment: the importance of meaningful occupation; valuing relationships; recovery journeys and dialogue with the past; and recovery as personal responsibility. These themes are discussed with an emphasis on service user strategies of cooperation or resistance, respectively advancing or impeding progress through the system. In this context the notion of cooperation is, for many, commensurate with compliance with a dominant medical model. The policy framing of recovery opens up contemplation of treatment alternatives, more participatory approaches to risk management, and emphasise the value of relational skills, but may not elude the overarching bio-psychiatric episteme. © 2016 Australian College of Mental Health Nurses Inc.

Before the long journey: Development of Soviet space biology and medicine

NASA Technical Reports Server (NTRS)

Gazenko, O. G.

1978-01-01

Academician O. Gazenko, Chief of the Institute of Biomedical Problems, USSR Ministry of Public Health, reviewed the short but intense history of Soviet research in space biology and medicine. The solid academic approach of the Soviet Academy of Sciences in giving a good start at the very beginning of the space age is stressed and key people and institutions who initiated these studies are named. The basic feature of the first period of space biology is seen as the search for answers to a few fundamental questions of survival in space. It is pointed out that the initiated investigations were replaced by refined, in-depth studies of the biological, biophysical, and biochemical processes in human organism in the space environment and the search for methods which should enable cosmonaut crews to live in space for several years during interplanetary journeys. Discussing the typical problems of this effort, Gazenko each time showed how they benefit medical science and practice in general.

The journey from infertility to parenting multiples: a dream come true?

PubMed

Baor, Liora; Blickstein, Isaac

2005-01-01

Infertility deeply affects psychosocial aspects of young couples, who often erroneously take fertility for granted. The inevitable transformation from apparently healthy adults into patients can lead to loss of self-esteem, confidence, health, close relationships, security, and hope. Frequently, when emotional and psychological resources are diminished after prolonged infertility, the couple may express their desperate wish for a family in the form of accepting without reservation the risks of a multiple pregnancy, ignoring the undeniable increased morbidity and mortality associated with these gestations. It is unclear why a couple embarking on the journey of infertility treatment may prefer a pregnancy that is tenfold as likely to have a serious adverse outcome. Of the three potential explanations for such an attitude--desperation, denial, and ignorance--only the last one can be solved with patient education and adequate counseling. At the same time, it is unjustified to avoid assisted reproductive technologies because of potential adverse outcome, however necessary it is to acknowledge the risk of multiple births.

Stories and metaphors in the sensemaking of multiple primary health care organizational identities

PubMed Central

2014-01-01

Background The Quebec primary health care delivery system has experienced numerous reforms over the last 15 years. In this study, we sought to examine how managers and primary care providers made sense of the creation of successive new primary care organizational forms. Methods We conducted a longitudinal qualitative case study in a primary care practice group located in Montreal, Quebec, for over 6 years (2002 to 2008). The data sources for the study include 31 semi-structured interviews with key informants, in-situ observations of group meetings, as well as documents and field notes. Textual material was submitted to narrative and metaphor analysis. Results The core metaphor of the journey came from a set of stories in which the members of this primary care group depicted the processes undertaken towards developing a multidisciplinary cooperative practice, which include an uneasy departure, uncertainty about the destination, conflict among members who jump ship or stay on board, negotiations about the itinerary, and, finally, enduring challenges in leading the way and being pioneers of change in the organization of primary care in their institutional context. Identification with the initial family medicine unit identity was persistent over time, but successive reforms further enriched its meaning as it became a multidisciplinary primary care practice pioneering organizational change. Conclusions In order to support primary care reforms in complex institutional fields, this study proposes that decision-makers undertake a journey in which they recognize both the need to capitalize on existing meaningful and legitimated organizational identities, as well as the necessity for collective leadership in the management of multiple organizational identities over time. PMID:24588933

Kos, Dresden, Utopia... A journey through idealism past and present in public health.

PubMed

Mackenbach, Johan

2005-01-01

This essay reviews some of the sources of idealism in public health, on the basis of an intellectual journey to Kos (home to Hippocrates and his altruistic legacy), Dresden (where the Deutsches Hygiene Museum illustrates the historical connections between fascism and public health), and Utopia (exemplified by Etienne Cabet's Icarie, a fantasy of an ideal city which has nevertheless been partly realized). It is suggested that the large-scale altruism of public health has to be balanced with the value of individual autonomy, and that some degree of dreaming of a better and healthier world is indispensable for further progress in public health. The main conclusion is that the ethical foundations of public health are not always self-evident, and that critical reflection on these foundations was, is, and will always be necessary.

An outpatient antibacterial stewardship intervention during the journey to JCI accreditation

PubMed Central

2014-01-01

Background Antibacterial overuse, misuse and resistance have become a major global threat. The Joint Commission International (JCI) accreditation standards include quality improvement and patient safety, which is exemplified by antimicrobial stewardship. There are currently few reports on interventions to improve the quality of outpatient antibacterial prescribing. Methods A before-after intervention study, aiming at antibacterial use in outpatients, was performed in a university-affiliated hospital with 2.8 million outpatient visits annually during the journey to JCI accreditation (March of 2012 - March of 2013). Comprehensive intervention measures included formulary adjustment, classification management, motivational, information technological, educational and organizational measures. A defined daily dose (DDD) methodology was applied. Pharmacoeconomic data and drug-related problems (DRPs) were statistically compared between the two phases. Results The variety of antibacterials available in outpatient pharmacy decreased from 38 to 16. The proportion of antibacterial prescriptions significantly decreased (12.7% versus 9.9%, P < 0.01). The proportion of prescriptions containing the restricted antibacterials was 30.4% in the second phase, significantly lower than the value of 44.7% in the first phase (P < 0.01). The overall proportion of oral versus all antibacterial prescriptions increased (94.0% to 100%, P < 0.01) when measured as defined daily doses. Statistically significant increases in relative percentage of DDDs of oral antibacterials (i.e., DDDs of individual oral antibacterial divided by the sum of DDDs of all antibacterials) were observed with moxifloxacin, levofloxacin, cefuroxime axetil, ornidazole, clindamycin palmitate, cefaclor, amoxicillin and clarithromycin. Occurrence rate of DRPs decreased from 13.6% to 4.0% (P < 0.01), with a larger decrease seen in surgical clinics (surgical: 19.5% versus 5.6%; internal medicine: 8.4% versus 2

Knowledge exchange throughout the dementia care journey by Canadian rural community-based health care practitioners, persons with dementia, and their care partners: an interpretive descriptive study.

PubMed

Forbes, Dorothy A; Finkelstein, Sara; Blake, Catherine M; Gibson, Maggie; Morgan, Debra G; Markle-Reid, Maureen; Culum, Ivan; Thiessen, Emily

2012-10-01

Accessing, assessing, exchanging, and applying dementia care information can be challenging in rural communities for healthcare practitioners (HCPs), persons with dementia (PWD), and their care partners. The overall purpose of this research was to enable HCPs, care partners, and PWD to use dementia care information more effectively by examining their information needs, how these change over time, and how they access, assess, and apply the knowledge. A qualitative interpretive descriptive approach was used. A convenience sample was initially recruited through study collaborators in Southwestern Ontario, followed by purposive sampling. Nine rural dementia care networks consisting of PWD (n = 5), care partners (n = 14), and HCPs (n = 14) were recruited and 80 interviews were conducted at three time points. Transcripts were coded using Lubrosky's thematic analysis. Six stages of the dementia care journey were identified: (1) recognizing the symptoms; (2) receiving a diagnosis; (3) loss of independence; (4) initiating and using home care and respite services; (5) long-term care (LTC) placement; and (6) decisions related to end-of-life care. Rural care partners identified the need for different types of knowledge during each of these critical decision points of the dementia care journey. They accessed information from family members, friends, local organizations, and dementia internet sites. Persons with dementia tended not to identify the need for dementia care information. The HCPs accessed dementia care information from their own organization, other organizations, and internet sites. Care partners and HCPs assessed the trustworthiness of the information based on whether the source was a well-known agency or their own organization. Barriers to knowledge exchange included: lack of rural community-based services for dementia care; care partners reluctant to seek help and had limited energy; and lack of integration of dementia-related services and supports. Facilitators

A Journey in Science: The Privilege of Exploring the Brain and the Immune System

PubMed Central

Steinman, Lawrence

2016-01-01

Real innovations in medicine and science are historic and singular; the stories behind each occurrence are precious. At Molecular Medicine we have established the Anthony Cerami Award in Translational Medicine to document and preserve these histories. The monographs recount the seminal events as told in the voice of the original investigators who provided the crucial early insight. These essays capture the essence of discovery, chronicling the birth of ideas that created new fields of research; and launched trajectories that persisted and ultimately influenced how disease is prevented, diagnosed, and treated. In this volume, the Cerami Award Monograph is by Lawrence Steinman, MD, of Stanford University in California. A visionary in the field of neurology, this is the story of Dr. Steinman’s scientific journey. PMID:27652378

The influence of action on episodic memory: a virtual reality study.

PubMed

Plancher, Gaën; Barra, Julien; Orriols, Eric; Piolino, Pascale

2013-01-01

A range of empirical findings suggest that active learning is important for memory. However, few studies have focused on the mechanisms underlying this enactment effect in episodic memory using complex environments. Research using virtual reality has yielded inconsistent results. We postulated that the effect of action depends on the degree of interaction with the environment and freedom in the planning of an itinerary. To test these hypotheses, we disentangled the interaction and planning components of action to investigate whether each enhances factual and spatial memory. Seventy-two participants (36 male and 36 female) explored a virtual town in one of three experimental conditions: (a) a passive condition where participants were immersed as passenger of the car (no interaction, no planning); (b) a planning-only condition (the subject chose the itinerary but did not drive the car); (c) an interaction-only condition (the subject drove the car but the itinerary was fixed). We found that itinerary choice and motor control both enhanced spatial memory, while factual memory was impaired by online motor control. The role of action in memory is discussed.

The Journey from De-Culturalization to Community Cultural Wealth: The Power of a Counter Story-Telling Curriculum and How Educational Leaders Can Transform Schools

ERIC Educational Resources Information Center

Cuevas, P. Antonio

2016-01-01

Generations of Latino students have been negatively impacted by de-culturalizing policies, epistemologies and pedagogies in the U.S. educational system. This article examines the impact of Critical Race Theory (CRT) in the classroom. In this article I give my "testimonio" documenting my educational journey and how I have been transformed…

A Community College Instructor's Reflective Journey toward Developing Pedagogical Content Knowledge for Nature of Science in a Non-Majors Undergraduate Biology Course

ERIC Educational Resources Information Center

Krajewski, Sarah J.; Schwartz, Renee

2014-01-01

Research supports an explicit-reflective approach to teaching about nature of science (NOS), but little is reported on teachers' journeys as they attempt to integrate NOS into everyday lessons. This participatory action research paper reports the challenges and successes encountered by an in-service teacher, Sarah, implementing NOS for the…

The sagrada familia: A daily whisper of the spirit

NASA Astrophysics Data System (ADS)

Campos, Arturo

2002-11-01

Sounds from the top of the Temple; songs of loyals going beyond the city, sounds of the rustic forms of the spaces for the soul; reality and miracle in just one voice, voice of religion for participation; mystery, mysticism, meditation, happiness, music and songs, bells and church towers, choirs and pulpits, religion and city. The religious architecture of Gaudi is involved by mystic sounds, real or imaginary sounds, whispers almost imperceptibles and sonorous surprises in the journeys destined to peace and spiritual calm. The Sagrada Familia in Barcelona is a Temple where the sonorous itineraries will exist and where the acoustic design of choirs, bells and bell towers was an essential idea of Antoni Gaudi. A living building with its voice singing with the people a song which will take in the whole city; ringing bells and bell towers crossing the sky and sending music, view and hearing of all the people to the new cathedral, a symbol to guide pilgrimages, ceremonies, songs and festivals. The Sagrada Familia and Barcelona, a union that Gaudi wanted to turn in total and where the acoustic design will be transformed in a daily murmur, highly spiritual. (To be presented in Spanish.)

The long and winding road: the journey taken by headache sufferers in search of help.

PubMed

Davies, Paul T G; Lane, Russell J M; Astbury, Theresa; Fontebasso, Manuela; Murphy, Jill; Matharu, Manjit

2018-05-31

AimTo outline the pathways a cohort of first attendees to our headache clinics had taken over the years in search of explanations and treatment for their headaches. To establish a greater awareness of the shortcomings and failures in their medical journey in the hope that better headache management will emerge in primary care. At first attendance in primary care most headache sufferers will not receive a firm diagnosis. Treatments provided are often ineffective and so many patients embark on a somewhat random self-made journey searching for a remedy. If they reach a Headache Clinic the most common diagnoses are 'chronic migraine' and 'medication overuse headache'. They are either no better or worse than when their headaches first started despite their efforts. We undertook a prospective questionnaire-based study of over 200 patients on first attendance at each of our headache clinics, three based in District General Hospitals and one in a tertiary referral centre. We documented the patients' headache characteristics, the 'burden' of their headaches, functional handicap and the financial costs incurred seeking help before referral. We also documented what our patients understood about their headache disorder and the treatments previously tried.FindingsMost patients had not been given a formal diagnosis in primary care and many remained unconvinced of the benign nature of their headache problem and wanted further investigations. A few had sought help from headache charities. Many had unrealistic attitudes to their problem and medication overuse was rife. A few patients had been offered triptans in primary care. Key deficiencies in the primary care management of these patients included failure to provide a formal headache diagnosis, inadequate understanding of the nature and mechanism of headaches and failure to follow a resilient management strategy. We provide a more effective management pathway in primary care.

Restoring a Ruptured Relationship: Barnard College's Caryl Phillips' Senior English Seminar Focuses on Broken International Connections and Culminates with a Trans-Atlantic Journey

ERIC Educational Resources Information Center

Keels, Crystal L.

2004-01-01

Millions of African people who were captured, kidnapped and shackled for sale as part of the trans-Atlantic slave trade first passed through Cape Coast Castle in Ghana, West Africa. They stepped through the doorway that set them on a horrifying journey across the Atlantic Ocean. Men, women and children were taken by force, leaving their loved…

14 CFR 158.47 - Collection of PFC's on tickets issued outside the U.S.

Code of Federal Regulations, 2010 CFR

2010-01-01

... required to collect a PFC on air travel tickets issued on its own ticket stock unless it serves a point or... this section, unless the itinerary is for travel wholly within the U.S. Air carriers and foreign air carriers must comply with § 158.45 where the itinerary is for travel wholly within the U.S. regardless of...

Optimizing Pedestrian-Friendly Walking Path for the First and Last Mile Transit Journey by Using the Analytical Network Process (anp) Decision Model and GIS Network Analysis

NASA Astrophysics Data System (ADS)

Naharudin, N.; Ahamad, M. S. S.; Sadullah, A. F. M.

2017-10-01

Every transit trip begins and ends with pedestrian travel. People need to walk to access the transit services. However, their choice to walk depends on many factors including the connectivity, level of comfort and safety. These factors can influence the pleasantness of riding the transit itself, especially during the first/last mile (FLM) journey. This had triggered few studies attempting to measure the pedestrian-friendliness a walking environment can offer. There were studies that implement the pedestrian experience on walking to assess the pedestrian-friendliness of a walking environment. There were also studies that use spatial analysis to measure it based on the path connectivity and accessibility to public facilities and amenities. Though both are good, but the perception-based studies and spatial analysis can be combined to derive more holistic results. This paper proposes a framework for selecting a pedestrian-friendly path for the FLM transit journey by using the two techniques (perception-based and spatial analysis). First, the degree of importance for the factors influencing a good walking environment will be aggregated by using Analytical Network Process (ANP) decision rules based on people's preferences on those factors. The weight will then be used as attributes in the GIS network analysis. Next, the network analysis will be performed to find a pedestrian-friendly walking route based on the priorities aggregated by ANP. It will choose routes passing through the preferred attributes accordingly. The final output is a map showing pedestrian-friendly walking path for the FLM transit journey.

Exploring the opportunities for food and drink purchasing and consumption by teenagers during their journeys between home and school: a feasibility study using a novel method.

PubMed

Cowburn, Gill; Matthews, Anne; Doherty, Aiden; Hamilton, Alex; Kelly, Paul; Williams, Julianne; Foster, Charlie; Nelson, Michael

2016-01-01

To investigate the feasibility and acceptability of using wearable cameras as a method to capture the opportunities for food and drink purchasing/consumption that young people encounter on their regular journeys to and from school. A qualitative study using multiple data-collection methods including wearable cameras, global positioning system units, individual interviews, food and drink purchase and consumption diaries completed by participants over four days, and an audit of food outlets located within an 800 m Euclidean buffer zone around each school. A community setting. Twenty-two students (fourteen girls and eight boys) aged 13-15 years recruited from four secondary schools in two counties of England. Wearable cameras offered a feasible and acceptable method for collecting food purchase and consumption data when used alongside traditional methods of data collection in a small number of teenagers. We found evidence of participants making deliberate choices about whether or not to purchase/consume food and drink on their journeys. These choices were influenced by priorities over money, friends, journey length, travel mode and ease of access to opportunities for purchase/consumption. Most food and drink items were purchased/consumed within an 800 m Euclidean buffer around school, with items commonly selected being high in energy, fat and sugar. Wearable camera images combined with interviews helped identify unreported items and misreporting errors. Wearable camera images prompt detailed discussion and generate contextually specific information which could offer new insights and understanding around eating behaviour patterns. The feasibility of scaling up the use of these methods requires further empirical work.

I Will Get This Done, and I Will Do It My Way: Doctoral Student Mothers Practicing Student Affairs and Their Journey toward Self-Authorship

ERIC Educational Resources Information Center

Broghammer, Rebecca

2016-01-01

The purpose of this interpretivist qualitative study was to develop a better understanding of the lived experiences and self-authored development of women who were mothers navigating the journey of motherhood, doctoral degree, and a professional life in the field of student affairs. Research was conducted with guiding principles of reciprocity,…

A Journey in Standard Development: The Core Manufacturing Simulation Data (CMSD) Information Model.

PubMed

Lee, Yung-Tsun Tina

2015-01-01

This report documents a journey "from research to an approved standard" of a NIST-led standard development activity. That standard, Core Manufacturing Simulation Data (CMSD) information model, provides neutral structures for the efficient exchange of manufacturing data in a simulation environment. The model was standardized under the auspices of the international Simulation Interoperability Standards Organization (SISO). NIST started the research in 2001 and initiated the standardization effort in 2004. The CMSD standard was published in two SISO Products. In the first Product, the information model was defined in the Unified Modeling Language (UML) and published in 2010 as SISO-STD-008-2010. In the second Product, the information model was defined in Extensible Markup Language (XML) and published in 2013 as SISO-STD-008-01-2012. Both SISO-STD-008-2010 and SISO-STD-008-01-2012 are intended to be used together.

Journeys of Transformation: A Statewide Effort by Mathematics and Science Professors To Improve Student Understanding. Case Reports from Participants in the Maryland Collaborative for Teacher Preparation.

ERIC Educational Resources Information Center

Gardner, Maureen B., Ed.

This document presents the Maryland Collaborative for Teacher Preparation (MCTP) faculty's reviews on instructional issues of different disciplines. Contents include: (1) "The Maryland Collaborative for Teacher Preparation"; (2) "Guiding Principles: New Thinking in Mathematics and Science Teaching"; (3) "Introduction: Parallel Journeys of Risk and…

The role of food in the Polish migrant adjustment journey.

PubMed

Brown, Lorraine; Paszkiewicz, Irena

2017-02-01

In 2015, there were 916,000 Poles living in the UK, making them the largest group of non-UK nationals at 16.5 percent of the population. Though increasingly research has focused on the consequences of this migration for both migrants themselves and the receiving country, little research has looked at food habits. This paper will explore the role of food in the Polish migrant adjustment journey. A qualitative approach was adopted, involving semi-structured interviews with nine Polish migrants. In this study, Polish migrants described the move to a new culture as a time of stress and loneliness. Due to a lack of money, they were forced to eat local food, which exacerbated their unease, as they found it to be tasteless and unhealthy. As soon as their financial situation improved, they reverted to a Polish diet, relying on ingredients brought from home, from London, or more recently, purchased from local Polish shops. This gave them comfort, and all participants acknowledged the vital role of food in their adjustment to life in a new culture. Copyright © 2016 Elsevier Ltd. All rights reserved.

Bronson Methodist Hospital: journey to excellence in quality and safety.

PubMed

Knapp, Cheryl

2006-10-01

Bronson Healthcare Group, a 343-bed not-for-profit health care system serving all of southwest Michigan and northern Indiana, has as its flagship Bronson Methodist Hospital, the recipient of the 2005 Malcolm Baldrige National Quality Award. The Baldrige criteria were used to formalize Bronson's approach to performance excellence. The strategic plan is condensed and communicated via a "Plan for Excellence" focused on three strategies: clinical excellence, customer and service excellence, and corporate effectiveness. Initiatives include clinical scene investigation (a system for reporting and investigating sentinel and atypical events), a strategy for educating staff in the Situation-Background-Assessment-Recommendations (SBAR) communication technique, and mandatory influenza immunization for health care staff (safety), patient health literacy needs and a health information center (patient centeredness); methods to reduce bloodstream and ventilator-acquired pneumonia infections (effectiveness); a physician portal for access to forms, test results, and patient information (efficiency); restaurant-style pagers for patients and families while waiting (timeliness); and community outreach (equity). Bronson's journey to excellence continues with more accountability for hand-off communication and teamwork, enhancing a non-punitive environment for patient safety reporting, and further incorporating patient and family involvement.

One Educational Technology Colleague's Journey from Dotcom Leadership to University E-Learning Systems Leadership: Merging Design Principles, Systemic Change and Leadership Thinking

ERIC Educational Resources Information Center

Chow, Anthony S.

2013-01-01

This paper describes my journey from instructional technology professional and doctoral student to instructional technology leader and tenure-track faculty member. I reflect on 15 years of application, in government, industry, and higher education, of what I learned in the classroom from some of the giants of the field (Wager, Morgan, Kaufman,…

Retrospective examination of the healthcare 'journey' of chronic orofacial pain patients referred to oral and maxillofacial surgery.

PubMed

Beecroft, E V; Durham, J; Thomson, P

2013-03-01

To gain a deeper understanding of the clinical journey taken by orofacial pain patients from initial presentation in primary care to treatment by oral and maxillofacial surgery. Retrospective audit. Data were collected from 101 consecutive patients suffering from chronic orofacial pain, attending oral and maxillofacial surgery clinics between 2009 and 2010. Once the patients were identified, information was drawn from their hospital records and referral letters, and a predesigned proforma was completed by a single examiner (EVB). Basic descriptive statistics and non-parametric inferential statistical techniques (Krushal-Wallis) were used to analyse the data. DATA AND DISCUSSION: Six definitive orofacial pain conditions were represented in the data set, 75% of which were temporomandibular disorders (TMD). Individuals within our study were treated in nine different hospital settings and were referred to 15 distinct specialties. The mean number of consultations received by the patients in our study across all care settings is seven (SD 5). The mean number of specialities that the subjects were assessed by was three (SD 1). The sample set had a total of 341 treatment attempts to manage their chronic orofacial pain conditions, of which only 83 (24%) of all the treatments attempted yielded a successful outcome. Improved education and remuneration for primary care practitioners as well as clear care pathways for patients with chronic orofacial pain should be established to reduce multiple re-referrals and improve efficiency of care. The creation of specialist regional centres for chronic orofacial pain may be considered to manage severe cases and drive evidence-based practice.

The Equity Journey: NewSchools Venture Fund and Lumina Foundation Pursue Diversity on the Road to Equity. Principles for Effective Education Grantmaking. Case Study No. 16

ERIC Educational Resources Information Center

Russell, Christina A.

2017-01-01

In this case study, Lumina Foundation and NewSchools Venture Fund, two grantmakers represented on Grantmakers for Education's Equity Impact Group, offer up strategies and learnings on their recent journeys in embedding diversity, equity and inclusion into their organizational cultures, grantmaking practices and field-building efforts. The major…

[The long journey of Milton Santos's exile and the formation of his network of cooperation].

PubMed

Pedrosa, Breno Viotto

2018-01-01

Based on an analysis of letters from the Milton Santos collection, the article revisits his journey through exile and shows how he contributed to solidifying the field of critical geography. It also pinpoints elements that reveal the genesis of his intellectual network, which involved thinkers from France, the United States, and Latin America. Focusing on the contexts of his exile, the article links his experiences outside Brazil to new scientific interests and the formation of an international circle of cooperation. Secondarily, it provides evidence of his concern with planning. It is found that his interest in the group of Pierre George and François Perroux was followed by a critical stance that moved him toward dialogue with Marxist philosophy and structuralism.

Transforming a hospital safety and ergonomics program: a four year journey of change.

PubMed

Missar, Vicki J; Metcalfe, Don; Gilmore, Gail

2012-01-01

The conception of "Patient Safety" being the number one priority at Hospitals can reduce the emphasis on overall employee safety and health. This review examines a hospital's need to improve 24/7 active (i.e., not reactive) coverage, regulatory compliance, as well as the frequency and severity of employee injury losses. It also discusses a journey to integrate and improve safety and ergonomics to achieve these goals. Three approaches used by the ergonomist to create the transformation included: 1) adoption of the safety and ergonomic hazard identification; 2) safe patient handling; and 3) implementation of a 5S program. The results of the four (4) year effort at the not for profit, 637 bed, full service, acute-care hospital has shown a steady decline in frequency, reduced waste, and improved housekeeping. Ergonomists can have a key role in transforming Hospital Safety and Ergonomic Programs.

Implementation of lean thinking: one health system's journey.

PubMed

Kim, Christopher S; Spahlinger, David A; Kin, Jeanne M; Coffey, Richard J; Billi, John E

2009-08-01

Lean Thinking is a management philosophy derived from the manufacturing industry, where Toyota has long been the gold standard. Health care organizations have started to apply this approach to patient care. After initial experimentation, the University of Michigan Health System (UMHS) has adopted Lean Thinking as its uniform approach to quality improvement and is striving to become a complete Lean organization. In 2005, the senior leadership selected an initial set of projects in areas that traced the patient's journey across different care settings within our health system. Four of the projects were as follows: orthopedic surgery clinic scheduling, radiation oncology therapy, peripherally inserted central catheter (PICC) services, and coordination of care to the outpatient setting. Lean Thinking encourages service providers to focus on value as defined by the customer and the relentless elimination of waste that impedes the flow of value. A series of learning projects were conducted to test whether Lean methods would work at UMHS. The following factors were found to be key to LEAN PROJECT SUCCESS: expert guidance for initial efforts, leadership in the form of clinical champions and senior management support of the improvement work, frontline worker engagement in mapping out "current state" processes, identifying waste and designing an improved "future state," using metrics to develop and track interventions, and defining realistic project scope. As UMHS's experience applying Lean Thinking to our patient care processes has grown, so have support, enthusiasm, and expertise within the organization. UMHS's Lean Thinking system, now known as the Michigan Quality System, has emerged as the core improvement strategy.

Item Response Theory Applied to Factors Affecting the Patient Journey Towards Hearing Rehabilitation

PubMed Central

Chenault, Michelene; Berger, Martijn; Kremer, Bernd; Anteunis, Lucien

2016-01-01

To develop a tool for use in hearing screening and to evaluate the patient journey towards hearing rehabilitation, responses to the hearing aid rehabilitation questionnaire scales aid stigma, pressure, and aid unwanted addressing respectively hearing aid stigma, experienced pressure from others; perceived hearing aid benefit were evaluated with item response theory. The sample was comprised of 212 persons aged 55 years or more; 63 were hearing aid users, 64 with and 85 persons without hearing impairment according to guidelines for hearing aid reimbursement in the Netherlands. Bias was investigated relative to hearing aid use and hearing impairment within the differential test functioning framework. Items compromising model fit or demonstrating differential item functioning were dropped. The aid stigma scale was reduced from 6 to 4, the pressure scale from 7 to 4, and the aid unwanted scale from 5 to 4 items. This procedure resulted in bias-free scales ready for screening purposes and application to further understand the help-seeking process of the hearing impaired. PMID:28028428

A Journey Through a Leaf: Phenomics Analysis of Leaf Growth in Arabidopsis thaliana

PubMed Central

Vanhaeren, Hannes; Gonzalez, Nathalie; Inzé, Dirk

2015-01-01

In Arabidopsis, leaves contribute to the largest part of the aboveground biomass. In these organs, light is captured and converted into chemical energy, which plants use to grow and complete their life cycle. Leaves emerge as a small pool of cells at the vegetative shoot apical meristem and develop into planar, complex organs through different interconnected cellular events. Over the last decade, numerous phenotyping techniques have been developed to visualize and quantify leaf size and growth, leading to the identification of numerous genes that contribute to the final size of leaves. In this review, we will start at the Arabidopsis rosette level and gradually zoom in from a macroscopic view on leaf growth to a microscopic and molecular view. Along this journey, we describe different techniques that have been key to identify important events during leaf development and discuss approaches that will further help unraveling the complex cellular and molecular mechanisms that underlie leaf growth. PMID:26217168

The long journey to the Higgs boson and beyond at the LHC: Emphasis on ATLAS

NASA Astrophysics Data System (ADS)

Jenni, Peter

2016-09-01

The journey in search for the Higgs boson with the ATLAS and CMS experiments at the Large Hadron Collider (LHC) at CERN started more than two decades ago. But the first discussions motivating the LHC project dream date back even further into the 1980s. This article will recall some of these early historical considerations, mention some of the LHC machine milestones and achievements, focus as an example of a technological challenge on the unique ATLAS superconducting magnet system, and then give an account of the physics results so far, leading to, and featuring particularly, the Higgs boson results, and sketching finally prospects for the future. With its emphasis on the ATLAS experiment it is complementary to the preceding article by Tejinder S. Virdee which focused on the CMS experiment.

Cross-cultural industrial organizational psychology and organizational behavior: A hundred-year journey.

PubMed

Gelfand, Michele J; Aycan, Zeynep; Erez, Miriam; Leung, Kwok

2017-03-01

In celebration of the anniversary of the Journal of Applied Psychology ( JAP ), we take a hundred-year journey to examine how the science of cross-cultural industrial/organizational psychology and organizational behavior (CCIO/OB) has evolved, both in JAP and in the larger field. We review broad trends and provide illustrative examples in the theoretical, methodological, and analytic advances in CCIO/OB during 4 main periods: the early years (1917-1949), the middle 20th century (1950-1979), the later 20th century (1980-2000), and the 21st century (2000 to the present). Within each period, we discuss key historical and societal events that influenced the development of the science of CCIO/OB, major trends in research on CCIO/OB in the field in general and JAP in particular, and important milestones and breakthroughs achieved. We highlight pitfalls in research on CCIO/OB and opportunities for growth. We conclude with recommendations for the next 100 years of CC IO/OB research in JAP and beyond. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

From home to 'home': Mapping the caregiver journey in the transition from home care into residential care.

PubMed

Hainstock, Taylor; Cloutier, Denise; Penning, Margaret

2017-12-01

Family caregivers play a pivotal role in supporting the functional independence and quality of life of older relatives, often taking on a wide variety of care-related activities over the course of their caregiving journey. These activities help family members to remain in the community and age-in-place for as long as possible. However, when needs exceed family capacities to provide care, the older family member may need to transition from one care environment to another (e.g., home care to nursing home care), or one level of care to another (from less intense to more intensive services). Drawing upon qualitative interview data collected in a populous health region in British Columbia, Canada, this study explores the roles and responsibilities of family caregivers for family members making the care transition from home care to residential care. A thematic analysis of the interview transcripts resulted in the development of a conceptual framework to characterize the "Caregiver Journey" as a process that could be divided into at least three phases: 1) Precursors to transition - recognizing frailty in family members and caregivers prior to transition; 2) Preparing to transition into residential nursing home care (RC) and 3) Post-transition: Finding a new balance - where caregivers adjust and adapt to new caregiving responsibilities. Our analyses revealed that the second phase is the most complex involving a consideration of the various activities, and roles that family caregivers take on to prepare for the care transition including: information gathering, advocacy and system navigation. We conclude that there is a need for family caregivers to be better supported during care transitions; notably through ongoing and enhanced investments in strategies to support caregiver communication and education. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

Shaping a valued learning journey: Student satisfaction with learning in undergraduate nursing programs, a grounded theory study.

PubMed

Smith, Morgan R; Grealish, Laurie; Henderson, Saras

2018-05-01

Student satisfaction is a quality measure of increasing importance in undergraduate programs, including nursing programs. To date theories of student satisfaction have focused primarily on students' perceptions of the educational environment rather than their perceptions of learning. Understanding how students determine satisfaction with learning is necessary to facilitate student learning across a range of educational contexts and meet the expectations of diverse stakeholders. To understand undergraduate nursing students' satisfaction with learning. Constructivist grounded theory methodology was used to identify how nursing students determined satisfaction with learning. Two large, multi-campus, nursing schools in Australia. Seventeen demographically diverse undergraduate nursing students studying different stages of a three year program participated in the study. Twenty nine semi-structured interviews were conducted. Students were invited to describe situations where they had been satisfied or dissatisfied with their learning. A constructivist grounded theory approach was used to analyse the data. Students are satisfied with learning when they shape a valued learning journey that accommodates social contexts of self, university and nursing workplace. The theory has three phases. Phase 1 - orienting self to valued learning in the pedagogical landscape; phase 2 - engaging with valued learning experiences across diverse pedagogical terrain; and phase 3 - recognising valued achievement along the way. When students experience a valued learning journey they are satisfied with their learning. Student satisfaction with learning is unique to the individual, changes over time and maybe transient or sustained, mild or intense. Finding from the research indicate areas where nurse academics may facilitate satisfaction with learning in undergraduate nursing programs while mindful of the expectations of other stakeholders such as the university, nurse registering authorities

Journey through the Trials and Triumphs of Disability.

PubMed

Laas, Helen L

2012-01-01

One Woman's journey through the Trials and Triumphs of Disability , Disabled Peoples International 8th World Assembly 2011 Durban, South Africa, October 10-13, 2011. When embarking on my career as a teacher at a special school in South Africa, I never thought that a motor vehicle accident would place me in the position where my learners with disabilities suddenly saw me as an ally. Little did I realise the chasm that exists between able-bodied people and people with disabilities, or the remarkable role I would find myself in whilst actively addressing disability and Inclusive Education issues. My experiences with disability in South Africa drew encouraging attention from delegates at the Disabled People's International 8 th World Assembly when I shared my story. The resounding positive response affirmed that my experiences are not unique to nationality, gender, race or age, and are typical of the time and country in which I live, where people with disabilities are considered to have little potential, and woman with disabilities are further marginalised. In the infancy of our democracy, we are still in the early days of attending to equity amongst all South Africans. This story comprises both a narrative and a graphic presentation which run parallel, although not always telling an identical story; they complement one another and should be experienced simultaneously. Ultimately, it relates the success that can be achieved by pro-active people with disabilities as members of the South African society within their own spheres of knowledge and skill to change attitudes and practices of people without disabilities in education and local communities.

Journey through the Trials and Triumphs of Disability

PubMed Central

2012-01-01

One Woman’s journey through the Trials and Triumphs of Disability, Disabled Peoples International 8th World Assembly 2011 Durban, South Africa, October 10–13, 2011. When embarking on my career as a teacher at a special school in South Africa, I never thought that a motor vehicle accident would place me in the position where my learners with disabilities suddenly saw me as an ally. Little did I realise the chasm that exists between able-bodied people and people with disabilities, or the remarkable role I would find myself in whilst actively addressing disability and Inclusive Education issues. My experiences with disability in South Africa drew encouraging attention from delegates at the Disabled People’s International 8th World Assembly when I shared my story. The resounding positive response affirmed that my experiences are not unique to nationality, gender, race or age, and are typical of the time and country in which I live, where people with disabilities are considered to have little potential, and woman with disabilities are further marginalised. In the infancy of our democracy, we are still in the early days of attending to equity amongst all South Africans. This story comprises both a narrative and a graphic presentation which run parallel, although not always telling an identical story; they complement one another and should be experienced simultaneously. Ultimately, it relates the success that can be achieved by pro-active people with disabilities as members of the South African society within their own spheres of knowledge and skill to change attitudes and practices of people without disabilities in education and local communities. PMID:28729976

Motivational journey of Iranian bachelor of nursing students during clinical education: a grounded theory study.

PubMed

Hanifi, Nasrin; Parvizy, Soroor; Joolaee, Soodabeh

2013-09-01

This study explored how nursing students can be kept motivated throughout their clinical education. Motivation is a key issue in nursing clinical education for student retention. The study was conducted using grounded theory methods, which are appropriate when studying process in a social context. Sixteen students and four instructors, who were purposefully selected, participated in semistructured interviews. Data were analyzed using the constant comparative method. Students' motivational journey occurred in three steps: (i) social condition; (ii) encountering the clinical education challenges; and (iii) looking for an escape from nursing, or simply tolerating nursing. Struggling with professional identity emerged as the core variable. Iran's social context and many other conditions in the clinical education setting affect students' motivation. Identifying motivational process might assist educational authorities in offering solutions to promote motivation among students. © 2013 Wiley Publishing Asia Pty Ltd.

"To Finally Understand How to Do Well Is the Hardest Part": Seeing the Transfer Journey, Research and Research-Inclusive Careers through the Eyes of Undergraduate Transfer Students Pursuing Science Majors

ERIC Educational Resources Information Center

Ewers, Tola Latola Marie

2014-01-01

This multi-case qualitative study explored how University of Wisconsin-Madison (UW-Madison) undergraduate science major transfer students' backgrounds, transfer journey, previous research and/or other academic experiences and future aspirations shaped perceptions and beliefs about research, research-inclusive careers and integration and engagement…

The reconstruction of the last itinerary of “Ötzi”, the Neolithic Iceman, by pollen analyses from sequentially sampled gut extracts

NASA Astrophysics Data System (ADS)

Oeggl, Klaus; Kofler, Werner; Schmidl, Alexandra; Dickson, James H.; Egarter-Vigl, Eduard; Gaber, Othmar

2007-04-01

The investigations of the Tyrolean Iceman "Ötzi" and his artefacts, discovered at a remote location high in the Eastern Alps, have contributed greatly to the knowledge of the lifestyle of Neolithic humankind. However, the events immediately prior to the Iceman's death have remained unclear and even the recently discovered arrowhead in his back does not explain conclusively the cause of death satisfactorily. From the pollen and macrofossil content of his gut, we reconstruct his travels just before his demise. Sequential sampling of the food residues in the digestive tract of the 5200 year old glacier mummy has made possible the analyses of a series of meals and, from the pollen content, the deduction of the environments in which the last meals were eaten. During his last 33 or so hours, Ötzi crossed different habitats in the Ötztal mountains over considerable distances from high up near the timber line (at about 2500 m), to low down in the zone of warmth-loving trees (about 1200 m or less), and finally very high in the zone of perennial ice (above 3000 m). These final journeys lend new weight to the "disaster" theory of Ötzi's death, which suggests that, returning from the high alpine pastures to his native village, he came into a severe conflict with his kin such that he had to flee from the community back to the high ground familiar to him, where he died.

Eva & Rick's Incredible Journey

ERIC Educational Resources Information Center

Carner, Eva

2006-01-01

In 1982, the author became the foster mom to Rick, a small child who got a pretty rough start to life and an even rougher "pre" start. Rick's birth mother was addicted to alcohol and for most of his time in her womb she drank heavily. The author was a single, special education teacher, and worked with children with developmental…

NASA's Space Launch System Booster Passes Major Milestone on Journey to Mars (QM-2)

NASA Image and Video Library

2016-06-28

A booster for the most powerful rocket in the world, NASA’s Space Launch System (SLS), was fired up Tuesday, June 28 at 11:05 a.m. EDT for a second qualification ground test at Orbital ATK's test facilities in Promontory, Utah. This was the last full-scale test for the booster before SLS is ready in 2018 for the first uncrewed test flight with NASA’s Orion spacecraft, marking a key milestone on the agency’s Journey to Mars. The booster was tested at a cold motor conditioning target of 40 degrees Fahrenheit –the colder end of its accepted propellant temperature range. When ignited, temperatures inside the booster reached nearly 6,000 degrees. The two-minute, full-duration ground qualification test provided NASA with critical data on 82 qualification objectives that will support certification of the booster for flight. Engineers now will evaluate test data captured by more than 530 instrumentation channels on the booster.

A journey to citizenship: constructions of citizenship and identity in the British Citizenship Test.

PubMed

Gray, Debra; Griffin, Christine

2014-06-01

The British Citizenship Test was introduced in 2005 as one of a raft of new procedures aimed at addressing the perceived problems of integration and social cohesion in migrant communities. In this study, we argue that this new citizenship procedure signals a shift in British political discourse about citizenship - particularly, the institutionalization of a common British citizen identity that is intended to draw citizens together in a new form of political/national community. In line with this, we examine the British Citizenship Test from a social psychological perspective to interrogate the ways in which the test constitutes identity, constitutes citizenship, and constitutes citizenship-as-identity. Analysis of the test and its associated documents highlights three ways in which Britishness-as-identity is constituted, that is, as a collective identity, as a superordinate and national identity, and finally as both a destination and a journey. These findings are discussed in terms of their implications for models of citizenship and models of identity. © 2013 The British Psychological Society.

Transitional journeys into, and through medical education for First-in-Family (FiF) students: a qualitative interview study.

PubMed

Bassett, Andrew Mark; Brosnan, Caragh; Southgate, Erica; Lempp, Heidi

2018-05-09

There has been much interest in the transitions along the medical education continuum. However, little is known about how students from non-traditional backgrounds experience both the move to, and through Medical School, and their ambitions post-graduation. This research sought to understand the transitional journey into, and through undergraduate medical education, and future career aspirations for first-in-family (FiF) medical students. Based on a interpretivist epistemological perspective, 20 FiF students from one English Medical School participated in semi-structured interviews. Participants were identified according to purposive inclusion criteria and were contacted by email via the student association at the Medical School and academic year leaders. The team approach to the thematic analysis enhanced the findings credibility. This research was part of an international collaboration. In the first transition, 'The Road to Medical School', a passion for science with an interest in people was a motivator to study medicine. Participants' parents' shared the elation of acceptance into Medical School, however, the support from school/college teachers was a mixed experience. In 'The Medical School Journey' transition, knowledge about the medical curriculum was variable. 'Fitting' in at Medical School was a problem for some, but studying for an elite degree elevated social status for many study participants. A source of support derived from senior medical student peers, but a medical degree could sacrifice students' own health. In the final transition, 'Future Plans', a medical career was perceived to have intrinsic value. Clarity about future aspirations was related to clinical experience. For some, career trajectories were related to a work-life balance and future NHS working conditions for Junior Doctors. The transitions highlighted in this article have important implications for those educators interested in a life cycle approach to widening participation in

Metabotyping Patients’ Journeys Reveals Early Predisposition to Lung Injury after Cardiac Surgery

PubMed Central

Maltesen, Raluca Georgiana; Rasmussen, Bodil Steen; Pedersen, Shona; Hanifa, Munsoor Ali; Kucheryavskiy, Sergey; Kristensen, Søren Risom; Wimmer, Reinhard

2017-01-01

Cardiovascular disease is the leading cause of death worldwide and patients with severe symptoms undergo cardiac surgery. Even after uncomplicated surgeries, some patients experience postoperative complications such as lung injury. We hypothesized that the procedure elicits metabolic activity that can be related to the disease progression, which is commonly observed two-three days postoperatively. More than 700 blood samples were collected from 50 patients at nine time points pre-, intra-, and postoperatively. Dramatic metabolite shifts were observed during and immediately after the intervention. Prolonged surgical stress was linked to an augmented anaerobic environment. Time series analysis showed shifts in purine-, nicotinic acid-, tyrosine-, hyaluronic acid-, ketone-, fatty acid, and lipid metabolism. A characteristic ‘metabolic biosignature’ was identified correlating with the risk of developing postoperative complications two days before the first clinical signs of lung injury. Hence, this study demonstrates the link between intra- and postoperative time-dependent metabolite changes and later postoperative outcome. In addition, the results indicate that metabotyping patients’ journeys early, during or just after the end of surgery, may have potential impact in hospitals for the early diagnosis of postoperative lung injury, and for the monitoring of therapeutics targeting disease progression. PMID:28074924

Health Information Technology (HIT) Adaptation: Refocusing on the Journey to Successful HIT Implementation

PubMed Central

McAlearney, Ann Scheck; Sieck, Cynthia J; Hefner, Jennifer L; Huerta, Timothy R

2017-01-01

In past years, policies and regulations required hospitals to implement advanced capabilities of certified electronic health records (EHRs) in order to receive financial incentives. This has led to accelerated implementation of health information technologies (HIT) in health care settings. However, measures commonly used to evaluate the success of HIT implementation, such as HIT adoption, technology acceptance, and clinical quality, fail to account for complex sociotechnical variability across contexts and the different trajectories within organizations because of different implementation plans and timelines. We propose a new focus, HIT adaptation, to illuminate factors that facilitate or hinder the connection between use of the EHR and improved quality of care as well as to explore the trajectory of changes in the HIT implementation journey as it is impacted by frequent system upgrades and optimizations. Future research should develop instruments to evaluate the progress of HIT adaptation in both its longitudinal design and its focus on adaptation progress rather than on one cross-sectional outcome, allowing for more generalizability and knowledge transfer. PMID:28882812

From waste to sustainable materials management: Three case studies of the transition journey.

PubMed

Silva, Angie; Rosano, Michele; Stocker, Laura; Gorissen, Leen

2017-03-01

Waste policy is increasingly moving on from the 'prevention of waste' to a 'sustainable materials policy' focused agenda recognising individual wastes as a resource. In order to comparatively analyse policy developments in enhanced waste management, three case studies were selected; San Francisco's Zero Waste Program, Flanders's Sustainable Materials Management Initiative and Japan's Sound Material-Cycle Society Plan. These case studies were chosen as an opportunity to investigate the variety of leading approaches, governance structures, and enhanced waste policy outcomes, emerging globally. This paper concludes that the current transitional state of waste management across the world, is only in the first leg of the journey towards Circular Economy closed loop production models of waste as a resource material. It is suggested that further development in government policy, planning and behaviour change is required. A focus on material policy and incorporating multiple front runners across industry and knowledge institutions are offered as potential directions in the movement away from end-pipe land-fill solutions. Copyright © 2016 Elsevier Ltd. All rights reserved.

Reading Every Single Day: A Journey to Authentic Reading

ERIC Educational Resources Information Center

Hudson, Alida K.; Williams, Joan A.

2015-01-01

This article details one teacher's implementation of reading workshop in her second grade classroom. She provided a framework for authentic reading using the five components of reading workshop: time, choice, response, community, and structure. She found that reading workshop is a highly effective practice for not only increasing students'…

Effects of enactment in episodic memory: a pilot virtual reality study with young and elderly adults.

PubMed

Jebara, Najate; Orriols, Eric; Zaoui, Mohamed; Berthoz, Alain; Piolino, Pascale

2014-01-01

None of the previous studies on aging have tested the influence of action with respect to the degree of interaction with the environment (active or passive navigation) and the source of itinerary choice (self or externally imposed), on episodic memory (EM) encoding. The aim of this pilot study was to explore the influence of these factors on feature binding (the association between what, where, and when) in EM and on the subjective sense of remembering. Navigation in a virtual city was performed by 64 young and 64 older adults in one of four modes of exploration: (1) passive condition where participants were immersed as passengers of a virtual car [no interaction, no itinerary control (IC)], (2) IC (the subject chose the itinerary, but did not drive the car), (3) low, or (4) high navigation control (the subject just moved the car on rails or drove the car with a steering-wheel and a gas pedal on a fixed itinerary, respectively). The task was to memorize as many events encountered in the virtual environment as possible along with their factual (what), spatial (where), and temporal (when) details, and then to perform immediate and delayed memory tests. An age-related decline was evidenced for immediate and delayed feature binding. Compared to passive and high navigation conditions, and regardless of age-groups, feature binding was enhanced by low navigation and IC conditions. The subjective sense of remembering was boosted by the IC in older adults. Memory performance following high navigation was specifically linked to variability in executive functions. The present findings suggest that the decision of the itinerary is beneficial to boost EM in aging, although it does not eliminate age-related deficits. Active navigation can also enhance EM when it is not too demanding for subjects' cognitive resources.

Effects of Enactment in Episodic Memory: A Pilot Virtual Reality Study with Young and Elderly Adults

PubMed Central

Jebara, Najate; Orriols, Eric; Zaoui, Mohamed; Berthoz, Alain; Piolino, Pascale

2014-01-01

None of the previous studies on aging have tested the influence of action with respect to the degree of interaction with the environment (active or passive navigation) and the source of itinerary choice (self or externally imposed), on episodic memory (EM) encoding. The aim of this pilot study was to explore the influence of these factors on feature binding (the association between what, where, and when) in EM and on the subjective sense of remembering. Navigation in a virtual city was performed by 64 young and 64 older adults in one of four modes of exploration: (1) passive condition where participants were immersed as passengers of a virtual car [no interaction, no itinerary control (IC)], (2) IC (the subject chose the itinerary, but did not drive the car), (3) low, or (4) high navigation control (the subject just moved the car on rails or drove the car with a steering-wheel and a gas pedal on a fixed itinerary, respectively). The task was to memorize as many events encountered in the virtual environment as possible along with their factual (what), spatial (where), and temporal (when) details, and then to perform immediate and delayed memory tests. An age-related decline was evidenced for immediate and delayed feature binding. Compared to passive and high navigation conditions, and regardless of age-groups, feature binding was enhanced by low navigation and IC conditions. The subjective sense of remembering was boosted by the IC in older adults. Memory performance following high navigation was specifically linked to variability in executive functions. The present findings suggest that the decision of the itinerary is beneficial to boost EM in aging, although it does not eliminate age-related deficits. Active navigation can also enhance EM when it is not too demanding for subjects’ cognitive resources. PMID:25566069

Supersymmetric tools in Yang-Mills theories at strong coupling: The beginning of a long journey

NASA Astrophysics Data System (ADS)

Shifman, Mikhail

2018-04-01

Development of holomorphy-based methods in super-Yang-Mills theories started in the early 1980s and lead to a number of breakthrough results. I review some results in which I participated. The discovery of Seiberg’s duality and the Seiberg-Witten solution of 𝒩 = 2 Yang-Mills were the milestones in the long journey of which, I assume, much will be said in other talks. I will focus on the discovery (2003) of non-Abelian vortex strings with various degrees of supersymmetry, supported in some four-dimensional Yang-Mills theories and some intriguing implications of this discovery. One of the recent results is the observation of a soliton string in the bulk 𝒩 = 2 theory with the U(2) gauge group and four flavors, which can become critical in a certain limit. This is the case of a “reverse holography,” with a very transparent physical meaning.

A Personal Journey into Gay Marriage in a Heteronormative Society: Or...How Many Times Do We Have to Get "Married" in Order to Have Our Rights in the USA?

ERIC Educational Resources Information Center

King, Kathleen P.

2010-01-01

Understanding the continuing struggle for lesbian, gay, bisexual, transgender, and queer (LGBTQ) equality can be difficult for people who have not experienced the issues firsthand. This brief article describes the journey of one woman and her female partner as they repeatedly seek to make their lifetime commitment legal in the USA. Readers will…

Patients' journeys through total joint replacement: patterns of medication use.

PubMed

Johnson, Emma C; Horwood, Jeremy; Gooberman-Hill, Rachael

2014-06-01

Medication is used to manage pain that results from both osteoarthritis and total joint replacement (TJR). Research has provided insight into how people living with osteoarthritis use pain relief medication. However, it is not known whether elective TJR affects existing attitudes and behaviours with regard to pain medications. Using qualitative methods, the present study explored patterns of pain relief use around the time of TJR. In-depth face-to-face qualitative interviews were carried out with 24 patients two to four weeks after they had undergone TJR for hip or knee osteoarthritis. Participants were asked to reflect on their use of pain medication pre-surgery, while in hospital and while recovering from their operation at home. Transcripts of the audio-recorded interviews were imported into Atlas.ti® and thematic analysis was used. Attitudes to pain relief medication and their use are not static. Many participants change their use of pain medication around the time of surgery. This shift was influenced by interactions with health professionals and changing views on the acceptability, necessity and value of pain relief in helping to manage an altered pain experience. Understanding reasons for medication-taking behaviour during the journey through joint replacement may be helpful to health professionals. Health professionals have a fundamental role to play in challenging or reinforcing different treatment beliefs, which is the basis for effective use of pain relief over the pre- to postoperative period. © 2013 John Wiley & Sons, Ltd.

Patient journey in decompensated heart failure: An analysis in departments of cardiology and geriatrics in the Greater Paris University Hospitals.

PubMed

Laveau, Florent; Hammoudi, Nadjib; Berthelot, Emmanuelle; Belmin, Joël; Assayag, Patrick; Cohen, Ariel; Damy, Thibaud; Duboc, Denis; Dubourg, Olivier; Hagege, Albert; Hanon, Olivier; Isnard, Richard; Jondeau, Guillaume; Labouree, Florian; Logeart, Damien; Mansencal, Nicolas; Meune, Christophe; Pautas, Eric; Wolmark, Yves; Komajda, Michel

2017-01-01

Hospitalization for worsening/acute heart failure is increasing in France, and limited data are available on referral/discharge modalities. To evaluate patients' journeys before and after hospitalization for this condition. On 1 day per week, between October 2014 and February 2015, this observational study enrolled 260 consecutive patients with acute/worsening heart failure in all 10 departments of cardiology and four of the departments of geriatrics in the Greater Paris University Hospitals. First medical contact was an emergency unit in 45% of cases, a general practitioner in 16% of cases, an emergency medical ambulance in 13% of cases and a cardiologist in 13% of cases; 78% of patients were admitted directly after first medical contact. In-hospital stay was 13.2±11.3 days; intensive care unit stay (38% of the population) was 6.4±5 days. In-hospital mortality was 2.7%. Overall, 63% of patients were discharged home, whereas 21% were transferred to rehabilitation units. A post-discharge outpatient visit was made by only 72% of patients within 3 months (after a mean of 45±28 days). Only 53% of outpatient appointments were with a cardiologist. Emergency departments, ambulances and general practitioners are the main points of entry before hospitalization for acute/worsening heart failure. Home discharge occurs in two of three cases. Time to first patient post-discharge visit is delayed. Therefore, actions to improve the patient journey should target primary care physicians and emergency structures, and efforts should be made to reduce the time to the first visit after discharge. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

The Long Journey to the Higgs Boson and Beyond at the LHC Part II: Emphasis on ATLAS

NASA Astrophysics Data System (ADS)

Jenni, Peter

The journey in search for the Higgs boson with the ATLAS and CMS experiments at the Large Hadron Collider (LHC) at CERN started more than two decades ago. But the first discussions motivating the LHC project dream date back even further into the 1980s. This article will recall some of these early historical considerations, mention some of the LHC machine milestones and achievements, focus as an example of a technological challenge on the unique ATLAS superconducting magnet system, and then give an account of the physics results so far, leading to, and featuring particularly, the Higgs boson results, and sketching finally prospects for the future. With its emphasis on the ATLAS experiment it is complementary to the preceding article by Tejinder S. Virdee which focused on the CMS experiment.

Barriers to effective communication across the primary/secondary interface: examples from the ovarian cancer patient journey (a qualitative study).

PubMed

Farquhar, M C; Barclay, S I G; Earl, H; Grande, G E; Emery, J; Crawford, R A F

2005-09-01

Effective communication across the primary/secondary interface is vital for the planning and delivery of appropriate patient care throughout the cancer patient journey. This study describes GPs' views of the communication issues across the primary/secondary interface in relation to ovarian cancer patients using qualitative interviews with purposively sampled general practitioners (GPs) and an audit of hospital medical records of 30 deceased ovarian cancer patients. Issues raised by the GPs related to the content and format of communications, but of most concern was the tardiness. The time lag between dictation and typing letters ranged from 0 to 27 days, with a delay of up to 8 days for signing before transit through various mail systems to the GP. Three stages in the patient journey were characterized by particular issues: (1) in the pre-diagnostic and diagnostic stage was a need for prompt information regarding the results of tests and diagnoses, and clearer guidance on the use of tests and fast-track referrals; (2) in the active treatment phase, when GPs could lose touch with their patients, they needed effective communication in order to provide moral support and crisis management; and (3) when oncology withdrew and the focus of care switched back to the community for the terminal phase, GPs needed information to enable them to pick up the baton of care. There is a need to develop and evaluate interventions aimed at improving the content and speed of communications between secondary and primary care. Such interventions are likely to be complex and might include the greater use of telephone or fax for more selected communications, a review of secretarial support, the use of email, the development of GP designed proformas, the feasibility of patient/carer letter delivery options, nurse-led communication, universal electronic patient records, or a revisiting of the patient-held record.

A Descriptive Case Study of the Perceptions and Use of Adventist Edge: An Initiative Developed in Response to the North American Division of Seventh-Day Adventists' Document, "Journey to Excellence"

ERIC Educational Resources Information Center

Forbes, Pamela C.

2011-01-01

Problem. The Southern Union started the Adventist EDGE initiative as an action plan in response to the North American Division's document, "Journey to Excellence." The Adventist EDGE became a comprehensive educational reform initiative. However, there were different ideas on how the innovation should look when in action in the schools, and these…

Flexible Coordination of Stationary and Mobile Conversations with Gaze: Resource Allocation among Multiple Joint Activities

PubMed Central

Mayor, Eric; Bangerter, Adrian

2016-01-01

Gaze is instrumental in coordinating face-to-face social interactions. But little is known about gaze use when social interactions co-occur with other joint activities. We investigated the case of walking while talking. We assessed how gaze gets allocated among various targets in mobile conversations, whether allocation of gaze to other targets affects conversational coordination, and whether reduced availability of gaze for conversational coordination affects conversational performance and content. In an experimental study, pairs were videotaped in four conditions of mobility (standing still, talking while walking along a straight-line itinerary, talking while walking along a complex itinerary, or walking along a complex itinerary with no conversational task). Gaze to partners was substantially reduced in mobile conversations, but gaze was still used to coordinate conversation via displays of mutual orientation, and conversational performance and content was not different between stationary and mobile conditions. Results expand the phenomena of multitasking to joint activities. PMID:27822189

The hospital of the future: the vision, the journey, the reality.

PubMed

Covert, Michael H

2014-01-01

Palomar Medical Center, like many California healthcare institutions in the 1990s, faced the challenge of needing to meet state building seismic requirements. As a result of the mandate and infrastructure demands that would need to be made to accommodate the new standards, the health system set out to assess the larger needs of the communities served, evaluate the medical and technological changes that would be part of future clinical care delivery systems, and assess our capability to meet the financial impact such changes would have on the organization. This article shares our journey to build a new hospital--one that could be studied by other health systems facing the same or similar challenges. It incorporates elements associated with the concept of "Fable Hospital"--a design promulgated by leading architects and designers from around the world and researched by the Center for Health Design--which considers the use of evidenced-based principles gathered over the past 20 years that, when incorporated, can lead to the creation of buildings that enhance the quality of care, provide safety for patients and staff, and meet the needs of patients and families in meaningful ways. Finally, Palomar Medical Center is an environment that allows for effective, flexible integration of technology and expansion of staff while improving the efficiency of operations that are critical to the management of the hospital in a changing healthcare delivery world.

From model rockets to spacewalks: an astronaut physician's journey and the science of the United States' space program.

PubMed

Parazynski, Scott E

2006-01-01

From simple childhood dreams to their fulfillment, this presentation chronicles the author's life journey from young model rocketteer through his medical training and eventual career as a NASA astronaut. Over the course of four Space Shuttle flights and a cumulative 6 weeks in space, including 20 hours of Extravehicular Activity (EVA, or spacewalking), this article describes a wide range of activities and scientific payloads that are representative of the unique and valuable science that can be accomplished in the microgravity of space. NASA's efforts to develop inspection and repair capabilities in the aftermath of the Columbia tragedy are also covered, as are the nation's plans for returning to the Moon and continuing on to Mars as part of the Vision for Space Exploration (VSE).

Synthesis maps: visual knowledge translation for the CanIMPACT clinical system and patient cancer journeys.

PubMed

Jones, P H; Shakdher, S; Singh, P

2017-04-01

Salient findings and interpretations from the canimpact clinical cancer research study are visually represented in two synthesis maps for the purpose of communicating an integrated presentation of the study to clinical cancer researchers and policymakers. Synthesis maps integrate evidence and expertise into a visual narrative for knowledge translation and communication. A clinical system synthesis map represents the current Canadian primary care and cancer practice systems, proposed as a visual knowledge translation from the mixed-methods canimpact study to inform Canadian clinical research, policy, and practice discourses. Two synthesis maps, drawn together from multiple canimpact investigations and sources, were required to articulate critical differences between the clinical system and patient perspectives. The synthesis map of Canada-wide clinical cancer systems illustrates the relationships between primary care and the full cancer continuum. A patient-centred map was developed to represent the cancer (and primary care) journeys as experienced by breast and colorectal cancer patients.

Journeying from the philosophical contemplation of constructivism to the methodological pragmatics of health services research.

PubMed

Appleton, Jane V; King, Lindy

2002-12-01

This paper presents our journey through a contemplation of the philosophical origins of constructivism to consider its role as an active methodology in qualitative research. The first part of the paper summarizes the philosophical background of constructivism and the five principles underpinning this paradigm as described through the works of Guba and Lincoln. The philosophical roots of constructivism are then compared with postpositivism, critical realism and participatory inquiry. The paper moves on to consider their common methodological steps, before examining how the constructivist research strategy is being adopted and adapted within the pragmatics of health service research. Recent studies will be drawn upon to illustrate the use of constructivist methodology. Questions are raised about the role of philosophy and the extent to which it should or does underpin or influence qualitative research strategies. We believe that if researchers gain an understanding of both philosophy and methodology a richer and more robust study is likely to result.

Intersections between immigration, language, identity, and emotions: a science teacher candidate's journey

NASA Astrophysics Data System (ADS)

Rivera Maulucci, Maria S.

2008-04-01

This study reports a subset of findings from a larger, ongoing study aimed at exploring interactions between teacher identity, learning, and classroom practices in a social justice teacher education program at a selective liberal arts college in New York. This case-study explores the journey of Elena, as an immigrant, a student, and a pre-service teacher candidate towards becoming a social justice educator. Elena reflects upon her school language experiences as an immigrant youth, her learning in a social justice teacher education program, and her field experiences in an international high school. The analysis spans macro-, meso-, and microlevels to explore the ways globalization, particularly immigration, as well as schooling policies for English language learners interact with aspects of Elena's core identity, particularly in school settings. The findings show some of the ways language and literacy verified and/or denied aspects of Elena's core identity; specific instances where second language proficiency was cast as power and privilege versus disadvantage according to ethnic, language, and class categorizations; and the struggles Elena, and other immigrant youth may face given the focus on English language acquisition and high stakes accountability in schools, at the expense of students' primary language proficiency and affirmation of core identity markers.

Health Information Technology (HIT) Adaptation: Refocusing on the Journey to Successful HIT Implementation.

PubMed

Yen, Po-Yin; McAlearney, Ann Scheck; Sieck, Cynthia J; Hefner, Jennifer L; Huerta, Timothy R

2017-09-07

In past years, policies and regulations required hospitals to implement advanced capabilities of certified electronic health records (EHRs) in order to receive financial incentives. This has led to accelerated implementation of health information technologies (HIT) in health care settings. However, measures commonly used to evaluate the success of HIT implementation, such as HIT adoption, technology acceptance, and clinical quality, fail to account for complex sociotechnical variability across contexts and the different trajectories within organizations because of different implementation plans and timelines. We propose a new focus, HIT adaptation, to illuminate factors that facilitate or hinder the connection between use of the EHR and improved quality of care as well as to explore the trajectory of changes in the HIT implementation journey as it is impacted by frequent system upgrades and optimizations. Future research should develop instruments to evaluate the progress of HIT adaptation in both its longitudinal design and its focus on adaptation progress rather than on one cross-sectional outcome, allowing for more generalizability and knowledge transfer. ©Po-Yin Yen, Ann Scheck McAlearney, Cynthia J Sieck, Jennifer L Hefner, Timothy R Huerta. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 07.09.2017.

A journey into medical physics as viewed by a physicist

NASA Astrophysics Data System (ADS)

Gueye, Paul

2007-03-01

The world of physics is usually linked to a large variety of subjects spanning from astrophysics, nuclear/high energy physics, materials and optical sciences, plasma physics etc. Lesser is known about the exciting world of medical physics that includes radiation therapy physics, medical diagnostic and imaging physics, nuclear medicine physics, and medical radiation safety. These physicists are typically based in hospital departments of radiation oncology or radiology, and provide technical support for patient diagnosis and treatment in a clinical environment. This talk will focus on providing a bridge between selected areas of physics and their medical applications. The journey will first start from our understanding of high energy beam production and transport beamlines for external beam treatment of diseases (e.g., electron, gamma, X-ray and proton machines) as they relate to accelerator physics. We will then embrace the world of nuclear/high energy physics where detectors development provide a unique tool for understanding low energy beam distribution emitted from radioactive sources used in Brachytherapy treatment modality. Because the ultimate goal of radiation based therapy is its killing power on tumor cells, the next topic will be microdosimetry where responses of biological systems can be studied via electromagnetic systems. Finally, the impact on the imaging world will be embraced using tools heavily used in plasma physics, fluid mechanics and Monte Carlo simulations. These various scientific areas provide unique opportunities for faculty and students at universities, as well as for staff from research centers and laboratories to contribute in this field. We will conclude with the educational training related to medical physics programs.

Indonesia's road to universal health coverage: a political journey

PubMed Central

Pisani, Elizabeth; Nugroho, Kharisma

2017-01-01

In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find that Indonesia's path has been determined largely by domestic political concerns – different groups obtained access to healthcare as their socio-political importance grew. A major inflection point occurred following the Asian financial crisis of 1997. To stave off social unrest, the government provided health coverage for the poor for the first time, creating a path dependency that influenced later policy choices. The end of this programme coincided with decentralisation, leading to experimentation with several different models of health provision at the local level. When direct elections for local leaders were introduced in 2005, popular health schemes led to success at the polls. UHC became an electoral asset, moving up the political agenda. It also became contested, with national policy-makers appropriating health insurance programmes that were first developed locally, and taking credit for them. The Indonesian experience underlines the value of policy experimentation, and of a close understanding of the contextual and political factors that drive successful UHC models at the local level. Specific drivers of success and failure should be taken into account when scaling UHC to the national level. In the Indonesian example, UHC became possible when the interests of politically and economically influential groups were either satisfied or neutralised. While technical considerations took a back seat to political priorities in developing the structures for health coverage nationally, they will have to be addressed going forward

Indonesia's road to universal health coverage: a political journey.

PubMed

Pisani, Elizabeth; Olivier Kok, Maarten; Nugroho, Kharisma

2017-03-01

In 2013 Indonesia, the world's fourth most populous country, declared that it would provide affordable health care for all its citizens within seven years. This crystallised an ambition first enshrined in law over five decades earlier, but never previously realised. This paper explores Indonesia's journey towards universal health coverage (UHC) from independence to the launch of a comprehensive health insurance scheme in January 2014. We find that Indonesia's path has been determined largely by domestic political concerns – different groups obtained access to healthcare as their socio-political importance grew. A major inflection point occurred following the Asian financial crisis of 1997. To stave off social unrest, the government provided health coverage for the poor for the first time, creating a path dependency that influenced later policy choices. The end of this programme coincided with decentralisation, leading to experimentation with several different models of health provision at the local level. When direct elections for local leaders were introduced in 2005, popular health schemes led to success at the polls. UHC became an electoral asset, moving up the political agenda. It also became contested, with national policy-makers appropriating health insurance programmes that were first developed locally, and taking credit for them. The Indonesian experience underlines the value of policy experimentation, and of a close understanding of the contextual and political factors that drive successful UHC models at the local level. Specific drivers of success and failure should be taken into account when scaling UHC to the national level. In the Indonesian example, UHC became possible when the interests of politically and economically influential groups were either satisfied or neutralised. While technical considerations took a back seat to political priorities in developing the structures for health coverage nationally, they will have to be addressed going forward

Behind the mask. Journey through an epidemic: some observations of contrasting public health responses to SARS

PubMed Central

Syed, Q; Sopwith, W; Regan, M; Bellis, M

2003-01-01

SARS has been called the first global epidemic of the 21st century and has been the cause of a massive and varied public health response in many countries of the world. This report describes observations made by two authors on a journey from Manchester in the United Kingdom to Chiang Mai in Thailand during the peak of global transmission. The public response to SARS, particularly characterised by the wearing of face masks, seemed to outstrip official guidance. Though of uncertain protective benefit, the wearing of masks may have contributed to the awareness of the collective and personal responsibility in combating infectious disease. Active and empowered involvement of the general public in implementing and cooperating with public health control measures supported by national and international authorities has clearly helped to bring SARS under control. The public health significance of such potent symbols as the face mask may be considered in strategies to tackle other emerging infections. PMID:14600109

Nanopores: A journey towards DNA sequencing

PubMed Central

Wanunu, Meni

2013-01-01

Much more than ever, nucleic acids are recognized as key building blocks in many of life's processes, and the science of studying these molecular wonders at the single-molecule level is thriving. A new method of doing so has been introduced in the mid 1990's. This method is exceedingly simple: a nanoscale pore that spans across an impermeable thin membrane is placed between two chambers that contain an electrolyte, and voltage is applied across the membrane using two electrodes. These conditions lead to a steady stream of ion flow across the pore. Nucleic acid molecules in solution can be driven through the pore, and structural features of the biomolecules are observed as measurable changes in the trans-membrane ion current. In essence, a nanopore is a high-throughput ion microscope and a single-molecule force apparatus. Nanopores are taking center stage as a tool that promises to read a DNA sequence, and this promise has resulted in overwhelming academic, industrial, and national interest. Regardless of the fate of future nanopore applications, in the process of this 16-year-long exploration, many studies have validated the indispensability of nanopores in the toolkit of single-molecule biophysics. This review surveys past and current studies related to nucleic acid biophysics, and will hopefully provoke a discussion of immediate and future prospects for the field. PMID:22658507

Sentencing Male Sex Offenders Under the Age of 14: A Law Reform Advocacy Journey in Hong Kong.

PubMed

Ng, Wai-Ching Irene; Cheung, Monit; Ma, Anny Kit-Ying

2015-01-01

The common law presumption that a boy under the age of 14 is incapable of sexual intercourse has provoked controversial debates in Hong Kong. This article describes a 6-step advocacy journey to examine how community efforts have helped modify this law so that juvenile male sexual offenders under the age of 14 who have committed the crime of having sexual intercourse with underage females can be sentenced to receive appropriate treatment. Seven court cases provided by the magistrates' courts in Hong Kong were used in this advocacy effort for the removal of the presumption in July 2012. Although this effort has yet to reveal signs of effectiveness, it represents greater public awareness about providing rehabilitation appropriate for juvenile sex offenders through a formal sentence. Restorative justice, as opposed to retributive or punitive justice, places an emphasis on rehabilitation of the offender and restoration of victims to a place of wholeness.

An unexpected journey: how cancer immunotherapy has paved the way for an HIV-1 cure.

PubMed

Smith, Kellie N; Housseau, Franck

2015-03-01

Over 30 million people worldwide are currently infected with human immunodeficiency virus type-1 (HIV-1). While HIV-1 infection was initially thought to be a death sentence, the advent of combination antiretroviral therapy (cART) in the mid-1990's resulted in decreases in viremia and an extended lifespan for infected persons. Despite this, long-term control of the virus in the absence of drug therapy has yet to be achieved, owing to the rebound in viral load and resumption of disease progression that follows removal of the patient from cART. Currently, the most promising candidates for an HIV-1 cure are immunotherapies that harness the patient's own immune system and induce cytotoxic T lymphocyte (CTL)-mediated clearance of infected cells. Most of these approaches were developed and optimized in the cancer setting and have had varying degrees of success, the findings from which have wide applications to various disease models. In this review, we evaluate the past successes and failures of cancer immunotherapy and how the findings have shaped our journey toward an HIV-1 cure.

Jules Verne's Journey to the centre of the Earth: the secret of counterdepressive narratives.

PubMed

Sanchez-Cardenas, Michel

2005-12-01

The author interprets Jules Verne's Journey to the centre of the Earth with the help of Matte Blanco's theoretical framework, which describes the principle of symmetry and the principle of generalization. The first states that, from the moment an element or a proposition becomes conscious, it coexists in the unconscious with its symmetrically opposite form. The second refers to the confusion of elements once they have been apprehended by thought as containing a common point; they are put into larger and larger groups which merge into an indivisible whole. Verne's novel is built on paired elements which become symmetrized (e.g. distinct minerals vs molten lava; scientific rationality vs madness; the living vs the dead, etc.). These elements in turn become confused with one another, thanks largely to the novel's atmosphere of oral incorporation. This allows the fusion between subject and object, and, in particular, between the orphaned hero and his dead (Earth) mother. The novel's narrative evolution through three stages (separation, fusion and de-fusion, which are paralleled by rational, irrational and rational thought) can thus be understood as a mourning process. Similar processes can be found in other literary works.

Mothers in Same-Sex Relationships Describe the Process of Forming a Family as a Stressful Journey in a Heteronormative World: A Swedish Grounded Theory Study.

PubMed

Appelgren Engström, Heléne; Häggström-Nordin, Elisabet; Borneskog, Catrin; Almqvist, Anna-Lena

2018-05-08

Objectives The aim of this study was to gain insight into how women in same-sex relationships experience the process of forming a family through the use of assisted reproduction technique (ART), from planning the pregnancy to parenthood, and their experience of parental support from healthcare professionals. Methods The participants were 20 women in a same-sex relationship who had conceived through ART at a Swedish clinic. Semi-structured interviews including open questions about pregnancy, parenthood and support from healthcare professionals were conducted. The interviews were tape-recorded and transcribed verbatim. The data were analysed according to grounded theory. Results The core category, A stressful journey through a heteronormative world, emerged from the analysis, as did three subcategories: A journey fraught with difficulties and decisions; The nuclear family as the norm; and A need for psychological support. Same-sex parents expressed a need for more information about how to access ART in Sweden. Both the healthcare organization and treatment were perceived as heteronormative. In particular, these women lacked psychological support during the demanding process of utilizing a sperm donor to conceive. Conclusions for Practice Professionals in antenatal care should undergo mandatory cultural competency training to ensure cultural sensitivity and the provision of updated information, tailored brochures and early parental support for families with same-sex parents. All parents need guidance and support from competent, caring personnel throughout the entire process of forming a family.

From Model Rockets to Spacewalks: an Astronaut Physician’s Journey and the Science of the United States’ Space Program*

PubMed Central

Parazynski, Scott E

2006-01-01

From simple childhood dreams to their fulfillment, this presentation chronicles the author’s life journey from young model rocketteer through his medical training and eventual career as a NASA astronaut. Over the course of four Space Shuttle flights and a cumulative 6 weeks in space, including 20 hours of Extravehicular Activity (EVA, or spacewalking), this article describes a wide range of activities and scientific payloads that are representative of the unique and valuable science that can be accomplished in the microgravity of space. NASA’s efforts to develop inspection and repair capabilities in the aftermath of the Columbia tragedy are also covered, as are the nation’s plans for returning to the Moon and continuing on to Mars as part of the Vision for Space Exploration (VSE). PMID:18528479

Gods, daemons and banshees on the journey to the magic scroll: the use of myth as a framework for reflective practice in nurse education.

PubMed

Morgan, S

1996-04-01

This paper reports the use of a mythic journey scenario within a student nurse groupwork session. This approach was introduced as a means to facilitate personal and interpersonal sharing and self-knowledge. These processes are held as important for the development of critical reflective process as a cornerstone of contemporary nursing practice. The use of myth invoked a coherent and supportive student environment within which previously reticent students appeared confident enough to contribute and explore their educational experience in nursing. The mythic allegoric process also identified some poignant themes and enemies, common across the student body. Monsters no less!

Biofuels and the role of space in sustainable innovation journeys.

PubMed

Raman, Sujatha; Mohr, Alison

2014-02-15

This paper aims to identify the lessons that should be learnt from how biofuels have been envisioned from the aftermath of the oil shocks of the 1970s to the present, and how these visions compare with biofuel production networks emerging in the 2000s. Working at the interface of sustainable innovation journey research and geographical theories on the spatial unevenness of sustainability transition projects, we show how the biofuels controversy is linked to characteristics of globalised industrial agricultural systems. The legitimacy problems of biofuels cannot be addressed by sustainability indicators or new technologies alone since they arise from the spatial ordering of biofuel production. In the 1970-80s, promoters of bioenergy anticipated current concerns about food security implications but envisioned bioenergy production to be territorially embedded at national or local scales where these issues would be managed. Where the territorial and scalar vision was breached, it was to imagine poorer countries exporting higher-value biofuel to the North rather than the raw material as in the controversial global biomass commodity chains of today. However, controversy now extends to the global impacts of national biofuel systems on food security and greenhouse gas emissions, and to their local impacts becoming more widely known. South/South and North/North trade conflicts are also emerging as are questions over biodegradable wastes and agricultural residues as global commodities. As assumptions of a food-versus-fuel conflict have come to be challenged, legitimacy questions over global agri-business and trade are spotlighted even further. In this context, visions of biofuel development that address these broader issues might be promising. These include large-scale biomass-for-fuel models in Europe that would transform global trade rules to allow small farmers in the global South to compete, and small-scale biofuel systems developed to address local energy needs in the

"I feel like I am less than other people": Health-related vulnerabilities of male migrants travelling alone on their journey to Europe.

PubMed

Arsenijević, Jovana; Burtscher, Doris; Ponthieu, Aurelie; Severy, Nathalie; Contenta, Andrea; Moissaing, Stephane; Argenziano, Stefano; Zamatto, Federica; Zachariah, Rony; Ali, Engy; Venables, Emilie

2018-07-01

During 2015 and 2016, an unprecedented flow of approximately 800,000 migrants coming from Turkey towards Western Europe crossed the Balkans. Male migrants are perceived as being less vulnerable compared to other migrants and they are not given priority in service and support provision. This qualitative study examines the self-perceived vulnerabilities of male migrants travelling alone along the Balkan route to Europe. Twenty-four individual in-depth interviews, two group interviews and participant observation were conducted with male migrants in Belgrade, Serbia in 2017. Data was coded manually, and analysed thematically. Male migrants traveling alone face the cumulative vulnerability of various traumatic events and migration-related contextual circumstances. Three main themes emerged: the ongoing desperate journey, the better treatment of 'traditionally' well recognised vulnerable sub-groups and the impact of the continuous stress on mental health. Deterrence measures imposed for border control purposes in the form of push-backs, expulsions, detention and degrading, inhumane treatment amplify the psychological distress of male migrants. Feelings of hopelessness, desperation, lack of self-value and self-esteem were reported. 'Traditionally vulnerable' populations were said to have had better treatment throughout the journey from smugglers, border state authorities, governmental officials, civil society and international organizations. The devastating experiences of male migrants, as well as the better treatment offered to other groups of migrants like women and children, results in a perceived neglect of the needs of men in humanitarian response, rendering them vulnerable and exposing them to further health and protection risks. In a context where needs are unmet and people's dignity and health are at risk, specific strategies should be developed to include men in the assistance and protection offered, particularly in relation to exposure to violence. Copyright �

The journey from precontemplation to action: Transitioning between electronic medical record systems.

PubMed

Bentley, Thomas; Rizer, Milisa; McAlearney, Ann Scheck; Mekhjian, Hagop; Siedler, Monica; Sharp, Karen; Teater, Phyllis; Huerta, Timothy

2016-01-01

Health care organizations, in response to federal programs, have sought to identify electronic medical record (EMR) strategies that align well with their visions for success. Little exists in the literature discussing the transition from one EMR strategy to another. The analysis and planning process used by a major academic medical center in its journey to adopt a new strategy was described in this study. We use the transtheoretical model of change to frame the five phases through which the organization transitioned from a best-of-breed system to an enterprise system. We explore the five phases of change from the perspective of a maturing approach to new technology adoption. Data collection included archival retrieval and review as well as interviews with key stakeholders. Although there was always a focus on some enterprise capabilities such as computerized physician order entry, the emphasis on EMR selection tended to be driven by specialty requirements. Focusing on the patient across the continuum of care, as opposed to focusing on excessive requirements by clinical specialties, was essential in forming and deploying a vision for the new EMR. This research outlines a successful pathway used by an organization that had invested heavily in EMR technology and was faced with evaluating whether to continue that investment or start with a new platform. Rather than focusing on the technology alone, efforts to reframe the discussion to one that focused on the patient resulted in less resistance to change.

Coast Salish and U.S. Geological Survey 2009 Tribal Journey water quality project

USGS Publications Warehouse

Akin, Sarah K.; Grossman, Eric E.

2010-01-01

The Salish Sea, contained within the United States and British Columbia, Canada, is the homeland of the Coast Salish Peoples and contains a diverse array of marine resources unique to this area that have sustained Coast Salish cultures and traditions for millennia. In July 2009, the Coast Salish People and U.S. Geological Survey conducted a second water quality study of the Salish Sea to examine spatial and temporal variability of environmental conditions of these surface waters as part of the annual Tribal Journey. Six canoes of approximately 100 towed multi parameter water-quality sondes as the Salish People traveled their ancestral waters during the middle of summer. Sea surface temperature, salinity, pH, dissolved oxygen, and turbidity were measured simultaneously at ten-second intervals, and more than 54,000 data points spanning 1,300 kilometers of the Salish Sea were collected. The project also synthesized Coast Salish ecological knowledge and culture with scientific monitoring to better understand and predict the response of coastal habitats and marine resources. Comparisons with data collected in 2008 reveal significantly higher mean surface-water temperatures in most subbasins in 2009 linked to record air temperatures that affected the Pacific Northwest in July 2009. Through large-scale spatial measurements collected each summer, the project helps to identify patterns in summer water quality, areas of water-quality impairment, and trends occurring through time.

Mapping the global journey of anthropogenic aluminum: a trade-linked multilevel material flow analysis.

PubMed

Liu, Gang; Müller, Daniel B

2013-10-15

Material cycles have become increasingly coupled and interconnected in a globalizing era. While material flow analysis (MFA) has been widely used to characterize stocks and flows along technological life cycle within a specific geographical area, trade networks among individual cycles have remained largely unexplored. Here we developed a trade-linked multilevel MFA model to map the contemporary global journey of anthropogenic aluminum. We demonstrate that the anthropogenic aluminum cycle depends substantially on international trade of aluminum in all forms and becomes highly interconnected in nature. While the Southern hemisphere is the main primary resource supplier, aluminum production and consumption concentrate in the Northern hemisphere, where we also find the largest potential for recycling. The more developed countries tend to have a substantial and increasing presence throughout the stages after bauxite refining and possess highly consumption-based cycles, thus maintaining advantages both economically and environmentally. A small group of countries plays a key role in the global redistribution of aluminum and in the connectivity of the network, which may render some countries vulnerable to supply disruption. The model provides potential insights to inform government and industry policies in resource criticality, supply chain security, value chain management, and cross-boundary environmental impacts mitigation.

[A journey into the (un)known. Borderlands of knowledge for Leonhard Rauwolf (1535?-1596)].

PubMed

Walter, Tilmann

2009-01-01

The Augsburg physician Leonhard Rauwolf is known to the history of Western sciences for "discovering" the exotic flora of the Near East. This article deals with the social background of his studies in Germany and France and his perception of foreign lands, plants, and peoples. Before Rauwolf started his journey at Marseille in 1573 he had received a proper education in practical botany at Montpellier under Guillaume Rondelet. He had also collected about 600 specimens of plants in his herbarium. According to the common medical conventions of his time--most prominently represented by the Renaissance anatomist Andreas Vesalius--in his travel account Rauwolf claimed to tell only what he had seen, experienced, observed by himself, or touched with his own hands. Contrary to his own claim of pure "autopsy", or direct experience, however, Rauwolf's Aigentliche Beschreibung [Actual Description] was composed from different sources. As previously unnoted manuscript letters from the Trew-collection at the University Library of Erlangen show, editorial work on Rauwolf's book was a lengthy process. The final composition ended up drawing on such different sources as the Old and New Testament, ancient natural philosophy, Christian travel literature and sermons, more recent botanical books, oral information from other academics, fellow travellers or indigenous people, and--finally--Rauwolf's own mpressions and observations.

77 FR 76809 - Submission of Itineraries

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-31

... special interest groups to plan disruptions or conduct acts of violence against exhibitors. Other... December, 2012. Rebecca Blue, Deputy Under Secretary for Marketing and Regulatory Programs. [FR Doc. 2012...

[Deforestation in the state of Mato Grosso in the book Journey around Brazil 1875-1878, by the doctor João Severiano da Fonseca].

PubMed

Ferraro, Mário Roberto; Figueirôa, Silvia Fernanda de Mendonça

2017-01-01

This presents reflections on scientific production issued by the Commission for the Demarcation of the Empire's Border Limits with Bolivia, with a focus on the environmental destruction of Mato Grosso state, as reported in João Severiano da Fonseca's book, Journey around Brazil 1875-1878. Fonseca reported severe deforestation on the banks of the river Paraguay and advocated for protectionist measures from the state government. He set out a vision for Mato Grosso's development that involved better use of the state's natural resources, raw materials exports, and regional industrialization support. The methodology created an interface between environmental history and history of the sciences.

Water's Journey from Rain to Stream in perspective

NASA Astrophysics Data System (ADS)

Rodhe, Allan; Grip, Harald

2015-04-01

The International Hydrological Decade (IHD) 1965-1974, sponsored by UNESCO, initiated a research effort for coordinating the fragmented branches of hydrology and for understanding and quantifying the hydrologic cycle on various scales, from continents to small catchments. One important part of the Swedish IHD-program was to quantify the terms of the water budget, including detailed data on soil water and groundwater storage dynamics, of several medium sized to small. As an outcome of these studies and subsequent process oriented studies, a new view of the runoff process in forested till soils was developed in the 1970's, stressing the dominating role of groundwater in delivering water to the streams and the usefulness of subdividing catchments into recharge and discharge areas for groundwater for understanding the flowpaths of water. This view contrasted with the general view among the public, and also among professionals within the field and in text books, according to which overland flow is the main process for runoff. With this latter view it would, for instance, not be possible to understand stream water chemistry, which had become an important question in a time of growing environmental concern. In order to decrease the time lag between research results and practice, the Swedish Natural Science Research Council initiated a text book project for presenting the recent results of hydrologic research on stream flow generation applied to Swedish conditions, and in 1985 our book "Water's Journey from Rain to Stream" was published. Founded on the basic principles for water storage and flow in soils, the book gives a general picture of the water flow through the forested till landscape, with separate chapters for recharge and discharge areas. Chemical processes along the flowpaths of water are treated and the book concludes with a few applications to current issues. The book is written in Swedish and the target audience is those working professionally with water and

Moving the Journey Towards Independence: Adolescents Transitioning to Successful Diabetes Self-Management.

PubMed

Babler, Elizabeth; Strickland, Carolyn June

2015-01-01

To gain a greater understanding of adolescent's experiences living with Type 1 diabetes mellitus (T1DM) and create a theoretical paradigm. Grounded theory as described by Glaser was used. Fifteen in-depth interviews were conducted with adolescent's ages 11-15 with T1DM. Symbolic interactionism is the theoretical framework for grounded theory. Data were collected; transcribed, coded, and analyzed simultaneously using constant comparative analysis and findings were grounded in the words of participants. A theoretical model was created with the concept of "normalizing". Normalizing was defined as the ability to integrate diabetes into one's daily life to make diabetes 'part of me'. Phase four of the model, and the focus of this manuscript was "Moving the Journey towards Independence" and included: 1) taking over care, 2) experiencing conflict with parents, and 3) realizing diabetes is hard. The major task for adolescents in this phase was separating from parents to independently manage diabetes. The normalizing task for this phase was: "taking on the burden of care". Adolescents described challenges with independent care and increased parental conflict including: fearing needles, forgetting insulin, feeling embarrassed and believing that diabetes was a burden in their life. Additionally, juggling the multiple responsibilities of home, school and work along with managing a chronic illness during adolescence is challenging. Transitioning to diabetes self-management is a challenge for adolescents. This model advances understanding of the moving processes in adolescents transitioning; additionally, hypotheses are presented that may be used for developing interventions to promote success in self-management. Copyright © 2015 Elsevier Inc. All rights reserved.

Overview of nano-drugs characteristics for clinical application: the journey from the entry to the exit point

NASA Astrophysics Data System (ADS)

Bose, Tanima; Latawiec, Diane; Mondal, Partha Pratim; Mandal, Subhra

2014-08-01

The ever-increasing number of diseases worldwide requires comprehensive, efficient, and cost-effective modes of treatments. Among various strategies, nanomaterials fulfill most of these criteria. The unique physicochemical properties of nanoparticles have made them a premier choice as a drug or a drug delivery system for the purpose of treatment, and as bio-detectors for disease prognosis. However, the main challenge is the proper consideration of the physical properties of these nanomaterials, while developing them as potential tools for therapeutics and/or diagnostics. In this review, we focus mainly on the characteristics of nanoparticles to develop an effective and sensitive system for clinical purposes. This review will present an overview of the important properties of nanoparticles, through their journey from its route of administration until disposal from the human body after accomplishing targeted functionality. We have chosen cancer as our model disease to explain the potentiality of nano-systems for therapeutics and diagnostics in relation to several organs (intestine, lung, brain, etc.). Furthermore, we have discussed their biodegradability and accumulation probability which can cause unfavorable side effects in healthy human subjects.

Selected results from the ISUAL/FORMOSAT2 mission in a 12-year journey

NASA Astrophysics Data System (ADS)

Chen, A. B. C.; Hsu, R. R.; Su, H. T.; Huang, S. M.; Lee, L. J.; Chou, J. K.; Chang, S. C.; Wu, Y. J.; Peng, K. M.; Liu, T. Y.; Mende, S. B.; Frey, H. U.; Takahashi, Y.; Lee, L. C.

2016-12-01

The ISUAL (Imager of Sprites and Upper Atmospheric Lightning) is a scientific payload onboard the FORMOSAT2 satellite (FS2). It is also the first satellite project with the global survey of transient luminous events (TLEs) as one of the mission objectives. Since the launch of ISUAL/FS2 in 2004, ISUAL has continuously monitored the occurrence of TLEs over the pre-midnight tropical and subtropical regions in the past 12 years until 20 June 2016, due to the failure of two of the four reaction wheels. In her 12-year journey, more than forty-two thousand of TLEs, including the sub-species like elves, sprites, sprite-halos, blue jets and gigantic jets, have been recorded from this space platform. In the meantime, as the supporting facilities to the space-borne ISUAL experiment, ground optical imagery systems have been deployed to observe TLEs occurring near Taiwan and several radio waves detecting ground stations have also been installed to register the lightning- or the TLE-related sferics. From analyzing the observed events and the associated sferics, some important insights on these intriguing thundercloud-top phenomena have been revealed. In this talk, the occurrence, the global distributions, the occurrence rates, and the physical characteristics of TLEs as well as some salient properties of the TLE-producing lightning and the impacts of TLEs on the upper atmosphere revealed by the ISUAL mission will be concisely discussed and summarized.

Ciencia en Nepantla: the journey of Nepantler@s in science learning and teaching

NASA Astrophysics Data System (ADS)

Aguilar-Valdez, Jean R.; LópezLeiva, Carlos A.; Roberts-Harris, Deborah; Torres-Velásquez, Diane; Lobo, Gilberto; Westby, Carol

2013-12-01

This paper presents a new approach to science education that takes a path through sociocultural theory and into the ideas of Gloria Anzaldúa. We apply Anzaldúan theory to science education by illustrating it in action through various examples which explore the multidimensionality of teaching science with Latin@ students in various contexts including dual language settings. We present what it is to journey through transformation using examples from educators at various levels of science within the world of teaching science with Latin@ students in the U.S. Our examples illustrate how Latin@ students cross many cultural borders in Spanish, English, Latin@ home culture, school culture, and the world of scientific dialogue and content, and in doing so, go through tensions and transformations between dominant and non-dominant worlds, which should be acknowledged and better understood through Anzaldúan theory. Fundamentally, we present a transformative notion of Latin@ science learning as "living on the bridges" of many dialogic and cultural practices, and having to negotiate these in-between spaces, or " nepantla" (Anzaldúa and Keating in Interviews, Psychology Press, London, 2000), where Latin@ students must contend with the fragmented and sometimes painful struggle of living in racialized reality amidst the demands of a dominant culture, and where transformation and healing are possible through the path of conocimiento. We advocate for teachers to become science teacher nepantler@s, who guide their students through nepantla, and into a new mestiz@ consciousness of science education.

A classification of user-generated content into consumer decision journey stages.

PubMed

Vázquez, Silvia; Muñoz-García, Óscar; Campanella, Inés; Poch, Marc; Fisas, Beatriz; Bel, Nuria; Andreu, Gloria

2014-10-01

In the last decades, the availability of digital user-generated documents from social media has dramatically increased. This massive growth of user-generated content has also affected traditional shopping behaviour. Customers have embraced new communication channels such as microblogs and social networks that enable them not only just to talk with friends and acquaintances about their shopping experience, but also to search for opinions expressed by complete strangers as part of their decision making processes. Uncovering how customers feel about specific products or brands and detecting purchase habits and preferences has traditionally been a costly and highly time-consuming task which involved the use of methods such as focus groups and surveys. However, the new scenario calls for a deep assessment of current market research techniques in order to better interpret and profit from this ever-growing stream of attitudinal data. With this purpose, we present a novel analysis and classification of user-generated content in terms of it belonging to one of the four stages of the Consumer Decision Journey Court et al. (2009) (i.e. the purchase process from the moment when a customer is aware of the existence of the product to the moment when he or she buys, experiences and talks about it). Using a corpus of short texts written in English and Spanish and extracted from different social media, we identify a set of linguistic patterns for each purchase stage that will be then used in a rule-based classifier. Additionally, we use machine learning algorithms to automatically identify business indicators such as the Marketing Mix elements McCarthy and Brogowicz (1981). The classification of the purchase stages achieves an average precision of 74%. The proposed classification of texts depending on the Marketing Mix elements expressed achieved an average precision of 75% for all the elements analysed. Copyright © 2014 Elsevier Ltd. All rights reserved.

Paths to partnership: Veterans Health Administration's Journey in pilot testing breast cancer care quality measures.

PubMed

Hogg, Lori Hoffman

2014-01-01

Prioritizing personalized, proactive, patient-driven health care is among the Veterans Health Administration's (VHA's) transformational initiatives. As one of the largest integrated healthcare systems, the VHA sets standards for performance measures and outcomes achieved in quality of care. Evidence-based practice (EBP) is a hallmark in oncology nursing care. EBP can be linked to positive outcomes and improving quality that can be influenced directly by nursing interventions. VHA oncology nurses had the opportunity to partner with the Oncology Nursing Society (ONS), ONS Foundation, and the Joint Commission in the multiyear development of a comprehensive approach to quality cancer care. Building on a platform of existing measures and refining measurement sets culminated in testing evidence-based, nursing-sensitive quality measures for reliability through the ONS Foundation-supported Breast Cancer Care (BCC) Quality Measures Set. The BCC Measures afforded the VHA to have its many sites collectively assess documentation of the symptoms of patients with breast cancer, the use of colony-stimulating factors, and education about neutropenia precautions provided. Parallel paths of the groups, seeking evidence-based measures, led to the perfect partnership in the VHA's journey in pilot testing the BCC Measures in veterans with breast cancer. This generated further quality assessments and continuous improvement projects for spread and sustainability throughout the VHA.

Specificities of Sightseeing Foot Tour Arrangement for History Related Street with Regard to Karl Marx Street in the Town of Irkutsk

NASA Astrophysics Data System (ADS)

Kulakov, A. I.; Shishkanov, V. S.

2017-11-01

The paper is devoted to the preparation of an innovative foot itinerary for tourists in Karl Marx Street in the town of Irkutsk. Methodology on preparation of sightseeing tours has been analysed by the authors. The analysis of the methodology has facilitated selecting the criteria to classify the excursions as well as the criteria for assessing and shortlisting the objects for excursion exposure. Some chosen criteria being used in tour arrangement and certain specificities of tour preparation have been revealed which are characteristic particularly for Karl Marx Street as a history-related one. It is also proved in the paper that the itinerary prepared for tourists is in full correspondence with the key innovation objectives in tourism.

Moving the journey towards independence: Adolescents transitioning to successful diabetes self-management

PubMed Central

Strickland, C. June

2016-01-01

Purpose To gain a greater understanding of adolescent’s experiences living with Type 1 diabetes mellitus (T1DM) and create a theoretical paradigm. Methods Grounded theory as described by Glaser was used. Fifteen in-depth interviews were conducted with adolescent’s ages 11 to 15 with T1DM. Symbolic interactionism is the theoretical framework for grounded theory. Data were collected; transcribed, coded, and analyzed simultaneously using constant comparative analysis and findings were grounded in the words of participants. Results A theoretical model was created with the concept of “normalizing”. Normalizing was defined as the ability to integrate diabetes into one’s daily life to make diabetes ‘part of me’. Phase four of the model, and the focus of this manuscript was “Moving the Journey towards Independence” and included: 1) taking over care, 2) experiencing conflict with parents, and 3) realizing diabetes is hard. The major task for adolescents in this phase was separating from parents to independently manage diabetes. The normalizing task for this phase was: “taking on the burden of care”. Adolescents described challenges with independent care and increased parental conflict including: fearing needles, forgetting insulin, feeling embarrassed and believing that diabetes was a burden in their life. Additionally, juggling the multiple responsibilities of home, school and work along with managing a chronic illness during adolescence is challenging. Conclusions Transitioning to diabetes self-management is a challenge for adolescents. This model advances understanding of the moving processes in adolescents transitioning; additionally, hypotheses are presented that may be used for developing interventions to promote success in self-management. PMID:26190456

The journey of integrins and partners in a complex interactions landscape studied by super-resolution microscopy and single protein tracking

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rossier, Olivier; Giannone, Grégory; CNRS, Interdisciplinary Institute for Neuroscience, UMR 5297, F-33000 Bordeaux

Cells adjust their adhesive and cytoskeletal organizations according to changes in the biochemical and physical nature of their surroundings. In return, by adhering and generating forces on the extracellular matrix (ECM) cells organize their microenvironment. Integrin-dependent focal adhesions (FAs) are the converging zones integrating biochemical and biomechanical signals arising from the ECM and the actin cytoskeleton. Thus, integrin-mediated adhesion and mechanotransduction, the conversion of mechanical forces into biochemical signals, are involved in critical cellular functions such as migration, proliferation and differentiation, and their deregulation contributes to pathologies including cancer. A challenging problem is to decipher how stochastic protein movements andmore » interactions lead to formation of dynamic architecture such as integrin-dependent adhesive structures. In this review, we will describe recent advances made possible by super-resolution microscopies and single molecule tracking approaches that provided new understanding on the organization and the dynamics of integrins and intracellular regulators at the nanoscale in living cells.« less

The journey of integrins and partners in a complex interactions landscape studied by super-resolution microscopy and single protein tracking.

PubMed

Rossier, Olivier; Giannone, Grégory

2016-04-10

Cells adjust their adhesive and cytoskeletal organizations according to changes in the biochemical and physical nature of their surroundings. In return, by adhering and generating forces on the extracellular matrix (ECM) cells organize their microenvironment. Integrin-dependent focal adhesions (FAs) are the converging zones integrating biochemical and biomechanical signals arising from the ECM and the actin cytoskeleton. Thus, integrin-mediated adhesion and mechanotransduction, the conversion of mechanical forces into biochemical signals, are involved in critical cellular functions such as migration, proliferation and differentiation, and their deregulation contributes to pathologies including cancer. A challenging problem is to decipher how stochastic protein movements and interactions lead to formation of dynamic architecture such as integrin-dependent adhesive structures. In this review, we will describe recent advances made possible by super-resolution microscopies and single molecule tracking approaches that provided new understanding on the organization and the dynamics of integrins and intracellular regulators at the nanoscale in living cells. Copyright © 2015. Published by Elsevier Inc.

Laparoendoscopic single site (LESS) cholecystectomy.

PubMed

Hodgett, Steven E; Hernandez, Jonathan M; Morton, Connor A; Ross, Sharona B; Albrink, Michael; Rosemurgy, Alexander S

2009-02-01

The journey from conventional "open" operations to truly "minimally invasive" operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparoscopic operations through the umbilicus alone, laparoendoscopic single site surgery (LESS), offer improved cosmesis and hopes for less pain and improved recovery. This study was undertaken to evaluate our initial experience with LESS cholecystectomy and to compare our initial experience to concurrent outcomes with more conventional multiport, multi-incision laparoscopic cholecystectomy. All patients referred for cholecystectomy over a 6-month period were offered LESS. Outcomes, including blood loss, operative time, complications, and length of stay were recorded. Outcomes with our first LESS cholecystectomies were compared to an uncontrolled group of concurrent patients undergoing multiport, multi-incision laparoscopic cholecystectomy at the same hospital by the same surgeon. Twenty-nine patients of median age 50 years undergoing LESS cholecystectomy from November 2007 until May 2008 were compared to 29* patients, median age 48 years, undergoing standard multiport, multiple-incision laparoscopic cholecystectomy over the same time period. Median operative time for patients undergoing LESS cholecystectomy was 72 min and was not different from that of patients undergoing multiport, multi-incision laparoscopic cholecystectomy (p = 0.81). Median length of hospital stay was 1.0 day for patients undergoing LESS cholecystectomy and was not different from patients undergoing standard laparoscopic cholecystectomy (p = 0.46). Operative estimated blood loss was less than 100 cc for all patients. No patients undergoing attempted LESS cholecystectomy had conversions to "open" operations; two patients had an additional trocar(s) placed distant from the umbilicus to aid in exposure. Three patients undergoing LESS cholecystectomy had

The journey of Typhon-Echidna as a binary system through the planetary region

NASA Astrophysics Data System (ADS)

Araujo, R. A. N.; Galiazzo, M. A.; Winter, O. C.; Sfair, R.

2018-06-01

Among the current population of the 81 known trans-Neptunian binaries (TNBs), only two are in orbits that cross the orbit of Neptune. These are (42355) Typhon-Echidna and (65489) Ceto-Phorcys. In this work, we focused our analyses on the temporal evolution of the Typhon-Echidna binary system through the outer and inner planetary systems. Using numerical integrations of the N-body gravitational problem, we explored the orbital evolutions of 500 clones of Typhon, recording the close encounters of those clones with planets. We then analysed the effects of those encounters on the binary system. It was found that only {≈ }22 per cent of the encounters with the giant planets were strong enough to disrupt the binary. This binary system has an ≈ 3.6 per cent probability of reaching the terrestrial planetary region over a time-scale of approximately 5.4 Myr. Close encounters of Typhon-Echidna with Earth and Venus were also registered, but the probabilities of such events occurring are low ({≈}0.4 per cent). The orbital evolution of the system in the past was also investigated. It was found that in the last 100 Myr, Typhon might have spent most of its time as a TNB crossing the orbit of Neptune. Therefore, our study of the Typhon-Echidna orbital evolution illustrates the possibility of large cometary bodies (radii of 76 km for Typhon and 42 km for Echidna) coming from a remote region of the outer Solar system and that might enter the terrestrial planetary region preserving its binarity throughout the journey.

Exploring the breast cancer patient journey: do breast cancer survivors need menopause management support?

PubMed

Tanna, Nuttan; Buijs, Helene; Pitkin, Joan

2011-12-01

Breast cancer survivors can be expected to suffer from menopause symptoms with estrogen deprivation due to cancer treatments, in addition to natural menopause-related estrogen loss. To gain an understanding of what support breast cancer patients have when they suffer from menopausal symptoms, and utilize findings to further inform National Health Service (NHS) care provision for breast cancer survivors. Qualitative study with focus group sessions targeting Caucasian and Asian women with breast cancer. Patient stories, with women describing their breast cancer journey and speaking about support received for any menopausal symptoms. Thematic data analysis of transcription. Breast cancer patients were not sure if they had menopausal symptoms or whether this was due to their breast cancer condition or treatment. Patients had an attitude of acceptance of menopausal symptoms and reported trying to cope with these by themselves. This research identifies a need for more information that is culturally sensitive on managing menopause symptoms, both as side-effects of breast cancer treatments as well as for affect on quality of life during the survivorship phase. Our work also gives insight into cultural remedies used for hot flushes by Asian patients, which they consider as 'cooling' foods. Breast cancer patients want to know whether side-effects of cancer treatment persist long term and how these can be managed. There is a need for improved patient support within any new NHS service models that are developed along breast cancer patient pathways, and inclusion of personalized advice for menopause symptoms.

25 CFR 142.7 - How are transportation and scheduling determined?

Code of Federal Regulations, 2010 CFR

2010-04-01

... advantage of economies of scale and consider geographic disparity and distribution of sites. (b) Itineraries... shipping season the final departure and arrival schedules must be distributed prior to the commencement of...

Becoming a nurse as a moral journey: A constructivist grounded theory.

PubMed

Ranjbar, Hadi; Joolaee, Soodabeh; Vedadhir, Abouali; Abbaszadeh, Abbas; Bernstein, Colleen

2017-08-01

Nursing students, during their study, experience significant changes on their journey to become nurses. A major change that they experience is the development of their moral competency. The purpose of this study is to explore the process of moral development in Iranian nursing students. A constructivist grounded theory method was adopted. Twenty-five in-depth, semi-structured, face-to-face intensive interviews with 22 participants were conducted from September 2013 to October 2014. All interviews were audio-taped, transcribed, and analyzed using writing memos and the constant comparative method. Participants and research context: The setting was three major nursing schools within Tehran, the capital of Iran. Nineteen nursing students and three lecturers participated in the study. Ethical considerations: The study was approved by the Tehran University of Medical Sciences Committee for Medical Research Ethics (92/D/130/1781). It was explained to all participants that their responses would be treated with confidentiality and that they would not be identified in any way in the research and any publication ensuing from the research. All participants agreed to be interviewed and signed written consent forms agreeing to the recording and analyses of the interview data gathered. Findings indicated three levels of moral development along with the formation of professional identity. The three levels of moral development, getting to know the identity of nursing (moral transition), accepting nursing identity (moral reconstruction), and professional identity internalization (professional morality), were connected to the levels of professional identity formation. The proposed model added a new insight to professionalism in nursing. From the findings, it was concluded that to enhance higher moral practice, nursing instructors should promote the professional identity of nursing students. Reinforcement of moral characteristics and professional identity within registered nurses

Field Survey - A Journey of Exploration and Discovery

NASA Astrophysics Data System (ADS)

Jadhav, Kiran

2017-04-01

been conducted .The choice of using a questionnaire as a tool for acquisition of data has been implemented for this research followed by conducting interviews with several families in the village. The process of tabulating information using a spreadsheet is in progress. The appropriate graphical methods for data representation will be chosen. The major part of their report will then be devoted to the interpretation,analysis of information gathered,computation along with supportive facts like statistical diagrams ,graphs, maps, pictures, photographs , newspaper clippings and drawing inferences and references. The rough draft will be presented for scrutiny followed by submission of the final written report. It was an experiential learning journey for the students and a much recommended methodology at this level.

Possibility of profitable air traffic between Lisbon and Rio de Janeiro

NASA Technical Reports Server (NTRS)

Sherz, Walter

1923-01-01

Different aspects of an airship line between Lisbon and Rio de Janeiro are presented. Some of the factors discussed are: the number of passengers, fuel consumption, design, itinerary, airports, flight times, and income.

Journeying with HIV patients across the health care spectrum - an examination of a seamless model of HIV Psychiatry of a large urban general hospital.

PubMed

Chan, Lai Gwen; Carvalhal, Adriana

2015-01-01

To describe a model of HIV psychiatry used in an urban hospital in Toronto and examine it against current literature. Using a narrative method, we elaborate on how this model delivers care across many different settings and the integral roles that the HIV psychiatrist plays in each of these settings. This is articulated against a backdrop of existing literature regarding models of HIV care. This model is an example of an integrated model as opposed to a traditional consultation-liaison model and is able to deliver seamless care while remaining focused on patient-centric care. An HIV psychiatrist delivers seamless and patient-centric care by journeying with patients across the healthcare spectrum and playing different roles in different care settings. Copyright © 2015 Elsevier Inc. All rights reserved.

Single molecules, cells, and super-resolution optics (Presentation Video)

NASA Astrophysics Data System (ADS)

Betzig, Eric

2015-03-01

In this plenary presentation, Eric Betzig talks about his scientific journey that led to the Nobel Prize. He made waves early in his career by helping to develop a technique known as near-field microscopy, which brought into focus structures that scientists had long considered too small to see with a light microscope. Eric Betzig is a group leader at Janelia Research Campus of the Howard Hughes Medical Institute (HHMI) in Ashburn, VA. He recieved a BS in physics from California Institute of Technology and a PhD in applied and engineering physics from Cornell University. Betzig received the 2014 Nobel Prize in Chemistry, along with William Moerner and Stefan Hell, for their development of super-resolved fluorescence microscopy.

The sudden death of Alaric I (c. 370-410AD), the vanquisher of Rome: A tale of malaria and lacking immunity.

PubMed

Galassi, Francesco M; Bianucci, Raffaella; Gorini, Giacomo; Paganotti, Giacomo M; Habicht, Michael E; Rühli, Frank J

2016-06-01

Alaric I (c. 370-410AD), King of the Visigoths, sacked Rome for the second time in over eight centuries of history. Historians suggest that malaria, probably contracted either in Rome or in the Pontine Marshes, was responsible for his sudden death in Cosenza (Calabria) in the autumn of 410AD, where he was allegedly buried in the River Busento. In this article, we aim to examine this hypothesis through a full pathographic reassessment of the most likely cause of Alaric's demise. To achieve this, we resorted to a dual philological-medical approach: clinical likelihood and malaria seasonality coupled with primary historical sources (mainly Jordanes' work De origine actibusque Getarum) and the reconstruction of the itineraries followed by Alaric and his army after the sack of Rome. Sudden death is caused by several factors. The possibility that Alaric died of a cardiovascular disease was discarded since no description of potentially pathological signs emerged from the available sources. Given his lack of semi-immunity, falciparum malaria was considered as the most likely cause of his demise. It took him over two months to reach the coasts of Calabria during the peak of malaria's transmission (summer-autumn). During the march, Alaric did not suffer from recurrent fevers or other ailments, which would have been reported by historians. The scenario emerging from this multidisciplinary reanalysis allows us to hypothesise that Plasmodium falciparum malaria, contracted during his journey through Calabria, was the most likely candidate responsible for Alaric's unexpected demise. Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

Growing up and Growing out: Emerging Adults Learn Management through Service-Learning

ERIC Educational Resources Information Center

Fairfield, Kent D.

2010-01-01

This article describes a journey introducing service-learning based on large-scale projects in an undergraduate management curriculum, leading to supplementing this approach with more conventional small-group projects. It outlines some of the foundation for service-learning. Having students undertake a single class-wide project offers distinctive…

The journey of discovering skull base anatomy in ancient Egypt and the special influence of Alexandria.

PubMed

Elhadi, Ali M; Kalb, Samuel; Perez-Orribo, Luis; Little, Andrew S; Spetzler, Robert F; Preul, Mark C

2012-08-01

The field of anatomy, one of the most ancient sciences, first evolved in Egypt. From the Early Dynastic Period (3100 BC) until the time of Galen at the end of the 2nd century ad, Egypt was the center of anatomical knowledge, including neuroanatomy. Knowledge of neuroanatomy first became important so that sacred rituals could be performed by ancient Egyptian embalmers during mummification procedures. Later, neuroanatomy became a science to be studied by wise men at the ancient temple of Memphis. As religious conflicts developed, the study of the human body became restricted. Myths started to replace scientific research, squelching further exploration of the human body until Alexander the Great founded the city of Alexandria. This period witnessed a revolution in the study of anatomy and functional anatomy. Herophilus of Chalcedon, Erasistratus of Chios, Rufus of Ephesus, and Galen of Pergamon were prominent physicians who studied at the medical school of Alexandria and contributed greatly to knowledge about the anatomy of the skull base. After the Royal Library of Alexandria was burned and laws were passed prohibiting human dissections based on religious and cultural factors, knowledge of human skull base anatomy plateaued for almost 1500 years. In this article the authors consider the beginning of this journey, from the earliest descriptions of skull base anatomy to the establishment of basic skull base anatomy in ancient Egypt.

A Passionate Journey Info-Motion Graphics Video Exploring Why and How to Find Work You Love

NASA Astrophysics Data System (ADS)

Zhou, Jia

Benjamin Disraeli, a 19th century British Prime Minister, once said, "Man is not a rational animal. He is only truly good or great when he acts from passion." Passion is the fuel that can power you toward the realization of your dreams. To live a truly satisfying and purposeful life, it is important for every individual to know what their passions are so life will be fulfilling. Teenagers choose their career after they graduate from high school. They begin to wonder what they will become and what contributions they can make in the future. It is important for people to choose something interesting that leads them to work hard in their career. This thesis is a motion graphics piece called "A Passionate Journey." It presents an idea to students to help them contemplate about the things in which they have always been interested, discover their true passions, and choose jobs based on their enthusiasm. When people pursue something of which they are fond, they ultimately become successful. Information is received by people's minds, silencing their inner critics and offering them the courage and self-confidence to purse whatever they love. Therefore, the goal of this motion graphic design is help people to start observing themselves, think about what always makes them passionate, and choose something about which they are passionate in their future careers.

Breakthroughs in the biogeochemistry of Nordic aquatic systems: Lessons from Water's Journey from Rain to Stream

NASA Astrophysics Data System (ADS)

Bishop, Kevin

2015-04-01

A sustainable society has been said to require knowledge of the limits placed by nature. Whatever one's views on the know-ability and significance of such limits, science strives to improve our understanding of these limiting factors, of which water is recognized to be one of the most important. Despite the centrality of water, the water cycle is maddeningly difficulty to pin down with the level of detail that is desired for resolving issues about the fate of pollutants, nutrient cycling and the global carbon balance, etc. But there is hope lurking in the Swedish landscape. The simplicity of hydrology in many Fennoscandian till soils, combined with applications of the only true tracers of water (isotopes of the water molecule) that were pioneered by Uppsala University hydrologists -provide a hydrological basis for breakthroughs in the biogeochemistry of critical earth support systems. This talk will explore some recent advances in understanding both pollutants and natural cycles, with linkages back to the concepts presented in the Water's Journey from Rain to Stream by Harald Grip and Allan Rodhe. The examples will include the mercury, acidity, and biogenic carbon of relevance to the "aquatic conduit" in the global carbon cycle. The talk will finish with thoughts about where to go next with the power that a well-characterized hydrology can provide.

Circulating Tumor Cells (CTCs): Emerging Technologies for Detection, Diagnosis and Treatment

NASA Astrophysics Data System (ADS)

McCarty, Owen

2010-03-01

Circulating tumor cell enumeration and characterization have the potential of providing real-time access to epithelial cancers in patients. This fluid phase biopsy of solid phase tumors is crucial to the development of quantitative diagnostic aiding personalized medicine. Cancer is a highly heterogeneous disease over space and time. Our goal is to generate a mechanistic, yet comprehensive view of both the `FORCE-journey' of a cancer cell during the metastatic phase, and a `TIME-journey' of the disease as it progresses. The approach will correlate the `FORCE' and `TIME' journey with both the bio-clinical aspects and the genomics of this complex problem. Presented will be results from a case study in lung cancer patients for which CTC analysis is compared with clinical progression. Morphologic and molecular characterization at the single cell level will be discussed in the context of the data set and in the context of individual patient management. Preliminary data will be shown to guide a future research agenda to investigate the fluid phase of solid tumors.